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OPD Mediclaim Bill for the month of February-2019
Page 1 of 6486
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01118992 Min 01118992 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 2 of 6486
Name
DR ACHINTYA KUMAR PODDAR Rate Amount Qty 334.8 5.58 60 34.8 1.16 30 12 .4 30 29.7 .99 30 16.2 .27 60 27.9 .93 30 10.8 .36 30 36 .6 60 400 400 1 Total: 902.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01118993 Min 01118993 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3 of 6486
Name
DR ADITI PODDAR Rate Amount Qty 21.3 .71 30 4.8 .16 30 10.65 .71 15 334.8 5.58 60 17.4 1.16 15 400 400 1 Total: 788.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01123711 Min 01123711 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 4 of 6486
Name
RITA SAHA Rate Amount Qty 57.84 115.68 2 3.7 .37 10 7.6 .38 20 36.8 1.84 20 400 400 1 Total: 563.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01202500 Min 01202500 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19
Page 5 of 6486
Name
V M NARAYANA PILLAI Rate Amount Qty 7.5 .25 30 39 2.6 15 400 400 1 104.4 1.74 60 54 .9 60 6.4 .64 10 26.6 2.66 10 21.6 .18 120 400 400 1 27.4 1.37 20 17.8 .89 20 16.8 .42 40 400 400 1 Total: 1521.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01206288 Min 01206288 Appmt Dt Slno Description 25-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 2 PREDNISOLONE,5MG,STRIP PACK,,TABLET 25-FEB-19 3 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6 of 6486
Name
JOHNSON Qty Rate Amount 30 .89 26.7 30 .67 20.1 60 .9 54 1 400 400 Total: 500.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01206289 Min 01206289 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 7 of 6486
Name
STELLA JOHNSON Rate Amount Qty 45 .6 75 13.35 .89 15 185.7 6.19 30 21.3 .71 30 8.7 .58 15 18.6 .62 30 3.75 .25 15 55.8 .93 60 8.1 .27 30 18.9 .63 30 400 400 1 Total: 779.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01213081 Min 01213081 Appmt Dt Slno Description 15-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 8 of 6486
Name
K S K KURUP Qty Rate Amount 30 1.08 32.4 30 .25 7.5 30 .71 21.3 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01213082 Min 01213082 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 9 of 6486
Name
RADHA KURUP Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01214982 Min 01214982 Slno Description Appmt Dt NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 10 of 6486
Name
B YOGESWARAN Rate Amount Qty 157.8 2.63 60 66 1.1 60 12 .4 30 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 698.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01214983 Min 01214983 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 11 of 6486
Name
M REETHA Rate Amount Qty 17.4 .58 30 12 .4 30 21.3 .71 30 32.4 1.08 30 66 1.1 60 36 .6 60 41.4 .92 45 400 400 1 Total: 626.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01221779 Min 01221779 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 IVABRADINE,5MG,,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 12 of 6486
Name
S NAMBIRAJAN Rate Amount Qty 17.4 1.16 15 3.75 .25 15 9.95 149.25 15 11.85 .79 15 6 .4 15 400 400 1 Total: 588.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01223081 Min 01223081 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 13 of 6486
Name
S. RAJU Rate Amount Qty 72.6 1.21 60 15.6 .26 60 18 .6 30 27.9 .93 30 12 .4 30 400 400 1 Total: 546.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01309143 Min 01309143 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 14 of 6486
Name
BEHARI LAL DHINGRA Rate Amount Qty 34.8 1.16 30 23.7 .79 30 26.7 .89 30 4.8 .16 30 40.12 20.06 2 400 400 1 Total: 530.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400024 Min 01400024 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 15 of 6486
Name
S D SONDHI Rate Amount Qty 21.6 .36 60 43.96 43.96 1 11.4 .38 30 78 1.3 60 1300 1300 1 275 275 1 275 275 1 400 400 1 72 .6 120 400 400 1 Total: 2876.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400025 Min 01400025 Slno Description Appmt Dt CREATININE /CRT 1 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 UREA (BUN /UR) 8 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 16 of 6486
Name
UMA SONDHI Rate Amount Qty 275 275 1 11.4 .38 30 275 275 1 27.9 .93 30 33 1.1 30 9 .3 30 27.9 .93 30 275 275 1 400 400 1 12 .4 30 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 1813.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400040 Min 01400040 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 3 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 17 of 6486
V N MUJUMDAR Qty 1 1 1 1 1
Rate Amount 74.45 74.45 400 400 18.03 18.03 25.07 25.07 400 400 Total: 917.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400046 Min 01400046 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 18 of 6486
Name
G S MURTHY Rate Amount Qty 275 275 1 32.4 1.08 30 19.8 .66 30 123.53 247.06 2 400 400 1 275 275 1 400 400 1 Total: 1649.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400113 Min 01400113 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 4 12-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 12-FEB-19 OBSERVATION IN CASUALTY 6 12-FEB-19 ECG 7 12-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 8 12-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 9 12-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 11 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 RIFAXIMIN 200 MG,,TABLET 14 13-FEB-19 RACECADOTRIL,100MG,CAPSULE 15 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 13-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 19 13-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 23 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 24 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 25 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 26 21-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 27 21-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 28 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 21-FEB-19
Page 19 of 6486
Name
N C RAY CHAUDHURY Rate Amount Qty 21.3 .71 30 15.3 .51 30 7.5 .25 30 11.89 11.89 1 9.81 9.81 1 420 420 1 450 450 1 9.62 9.62 1 22.71 22.71 1 24.52 24.52 1 15.6 .26 60 21.3 .71 30 400 400 1 55.98 9.33 6 53.73 5.97 9 16.8 1.12 15 66.2 6.62 10 8.9 .89 10 2.8 .7 4 52.26 8.71 6 400 400 1 5.34 .89 6 83.97 9.33 9 14.2 .71 20 16.8 1.12 15 66.2 6.62 10 2.1 .7 3 34.84 8.71 4 400 400 1 Total: 2709.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400114 Min 01400114 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 04-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 20 of 6486
Name
GITA RAY CHAUDHURY Rate Amount Qty 24.6 .82 30 82.2 2.74 30 400 400 1 18 .6 30 16.2 .27 60 21.3 .71 30 4.5 .3 15 12 .4 30 15.6 .26 60 33 1.1 30 21.3 .71 30 7.65 .51 15 400 400 1 Total: 1056.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400183 Min 01400183 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 4 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 21 of 6486
Name
P M WAHI Rate Amount Qty 19.8 .66 30 7.5 .25 30 32.4 1.08 30 77.85 5.19 15 252 2.1 120 60.9 2.03 30 400 400 1 Total: 850.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400184 Min 01400184 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 07-FEB-19 X - RAY - TWO VIEWS 8 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 22 of 6486
Name
KAMLA WAHI Rate Amount Qty 2.3 .23 10 4.8 .16 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 27.9 .93 30 72.6 1.21 60 1720 860 2 30.6 .34 90 400 400 1 400 400 1 Total: 2737.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400198 Min 01400198 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 23 of 6486
S K BANDYOPADHYAY Rate Amount Qty 3.7 .37 10 15.73 15.73 1 400 400 1 Total: 419.43
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400199 Min 01400199 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 01-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19 AMISULPRIDE, 100MG,,TABLET 16 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 21-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 19 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 20 21-FEB-19 FLUOXETINE HCL,20MG,CAPSULE/TABLET. 21 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 21-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 23 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 24 26-FEB-19 BRIMONIDINE TARTRATE,0.15% 25 26-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 26 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 26-FEB-19
Page 24 of 6486
MANJUSHREE BANERJEE Rate Amount Qty 26.7 .89 30 156.6 1.74 90 79.2 .66 120 30.15 .67 45 15 .25 60 54 .9 60 69.05 69.05 1 400 400 1 12.46 .89 14 18.76 .67 28 92.68 6.62 14 400 400 1 12.46 .89 14 14.07 .67 21 400 400 1 62.56 7.82 8 53.4 .89 60 54 .9 60 7.65 .51 15 39.6 2.64 15 99.6 3.32 30 400 400 1 25.69 25.69 1 25.07 25.07 1 74.45 74.45 1 19.77 19.77 1 400 400 1 Total: 3042.92
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400280 Min 01400280 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 25 of 6486
K S SASTRY Rate Amount Qty 7.5 .25 30 31.46 15.73 2 17.4 .58 30 104.4 1.74 60 400 400 1 Total: 560.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400281 Min 01400281 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 26 of 6486
Name
K R RAJESHWARI Rate Amount Qty 7.5 .25 30 71 .71 100 400 400 1 Total: 478.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400290 Min 01400290 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 27 of 6486
Name
MALA METHANI Rate Amount Qty 20.84 5.21 4 25.2 .63 40 247.6 6.19 40 27.4 1.37 20 17.8 .89 20 400 400 1 Total: 738.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400309 Min 01400309 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 27-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 28 of 6486
Name
N RUDRA Rate Amount Qty 20.06 20.06 1 63 2.1 30 11.4 .38 30 21.3 .71 30 66 1.1 60 55.8 .93 60 167.4 5.58 30 72 .6 120 10.8 .36 30 400 400 1 Total: 887.76
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400385 Min 01400385 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 14-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 9 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 29 of 6486
G S NIGAM Rate Amount Qty 26.7 .89 30 27 .9 30 75.21 25.07 3 36.42 18.21 2 400 400 1 7.5 .25 30 8.1 .27 30 55.8 .93 60 30.6 .34 90 12 .4 30 14.85 .99 15 18 .6 30 9 .3 30 34.8 1.16 30 400 400 1 Total: 1155.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400386 Min 01400386 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 CREATININE /CRT 4 19-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 19-FEB-19 PRAZOSIN,2.5MG,TABLET 8 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 19-FEB-19
Page 30 of 6486
Name
LAXMI NIGAM Rate Amount Qty 19.8 .66 30 21.3 .71 30 7.5 .25 30 275 275 1 275 275 1 400 400 1 16.2 .27 60 78 1.3 60 32.4 1.08 30 1300 1300 1 Total: 2425.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400410 Min 01400410 Slno Description Appmt Dt NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 1 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 17 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 31 of 6486
Name
M S MADAN Rate Amount Qty 236.7 2.63 90 40.8 .34 120 139.2 1.16 120 11.4 .38 30 17.4 .58 30 66 1.1 60 31.2 1.04 30 32.4 1.08 30 4.8 .16 30 400 400 1 62.4 1.04 60 4.8 .16 30 26.7 .89 30 32.4 1.08 30 66 1.1 60 11.4 .38 30 236.7 2.63 90 139.2 1.16 120 40.8 .34 120 400 400 1 Total: 2000.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400411 Min 01400411 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 14 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 32 of 6486
Name
SANTOSH MADAN Rate Amount Qty 11.4 .38 30 4.8 .16 30 78.9 2.63 30 66 1.1 60 32.4 1.08 30 8.1 .27 30 7.5 .25 30 17.4 .58 30 34.8 1.16 30 400 400 1 26.7 .89 30 7.5 .25 30 371.4 6.19 60 157.8 2.63 60 34.8 1.16 30 32.4 1.08 30 8.1 .27 30 66 1.1 60 11.4 .38 30 400 400 1 Total: 1777.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400419 Min 01400419 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 11 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 16 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 17 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 19 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 21 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 22 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 27-FEB-19
Page 33 of 6486
Name
B R SINGH Rate Amount Qty 38.25 2.55 15 371.4 6.19 60 26.7 .89 30 185.7 6.19 30 38.25 2.55 15 14.85 .99 15 12 .4 30 32.4 1.08 30 34.8 1.16 30 400 400 1 24.45 24.45 1 12.8 .64 20 8.9 .89 10 5 .25 20 44.16 1.84 24 6.42 2.14 3 19.77 19.77 1 400 400 1 24.45 24.45 1 44.16 1.84 24 19.77 19.77 1 6.42 2.14 3 400 400 1 Total: 2170.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400420 Min 01400420 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19
Page 34 of 6486
Name
RAMOLA RAJ KAUR Rate Amount Qty 76.5 2.55 30 7.5 .25 30 2.4 .16 15 185.7 6.19 30 21.3 .71 30 46.2 .77 60 55.8 .93 60 27.9 .93 30 31.2 1.04 30 32.4 1.08 30 400 400 1 Total: 886.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400431 Min 01400431 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 06-FEB-19 PRAZOSIN,2.5MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 35 of 6486
Name
K T NINAN Rate Amount Qty 36 .6 60 21.6 .36 60 55.8 .93 60 60.9 2.03 30 21.3 .71 30 12 .4 30 15.6 1.04 15 22.2 .37 60 39 1.3 30 400 400 1 Total: 684.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400468 Min 01400468 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 22-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19 CREATININE /CRT 13 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 26-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 18 26-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 19 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 20 26-FEB-19 URIC ACID (UA /URATES /UR) 21 26-FEB-19 UREA (BUN /UR) 22 26-FEB-19 COMPLETE HAEMOGRAM 23 26-FEB-19
Page 36 of 6486
Name
V K SANTA Rate Amount Qty 71 .71 100 7.8 .26 30 26.7 .89 30 21.3 .71 30 12 .4 30 66 1.1 60 3.9 .26 15 36 .6 60 8.1 .27 30 29.7 .99 30 55.8 .93 60 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 400 400 1 550 550 1 275 275 1 1300 1300 1 275 275 1 275 275 1 750 750 1 Total: 5938.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400532 Min 01400532 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 17-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 17-FEB-19
Page 37 of 6486
Name
SATI MANDAL Rate Amount Qty 21.3 .71 30 27.9 .93 30 9.3 .62 15 400 400 1 21.9 .73 30 8.2 .41 20 17.8 .89 20 400 400 1 Total: 906.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400539 Min 01400539 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 15-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 38 of 6486
Name
P C BANSAL Rate Amount Qty 21.3 .71 30 8.1 .27 30 55.8 .93 60 12 .4 30 36 .6 60 24 .4 60 400 400 1 Total: 557.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400540 Min 01400540 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19
Page 39 of 6486
Name
KUSUM LATA BANSAL Rate Amount Qty 860 860 1 400 400 1 13 2.6 5 3.2 .64 5 4.45 .89 5 Total: 1280.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400577 Min 01400577 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 40 of 6486
Name
N V LATHA Rate Amount Qty 27.9 .93 30 8.9 .89 10 21.3 .71 30 66 1.1 60 400 400 1 51.68 3.23 16 7.6 .38 20 400 400 1 Total: 983.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400588 Min 01400588 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 41 of 6486
Name
S C SONI Rate Amount Qty 54 .6 90 10.8 .36 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 533.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400604 Min 01400604 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 4 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 12 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 15 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 04-FEB-19 URIC ACID (UA /URATES /UR) 17 04-FEB-19 UREA (BUN /UR) 18 04-FEB-19 BRIMONIDINE TARTRATE,0.15% 19 12-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 20 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 23 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 24 26-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 25 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 26 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 28 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 29 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 30 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 31 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 32 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 33 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 34 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 35 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 36 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 37 26-FEB-19
Page 42 of 6486
Name
B R SAKURE Rate Amount Qty 34.8 1.16 30 275 275 1 400 400 1 85.52 85.52 1 185.7 6.19 30 11.4 .38 30 26.7 .89 30 192.3 6.41 30 550 550 1 12 .4 30 400 400 1 15.6 1.04 15 13.95 .93 15 167.4 5.58 30 87.92 43.96 2 60.9 2.03 30 275 275 1 275 275 1 148.9 74.45 2 40.58 20.29 2 400 400 1 3.7 .37 10 60.9 2.03 30 123.53 247.06 2 85.52 85.52 1 185.7 6.19 30 26.7 .89 30 192.3 6.41 30 12 .4 30 34.8 1.16 30 15.6 1.04 15 13.95 .93 15 167.4 5.58 30 60.9 2.03 30 192.3 6.41 30 11.4 .38 30 400 400 1 Total: 5368.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400608 Min 01400608 Slno Description Appmt Dt ESR 1 12-FEB-19 COMPLETE HAEMOGRAM 2 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 12-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 12-FEB-19 URIC ACID (UA /URATES /UR) 5 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 12-FEB-19
Page 43 of 6486
Name
Z L DHAR Qty 1 1 1 1 1 1
Rate Amount 165 165 750 750 400 400 1300 1300 275 275 275 275 Total: 3165
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400609 Min 01400609 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 HB,TLC,DLC 2 12-FEB-19 PLATELET COUNT 3 12-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 4 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 12-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 12-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 7 12-FEB-19
Page 44 of 6486
Name
KHEMA DHAR Qty 1 1 1 1 1 1 1
Rate Amount 400 400 300 300 330 330 275 275 275 275 1300 1300 1500 1500 Total: 4380
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400632 Min 01400632 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 07-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 45 of 6486
Name
B S DHOPTE Rate Amount Qty 11.1 .37 30 63.22 31.61 2 25.62 12.81 2 11.25 .75 15 400 400 1 Total: 511.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400640 Min 01400640 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 46 of 6486
Name
LAXMI SINGHANIA Rate Amount Qty 12.6 .42 30 11.85 .79 15 123.6 4.12 30 185.7 6.19 30 14.85 .99 15 400 400 1 Total: 748.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400670 Min 01400670 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 47 of 6486
Name
HASHI DUTTA Rate Amount Qty 26.7 .89 30 2.4 .16 15 7.5 .25 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 508.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400689 Min 01400689 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 25-FEB-19 SOLIFENACIN,5MG,,TABLET 9 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 10 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 48 of 6486
Name
SHIV DEV GUPTA Rate Amount Qty 55.8 .93 60 7.5 .25 30 95.7 3.19 30 33 1.1 30 22.2 .37 60 10.2 .51 20 192.3 6.41 30 60.9 2.03 30 403.2 13.44 30 128.1 4.27 30 5.1 .51 10 400 400 1 Total: 1414
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400690 Min 01400690 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 26-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 49 of 6486
Name
SHENH LATA GUPTA Rate Amount Qty 11.1 .37 30 19.2 .64 30 3.7 .37 10 33 1.1 30 7.5 .25 30 13.8 .23 60 25.62 12.81 2 400 400 1 Total: 513.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400714 Min 01400714 Slno Description Appmt Dt INHALER FOR INHALING DRY POWDER CAPSULE 1 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 4 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 50 of 6486
Name
KALPANA SHAHA Rate Amount Qty 69.05 69.05 1 208.8 1.74 120 400 400 1 49.2 .82 60 2.4 .16 15 27.9 .93 30 400 400 1 Total: 1157.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400743 Min 01400743 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 TOLTERODINE TARTARATE SR,4 MG,TAB/CAP, 10 20-FEB-19 SOLIFENACIN,5MG,,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 51 of 6486
Name
K S CHAWLA Rate Amount Qty 85.52 85.52 1 7.4 .37 20 7.6 .38 20 35.2 17.6 2 4.45 .89 5 400 400 1 36 .6 60 60.9 2.03 30 400 400 1 175.5 5.85 30 403.2 13.44 30 400 400 1 Total: 2015.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400744 Min 01400744 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 52 of 6486
Name
CHARANJEET KAUR Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 18 .3 60 36 .6 60 153 2.55 60 78 1.3 60 27.9 .93 30 400 400 1 Total: 778.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400768 Min 01400768 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 53 of 6486
Name
M L TANEJA Rate Amount Qty 46.2 .77 60 21.3 .71 30 32.4 1.08 30 15.6 .26 60 167.4 5.58 30 36 .6 60 33 1.1 30 400 400 1 Total: 751.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400769 Min 01400769 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 54 of 6486
Name
SANTOSH TANEJA Rate Amount Qty 8.7 .58 15 12 .4 30 7.5 .25 30 118.5 3.95 30 27.9 .93 30 54 .6 90 13.35 .89 15 21.3 .71 30 400 400 1 Total: 663.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400786 Min 01400786 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 55 of 6486
Name
SHRINIVAS SARDA Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 21.3 .71 30 27.9 .93 30 22.2 .37 60 400 400 1 Total: 1124.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400791 Min 01400791 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 56 of 6486
Name
B PARWATI Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 Total: 472
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400794 Min 01400794 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 16-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 57 of 6486
Name
S N CHAKRAVORTY Rate Amount Qty 10.8 .36 30 27.9 .93 30 60.9 2.03 30 7.5 .25 30 2.4 .16 15 20.06 20.06 1 123.53 123.53 1 32.4 1.08 30 400 400 1 Total: 685.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400797 Min 01400797 Appmt Dt Slno Description 27-FEB-19 1 AMISULPRIDE, 100MG,,TABLET 27-FEB-19 2 SERTRALINE,100MG,STRIP PACK.,TABLET 27-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 58 of 6486
Name
SARAMMA IDICHANDY Qty Rate Amount 15 7.82 117.3 30 3.56 106.8 30 .25 7.5 1 400 400 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400811 Min 01400811 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 28-FEB-19 CREATININE /CRT 13 28-FEB-19 URIC ACID (UA /URATES /UR) 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 28-FEB-19
Page 59 of 6486
NASIMA KAMAL KHAN Rate Amount Qty 25.07 25.07 1 27.9 .93 30 6.82 6.82 1 9 .3 30 7.5 .25 30 40.12 20.06 2 26.7 .89 30 400 400 1 1.53 .51 3 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 4294.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400819 Min 01400819 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 6 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 60 of 6486
Name
J KAUR Rate Amount Qty 21.3 .71 30 55.8 .93 60 287.1 3.19 90 15 .25 60 26.7 .89 30 53.4 3.56 15 7.8 .26 30 32.4 1.08 30 26.7 .89 30 23.7 .79 30 400 400 1 Total: 949.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400825 Min 01400825 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 61 of 6486
Name
GOURI SENGUPTA Rate Amount Qty 21.3 .71 30 7.5 .25 30 36 .6 60 13.95 .93 15 400 400 1 Total: 478.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400836 Min 01400836 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 20-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 62 of 6486
Name
CHANDRAKANT BHUSNUR Rate Amount Qty 20.1 .67 30 26.7 .89 30 54 .9 60 156.6 1.74 90 400 400 1 Total: 657.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400860 Min 01400860 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 63 of 6486
R B K PILLAI Rate Amount Qty 15.73 15.73 1 6.4 .64 10 35.2 3.52 10 2.22 .37 6 400 400 1 Total: 459.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400862 Min 01400862 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 11-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 64 of 6486
Name
S K PAHWA Rate Amount Qty 21.3 .71 30 26.7 .89 30 7.5 .25 30 17.4 .58 30 15.96 2.66 6 1.48 .37 4 21.3 .71 30 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 571.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400863 Min 01400863 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 65 of 6486
Name
MANORAMA PAHWA Rate Amount Qty 12 .4 30 21.3 .71 30 36.3 1.21 30 17.4 .58 30 20.06 20.06 1 7.5 .25 30 400 400 1 Total: 514.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400869 Min 01400869 Appmt Dt Slno Description 14-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 14-FEB-19 2 MRI PER REGION (COST OF CONTRAST EXTRA)
Page 66 of 6486
Name
N L GULATI Qty 1 1
Rate Amount 400 400 9000 9000 9400 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400875 Min 01400875 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 67 of 6486
Name
M S V KURUP Rate Amount Qty 32.4 1.08 30 29.7 .99 30 15.6 .26 60 21.3 .71 30 12 .4 30 16.2 .27 60 36.3 1.21 30 9 .3 30 400 400 1 6.4 .64 10 18 .9 20 3.7 .37 10 26.6 2.66 10 400 400 1 Total: 1027.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400895 Min 01400895 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 68 of 6486
Name
P V PILLAI Rate Amount Qty 22.2 .37 60 26.7 .89 30 7.5 .25 30 38.25 2.55 15 39 2.6 15 2.4 .16 15 185.7 6.19 30 400 400 1 Total: 721.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400916 Min 01400916 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 10 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19
Page 69 of 6486
Name
M LEELA BAI Rate Amount Qty 7.5 .25 30 12.3 .41 30 21.3 .71 30 12 .4 30 15.6 .26 60 66 1.1 60 78 1.3 60 18 .6 30 400 400 1 1750 1750 1 400 400 1 400 400 1 Total: 3180.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400919 Min 01400919 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 13-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 70 of 6486
Name
P C MUKHERJEE Rate Amount Qty 82.76 82.76 1 53.4 .89 60 15 .25 60 60.9 2.03 30 192.3 6.41 30 400 400 1 54 .9 60 46.2 .77 60 400 400 1 Total: 1304.56
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400934 Min 01400934 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 05-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 3 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 5 05-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 6 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19 PRAZOSIN,2.5MG,TABLET 10 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 16 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 09-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 19 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 09-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 22 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 23 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 11-FEB-19 X - RAY - SINGLE VIEW 26 11-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 27 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 28 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 29 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 31 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 32 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 33 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 16-FEB-19
Page 71 of 6486
S N BISWAS Rate Amount Qty 1.85 .37 5 55.2 1.84 30 57.4 5.74 10 10.95 .73 15 13.49 13.49 1 29 29 1 35.2 3.52 10 400 400 1 10.65 .71 15 78 1.3 60 2.4 .16 15 32.4 1.08 30 60.9 2.03 30 53.4 .89 60 27.9 .93 30 42.6 .71 60 400 400 1 12.46 .89 14 13.49 13.49 1 55.2 1.84 30 2.59 .37 7 10.95 .73 15 49.28 3.52 14 400 400 1 400 400 1 550 550 1 13.49 13.49 1 25.07 25.07 1 3.7 .37 10 12.46 .89 14 49.28 3.52 14 10.95 .73 15 6.82 6.82 1 400 400 1 Total: 3327.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400935 Min 01400935 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 72 of 6486
Name
ARUNA BISWAS Rate Amount Qty 78 .78 100 4.8 .16 30 400 400 1 Total: 482.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400937 Min 01400937 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 73 of 6486
Name
PRATIMA SRIVASTAVA Rate Amount Qty 18 .6 30 11.4 .38 30 26.7 .89 30 9.86 9.86 1 7.5 .25 30 400 400 1 Total: 473.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400946 Min 01400946 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 UREA (BUN /UR) 3 04-FEB-19 PLATELET COUNT 4 04-FEB-19 HB,TLC,DLC 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 C T SMALL PARTS /HR 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 12-FEB-19 PROTEIN 24 HR URINE (24 HR UR PROT) 11 12-FEB-19 URINE ROUTINE AND MICROSCOPIC 12 12-FEB-19 PLATELET COUNT 13 12-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 14 12-FEB-19 HB,TLC,DLC 15 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 21 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 22 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 19-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 26 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 21-FEB-19 24 HR URINARY ALBUMIN (24 HR UR ALB) 28 21-FEB-19
Page 74 of 6486
Name
P L MANWAR Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 1300 1300 1 6000 6000 1 400 400 1 55.8 .93 60 275 275 1 380 380 1 330 330 1 165 165 1 300 300 1 400 400 1 12 .4 30 34.8 1.16 30 27.9 .93 30 36 .6 60 29.7 .99 30 27.6 .92 30 39 1.3 30 400 400 1 400 400 1 550 550 1 400 400 1 500 500 1 Total: 14942.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400947 Min 01400947 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 75 of 6486
Name
RAJKUMARI MANWAR Rate Amount Qty 38.25 2.55 15 21.3 .71 30 14.85 .99 15 55.8 .93 60 400 400 1 17.4 1.16 15 400 400 1 Total: 947.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400954 Min 01400954 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 23-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 3 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 23-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 76 of 6486
Name
R S TRIVEDI Rate Amount Qty 8.9 .89 10 35.2 3.52 10 13.49 13.49 1 1.85 .37 5 10.95 .73 15 400 400 1 Total: 470.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400962 Min 01400962 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 77 of 6486
Name
B C DASGUPTA Rate Amount Qty 21.3 .71 30 12 .4 30 32.4 1.08 30 185.7 6.19 30 36 .6 60 17.4 .58 30 400 400 1 Total: 704.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400984 Min 01400984 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 78 of 6486
Name
V P SHARMA Rate Amount Qty 371.4 6.19 60 47.4 .79 60 16.2 .27 60 29.7 .99 30 15 .25 60 400 400 1 Total: 879.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400985 Min 01400985 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 26-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 2 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 79 of 6486
Name
V MANIKYAMBA Rate Amount Qty 7.7 .77 10 17.42 8.71 2 16.8 1.12 15 66.2 6.62 10 400 400 1 Total: 508.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400993 Min 01400993 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 19-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 7 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 80 of 6486
Name
S SENGUPTA Rate Amount Qty 12 .4 30 2.4 .16 15 5.21 5.21 1 192.3 6.41 30 18.6 .62 30 15 .25 60 128.1 4.27 30 21.3 .71 30 400 400 1 Total: 794.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400994 Min 01400994 Slno Description Appmt Dt TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 12-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 14-FEB-19 PRAZOSIN,2.5MG,TABLET 11 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 81 of 6486
Name
C SENGUPTA Rate Amount Qty 156.51 156.51 1 400 400 1 3.7 .37 10 1.5 .25 6 400 400 1 66 1.1 60 55.8 .93 60 9.3 .62 15 4.8 .16 30 6.9 .23 30 39 1.3 30 21.3 .71 30 18.9 .63 30 29.7 .99 30 400 400 1 Total: 1613.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401004 Min 01401004 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 82 of 6486
Name
KAMALA BALI Rate Amount Qty 12 .4 30 21.3 .71 30 76.5 2.55 30 32.4 1.08 30 400 400 1 32.4 1.08 30 27.9 .93 30 76.5 2.55 30 21.3 .71 30 12 .4 30 400 400 1 Total: 1112.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401005 Min 01401005 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 83 of 6486
Name
R P BALI Rate Amount Qty 55.8 .93 60 43.96 43.96 1 66 1.1 60 32.4 1.08 30 400 400 1 55.8 .93 60 66 1.1 60 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 1173.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401007 Min 01401007 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 PRAZOSIN,2.5MG,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 84 of 6486
Name
JAGANNATH KHURANA Rate Amount Qty 60.9 2.03 30 34.8 1.16 30 123.53 247.06 2 26.7 .89 30 78 1.3 60 27.9 .93 30 400 400 1 Total: 875.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401008 Min 01401008 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 85 of 6486
Name
JEET KHURANA Rate Amount Qty 21.3 .71 30 87.92 43.96 2 13.35 .89 15 9 .3 30 55.8 .93 60 7.65 .51 15 15 .25 60 400 400 1 Total: 610.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401020 Min 01401020 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 86 of 6486
Name
JAYA KUMARI Rate Amount Qty 34.8 1.16 30 167.4 5.58 30 53.4 .89 60 18 .6 30 66 1.1 60 41.85 .93 45 32.4 1.08 30 2.4 .16 15 400 400 1 Total: 816.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401021 Min 01401021 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 87 of 6486
Name
O N FODAR Rate Amount Qty 10.8 .36 30 36 .6 60 167.4 5.58 30 78 1.3 60 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 18.9 .63 30 7.5 .25 30 26.7 .89 30 12 .4 30 60.9 2.03 30 14.85 .99 15 400 400 1 Total: 928.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401022 Min 01401022 Appmt Dt Slno Description 16-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 16-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 88 of 6486
Name
ASHA FODAR Qty Rate Amount 30 .25 7.5 15 1.04 15.6 30 .93 27.9 1 400 400 Total: 451
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401028 Min 01401028 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 08-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 9 13-FEB-19 BRIMONIDINE TARTRATE,0.15% 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 12 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 14 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19
Page 89 of 6486
Name
G D SINHA Rate Amount Qty 12 .4 30 34.8 1.16 30 2.4 .16 15 47.4 .79 60 21.3 .71 30 86.4 1.44 60 7.65 .51 15 400 400 1 29 29 1 148.9 74.45 2 400 400 1 21.3 .71 30 47.4 .79 60 7.65 .51 15 12 .4 30 34.8 1.16 30 2.4 .16 15 86.4 1.44 60 400 400 1 Total: 1801.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401029 Min 01401029 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 09-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 2 09-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 09-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 21-FEB-19
Page 90 of 6486
Name
BANDANA SINHA Rate Amount Qty 39.6 2.64 15 213.6 3.56 60 63 2.1 30 52.65 3.51 15 400 400 1 26.7 .89 30 83.4 2.78 30 26.7 .89 30 37.8 .63 60 11.4 .38 30 7.5 .25 30 185.7 6.19 30 400 400 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 3798.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401036 Min 01401036 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 91 of 6486
Name
R K BHADURI Rate Amount Qty 9.3 .62 15 118.5 3.95 30 11.4 .38 30 18.9 .63 30 400 400 1 Total: 558.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401053 Min 01401053 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 92 of 6486
Name
K V V PILLAI Rate Amount Qty 13.95 .93 15 10.65 .71 15 6 .4 15 16.2 1.08 15 66.2 6.62 10 3.75 .25 15 26.7 .89 30 400 400 1 7.5 .25 30 26.7 .89 30 27.9 .93 30 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 1071.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401059 Min 01401059 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 93 of 6486
Name
RANJANA GHATE Rate Amount Qty 59.4 .66 90 156.6 1.74 90 54 .9 60 26.7 .89 30 400 400 1 Total: 696.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401066 Min 01401066 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 PRAZOSIN,2.5MG,TABLET 3 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 12-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 94 of 6486
M R KANIKDALEY Rate Amount Qty 38.25 2.55 15 55.8 .93 60 78 1.3 60 1.74 1200.6 690 39.6 .66 60 15.73 15.73 1 400 400 1 Total: 1827.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401068 Min 01401068 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 01-FEB-19 PRAZOSIN,2.5MG,TABLET 5 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 01-FEB-19
Page 95 of 6486
Name
D B ROY CHOUDHURY Rate Amount Qty 21.3 .71 30 12 .4 30 41.06 41.06 1 6.9 .23 30 117 1.3 90 18.6 .62 30 54 .6 90 10.8 .36 30 78 1.3 60 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1020.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401104 Min 01401104 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 96 of 6486
Name
P M THOMAS Rate Amount Qty 104.4 1.74 60 54 .9 60 26.7 .89 30 12.15 12.15 1 400 400 1 32.4 1.08 30 10.8 .36 30 6.4 .64 10 21.3 .71 30 8.1 .27 30 27.9 .93 30 7.8 .26 30 12 .4 30 7.5 .25 30 1.85 .37 5 400 400 1 Total: 1133.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401115 Min 01401115 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 97 of 6486
Name
GRACY MATHEW Rate Amount Qty 16.2 .27 60 66 1.1 60 27.9 .93 30 21.3 .71 30 36 .6 60 7.5 .25 30 26.7 .89 30 32.4 1.08 30 32.4 .36 90 400 400 1 Total: 666.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401128 Min 01401128 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 17-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 17-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 17-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 17-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 98 of 6486
Name
N MURALIDHARAN Rate Amount Qty 15.3 .34 45 32.4 1.08 30 34.8 1.16 30 7.9 .79 10 400 400 1 5.21 5.21 1 7.5 .25 30 400 400 1 Total: 903.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401129 Min 01401129 Appmt Dt Slno Description 17-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 17-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 99 of 6486
Name
R SANTHA Qty Rate Amount 30 .71 21.3 30 .25 7.5 30 .79 23.7 1 400 400 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401130 Min 01401130 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 2 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 100 of 6486
Name
S R SENGUPTA Rate Amount Qty 400 400 1 1610 1610 1 1750 1750 1 14.2 .71 20 5 .25 20 400 400 1 192.3 6.41 30 10.65 .71 15 12 .4 30 8.1 .27 30 55.8 .93 60 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 5511.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401131 Min 01401131 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 101 of 6486
Name
ARUNA SENGUPTA Rate Amount Qty 36 .6 60 10.8 .36 30 7.5 .25 30 55.8 .93 60 10.65 .71 15 400 400 1 Total: 520.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401137 Min 01401137 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 102 of 6486
Name
CHANDMANI DEVI Rate Amount Qty 10.8 .36 30 21.3 .71 30 18 .6 30 39 1.3 30 13.95 .93 15 18.9 .63 30 400 400 1 Total: 521.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401149 Min 01401149 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 103 of 6486
Name
T C JOSHI Rate Amount Qty 16.2 .27 60 55.8 .93 60 12 .4 30 34.8 1.16 30 18.6 .62 30 66 1.1 60 400 400 1 55.8 .93 60 12 .4 30 16.2 .27 60 123.53 123.53 1 72.6 1.21 60 34.8 1.16 30 18.6 .62 30 400 400 1 Total: 1336.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401150 Min 01401150 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 104 of 6486
Name
GEETA RANI JOSHI Rate Amount Qty 8.1 .27 30 87.92 43.96 2 27.9 .93 30 32.4 1.08 30 21.3 .71 30 12 .4 30 400 400 1 32.4 1.08 30 12 .4 30 8.1 .27 30 27.9 .93 30 20.84 5.21 4 34.8 1.16 30 400 400 1 Total: 1125.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401158 Min 01401158 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 CREATININE /CRT 3 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 01-FEB-19 URIC ACID (UA /URATES /UR) 10 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 01-FEB-19
Page 105 of 6486
Name
V N PALSODKAR Rate Amount Qty 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 27.9 .93 30 18 .6 30 10.8 .36 30 275 275 1 23.1 .77 30 18.9 .63 30 12 .4 30 29.7 .99 30 21.3 .71 30 Total: 3511.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401159 Min 01401159 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 01-FEB-19 CREATININE /CRT 10 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 01-FEB-19
Page 106 of 6486
Name
UJWALA PALSODKAR Rate Amount Qty 32.4 .36 90 21.3 .71 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 26.7 .89 30 78 1.3 60 36 .6 60 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 2837.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401163 Min 01401163 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 18-FEB-19 UREA (BUN /UR) 3 18-FEB-19 CREATININE /CRT 4 18-FEB-19 URIC ACID (UA /URATES /UR) 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 18-FEB-19
Page 107 of 6486
Name
SUKRITE AHLUWALIA Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 3075
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401167 Min 01401167 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ECG 4 08-FEB-19 OBSERVATION IN CASUALTY 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 11 12-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 12 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 13 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 16 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 12-FEB-19
Page 108 of 6486
Name
ANNAMMA VARGHESE Rate Amount Qty 600 600 1 .16 .16 1 .89 .89 1 450 450 1 420 420 1 55.8 .93 60 16.2 .27 60 400 400 1 54 .9 60 20.1 .67 30 12.15 12.15 1 59.4 .66 90 156.6 1.74 90 26.7 .89 30 4.8 .16 30 17.4 .58 30 400 400 1 Total: 2694.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401168 Min 01401168 Appmt Dt Slno Description 06-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 06-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 06-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 109 of 6486
Name
S K V PILLAI Qty Rate Amount 10 2.66 26.6 6 .37 2.22 30 .27 8.1 1 400 400 Total: 436.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401204 Min 01401204 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 110 of 6486
Name
THANKAMMA ABRAHAM Rate Amount Qty 7.5 .25 30 17.4 1.16 15 18 .6 30 8.1 .27 30 12 .4 30 400 400 1 Total: 463
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401205 Min 01401205 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 08-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 5 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 10 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 18-FEB-19
Page 111 of 6486
Name
N P TULASIDASS Rate Amount Qty 34.8 1.16 30 7.65 .51 15 9.6 .64 15 7.3 .73 10 139.8 9.32 15 66.2 6.62 10 27.9 .93 30 6.9 .23 30 400 400 1 150.9 5.03 30 185.7 6.19 30 20.84 5.21 4 400 400 1 20.55 1.37 15 13.35 .89 15 400 400 1 Total: 1891.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401208 Min 01401208 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 112 of 6486
Name
M S DAS Rate Amount Qty 123.53 247.06 2 26.7 .89 30 7.5 .25 30 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 775.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401209 Min 01401209 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 113 of 6486
Name
DIPTI DAS Rate Amount Qty 27.9 .93 30 21.3 .71 30 12 .4 30 7.5 .25 30 4.8 .16 30 12.8 .64 20 20.84 5.21 4 400 400 1 Total: 507.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401239 Min 01401239 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 114 of 6486
Name
G PRABHAKARAN Rate Amount Qty 34.8 1.16 30 13.95 .93 15 6.9 .23 30 12 .4 30 33 1.1 30 20.06 20.06 1 30.6 .34 90 400 400 1 Total: 551.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401240 Min 01401240 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 115 of 6486
Name
J S PANDEY Rate Amount Qty 31.95 .71 45 66 1.1 60 60.9 2.03 30 26.7 .89 30 400 400 1 Total: 585.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401241 Min 01401241 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 116 of 6486
Name
SUMEDHA JAYANT Rate Amount Qty 4.08 .51 8 18.6 .62 30 .8 .16 5 5.21 5.21 1 26.7 .89 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 490.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401243 Min 01401243 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 22-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 117 of 6486
Name
V SREEDEVI Rate Amount Qty 3.75 .25 15 6.23 .89 7 2.59 .37 7 400 400 1 6.23 .89 7 92.68 6.62 14 13.49 13.49 1 2.59 .37 7 400 400 1 Total: 927.56
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401250 Min 01401250 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 118 of 6486
P K BALACHANDRAN Rate Amount Qty 50.14 25.07 2 400 400 1 60.9 2.03 30 192.3 6.41 30 9 .6 15 34.8 1.16 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 1183.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401251 Min 01401251 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19 BLOOD FOR T-3,T-4,TSH 8 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 28-FEB-19
Page 119 of 6486
Name
K R LEELA Rate Amount Qty 9.3 .62 15 400 400 1 55.8 .93 60 16.2 .27 60 29.7 .99 30 211.8 3.53 60 400 400 1 2400 2400 1 33 1.1 30 42.6 .71 60 Total: 3598.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401266 Min 01401266 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 13-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 7 13-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 8 13-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 13-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 120 of 6486
Name
SOSAMMA THOMAS Rate Amount Qty 6.4 .64 10 3.7 .37 10 21.3 .71 30 55.8 .93 60 10.8 .36 30 7.4 .37 20 85.52 85.52 1 17.37 17.37 1 25.62 12.81 2 28.69 28.69 1 400 400 1 Total: 662.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401268 Min 01401268 Appmt Dt Slno Description 21-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 121 of 6486
Name
VALSALA THILAKAN Qty Rate Amount 30 .71 21.3 30 .25 7.5 30 .93 27.9 1 400 400 Total: 456.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401269 Min 01401269 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 122 of 6486
Name
S K MEHTA Rate Amount Qty 167.4 5.58 30 21.3 .71 30 12 .4 30 211.8 3.53 60 8.1 .27 30 7.5 .25 30 29.7 .99 30 55.8 .93 60 21.6 .36 60 36.3 1.21 30 36 .6 60 25.2 .42 60 400 400 1 Total: 1032.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401277 Min 01401277 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 123 of 6486
Name
C V RAO Rate Amount Qty 12 .4 30 34.8 1.16 30 53.4 .89 60 9.9 .66 15 400 400 1 Total: 510.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401289 Min 01401289 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 HB,TLC,DLC 2 08-FEB-19 PLATELET COUNT 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19
Page 124 of 6486
Name
U N BANERJEE Rate Amount Qty 400 400 1 300 300 1 330 330 1 7.5 .25 30 167.4 5.58 30 60.9 2.03 30 27.9 .93 30 27.9 .93 30 Total: 1321.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401291 Min 01401291 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 125 of 6486
Name
S P RAO Rate Amount Qty 23.1 .77 30 18 .6 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 15.3 .51 30 400 400 1 Total: 584.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401292 Min 01401292 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 126 of 6486
Name
S LEELAVATHI Rate Amount Qty 6.4 .64 10 17.4 1.16 15 23.7 .79 30 7.5 .25 30 400 400 1 Total: 455
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401308 Min 01401308 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 PRAZOSIN,2.5MG,TABLET 6 08-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 127 of 6486
Name
AKTHAR BEGUM Rate Amount Qty 15.3 .51 30 55.8 .93 60 66 1.1 60 33.3 .37 90 18 .6 30 39 1.3 30 88.2 1.47 60 400 400 1 Total: 715.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401317 Min 01401317 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 25-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 16 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 25-FEB-19 PRAZOSIN,2.5MG,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 128 of 6486
Name
S B DEWANJEE Rate Amount Qty .8 .16 5 35.2 17.6 2 11.1 .37 30 8.4 .42 20 400 400 1 4.8 .16 30 12.3 .41 30 47.4 .79 60 31.2 1.04 30 29.7 .99 30 32.4 1.08 30 123.53 123.53 1 21.3 .71 30 18.9 .63 30 39 1.3 30 368.4 6.14 60 26.7 .89 30 78 1.3 60 400 400 1 Total: 1689.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401337 Min 01401337 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 129 of 6486
Name
V D BHATT Rate Amount Qty 7.5 .25 30 2.4 .16 15 8.1 .27 30 36.3 1.21 30 21.3 .71 30 400 400 1 Total: 475.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401338 Min 01401338 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 8 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 13 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 130 of 6486
Name
SUNULA BEN BHATT Rate Amount Qty 26.7 .89 30 2.4 .16 15 55.8 .93 60 8.1 .27 30 72.6 1.21 60 400 400 1 8.9 .89 10 92.05 18.41 5 26 2.6 10 2.5 .25 10 400 400 1 7.5 .25 30 47.4 1.58 30 39 2.6 15 185.7 6.19 30 400 400 1 Total: 1774.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401389 Min 01401389 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 131 of 6486
Name
P V JANARDANAN Rate Amount Qty 21.3 .71 30 16.2 .27 60 400 400 1 Total: 437.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401413 Min 01401413 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 132 of 6486
Name
SUMAN SHUKLA Rate Amount Qty 9.6 .64 15 8.9 .89 10 66.2 6.62 10 1.85 .37 5 400 400 1 Total: 486.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401419 Min 01401419 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 9 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19
Page 133 of 6486
Name
SARDA SEKHARAN Rate Amount Qty 27.9 .93 30 30.6 .34 90 12 .4 30 32.4 1.08 30 9 .3 30 21.3 .71 30 66 1.1 60 9 .3 30 30.6 .34 90 12 .4 30 32.4 1.08 30 27.9 .93 30 21.3 .71 30 66 1.1 60 400 400 1 Total: 798.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401431 Min 01401431 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 9 16-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 134 of 6486
Name
P K SUBRAMANIAM Rate Amount Qty 12 .4 30 29.7 .99 30 27.9 .93 30 36 .6 60 32.4 1.08 30 167.4 5.58 30 34.8 1.16 30 400 400 1 156.51 313.02 2 40.58 20.29 2 400 400 1 Total: 1493.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401432 Min 01401432 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 135 of 6486
Name
P R RUGMANI Rate Amount Qty 27.9 .93 30 21.3 .71 30 12 .4 30 23.7 .79 30 54 .6 90 9 .3 30 400 400 1 7.5 .25 30 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 Total: 1052.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401448 Min 01401448 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 136 of 6486
Name
K C SONI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 69.6 1.16 60 47.4 .79 60 72.6 1.21 60 12 .4 30 7.5 .25 30 400 400 1 Total: 862.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401449 Min 01401449 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 137 of 6486
Name
MANJUSA SONI Rate Amount Qty 19.8 .66 30 21.3 .71 30 21.6 .36 60 54 .6 90 24 .4 60 7.5 .25 30 400 400 1 Total: 548.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401451 Min 01401451 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 138 of 6486
Name
DAYA GROVER Rate Amount Qty 13.7 1.37 10 64.8 1.08 60 16.2 .27 60 15.6 .26 60 66 1.1 60 1.48 .37 4 42.6 .71 60 15 .25 60 34.8 .58 60 26.6 2.66 10 3.84 .64 6 400 400 1 Total: 700.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401466 Min 01401466 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 27-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 139 of 6486
Name
D N BHOWMIK Rate Amount Qty 10.42 5.21 2 7.92 .99 8 26.7 .89 30 36 .6 60 7.5 .25 30 6.9 .23 30 27.9 .62 45 21.3 .71 30 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 604.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401467 Min 01401467 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 17-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 17-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 17-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 17-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 19-FEB-19 X - RAY - TWO VIEWS 9 19-FEB-19 SOLIFENACIN,5MG,,TABLET 10 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 13 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 14 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 15 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 140 of 6486
Name
SHEFALI BHOWMIK Rate Amount Qty 7.6 .38 20 17.8 .89 20 10 .25 40 24 .6 40 12.8 .64 20 20.84 5.21 4 400 400 1 400 400 1 2580 860 3 806.4 13.44 60 12 .4 30 21.3 .71 30 9.9 .66 15 41.06 41.06 1 5.21 5.21 1 13.35 .89 15 26 2.6 10 400 400 1 Total: 4808.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401497 Min 01401497 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 12 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19
Page 141 of 6486
Name
SP CHAKRABORTY Rate Amount Qty 30.6 .34 90 53.4 .89 60 54 .6 90 26 2.6 10 7.5 .25 30 34.8 1.16 30 8.1 .27 30 14.85 .99 15 32.4 1.08 30 400 400 1 16.2 .18 90 26.6 2.66 10 66.2 6.62 10 53.4 .89 60 400 400 1 Total: 1224.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401498 Min 01401498 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 12-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 142 of 6486
Name
ANJALI CHAKRABORTY Rate Amount Qty 29.7 .99 30 25.2 .42 60 12.3 .41 30 54 .6 90 185.7 6.19 30 35.1 2.34 15 55.8 .93 60 33 1.1 30 211.8 3.53 60 400 400 1 Total: 1042.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401508 Min 01401508 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 20-FEB-19 PRAZOSIN,2.5MG,TABLET 8 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 20-FEB-19
Page 143 of 6486
Name
K RANI Rate Amount Qty 36 .6 60 117 1.3 90 275 275 1 275 275 1 21.3 .71 30 14.85 .99 15 211.8 3.53 60 78 1.3 60 21.3 .71 30 55.8 .93 60 167.4 5.58 30 Total: 1273.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401538 Min 01401538 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 144 of 6486
Name
SHANTAMMA VASU Rate Amount Qty 148.9 74.45 2 400 400 1 55.8 .93 60 29.7 .99 30 34.8 1.16 30 6.9 .23 30 32.4 1.08 30 21.3 .71 30 36 .6 60 18 .3 60 400 400 1 Total: 1183.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401544 Min 01401544 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 145 of 6486
Name
RADHIKA DUBEY Rate Amount Qty 7.5 .25 30 3.7 .37 10 27.9 .93 30 66 1.1 60 6.4 .64 10 400 400 1 Total: 511.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401549 Min 01401549 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 19-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 2 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 146 of 6486
Name
M P JHA Rate Amount Qty 21.3 .71 30 88.2 1.47 60 9.3 .62 15 53.4 .89 60 12 .4 30 22.2 .37 60 400 400 1 Total: 606.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401553 Min 01401553 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 147 of 6486
Name
HARBHAJAN SINGH Rate Amount Qty 27 .9 30 5.55 .37 15 12.15 12.15 1 13.35 .89 15 13.35 .89 15 27 .9 30 12.15 12.15 1 5.55 .37 15 400 400 1 Total: 516.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401554 Min 01401554 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 12-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 27-FEB-19 GUM ANALGESIC GEL 6 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 148 of 6486
Name
SWARN KAUR Rate Amount Qty 156.6 1.74 90 100.71 100.71 1 12.15 12.15 1 400 400 1 35.2 3.52 10 28.69 28.69 1 11.4 .38 30 7.5 .25 30 400 400 1 Total: 1152.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401555 Min 01401555 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 9 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19 GUM ANALGESIC GEL 18 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 25-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 21 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 22 25-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19
Page 149 of 6486
Name
S S THAKUR Rate Amount Qty 26.7 .89 30 20.1 .67 30 6.4 .64 10 3.75 .25 15 400 400 1 12 .4 30 46.8 .78 60 400 400 1 46.8 .78 60 32.4 1.08 30 21.3 .71 30 26.7 .89 30 60.9 2.03 30 400 400 1 66.2 6.62 10 5.4 .18 30 400 400 1 28.69 28.69 1 3.7 .37 10 3.7 .37 10 100.71 100.71 1 12.81 12.81 1 85.52 85.52 1 400 400 1 Total: 2610.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401558 Min 01401558 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 26-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 26-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 150 of 6486
Name
S K SHRIVASTAVA Rate Amount Qty 192.3 6.41 30 27 .9 30 8.1 .18 45 60.9 2.03 30 400 400 1 16.2 .18 90 53.4 .89 60 54 .9 60 39.6 .66 60 156.6 1.74 90 400 400 1 Total: 1408.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401590 Min 01401590 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 19-FEB-19 PRAZOSIN,2.5MG,TABLET 7 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 151 of 6486
Name
R D MASHARKAR Rate Amount Qty 211.8 3.53 60 53.4 .89 60 11.4 .38 30 32.4 1.08 30 55.8 .93 60 118.5 3.95 30 78 1.3 60 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 1043.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401596 Min 01401596 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19
Page 152 of 6486
Name
DAYAL SINGH Rate Amount Qty 82.76 165.52 2 192.3 6.41 30 26.7 .89 30 31.2 1.04 30 32.4 1.08 30 60.9 2.03 30 6.9 .23 30 21.3 .71 30 33 1.1 30 55.8 .93 60 36 .6 60 21.6 .36 60 400 400 1 Total: 1083.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401597 Min 01401597 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 153 of 6486
Name
JOGINDAR KAUR Rate Amount Qty 7.5 .25 30 16.2 .27 60 32.4 1.08 30 21.3 .71 30 26.7 .89 30 55.8 .93 60 400 400 1 Total: 559.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401607 Min 01401607 Appmt Dt Slno Description 20-FEB-19 1 X - RAY - SINGLE VIEW 20-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 154 of 6486
Name
S P BHAGOLIWAL Qty 1 1
Rate Amount 550 550 400 400 950 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401608 Min 01401608 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 155 of 6486
Name
S K BHAGOLIWAL Rate Amount Qty 32.4 1.08 30 4.8 .16 30 8.1 .27 30 55.8 .93 60 72.6 1.21 60 18 .3 60 36 .6 60 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401633 Min 01401633 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 156 of 6486
Name
SATYADEVI SHRIVASTAVA Rate Amount Qty 55.8 .93 60 29.7 .99 30 21.3 .71 30 63 .6 105 2.4 .16 15 32.4 1.08 30 39 1.3 30 26.7 .89 30 400 400 1 Total: 670.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401645 Min 01401645 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 157 of 6486
G.B.JOHN Rate Amount Qty 7.5 .25 30 31.46 15.73 2 6.4 .64 10 4.8 .16 30 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 27.9 .93 30 27 .9 30 400 400 1 Total: 784.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401647 Min 01401647 Name Appmt Dt Slno Description 04-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 158 of 6486
TARAK BASAK Qty 2 1
Rate Amount 25.07 50.14 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401654 Min 01401654 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 159 of 6486
Name
VYAKULAM Rate Amount Qty 211.8 3.53 60 8.9 .89 10 17.75 .71 25 36 .6 60 55.8 .93 60 15.3 .51 30 44.4 .37 120 34.8 1.16 30 3.75 .25 15 8.7 .58 15 400 400 1 Total: 837.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401708 Min 01401708 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 23-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 160 of 6486
Name
N.S.R.KRISHNAMURITY Rate Amount Qty 60.9 2.03 30 43.96 43.96 1 27.9 .93 30 8.1 .27 30 400 400 1 2.5 .25 10 185.7 6.19 30 13 2.6 5 400 400 1 Total: 1142.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401709 Min 01401709 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 23-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 161 of 6486
Name
N RAJYASHREE Rate Amount Qty 20.06 20.06 1 12 .4 30 21.3 .71 30 23.7 .79 30 7.5 .25 30 33 1.1 30 400 400 1 185.7 6.19 30 20.55 1.37 15 400 400 1 Total: 1123.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401722 Min 01401722 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 22-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 22-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 13 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 162 of 6486
Name
M G KUTTY Rate Amount Qty 7.4 .37 20 85.52 85.52 1 26.7 .89 30 35.2 17.6 2 22.05 1.47 15 7.5 .25 30 33 1.1 30 34.8 1.16 30 12 .4 30 14.85 .99 15 117 1.3 90 55.8 .93 60 22.2 .37 60 36 .6 60 21.6 .36 60 400 400 1 Total: 931.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401724 Min 01401724 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 13-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19
Page 163 of 6486
Name
SITA MAHA LAXMI Rate Amount Qty 21.3 .71 30 20.1 .67 30 7.8 .26 30 26.7 .89 30 54 .9 60 79.2 .66 120 156.6 1.74 90 27.9 .93 30 12.15 12.15 1 32.4 1.08 30 12 .4 30 400 400 1 Total: 850.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401730 Min 01401730 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 164 of 6486
Name
V K VASU PILLAI Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 55.8 .93 60 18 .6 30 39 1.3 30 400 400 1 Total: 580
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401731 Min 01401731 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 165 of 6486
Name
M N PADMAKUMARI AMMA Rate Amount Qty 13.95 .93 15 18.9 .63 30 400 400 1 Total: 432.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401732 Min 01401732 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 166 of 6486
Name
K C MALHOTRA Rate Amount Qty 167.4 5.58 30 21.6 .36 60 54 .6 90 52.1 5.21 10 12 .4 30 21.3 .71 30 7.5 .25 30 8.2 .41 20 400 400 1 Total: 744.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401753 Min 01401753 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 COMPLETE HAEMOGRAM 8 07-FEB-19 BLOOD FOR T-3,T-4,TSH 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 167 of 6486
Name
CHINNAMMA PAILY Rate Amount Qty 12 .4 30 7.5 .25 30 32.4 1.08 30 21.6 .36 60 55.8 .93 60 400 400 1 36 .6 60 750 750 1 2400 2400 1 21.3 .71 30 26.7 .89 30 25.2 .42 60 400 400 1 Total: 4188.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401755 Min 01401755 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 168 of 6486
Name
M P SAROJINI AMMA Rate Amount Qty 39 1.3 30 29.7 .99 30 27.9 .93 30 32.4 1.08 30 12 .4 30 21.3 .71 30 15.6 .26 60 400 400 1 40.12 20.06 2 400 400 1 Total: 1018.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401766 Min 01401766 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 169 of 6486
Name
ARATI MUKHERJEE Rate Amount Qty 55.8 .93 60 55.8 .93 60 400 400 1 Total: 511.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401788 Min 01401788 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 GUM ANALGESIC GEL 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 23-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 20 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 22 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 24 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 25 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 26-FEB-19
Page 170 of 6486
Name
KAMALA DONGRE Rate Amount Qty 1.85 .37 5 28.69 28.69 1 12.8 .64 20 4.45 .89 5 2.5 .25 10 400 400 1 7.5 .25 30 2.4 .16 15 78 1.3 60 15.96 2.66 6 1.48 .37 4 26.7 .89 30 36 .6 60 66 1.1 60 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 7.8 .26 30 400 400 1 18.9 .63 30 36 .6 60 25.2 .42 60 7.5 .25 30 34.8 1.16 30 27.9 .93 30 26.7 .89 30 6.4 .64 10 400 400 1 Total: 1803.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401792 Min 01401792 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 28-FEB-19 UREA (BUN /UR) 8 28-FEB-19 CREATININE /CRT 9 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19
Page 171 of 6486
Name
SANTILATA SARKAR Rate Amount Qty 27.9 .93 30 17.4 1.16 15 6.9 .23 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 21.3 .71 30 6.9 .23 30 27.9 .93 30 8.9 .89 10 Total: 3867.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401809 Min 01401809 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 172 of 6486
Name
GURU PRASAD Rate Amount Qty 60.9 2.03 30 4.8 .16 30 400 400 1 Total: 465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401817 Min 01401817 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 173 of 6486
Name
M SAKARIAH Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 12 .4 30 26.7 .89 30 27.9 .93 30 400 400 1 Total: 533.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401824 Min 01401824 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 14-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 14-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 174 of 6486
Name
S K SHARMA Rate Amount Qty 11.4 .38 30 27.9 .93 30 31.61 31.61 1 13.43 13.43 1 41.06 41.06 1 7.5 .25 30 33 1.1 30 12 .4 30 23.7 .79 30 1.85 .37 5 8.9 .89 10 185.7 6.19 30 27.4 1.37 20 400 400 1 Total: 825.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401825 Min 01401825 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 175 of 6486
Name
NIRMALA SHRAMA Rate Amount Qty 37.8 .63 60 7.5 .25 30 26.7 .89 30 19.2 .64 30 185.7 6.19 30 12 .4 30 36 .6 60 32.4 1.08 30 15.3 .51 30 33 1.1 30 8.1 .27 30 47.4 .79 60 400 400 1 Total: 861.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401843 Min 01401843 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 08-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 7 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 16 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 18 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19
Page 176 of 6486
C D RAJU Rate Amount Qty 70.2 2.34 30 5.4 .18 30 1.85 .37 5 15.73 15.73 1 400 400 1 185.7 6.19 30 150.9 5.03 30 19.2 .64 30 26.7 .89 30 400 400 1 50.14 25.07 2 13.64 6.82 2 11.1 .37 30 25.62 12.81 2 400 400 1 12.3 .41 30 15 .25 60 19.8 .66 30 21.3 .71 30 400 400 1 Total: 2244.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401844 Min 01401844 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 19 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 20 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 21 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 21-FEB-19
Page 177 of 6486
Name
C SATYAWATI Rate Amount Qty 8.7 .58 15 26.6 2.66 10 27 .9 30 5.55 .37 15 12.15 12.15 1 400 400 1 7.5 .25 30 9.6 .64 15 185.7 6.19 30 400 400 1 55.8 .93 60 27.6 .92 30 39 1.3 30 29.7 .99 30 21.3 .71 30 7.5 .25 30 400 400 1 15 .25 60 95.7 3.19 30 19.8 .66 30 31.95 .71 45 26.7 .89 30 400 400 1 Total: 2252.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401854 Min 01401854 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 06-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 178 of 6486
N SHREEDHARAN Rate Amount Qty 35.2 3.52 10 15.73 15.73 1 27.9 .93 30 29.7 .99 30 9.3 .62 15 8.1 .27 30 43.96 43.96 1 400 400 1 Total: 569.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401855 Min 01401855 Appmt Dt Slno Description 06-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 06-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 179 of 6486
Name
N PADMA Qty Rate Amount 4 5.21 20.84 30 .93 27.9 30 .27 8.1 1 400 400 Total: 456.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401894 Min 01401894 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 16-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 13 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 16-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 16 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 16-FEB-19
Page 180 of 6486
Name
R K DUTTA Rate Amount Qty 25.62 12.81 2 7.4 .37 20 400 400 1 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 400 400 1 11.2 1.12 10 14.85 .99 15 4.8 .16 30 11.4 .38 30 26.7 .89 30 21.3 .71 30 34.8 1.16 30 32.4 1.08 30 118.5 3.95 30 55.8 .93 60 192.3 6.41 30 7.5 .25 30 400 400 1 Total: 2057.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401895 Min 01401895 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 25-FEB-19 URIC ACID (UA /URATES /UR) 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 20 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 25-FEB-19
Page 181 of 6486
Name
MINATI DUTTA Rate Amount Qty 18.9 .63 30 26.7 .89 30 11.4 .38 30 54 .6 90 2.4 .16 15 123.53 247.06 2 21.3 .71 30 12 .4 30 10.8 .36 30 14.85 .99 15 22.2 .37 60 55.8 .93 60 12.8 .64 20 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 185.7 6.19 30 20.55 1.37 15 13.35 .89 15 Total: 3254.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401901 Min 01401901 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 21-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 3 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 6 21-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 182 of 6486
Name
N N MOHANTY Rate Amount Qty 7.5 .25 30 9.3 .62 15 18.21 18.21 1 60.9 2.03 30 55.8 .93 60 85.52 85.52 1 25.69 25.69 1 400 400 1 Total: 662.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401905 Min 01401905 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 8 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 183 of 6486
Name
D RAMKRISHNA Rate Amount Qty 6.9 .23 30 12 .4 30 21.3 .71 30 7.5 .25 30 17.4 .58 30 400 400 1 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 400 400 1 Total: 933.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401906 Min 01401906 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 15 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19
Page 184 of 6486
Name
D JAGADAMBA Rate Amount Qty 400 400 1 275 275 1 1300 1300 1 1300 1300 1 275 275 1 32.4 .36 90 117 1.3 90 54 .6 90 8.1 .27 30 14.85 .99 15 55.8 .93 60 400 400 1 55.8 .93 60 16.2 .27 60 6.6 .66 10 117 1.3 90 54 .6 90 32.4 .36 90 400 400 1 Total: 4914.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401918 Min 01401918 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 185 of 6486
Name
H V PARALKAR Rate Amount Qty 23.7 .79 30 66 1.1 60 23.1 .77 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 541.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401921 Min 01401921 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 16 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19
Page 186 of 6486
S K SHRIVASTAVA Rate Amount Qty 156.6 1.74 90 10.8 .9 12 43.2 .9 48 8.32 1.04 8 17.4 .58 30 22.8 .38 60 7.5 .25 30 400 400 1 185.7 6.19 30 13.7 1.37 10 25.07 25.07 1 6.82 6.82 1 400 400 1 27.9 .93 30 32.4 1.08 30 11.4 .38 30 118.5 3.95 30 400 400 1 Total: 1888.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401922 Min 01401922 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 187 of 6486
Name
PREM LATA SHRIVASTAVA Rate Amount Qty 6.4 .64 10 275 275 1 275 275 1 400 400 1 150.9 5.03 30 400 400 1 7.5 .25 30 55.2 .92 60 32.4 1.08 30 34.8 1.16 30 118.5 3.95 30 27.9 .93 30 400 400 1 18.9 .63 30 400 400 1 Total: 2602.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401925 Min 01401925 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 188 of 6486
Name
KISHAN SINGH Rate Amount Qty 6.9 .23 30 12 .4 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 447.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401926 Min 01401926 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 189 of 6486
Name
NEELA SINGH Rate Amount Qty 9.6 .64 15 7.5 .25 30 10.65 .71 15 4.2 .42 10 14.6 .73 20 185.7 6.19 30 400 400 1 Total: 632.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401928 Min 01401928 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 07-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 07-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 4 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 190 of 6486
Name
SUNALINI Rate Amount Qty 17.4 1.16 15 70.2 .78 90 11.4 .38 30 14.16 1.18 12 31.2 1.04 30 21.6 1.44 15 39 1.3 30 18 .6 30 400 400 1 311.4 5.19 60 400 400 1 Total: 1334.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401937 Min 01401937 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 23-FEB-19 URIC ACID (UA /URATES /UR) 2 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 191 of 6486
Name
JAYANTI RANI KONAR Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 14.85 .99 15 33 1.1 30 55.8 .93 60 7.5 .25 30 1.48 .37 4 400 400 1 Total: 3058.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401941 Min 01401941 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 192 of 6486
Name
K T MATHEW Rate Amount Qty 1.85 .37 5 35.2 3.52 10 400 400 1 3.7 .37 10 8.9 .89 10 17 1.7 10 400 400 1 1.85 .37 5 400 400 1 4.45 .89 5 1.85 .37 5 400 400 1 Total: 1674.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401942 Min 01401942 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 193 of 6486
Name
GRACY KUTTY Rate Amount Qty 66 1.1 60 29.7 .99 30 12 .4 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 400 400 1 Total: 564.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401958 Min 01401958 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 194 of 6486
Name
KUNJUNJAMMA THOMAS Rate Amount Qty 8.9 .89 10 55.8 .93 60 7.5 .25 30 20.06 20.06 1 8.9 .89 10 55.8 .93 60 7.5 .25 30 20.06 20.06 1 400 400 1 Total: 584.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401965 Min 01401965 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 195 of 6486
Name
N G K NAIR Rate Amount Qty 7.5 .25 30 27.9 .93 30 8.1 .27 30 36.3 1.21 30 4.8 .16 30 39 1.3 30 18 .6 30 60.9 2.03 30 34.8 1.16 30 400 400 1 12.8 .64 20 557.1 6.19 90 400 400 1 Total: 1607.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401966 Min 01401966 Appmt Dt Slno Description 23-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 23-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 23-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 196 of 6486
Name
K K PADMINI DEVI Qty Rate Amount 30 .93 27.9 15 .62 9.3 30 .71 21.3 1 400 400 Total: 458.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401967 Min 01401967 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 197 of 6486
Name
P K CHATTERJEE Rate Amount Qty 25.2 .42 60 7.5 .25 30 23.56 .62 38 8.1 .27 30 43.96 43.96 1 400 400 1 Total: 508.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401968 Min 01401968 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 198 of 6486
Name
AMITA CHATTERJEE Rate Amount Qty 7.8 .26 30 27.9 .93 30 8.9 .89 10 21.3 .71 30 21.3 .71 30 7.5 .25 30 54 .6 90 167.4 5.58 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 760.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401983 Min 01401983 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 199 of 6486
Name
MAYA MAITRA Qty 6 6 6 6 1
Rate Amount 4.62 .77 3.84 .64 6.72 1.12 21.12 3.52 400 400 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402018 Min 01402018 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 12 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 11-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 14 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 11-FEB-19
Page 200 of 6486
Name
KUNJAMMA BABY Rate Amount Qty 32.4 1.08 30 12 .4 30 105.9 3.53 30 4.8 .16 30 42.6 .71 60 21.3 .71 30 22.2 .37 60 55.8 .93 60 400 400 1 105.9 3.53 30 21.3 .71 30 22.2 .37 60 55.8 .93 60 42.6 .71 60 32.4 1.08 30 12 .4 30 4.8 .16 30 400 400 1 Total: 1394
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402022 Min 01402022 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 201 of 6486
Name
DALBIR SINGH Rate Amount Qty 26.7 .89 30 192.3 6.41 30 60.9 2.03 30 32.4 1.08 30 30.6 .34 90 22.2 .37 60 32.4 .36 90 7.5 .25 30 400 400 1 Total: 805
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402047 Min 01402047 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 19-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 202 of 6486
Name
S C MALIK Rate Amount Qty 60.87 20.29 3 20.84 5.21 4 6.4 .64 10 2.4 .16 15 36.3 1.21 30 40.2 .67 60 156.51 469.53 3 26.7 .89 30 400 400 1 Total: 1063.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402059 Min 01402059 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 203 of 6486
Name
B CHUDAMANI Rate Amount Qty 72 .6 120 7.5 .25 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 556.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402086 Min 01402086 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 17 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 22-FEB-19
Page 204 of 6486
Name
V S PARASHAR Rate Amount Qty 275 275 1 400 400 1 275 275 1 1300 1300 1 1300 1300 1 20.84 5.21 4 3.84 .64 6 1.48 .37 4 26.48 6.62 4 26.7 .89 30 29.7 .99 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 400 400 1 18.76 .67 28 3.78 .18 21 12.6 .9 14 6.23 .89 7 400 400 1 Total: 4579.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402093 Min 01402093 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 205 of 6486
Name
R V PMRANDARE Rate Amount Qty 26.7 .89 30 27.9 .93 30 14.85 .99 15 211.8 7.06 30 38.25 2.55 15 400 400 1 Total: 719.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402099 Min 01402099 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 206 of 6486
Name
ALEYAMMA KURIAN Rate Amount Qty 14.85 .99 15 41.85 .93 45 156.6 1.74 90 54 .9 60 34.8 1.16 30 400 400 1 Total: 702.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402102 Min 01402102 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 207 of 6486
Name
K K CHOPRA Rate Amount Qty 11.4 .38 30 21.3 .71 30 105.9 3.53 30 12 .4 30 60.9 2.03 30 123.53 123.53 1 400 400 1 Total: 735.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402104 Min 01402104 Appmt Dt Slno Description 28-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 28-FEB-19 2 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 28-FEB-19 3 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 208 of 6486
Name
D P GHOSAL Qty Rate Amount 12 .64 7.68 24 1.84 44.16 8 .6 4.8 1 400 400 Total: 456.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402105 Min 01402105 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19
Page 209 of 6486
Name
SHIBANI GHOSAL Rate Amount Qty 400 400 1 16.2 .27 60 43.96 43.96 1 20.06 20.06 1 26.7 .89 30 1750 1750 1 32.4 1.08 30 21.3 .71 30 Total: 2310.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402110 Min 01402110 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 210 of 6486
Name
K B SINGH Rate Amount Qty 72 .6 120 55.8 .93 60 16.2 .27 60 14.85 .99 15 117 1.3 90 32.4 1.08 30 400 400 1 Total: 708.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402131 Min 01402131 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 211 of 6486
Name
N G PILLAI Rate Amount Qty 7.8 .26 30 3.84 .64 6 26.7 .89 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 492.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402132 Min 01402132 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 212 of 6486
Name
LEELAVATHI M Rate Amount Qty 403.2 13.44 30 400 400 1 15.6 1.04 15 55.8 .93 60 33 1.1 30 18.6 .62 30 32.4 1.08 30 21.3 .71 30 23.1 .77 30 14.85 .99 15 43.96 43.96 1 400 400 1 Total: 1461.81
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402138 Min 01402138 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ECG 5 15-FEB-19 OBSERVATION IN CASUALTY 6 15-FEB-19 ECG 7 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 213 of 6486
RAMKALI DEVI DIWAKER Rate Amount Qty 25.07 25.07 1 6.4 .64 10 18.6 .62 30 400 400 1 450 450 1 420 420 1 450 450 1 24.52 24.52 1 .8 .16 5 400 400 1 Total: 2195.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402141 Min 01402141 Appmt Dt Slno Description 19-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19-FEB-19 2 SOLIFENACIN,5MG,,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 214 of 6486
Name
D S MISHRA Qty Rate Amount 30 2.03 60.9 30 13.44 403.2 30 .93 27.9 1 400 400 Total: 892
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402142 Min 01402142 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 4 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 5 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 12 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 18-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 215 of 6486
Name
SHOBHA MISHRA Rate Amount Qty 275 275 1 400 400 1 44.16 1.84 24 19.77 19.77 1 6.42 2.14 3 24.45 24.45 1 400 400 1 19.77 19.77 1 400 400 1 26.7 .89 30 54 .9 60 104.4 1.74 60 7.5 .25 30 17.4 .58 30 400 400 1 Total: 2199.57
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402157 Min 01402157 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 02-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 07-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 07-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 08-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 14 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 15 14-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 16 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 17 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 14-FEB-19 BLOOD FOR TSH 19 14-FEB-19 PLATELET COUNT 20 14-FEB-19 HB,TLC,DLC 21 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 14-FEB-19
Page 216 of 6486
PANKUMARI Rate Amount Qty 50.14 25.07 2 20.55 1.37 15 150.9 5.03 30 400 400 1 7.8 .26 30 26.7 .89 30 9.9 .99 10 .5 .25 2 400 400 1 380 380 1 60.18 20.06 3 2110 2110 1 400 400 1 4.66 2.33 2 9.3 .93 10 15.6 .26 60 60.18 20.06 3 26.7 .89 30 800 800 1 330 330 1 300 300 1 9.6 .64 15 400 400 1 Total: 5972.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402184 Min 01402184 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 217 of 6486
Name
KUNJAMMA JOHN Rate Amount Qty 54 .6 90 4.5 .3 15 12 .4 30 43.2 1.44 30 34.8 1.16 30 13.95 .93 15 400 400 1 Total: 562.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402203 Min 01402203 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 25-FEB-19 GUM ASTRINGENT PAINT 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 218 of 6486
Name
A L MUNSHI Rate Amount Qty 60.9 2.03 30 18 .6 30 9 .3 30 33 1.1 30 12 .4 30 34.8 1.16 30 8.1 .27 30 400 400 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 31.54 31.54 1 400 400 1 Total: 1063.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402204 Min 01402204 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 25-FEB-19 URIC ACID (UA /URATES /UR) 9 25-FEB-19 UREA (BUN /UR) 10 25-FEB-19 CREATININE /CRT 11 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 219 of 6486
Name
GAYATRI MUNSHI Rate Amount Qty 26 2.6 10 27.9 .93 30 400 400 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 27.9 .93 30 400 400 1 Total: 4506.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402207 Min 01402207 Slno Description Appmt Dt CREATININE /CRT 1 22-FEB-19 UREA (BUN /UR) 2 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 22-FEB-19 URIC ACID (UA /URATES /UR) 6 22-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 SOLIFENACIN,5MG,,TABLET 13 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 15 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 22-FEB-19
Page 220 of 6486
Name
P N TANDAN Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 13.43 13.43 1 7.4 .37 20 12.81 12.81 1 10.8 .36 30 1.6 .16 10 8.9 .89 10 403.2 13.44 30 66 1.1 60 47.4 .79 60 21.3 .71 30 15.6 .26 60 12 .4 30 Total: 2395.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402208 Min 01402208 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 SOLIFENACIN,5MG,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 221 of 6486
Name
LATA TANDON Rate Amount Qty 47.4 .79 60 403.2 13.44 30 400 400 1 Total: 850.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402260 Min 01402260 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 222 of 6486
Name
G D MONDAL Rate Amount Qty 39 1.3 30 26.7 .89 30 18.9 .63 30 32.4 1.08 30 13.95 .93 15 8.1 .27 30 400 400 1 2.67 .89 3 15.6 2.6 6 400 400 1 Total: 957.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402304 Min 01402304 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 223 of 6486
Name
D SAMANTA Rate Amount Qty 7.8 .26 30 32.4 1.08 30 36 .6 60 34.8 1.16 30 12 .4 30 18.9 .63 30 26.7 .89 30 76.5 2.55 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 717.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402305 Min 01402305 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 224 of 6486
Name
MINOTI SAMANTA Rate Amount Qty 33 1.1 30 32.4 1.08 30 21.3 .71 30 55.8 .93 60 36 .6 60 10.8 .36 30 22.2 .37 60 400 400 1 Total: 611.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402312 Min 01402312 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 CREATININE /CRT 3 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 UREA (BUN /UR) 8 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 225 of 6486
Name
D N SHIMPI Rate Amount Qty 275 275 1 400 400 1 275 275 1 550 550 1 1300 1300 1 23.8 1.7 14 2.59 .37 7 275 275 1 275 275 1 400 400 1 Total: 3776.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402314 Min 01402314 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 226 of 6486
Name
S S P KESHARI Rate Amount Qty 27 .9 30 16.2 .18 90 400 400 1 Total: 443.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402315 Min 01402315 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 8 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 227 of 6486
Name
KISHORI KESHARI Rate Amount Qty 22.8 .38 60 32.4 1.08 30 15.6 1.04 15 7.5 .25 30 21.3 .71 30 400 400 1 9.6 .64 15 25.69 25.69 1 20.84 5.21 4 26.7 .89 30 400 400 1 Total: 982.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402316 Min 01402316 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 25-FEB-19 PRAZOSIN,2.5MG,TABLET 15 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 16 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 228 of 6486
Name
P S MEHTA Rate Amount Qty 13.7 1.37 10 123.8 6.19 20 400 400 1 69.05 69.05 1 54 .9 60 100.71 100.71 1 39.6 .66 60 400 400 1 20.06 20.06 1 21.3 .71 30 78 1.3 60 36 .6 60 76.5 2.55 30 27.9 .93 30 156 1.3 120 22.2 .37 60 167.4 5.58 30 400 400 1 Total: 2206.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402317 Min 01402317 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 X - RAY - SINGLE VIEW 5 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 229 of 6486
Name
USHA P MEHTA Rate Amount Qty 400 400 1 13.7 1.37 10 8.9 .89 10 123.8 6.19 20 550 550 1 247.6 6.19 40 27.4 1.37 20 17.8 .89 20 400 400 1 34.8 1.16 30 7.5 .25 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 2292.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402324 Min 01402324 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 230 of 6486
Name
NANWANI SUNDRI Rate Amount Qty 14.85 .99 15 55.8 .93 60 21.3 .71 30 16.2 .27 60 400 400 1 Total: 508.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402331 Min 01402331 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 14-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 231 of 6486
Name
K C SINGHA Rate Amount Qty 26.7 .89 30 7.5 .25 30 10.8 .18 60 12.15 12.15 1 400 400 1 18.9 .63 30 12 .4 30 14.85 .99 15 17.4 .58 30 400 400 1 Total: 920.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402332 Min 01402332 Slno Description Appmt Dt HB,TLC,DLC 1 16-FEB-19 PLATELET COUNT 2 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 16-FEB-19
Page 232 of 6486
Name
MALATI SINGHA Qty 1 1 1
Rate Amount 300 300 330 330 400 400 Total: 1030
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402342 Min 01402342 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 233 of 6486
Name
MITA SEN Rate Amount Qty 18 .6 30 16.5 1.1 15 27.9 .93 30 12 .4 30 18.6 .62 30 15.6 .26 60 34.8 1.16 30 400 400 1 Total: 543.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402352 Min 01402352 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 3 28-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 234 of 6486
Name
MITALI MUKHERJEE Rate Amount Qty 39 1.3 30 36 .6 60 4.27 192.15 45 3.19 143.55 45 7.5 .25 30 12.3 .41 30 37.8 .63 60 27.9 .62 45 400 400 1 Total: 896.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402367 Min 01402367 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 235 of 6486
Name
P K K NAIR Rate Amount Qty 21.3 .71 30 12 .4 30 27.9 .93 30 118.5 3.95 30 32.4 1.08 30 400 400 1 Total: 612.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402397 Min 01402397 Appmt Dt Slno Description 07-FEB-19 1 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 07-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 236 of 6486
Name
P S CHOUDHARY Qty Rate Amount 18 2.34 42.12 6 .64 3.84 5 .37 1.85 1 400 400 Total: 447.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402416 Min 01402416 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 237 of 6486
Name
C P MESHRAM Rate Amount Qty 12 .4 30 21.3 .71 30 33 1.1 30 8.9 .89 10 400 400 1 Total: 475.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402417 Min 01402417 Appmt Dt Slno Description 28-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 238 of 6486
Name
SHAKUNTALA MESHRAM Qty Rate Amount 60 .93 55.8 30 1.1 33 30 .71 21.3 1 400 400 Total: 510.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402440 Min 01402440 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 18-FEB-19 COMPLETE HAEMOGRAM 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 10 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 12 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 21-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 17 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 239 of 6486
K NALINI Rate Amount Qty 3.7 .37 10 8.9 .89 10 4.2 .7 6 9.6 .64 15 66.2 6.62 10 400 400 1 380 380 1 750 750 1 400 400 1 48.22 48.22 1 3.7 .37 10 10.05 .67 15 18 .9 20 5.4 .18 30 70.2 2.34 30 400 400 1 55.2 .92 60 12 .4 30 21.3 .71 30 13.95 .93 15 26.7 .89 30 48.22 48.22 1 400 400 1 Total: 3155.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402443 Min 01402443 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 240 of 6486
Name
BABULAL TAUNK Rate Amount Qty 13.8 .23 60 7.8 .26 30 60.9 2.03 30 43.96 43.96 1 17.8 .89 20 24 .4 60 69.6 1.16 60 64.8 1.08 60 33 1.1 30 400 400 1 Total: 735.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402444 Min 01402444 Appmt Dt Slno Description 06-FEB-19 1 ASCORBIC ACID,STRIP PKT,100MG,TABLET 06-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 06-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 241 of 6486
Name
JOTI TAUNK Qty 6 6 5 1
Rate Amount .38 2.28 .64 3.84 .37 1.85 400 400 Total: 407.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402450 Min 01402450 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 RIFAXIMIN 200 MG,,TABLET 3 11-FEB-19 RACECADOTRIL,100MG,CAPSULE 4 11-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 242 of 6486
Name
KALPANA BISWAL Rate Amount Qty 92.68 6.62 14 12.46 .89 14 9.33 130.62 14 83.58 5.97 14 52.26 8.71 6 2.4 .16 15 400 400 1 Total: 774
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402464 Min 01402464 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 243 of 6486
Name
JANAKI IYER Rate Amount Qty 19.2 .64 30 185.7 6.19 30 400 400 1 Total: 604.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402477 Min 01402477 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 244 of 6486
Name
M S BHASKARAN Rate Amount Qty 5.21 5.21 1 4.2 .42 10 7.92 .99 8 6.2 .62 10 18.9 .63 30 36 .6 60 60.9 2.03 30 13.95 .93 15 400 400 1 Total: 553.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402478 Min 01402478 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 245 of 6486
Name
OMANA BHASKARAN Rate Amount Qty 7.4 .37 20 12.81 166.53 13 29.7 .99 30 78 1.3 60 16.2 .27 60 55.8 .93 60 400 400 1 Total: 753.63
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402498 Min 01402498 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 246 of 6486
DULAL PAL Rate Amount Qty 32.4 1.08 30 27.9 .93 30 53.4 .89 60 123.53 123.53 1 21.3 .71 30 1.85 .37 5 4.8 .16 30 48.22 48.22 1 400 400 1 Total: 713.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402518 Min 01402518 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 247 of 6486
Name
D C SARKAR Rate Amount Qty 13.95 .93 15 12 .4 30 400 400 1 Total: 425.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402519 Min 01402519 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 248 of 6486
Name
SHEFALI SARKAR Rate Amount Qty 7.5 .25 30 8.1 .27 30 23.7 .79 30 21.3 .71 30 400 400 1 Total: 460.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402526 Min 01402526 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 16-FEB-19 UREA (BUN /UR) 4 16-FEB-19 CREATININE /CRT 5 16-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 16-FEB-19 CHOLESTEROL (CHOL) 7 16-FEB-19 TRIGLYCERIDES (TGL) 8 16-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 9 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 16-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 12 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 16-FEB-19
Page 249 of 6486
Name
PUSHPA BANSAL Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 550 550 1 6.9 .23 30 2.4 .16 15 21.3 .71 30 36 .6 60 78 1.3 60 27.9 .93 30 21.3 .71 30 Total: 3343.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402531 Min 01402531 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 250 of 6486
Name
G.THULASEEDHARAN Rate Amount Qty 55.8 .93 60 167.4 5.58 30 18 .3 60 14.85 .99 15 400 400 1 Total: 656.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402532 Min 01402532 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 251 of 6486
Name
D.VASUMATHY Rate Amount Qty 12 .4 30 27.9 .93 30 54 .6 90 39 1.3 30 400 400 1 Total: 532.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402533 Min 01402533 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 252 of 6486
Name
P C JAIN Rate Amount Qty 6.4 .64 10 20.84 5.21 4 26.7 .89 30 21.3 .71 30 31.2 1.04 30 32.4 1.08 30 8.1 .27 30 23.7 .79 30 34.8 1.16 30 15.6 .26 60 400 400 1 Total: 621.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402534 Min 01402534 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 253 of 6486
Name
SHASHI TARA JAIN Rate Amount Qty 6.4 .64 10 15.96 2.66 6 1.48 .37 4 36 .6 60 8.1 .27 30 18.6 .62 30 34.8 1.16 30 76.5 2.55 30 400 400 1 Total: 597.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402535 Min 01402535 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 7 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 15-FEB-19 ABC TEST HIV 9 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 15-FEB-19
Page 254 of 6486
Name
K C POULOSE Rate Amount Qty 39 1.3 30 167.4 5.58 30 36 .6 60 21.3 .71 30 11.85 .79 15 400 400 1 1000 1000 1 275 275 1 1250 1250 1 400 400 1 275 275 1 Total: 3875.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402536 Min 01402536 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 8 14-FEB-19 PRAZOSIN,2.5MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 255 of 6486
Name
EVAPHAROSIA POULOSE Rate Amount Qty 10.8 .36 30 36 .6 60 39 1.3 30 22.2 .37 60 29.7 .99 30 211.8 3.53 60 34.8 1.16 30 94.8 .79 120 156 1.3 120 400 400 1 Total: 1035.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402539 Min 01402539 Appmt Dt Slno Description 16-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 256 of 6486
Name
G MAHARANA Qty Rate Amount 30 .93 27.9 30 .27 8.1 15 .99 14.85 1 400 400 Total: 450.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402540 Min 01402540 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 16-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 257 of 6486
Name
INDU REKHA Rate Amount Qty 7.8 .26 30 55.8 .93 60 9 .3 30 15.4 .77 20 20.06 20.06 1 36 .6 60 32.4 1.08 30 400 400 1 Total: 576.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402561 Min 01402561 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 258 of 6486
Name
VEENA PATHAK Rate Amount Qty 78 1.3 60 36 .6 60 36 .4 90 13.35 .89 15 1.85 .37 5 32.4 1.08 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 669.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402596 Min 01402596 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 21-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 3 21-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 GUM ANALGESIC GEL 10 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 259 of 6486
Name
RAJRANI DWIVEDI Rate Amount Qty 20.55 1.37 15 26.8 .67 40 63.58 63.58 1 37.04 37.04 1 11.1 .37 30 17.6 17.6 1 185.7 6.19 30 13.35 .89 15 2.5 .25 10 28.69 28.69 1 20.06 20.06 1 1.9 .38 5 8.9 .89 10 3.75 .75 5 400 400 1 Total: 841.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402601 Min 01402601 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 260 of 6486
Name
D K BISWAS Rate Amount Qty 1.48 .37 4 7.5 .25 30 13.8 .23 60 60.9 2.03 30 36 .6 60 167.4 5.58 30 15.6 .26 60 27.9 .62 45 32.4 1.08 30 18 .3 60 47.4 .79 60 21.3 .71 30 400 400 1 Total: 849.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402602 Min 01402602 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 261 of 6486
Name
PARUL BISWAS Rate Amount Qty 7.5 .25 30 1.48 .37 4 36 .6 60 167.4 5.58 30 21.3 .71 30 32.4 1.08 30 31.2 1.04 30 36.3 1.21 30 33 1.1 30 400 400 1 Total: 766.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402614 Min 01402614 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 262 of 6486
N B AHUJA Rate Amount Qty 25.07 25.07 1 34.8 1.16 30 32.4 1.08 30 72.6 1.21 60 15.6 .26 60 16.2 .27 60 55.8 .93 60 10.8 .36 30 14.85 .99 15 400 400 1 Total: 678.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402634 Min 01402634 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 263 of 6486
Name
DAYA SHANKER MATHUR Rate Amount Qty 21.3 .71 30 26.7 .89 30 7.5 .25 30 185.7 6.19 30 12 .4 30 18.6 .62 30 6.9 .23 30 32.4 1.08 30 400 400 1 Total: 711.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402635 Min 01402635 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 08-FEB-19 IVABRADINE,5MG,,TABLET 3 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 264 of 6486
Name
SUSHMA MATHUR Rate Amount Qty 20.84 5.21 4 21.3 .71 30 298.5 9.95 30 3.9 .26 15 31.2 1.04 30 12 .4 30 21.3 .71 30 400 400 1 Total: 809.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402639 Min 01402639 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 265 of 6486
Name
KRISHAN KANTA BATRA Rate Amount Qty 16.2 .27 60 12 .4 30 15 .25 60 22.8 .38 60 400 400 1 Total: 466
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402654 Min 01402654 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 28-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 2 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 28-FEB-19
Page 266 of 6486
Name
MANOJ KUMAR NANDI Rate Amount Qty 400 400 1 280 280 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 Total: 736.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402655 Min 01402655 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 05-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 267 of 6486
Name
REKHA NANDI Rate Amount Qty 9.3 .62 15 1.3 .26 5 1.85 .37 5 5 .25 20 .32 .16 2 7 .7 10 6.4 .64 10 7.1 .71 10 6.3 .63 10 66.2 6.62 10 8.9 .89 10 400 400 1 Total: 519.67
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402663 Min 01402663 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 26-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 268 of 6486
SHANTA VERMA Rate Amount Qty 50.14 25.07 2 400 400 1 21.3 .71 30 12 .4 30 7.65 .51 15 6.9 .23 30 21.3 .71 30 400 400 1 Total: 919.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402677 Min 01402677 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 269 of 6486
Name
HIRANDAND AHUJA Rate Amount Qty 55.8 .93 60 21.6 .36 60 400 400 1 Total: 477.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402693 Min 01402693 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
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Name
V P ANNAMMA Rate Amount Qty 33 1.1 30 23.7 .79 30 8.1 .27 30 12 .4 30 7.5 .25 30 36 .6 60 34.8 1.16 30 11.4 .38 30 400 400 1 Total: 566.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402694 Min 01402694 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 19-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 16 19-FEB-19 ECG 17 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 18 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 19 19-FEB-19 ONDANSETRON,2MG/ML,INJECTION 20 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 21 19-FEB-19 OBSERVATION IN CASUALTY 22 19-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 23 19-FEB-19
Page 271 of 6486
Name
K ABRAHAM Rate Amount Qty 26.7 .89 30 55.8 .93 60 11.4 .38 30 20.1 .67 30 36 .6 60 34.8 1.16 30 2.4 .16 15 12 .4 30 5.21 5.21 1 14.85 .99 15 16.2 .27 60 400 400 1 5.34 .89 6 10.08 1.12 9 21.12 3.52 6 9.62 9.62 1 450 450 1 3.52 3.52 1 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 420 420 1 35.52 35.52 1 Total: 1634.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402696 Min 01402696 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 24-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 24-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 24-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 12 24-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 24-FEB-19
Page 272 of 6486
Name
MEERA MAHADIK Rate Amount Qty 39 1.3 30 21.3 .71 30 60.9 2.03 30 2.4 .16 15 123.53 123.53 1 18 .6 30 400 400 1 13.4 .67 20 66.2 6.62 10 8.9 .89 10 2.5 .25 10 22 4.4 5 9 .9 10 400 400 1 Total: 1187.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402703 Min 01402703 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 273 of 6486
Name
R L THAKKAR Rate Amount Qty 12 .4 30 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 15.6 .26 60 72.6 1.21 60 27.9 .93 30 400 400 1 15 .25 60 21.3 .71 30 400 400 1 Total: 1252.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402734 Min 01402734 Slno Description Appmt Dt DICLOFENAC SODIUM,25MG/ML,INJECTION 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 3 07-FEB-19 UREA (BUN /UR) 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 OBSERVATION IN CASUALTY 6 07-FEB-19 ECG 7 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 08-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 13 08-FEB-19 ECG 14 08-FEB-19 OBSERVATION IN CASUALTY 15 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 10-FEB-19 OBSERVATION IN CASUALTY 19 10-FEB-19 ONDANSETRON,2MG/ML,INJECTION 20 10-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 21 10-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 22 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 12-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 24 13-FEB-19 OBSERVATION IN CASUALTY 25 13-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 26 14-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 27 15-FEB-19 OBSERVATION IN CASUALTY 28 15-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 29 15-FEB-19 URIC ACID (UA /URATES /UR) 30 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 31 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 33 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 34 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 35 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 37 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 38 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 39 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 40 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 41 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 42 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 43 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 44 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 45 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 46 20-FEB-19
Page 274 of 6486
Name
AJAY ANAND Qty 1 10 1 1 1 1 1 10 1 1 1 1 1 1 1 10 1 1 1 1 1 10 1 1 1 5 1 1 1 1 1 7 14 1 1 30 30 15 30 30 30 30 30 20 10 1
Rate Amount 5.77 5.77 8.9 .89 9000 9000 275 275 275 275 420 420 450 450 26 2.6 400 400 1300 1300 550 550 3.19 3.19 5.77 5.77 450 450 420 420 6.4 .64 400 400 .16 .16 420 420 7.52 7.52 3.66 3.66 13.7 1.37 400 400 3.66 3.66 420 420 15.95 3.19 24.52 24.52 420 420 5.77 5.77 275 275 275 275 6.23 .89 19.18 1.37 400 400 275 275 26.7 .89 12 .4 2.4 .16 11.4 .38 39 1.3 60.9 2.03 21.3 .71 27.9 .93 63.8 3.19 1.6 .16 275 275
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402734 Min 01402734 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 47 20-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 48 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 49 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 50 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 51 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 52 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 53 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 54 26-FEB-19
Page 275 of 6486
Name
AJAY ANAND Rate Amount Qty 400 400 1 11.5 1.15 10 8.9 .89 10 26 2.6 10 400 400 1 8.9 .89 10 26 2.6 10 400 400 1 Total: 18804.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402742 Min 01402742 Slno Description Appmt Dt DIACERIN,STRIP PKT,50MG,CAPSULE 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 PRAZOSIN,2.5MG,TABLET 4 27-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 27-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 6 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 276 of 6486
Name
M M BISWAS Rate Amount Qty 150.9 5.03 30 36 .6 60 55.8 .93 60 78 1.3 60 43.96 43.96 1 48.76 12.19 4 20.84 5.21 4 26.7 .89 30 400 400 1 Total: 860.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402771 Min 01402771 Appmt Dt Slno Description 09-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 277 of 6486
Name
P S GUJRAL Qty 1 1
Rate Amount 6.82 6.82 400 400 406.82 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402819 Min 01402819 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 4 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 19-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 GUM ANALGESIC GEL 10 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 16 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 17 22-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 18 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 22-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 20 26-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 21 26-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 278 of 6486
Name
D N MANAPURE Rate Amount Qty 16.8 1.12 15 43.96 43.96 1 400 400 1 42.9 21.45 2 51.38 25.69 2 400 400 1 11.4 .38 30 22.5 .75 30 26.7 .89 30 28.69 28.69 1 34 1.7 20 5.55 .37 15 26.8 .67 40 15 .25 60 400 400 1 37.04 37.04 1 25.62 12.81 2 11.25 .75 15 400 400 1 28.69 28.69 1 37.04 37.04 1 45.44 45.44 1 400 400 1 Total: 2510.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402837 Min 01402837 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 17-FEB-19
Page 279 of 6486
Name
FULSUNDARI DEVI Rate Amount Qty 8.1 .27 30 13.95 .93 15 400 400 1 Total: 422.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402846 Min 01402846 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 26-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 26-FEB-19 GUM ANALGESIC GEL 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 280 of 6486
Name
M N ANANDAVALLEY AMMA Rate Amount Qty 22.2 .37 60 27.9 .93 30 14.85 .99 15 400 400 1 5.25 .75 7 20.1 .67 30 123.53 123.53 1 28.69 28.69 1 12.46 .89 14 400 400 1 Total: 1054.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402856 Min 01402856 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 20-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 281 of 6486
Name
SUDHA DEVI JAIN Rate Amount Qty 6.4 .64 10 185.7 6.19 30 20.84 5.21 4 7.5 .25 30 8.9 .89 10 6.9 .23 30 55.8 .93 60 33 1.1 30 142.2 1.58 90 400 400 1 Total: 867.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402863 Min 01402863 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 282 of 6486
Name
S J MORE Rate Amount Qty 26.7 .89 30 34.8 1.16 30 18.6 .62 30 76.5 2.55 30 60.9 2.03 30 32.4 1.08 30 23.7 .79 30 167.4 5.58 30 10.8 .36 30 54 .6 90 15.6 .26 60 400 400 1 Total: 921.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402870 Min 01402870 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 283 of 6486
Name
ANNAPURNA Rate Amount Qty 20.06 20.06 1 12 .4 30 7.8 .26 30 34.8 1.16 30 36 .6 60 9 .3 30 6.4 .64 10 55.8 .93 60 400 400 1 Total: 581.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402900 Min 01402900 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 26-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 12 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 284 of 6486
Name
D R CHAKRABORTY Rate Amount Qty 27 .9 30 729 12.15 60 27.9 .93 30 8.1 .27 30 100.71 100.71 1 400 400 1 8.1 .27 30 16.2 .18 90 26.7 .89 30 7.5 .25 30 104.4 1.74 60 39.6 .66 60 27.9 .93 30 400 400 1 Total: 1923.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402901 Min 01402901 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 285 of 6486
Name
BULA CHAKRABORTY Rate Amount Qty 7.5 .25 30 21.3 .71 30 27.9 .93 30 8.1 .27 30 54 .6 90 21.6 .36 60 400 400 1 14.85 .99 15 20.84 5.21 4 36 .6 60 21.6 .36 60 26.7 .89 30 167.4 5.58 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1299.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402950 Min 01402950 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 01-FEB-19 URIC ACID (UA /URATES /UR) 3 01-FEB-19 CREATININE /CRT 4 01-FEB-19 UREA (BUN /UR) 5 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 11 04-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 12 04-FEB-19 PYRAZINAMIDE,750MG,,TABLET 13 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 04-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 15 04-FEB-19 PYRAZINAMIDE,750MG,,TABLET 16 04-FEB-19 PRAZOSIN,2.5MG,TABLET 17 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 04-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 19 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 21 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 22 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 23 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 24 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 12-FEB-19
Page 286 of 6486
Name
A K DEY Rate Amount Qty 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 47.4 .79 60 21.3 .71 30 43.96 43.96 1 17.37 17.37 1 39.8 1.99 20 7.5 .25 30 177.9 5.93 30 79.6 1.99 40 78 1.3 60 26.7 .89 30 124.5 4.15 30 400 400 1 100.71 201.42 2 12.15 12.15 1 54 .9 60 104.4 1.74 60 400 400 1 Total: 5461
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402971 Min 01402971 Slno Description Appmt Dt CREATININE /CRT 1 26-FEB-19 UREA (BUN /UR) 2 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 26-FEB-19 URIC ACID (UA /URATES /UR) 4 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 26-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 6 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 26-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 13 26-FEB-19
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Name
LAXMI DHURANDHAR Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 55.8 .93 60 7.92 .99 8 7.5 .25 30 211.8 3.53 60 400 400 1 275 275 1 Total: 3908.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402974 Min 01402974 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 288 of 6486
Name
B SAMRAJYAM Rate Amount Qty 3.56 .89 4 6.4 .64 10 6.72 1.12 6 55.2 1.84 30 400 400 1 25.62 12.81 2 400 400 1 5.34 .89 6 33.12 1.84 18 6.72 1.12 6 5.76 .64 9 400 400 1 Total: 1348.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402975 Min 01402975 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 289 of 6486
Name
K S THAKUR Rate Amount Qty 8.9 .89 10 10.8 .36 30 18 .6 30 32.4 1.08 30 23.7 .79 30 7.5 .25 30 1.6 .16 10 26 2.6 10 400 400 1 Total: 528.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402986 Min 01402986 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 290 of 6486
Name
RAJESWARI Rate Amount Qty 36 .6 60 10.8 .36 30 117 1.3 90 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 654.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403015 Min 01403015 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 18-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 291 of 6486
Name
HARJINDER SINGH Rate Amount Qty 9.45 .63 15 15.3 .34 45 16.2 1.08 15 36.3 1.21 30 30.45 2.03 15 10.65 .71 15 13.95 .93 15 7.92 .99 8 400 400 1 Total: 540.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403208 Min 01403208 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 292 of 6486
Name
AMRITA LAL ROY Rate Amount Qty 18.9 .63 30 27.9 .93 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 476.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403209 Min 01403209 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 12-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 7 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 293 of 6486
Name
PRABHA ROY Rate Amount Qty 20.84 5.21 4 27.75 1.85 15 55.8 .93 60 7.5 .25 30 36.3 1.21 30 21.3 .71 30 48.76 12.19 4 4.1 .41 10 400 400 1 Total: 622.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403210 Min 01403210 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 294 of 6486
Name
KOSHY THOMAS Rate Amount Qty 111.6 .93 120 15.3 .51 30 26.7 .89 30 12.6 .42 30 60.18 20.06 3 400 400 1 Total: 626.38
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403211 Min 01403211 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 04-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 04-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 PRAZOSIN,2.5MG,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 11 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19
Page 295 of 6486
MARY KOSHY Rate Amount Qty 26.7 .89 30 7.65 .51 15 34.8 1.16 30 21.3 .71 30 184.2 6.14 30 96.44 48.22 2 16.2 .27 60 78 1.3 60 55.8 .93 60 36 .6 60 30.6 .34 90 32.4 1.08 30 12 .4 30 400 400 1 Total: 1032.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403235 Min 01403235 Appmt Dt Slno Description 25-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 296 of 6486
Name
U.SURENDRAN Qty Rate Amount 60 .9 54 1 400 400 454 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403240 Min 01403240 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 ECG 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 21-FEB-19
Page 297 of 6486
Name
BHAGWANTI SATDEV Rate Amount Qty 400 400 1 450 450 1 8.1 .27 30 21.3 .71 30 20.84 5.21 4 Total: 900.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403241 Min 01403241 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 21-FEB-19 UREA (BUN /UR) 13 21-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 14 21-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 15 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 21-FEB-19
Page 298 of 6486
Name
G.P. SATDEV Rate Amount Qty 72 .6 120 7.5 .25 30 21.3 .71 30 117 1.3 90 32.4 .36 90 167.4 5.58 30 5.55 .37 15 7.5 .25 30 60.9 2.03 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 21.3 .71 30 Total: 3890.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403244 Min 01403244 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 299 of 6486
Name
S.N. AHUJA Rate Amount Qty 32.4 1.08 30 118.5 3.95 30 13.95 .93 15 34.8 1.16 30 400 400 1 Total: 599.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403267 Min 01403267 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 19-FEB-19 X - RAY - SINGLE VIEW 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 300 of 6486
Name
KAMRUZZAMA Rate Amount Qty 400 400 1 11.1 .37 30 27 .9 30 550 550 1 400 400 1 7.8 .26 30 32.4 1.08 30 82.76 82.76 1 13.95 .93 15 21.3 .71 30 400 400 1 Total: 1946.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403268 Min 01403268 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 301 of 6486
Name
NOORJAHAN BEGUM Rate Amount Qty 275 275 1 275 275 1 12 .4 30 17.4 1.16 15 18 .6 30 7.5 .25 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 1126.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403271 Min 01403271 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 14-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 SOLIFENACIN,5MG,,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 302 of 6486
K.P.THANKAMANI AMMA Rate Amount Qty 15.73 15.73 1 12.15 12.15 1 104.4 1.74 60 400 400 1 55.8 .93 60 16.2 .27 60 55.2 .92 60 21.3 .71 30 36 .6 60 400 400 1 403.2 13.44 30 400 400 1 Total: 1919.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403297 Min 01403297 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 26-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 303 of 6486
Name
RUGMANI SANKARAN Qty Rate Amount 30 .93 27.9 1 400 400 30 .93 27.9 1 400 400 Total: 855.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403298 Min 01403298 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 SUTURE REMOVAL 2 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 304 of 6486
Name
KUNDAN SINGH Rate Amount Qty 400 400 1 490 490 1 192.3 6.41 30 60.9 2.03 30 18 .3 60 72 .6 120 400 400 1 Total: 1633.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403312 Min 01403312 Appmt Dt Slno Description 09-FEB-19 1 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 09-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 09-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 305 of 6486
Name
T P BABY Qty Rate Amount 10 .73 7.3 10 .89 8.9 20 .64 12.8 1 400 400 Total: 429
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403315 Min 01403315 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 306 of 6486
Name
T G SREEDHARAN NAIR Rate Amount Qty 20.84 5.21 4 5 .25 20 4.66 2.33 2 18.6 .93 20 23.2 1.16 20 400 400 1 Total: 472.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403336 Min 01403336 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 4 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 307 of 6486
Name
MANAK CHAND JAIN Rate Amount Qty 41.1 1.37 30 7.5 .25 30 371.4 6.19 60 301.8 5.03 60 34.2 .38 90 20.84 5.21 4 25.2 .42 60 400 400 1 156.6 1.74 90 54 .9 60 400 400 1 Total: 1812.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403350 Min 01403350 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 308 of 6486
Name
P.C.ROY Rate Amount Qty 64.8 1.08 60 12 .4 30 34.8 1.16 30 66 1.1 60 16.2 .27 60 27.6 .92 30 400 400 1 Total: 621.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403351 Min 01403351 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 309 of 6486
Name
ARCHANA ROY Rate Amount Qty 403.2 13.44 30 26.7 .89 30 20.84 5.21 4 25.2 .42 60 7.5 .25 30 32.4 1.08 30 6.9 .23 30 55.8 .93 60 72.6 1.21 60 400 400 1 Total: 1051.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403352 Min 01403352 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 5 13-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 310 of 6486
Name
SAHIB SINGH Rate Amount Qty 7.5 .25 30 101.4 3.38 30 26.7 .89 30 40.2 .67 60 48.76 12.19 4 26.86 13.43 2 11.1 .37 30 57.84 115.68 2 400 400 1 Total: 778.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403354 Min 01403354 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 16 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 18 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 19-FEB-19
Page 311 of 6486
Name
ASHOK KRISHNA CHOUDHARY Rate Amount Qty 34.8 1.16 30 7.65 .51 15 41.06 41.06 1 36 .6 60 20.84 5.21 4 55.8 .93 60 32.4 1.08 30 43.96 43.96 1 400 400 1 24 .4 60 36 .6 60 39 1.3 30 27.9 .93 30 32.4 1.08 30 1.48 .37 4 15.96 2.66 6 26.7 .89 30 23.1 .77 30 60.9 2.03 30 27 .9 30 400 400 1 Total: 1386.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403355 Min 01403355 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 312 of 6486
Name
SONDHYA CHOUDHARY Rate Amount Qty 21.3 .71 30 11.85 .79 15 400 400 1 Total: 433.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403367 Min 01403367 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 313 of 6486
Name
ASHOK KUMAR BHALLA Rate Amount Qty 38.25 2.55 15 80.24 20.06 4 2.4 .16 15 7.5 .25 30 60.9 2.03 30 53.4 .89 60 21.3 .71 30 400 400 1 Total: 663.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403368 Min 01403368 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 28-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 28-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 6 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 28-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 10 28-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 11 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 314 of 6486
Name
SUNITA BHALLA Rate Amount Qty 12 .4 30 51.38 25.69 2 54 .9 60 16.2 .18 90 10.42 5.21 2 31.61 31.61 1 11.1 .37 30 7.5 .25 30 85.52 85.52 1 35.2 17.6 2 63.58 63.58 1 19.72 9.86 2 400 400 1 Total: 798.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403380 Min 01403380 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 315 of 6486
Name
B.L.GUPTA Rate Amount Qty 32.4 1.08 30 14.85 .99 15 27.9 .93 30 7.5 .25 30 34.8 1.16 30 400 400 1 Total: 517.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403381 Min 01403381 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 GUM ANALGESIC GEL 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 11 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 13 11-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 14 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 11-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 17 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 12-FEB-19 DRESSING SIMPLE 21 12-FEB-19 DRESSING SIMPLE 22 15-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 23 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 22-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 26 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 22-FEB-19
Page 316 of 6486
Name
SATHYA VATHY GUPTA Rate Amount Qty 368.4 6.14 60 32.4 1.08 30 53.4 .89 60 21.3 .71 30 27.9 .93 30 4.8 .16 30 400 400 1 28.69 28.69 1 400 400 1 4.65 .93 5 61.4 6.14 10 1.25 .25 5 4.65 .93 5 139.8 9.32 15 3.2 .64 5 8.9 .89 10 157.8 15.78 10 3.55 .71 5 400 400 1 400 400 1 1500 300 5 2100 300 7 157.8 15.78 10 400 400 1 26.7 .89 30 3.9 .26 15 400 400 1 Total: 7110.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403400 Min 01403400 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 28-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 13 28-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 14 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 28-FEB-19
Page 317 of 6486
Name
S K BHATTACHARYA Rate Amount Qty 29.7 .99 30 33 1.1 30 12 .4 30 21.3 .71 30 3.84 .64 6 55.8 .93 60 6.9 .23 30 9 .6 15 400 400 1 275 275 1 400 400 1 275 275 1 1500 1500 1 1300 1300 1 1300 1300 1 Total: 5621.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403427 Min 01403427 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 318 of 6486
Name
K.MADHAVAN PILLAI Rate Amount Qty 36 .4 90 54 .6 90 34.8 1.16 30 60.9 2.03 30 13.35 .89 15 12 .4 30 192.3 6.41 30 400 400 1 Total: 803.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403428 Min 01403428 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 319 of 6486
Name
K.P DEVAKI AMMA Rate Amount Qty 21.3 .71 30 7.5 .25 30 43.2 .36 120 54 .6 90 78 1.3 60 400 400 1 Total: 604
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403442 Min 01403442 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 09-FEB-19 PRAZOSIN,2.5MG,TABLET 12 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 09-FEB-19 CREATININE /CRT 17 09-FEB-19 UREA (BUN /UR) 18 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 09-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 20 12-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 21 12-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 22 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 25 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 26 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 28 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 29 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 30 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 31 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 21-FEB-19
Page 320 of 6486
MARY THOMAS Rate Amount Qty 650 650 1 400 400 1 62.8 3.14 20 17.8 .89 20 368.2 18.41 20 5 .25 20 20.06 20.06 1 5 .25 20 275 275 1 400 400 1 55.8 .93 60 78 1.3 60 36 .6 60 275 275 1 12 .4 30 66 1.1 60 275 275 1 275 275 1 34.8 1.16 30 20.29 20.29 1 25.69 25.69 1 18.21 18.21 1 400 400 1 13.35 .89 15 15.73 15.73 1 27 .9 30 400 400 1 55.8 .93 60 12 .4 30 21.3 .71 30 66 1.1 60 400 400 1 Total: 4786.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403446 Min 01403446 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 321 of 6486
Name
A V LAXMI Rate Amount Qty 123.53 247.06 2 167.4 5.58 30 12.6 .42 30 26.7 .89 30 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 920.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403447 Min 01403447 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 26-FEB-19 INHALANT,STRIP PACK,CAPSULE 12 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 13 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 322 of 6486
T P THOMAS Rate Amount Qty 104.4 1.74 60 100.71 100.71 1 54 .9 60 26.7 .89 30 400 400 1 17.4 .58 30 60.9 2.03 30 8.1 .27 30 400 400 1 8.9 .89 10 66.2 6.62 10 25.5 1.7 15 48.22 48.22 1 20.06 20.06 1 3.7 .37 10 400 400 1 Total: 1744.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403479 Min 01403479 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 323 of 6486
Name
RANJEET SINGH Rate Amount Qty 21.3 .71 30 32.4 1.08 30 8.1 .27 30 38.25 2.55 15 400 400 1 Total: 500.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403480 Min 01403480 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 324 of 6486
Name
MADHAVI SINGH Rate Amount Qty 32.4 1.08 30 9.3 .62 15 20.84 5.21 4 12.6 .42 30 400 400 1 Total: 475.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403491 Min 01403491 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 PRAZOSIN,2.5MG,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 325 of 6486
Name
P K BHAWANI AMMA Rate Amount Qty 55.8 .93 60 72 .6 120 156 1.3 120 34.8 1.16 30 16.2 .27 60 32.4 1.08 30 400 400 1 Total: 767.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403497 Min 01403497 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 19-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 326 of 6486
Name
CHINNAMMA JACOB Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 4.8 .16 30 26.7 .89 30 7.5 .25 30 55.8 .93 60 66 1.1 60 30.6 .34 90 400 400 1 Total: 658.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403506 Min 01403506 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 02-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 02-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 6 02-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 7 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19
Page 327 of 6486
Name
SHANKAR SINGH BISEN Rate Amount Qty 15 .25 60 30.6 .34 90 47.4 .79 60 21.3 .71 30 12 .4 30 128.1 4.27 30 15.3 .51 30 25.2 .42 60 2.4 .16 15 400 400 1 Total: 697.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403515 Min 01403515 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 328 of 6486
Name
ALEYAMMA YOHANNAN Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 55.8 .93 60 18 .3 60 29.7 .99 30 36 .6 60 3.75 .25 15 400 400 1 Total: 650.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403528 Min 01403528 Appmt Dt Slno Description 15-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 329 of 6486
Name
A S JANARDHANAN Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403567 Min 01403567 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 330 of 6486
Name
M.K.CHINCHMALAT PURE Rate Amount Qty 20.06 20.06 1 6.9 .23 30 29.7 .99 30 23.7 .79 30 6.4 .64 10 32.4 1.08 30 4.8 .16 30 34.8 1.16 30 400 400 1 Total: 558.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403579 Min 01403579 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 14 23-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 15 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 16 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 17 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 19 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 22 26-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 23 26-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 24 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 25 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 26-FEB-19
Page 331 of 6486
Name
KUNJOONJAMMA ABRAHAM Rate Amount Qty 7.7 .77 10 6.4 .64 10 400 400 1 3.84 .64 6 400 400 1 117 1.3 90 55.8 .93 60 118.5 3.95 30 34.8 1.16 30 12 .4 30 7.5 .25 30 72 .6 120 400 400 1 18.03 18.03 1 20.29 20.29 1 18.03 18.03 1 7.98 .38 21 1.64 .41 4 1.64 .41 4 14.08 3.52 4 400 400 1 36.06 18.03 2 24.45 24.45 1 2.97 .99 3 13.64 6.82 2 400 400 1 Total: 2594.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403580 Min 01403580 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 4 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 332 of 6486
Name
SARWAN SINGH Rate Amount Qty 29.7 .99 30 11.1 .37 30 400 400 1 69.05 69.05 1 12.15 12.15 1 26.7 .89 30 54 .9 60 104.4 1.74 60 400 400 1 Total: 1107.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403586 Min 01403586 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 333 of 6486
Name
MANOJ KANTI BISWAS Rate Amount Qty 5.21 5.21 1 27.9 .93 30 23.7 .79 30 33 1.1 30 7.5 .25 30 400 400 1 Total: 497.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403653 Min 01403653 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 334 of 6486
Name
MANJU PAL Rate Amount Qty 21.6 .36 60 117 1.3 90 7.5 .25 30 36 .6 60 21.3 .71 30 13.35 .89 15 12.3 .41 30 400 400 1 Total: 629.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403666 Min 01403666 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 335 of 6486
Name
P A RAJU Rate Amount Qty 32.4 1.08 30 30.6 .34 90 34.8 1.16 30 7.65 .51 15 9 .3 30 18 .6 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 566.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403704 Min 01403704 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 336 of 6486
Name
P VALSALA Rate Amount Qty 156 1.3 120 29.7 .99 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 36 .6 60 32.4 .36 90 400 400 1 Total: 739.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403764 Min 01403764 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 15-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 16 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19
Page 337 of 6486
Name
MAYA MAZUMDAR Rate Amount Qty 7.5 .25 30 6.4 .64 10 185.7 6.19 30 10.65 .71 15 400 400 1 12.15 12.15 1 3.7 .37 10 2.7 .18 15 7.5 .25 30 26.7 .89 30 2.4 .16 15 21.3 .71 30 27.9 .93 30 5.4 .18 30 12.15 12.15 1 104.4 1.74 60 3.7 .37 10 400 400 1 Total: 1240.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403792 Min 01403792 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 10-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 338 of 6486
Name
A RAMACHANDRAN Rate Amount Qty 66.2 6.62 10 400 400 1 2.5 .25 10 19.2 .64 30 99.3 6.62 15 8.9 .89 10 400 400 1 8.9 .89 10 55.2 1.84 30 6.4 .64 10 400 400 1 Total: 1466.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403793 Min 01403793 Slno Description Appmt Dt MEGESTROL ACETATE,40MG,,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 339 of 6486
K R MADHURA MEENAKHY Rate Amount Qty 13.63 3271.2 240 400 400 1 18.6 .62 30 21.3 .71 30 25.07 25.07 1 6.9 .23 30 400 400 1 Total: 4143.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403806 Min 01403806 Appmt Dt Slno Description 04-FEB-19 1 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 3 X - RAY - TWO VIEWS 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 340 of 6486
Name
RAMESH CHANDRA JAIN Qty Rate Amount 40 .25 10 1 400 400 1 860 860 1 400 400 Total: 1670
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403807 Min 01403807 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 2 X - RAY - TWO VIEWS 04-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 04-FEB-19 4 PARACETAMOL,STRIP PKT,500MG,TABLET
Page 341 of 6486
Name
C M JAIN Qty Rate Amount 1 400 400 1 860 860 15 6.19 92.85 15 .64 9.6 Total: 1362.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403816 Min 01403816 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 342 of 6486
Name
TUSHAR KANTI DAS Rate Amount Qty 26.7 .89 30 27.9 .93 30 371.4 6.19 60 4.8 .16 30 8.1 .27 30 400 400 1 Total: 838.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403817 Min 01403817 Appmt Dt Slno Description 05-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 343 of 6486
Name
INDRANI DAS Qty Rate Amount 60 .6 36 30 .89 26.7 30 .93 27.9 1 400 400 Total: 490.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403818 Min 01403818 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 09-FEB-19 PRAZOSIN,2.5MG,TABLET 4 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 5 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 09-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 14 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 344 of 6486
Name
RAMESH CHANDRA Rate Amount Qty 8.9 .89 10 21.3 .71 30 21.3 .71 30 39 1.3 30 21.3 .71 30 167.4 5.58 30 36 .6 60 22.2 .37 60 55.8 .93 60 400 400 1 73.35 4.89 15 8.9 .89 10 26 2.6 10 20.84 5.21 4 14.6 .73 20 400 400 1 Total: 1336.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403819 Min 01403819 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 09-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 17 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 18 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 27-FEB-19 PLATELET COUNT 22 27-FEB-19 HB,TLC,DLC 23 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 24 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 25 27-FEB-19
Page 345 of 6486
Name
MANJU SAXENA Rate Amount Qty 12 .4 30 6.9 .23 30 66 1.1 60 4.8 .16 30 32.4 1.08 30 7.5 .25 30 20.06 20.06 1 55.8 .93 60 400 400 1 7.3 .73 10 13 2.6 5 6.19 129.99 21 5.25 .25 21 6.4 .64 10 4.45 .89 5 400 400 1 95.7 3.19 30 13 2.6 5 400 400 1 400 400 1 275 275 1 330 330 1 300 300 1 275 275 1 1300 1300 1 Total: 4560.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403863 Min 01403863 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 08-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 346 of 6486
Name
KU ILA MUKHERJEE Rate Amount Qty 54 .9 60 26.7 .89 30 12.15 12.15 1 100.71 100.71 1 400 400 1 Total: 593.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403866 Min 01403866 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 347 of 6486
Name
CHANDA SHUKLA Rate Amount Qty 12 .4 30 15.6 .26 60 36 .6 60 18.6 .62 30 27.9 .93 30 9 .3 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 548.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403871 Min 01403871 Appmt Dt Slno Description 01-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 348 of 6486
Name
DHRUBA BHATTACHARJEE Qty Rate Amount 30 .25 7.5 30 .71 21.3 30 .62 18.6 1 400 400 Total: 447.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403901 Min 01403901 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 349 of 6486
Name
DESH BANDHU ARYA Rate Amount Qty 10.65 .71 15 2.4 .16 15 7.5 .25 30 27.9 .93 30 400 400 1 Total: 448.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403913 Min 01403913 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 350 of 6486
Name
KANCHAN ADHIKARI Rate Amount Qty 13.7 1.37 10 7.5 .25 30 185.7 6.19 30 400 400 1 55.8 .93 60 66 1.1 60 34.8 1.16 30 16.2 .27 60 400 400 1 29.7 .99 30 400 400 1 Total: 1609.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403926 Min 01403926 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 PRAZOSIN,2.5MG,TABLET 3 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 02-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 BLOOD FOR T-3,T-4,TSH 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 07-FEB-19 UREA (BUN /UR) 15 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 07-FEB-19 URIC ACID (UA /URATES /UR) 17 07-FEB-19 CREATININE /CRT 18 07-FEB-19
Page 351 of 6486
Name
S D CHANDRAKAR Rate Amount Qty 9.3 .62 15 7.5 .25 30 78 1.3 60 21.6 .36 60 36 .6 60 167.4 5.58 30 72.6 1.21 60 47.4 .79 60 400 400 1 2400 2400 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 6864.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403942 Min 01403942 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 352 of 6486
Name
MANJULATA SRIVASTAVA Rate Amount Qty 27.9 .93 30 15.6 .26 60 21.3 .71 30 33 1.1 30 118.5 3.95 30 7.5 .25 30 400 400 1 Total: 623.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403949 Min 01403949 Slno Description Appmt Dt UREA (BUN /UR) 1 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 04-FEB-19 PRAZOSIN,2.5MG,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 04-FEB-19 SOLIFENACIN,5MG,,TABLET 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 URIC ACID (UA /URATES /UR) 13 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 18 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 19 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 20 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 08-FEB-19
Page 353 of 6486
Name
H D SHARMA Rate Amount Qty 275 275 1 33.3 .37 90 423.6 3.53 120 27.9 .93 30 72.6 1.21 60 156 1.3 120 12 .4 30 21.3 .71 30 18.9 .63 30 60.9 2.03 30 403.2 13.44 30 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 275 275 1 275 275 1 43.96 131.88 3 368.4 6.14 60 400 400 1 Total: 5754.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403969 Min 01403969 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 04-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 18 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 21 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 22 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 354 of 6486
Name
SAROJ BANGA Rate Amount Qty 41.06 41.06 1 57.84 57.84 1 19.72 9.86 2 19.72 9.86 2 11.25 .75 15 400 400 1 27.9 .93 30 2.4 .16 15 32.4 1.08 30 36 .6 60 9 .3 30 21.3 .71 30 400 400 1 37.8 .63 60 400 400 1 33 1.1 30 4.8 .16 30 19.72 9.86 2 32.4 1.08 30 27.9 .93 30 15.6 .26 60 9 .3 30 21.3 .71 30 400 400 1 Total: 2080.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403970 Min 01403970 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 13 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 15 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 355 of 6486
Name
S N BANGA Rate Amount Qty 7.5 .25 30 13.48 3.37 4 19.72 9.86 2 19.72 9.86 2 400 400 1 2.4 .16 15 20.06 20.06 1 7.8 .26 30 32.4 1.08 30 76.5 2.55 30 13.35 .89 15 400 400 1 2.6 .26 10 19.72 9.86 2 76.5 2.55 30 32.4 1.08 30 2.4 .16 15 7.8 .26 30 400 400 1 Total: 1554.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403972 Min 01403972 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 IVABRADINE,5MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19
Page 356 of 6486
Name
PUSHPA JAIN Rate Amount Qty 78 1.3 60 36 .6 60 597 9.95 60 34.8 1.16 30 26.7 .89 30 12 .4 30 32.4 1.08 30 10.2 .34 30 7.5 .25 30 1.6 .16 10 400 400 1 9000 9000 1 400 400 1 Total: 10636.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403979 Min 01403979 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 357 of 6486
M S YADAWA Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 23.7 .79 30 25.07 25.07 1 1.85 .37 5 66 1.1 60 192.3 6.41 30 60.9 2.03 30 12 .4 30 26.7 .89 30 156.51 156.51 1 148.9 74.45 2 400 400 1 Total: 1181.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404001 Min 01404001 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 358 of 6486
Name
P C MAITY Rate Amount Qty 3.75 .25 15 27.9 .93 30 8.1 .27 30 8.9 .89 10 400 400 1 Total: 448.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404038 Min 01404038 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 359 of 6486
Name
P I ITTY Rate Amount Qty 15.6 .26 60 72.6 1.21 60 55.8 .93 60 16.2 .27 60 12 .4 30 34.8 1.16 30 400 400 1 Total: 607
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404039 Min 01404039 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 360 of 6486
Name
SARAMMA ITTY Rate Amount Qty 110.4 .92 120 72 .6 120 23.7 .79 30 33 1.1 30 34.8 1.16 30 400 400 1 Total: 673.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404058 Min 01404058 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 BICALUTAMIDE,50MG,CAPSULE/,TABLET 6 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 361 of 6486
Name
C K THOMAS PAUL Rate Amount Qty 36.3 1.21 30 23.1 .77 30 32.4 1.08 30 34.8 1.16 30 12 .4 30 312 10.4 30 27.9 .93 30 20.84 5.21 4 400 400 1 Total: 899.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404059 Min 01404059 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 362 of 6486
Name
MOLY THOMAS Rate Amount Qty 43.2 .36 120 7.5 .25 30 21.3 .71 30 66 1.1 60 12 .4 30 55.8 .93 60 167.4 5.58 30 72 .6 120 26.7 .89 30 400 400 1 Total: 871.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404065 Min 01404065 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 27-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 16 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 17 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 27-FEB-19
Page 363 of 6486
Name
GAURI KASHYAP Rate Amount Qty 8.9 .89 10 36.8 1.84 20 9.6 .64 15 400 400 1 70.2 2.34 30 6.4 .64 10 1.85 .37 5 12.15 12.15 1 2.7 .18 15 8.9 .89 10 17 1.7 10 35.2 3.52 10 400 400 1 55.8 .93 60 7.5 .25 30 118.5 3.95 30 18.9 .63 30 32.4 1.08 30 400 400 1 Total: 1642.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404083 Min 01404083 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 07-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 2 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12 08-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 13 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 15 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 16 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 08-FEB-19
Page 364 of 6486
Name
AJIT SINGH SOHAL Rate Amount Qty 12.81 12.81 1 17.37 17.37 1 19.72 9.86 2 7.6 .38 20 11.1 .37 30 400 400 1 7.5 .25 30 78 1.3 60 42.6 .71 60 211.8 3.53 60 123.53 247.06 2 25.62 12.81 2 34.74 17.37 2 19.72 9.86 2 237 3.95 60 47.4 .79 60 400 400 1 Total: 1820.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404088 Min 01404088 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 365 of 6486
Name
T SURYANARAYANA Rate Amount Qty 167.4 5.58 30 34.8 1.16 30 11.4 .38 30 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 695.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404089 Min 01404089 Slno Description Appmt Dt PLATELET COUNT 1 14-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 2 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 14-FEB-19 HB,TLC,DLC 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 366 of 6486
Name
T KAMALA RATNAM Rate Amount Qty 330 330 1 330 330 1 400 400 1 300 300 1 12 .4 30 26.7 .89 30 11.85 .79 15 40.12 20.06 2 36 .6 60 27.6 .92 30 21.3 .71 30 400 400 1 Total: 1935.57
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404096 Min 01404096 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 03-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 03-FEB-19 PRAZOSIN,2.5MG,TABLET 3 03-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 03-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 03-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 03-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 03-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 03-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 03-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 03-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 11 03-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 03-FEB-19
Page 367 of 6486
PRASANNA KUMAR PANDYA Rate Amount Qty 31.2 1.04 30 21.6 1.44 15 39 1.3 30 42.6 .71 60 30.6 .34 90 39.72 6.62 6 192.3 6.41 30 60.9 2.03 30 32.4 1.08 30 55.2 .92 60 9.44 1.18 8 15.73 15.73 1 400 400 1 Total: 970.69
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404097 Min 01404097 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 19-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 368 of 6486
SUDHA PANDYA Qty 1 1 1 6 1
Rate Amount 25.07 25.07 18.21 18.21 6.82 6.82 2.22 .37 400 400 Total: 452.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404103 Min 01404103 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 369 of 6486
Name
P VARA LAXMI Rate Amount Qty 29.7 .99 30 55.8 .93 60 400 400 1 Total: 485.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404108 Min 01404108 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 01-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 ONDANSETRON,2MG/ML,INJECTION 5 15-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 15-FEB-19 FENTANYL CITRATE,50MCG/ML,INJECTION 7 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 15-FEB-19 SYRINGE,DISPOSABLE,2ML 9 15-FEB-19 OBSERVATION IN CASUALTY 10 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 11 15-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 12 15-FEB-19
Page 370 of 6486
Name
N UMAPATHI RAO Qty 8 1 1 1 1 1 1 1 4 1 1 1
Rate Amount 26.96 3.37 63.58 63.58 57.84 57.84 400 400 7.52 7.52 11.89 11.89 30.21 30.21 .16 .16 7.36 1.84 420 420 24.52 24.52 9.81 9.81 Total: 1059.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404109 Min 01404109 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 19-FEB-19 C T HEAD PLAIN 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 16 25-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 17 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 18 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 20 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 24 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 25 25-FEB-19 CREATININE /CRT 26 25-FEB-19 URIC ACID (UA /URATES /UR) 27 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 28 25-FEB-19
Page 371 of 6486
Name
N LAKSHMI Rate Amount Qty 9.6 .64 15 1.6 .16 10 400 400 1 3.84 .64 6 2.67 .89 3 4.2 .7 6 400 400 1 1.12 .16 7 8.96 .64 14 5250 5250 1 400 400 1 117 1.3 90 55.8 .93 60 32.4 1.08 30 21.3 .71 30 98.49 1.47 67 33.81 1.47 23 71 .71 100 53.4 .89 60 11.2 1.12 10 334.8 5.58 60 72 .6 120 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 10183.19
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404111 Min 01404111 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 372 of 6486
PRAMILA JAIN Rate Amount Qty 31.95 .71 45 2.22 .37 6 35.2 3.52 10 15.73 15.73 1 16.2 .27 60 47.4 .79 60 21.3 .71 30 7.5 .25 30 400 400 1 Total: 577.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404118 Min 01404118 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 373 of 6486
Name
A K CHATTOPADHYAY Rate Amount Qty 7.5 .25 30 21.3 .71 30 400 400 1 Total: 428.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404132 Min 01404132 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 15-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 15-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 7 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 15-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 374 of 6486
Name
K APPARAO Rate Amount Qty 18 .6 30 10.8 .36 30 7.5 .25 30 21.3 .71 30 23.1 .77 30 237 3.95 60 157.8 2.63 60 32.4 1.08 30 123.6 4.12 30 400 400 1 Total: 1031.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404133 Min 01404133 Appmt Dt Slno Description 15-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 375 of 6486
Name
K ARUNA Qty Rate Amount 30 .25 7.5 45 .62 27.9 60 .93 55.8 1 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404141 Min 01404141 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 19-FEB-19 PRAZOSIN,2.5MG,TABLET 7 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 376 of 6486
Name
G O K PILLAI Rate Amount Qty 60.9 2.03 30 153 2.55 60 21.3 .71 30 12 .4 30 32.4 1.08 30 23.1 .77 30 156 1.3 120 15.6 1.04 15 400 400 1 Total: 874.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404149 Min 01404149 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 16-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 377 of 6486
Name
BASANT LAL DEWANGAN Rate Amount Qty 12.15 12.15 1 26.7 .89 30 20.1 .67 30 54 .9 60 400 400 1 55.8 .93 60 12 .4 30 4.08 .51 8 13.35 .89 15 7.5 .25 30 123.53 123.53 1 400 400 1 Total: 1129.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404150 Min 01404150 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 16-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 378 of 6486
Name
BASANTI BAI Rate Amount Qty 10.8 .36 30 1.85 .37 5 13.35 .89 15 34.8 1.16 30 66 1.1 60 15.6 1.04 15 54 .6 90 39 1.3 30 55.8 .93 60 12 .4 30 400 400 1 Total: 703.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404153 Min 01404153 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 379 of 6486
Name
M S BAGGA Rate Amount Qty 18 .6 30 22.2 .37 60 17.37 17.37 1 35.2 17.6 2 10.8 .36 30 400 400 1 Total: 503.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404164 Min 01404164 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 380 of 6486
Name
E V VILASINI Rate Amount Qty 21.3 .71 30 32.4 1.08 30 39 1.3 30 18 .6 30 7.5 .25 30 400 400 1 Total: 518.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404165 Min 01404165 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 12-FEB-19 PRAZOSIN,2.5MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 381 of 6486
Name
N RAMAN KUTTY Rate Amount Qty 18.6 .62 30 4.8 .16 30 167.4 5.58 30 55.8 .93 60 21.3 .71 30 32.4 1.08 30 36.3 1.21 30 22.2 .37 60 156 1.3 120 400 400 1 Total: 914.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404184 Min 01404184 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 25-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 382 of 6486
Name
SOHAN BAI VARMA Rate Amount Qty 403.2 13.44 30 288 9.6 30 400 400 1 Total: 1091.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404203 Min 01404203 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 383 of 6486
Name
URMILA DASHORE Rate Amount Qty 21.3 .71 30 9 .6 15 27.9 .93 30 4.8 .16 30 5.21 5.21 1 7.5 .25 30 9 .3 30 400 400 1 Total: 484.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404204 Min 01404204 Appmt Dt Slno Description 21-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 384 of 6486
Name
LAXMI NARAYAN DASHORE Qty Rate Amount 30 .27 8.1 60 .93 55.8 30 .25 7.5 1 400 400 Total: 471.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404212 Min 01404212 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 385 of 6486
Name
RAMILA SOLANKI Rate Amount Qty 21.3 .71 30 185.7 6.19 30 400 400 1 Total: 607
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404213 Min 01404213 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 386 of 6486
Name
P K VERMA Rate Amount Qty 10.8 .36 30 60.9 2.03 30 27.6 .92 30 12 .4 30 7.5 .25 30 400 400 1 Total: 518.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404222 Min 01404222 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 15-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 387 of 6486
Name
KAMALA NAIR Rate Amount Qty 371.4 6.19 60 92.68 6.62 14 57.84 57.84 1 10.22 .73 14 16.2 .27 60 400 400 1 Total: 948.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404237 Min 01404237 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 08-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 2 08-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 08-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 12-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 10 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 13-FEB-19
Page 388 of 6486
Name
A SETHUMADHAVAN Rate Amount Qty 148.9 74.45 2 40.58 20.29 2 11.25 .75 15 37.04 37.04 1 400 400 1 20.06 20.06 1 26.7 .89 30 79.8 2.66 30 54 .9 60 100.71 100.71 1 104.4 1.74 60 400 400 1 32.4 1.08 30 18 .6 30 167.4 5.58 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 2083.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404238 Min 01404238 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 389 of 6486
Name
NALINI SETHUMADHAVN Rate Amount Qty 7.5 .25 30 69.6 1.16 60 76.5 2.55 30 55.8 .93 60 400 400 1 55.8 .93 60 76.5 2.55 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 1184
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404257 Min 01404257 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 390 of 6486
Name
SANTOSH JAGGI Rate Amount Qty 21.3 .71 30 55.8 .93 60 33 1.1 30 19.8 .66 30 13.35 .89 15 7.5 .25 30 400 400 1 Total: 550.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404262 Min 01404262 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 391 of 6486
Name
MAKHANLAL KASER Rate Amount Qty 6.9 .23 30 21.3 .71 30 20.06 20.06 1 13.7 1.37 10 185.7 6.19 30 400 400 1 Total: 647.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404263 Min 01404263 Appmt Dt Slno Description 14-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 14-FEB-19 2 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G
Page 392 of 6486
Name
LAXMI KASER Qty 1 1
Rate Amount 400 400 275 275 675 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404266 Min 01404266 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 393 of 6486
Name
M C BHATTACHARYA Rate Amount Qty 26.7 .89 30 7.5 .25 30 4.8 .16 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 55.8 .93 60 15.6 .26 60 400 400 1 Total: 589.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404267 Min 01404267 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 394 of 6486
Name
ANNAPURNA BHATTACHARYA Rate Amount Qty 34.8 1.16 30 157.8 2.63 60 33 1.1 30 15.6 .26 60 3.75 .25 15 18 .3 60 36 .6 60 18.6 .62 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 761.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404269 Min 01404269 Appmt Dt Slno Description 28-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 28-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 395 of 6486
Name
BHAROTI BHATTACHARYA Qty Rate Amount 30 .36 10.8 30 .25 7.5 60 .6 36 1 400 400 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404271 Min 01404271 Slno Description Appmt Dt MAMOGRAPHY 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 396 of 6486
Name
RAJINDER KAUR Rate Amount Qty 2000 2000 1 400 400 1 1750 1750 1 400 400 1 423.6 7.06 60 400 400 1 Total: 5373.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404273 Min 01404273 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 397 of 6486
Name
K K SREEKUMARI Rate Amount Qty 13.95 .93 15 21.3 .71 30 21.6 .36 60 78 1.3 60 36 .6 60 400 400 1 Total: 570.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404286 Min 01404286 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 IVABRADINE,5MG,,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 398 of 6486
Name
ARUN NARAYAN WATHODKAR Rate Amount Qty 13.95 .93 15 15.6 1.04 15 43.2 1.44 30 21.3 .71 30 597 9.95 60 12 .4 30 400 400 1 Total: 1103.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404287 Min 01404287 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 399 of 6486
Name
SUHASINI ARUN WATHODKAR Rate Amount Qty 23.7 .79 30 66 1.1 60 7.5 .25 30 12 .4 30 34.8 1.16 30 78 1.3 60 18 .6 30 400 400 1 Total: 640
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404308 Min 01404308 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 400 of 6486
Name
DEVJANI PANDEY Rate Amount Qty 54 .6 90 33 1.1 30 400 400 1 Total: 487
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404309 Min 01404309 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 13-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 SUTURE REMOVAL 5 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 401 of 6486
Name
SUBIR KUMAR CHAKRABORTY Rate Amount Qty 123.53 247.06 2 400 400 1 82.12 41.06 2 400 400 1 490 490 1 247.06 123.53 2 6.4 .64 10 36 .6 60 27.9 .93 30 21.3 .71 30 118.5 3.95 30 7.5 .25 30 400 400 1 Total: 2483.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404310 Min 01404310 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 402 of 6486
Name
ANJALI CHAKRABORTY Rate Amount Qty 123.53 247.06 2 55.8 .93 60 21.3 .71 30 87.92 43.96 2 400 400 1 Total: 812.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404320 Min 01404320 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 403 of 6486
Name
PRIYO BALA DAYAL Rate Amount Qty 9 .3 30 36.3 1.21 30 55.8 .93 60 23.7 .79 30 8.1 .27 30 54 .6 90 400 400 1 Total: 586.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404323 Min 01404323 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 404 of 6486
Name
C B DESHPANDE Rate Amount Qty 26.7 .89 30 60.9 2.03 30 54 .6 90 66 1.1 60 27.9 .93 30 12 .4 30 18.6 .62 30 43.2 1.44 30 400 400 1 Total: 709.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404324 Min 01404324 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 405 of 6486
Name
SHUBHADA DESHPANDE Rate Amount Qty 66 1.1 60 55.8 .93 60 7.8 .26 30 12 .4 30 400 400 1 Total: 541.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404345 Min 01404345 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 05-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 406 of 6486
Name
J L VERMA Rate Amount Qty 167.4 5.58 30 6.9 .23 30 21.3 .71 30 7.5 .25 30 15 .25 60 11.4 .38 30 22.5 .75 30 10.8 .36 30 400 400 1 Total: 662.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404346 Min 01404346 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 407 of 6486
Name
GEETA DEVI VERMA Rate Amount Qty 7.5 .25 30 18 .4 45 27.9 .93 30 17.37 17.37 1 11.1 .37 30 400 400 1 Total: 481.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404362 Min 01404362 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 408 of 6486
Name
P SURYA PRABHA Rate Amount Qty 7.5 .25 30 13.35 .89 15 39 2.6 15 9.3 .62 15 14.85 .99 15 27.9 .93 30 400 400 1 Total: 511.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404369 Min 01404369 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 409 of 6486
Name
V B DESHPANDE Rate Amount Qty 63 2.1 30 4.8 .16 30 46.8 .78 60 400 400 1 26.4 2.64 10 400 400 1 Total: 941
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404370 Min 01404370 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 410 of 6486
Name
VRUNDA DESHPANDE Rate Amount Qty 22.2 .37 60 15.6 .26 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404373 Min 01404373 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 26-FEB-19
Page 411 of 6486
Name
S S SAH Rate Amount Qty 55.8 .93 60 167.4 5.58 30 39 1.3 30 36 .6 60 18 .3 60 33 1.1 30 275 275 1 275 275 1 400 400 1 7.5 .25 30 12 .4 30 21.3 .71 30 Total: 1340
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404374 Min 01404374 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 412 of 6486
Name
KAMALA DEVI Rate Amount Qty 14.85 .99 15 76.5 2.55 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 568.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404404 Min 01404404 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 413 of 6486
Name
ANNAMMA GEORGE Rate Amount Qty 14.85 .99 15 4.45 .89 5 3.2 .64 5 1.85 .37 5 18 .6 30 34.8 1.16 30 12 .4 30 76.5 2.55 30 55.8 .93 60 400 400 1 Total: 621.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404407 Min 01404407 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 PRAZOSIN,2.5MG,TABLET 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 414 of 6486
Name
P K SHRIVASTAVA Rate Amount Qty 12.8 .64 20 60.9 2.03 30 55.8 .93 60 78 1.3 60 117 1.3 90 72 .6 120 21.6 .36 60 400 400 1 Total: 818.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404408 Min 01404408 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 415 of 6486
BINA SHRIVASTAVA Rate Amount Qty 31.46 15.73 2 18.9 .63 30 31.95 .71 45 39 1.3 30 36 .6 60 4.5 .3 15 21.3 .71 30 7.5 .25 30 400 400 1 Total: 590.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404421 Min 01404421 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 416 of 6486
Name
L L MALVIYA Rate Amount Qty 78 1.3 60 1.48 .37 4 15.96 2.66 6 8.1 .27 30 36 .6 60 34.8 1.16 30 12 .4 30 400 400 1 Total: 586.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404428 Min 01404428 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 417 of 6486
Name
LILY MISHRA Rate Amount Qty 66 1.1 60 18 .6 30 21.3 .71 30 2.4 .16 15 27.9 .93 30 26.7 .89 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 598.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404433 Min 01404433 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 18-FEB-19 X - RAY - SINGLE VIEW 3 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 UREA (BUN /UR) 7 18-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 8 18-FEB-19 CHOLESTEROL (CHOL) 9 18-FEB-19 TRIGLYCERIDES (TGL) 10 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 18-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 18-FEB-19 CREATININE /CRT 14 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 418 of 6486
Name
GURUCHARAN SINGH Rate Amount Qty 550 550 1 400 400 1 550 550 1 275 275 1 275 275 1 8.1 .27 30 275 275 1 275 275 1 275 275 1 275 275 1 4.8 .16 30 8.4 .42 20 27.9 .93 30 275 275 1 21.3 .71 30 400 400 1 Total: 3895.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404477 Min 01404477 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 419 of 6486
Name
BHARATHY BHASKARAN Rate Amount Qty 21.3 .71 30 27.9 .93 30 15.3 .51 30 18 .6 30 60.9 2.03 30 32.4 1.08 30 12 .4 30 7.5 .25 30 2.4 .16 15 400 400 1 Total: 597.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404500 Min 01404500 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 420 of 6486
Name
J L PATEL Rate Amount Qty 20.06 20.06 1 36 .6 60 27.9 .93 30 8.1 .27 30 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 574.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404501 Min 01404501 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 421 of 6486
Name
KAMALA DEVI PATEL Rate Amount Qty 13.95 .93 15 76.5 2.55 30 2.4 .16 15 18.6 .62 30 78 1.3 60 21.3 .71 30 32.4 1.08 30 12 .4 30 400 400 1 20.55 1.37 15 185.7 6.19 30 400 400 1 Total: 1261.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404502 Min 01404502 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 422 of 6486
Name
AMAR NATH BASAK Rate Amount Qty 26.7 .89 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 4.5 .3 15 400 400 1 Total: 487.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404510 Min 01404510 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 UREA (BUN /UR) 10 27-FEB-19 CREATININE /CRT 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 27-FEB-19 URIC ACID (UA /URATES /UR) 16 27-FEB-19
Page 423 of 6486
Name
A K THAKUR Rate Amount Qty 167.4 5.58 30 3.95 106.65 27 27.9 .93 30 54 .6 90 55.2 .92 60 11.85 3.95 3 7.5 .25 30 26.7 .89 30 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 Total: 3932.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404511 Min 01404511 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 18-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 27-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 16 27-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 17 27-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 18 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 19 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 23 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 27-FEB-19
Page 424 of 6486
USHA THAKUR Rate Amount Qty 70.2 2.34 30 40.12 20.06 2 7.5 .25 30 16.2 .27 60 55.8 .93 60 83.4 2.78 30 20.84 5.21 4 11.4 .38 30 51.68 3.23 16 400 400 1 3.7 .37 10 55.2 1.84 30 4.1 .41 10 6.4 .64 10 20.06 20.06 1 17.6 17.6 1 96.44 48.22 2 70.2 2.34 30 4.1 .41 10 12.8 .64 20 3.7 .37 10 26.7 .89 30 41.06 41.06 1 400 400 1 Total: 1519.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404524 Min 01404524 Appmt Dt Slno Description 07-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 07-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 425 of 6486
Name
V K SAXENA Qty Rate Amount 30 1.08 32.4 60 1.1 66 30 .71 21.3 1 400 400 Total: 519.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404525 Min 01404525 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 426 of 6486
Name
SUDHA RANI SAXENA Rate Amount Qty 27.9 .93 30 13.35 .89 15 400 400 1 Total: 441.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404543 Min 01404543 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 427 of 6486
Name
SHIB NARAYANA SAHA Rate Amount Qty 21.3 .71 30 27.9 .93 30 78 .78 100 26.7 .89 30 400 400 1 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404544 Min 01404544 Appmt Dt Slno Description 26-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 2 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 26-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 428 of 6486
Name
MANJU RANI SAHA Qty Rate Amount 30 .4 12 90 .82 73.8 30 .89 26.7 1 400 400 Total: 512.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404553 Min 01404553 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 3 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 429 of 6486
Name
S N BISWAS Rate Amount Qty 16.2 .18 90 54 .9 60 2.6 .26 10 20.1 .67 30 26.7 .89 30 400 400 1 Total: 519.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404554 Min 01404554 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 04-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 10 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 18-FEB-19 GUM ANALGESIC GEL 16 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 22-FEB-19 DIRECT SMEAR /GRAMSTAIN- PUS /VAGINAL SW 21 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 22 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 23 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 22-FEB-19 GUM ANALGESIC GEL 25 22-FEB-19
Page 430 of 6486
Name
ASHIMA BISWAS Rate Amount Qty 12.92 3.23 4 9.88 .38 26 19.2 .64 30 7.5 .25 30 26.7 .89 30 21.3 .71 30 21.6 .18 120 20.1 .67 30 26.7 .89 30 100.71 100.71 1 54 .9 60 400 400 1 66.2 6.62 10 20.06 20.06 1 20.06 20.06 1 57.38 28.69 2 16.8 1.12 15 9.6 .64 15 400 400 1 400 400 1 300 300 1 16.8 1.12 15 20.06 20.06 1 6.4 .64 10 28.69 28.69 1 Total: 2082.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404558 Min 01404558 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 431 of 6486
Name
V SREE LAKSHMI Rate Amount Qty 7.5 .25 30 26.7 .89 30 34.8 1.16 30 32.4 1.08 30 9 .6 15 41.85 .93 45 2.4 .16 15 400 400 1 Total: 554.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404567 Min 01404567 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 432 of 6486
Name
SRI RAM DIWALE Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404569 Min 01404569 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 01-FEB-19 UREA (BUN /UR) 7 01-FEB-19 URIC ACID (UA /URATES /UR) 8 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 01-FEB-19
Page 433 of 6486
Name
P S KHULLAR Rate Amount Qty 7.5 .25 30 192.3 6.41 30 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 14.85 .99 15 66 1.1 60 18.9 .63 30 Total: 3099.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404570 Min 01404570 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 URIC ACID (UA /URATES /UR) 4 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 06-FEB-19 CREATININE /CRT 7 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 16 06-FEB-19 PRAZOSIN,2.5MG,TABLET 17 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 19 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 22 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 23 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 26 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27 26-FEB-19
Page 434 of 6486
Name
VIJAYA RANI KHULLAR Rate Amount Qty 27 .9 30 12.15 12.15 1 400 400 1 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 117 1.3 90 21.3 .71 30 167.4 5.58 30 54 .6 90 31.2 1.04 30 78 1.3 60 55.8 .93 60 10.05 .67 15 26.7 .89 30 54 .9 60 16.2 .18 90 12.15 12.15 1 400 400 1 400 400 1 275 275 1 275 275 1 Total: 5809.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404577 Min 01404577 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 435 of 6486
Name
R JAGANNADHA RAO Rate Amount Qty 12 .4 30 33 1.1 30 11.85 .79 15 12.6 .42 30 21.3 .71 30 18 .6 30 400 400 1 Total: 508.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404581 Min 01404581 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 436 of 6486
Name
ZAMIRUDDIN Rate Amount Qty 148.9 74.45 2 400 400 1 6.4 .64 10 2.5 .25 10 8.9 .89 10 400 400 1 Total: 966.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404582 Min 01404582 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 437 of 6486
Name
NAFISA BANO Rate Amount Qty 26 2.6 10 13.35 .89 15 14.85 .99 15 27.9 .93 30 21.3 .71 30 400 400 1 Total: 503.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404600 Min 01404600 Appmt Dt Slno Description 25-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 25-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 438 of 6486
Name
SUSHMA MEHRA Qty Rate Amount 15 .16 2.4 30 1.04 31.2 60 .93 55.8 1 400 400 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404601 Min 01404601 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 22-FEB-19 UREA (BUN /UR) 4 22-FEB-19 CREATININE /CRT 5 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 22-FEB-19
Page 439 of 6486
Name
J S JORAVANSHI Rate Amount Qty 7.5 .25 30 21.3 .71 30 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 400 400 1 1300 1300 1 Total: 3378.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404602 Min 01404602 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 440 of 6486
Name
M. JORAVANSHI Rate Amount Qty 32.4 1.08 30 2.4 .16 15 21.3 .71 30 16.8 1.12 15 18.6 .62 30 11.4 .38 30 10.65 .71 15 8.1 .27 30 400 400 1 Total: 521.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404603 Min 01404603 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 441 of 6486
Name
MARYKUTTY JOHN Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404616 Min 01404616 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 442 of 6486
Name
R P MISHARA Rate Amount Qty 10.8 .36 30 47.4 .79 60 66 1.1 60 13.35 .89 15 6.9 .23 30 34.8 1.16 30 12 .4 30 400 400 1 Total: 591.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404617 Min 01404617 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 21-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 6 21-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 7 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 443 of 6486
Name
KUSUM MISHRA Rate Amount Qty 21.3 .71 30 26.7 .89 30 12 .4 30 32.4 1.08 30 9.9 .66 15 73.5 2.45 30 106.8 3.56 30 79.2 2.64 30 400 400 1 Total: 761.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404620 Min 01404620 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 444 of 6486
Name
BRINDARAN AGRAWAL Rate Amount Qty 54 .6 90 117 1.3 90 5.21 5.21 1 21.3 .71 30 7.5 .25 30 12 .4 30 400 400 1 Total: 617.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404622 Min 01404622 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 445 of 6486
Name
BISMILLAH KHAN Rate Amount Qty 60.9 2.03 30 123.53 123.53 1 18 .6 30 4.8 .16 30 26.7 .89 30 6.9 .23 30 27.9 .93 30 7.5 .25 30 400 400 1 16.81 16.81 1 400 400 1 Total: 1093.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404623 Min 01404623 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 446 of 6486
Name
ZAHIDA BEGUM Rate Amount Qty 21.3 .71 30 10.8 .36 30 12 .4 30 7.5 .25 30 26.7 .89 30 18 .6 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 545.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404629 Min 01404629 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 7 21-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 21-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 447 of 6486
Name
G D KAUSHAL Rate Amount Qty 167.4 5.58 30 23.7 .79 30 12 .4 30 21.3 .71 30 33 1.1 30 400 400 1 63.58 63.58 1 13.48 3.37 4 45.44 45.44 1 3.7 .37 10 7.5 .25 30 400 400 1 Total: 1191.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404634 Min 01404634 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 01-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 2 01-FEB-19 PLATELET COUNT 3 01-FEB-19 RETICULOCYTE COUNT 4 01-FEB-19 HB,TLC,DLC 5 01-FEB-19 BLOOD FOR T-3,T-4,TSH 6 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 01-FEB-19 URIC ACID (UA /URATES /UR) 8 01-FEB-19 CREATININE /CRT 9 01-FEB-19 UREA (BUN /UR) 10 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 01-FEB-19 ESR 14 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 16 07-FEB-19 SOLIFENACIN,5MG,,TABLET 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19
Page 448 of 6486
Name
BHOLA PRASAD Rate Amount Qty 550 550 1 330 330 1 330 330 1 165 165 1 300 300 1 2400 2400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 165 165 1 60.9 2.03 30 192.3 6.41 30 403.2 13.44 30 400 400 1 Total: 8371.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404635 Min 01404635 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 04-FEB-19 UREA (BUN /UR) 5 04-FEB-19 CREATININE /CRT 6 04-FEB-19 URIC ACID (UA /URATES /UR) 7 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 04-FEB-19 OBSERVATION IN CASUALTY 15 19-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 16 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 19-FEB-19 ECG 18 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 19-FEB-19 ECG 22 20-FEB-19 OBSERVATION IN CASUALTY 23 20-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 24 20-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 25 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 26 20-FEB-19 RACECADOTRIL,100MG,CAPSULE 27 21-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 28 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 29 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 30 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 31 21-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 32 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 33 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 21-FEB-19
Page 449 of 6486
Name
SHANTI DEVI Rate Amount Qty 1.85 .37 5 12.15 12.15 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 9 .3 30 167.4 5.58 30 21.3 .71 30 7.5 .25 30 13.95 .93 15 420 420 1 600 600 1 24.52 24.52 1 900 450 2 10.08 1.12 9 21.12 3.52 6 400 400 1 450 450 1 420 420 1 9.62 9.62 1 35.52 35.52 1 9.81 9.81 1 53.73 5.97 9 17.37 17.37 1 66.2 6.62 10 16.8 1.12 15 8.9 .89 10 7 .7 10 83.97 9.33 9 400 400 1 Total: 7537.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404638 Min 01404638 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 8 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 9 21-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 10 21-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 21-FEB-19 ECG 13 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 21-FEB-19 CREATININE /CRT 15 21-FEB-19 UREA (BUN /UR) 16 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 21-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 20 21-FEB-19
Page 450 of 6486
Name
BANSI DHAR PATNI Rate Amount Qty 60.9 2.03 30 21.3 .71 30 7.5 .25 30 55.8 .93 60 8.1 .27 30 36 .6 60 18 .3 60 74.45 74.45 1 74.45 74.45 1 40.58 20.29 2 156.51 313.02 2 6.6 .66 10 450 450 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 94.42 188.84 2 Total: 3405.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404642 Min 01404642 Slno Description Appmt Dt PHENOBARBITONE,STRIP PKT,30MG,TABLET 1 01-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 451 of 6486
Name
B D SAHU Rate Amount Qty 71.1 .79 90 189 2.1 90 7.5 .25 30 13.8 .23 60 400 400 1 Total: 681.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404646 Min 01404646 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 05-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 5 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 05-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 17 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 452 of 6486
Name
H K SAHA Rate Amount Qty 19.72 9.86 2 41.85 .93 45 7.4 .37 20 26.96 3.37 8 85.52 85.52 1 185.7 6.19 30 83.4 2.78 30 21.3 .71 30 400 400 1 15.96 2.66 6 1.48 .37 4 87.92 43.96 2 26.7 .89 30 18.9 .63 30 13.95 .93 15 7.5 .25 30 25.2 .42 60 21.3 .71 30 32.4 1.08 30 8.1 .27 30 31.95 .71 45 400 400 1 Total: 1563.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404647 Min 01404647 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 453 of 6486
Name
SWAPNA SAHA Rate Amount Qty 33.12 1.84 18 5.76 .64 9 4.62 .77 6 400 400 1 27.9 .93 30 117 1.3 90 21.6 .36 60 167.4 5.58 30 8.1 .27 30 72.6 1.21 60 21.3 .71 30 13.35 .89 15 3.75 .25 15 12 .4 30 400 400 1 Total: 1308.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404654 Min 01404654 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 454 of 6486
Name
S L JAIN Rate Amount Qty 33.12 1.84 18 3.84 .64 6 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 873.92
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404655 Min 01404655 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 455 of 6486
RAVIKANTA JAIN Rate Amount Qty 860 860 1 400 400 1 4.48 .64 7 50.14 25.07 2 400 400 1 301.8 5.03 60 400 400 1 Total: 2416.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404664 Min 01404664 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 456 of 6486
Name
R C CHANDRAKAR Rate Amount Qty 27.9 .93 30 76.5 2.55 30 17.4 .58 30 27.9 .93 30 27.6 1.84 15 21.3 .71 30 12 .4 30 33 1.1 30 400 400 1 Total: 643.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404685 Min 01404685 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 457 of 6486
Name
HARSURINDER Rate Amount Qty 8.7 .58 15 3.75 .25 15 21.3 .71 30 54 .6 90 7.8 .26 30 78 1.3 60 10.8 .36 30 12 .4 30 400 400 1 Total: 596.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404688 Min 01404688 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 03-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 03-FEB-19 ECG 3 03-FEB-19 OBSERVATION IN CASUALTY 4 03-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 06-FEB-19 X - RAY - TWO VIEWS 9 06-FEB-19
Page 458 of 6486
Name
D KALIDAS Rate Amount Qty .89 .89 1 600 600 1 450 450 1 420 420 1 12.6 .42 30 38.43 12.81 3 400 400 1 400 400 1 860 860 1 Total: 3181.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404689 Min 01404689 Appmt Dt Slno Description 05-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 459 of 6486
Name
D V LAXMI Qty Rate Amount 10 2.66 26.6 6 .37 2.22 6 .64 3.84 1 400 400 Total: 432.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404712 Min 01404712 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 460 of 6486
Name
N K SWAR Rate Amount Qty 6.82 6.82 1 7.98 .38 21 3.69 .41 9 35.2 3.52 10 400 400 1 Total: 453.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404716 Min 01404716 Slno Description Appmt Dt DIACERIN,STRIP PKT,50MG,CAPSULE 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 09-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 461 of 6486
Name
MARIDUBHASINI Rate Amount Qty 150.9 5.03 30 9.6 .64 15 7.4 .37 20 41.06 41.06 1 39 2.6 15 6 .6 10 12.81 12.81 1 55.2 1.84 30 400 400 1 Total: 721.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404731 Min 01404731 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 BLOOD FOR TSH 7 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 05-FEB-19 UREA (BUN /UR) 10 05-FEB-19 CREATININE /CRT 11 05-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 12 05-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 13 05-FEB-19 URIC ACID (UA /URATES /UR) 14 05-FEB-19
Page 462 of 6486
Name
P K DEY Rate Amount Qty 19.72 9.86 2 7.4 .37 20 1300 1300 1 550 550 1 26.96 3.37 8 400 400 1 800 800 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 5029.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404739 Min 01404739 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 463 of 6486
Name
SURENDRA KUMAR KSHATRIYA Rate Amount Qty 1.85 .37 5 3.8 .38 10 400 400 1 Total: 405.65
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404748 Min 01404748 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 27-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 464 of 6486
K S BABY Rate Amount Qty 8.1 .27 30 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 36 .6 60 6.4 .64 10 12 .4 30 21.3 .71 30 400 400 1 25.07 25.07 1 6.82 6.82 1 400 400 1 Total: 1176.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404750 Min 01404750 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 5 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 465 of 6486
Name
KUSUM LATA SHARMA Rate Amount Qty 21.3 .71 30 7.5 .25 30 32.4 1.08 30 26.7 .89 30 123.6 4.12 30 66 1.1 60 400 400 1 Total: 677.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404757 Min 01404757 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 466 of 6486
Name
L K MISHRA Rate Amount Qty 26.7 .89 30 5.4 .18 30 400 400 1 Total: 432.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404759 Min 01404759 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 467 of 6486
Name
S C CHHIBBER Rate Amount Qty 21.3 .71 30 23.7 .79 30 3.75 .25 15 32.4 1.08 30 66 1.1 60 8.9 .89 10 400 400 1 23.7 .79 30 400 400 1 Total: 979.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404760 Min 01404760 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 13-FEB-19 ECG 2 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 13-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 13-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 468 of 6486
Name
NIRMALA CHHIBBER Rate Amount Qty 420 420 1 450 450 1 9.62 9.62 1 .66 .66 1 600 600 1 2.52 .42 6 2.67 .89 3 400 400 1 Total: 1885.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404763 Min 01404763 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 469 of 6486
Name
P V HARI Rate Amount Qty 11.1 .37 30 54 .9 60 12.15 12.15 1 15 .25 60 400 400 1 Total: 492.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404770 Min 01404770 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 04-FEB-19
Page 470 of 6486
Name
S K SHRIVASTAVA Rate Amount Qty 36 .6 60 167.4 5.58 30 66 1.1 60 12 .4 30 275 275 1 400 400 1 275 275 1 Total: 1231.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404771 Min 01404771 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 04-FEB-19 ALKALINE PHOSPHATASE (ALP) 5 04-FEB-19 TRIGLYCERIDES (TGL) 6 04-FEB-19 CHOLESTEROL (CHOL) 7 04-FEB-19 CREATININE /CRT 8 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 04-FEB-19 UREA (BUN /UR) 11 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 04-FEB-19
Page 471 of 6486
Name
MANORAMA SHRIVASTAVA Rate Amount Qty 1300 1300 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 36 .6 60 275 275 1 275 275 1 55.8 .93 60 33 1.1 30 21.3 .71 30 12 .4 30 Total: 4333.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404772 Min 01404772 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 2 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 05-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 7 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 11 12-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 12 12-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 13 12-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 14 12-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 15 12-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 16 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 19 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 23 21-FEB-19 ECG 24 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 21-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 26 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 27 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 29 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 30 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 31 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 32 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 33 28-FEB-19 TICAGRELOR 90MG ,TABLET 34 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 35 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 36 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 37 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 28-FEB-19
Page 472 of 6486
Name
G R MALI Rate Amount Qty 11.1 .37 30 19.59 19.59 1 87.92 43.96 2 3.84 .64 6 192.3 6.41 30 17.6 17.6 1 63.58 63.58 1 26.96 3.37 8 60.9 2.03 30 400 400 1 13.64 6.82 2 40.58 20.29 2 48.9 24.45 2 94.42 188.84 2 51.38 25.69 2 39.18 19.59 2 247.06 123.53 2 400 400 1 12.15 12.15 1 26.7 .89 30 54 .9 60 400 400 1 43.96 175.84 4 450 450 1 400 400 1 1610 1610 1 1750 1750 1 400 400 1 60.9 2.03 30 192.3 6.41 30 123.53 247.06 2 41.85 .93 45 12 .4 30 30.77 1846.2 60 69.6 1.16 60 54 .6 90 7.5 .25 30 400 400 1 Total: 10123.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404776 Min 01404776 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 X - RAY - SINGLE VIEW 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 05-FEB-19 PRAZOSIN,2.5MG,TABLET 8 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 12-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 12 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 14 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 15 12-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 16 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19
Page 473 of 6486
Name
R K SINGH Rate Amount Qty 400 400 1 550 550 1 400 400 1 550 550 1 1300 1300 1 12.6 .9 14 12.15 12.15 1 156 1.3 120 15.6 .26 60 62.4 1.04 60 33.3 .37 90 27.9 .93 30 12 .4 30 18.6 .62 30 211.8 3.53 60 42.6 .71 60 34.8 1.16 30 400 400 1 Total: 4239.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404777 Min 01404777 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 474 of 6486
Name
PURNIMA SINGH Rate Amount Qty 20.06 20.06 1 72 .6 120 43.2 .36 120 17.4 .58 30 34.8 1.16 30 17.4 .58 30 72.6 1.21 60 7.5 .25 30 400 400 1 72 .6 120 7.5 .25 30 72.6 1.21 60 43.2 .36 120 12 .4 30 20.06 20.06 1 34.8 1.16 30 400 400 1 Total: 1347.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404780 Min 01404780 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 475 of 6486
Name
S V KULKARNI Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404798 Min 01404798 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 08-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 6 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 476 of 6486
S R GOSWAMI Rate Amount Qty 15.73 15.73 1 60.9 2.03 30 11.1 .37 30 6.4 .64 10 5.21 5.21 1 4.27 192.15 45 42.6 .71 60 21.3 .71 30 198.6 6.62 30 12 .4 30 400 400 1 Total: 965.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404799 Min 01404799 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 477 of 6486
Name
SIKHA GOSWAMI Rate Amount Qty 2.4 .16 15 5.21 5.21 1 27.9 .93 30 13.8 .23 60 72.6 1.21 60 400 400 1 Total: 521.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404800 Min 01404800 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 09-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 21-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 ECG 12 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 28-FEB-19
Page 478 of 6486
Name
BIKASH MOHAN DAS Rate Amount Qty 4.45 .89 5 35.2 17.6 2 7.4 .37 20 6.7 .67 10 400 400 1 35.2 17.6 2 85.52 85.52 1 7.4 .37 20 17.8 .89 20 13.4 .67 20 400 400 1 450 450 1 400 400 1 21.3 .71 30 275 275 1 8.1 .27 30 167.4 5.58 30 27.9 .93 30 275 275 1 Total: 2637.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404801 Min 01404801 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19
Page 479 of 6486
Name
MANJUSRI DAS Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 400 400 1 18 .6 30 9 .3 30 6.9 .23 30 7.5 .25 30 Total: 2291.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404803 Min 01404803 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 7 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 21-FEB-19 IVABRADINE,5MG,,TABLET 10 21-FEB-19 X - RAY - TWO VIEWS 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 16 21-FEB-19
Page 480 of 6486
Name
S L BEDI Rate Amount Qty 55.8 .93 60 15.6 .26 60 18.9 .63 30 2.4 .16 15 7.65 .51 15 53.4 .89 60 29.7 .99 30 60.9 2.03 30 192.3 6.41 30 9.95 149.25 15 860 860 1 400 400 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 10.65 .71 15 Total: 1935.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404812 Min 01404812 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 09-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 09-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 13 09-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19 X - RAY - SINGLE VIEW 17 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 20-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 22 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 24 20-FEB-19
Page 481 of 6486
J JANKIRAMAIAH Rate Amount Qty 2.4 .16 15 12 .4 30 60.9 2.03 30 34.8 1.16 30 15.6 .26 60 32.4 1.08 30 66 1.1 60 26.7 .89 30 400 400 1 6.82 6.82 1 156.51 156.51 1 27.9 .93 30 123.53 123.53 1 87.92 43.96 2 25.07 25.07 1 400 400 1 550 550 1 6.4 .64 10 400 400 1 27 .9 30 26.7 .89 30 70.2 2.34 30 6.4 .64 10 185.7 6.19 30 Total: 2750.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404813 Min 01404813 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19
Page 482 of 6486
Name
J LALITHA Rate Amount Qty 11.4 .38 30 21.3 .71 30 2.4 .16 15 27.9 .93 30 118.5 3.95 30 18.6 .62 30 23.1 .77 30 400 400 1 123.53 123.53 1 400 400 1 Total: 1146.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404816 Min 01404816 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 483 of 6486
Name
P P GOVINDAN Rate Amount Qty 12 .4 30 34.8 1.16 30 32.4 1.08 30 36.3 1.21 30 27.9 .62 45 21.6 .36 60 18 .6 30 400 400 1 Total: 583
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404817 Min 01404817 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 484 of 6486
Name
P R PADMINI Rate Amount Qty 54 .6 90 72.6 1.21 60 21.3 .71 30 21.6 .36 60 8.9 .89 10 55.8 .93 60 400 400 1 Total: 634.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404818 Min 01404818 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 09-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19
Page 485 of 6486
Name
K C THOMAS Rate Amount Qty 192.3 6.41 30 32.4 1.08 30 21.3 .71 30 12 .4 30 54 .6 90 2.5 .25 10 27.9 .93 30 60.9 2.03 30 167.4 5.58 30 400 400 1 Total: 970.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404819 Min 01404819 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 486 of 6486
Name
MARY THOMAS Rate Amount Qty 1.85 .37 5 9.3 .62 15 21.6 .36 60 54 .6 90 12 .4 30 26.7 .89 30 167.4 5.58 30 27.9 .93 30 21.3 .71 30 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 781.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404826 Min 01404826 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 487 of 6486
Name
A K KUNDU Rate Amount Qty 6.9 .23 30 43.96 43.96 1 26.7 .89 30 100.71 100.71 1 104.4 1.74 60 400 400 1 Total: 682.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404827 Min 01404827 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 488 of 6486
Name
SIBANI KUNDU Rate Amount Qty 26.7 .89 30 40.12 20.06 2 21.3 .71 30 8.1 .27 30 33 1.1 30 55.8 .93 60 400 400 1 Total: 585.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404840 Min 01404840 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 12-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 489 of 6486
Name
PRABHAKAR Rate Amount Qty 53.4 .89 60 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 60.9 2.03 30 368.4 6.14 60 60.18 20.06 3 87.92 43.96 2 400 400 1 Total: 1105.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404841 Min 01404841 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 URIC ACID (UA /URATES /UR) 9 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 15-FEB-19 HEPATITIS C TEST /HCV 13 15-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 14 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 16 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 20-FEB-19
Page 490 of 6486
Name
KAMALA DEVI Rate Amount Qty 7.5 .25 30 14.85 .99 15 16.2 .27 60 55.8 .93 60 11.4 .38 30 36 .6 60 39 2.6 15 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 1700 1700 1 1000 1000 1 400 400 1 111.6 5.58 20 400 400 1 Total: 6317.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404843 Min 01404843 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 01-FEB-19 DRESSING SIMPLE 7 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 07-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 16 07-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 17 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 18 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 20 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 24 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 20-FEB-19
Page 491 of 6486
Name
B KISHORI RAO Rate Amount Qty 1720 860 2 400 400 1 12.8 .64 20 17.8 .89 20 26 2.6 10 39.72 6.62 6 1500 300 5 185.7 6.19 30 7.5 .25 30 54 .9 60 13.95 .93 15 21.3 .71 30 12 .4 30 32.4 1.08 30 26.7 .89 30 156.51 313.02 2 94.42 188.84 2 87.92 43.96 2 400 400 1 123.8 6.19 20 5 .25 20 12.8 .64 20 17.8 .89 20 26 2.6 10 400 400 1 Total: 5645.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404852 Min 01404852 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 492 of 6486
Name
N RAVINDRAN PILLAI Rate Amount Qty 27.9 .93 30 8.1 .27 30 21.3 .71 30 36 .6 60 12 .4 30 7.5 .25 30 4.5 .3 15 400 400 1 Total: 517.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404853 Min 01404853 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 8 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 493 of 6486
Name
K KAMALAMMA Rate Amount Qty 36 .6 60 7.5 .25 30 21.3 .71 30 25.2 .42 60 55.8 .93 60 7.5 .25 30 26.7 .89 30 100.71 100.71 1 79.2 .66 120 208.8 1.74 120 400 400 1 6.23 .89 7 18.2 2.6 7 1.75 .25 7 400 400 1 Total: 1394.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404873 Min 01404873 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 494 of 6486
Name
MINATI CHOUDHARY Rate Amount Qty 66 1.1 60 27.9 .93 30 21.6 .36 60 234 1.3 180 21.3 .71 30 167.4 5.58 30 12 .4 30 17.4 .58 30 72 .6 120 400 400 1 Total: 1039.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404877 Min 01404877 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 495 of 6486
Name
SHOBHA DOGRA Rate Amount Qty 1.28 .16 8 27.9 .93 30 4.05 .27 15 400 400 1 8.1 .27 30 2.4 .16 15 55.8 .93 60 400 400 1 Total: 899.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404879 Min 01404879 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 16-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 496 of 6486
Name
G C PATIL Rate Amount Qty 60.9 2.03 30 21.3 .71 30 32.4 1.08 30 12 .4 30 6.72 1.12 6 10.8 .36 30 26.7 .89 30 27.9 .93 30 66 1.1 60 54 .6 90 400 400 1 Total: 718.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404880 Min 01404880 Appmt Dt Slno Description 16-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 16-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 497 of 6486
Name
SUSHILA PATIL Qty Rate Amount 10 .64 6.4 30 .25 7.5 30 .27 8.1 1 400 400 Total: 422
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404882 Min 01404882 Slno Description Appmt Dt ABC TEST HIV 1 05-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 2 05-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 05-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 10 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19 GUM ANALGESIC GEL 16 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 06-FEB-19
Page 498 of 6486
Name
NATWAR DATTA JHA Rate Amount Qty 1250 1250 1 21.45 21.45 1 12 .6 20 55.8 .93 60 4.8 .16 30 29.7 .99 30 34.8 1.16 30 26.7 .89 30 192.3 6.41 30 1000 1000 1 275 275 1 60.9 2.03 30 400 400 1 275 275 1 400 400 1 28.69 28.69 1 6.4 .64 10 400 400 1 Total: 4473.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404883 Min 01404883 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 499 of 6486
Name
MEENA JHA Rate Amount Qty 21.6 .36 60 21.3 .71 30 54 .6 90 29.7 .99 30 7.5 .25 30 167.4 5.58 30 12 .4 30 32.4 1.08 30 55.8 .93 60 16.2 .27 60 400 400 1 Total: 817.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404885 Min 01404885 Appmt Dt Slno Description 19-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 500 of 6486
Name
M MANI Qty Rate Amount 60 1.1 66 1 400 400 466 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404890 Min 01404890 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 6 19-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 7 19-FEB-19 ECG 8 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 501 of 6486
Name
N P GUPTA Rate Amount Qty 18 .6 30 78 1.3 60 27.9 .93 30 12 .4 30 21.3 .71 30 128.1 4.27 30 15.3 .51 30 450 450 1 400 400 1 60.9 2.03 30 7.5 .25 30 15.3 .51 30 43.2 1.44 30 400 400 1 Total: 1677.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404906 Min 01404906 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 502 of 6486
Name
B P CHAKRAVORTY Rate Amount Qty 17.4 1.16 15 13.95 .93 15 20.06 20.06 1 10.8 .36 30 18 .6 30 400 400 1 Total: 480.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404913 Min 01404913 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 503 of 6486
Name
G C DAS Rate Amount Qty 2.4 .16 15 13.95 .93 15 12 .4 30 400 400 1 34.8 1.16 30 15.6 .26 60 16.2 .27 60 12 .4 30 400 400 1 Total: 906.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404914 Min 01404914 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 20-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 20-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 9 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 504 of 6486
Name
SALILA DEVI Rate Amount Qty 32.4 1.08 30 126 2.1 60 21.3 .71 30 7.5 .25 30 27.9 .93 30 21.3 .71 30 19.8 .66 30 78 .78 100 311.4 5.19 60 11.4 .38 30 400 400 1 Total: 1057
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404917 Min 01404917 Slno Description Appmt Dt GLYCATED HAEMOGLOBIN (HBA1C) 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 06-FEB-19 CREATININE /CRT 4 06-FEB-19 UREA (BUN /UR) 5 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 06-FEB-19 URIC ACID (UA /URATES /UR) 7 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 06-FEB-19
Page 505 of 6486
Name
DR A Y SAMUEL Qty 1 1 1 1 1 1 1 1 1
Rate Amount 1050 1050 275 275 275 275 275 275 275 275 400 400 275 275 1300 1300 550 550 Total: 4675
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404937 Min 01404937 Appmt Dt Slno Description 22-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 506 of 6486
Name
S K HALDER Qty Rate Amount 30 .27 8.1 30 .6 18 30 .93 27.9 1 400 400 Total: 454
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404938 Min 01404938 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 507 of 6486
Name
ARATI HALDER Rate Amount Qty 27.9 .93 30 16.2 .27 60 66 1.1 60 21.3 .71 30 400 400 1 Total: 531.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404939 Min 01404939 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 508 of 6486
Name
S C PILLAI Rate Amount Qty 22.2 .37 60 55.8 .93 60 21.3 .71 30 12 .4 30 400 400 1 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404948 Min 01404948 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 509 of 6486
Name
RAMSWAROOP KESHARWANI Rate Amount Qty 6.9 .23 30 55.8 .93 60 167.4 5.58 30 47.4 .79 60 9 .3 30 12 .4 30 21.3 .71 30 54 .6 90 400 400 1 Total: 773.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404949 Min 01404949 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 510 of 6486
Name
RAMDULARI KESHARWANI Rate Amount Qty 3.75 .25 15 8.1 .27 30 55.8 .93 60 14.85 .99 15 76.5 2.55 30 21.3 .71 30 36 .6 60 78 1.3 60 54 .9 60 400 400 1 Total: 748.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404954 Min 01404954 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 511 of 6486
Name
A P SHUKLA Rate Amount Qty 12 .4 30 54 .6 90 15 .25 60 287.1 3.19 90 7.8 .26 30 47.4 .79 60 26.7 .89 30 34.8 1.16 30 87.92 43.96 2 400 400 1 Total: 972.72
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404955 Min 01404955 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 4 05-FEB-19 BRIMONIDINE TARTRATE,0.15% 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 05-FEB-19 PRAZOSIN,2.5MG,TABLET 14 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 05-FEB-19
Page 512 of 6486
PRABHA WATI DEVI Rate Amount Qty 50.14 25.07 2 34.8 1.16 30 7.5 .25 30 40.58 20.29 2 148.9 74.45 2 41.1 1.37 30 26.7 .89 30 18.9 .63 30 21.9 .73 30 371.4 6.19 60 6.16 .77 8 7.68 .64 12 44.16 1.84 24 78 1.3 60 55.8 .93 60 117 1.3 90 54 .6 90 10.8 .36 30 400 400 1 Total: 1535.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404960 Min 01404960 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 513 of 6486
Name
S K BANERJEE Rate Amount Qty 400 400 1 275 275 1 275 275 1 4 .4 10 55.8 5.58 10 12 .6 20 400 400 1 167.4 5.58 30 34.8 1.16 30 12 .4 30 36 .6 60 8.1 .27 30 400 400 1 Total: 2080.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404961 Min 01404961 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 02-FEB-19 PLATELET COUNT 4 02-FEB-19 HB,TLC,DLC 5 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 02-FEB-19
Page 514 of 6486
Name
SONA BANERJEE Qty 1 1 1 1 1 1
Rate Amount 550 550 400 400 275 275 330 330 300 300 275 275 Total: 2130
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404963 Min 01404963 Appmt Dt Slno Description 13-FEB-19 1 CINNARIZINE,25MG,STRIP PACK,TABLET 13-FEB-19 2 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 13-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 515 of 6486
Name
MAYA BHATTACHARYA Qty Rate Amount 14 .42 5.88 14 .25 3.5 14 .89 12.46 1 400 400 Total: 421.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404966 Min 01404966 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 516 of 6486
Name
GOVIND AMBIKAR Rate Amount Qty 32.4 1.08 30 55.8 .93 60 8.1 .27 30 54 .6 90 10.8 .36 30 12 .4 30 14.85 .99 15 34.8 1.16 30 400 400 1 Total: 622.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404976 Min 01404976 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 05-FEB-19 CREATININE /CRT 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 UREA (BUN /UR) 8 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19
Page 517 of 6486
Name
BULBUL SEN Rate Amount Qty 275 275 1 275 275 1 275 275 1 550 550 1 400 400 1 1300 1300 1 275 275 1 275 275 1 12.6 .42 30 55.8 .93 60 20.84 5.21 4 400 400 1 Total: 4114.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404992 Min 01404992 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 14-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 518 of 6486
Name
LAJPALKAUR Rate Amount Qty 39.6 .66 60 4.8 .16 30 45.9 .51 90 384.3 4.27 90 400 400 1 Total: 874.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404995 Min 01404995 Slno Description Appmt Dt UREA (BUN /UR) 1 14-FEB-19 CREATININE /CRT 2 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 X - RAY - SINGLE VIEW 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 16 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 19 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 22 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 23 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 24 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 25 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 26 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 27 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 28 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 29 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 28-FEB-19
Page 519 of 6486
Name
P VELUGONDAIAH Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 60.9 2.03 30 55.8 .93 60 7.5 .25 30 21.6 .36 60 54 .6 90 167.4 5.58 30 400 400 1 17.8 .89 20 247.6 6.19 40 16.8 .42 40 25.6 .64 40 400 400 1 12 .3 40 81.2 2.03 40 17.8 .89 20 5 .25 20 10.4 .26 40 8 .4 20 21.6 1.08 20 23.2 1.16 20 22 1.1 20 111.6 5.58 20 24 .6 40 400 400 1 Total: 4261.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404996 Min 01404996 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 GUM ANALGESIC GEL 8 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 13 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 27-FEB-19
Page 520 of 6486
Name
RAMALAXMAMMA Rate Amount Qty 6.9 .23 30 1.48 .37 4 6.4 .64 10 9.9 .66 15 33 1.1 30 400 400 1 4.45 .89 5 28.69 28.69 1 55.2 1.84 30 4.1 .41 10 6.4 .64 10 400 400 1 280 280 1 400 400 1 Total: 1636.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405007 Min 01405007 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 521 of 6486
Name
ANNIE JONES Rate Amount Qty 36 .6 60 27.9 .93 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 492.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405008 Min 01405008 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 522 of 6486
Name
D S JONES Rate Amount Qty 26.7 .89 30 12 .4 30 34.8 1.16 30 32.4 1.08 30 8.1 .27 30 66 1.1 60 60.9 2.03 30 400 400 1 Total: 640.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405012 Min 01405012 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 523 of 6486
Name
SHARDA CHARAN PANDEY Rate Amount Qty 32.4 1.08 30 72.6 1.21 60 20.06 20.06 1 34.8 1.16 30 400 400 1 Total: 559.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405022 Min 01405022 Appmt Dt Slno Description 04-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 04-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 524 of 6486
Name
K M VYAS Qty Rate Amount 30 .25 7.5 30 .36 10.8 60 .6 36 1 400 400 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405023 Min 01405023 Appmt Dt Slno Description 04-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 2 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 04-FEB-19 3 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 525 of 6486
Name
SHOBHANA VYAS Qty Rate Amount 60 .89 53.4 30 6.14 184.2 2 20.06 40.12 1 400 400 Total: 677.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405025 Min 01405025 Slno Description Appmt Dt CLOBAZAM,STRIP PKT,10MG,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 526 of 6486
Name
BHAGYAWATI Rate Amount Qty 97.8 4.89 20 32.4 1.08 30 400 400 1 Total: 530.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405028 Min 01405028 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 28-FEB-19 SOLIFENACIN,5MG,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 527 of 6486
Name
HUKUM SINGH VERMA Rate Amount Qty 60.9 2.03 30 400 400 1 60.9 2.03 30 403.2 13.44 30 400 400 1 Total: 1325
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405029 Min 01405029 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 528 of 6486
Name
SANTOSH Rate Amount Qty 16.2 .27 60 27.9 .93 30 9.9 .66 15 400 400 1 6.6 .66 10 27.9 .93 30 16.2 .27 60 400 400 1 Total: 904.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405036 Min 01405036 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 PRAZOSIN,2.5MG,TABLET 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 529 of 6486
Name
C K KHANGAN Rate Amount Qty 18.9 .63 30 21.3 .71 30 78 1.3 60 66 1.1 60 55.8 .93 60 60.9 2.03 30 400 400 1 Total: 700.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405037 Min 01405037 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 530 of 6486
Name
SUNITA KHANGAN Rate Amount Qty 3.2 .64 5 .8 .16 5 20.06 20.06 1 8.9 .89 10 1.85 .37 5 400 400 1 Total: 434.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405044 Min 01405044 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 531 of 6486
Name
M S BANSAL Rate Amount Qty 21.6 1.08 20 60.9 2.03 30 55.2 .92 60 185.7 6.19 30 12 .4 30 6.4 .64 10 7.5 .25 30 33 1.1 30 11.85 .79 15 400 400 1 Total: 794.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405056 Min 01405056 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 15-FEB-19
Page 532 of 6486
Name
J P SHARMA Rate Amount Qty 54 .9 60 26.7 .89 30 400 400 1 167.4 5.58 30 36 .6 60 7.5 .25 30 8.1 .27 30 27.9 .93 30 21.3 .71 30 32.4 1.08 30 400 400 1 167.4 5.58 30 7.5 .25 30 32.4 1.08 30 21.3 .71 30 27.9 .93 30 8.1 .27 30 36 .6 60 400 400 1 Total: 1881.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405057 Min 01405057 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 LEFLUNOMIDE,10 MG,STIRP PACK.,TABLET 4 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 05-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 533 of 6486
Name
SAROJ SHARMA Rate Amount Qty 5.21 5.21 1 55.8 .93 60 53.4 .89 60 385.8 6.43 60 11.4 .38 30 40.12 20.06 2 77.52 3.23 24 400 400 1 Total: 1029.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405063 Min 01405063 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 534 of 6486
Name
LAJWANTI DEVI Rate Amount Qty 27.6 .92 30 13.8 .23 60 167.4 5.58 30 1.85 .37 5 12 .4 30 7.8 .26 30 66 1.1 60 400 400 1 Total: 696.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405075 Min 01405075 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 535 of 6486
Name
RAM SINGH Rate Amount Qty 72 .6 120 27.9 .93 30 334.8 5.58 60 78 1.3 60 12 .4 30 21.3 .71 30 32.4 .36 90 400 400 1 Total: 978.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405076 Min 01405076 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 536 of 6486
Name
MANMOHAN KAUR Rate Amount Qty 6.4 .64 10 17.4 .58 30 66 1.1 60 27.9 .93 30 21.3 .71 30 27 .6 45 400 400 1 Total: 566
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405086 Min 01405086 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 15-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 537 of 6486
SAVITRI DEVI Rate Amount Qty 46.2 .77 60 12.6 .42 30 32.4 1.08 30 14.85 .99 15 13.8 .23 60 15.73 15.73 1 400 400 1 Total: 535.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405133 Min 01405133 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 538 of 6486
Name
ROBERT Rate Amount Qty 35.2 3.52 10 33 1.1 30 7.5 .25 30 27.9 .93 30 2.22 .37 6 32.4 1.08 30 34.8 1.16 30 18 .6 30 3.84 .64 6 400 400 1 Total: 594.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405134 Min 01405134 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 7 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 539 of 6486
Name
ALPHONSA ROBERT Rate Amount Qty 26.7 .89 30 36 .6 60 55.8 .93 60 12 .4 30 191.4 3.19 60 17.4 .58 30 2.5 .25 10 15.96 2.66 6 2.22 .37 6 20.84 5.21 4 400 400 1 Total: 780.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405168 Min 01405168 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 540 of 6486
Name
RADHA N NAIR Rate Amount Qty 1.85 .37 5 16.2 .27 60 42.12 2.34 18 3.84 .64 6 400 400 1 Total: 464.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405172 Min 01405172 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 20-FEB-19 PRAZOSIN,2.5MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 541 of 6486
Name
SHAKUNTALA JAIN Rate Amount Qty 39 1.3 30 55.8 .93 60 18.9 .63 30 2.52 .42 6 3.84 .64 6 400 400 1 .37 .37 1 14.85 .99 15 18.9 .63 30 55.8 .93 60 156 1.3 120 400 400 1 Total: 1165.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405183 Min 01405183 Appmt Dt Slno Description 09-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 09-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 09-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 542 of 6486
Name
S K BHATTACHARJEE Qty Rate Amount 30 .25 7.5 45 .6 27 60 .93 55.8 1 400 400 Total: 490.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405189 Min 01405189 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 543 of 6486
Name
VIJAY KANT BHATT Rate Amount Qty 60.9 2.03 30 24 .4 60 18 .6 30 78 1.3 60 12 .4 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 621.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405196 Min 01405196 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 544 of 6486
Name
MADHAVI Rate Amount Qty 23.7 .79 30 8.1 .27 30 72.6 1.21 60 29.7 .99 30 21.3 .71 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 758.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405198 Min 01405198 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 21-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 6 21-FEB-19 URIC ACID (UA /URATES /UR) 7 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 21-FEB-19
Page 545 of 6486
Name
KARTAR KUAR Rate Amount Qty 8.9 .89 10 2.5 .25 10 20.84 5.21 4 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 26 2.6 10 275 275 1 Total: 3408.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405200 Min 01405200 Appmt Dt Slno Description 11-FEB-19 1 TENELIGLIPTIN,20MG,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 546 of 6486
Name
B SATYAVATI Qty Rate Amount 30 5.58 167.4 1 400 400 567.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405204 Min 01405204 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 547 of 6486
Name
G N YOGI Rate Amount Qty 55.8 .93 60 4.8 .16 30 32.4 1.08 30 21.3 .71 30 27.9 .93 30 26.7 .89 30 72.6 1.21 60 78 1.3 60 12 .4 30 400 400 1 Total: 731.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405209 Min 01405209 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 548 of 6486
Name
SUMITRA ROYCHOUDHARY Rate Amount Qty 21.3 .71 30 12 .4 30 26.7 .89 30 1.6 .16 10 72.6 1.21 60 16.2 .27 60 55.8 .93 60 18 .6 30 400 400 1 Total: 624.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405219 Min 01405219 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 549 of 6486
Name
SMITA V GADKAR Rate Amount Qty 36 .6 60 55.8 .93 60 117 1.3 90 29.7 .99 30 76.5 2.55 30 21.3 .71 30 22.2 .37 60 400 400 1 Total: 758.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405245 Min 01405245 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 15-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 550 of 6486
Name
PHOOL TARA DEVI Rate Amount Qty 8.1 .27 30 18 .6 30 161.1 5.37 30 27.9 .93 30 3.2 .16 20 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 672
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405248 Min 01405248 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 551 of 6486
Name
B L RINAHITE Rate Amount Qty 26.7 .89 30 12 .4 30 34.8 1.16 30 23.7 .79 30 16.5 1.1 15 400 400 1 Total: 513.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405249 Min 01405249 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 552 of 6486
Name
INDIRA RINAHITE Rate Amount Qty 15.6 .26 60 26.7 .89 30 7.5 .25 30 12 .4 30 66 1.1 60 400 400 1 Total: 527.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405250 Min 01405250 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 16-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 3 16-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 4 16-FEB-19 PHENYTOIN,50MG/ML,2ML AMP,INJECTION 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 17-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 17-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 17-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 17-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 17-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 17-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 16 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 553 of 6486
Name
K R SAHU Rate Amount Qty 420 420 1 24.52 24.52 1 35.52 35.52 1 9.81 9.81 1 8.1 8.1 1 46.4 1.16 40 8 .4 20 22 1.1 20 7.9 .79 10 61.4 6.14 10 35.6 .89 40 66.2 6.62 10 400 400 1 1750 1750 1 400 400 1 11.85 .79 15 12.6 .9 14 400 400 1 Total: 3719.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405252 Min 01405252 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 4 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 554 of 6486
Name
K A SIDDIQUI Rate Amount Qty 26.7 .89 30 184.2 6.14 30 400 400 1 1.3 .26 5 123.53 123.53 1 400 400 1 Total: 1135.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405253 Min 01405253 Slno Description Appmt Dt CLOMIPRAMINE,25MG,TABLET 1 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 8 26-FEB-19 SERUM AMMONIA (NH3) 9 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 26-FEB-19 ALKALINE PHOSPHATASE (ALP) 11 26-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 12 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 13 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 26-FEB-19 PLATELET COUNT 15 26-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 16 26-FEB-19 HB,TLC,DLC 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 26-FEB-19
Page 555 of 6486
Name
AAQLA BEGAM Rate Amount Qty 85.6 2.14 40 6.4 .16 40 400 400 1 36.84 6.14 6 5.34 .89 6 39.72 6.62 6 400 400 1 1750 1750 1 500 500 1 1300 1300 1 275 275 1 1500 1500 1 1300 1300 1 275 275 1 330 330 1 330 330 1 300 300 1 400 400 1 Total: 9233.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405256 Min 01405256 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 8 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 556 of 6486
Name
D DAS Rate Amount Qty 21.3 .71 30 13.95 .93 15 36 .6 60 7.8 .26 30 12 .4 30 60.9 2.03 30 185.7 6.19 30 15.3 .51 30 4.27 192.15 45 7.5 .25 30 400 400 1 Total: 952.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405257 Min 01405257 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 557 of 6486
Name
GOURI RANI DAS Rate Amount Qty 3.9 .26 15 185.7 6.19 30 1.6 .16 10 9 .6 15 32.4 1.08 30 21.3 .71 30 20.06 20.06 1 9 .3 30 400 400 1 Total: 682.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405262 Min 01405262 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 558 of 6486
Name
N V S SARMA Rate Amount Qty 7.5 .25 30 8.1 .27 30 18 .6 30 26.7 .89 30 185.7 6.19 30 39 1.3 30 400 400 1 Total: 685
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405263 Min 01405263 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 01-FEB-19 X - RAY - TWO VIEWS 10 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 15 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 25-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 19 25-FEB-19
Page 559 of 6486
Name
N JAYASRI Rate Amount Qty 3.96 .99 4 185.7 6.19 30 9.6 .64 15 7.5 .25 30 10.8 .36 30 36 .6 60 29.7 .99 30 27.9 .93 30 6.9 .23 30 1720 860 2 400 400 1 2.5 .25 10 6.4 .64 10 400 400 1 13.8 .23 60 55.8 .93 60 400 400 1 400 400 1 1750 1750 1 Total: 5466.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405277 Min 01405277 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 21-FEB-19 SOLIFENACIN,5MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 22-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 16 22-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 17 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 22-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 19 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 22 22-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 23 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 24 22-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 25 22-FEB-19
Page 560 of 6486
Name
SHAMBHU NATH DUTTA Rate Amount Qty 63.58 63.58 1 4.8 .6 8 1.28 .64 2 44.16 1.84 24 19.72 9.86 2 400 400 1 60.9 2.03 30 192.3 6.41 30 403.2 13.44 30 400 400 1 9.9 .66 15 41.1 1.37 30 18.6 .62 30 76.5 2.55 30 7.5 .25 30 1750 1750 1 1610 1610 1 400 400 1 69.05 69.05 1 4.8 .16 30 54 .9 60 20.1 .67 30 79.2 .66 120 156.6 1.74 90 100.71 100.71 1 Total: 5988
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405297 Min 01405297 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 18-FEB-19 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 4 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 18-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 6 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 18-FEB-19 PRAZOSIN,2.5MG,TABLET 8 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 561 of 6486
Name
J SYAMALA Rate Amount Qty 27.9 .62 45 400 400 1 21.3 .71 30 98.1 3.27 30 21.3 .71 30 189 2.1 90 27.9 .62 45 39 1.3 30 7.5 .25 30 400 400 1 Total: 1232
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405302 Min 01405302 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 562 of 6486
Name
AJIT KUMAR DEY Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405324 Min 01405324 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 563 of 6486
Name
M L DEY Rate Amount Qty 6.9 .23 30 13.95 .93 15 5.21 5.21 1 37.8 .63 60 60.9 2.03 30 400 400 1 Total: 524.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405334 Min 01405334 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 564 of 6486
Name
RADHESHYAM DEWANGAN Rate Amount Qty 26.7 .89 30 2.4 .16 15 118.5 3.95 30 87.92 43.96 2 34.8 1.16 30 12 .4 30 32.4 1.08 30 18 .6 30 15.6 .26 60 400 400 1 Total: 748.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405335 Min 01405335 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 565 of 6486
Name
RAMKALI DEWANGAN Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405339 Min 01405339 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 566 of 6486
Name
SUSHIL SEHRA Rate Amount Qty 36 .6 60 9 .3 30 26.7 .89 30 1.85 .37 5 12 .4 30 7.8 .26 30 27.9 .93 30 400 400 1 18 .6 30 7.8 .26 30 12 .4 30 9 .3 30 26.7 .89 30 27.9 .93 30 69.6 1.16 60 400 400 1 Total: 1092.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405359 Min 01405359 Slno Description Appmt Dt SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 1 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 567 of 6486
J S CHATTREE Rate Amount Qty 58 29 2 50.14 25.07 2 400 400 1 23.7 .79 30 39 1.3 30 53.4 .89 60 12 .4 30 34.8 1.16 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 1139.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405362 Min 01405362 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 03-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 03-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 X - RAY - SINGLE VIEW 12 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 16 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19
Page 568 of 6486
Name
R N VIDYARTHI Rate Amount Qty 6.4 .64 10 1.25 .25 5 4.45 .89 5 400 400 1 34.8 1.16 30 60.9 2.03 30 18.9 .63 30 8.1 .27 30 32.4 1.08 30 7.8 .26 30 400 400 1 550 550 1 66.2 6.62 10 400 400 1 4.45 .89 5 12.15 12.15 1 1.85 .37 5 4.45 .89 5 1.25 .25 5 4.5 .9 5 400 400 1 Total: 2419.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405376 Min 01405376 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 569 of 6486
Name
THANKAMMA JOHN Rate Amount Qty 27.9 .93 30 39 1.3 30 21.3 .71 30 8.1 .27 30 400 400 1 Total: 496.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405382 Min 01405382 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 570 of 6486
Name
K V RADHAMMA Rate Amount Qty 2.28 .38 6 1.85 .37 5 27.9 .93 30 21.3 .71 30 36.3 1.21 30 21.6 .36 60 8.1 .27 30 3.84 .64 6 3.75 .25 15 13.35 .89 15 7.65 .51 15 400 400 1 Total: 547.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405384 Min 01405384 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 11-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 16-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 17 16-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 18 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 16-FEB-19
Page 571 of 6486
Name
SANTOSH KUMAR JAIN Rate Amount Qty 192.3 6.41 30 26.7 .89 30 60.9 2.03 30 32.4 1.08 30 33 1.1 30 27.9 .93 30 15.6 .26 60 157.8 2.63 60 400 400 1 60.9 2.03 30 34.8 1.16 30 33 1.1 30 27.9 .93 30 26.7 .89 30 15.6 .26 60 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 400 400 1 Total: 1599.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405385 Min 01405385 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 24-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 24-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 24-FEB-19
Page 572 of 6486
Name
NIRMALA JAIN Rate Amount Qty 53.4 .89 60 156.6 1.74 90 39.6 .66 60 16.2 .18 90 66.2 6.62 10 26.6 2.66 10 18.76 .67 28 400 400 1 6.4 .64 10 19.43 .67 29 400 400 1 12.6 .9 14 66.2 6.62 10 16.75 .67 25 400 400 1 Total: 1698.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405392 Min 01405392 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 07-FEB-19 UREA (BUN /UR) 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 08-FEB-19 CREATININE /CRT 7 08-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 8 08-FEB-19 COMPLETE HAEMOGRAM 9 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 15 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 20-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 22 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 23 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 24 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 25 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 28 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 29 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 30 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 31 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 20-FEB-19
Page 573 of 6486
Name
BABAN UPADHYAY Rate Amount Qty 275 275 1 400 400 1 275 275 1 275 275 1 400 400 1 550 550 1 275 275 1 275 275 1 750 750 1 8.9 .89 10 8.9 .89 10 275 275 1 275 275 1 20.06 20.06 1 16.2 .18 90 54 .9 60 400 400 1 192.3 6.41 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 123.6 4.12 30 111.6 5.58 20 87.92 43.96 2 7.6 .38 20 5 .25 20 17.8 .89 20 23.1 .77 30 7.5 .25 30 60.9 2.03 30 18.6 .93 20 400 400 1 Total: 5698.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405397 Min 01405397 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 574 of 6486
Name
J K GANPAT Rate Amount Qty 185.7 6.19 30 34.8 1.16 30 32.4 1.08 30 54 .6 90 10.8 .36 30 12 .4 30 27.9 .93 30 400 400 1 Total: 757.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405398 Min 01405398 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 575 of 6486
Name
DEEPAK KUMAR SAHU Rate Amount Qty 72.6 1.21 60 26.7 .89 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 16.2 .27 60 14.85 .99 15 27.9 .93 30 400 400 1 Total: 637.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405399 Min 01405399 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 15 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 16 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 17 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 25-FEB-19 CREATININE /CRT 22 25-FEB-19 URIC ACID (UA /URATES /UR) 23 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 24 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 25 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 27 25-FEB-19
Page 576 of 6486
Name
VINITA SAHU Rate Amount Qty 27.9 .93 30 12 .4 30 32.4 1.08 30 11.4 .38 30 7.5 .25 30 7.65 .51 15 66 1.1 60 34.8 1.16 30 40.12 20.06 2 371.4 6.19 60 400 400 1 32.4 1.08 30 7.65 .51 15 7.5 .25 30 11.4 .38 30 371.4 6.19 60 40.12 20.06 2 26.7 .89 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 12 .4 30 27.9 .93 30 66 1.1 60 Total: 4414.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405403 Min 01405403 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 577 of 6486
Name
HARINARAYAN SINGH CHAUHAN Rate Amount Qty 23.7 .79 30 371.4 6.19 60 21.3 .71 30 12 .4 30 55.2 .92 60 36 .6 60 400 400 1 Total: 919.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405404 Min 01405404 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 578 of 6486
Name
SUMAN Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 47.4 .79 60 12 .4 30 400 400 1 Total: 526.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405411 Min 01405411 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 579 of 6486
Name
PARASNATH SHRIVASTAVA Rate Amount Qty 76.5 2.55 30 55.8 .93 60 1.6 .16 10 60.9 2.03 30 400 400 1 Total: 594.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405420 Min 01405420 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 05-FEB-19 PRAZOSIN,2.5MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 580 of 6486
Name
N C SARKAR, Rate Amount Qty 7.5 .25 30 21.3 .71 30 12 .4 30 17.4 .58 30 105.9 3.53 30 39 1.3 30 400 400 1 Total: 603.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405421 Min 01405421 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 581 of 6486
Name
BAKUL SARKAR Rate Amount Qty 12 .4 30 21.3 .71 30 27.9 .93 30 123.53 123.53 1 7.5 .25 30 17.4 .58 30 12.3 .41 30 13.35 .89 15 400 400 1 Total: 635.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405424 Min 01405424 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 582 of 6486
Name
MAHAVIR THAKUR Rate Amount Qty 66 1.1 60 30.6 .34 90 6.9 .23 30 32.4 1.08 30 400 400 1 Total: 535.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405425 Min 01405425 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 583 of 6486
Name
KAMALA THAKUR Rate Amount Qty 7.5 .25 30 27.9 .93 30 26.7 .89 30 41.1 1.37 30 400 400 1 Total: 503.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405428 Min 01405428 Appmt Dt Slno Description 18-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 18-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 584 of 6486
Name
KOMALAVALLY AMMA Qty Rate Amount 6 .64 3.84 4 .89 3.56 18 1.84 33.12 1 400 400 Total: 440.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405432 Min 01405432 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 08-FEB-19 SOLIFENACIN,5MG,,TABLET 5 08-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 08-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 08-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 585 of 6486
Name
N K DASAN Rate Amount Qty 7.5 .25 30 8.1 .27 30 23.7 .79 30 15.3 .51 30 403.2 13.44 30 11.4 .38 30 60.9 2.03 30 23.1 .77 30 256.2 4.27 60 400 400 1 Total: 1209.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405465 Min 01405465 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 11-FEB-19 CREATININE /CRT 16 11-FEB-19 URIC ACID (UA /URATES /UR) 17 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 11-FEB-19
Page 586 of 6486
Name
P S SINHA Rate Amount Qty 21.6 .36 60 1.85 .37 5 18 .6 30 66.2 6.62 10 18.9 .63 30 31.2 1.04 30 7.5 .25 30 60.9 2.03 30 66 1.1 60 21.3 .71 30 32.4 1.08 30 23.7 .79 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3169.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405466 Min 01405466 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 587 of 6486
Name
CHAMPA BAI SINHA Rate Amount Qty 1.48 .37 4 55.2 .92 60 32.4 1.08 30 7.5 .25 30 18 .6 30 21.3 .71 30 76.5 2.55 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 697.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405469 Min 01405469 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 10 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19
Page 588 of 6486
Name
K K INDIRA Rate Amount Qty 4.1 .41 10 6.4 .64 10 2.5 .25 10 62.4 1.04 60 18.9 .63 30 21.3 .71 30 32.4 1.08 30 30.6 .34 90 55.8 .93 60 18.6 .62 30 55.2 1.84 30 16.2 .27 60 317.7 3.53 90 400 400 1 Total: 1042.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405479 Min 01405479 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 589 of 6486
Name
D R SAHU Rate Amount Qty 55.8 .93 60 9 .3 30 117 1.3 90 34.8 1.16 30 8.1 .27 30 32.4 1.08 30 400 400 1 Total: 657.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405480 Min 01405480 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 590 of 6486
Name
URIMILA SAHU Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405483 Min 01405483 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 22 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 28-FEB-19 ECG 24 28-FEB-19
Page 591 of 6486
Name
K L SHRIVASTAVA Rate Amount Qty 12.6 .63 20 6.4 .64 10 247.6 6.19 40 400 400 1 7.5 .25 30 21.3 .71 30 32.4 1.08 30 36 .6 60 27.9 .93 30 21.3 .71 30 33 1.1 30 400 400 1 12.6 .63 20 247.6 6.19 40 6.4 .64 10 400 400 1 27.9 .93 30 36 .6 60 7.5 .25 30 33 1.1 30 32.4 1.08 30 34.8 1.16 30 400 400 1 450 450 1 Total: 2934.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405484 Min 01405484 Slno Description Appmt Dt CLOBAZAM,STRIP PKT,10MG,TABLET 1 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 9 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 21-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 13 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 28-FEB-19 ECG 16 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 19 28-FEB-19
Page 592 of 6486
Name
NEENA SHRIVASTAVA Rate Amount Qty 73.35 4.89 15 20.84 5.21 4 26 2.6 10 400 400 1 66 1.1 60 9.9 .66 15 13.8 .23 60 400 400 1 1170 1170 1 4.1 .41 10 46.8 2.34 20 400 400 1 20.84 5.21 4 19.8 .66 30 14.85 .99 15 450 450 1 400 400 1 66 1.1 60 13.8 .23 60 Total: 3616.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405491 Min 01405491 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 26-FEB-19 KETOTIFEN,1MG,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 26-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 593 of 6486
Name
ASHOK VAIDYA Rate Amount Qty 14.85 .99 15 20.84 5.21 4 7.5 .25 30 36 .6 60 66.2 6.62 10 22.8 1.52 15 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 Total: 665.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405492 Min 01405492 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 594 of 6486
Name
NALINI ASHOK VAIDYA Rate Amount Qty 21.3 .71 30 34.8 1.16 30 7.5 .25 30 66 1.1 60 78 1.3 60 54 .6 90 12 .4 30 32.4 1.08 30 13.8 .23 60 31.2 1.04 30 55.8 .93 60 400 400 1 Total: 806.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405497 Min 01405497 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 595 of 6486
Name
PIARA SINGH Rate Amount Qty 2.4 .16 15 12 .4 30 32.4 1.08 30 34.8 1.16 30 47.4 .79 60 33 1.1 30 26.7 .89 30 30.6 .34 90 36 .6 60 400 400 1 35.2 3.52 10 16.8 1.12 15 400 400 1 Total: 1107.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405498 Min 01405498 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 596 of 6486
Name
AMARJEET KAUR Rate Amount Qty 8.9 .89 10 6.9 .23 30 33 1.1 30 17.4 1.16 15 3.75 .25 15 8.1 .27 30 400 400 1 Total: 478.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405509 Min 01405509 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 597 of 6486
Name
K P SWARNKAR Rate Amount Qty 23.7 .79 30 34.8 1.16 30 32.4 1.08 30 15.6 .26 60 400 400 1 17.6 17.6 1 41.06 41.06 1 400 400 1 Total: 965.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405570 Min 01405570 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 598 of 6486
Name
KARRI LAKSHMINARAYANA Rate Amount Qty 32.4 1.08 30 12 .4 30 15.6 .26 60 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 896.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405587 Min 01405587 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 07-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 07-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 07-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 599 of 6486
RAMDEO SINGH Rate Amount Qty 15 .25 60 25.07 25.07 1 11.4 .38 30 22.5 .75 30 7.8 .26 30 13.43 13.43 1 12.81 12.81 1 400 400 1 Total: 508.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405588 Min 01405588 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 07-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 6 07-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 600 of 6486
Name
GITA DEVI Rate Amount Qty 22.5 .75 30 11.4 .38 30 15 .25 60 6.82 6.82 1 12.6 .42 30 7.8 .26 30 74.08 37.04 2 25.62 12.81 2 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 632.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405604 Min 01405604 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 601 of 6486
Name
BADRILAL DASHORE Rate Amount Qty 72.6 1.21 60 55.8 .93 60 20.06 20.06 1 185.7 6.19 30 21.3 .71 30 32.4 1.08 30 4.8 .16 30 26.7 .89 30 400 400 1 Total: 819.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405605 Min 01405605 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 602 of 6486
Name
LAXMI BAI DASHORE Rate Amount Qty 14.85 .99 15 12 .4 30 66 1.1 60 30.6 .34 90 36 .6 60 9 .3 30 21.3 .71 30 400 400 1 Total: 589.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405607 Min 01405607 Appmt Dt Slno Description 07-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 2 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 07-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 603 of 6486
Name
SUSHILA SAKURE Qty Rate Amount 6 .64 3.84 6 1.12 6.72 18 1.84 33.12 1 400 400 Total: 443.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405612 Min 01405612 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 604 of 6486
Name
JAGDISH PRASAD GUPTA Rate Amount Qty 33 1.1 30 11.4 .38 30 7.5 .25 30 21.3 .71 30 32.4 1.08 30 60.9 2.03 30 400 400 1 Total: 566.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405613 Min 01405613 Appmt Dt Slno Description 04-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 04-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 605 of 6486
Name
LATA GUPTA Qty Rate Amount 10 .64 6.4 30 .89 26.7 30 .25 7.5 1 400 400 Total: 440.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405639 Min 01405639 Appmt Dt Slno Description 07-FEB-19 1 ASCORBIC ACID,STRIP PKT,100MG,TABLET 07-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 606 of 6486
Name
SHEEKHA DUTTA Qty 6 6 5 1
Rate Amount .38 2.28 .64 3.84 .37 1.85 400 400 Total: 407.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405640 Min 01405640 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 13-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 3 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 13-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 607 of 6486
Name
R S PALIWAL Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 157.8 2.63 60 32.4 1.08 30 12 .4 30 30.6 .34 90 8.1 .27 30 15.6 1.04 15 400 400 1 26.55 26.55 1 400 400 1 Total: 1178.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405641 Min 01405641 Appmt Dt Slno Description 13-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 608 of 6486
Name
SEVANTI BAI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405654 Min 01405654 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 07-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 12-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 18 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 21 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 23 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 25 18-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 26 18-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 27 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 29 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 31 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 32 23-FEB-19 RIFAXIMIN 200 MG,,TABLET 33 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 23-FEB-19
Page 609 of 6486
Name
P P SHARMA Rate Amount Qty 18 .6 30 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 6.4 .64 10 8.1 .27 30 27.9 .93 30 167.4 5.58 30 12 .4 30 400 400 1 35.2 3.52 10 6.4 .64 10 41.06 41.06 1 400 400 1 6.4 .64 10 400 400 1 13.95 .93 15 7.5 .25 30 13.35 .89 15 18 .6 30 17.4 1.16 15 4.05 .27 15 16.2 1.08 15 400 400 1 6.4 .64 10 9.86 9.86 1 45.44 45.44 1 400 400 1 3.2 .64 5 8.9 .89 10 20.06 20.06 1 .8 .16 5 93.3 9.33 10 400 400 1 Total: 3081.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405656 Min 01405656 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 02-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 4 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 13 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 610 of 6486
Name
G C DUTTA Rate Amount Qty 13.49 13.49 1 6.82 6.82 1 400 400 1 13.49 13.49 1 6.82 6.82 1 3.7 .37 10 400 400 1 8.1 .27 30 18.6 .62 30 60.9 2.03 30 26.7 .89 30 400 400 1 13.49 13.49 1 6.82 6.82 1 400 400 1 Total: 1778.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405657 Min 01405657 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 11-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 12 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 13 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19
Page 611 of 6486
Name
ANIMA RANI DUTTA Rate Amount Qty 8.9 .89 10 2.5 .25 10 1.25 .25 5 43.96 43.96 1 66.2 6.62 10 6.4 .64 10 400 400 1 123.53 247.06 2 34.8 1.16 30 23.7 .79 30 15.3 .51 30 23.6 1.18 20 27.6 .92 30 76.5 2.55 30 400 400 1 Total: 1377.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405698 Min 01405698 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 612 of 6486
Name
R C MURKUTE Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 1.48 .37 4 400 400 1 8.9 .89 10 27.9 .93 30 21.3 .71 30 16.2 .27 60 33 1.1 30 14.85 .99 15 400 400 1 Total: 1576.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405699 Min 01405699 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 613 of 6486
Name
KANTA MURKUTE Rate Amount Qty 78 1.3 60 76.5 2.55 30 14.85 .99 15 17.4 .58 30 36 .6 60 167.4 5.58 30 37.8 .63 60 34.8 1.16 30 12 .4 30 400 400 1 Total: 874.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405709 Min 01405709 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 614 of 6486
Name
H C GULATI Rate Amount Qty 275 275 1 275 275 1 400 400 1 1.64 .41 4 1.78 .89 2 7.5 .25 30 10.42 5.21 2 4.8 .16 30 12 .4 30 13.95 .93 15 18 .6 30 10.8 .36 30 400 400 1 Total: 1430.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405736 Min 01405736 Slno Description Appmt Dt CARBAMAZEPINE,STRIP PKT,200MG,TABLET 1 07-FEB-19 CLOZAPINE,100MG,TABLET 2 07-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 07-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 615 of 6486
Name
RAM PRATAP SINGH Rate Amount Qty 132.3 1.47 90 161.1 5.37 30 15.3 .51 30 39.6 2.64 15 .75 .25 3 400 400 1 Total: 749.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405762 Min 01405762 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 616 of 6486
Name
KEWAL CHAND LUNAWAT Rate Amount Qty 72.6 1.21 60 36 .6 60 12 .4 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 556.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405776 Min 01405776 Slno Description Appmt Dt CREATININE /CRT 1 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 UREA (BUN /UR) 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 21-FEB-19 BLOOD FOR CARDIAC ENZYMES (CK /CK-MB /LD 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 21-FEB-19 UREA (BUN /UR) 14 21-FEB-19 CREATININE /CRT 15 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 21-FEB-19
Page 617 of 6486
Name
S R VARMA Rate Amount Qty 275 275 1 400 400 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 36 .6 60 55.2 .92 60 33 1.1 30 23.7 .79 30 1600 1600 1 400 400 1 275 275 1 275 275 1 275 275 1 14.85 .99 15 Total: 4509.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405787 Min 01405787 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 12-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 618 of 6486
Name
N C DUTTA Rate Amount Qty 192.3 6.41 30 12 .4 30 7.5 .25 30 13.95 .93 15 21.3 .71 30 43.2 1.44 30 7.65 .51 15 34.8 1.16 30 400 400 1 Total: 732.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405796 Min 01405796 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19
Page 619 of 6486
Name
SULOCHANA JAIN Rate Amount Qty 13.95 .93 15 12 .4 30 21.3 .71 30 36 .6 60 7.5 .25 30 167.4 5.58 30 21.6 .36 60 400 400 1 275 275 1 275 275 1 400 400 1 13.95 .93 15 167.4 5.58 30 18 .6 30 400 400 1 Total: 2229.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405801 Min 01405801 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 PRAZOSIN,2.5MG,TABLET 7 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 07-FEB-19 PRAZOSIN,2.5MG,TABLET 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 620 of 6486
Name
P R ARUMUGHAN Rate Amount Qty 400 400 1 1750 1750 1 12 .4 30 34.8 1.16 30 27.9 .93 30 16.2 .27 60 117 1.3 90 153 2.55 60 39 1.3 30 53.4 .89 60 400 400 1 Total: 3003.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405802 Min 01405802 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 621 of 6486
Name
T A NIRMALA Rate Amount Qty 21.3 .71 30 11.4 .38 30 55.8 .93 60 22.2 .37 60 167.4 5.58 30 72 .6 120 21.6 .36 60 400 400 1 Total: 771.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405807 Min 01405807 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 622 of 6486
Name
MAHENDRA SINGH YADAV Rate Amount Qty 34.8 1.16 30 12 .4 30 6.9 .23 30 8.1 .27 30 36.3 1.21 30 55.8 .93 60 400 400 1 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405832 Min 01405832 Appmt Dt Slno Description 12-FEB-19 1 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 12-FEB-19 2 NITRAZEPAM,10MG,TABLE,STRIP PACK. 12-FEB-19 3 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 623 of 6486
Name
KUSUM SUNDARY BAJPAI Qty Rate Amount 30 2.45 73.5 30 2.64 79.2 60 .82 49.2 1 400 400 Total: 601.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405836 Min 01405836 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 25-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 2 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 5 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 624 of 6486
J SAIKUMARI Rate Amount Qty 96.44 48.22 2 6.99 2.33 3 3.7 .37 10 26.7 .89 30 48.76 12.19 4 18.6 .62 30 20.84 5.21 4 400 400 1 Total: 622.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405838 Min 01405838 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 3 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 625 of 6486
Name
B R SWARNKAR Qty Rate Amount 30 .93 27.9 30 .25 7.5 1 37.04 37.04 1 400 400 Total: 472.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405848 Min 01405848 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 626 of 6486
Name
JAGADIS CHANDRA RAY Rate Amount Qty 21.3 .71 30 60.9 2.03 30 27.9 .93 30 32.4 1.08 30 12 .4 30 9 .6 15 400 400 1 Total: 563.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405849 Min 01405849 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 627 of 6486
Name
KARABI RAY Rate Amount Qty 7.5 .25 30 21.3 .71 30 33 1.1 30 27.9 .93 30 12 .4 30 400 400 1 Total: 501.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405852 Min 01405852 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 21-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 628 of 6486
PRAKASH BHARTIYA Rate Amount Qty 60.9 2.03 30 400 400 1 192.3 6.41 30 20.06 20.06 1 43.96 131.88 3 60.9 2.03 30 400 400 1 25.07 25.07 1 6.82 6.82 1 60.9 2.03 30 400 400 1 Total: 1758.83
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405853 Min 01405853 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 04-FEB-19 UREA (BUN /UR) 6 04-FEB-19 CREATININE /CRT 7 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 25-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 629 of 6486
SAROJ BHARTIYA Rate Amount Qty 16.2 .27 60 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 25.07 25.07 1 19.77 19.77 1 400 400 1 Total: 3261.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405857 Min 01405857 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 630 of 6486
Name
P V BHAVANI Rate Amount Qty 17.6 17.6 1 7.4 .37 20 400 400 1 Total: 425
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405863 Min 01405863 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 631 of 6486
Name
KUNJUMOL Rate Amount Qty 7.5 .25 30 29.7 .99 30 21.3 .71 30 32.4 1.08 30 12 .4 30 22.2 .37 60 400 400 1 Total: 525.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405864 Min 01405864 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 02-FEB-19 IVABRADINE,5MG,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 IVABRADINE,5MG,,TABLET 7 19-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 21-FEB-19 CREATININE /CRT 16 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 21-FEB-19
Page 632 of 6486
Name
R K JAIN Rate Amount Qty 26.7 .89 30 34.8 1.16 30 12 .4 30 43.2 1.44 30 597 9.95 60 400 400 1 597 9.95 60 86.4 1.44 60 12 .4 30 34.8 1.16 30 26.7 .89 30 400 400 1 6.4 .64 10 4.1 .41 10 400 400 1 275 275 1 275 275 1 275 275 1 4.45 .89 5 55.2 1.84 30 Total: 3565.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405872 Min 01405872 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 633 of 6486
Name
P SITARAMAIAH Rate Amount Qty 6.4 .64 10 37.8 .63 60 400 400 1 Total: 444.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405880 Min 01405880 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 RACECADOTRIL,100MG,CAPSULE 9 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 22-FEB-19 RIFAXIMIN 200 MG,,TABLET 11 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 634 of 6486
Name
V ANAND KUMAR NAIDU Rate Amount Qty 7.5 .25 30 368.4 6.14 60 26.7 .89 30 167.4 5.58 30 36 .6 60 27.9 .93 30 21.6 .36 60 400 400 1 53.73 5.97 9 10.08 1.12 9 83.97 9.33 9 39.72 6.62 6 400 400 1 Total: 1643
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405884 Min 01405884 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 635 of 6486
Name
OM PRAKASH DHARNI Rate Amount Qty 18.9 .63 30 60.9 2.03 30 7.5 .25 30 12 .4 30 13.48 3.37 4 47.4 .79 60 72.6 1.21 60 34.8 1.16 30 400 400 1 Total: 667.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405900 Min 01405900 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 07-FEB-19 PLATELET COUNT 9 07-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19
Page 636 of 6486
UDAI VIR SINGH CHAUHAN Rate Amount Qty 6.9 .23 30 8.1 .27 30 6.4 .64 10 21.3 .71 30 400 400 1 50.14 25.07 2 1750 1750 1 1300 1300 1 330 330 1 380 380 1 400 400 1 Total: 4652.84
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405901 Min 01405901 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 8 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 637 of 6486
SHASHI PRABHA Rate Amount Qty 12.6 .42 30 7.5 .25 30 21.3 .71 30 15.6 1.04 15 76.5 2.55 30 31.95 .71 45 400 400 1 156.51 313.02 2 50.14 25.07 2 400 400 1 Total: 1328.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405910 Min 01405910 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 10 19-FEB-19 CONSULTATION IN HEALTH CENTRE 11 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 19-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 15 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 16 19-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 17 19-FEB-19 ECG 18 19-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 19 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 21 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 19-FEB-19
Page 638 of 6486
Name
JYOTISH CHANDRA SINHA Rate Amount Qty 3.2 .64 5 66.2 6.62 10 6.23 .89 7 18.76 .67 28 400 400 1 12.46 .89 14 1.75 .25 7 52.2 1.74 30 400 400 1 25.54 25.54 1 400 400 1 12.6 .9 14 12.46 .89 14 18.76 .67 28 19.8 .66 30 24.52 24.52 1 100 100 1 450 450 1 9.62 9.62 1 1.75 .25 7 4.06 .58 7 400 400 1 Total: 2439.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405911 Min 01405911 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 639 of 6486
Name
MANDIRA SINHA Rate Amount Qty 2.28 .38 6 72.6 1.21 60 16.2 .27 60 14.85 .99 15 21.3 .71 30 2.22 .37 6 400 400 1 Total: 529.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405915 Min 01405915 Appmt Dt Slno Description 19-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 640 of 6486
Name
KAMALA DEVI Qty Rate Amount 30 .93 27.9 30 .71 21.3 30 .27 8.1 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405918 Min 01405918 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 641 of 6486
Name
RANENDRA CHANDRA BAGCHI Rate Amount Qty 2.4 .16 15 26.7 .89 30 60.9 2.03 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 575.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405919 Min 01405919 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 642 of 6486
Name
BAKUL BAGCHI Rate Amount Qty 7.5 .25 30 11.4 .38 30 27.9 .93 30 21.3 .71 30 32.4 1.08 30 21.3 .71 30 20.06 20.06 1 26.7 .89 30 400 400 1 Total: 568.56
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405924 Min 01405924 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 BRIMONIDINE TARTRATE,0.15% 2 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19
Page 643 of 6486
NARSINGH RAJPOOT Rate Amount Qty 4.8 .16 30 148.9 74.45 2 50.14 25.07 2 72.6 1.21 60 55.8 .93 60 34.8 1.16 30 29.7 .99 30 30.6 .34 90 32.4 1.08 30 12 .4 30 400 400 1 Total: 871.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405936 Min 01405936 Appmt Dt Slno Description 15-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 15-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 644 of 6486
Name
RAMENDRA KUMAR SOM Qty Rate Amount 4 5.21 20.84 30 6.19 185.7 20 .64 12.8 1 400 400 Total: 619.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405937 Min 01405937 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 645 of 6486
Name
SMRITI REKHA SOM Rate Amount Qty 7.5 .25 30 55.8 .93 60 8.1 .27 30 72.6 1.21 60 400 400 1 Total: 544
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405943 Min 01405943 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 646 of 6486
C K BALAN Rate Amount Qty 211.8 3.53 60 31.2 1.04 30 60.9 2.03 30 55.8 .93 60 30.6 .34 90 12 .4 30 34.8 1.16 30 36.3 1.21 30 400 400 1 54 .9 60 96.44 48.22 2 400 400 1 Total: 1423.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405951 Min 01405951 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 647 of 6486
Name
K V KURUVILLA Rate Amount Qty 32.4 1.08 30 27.9 .93 30 33 1.1 30 2.4 .16 15 21.3 .71 30 23.1 .77 30 400 400 1 Total: 540.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405960 Min 01405960 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 648 of 6486
KHERUNNISHA Rate Amount Qty 23.7 .79 30 21.3 .71 30 185.7 6.19 30 25.07 25.07 1 400 400 1 Total: 655.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405969 Min 01405969 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 649 of 6486
Name
SHAMLAL Rate Amount Qty 32.4 .36 90 7.5 .25 30 54 .6 90 39 1.3 30 55.8 .93 60 8.1 .27 30 17.4 1.16 15 400 400 1 Total: 614.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405980 Min 01405980 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 650 of 6486
Name
SURINDER JIT KAUR Rate Amount Qty 22.2 .37 60 27.9 .93 30 38.25 2.55 15 10.65 .71 15 400 400 1 Total: 499
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405982 Min 01405982 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 11-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 651 of 6486
Name
Y JOSEPH Rate Amount Qty 7.5 .25 30 14.85 .99 15 6.4 .64 10 185.7 6.19 30 150.9 5.03 30 21.3 .71 30 55.8 .93 60 54 .6 90 400 400 1 Total: 896.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405983 Min 01405983 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 11-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 9 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 17 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 13-FEB-19
Page 652 of 6486
Name
Y KANTI Rate Amount Qty 12.3 .41 30 2.4 .16 15 7.5 .25 30 26.7 .89 30 8.1 .27 30 72.6 1.21 60 55.8 .93 60 20.84 5.21 4 150.9 5.03 30 185.7 6.19 30 26.7 .89 30 6.4 .64 10 400 400 1 26.7 .89 30 12.15 12.15 1 54 .9 60 16.2 .18 90 3.7 .37 10 7.5 .25 30 400 400 1 Total: 1496.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405993 Min 01405993 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 653 of 6486
Name
K P NAIR Rate Amount Qty 34.8 1.16 30 12 .4 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 515.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405994 Min 01405994 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 16-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 654 of 6486
Name
SYAMALA Rate Amount Qty 99 1.1 90 22.2 .37 60 21.6 .36 60 10.65 .71 15 400 400 1 Total: 553.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406007 Min 01406007 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 655 of 6486
Name
T P C GUPTA Rate Amount Qty 24 .4 60 21.3 .71 30 23.7 .79 30 7.5 .25 30 72 .6 120 167.4 5.58 30 78 1.3 60 400 400 1 Total: 793.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406008 Min 01406008 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 11 28-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 12 28-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 13 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 28-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 16 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 17 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 28-FEB-19 OBSERVATION IN CASUALTY 20 28-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 656 of 6486
MS MOHINI GUPTA Rate Amount Qty 6.4 .64 10 55.8 .93 60 8.1 .27 30 29.7 .99 30 66 1.1 60 20.84 5.21 4 21.3 .71 30 18 .6 30 32.4 1.08 30 400 400 1 100 100 1 24.52 24.52 1 5.21 5.21 1 8.9 .89 10 3.8 .38 10 4.95 .99 5 48.22 48.22 1 1.85 .37 5 66.2 6.62 10 420 420 1 600 600 1 400 400 1 Total: 2342.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406011 Min 01406011 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 24-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 8 24-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 9 24-FEB-19 ONDANSETRON,2MG/ML,INJECTION 10 24-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 11 24-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 12 24-FEB-19 OBSERVATION IN CASUALTY 13 24-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 24-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 25-FEB-19 HB,TLC,DLC 18 25-FEB-19 URINE ROUTINE AND MICROSCOPIC 19 25-FEB-19 PLATELET COUNT 20 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 21 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 657 of 6486
Name
M C KOTHARI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 100.71 100.71 1 156.6 1.74 90 400 400 1 66.2 6.62 10 9.81 9.81 1 35.52 35.52 1 7.52 7.52 1 24.52 24.52 1 100 100 1 420 420 1 6.4 .64 10 4.45 .89 5 400 400 1 400 400 1 300 300 1 380 380 1 330 330 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 4448.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406012 Min 01406012 Appmt Dt Slno Description 15-FEB-19 1 BUDESONIDE,200MCG,CAPSULE 15-FEB-19 2 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 15-FEB-19 3 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 658 of 6486
Name
RATNA KANTA KOTHARI Qty Rate Amount 60 1.74 104.4 1 100.71 100.71 60 .9 54 1 400 400 Total: 659.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406018 Min 01406018 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 06-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 8 26-FEB-19 MAMOGRAPHY 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 26-FEB-19
Page 659 of 6486
Name
K N PONNAMMA Rate Amount Qty 16.2 .27 60 12.15 12.15 1 55.8 .93 60 76.5 2.55 30 35.2 3.52 10 2.22 .37 6 400 400 1 1750 1750 1 2000 2000 1 400 400 1 Total: 4748.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406021 Min 01406021 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 660 of 6486
Name
J K K BHOWMICK Rate Amount Qty 18.9 .63 30 21.3 .71 30 36 .6 60 55.8 .93 60 8.1 .27 30 31.2 1.04 30 33 1.1 30 32.4 1.08 30 400 400 1 Total: 636.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406022 Min 01406022 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 18-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 661 of 6486
Name
SHIKHA BHOWMICK Rate Amount Qty 26.7 .89 30 7.65 .51 15 43.2 1.44 30 21.3 .71 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 545.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406030 Min 01406030 Appmt Dt Slno Description 04-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 04-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 662 of 6486
Name
KEYA SENGUPTA Qty Rate Amount 30 .6 18 30 .25 7.5 15 .77 11.55 1 400 400 Total: 437.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406033 Min 01406033 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 663 of 6486
SANT NARAYAN TIWARI Rate Amount Qty 1.85 .37 5 15.73 15.73 1 32.4 1.08 30 23.7 .79 30 72.6 1.21 60 400 400 1 Total: 546.28
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406034 Min 01406034 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 664 of 6486
PREM LATA TIWARI Rate Amount Qty 26.7 .89 30 1.85 .37 5 15.73 15.73 1 12 .4 30 8.1 .27 30 31.2 1.04 30 66 1.1 60 55.8 .93 60 7.8 .26 30 400 400 1 Total: 625.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406037 Min 01406037 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 12-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 7 12-FEB-19
Page 665 of 6486
Name
A K SINHA Rate Amount Qty 7.12 .89 8 44.16 1.84 24 8.96 1.12 8 7.68 .64 12 5.84 .73 8 400 400 1 1170 1170 1 Total: 1643.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406038 Min 01406038 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 07-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 666 of 6486
Name
MADHURI SINHA Rate Amount Qty 10.8 .36 30 26.96 3.37 8 118.5 3.95 30 27.9 .93 30 167.4 5.58 30 17.8 .89 20 36 .6 60 12 .4 30 12.8 .64 20 16.8 .42 40 100.6 5.03 20 400 400 1 Total: 947.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406071 Min 01406071 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 667 of 6486
Name
P M C SEKHAR Rate Amount Qty 6.4 .64 10 1.85 .37 5 2.5 .25 10 26.6 2.66 10 400 400 1 29.7 .99 30 21.3 .71 30 26.7 .89 30 12 .4 30 33 1.1 30 18.9 .63 30 18 .3 60 55.8 .93 60 400 400 1 Total: 1052.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406074 Min 01406074 Appmt Dt Slno Description 26-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 26-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 26-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 668 of 6486
Name
V S N NAIR Qty Rate Amount 20 1.37 27.4 40 6.19 247.6 20 .89 17.8 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406080 Min 01406080 Appmt Dt Slno Description 13-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 669 of 6486
Name
Y N BISEN Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406091 Min 01406091 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 670 of 6486
Name
H C ANAND Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 1.2 .4 3 32.4 1.08 30 72.6 1.21 60 400 400 1 Total: 601.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406094 Min 01406094 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 11-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 11-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 671 of 6486
Name
PRAHLAD GADGE Rate Amount Qty 7.5 .25 30 27.9 .93 30 21.3 .71 30 88.2 1.47 60 35.2 17.6 2 400 400 1 Total: 580.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406095 Min 01406095 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 9 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 21 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 22 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 23 20-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 24 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 20-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 26 23-FEB-19 HYDROXYUREA,500MG,STRIP PACK,,CAPSULE 27 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 23-FEB-19
Page 672 of 6486
SUSHILA Rate Amount Qty 17.42 8.71 2 5.34 .89 6 10.08 1.12 9 3.75 .25 15 21.12 3.52 6 6 .4 15 2.6 .26 10 25.5 2.55 10 21.6 1.44 15 7 .7 10 31.46 15.73 2 3.7 .37 10 5.4 .18 30 66.2 6.62 10 20.06 20.06 1 43.96 43.96 1 400 400 1 26.7 .89 30 12 .4 30 7.5 .25 30 76.5 2.55 30 43.96 43.96 1 7.8 .26 30 43.2 1.44 30 400 400 1 27.9 .93 30 284.4 4.74 60 400 400 1 Total: 2021.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406111 Min 01406111 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 14-FEB-19 CREATININE /CRT 2 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 14-FEB-19 HB,TLC,DLC 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 PLATELET COUNT 6 14-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 7 14-FEB-19 X - RAY - SINGLE VIEW 8 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 673 of 6486
Name
PANDURANG ASHTIKAR Rate Amount Qty 400 400 1 275 275 1 550 550 1 300 300 1 400 400 1 330 330 1 330 330 1 550 550 1 55.8 .93 60 400 400 1 Total: 3590.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406164 Min 01406164 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 674 of 6486
Name
SUDHA MAHULE Rate Amount Qty 18 .6 30 12.8 .64 20 21.3 .71 30 29.7 .99 30 22.2 .37 60 76.5 2.55 30 55.8 .93 60 400 400 1 Total: 636.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406176 Min 01406176 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 675 of 6486
Name
SUROCHITA GUHA ROY Rate Amount Qty 7.4 .37 20 35.2 17.6 2 400 400 1 Total: 442.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406183 Min 01406183 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 PRAZOSIN,2.5MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 676 of 6486
Name
S HUSSAIN Rate Amount Qty 32.4 1.08 30 23.1 .77 30 21.3 .71 30 30.6 .34 90 11.4 .38 30 16.2 .27 60 156 1.3 120 400 400 1 Total: 691
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406184 Min 01406184 Appmt Dt Slno Description 25-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 25-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 677 of 6486
Name
JAMALUNNISA Qty Rate Amount 2 9.86 19.72 20 .37 7.4 8 3.37 26.96 1 400 400 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406185 Min 01406185 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 28-FEB-19 BRIMONIDINE TARTRATE,0.15% 3 28-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 4 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 15 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 678 of 6486
NILIMA DAS Rate Amount Qty 16.2 .27 60 185.7 6.19 30 148.9 74.45 2 150.9 5.03 30 9.3 .62 15 21.3 .71 30 12 .4 30 9 .3 30 20.84 5.21 4 29.7 .99 30 36 .6 60 78 1.3 60 50.14 25.07 2 55.8 .93 60 156.51 156.51 1 40.58 20.29 2 400 400 1 Total: 1420.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406186 Min 01406186 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 679 of 6486
Name
N C DAS Rate Amount Qty 72.6 1.21 60 27.9 .93 30 8.1 .27 30 12 .4 30 9.3 .62 15 36 .6 60 26.7 .89 30 400 400 1 Total: 592.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406192 Min 01406192 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 680 of 6486
Name
SHANTI BAI Rate Amount Qty 36 .6 60 7.5 .25 30 23.7 .79 30 8.1 .27 30 400 400 1 Total: 475.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406195 Min 01406195 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 16-FEB-19 FLUOXETINE HCL,20MG,CAPSULE/TABLET. 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 681 of 6486
Name
R K MISHRA Rate Amount Qty 1.11 .37 3 3.84 .64 6 4.8 .16 30 99.6 3.32 30 400 400 1 55.8 .93 60 16.2 .27 60 7.5 .25 30 400 400 1 Total: 988.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406219 Min 01406219 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 04-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 04-FEB-19 BRIMONIDINE TARTRATE,0.15% 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 15-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 15-FEB-19
Page 682 of 6486
Name
S V SUBBA RAO Rate Amount Qty 41.06 41.06 1 185.7 6.19 30 7.7 .77 10 35.2 3.52 10 63.58 63.58 1 6.4 .64 10 41.1 1.37 30 13.64 6.82 2 74.45 223.35 3 400 400 1 7.5 .25 30 26.7 .89 30 20.06 20.06 1 21.3 .71 30 66 1.1 60 30.6 .34 90 12 .4 30 32.4 1.08 30 400 400 1 Total: 1634.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406220 Min 01406220 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 683 of 6486
Name
S SATYAVATI Rate Amount Qty 21.3 .71 30 6.9 .23 30 12 .4 30 36 .6 60 55.8 .93 60 167.4 5.58 30 400 400 1 Total: 699.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406222 Min 01406222 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 08-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 08-FEB-19 HB,TLC,DLC 8 08-FEB-19 PARASITES (MP /MF) 9 08-FEB-19 PLATELET COUNT 10 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 684 of 6486
Name
FATEH SINGH NIKOSE Rate Amount Qty 32.4 1.08 30 6.4 .64 10 27.9 .93 30 7.5 .25 30 66.2 6.62 10 400 400 1 380 380 1 300 300 1 165 165 1 330 330 1 6.4 .64 10 60.9 2.03 30 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 2243
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406223 Min 01406223 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 685 of 6486
Name
TARA NIKOSE Rate Amount Qty 26.7 .89 30 6.4 .64 10 41.1 1.37 30 8.1 .27 30 400 400 1 Total: 482.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406247 Min 01406247 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 10 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 686 of 6486
Name
J DESHMUKH Rate Amount Qty 1.48 .37 4 9 .3 30 55.8 .93 60 10.65 .71 15 7.5 .25 30 55.2 1.84 30 8.9 .89 10 6.4 .64 10 400 400 1 21.45 21.45 1 25.69 25.69 1 400 400 1 Total: 1002.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406255 Min 01406255 Slno Description Appmt Dt ABC TEST HIV 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 06-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 7 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 13-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 15 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 13-FEB-19 PRAZOSIN,2.5MG,TABLET 17 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 18 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 22 18-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 23 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 18-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 25 25-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 26 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 25-FEB-19
Page 687 of 6486
Name
KUSHAL PADHIYAR Rate Amount Qty 1250 1250 1 275 275 1 275 275 1 400 400 1 1000 1000 1 275 275 1 2370 2370 1 275 275 1 400 400 1 211.8 3.53 60 211.8 3.53 60 18.6 .62 30 26.7 .89 30 32.4 1.08 30 30.6 .34 90 12 .4 30 39 1.3 30 15.3 .51 30 55.8 .93 60 69.6 1.16 60 400 400 1 51.38 25.69 2 39.54 19.77 2 400 400 1 19.77 19.77 1 25.69 25.69 1 400 400 1 Total: 8579.98
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406256 Min 01406256 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 14-FEB-19 URIC ACID (UA /URATES /UR) 7 14-FEB-19 CREATININE /CRT 8 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 14 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 15 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 16 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 688 of 6486
HANSA DEVI Rate Amount Qty 33 1.1 30 54 .6 90 1300 1300 1 21.3 .71 30 9 .3 30 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 25.07 25.07 1 400 400 1 13.49 13.49 1 19.77 19.77 1 24.45 24.45 1 25.07 25.07 1 400 400 1 Total: 4375.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406280 Min 01406280 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 689 of 6486
Name
R B SINGH Rate Amount Qty 400 400 1 275 275 1 275 275 1 111.6 5.58 20 30 .6 50 400 400 1 Total: 1491.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406284 Min 01406284 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 22-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 9 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 690 of 6486
Name
P K PADMASHALI Rate Amount Qty 7.65 .51 15 21.3 .71 30 7.5 .25 30 15.6 .26 60 60.9 2.03 30 118.5 3.95 30 12 .4 30 47.4 .79 60 18 .4 45 90 .6 150 400 400 1 Total: 798.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406285 Min 01406285 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 14-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 4 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 691 of 6486
Name
MANDAKINI Rate Amount Qty 11.4 .38 30 33 1.1 30 10.08 1.12 9 736.2 8.18 90 21.12 3.52 6 400 400 1 Total: 1211.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406293 Min 01406293 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 692 of 6486
Name
KAMLA KESHARWANI Rate Amount Qty 8.1 .27 30 21.3 .71 30 7.5 .25 30 55.8 .93 60 40.12 20.06 2 1.6 .16 10 26.7 .89 30 400 400 1 Total: 561.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406304 Min 01406304 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 693 of 6486
Name
KARAMJIT SINGH Rate Amount Qty 17.4 1.16 15 8.1 .27 30 17.4 .58 30 60.9 2.03 30 400 400 1 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406310 Min 01406310 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 16-FEB-19 X - RAY - TWO VIEWS 11 16-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 694 of 6486
AESHA KHATOON Rate Amount Qty 167.4 5.58 30 48.22 48.22 1 21.36 .89 24 27.9 .93 30 33 1.1 30 21.3 .71 30 5.34 .89 6 400 400 1 4.1 .41 10 400 400 1 860 860 1 8.4 .42 20 8.9 .89 10 5 .25 20 27.4 1.37 20 400 400 1 Total: 2438.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406323 Min 01406323 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 695 of 6486
Name
R N GOSWAMY Rate Amount Qty 21.3 .71 30 118.5 3.95 30 15.6 .26 60 23.7 .79 30 12 .4 30 400 400 1 Total: 591.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406329 Min 01406329 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 696 of 6486
Name
B K DAS Rate Amount Qty 18.9 .63 30 21.3 .71 30 32.4 1.08 30 66 1.1 60 23.7 .79 30 26.7 .89 30 400 400 1 Total: 589
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406330 Min 01406330 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 697 of 6486
Name
ALO DAS Rate Amount Qty 36 .6 60 7.5 .25 30 400 400 1 Total: 443.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406333 Min 01406333 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 05-FEB-19 UREA (BUN /UR) 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 ECG 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 698 of 6486
Name
RAM ACHAL PANDEY Rate Amount Qty 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 450 450 1 400 400 1 1.85 .37 5 9.6 .64 15 7.5 .25 30 33 1.1 30 66.2 6.62 10 27.9 .93 30 6.9 .23 30 400 400 1 Total: 4752.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406334 Min 01406334 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 9 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 05-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 12 05-FEB-19 UREA (BUN /UR) 13 05-FEB-19 URIC ACID (UA /URATES /UR) 14 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 17 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 22 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 23 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 27-FEB-19
Page 699 of 6486
Name
LALMANI DEVI Rate Amount Qty 6.3 .42 15 275 275 1 400 400 1 20.84 5.21 4 20.06 20.06 1 15 .25 60 22.5 .75 30 2.4 .16 15 12.3 .41 30 275 275 1 1300 1300 1 1050 1050 1 275 275 1 275 275 1 39 1.3 30 32.4 1.08 30 13.8 .92 15 54 .6 90 4.8 .16 30 21.3 .71 30 55.8 .93 60 33 1.1 30 29.7 .99 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 4667.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406339 Min 01406339 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 700 of 6486
Name
A R MURDESHWAR Rate Amount Qty 66.2 6.62 10 10.95 .73 15 400 400 1 Total: 477.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406341 Min 01406341 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 7 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 701 of 6486
N K RAI Rate Amount Qty 7.7 .77 10 15.73 15.73 1 1.85 .37 5 27.9 .93 30 3.2 .64 5 400 400 1 48.22 48.22 1 185.7 6.19 30 8.9 .89 10 6.99 2.33 3 400 400 1 Total: 1106.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406342 Min 01406342 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 702 of 6486
Name
URMILA DEVI RAI Rate Amount Qty 27.9 .93 30 8.1 .27 30 12 .4 30 17.4 1.16 15 18 .6 30 4.96 .62 8 400 400 1 Total: 488.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406352 Min 01406352 Slno Description Appmt Dt HYPERTONIC SALINE EYE DROPS, 5% W/V, 1 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 24-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 24-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 24-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 10 24-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 11 24-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 24-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 24-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 15 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 25-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 17 25-FEB-19 BRIMONIDINE TARTRATE,0.15% 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 703 of 6486
SHIV SHANKAR RAO Rate Amount Qty 33.58 33.58 1 400 400 1 7.5 .25 30 4.8 .16 30 27.9 .93 30 400 400 1 3.56 .89 4 14.08 3.52 4 7.98 .38 21 18.03 18.03 1 19.77 19.77 1 25.07 25.07 1 1.64 .41 4 400 400 1 18.03 18.03 1 48.22 48.22 1 33.58 33.58 1 74.45 74.45 1 400 400 1 Total: 1938.19
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406353 Min 01406353 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 TRIGLYCERIDES (TGL) 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 06-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 14-FEB-19 PRAZOSIN,2.5MG,TABLET 10 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 704 of 6486
GAIJA LAXMI Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 50.14 25.07 2 18.21 18.21 1 400 400 1 17.4 1.16 15 18.6 .62 30 78 1.3 60 211.8 3.53 60 55.8 .93 60 7.5 .25 30 400 400 1 Total: 3382.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406362 Min 01406362 Appmt Dt Slno Description 26-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 705 of 6486
Name
Y S N MURTHY Qty Rate Amount 30 2.03 60.9 30 1.1 33 30 .27 8.1 1 400 400 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406365 Min 01406365 Appmt Dt Slno Description 04-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 04-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 706 of 6486
Name
GUNVANTA DEVI Qty Rate Amount 10 .16 1.6 30 .89 26.7 60 1.21 72.6 1 400 400 Total: 500.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406366 Min 01406366 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 09-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 09-FEB-19
Page 707 of 6486
Name
S K PARGANIHA Rate Amount Qty 7.5 .25 30 60.9 2.03 30 32.4 1.08 30 17.4 .58 30 10.8 .36 30 9 .3 30 26.7 .89 30 34.8 1.16 30 400 400 1 15.3 .51 30 Total: 614.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406367 Min 01406367 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 09-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19
Page 708 of 6486
Name
CHANDRAKANTA PARGANIHA Rate Amount Qty 36 .6 60 7.5 .25 30 20.84 5.21 4 17.4 .58 30 23.7 .79 30 76.5 2.55 30 34.8 1.16 30 15.3 .51 30 4.8 .16 30 74.4 .62 120 400 400 1 Total: 711.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406382 Min 01406382 Appmt Dt Slno Description 22-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 709 of 6486
Name
R SARASWATHI Qty Rate Amount 30 .36 10.8 30 .71 21.3 30 .93 27.9 1 400 400 Total: 460
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406385 Min 01406385 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 15-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 710 of 6486
Name
M S N MURTHY Rate Amount Qty 4.5 .3 15 34.16 4.27 8 12 .4 30 20.84 5.21 4 26.7 .89 30 21.3 .71 30 7.5 .25 30 85.4 4.27 20 400 400 1 Total: 612.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406388 Min 01406388 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 28-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 711 of 6486
PUNJABI DEVI Rate Amount Qty 13.35 .89 15 4.1 .41 10 8.9 .89 10 50.14 25.07 2 92.1 6.14 15 87.92 43.96 2 400 400 1 Total: 656.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406389 Min 01406389 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 712 of 6486
Name
B S DIGWA Rate Amount Qty 22.8 .38 60 15 .25 60 400 400 1 Total: 437.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406402 Min 01406402 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 URIC ACID (UA /URATES /UR) 12 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 21-FEB-19 COMPLETE HAEMOGRAM 16 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 21-FEB-19 CREATININE /CRT 18 21-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 19 21-FEB-19
Page 713 of 6486
Name
DR R P BINDU Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 60.9 2.03 30 371.4 6.19 60 167.4 5.58 30 13.95 .93 15 7.65 .51 15 8.1 .27 30 18 .6 30 18.9 .63 30 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 750 750 1 400 400 1 275 275 1 1500 1500 1 Total: 6183.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406403 Min 01406403 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 714 of 6486
Name
RADHARANI Rate Amount Qty 33.12 1.84 18 5.76 .64 9 6.72 1.12 6 27.9 .93 30 21.3 .71 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 537.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406412 Min 01406412 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 06-FEB-19 OBSERVATION IN CASUALTY 3 06-FEB-19 ECG 4 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 19-FEB-19
Page 715 of 6486
Name
ASHOK KUMAR DEY Rate Amount Qty .16 .16 1 .26 .26 1 420 420 1 450 450 1 20.06 20.06 1 8.9 .89 10 .8 .16 5 400 400 1 39 1.3 30 27.9 .93 30 36 .6 60 192.3 6.41 30 7.5 .25 30 9 .3 30 400 400 1 78 1.3 60 400 400 1 Total: 2489.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406413 Min 01406413 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 11-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 12 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19
Page 716 of 6486
Name
DIPIKA DEY Rate Amount Qty 7.68 .64 12 4.8 .6 8 44.16 1.84 24 400 400 1 .48 .16 3 6 .6 10 7.3 .73 10 9.6 .64 15 55.2 1.84 30 400 400 1 21.3 .71 30 6.9 .23 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 1398.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406416 Min 01406416 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 717 of 6486
Name
PREM RAJ BUDHRAJA Rate Amount Qty 27.9 .93 30 4.8 .16 30 34.8 1.16 30 12 .4 30 14.85 .99 15 400 400 1 Total: 494.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406417 Min 01406417 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 27-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 27-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 27-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 27-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 718 of 6486
Name
ACHLA BUDHRAJA Rate Amount Qty 12 .4 30 18 .6 30 4.8 .16 30 23.25 .93 25 34.8 1.16 30 7.8 .26 30 4.65 .93 5 21.3 .71 30 21.3 .71 30 400 400 1 Total: 547.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406419 Min 01406419 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 3 08-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 08-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 5 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 719 of 6486
Name
ASHA PATERIA Rate Amount Qty 8.1 .27 30 400 400 1 33.73 33.73 1 11.25 .75 15 17.37 17.37 1 7.6 .38 20 400 400 1 Total: 878.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406424 Min 01406424 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 720 of 6486
Name
DEEP CHAND JAIN Rate Amount Qty 33 1.1 30 60.9 2.03 30 26.7 .89 30 21.3 .71 30 40.12 20.06 2 27.9 .93 30 36 .6 60 9 .3 30 25.2 .42 60 400 400 1 Total: 680.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406425 Min 01406425 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 721 of 6486
Name
PREM LATA JAIN Rate Amount Qty 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 428.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406428 Min 01406428 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 722 of 6486
Name
RAMESH KUMAR JAIN Rate Amount Qty 18 .6 30 12 .4 30 55.8 .93 60 33 1.1 30 34.8 1.16 30 78 1.3 60 400 400 1 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406429 Min 01406429 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 CILOSTAZOL,CAPSULE/100MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 723 of 6486
Name
KRANTI DEVI JAIN Rate Amount Qty 27.9 .93 30 12 .4 30 34.8 1.16 30 432.6 7.21 60 400 400 1 Total: 907.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406430 Min 01406430 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 28-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 4 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 724 of 6486
Name
JAGDISH NARAIN PANDEY Rate Amount Qty 11.4 .38 30 46.8 .78 60 34.8 1.16 30 315.6 2.63 120 66 1.1 60 7.8 .26 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 916.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406431 Min 01406431 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 28-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 5 28-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 725 of 6486
Name
KALAWATI PANDEY Rate Amount Qty 27.9 .93 30 66 1.1 60 7.8 .26 30 118.5 3.95 30 157.8 2.63 60 26.6 2.66 10 41.85 .93 45 14.85 .99 15 12 .4 30 20.84 5.21 4 400 400 1 Total: 894.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406440 Min 01406440 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 726 of 6486
Name
BALKRISHANA BHANDARE Rate Amount Qty 9.9 .99 10 72.6 1.21 60 16.2 .27 60 27.9 .93 30 400 400 1 Total: 526.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406441 Min 01406441 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 727 of 6486
Name
CHHAYA BHANDARE Rate Amount Qty 27.9 .93 30 6.4 .64 10 8.1 .27 30 33 1.1 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 554.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406443 Min 01406443 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 DRESSING SIMPLE 2 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 728 of 6486
Name
N RAJESWARI Rate Amount Qty 400 400 1 600 300 2 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 1436.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406453 Min 01406453 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 15-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 14 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 729 of 6486
Name
MAHABIR PRASAD SINHA Rate Amount Qty 36 .6 60 12 .4 30 17.4 1.16 15 21.3 .71 30 27.9 .93 30 400 400 1 7.1 .71 10 4 .4 10 7.1 .71 10 17.8 .89 20 28.8 1.44 20 400 400 1 36 .6 60 21.3 .71 30 12 .4 30 27.9 .93 30 400 400 1 Total: 1476.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406473 Min 01406473 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 09-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 2 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 09-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19
Page 730 of 6486
N NAGESWARA RAO Rate Amount Qty 82.76 165.52 2 33.46 33.46 1 27.9 .93 30 12.8 .64 20 27.4 1.37 20 17.6 17.6 1 7.5 .25 30 400 400 1 50.14 25.07 2 400 400 1 12 .4 30 50.14 25.07 2 12.6 .42 30 17.8 .89 20 66 1.1 60 21.3 .71 30 400 400 1 Total: 1722.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406479 Min 01406479 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 731 of 6486
Name
C K SONDHI Rate Amount Qty 60.9 2.03 30 21.3 .71 30 76.5 2.55 30 192.3 6.41 30 27.9 .93 30 400 400 1 7.5 .25 30 45.44 45.44 1 400 400 1 26.96 3.37 8 400 400 1 5 .25 20 26 2.6 10 400 400 1 Total: 2089.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406480 Min 01406480 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 5 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 7 11-FEB-19 GUM ASTRINGENT PAINT 8 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 12-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 18 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 732 of 6486
Name
KUSUM SONDHI Rate Amount Qty 8.1 .27 30 17.4 .58 30 21.3 .71 30 400 400 1 2110 2110 1 400 400 1 50.55 3.37 15 31.54 31.54 1 6.4 .64 10 34 1.7 20 1.85 .37 5 26 2.6 10 4.45 .89 5 400 400 1 26.7 .89 30 43.96 131.88 3 400 400 1 4.66 2.33 2 13.35 .89 15 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 4525.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406485 Min 01406485 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 733 of 6486
Name
R K NANDURKAR Rate Amount Qty 36 .6 60 167.4 5.58 30 .93 146.94 158 12 .4 30 21.3 .71 30 8.9 .89 10 400 400 1 Total: 792.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406486 Min 01406486 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 734 of 6486
Name
SUNITA NANDURKAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406487 Min 01406487 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 735 of 6486
Name
O P BADOLA Rate Amount Qty 22.2 .37 60 26.7 .89 30 192.3 6.41 30 76.5 2.55 30 34.8 1.16 30 19.8 .66 30 60.9 2.03 30 36 .6 60 400 400 1 Total: 869.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406488 Min 01406488 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 736 of 6486
Name
GODAMBARI DEVI Rate Amount Qty 18 .6 30 167.4 5.58 30 32.4 1.08 30 21.3 .71 30 66 1.1 60 11.1 .37 30 1.85 .37 5 9.3 .62 15 2.4 .16 15 400 400 1 Total: 729.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406493 Min 01406493 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 20-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 28-FEB-19 CREATININE /CRT 14 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 28-FEB-19 UREA (BUN /UR) 20 28-FEB-19
Page 737 of 6486
Name
NIRANJAN PAL Rate Amount Qty 76.5 2.55 30 32.4 1.08 30 4.8 .16 30 23.1 .77 30 18.9 .63 30 21.3 .71 30 400 400 1 18.9 .63 30 13.7 1.37 10 185.7 6.19 30 400 400 1 32.4 1.08 30 76.5 2.55 30 275 275 1 4.8 .16 30 400 400 1 21.3 .71 30 18.9 .63 30 21.3 .71 30 275 275 1 Total: 2320.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406515 Min 01406515 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 738 of 6486
Name
SHOBHA DEVI SINVHAL Rate Amount Qty 26.7 .89 30 185.7 6.19 30 400 400 1 Total: 612.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406516 Min 01406516 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 16-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 16-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 4 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 16-FEB-19
Page 739 of 6486
Name
S C JAIN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 1750 1750 1 1610 1610 1 400 400 1 Total: 4013.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406518 Min 01406518 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 740 of 6486
Name
RAJENDRA KUMAR SHUKLA Rate Amount Qty 26.7 .89 30 40.12 20.06 2 400 400 1 Total: 466.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406519 Min 01406519 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 16-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 741 of 6486
SNEHLATA SHUKLA Rate Amount Qty 27.9 .93 30 26.7 .89 30 7.5 .25 30 50.14 25.07 2 52 2.6 20 9 .3 30 9 .3 30 26.7 .89 30 27.9 .93 30 40.12 20.06 2 400 400 1 Total: 676.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406525 Min 01406525 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 742 of 6486
Name
SEEMA BHOWMICK Rate Amount Qty 55.8 .93 60 8.1 .27 30 72.6 1.21 60 8.9 .89 10 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 582.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406544 Min 01406544 Appmt Dt Slno Description 12-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 743 of 6486
Name
SUBHASH CHANDRA DATTA Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406545 Min 01406545 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 744 of 6486
Name
MAYA RANI DATTA Rate Amount Qty 39 1.3 30 21.3 .71 30 18.9 .63 30 16.2 .36 45 18 .6 30 400 400 1 Total: 513.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406548 Min 01406548 Appmt Dt Slno Description 07-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 07-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 745 of 6486
Name
G SUBBA RAO Qty Rate Amount 30 .58 17.4 30 .25 7.5 15 .93 13.95 1 400 400 Total: 438.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406549 Min 01406549 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 746 of 6486
Name
G VAJRESWARI Rate Amount Qty 69.6 1.16 60 19.8 .66 30 27.9 .93 30 36.3 1.21 30 400 400 1 Total: 553.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406553 Min 01406553 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 26-FEB-19 PRAZOSIN,2.5MG,TABLET 15 26-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 16 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 747 of 6486
Name
P R CHANDRAKAR Rate Amount Qty 78 1.3 60 22.2 .37 60 27.9 .93 30 14.85 .99 15 167.4 5.58 30 17.4 1.16 15 26.7 .89 30 48 .4 120 400 400 1 21.3 .71 30 26.7 .89 30 14.85 .99 15 27.9 .93 30 22.2 .37 60 78 1.3 60 48 .4 120 167.4 5.58 30 400 400 1 Total: 1608.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406554 Min 01406554 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 748 of 6486
Name
RUPA CHANDRAKAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 33 1.1 30 54 .6 90 55.2 .92 60 7.5 .25 30 17.8 .89 20 21.3 .71 30 17.4 1.16 15 14.85 .99 15 400 400 1 55.2 .92 60 55.8 .93 60 14.85 .99 15 8.1 .27 30 13.35 .89 15 54 .6 90 33 1.1 30 21.3 .71 30 3.75 .25 15 18.6 .62 30 400 400 1 Total: 1362.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406562 Min 01406562 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 749 of 6486
MANJULA SINHA Rate Amount Qty 13.7 1.37 10 8.9 .89 10 66.2 6.62 10 15.73 15.73 1 12.15 12.15 1 400 400 1 Total: 516.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406573 Min 01406573 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 08-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 08-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 5 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 750 of 6486
Name
SARJEET SINGH Rate Amount Qty 72.6 1.21 60 55.8 .93 60 16.2 .27 60 44.1 1.47 30 23.7 .79 30 35.55 .79 45 400 400 1 Total: 647.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406574 Min 01406574 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 751 of 6486
Name
KAMAL SANTOSH Rate Amount Qty 3.75 .25 15 8.7 .58 15 21.3 .71 30 76.5 2.55 30 211.8 3.53 60 55.8 .93 60 400 400 1 Total: 777.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406579 Min 01406579 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 752 of 6486
Name
SATISH CHANDRA JAIN Rate Amount Qty 47.4 .79 60 6.9 .23 30 400 400 1 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406580 Min 01406580 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 753 of 6486
Name
SULOCHANA JAIN Rate Amount Qty 23.7 .79 30 33 1.1 30 32.4 1.08 30 12 .4 30 69.6 1.16 60 400 400 1 Total: 570.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406586 Min 01406586 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 16-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 16-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 754 of 6486
Name
SHASHI GOEL Rate Amount Qty 16.2 .27 60 55.8 .93 60 400 400 1 100.71 100.71 1 17.4 .58 30 7.5 .25 30 79.2 .66 120 104.4 1.74 60 54 .9 60 26.7 .89 30 69.05 69.05 1 400 400 1 Total: 1330.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406587 Min 01406587 Slno Description Appmt Dt OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 755 of 6486
H K OBEROI Rate Amount Qty 26.86 13.43 2 31.46 15.73 2 18 .6 30 27.9 .93 30 6.9 .23 30 35.2 17.6 2 400 400 1 Total: 546.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406588 Min 01406588 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 756 of 6486
Name
HARMINDER OBEROI Rate Amount Qty 27.9 .93 30 8.1 .27 30 6.82 6.82 1 9.6 .64 15 20.84 5.21 4 400 400 1 Total: 473.26
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406591 Min 01406591 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 5 16-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 6 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 16-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 PRAZOSIN,2.5MG,TABLET 11 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 18-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 16 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 18-FEB-19 GUM ANALGESIC GEL 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 24 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 28 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 29 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 30 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 32 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 34 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 35 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 22-FEB-19
Page 757 of 6486
GULAB RAM SAHU Rate Amount Qty 806.4 13.44 60 60.9 2.03 30 192.3 6.41 30 400 400 1 26.98 13.49 2 24.45 24.45 1 50.14 25.07 2 6.82 6.82 1 94.42 94.42 1 400 400 1 78 1.3 60 34.8 1.16 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 11.1 .37 30 78 1.3 60 36 .6 60 3.84 .64 6 33.12 1.84 18 28.69 28.69 1 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 5 .25 20 12.8 .64 20 16.8 .42 40 33.12 1.84 18 33.12 1.84 18 3.84 .64 6 3.84 .64 6 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 4266.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406595 Min 01406595 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 758 of 6486
Name
BALBIR PRASAD AGRAWAL Rate Amount Qty 54 .9 60 11.1 .37 30 400 400 1 60.9 2.03 30 8.1 .27 30 192.3 6.41 30 400 400 1 Total: 1126.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406600 Min 01406600 Slno Description Appmt Dt SERTRALINE,100MG,STRIP PACK.,TABLET 1 15-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 15-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 15-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 6 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 759 of 6486
Name
USHA PRASAD Rate Amount Qty 106.8 3.56 30 384.3 4.27 90 30.6 .51 60 32.4 1.08 30 11.4 .38 30 288 9.6 30 19.8 .66 30 21.3 .71 30 400 400 1 Total: 1294.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406601 Min 01406601 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 760 of 6486
Name
M G R PRASAD Rate Amount Qty 12 .4 30 34.8 1.16 30 185.7 6.19 30 7.5 .25 30 34.5 1.15 30 400 400 1 Total: 674.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406607 Min 01406607 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 X - RAY - TWO VIEWS 7 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 19-FEB-19
Page 761 of 6486
Name
MANAKI YADAV Rate Amount Qty 27 .6 45 7.5 .25 30 66 1.1 60 55.8 .93 60 400 400 1 19.2 .64 30 1720 860 2 185.7 6.19 30 9.45 .63 15 400 400 1 13.35 .89 15 Total: 2904
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406614 Min 01406614 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 GUM ANALGESIC GEL 3 13-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 19-FEB-19 GUM ANALGESIC GEL 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 762 of 6486
Name
ANTARYAMI SENAPATI Rate Amount Qty 6.4 .64 10 4.45 .89 5 28.69 28.69 1 25.62 12.81 2 11.1 .37 30 55.2 1.84 30 4.1 .41 10 400 400 1 55.2 1.84 30 4.1 .41 10 6.4 .64 10 5.34 .89 6 28.69 28.69 1 400 400 1 Total: 1035.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406615 Min 01406615 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 06-FEB-19 UREA (BUN /UR) 2 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 06-FEB-19 CREATININE /CRT 4 06-FEB-19 URIC ACID (UA /URATES /UR) 5 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19
Page 763 of 6486
Name
ANJALI SENAPATI Rate Amount Qty 275 275 1 275 275 1 46.2 .77 60 275 275 1 275 275 1 1300 1300 1 400 400 1 27.9 .93 30 Total: 2874.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406633 Min 01406633 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 9 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 764 of 6486
A B DAS Rate Amount Qty 27.9 .93 30 60.9 2.03 30 7.5 .25 30 2.4 .16 15 12 .4 30 7.8 .26 30 21.3 .71 30 400 400 1 12.3 .41 30 9.9 .66 15 400 400 1 25.07 25.07 1 400 400 1 Total: 1387.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406634 Min 01406634 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 18-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 765 of 6486
Name
ANUVA DAS Rate Amount Qty 2.4 .16 15 12.3 .41 30 12.8 .64 20 20.84 5.21 4 21.3 .71 30 6.9 .23 30 27.9 .93 30 18.6 .62 30 400 400 1 Total: 523.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406636 Min 01406636 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 766 of 6486
Name
SANJIVANI R JOSHI Rate Amount Qty 9.6 .64 15 6.9 .23 30 2.22 .37 6 21.3 .71 30 12 .4 30 6.6 .66 10 6.4 .64 10 27.9 .93 30 36.3 1.21 30 400 400 1 Total: 529.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406639 Min 01406639 Appmt Dt Slno Description 14-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 767 of 6486
Name
MOOLENDRA PRASAD Qty Rate Amount 30 .63 18.9 1 400 400 418.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406653 Min 01406653 Slno Description Appmt Dt DIGOXIN,STRIP PKT,0.25MG,TABLET 1 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 768 of 6486
Name
SHAKUNTALA JYOTISHI Rate Amount Qty 23.6 1.18 20 12 .4 30 33 1.1 30 18.9 .63 30 72 .6 120 29.7 .99 30 26.7 .89 30 39 1.3 30 9 .3 30 400 400 1 Total: 663.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406658 Min 01406658 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 PRAZOSIN,2.5MG,TABLET 9 11-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19
Page 769 of 6486
HARDAS MUKHOPADHYAY Rate Amount Qty 87.92 43.96 2 31.46 15.73 2 6 .6 10 9.6 .64 15 55.2 1.84 30 11.2 1.12 10 400 400 1 55.8 .93 60 156 1.3 120 123.53 123.53 1 34.8 1.16 30 60.9 2.03 30 26.7 .89 30 36 .6 60 400 400 1 Total: 1495.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406662 Min 01406662 Appmt Dt Slno Description 13-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 13-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 13-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 770 of 6486
Name
G DEORAJ Qty Rate Amount 60 .37 22.2 60 .79 47.4 30 .4 12 1 400 400 Total: 481.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406666 Min 01406666 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 771 of 6486
Name
BHISHAM LAL BANCHOR Rate Amount Qty 8.1 .27 30 27.9 .93 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406667 Min 01406667 Appmt Dt Slno Description 13-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 772 of 6486
Name
KHEMIN BANCHHOR Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406673 Min 01406673 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 07-FEB-19 URIC ACID (UA /URATES /UR) 3 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 COMPLETE HAEMOGRAM 11 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 07-FEB-19
Page 773 of 6486
Name
N K GHOSH Rate Amount Qty 12.81 12.81 1 31.61 31.61 1 275 275 1 1300 1300 1 275 275 1 12 .4 30 34.8 1.16 30 211.8 3.53 60 60.9 2.03 30 400 400 1 750 750 1 275 275 1 275 275 1 550 550 1 Total: 4463.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406674 Min 01406674 Appmt Dt Slno Description 07-FEB-19 1 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 07-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 07-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 07-FEB-19 4 BLOOD FOR T-3,T-4,TSH
Page 774 of 6486
Name
M GHOSH Qty 1 0 1 1
Rate Amount 29 29 .62 0 400 400 2400 2400 Total: 2829
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406697 Min 01406697 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 PRAZOSIN,2.5MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 775 of 6486
Name
D K CHAKRABORTY Rate Amount Qty 32.4 1.08 30 39 1.3 30 7.5 .25 30 13.95 .93 15 34.8 1.16 30 33 1.1 30 26.7 .89 30 400 400 1 66 1.1 60 400 400 1 Total: 1053.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406702 Min 01406702 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 776 of 6486
Name
UMA DASGUPTA Rate Amount Qty 25.2 .63 40 17.8 .89 20 21.9 .73 30 13.7 1.37 10 400 400 1 Total: 478.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406703 Min 01406703 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 777 of 6486
Name
HARVINDER SINGH BINDRA Rate Amount Qty 90 .6 150 60.9 2.03 30 9.3 .62 15 12 .4 30 23.1 .77 30 32.4 1.08 30 43.2 .36 120 167.4 5.58 30 47.4 .79 60 66 1.1 60 8.1 .27 30 17.4 1.16 15 400 400 1 Total: 977.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406704 Min 01406704 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 778 of 6486
Name
PARAMJIT KAUR BINDRA Rate Amount Qty 20.4 .34 60 9 .3 30 10.8 .36 30 72.6 1.21 60 55.8 .93 60 36 .6 60 157.8 2.63 60 12 .4 30 24 .4 60 400 400 1 Total: 798.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406705 Min 01406705 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 779 of 6486
Name
JAGESHWAR MAHTO Rate Amount Qty 38.25 2.55 15 16.2 .27 60 34.8 1.16 30 12 .4 30 400 400 1 Total: 501.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406709 Min 01406709 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 780 of 6486
Name
J N BHARGAVA Rate Amount Qty 16.5 1.1 15 34.8 1.16 30 26.7 .89 30 7.5 .25 30 27.9 .93 30 400 400 1 Total: 513.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406710 Min 01406710 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 781 of 6486
Name
VEENA BHARGAVA Rate Amount Qty 20.06 20.06 1 6.4 .64 10 7.5 .25 30 18 .6 30 400 400 1 Total: 451.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406715 Min 01406715 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 782 of 6486
Name
SHANTI SWAROOP Rate Amount Qty 32.4 1.08 30 23.1 .77 30 7.5 .25 30 34.8 1.16 30 12 .4 30 400 400 1 Total: 509.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406716 Min 01406716 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 783 of 6486
Name
KAMALESH JAIN Rate Amount Qty 14.85 .99 15 27.9 .93 30 400 400 1 Total: 442.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406720 Min 01406720 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 784 of 6486
Name
Y JAGANNADHA RAO Rate Amount Qty 12.81 12.81 1 9.86 9.86 1 7.4 .37 20 13.48 3.37 4 400 400 1 Total: 443.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406721 Min 01406721 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 14-FEB-19 PRAZOSIN,2.5MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 785 of 6486
Name
Y V V LAKSHMI Rate Amount Qty 16.8 1.12 15 54 .6 90 26.7 .89 30 12 .4 30 17.4 1.16 15 76.5 2.55 30 39 1.3 30 400 400 1 Total: 642.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406726 Min 01406726 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 786 of 6486
Name
JITENDRA PRAKASH SALHOTRA Rate Amount Qty 18.6 .62 30 66 1.1 60 34.8 1.16 30 12 .4 30 23.7 .79 30 400 400 1 Total: 555.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406732 Min 01406732 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 15-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 15-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 787 of 6486
SHIVE CHARAN DASS GOEL Rate Amount Qty 25.07 25.07 1 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 12.81 12.81 1 400 400 1 Total: 491.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406733 Min 01406733 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 15-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 788 of 6486
Name
BINA GOEL Rate Amount Qty 2.22 .37 6 18.21 18.21 1 17.37 17.37 1 3.7 .37 10 400 400 1 Total: 441.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406734 Min 01406734 Slno Description Appmt Dt ECG 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 X - RAY - SINGLE VIEW 3 12-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 12-FEB-19 OBSERVATION IN CASUALTY 6 12-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 7 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 10 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 12 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 13 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 16 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 17 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 21 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 789 of 6486
Name
GULAB RAO SONARE Rate Amount Qty 450 450 1 400 400 1 550 550 1 100 100 1 .51 .51 1 420 420 1 9.62 9.62 1 5.55 .37 15 6.4 .64 10 12.15 12.15 1 54 .9 60 59.4 .66 90 156.6 1.74 90 26 2.6 10 8.9 .89 10 18.9 .63 30 20.84 5.21 4 6.4 .64 10 400 400 1 66 1.1 60 15.6 .26 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 3254.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406735 Min 01406735 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 OBSERVATION IN CASUALTY 5 24-FEB-19 ECG 6 24-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 7 24-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 8 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 790 of 6486
Name
TULSI BAI SONARE Rate Amount Qty 8.9 .89 10 2.5 .25 10 26 2.6 10 400 400 1 420 420 1 450 450 1 6.67 6.67 1 5.77 5.77 1 55.8 .93 60 14.85 .99 15 32.4 1.08 30 8.1 .27 30 400 400 1 Total: 1830.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406736 Min 01406736 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 07-FEB-19
Page 791 of 6486
Name
B N SINGH Rate Amount Qty 8.1 .27 30 275 275 1 400 400 1 2.55 2.55 1 275 275 1 Total: 960.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406737 Min 01406737 Appmt Dt Slno Description 07-FEB-19 1 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 07-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 07-FEB-19 3 CARVEDILOL,STRIP PACK,6.25MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 792 of 6486
Name
INDU SINGH Qty Rate Amount 30 1.44 43.2 30 .4 12 60 .71 42.6 1 400 400 Total: 497.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406749 Min 01406749 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 UREA (BUN /UR) 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 URIC ACID (UA /URATES /UR) 6 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 01-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 17 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 04-FEB-19 PRAZOSIN,2.5MG,TABLET 19 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 22 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 04-FEB-19
Page 793 of 6486
Name
LATKHOR SINGH SAHU Rate Amount Qty 400 400 1 185.7 6.19 30 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 26.7 .89 30 19.2 .64 30 13.7 1.37 10 22.8 .38 60 6.82 6.82 1 37.8 .63 60 27.6 .92 30 21.3 .71 30 118.5 3.95 30 18.9 .63 30 78 1.3 60 55.8 .93 60 117 1.3 90 60.9 2.03 30 400 400 1 Total: 4285.72
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406750 Min 01406750 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 15 21-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 16 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 17 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 21-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19
Page 794 of 6486
GANGABAI Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 12 .4 30 8.4 .42 20 46.2 .77 60 21.3 .71 30 32.4 1.08 30 8.1 .27 30 55.8 .93 60 20.55 1.37 15 36 .6 60 400 400 1 189 2.1 90 18.21 18.21 1 25.07 25.07 1 7.5 .25 30 90.88 45.44 2 400 400 1 Total: 2596.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406763 Min 01406763 Appmt Dt Slno Description 25-FEB-19 1 DILTIAZEM 90 MG XL/XR,,TABLET 25-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 795 of 6486
Name
VIJAY BHARGAVA Qty Rate Amount 30 3.95 118.5 30 .25 7.5 30 .93 27.9 1 400 400 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406773 Min 01406773 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 796 of 6486
Name
I S CHAKREL Rate Amount Qty 7.5 .25 30 33 1.1 30 92.85 6.19 15 6.4 .64 10 55.8 .93 60 7.65 .51 15 400 400 1 Total: 603.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406779 Min 01406779 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 797 of 6486
Name
Z JACOB Rate Amount Qty 47.1 3.14 15 32.4 1.08 30 12 .4 30 60.9 2.03 30 8.1 .27 30 18 .6 30 167.4 5.58 30 7.5 .25 30 400 400 1 27.9 .93 30 8.1 .27 30 12 .4 30 60.9 2.03 30 34.8 1.16 30 6.4 .64 10 400 400 1 Total: 1303.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406780 Min 01406780 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 798 of 6486
Name
SUSHMA JACOB Rate Amount Qty 21.3 .71 30 20.84 5.21 4 7.5 .25 30 371.4 6.19 60 27.9 .93 30 18.9 .63 30 32.4 1.08 30 34.8 1.16 30 400 400 1 18.9 .63 30 32.4 1.08 30 34.8 1.16 30 18.6 .62 30 27.9 .93 30 185.7 6.19 30 400 400 1 Total: 1653.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406801 Min 01406801 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 05-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 3 05-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 799 of 6486
Name
VINAY KUMAR AGRARWAL Rate Amount Qty 27.9 .93 30 76.5 2.55 30 161.1 5.37 30 73.5 2.45 30 400 400 1 Total: 739
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406807 Min 01406807 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 7 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 14 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 28-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 16 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 17 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 800 of 6486
Name
S K SHUKLA Rate Amount Qty 54 .9 60 25.2 .42 60 15 .25 60 156.6 1.74 90 26.7 .89 30 400 400 1 184.1 18.41 10 13 2.6 5 4.45 .89 5 400 400 1 33 1.1 30 34.8 1.16 30 32.4 1.08 30 15.6 .26 60 2.4 .16 15 15.3 .51 30 105.9 3.53 30 55.8 .93 60 400 400 1 Total: 1974.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406808 Min 01406808 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 05-FEB-19 BRIMONIDINE TARTRATE,0.15% 4 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 05-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 15-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19
Page 801 of 6486
SATYA BHAMA SHUKLA Rate Amount Qty 21.3 .71 30 53.4 .89 60 287.1 3.19 90 148.9 74.45 2 50.14 25.07 2 313.02 156.51 2 400 400 1 167.4 5.58 30 29.7 .99 30 33 1.1 30 72 .6 120 32.4 1.08 30 12 .4 30 26.7 .89 30 17.4 1.16 15 7.5 .25 30 47.4 1.58 30 400 400 1 Total: 2119.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406815 Min 01406815 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 802 of 6486
Name
V K BICHPURIA Rate Amount Qty 66 1.1 60 12 .4 30 55.8 .93 60 17.4 .58 30 12 .4 30 21.3 .71 30 23.1 .77 30 400 400 1 Total: 607.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406826 Min 01406826 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 803 of 6486
Name
MAYA RAM SAHU Rate Amount Qty 34.8 1.16 30 43.2 1.44 30 8.1 .27 30 32.4 1.08 30 33 1.1 30 23.7 .79 30 30.6 .34 90 400 400 1 Total: 605.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406828 Min 01406828 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 804 of 6486
Name
D L PARDHI Rate Amount Qty 27.9 .93 30 10.65 .71 15 12.6 .42 30 26.7 .89 30 7.5 .25 30 24 .4 60 54 .6 90 55.8 .93 60 95.7 3.19 30 400 400 1 Total: 714.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406829 Min 01406829 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 805 of 6486
Name
SAGAN DEVI PARDHI Rate Amount Qty 26 2.6 10 40.12 20.06 2 41.1 1.37 30 26.7 .89 30 371.4 6.19 60 4.8 .16 30 55.8 .93 60 7.5 .25 30 400 400 1 7.5 .25 30 400 400 1 Total: 1380.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406851 Min 01406851 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 02-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 16 12-FEB-19 CREATININE /CRT 17 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 18 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 22 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 24 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 25 12-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 26 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 27 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 28 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 29 12-FEB-19
Page 806 of 6486
Name
SURENDRA KUMAR SINGH Rate Amount Qty 400 400 1 167.4 5.58 30 275 275 1 275 275 1 1300 1300 1 20.29 20.29 1 7.5 .25 30 9.3 .62 15 55.8 .93 60 34.8 1.16 30 8.1 .27 30 117 1.3 90 32.4 .36 90 54 .6 90 275 275 1 14.26 .62 23 275 275 1 275 275 1 275 275 1 400 400 1 7.5 .25 30 167.4 5.58 30 117 1.3 90 72 .6 120 32.4 .36 90 550 550 1 34.8 1.16 30 55.8 .93 60 8.1 .27 30 Total: 5315.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406852 Min 01406852 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19
Page 807 of 6486
Name
PADMA SINGH Rate Amount Qty 7.5 .25 30 21.3 .71 30 275 275 1 275 275 1 400 400 1 1300 1300 1 275 275 1 Total: 2553.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406853 Min 01406853 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 808 of 6486
Name
R D AGARWAL Rate Amount Qty 12 .4 30 60.9 2.03 30 78 1.3 60 21.3 .71 30 33 1.1 30 55.2 .92 60 400 400 1 Total: 660.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406859 Min 01406859 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 809 of 6486
Name
RAMESH KUMAR PANDEY Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 7.5 .25 30 11.4 .38 30 26.7 .89 30 22.5 .75 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 784
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406860 Min 01406860 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 810 of 6486
Name
ASHA PANDEY Rate Amount Qty 185.7 6.19 30 9.6 .64 15 28.5 .38 75 400 400 1 26.7 .89 30 32.4 1.08 30 55.8 .93 60 167.4 5.58 30 36 .6 60 8.1 .27 30 400 400 1 Total: 1350.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406866 Min 01406866 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 PRAZOSIN,2.5MG,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 811 of 6486
Name
K K KUNJULAKSHMI AMMA Rate Amount Qty 34.8 1.16 30 55.8 .93 60 78 1.3 60 18 .6 30 71 .71 100 7.5 .25 30 32.4 1.08 30 400 400 1 Total: 697.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406867 Min 01406867 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 812 of 6486
Name
RAMACHANDRAN PILLAI Rate Amount Qty 27.9 .93 30 32.4 1.08 30 21.3 .71 30 4.8 .16 30 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406878 Min 01406878 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 813 of 6486
Name
CHAMAN LAL NAYYAR Rate Amount Qty 12 .4 30 24.6 .82 30 35.55 .79 45 17.37 17.37 1 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 531.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406897 Min 01406897 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 814 of 6486
Name
K C SARASWATHY Rate Amount Qty 18 .3 60 55.8 .93 60 21.3 .71 30 18 .6 30 7.5 .25 30 400 400 1 Total: 520.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406910 Min 01406910 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 COMPLETE HAEMOGRAM 5 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 05-FEB-19
Page 815 of 6486
Name
SARABJIT SINGH Rate Amount Qty 12 .4 30 34.8 1.16 30 1300 1300 1 400 400 1 750 750 1 33 1.1 30 Total: 2529.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406911 Min 01406911 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 12-FEB-19 URIC ACID (UA /URATES /UR) 6 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 12-FEB-19 X - RAY - TWO VIEWS 9 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 12-FEB-19
Page 816 of 6486
Name
SANGEETA KAUR Rate Amount Qty 23.7 .79 30 32.4 1.08 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 185.7 6.19 30 26 2.6 10 860 860 1 400 400 1 275 275 1 Total: 2780.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406926 Min 01406926 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 817 of 6486
Name
AJIT KUMAR MANDAL Rate Amount Qty 55.8 .93 60 26 2.6 10 400 400 1 Total: 481.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406927 Min 01406927 Appmt Dt Slno Description 25-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 818 of 6486
Name
PRATIVA MANDAL Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406932 Min 01406932 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 01-FEB-19
Page 819 of 6486
A CHAKRAVORTY Qty 1 1 6 6 1
Rate Amount 550 550 400 400 3.84 .64 39.72 6.62 15.73 15.73 Total: 1009.29
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406934 Min 01406934 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 12-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 820 of 6486
G S CHANDEL Rate Amount Qty 14.85 .99 15 26.7 .89 30 54 .9 60 21.3 .71 30 16.2 .18 90 104.4 1.74 60 59.4 .66 90 11.1 .37 30 31.46 15.73 2 400 400 1 Total: 739.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406935 Min 01406935 Appmt Dt Slno Description 15-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 821 of 6486
Name
SUDHA CHANDEL Qty Rate Amount 15 .89 13.35 30 1.04 31.2 30 .93 27.9 1 400 400 Total: 472.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406936 Min 01406936 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 22 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 25 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 26 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 28 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 29 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 25-FEB-19
Page 822 of 6486
Name
S C DUTTA Rate Amount Qty 55.2 1.84 30 400 400 1 34.8 1.16 30 60.9 2.03 30 32.4 1.08 30 8.1 .27 30 66 1.1 60 55.8 .93 60 7.8 .26 30 400 400 1 9.6 .64 15 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 33.12 1.84 18 5.76 .64 9 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 4154.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406942 Min 01406942 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 823 of 6486
Name
LAKHAN LAL BHARADWAJ Rate Amount Qty 27.4 1.37 20 5.2 .26 20 247.6 6.19 40 17.8 .89 20 400 400 1 14.85 .99 15 55.8 .93 60 7.5 .25 30 400 400 1 Total: 1176.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406943 Min 01406943 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 824 of 6486
Name
REWATI BHARADWAJ Rate Amount Qty 5 .25 20 123.8 6.19 20 12.8 .64 20 13.7 1.37 10 400 400 1 10.8 .36 30 55.8 .93 60 36 .6 60 33 1.1 30 34.8 1.16 30 400 400 1 Total: 1125.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406949 Min 01406949 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 26-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 825 of 6486
Name
A K BASAK Rate Amount Qty 60.9 2.03 30 41.85 .93 45 7.65 .51 15 4.65 .93 5 9.9 .99 10 192.3 6.41 30 21.3 .71 30 12 .4 30 400 400 1 27.9 .93 30 400 400 1 43.96 43.96 1 2.8 .7 4 8.9 .89 10 400 400 1 Total: 1634.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406950 Min 01406950 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 826 of 6486
Name
BHARATI BASAK Rate Amount Qty 21.3 .71 30 32.4 1.08 30 3.75 .25 15 2.4 .16 15 7.65 .51 15 66 1.1 60 8.1 .27 30 400 400 1 43.96 43.96 1 400 400 1 Total: 985.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406957 Min 01406957 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 827 of 6486
Name
SHRIDHAR DIWAN Rate Amount Qty 21.9 .73 30 33 1.1 30 27.9 .93 30 21.3 .71 30 12 .4 30 26.7 .89 30 400 400 1 Total: 542.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406958 Min 01406958 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 828 of 6486
Name
SHACHI DIWAN Rate Amount Qty 14.6 .73 20 6.4 .64 10 21.3 .71 30 5.55 .37 15 12 .4 30 15.4 .77 20 400 400 1 Total: 475.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406996 Min 01406996 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 829 of 6486
Name
K P MISHRA Rate Amount Qty 26.7 .89 30 2.4 .16 15 7.8 .26 30 12 .4 30 21.3 .71 30 6.9 .23 30 33 1.1 30 400 400 1 Total: 510.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407005 Min 01407005 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 830 of 6486
Name
RAMAPRASAD DEY Rate Amount Qty 55.8 .93 60 66 1.1 60 29.7 .99 30 26.7 .89 30 12 .4 30 2.4 .16 15 21.3 .71 30 400 400 1 Total: 613.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407009 Min 01407009 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 831 of 6486
Name
PREMANKUR MITRA Rate Amount Qty 21.3 .71 30 32.4 1.08 30 27.9 .93 30 38.25 2.55 15 400 400 1 Total: 519.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407023 Min 01407023 Appmt Dt Slno Description 05-FEB-19 1 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 05-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 05-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 832 of 6486
Name
S N SRIVASTAVA Qty Rate Amount 120 8.18 981.6 60 .27 16.2 60 1.21 72.6 1 400 400 Total: 1470.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407024 Min 01407024 Slno Description Appmt Dt UREA (BUN /UR) 1 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 05-FEB-19 CREATININE /CRT 3 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 6 05-FEB-19 X - RAY - SINGLE VIEW 7 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 833 of 6486
Name
VIDYA SRIVASTAVA Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 1300 1300 1 400 400 1 275 275 1 550 550 1 6.4 .64 10 400 400 1 185.7 6.19 30 400 400 1 Total: 5367.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407031 Min 01407031 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 834 of 6486
Name
BELAWATI DEVI Rate Amount Qty 4.8 .16 30 32.4 1.08 30 33 1.1 30 31.2 1.04 30 27.9 .93 30 40.12 20.06 2 17.4 1.16 15 400 400 1 Total: 586.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407032 Min 01407032 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 835 of 6486
Name
A K SARKAR Rate Amount Qty 55.8 .93 60 211.8 3.53 60 32.4 1.08 30 66 1.1 60 32.4 1.08 30 34.8 1.16 30 60.9 2.03 30 13.35 .89 15 66 1.1 60 400 400 1 Total: 973.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407033 Min 01407033 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 836 of 6486
Name
SHOVA SARKAR Rate Amount Qty 17.4 .58 30 21.3 .71 30 20.06 20.06 1 13.95 .93 15 400 400 1 Total: 472.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407035 Min 01407035 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 837 of 6486
Name
DR SAMAR K GHOSH Rate Amount Qty 4.8 .16 30 60.9 2.03 30 36 .6 60 21.6 .36 60 167.4 5.58 30 400 400 1 Total: 690.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407050 Min 01407050 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 19-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 838 of 6486
Name
M L SHAW Rate Amount Qty 237 3.95 60 18.9 .42 45 30.6 .51 60 23.7 .79 30 34.8 1.16 30 32.4 1.08 30 211.8 3.53 60 55.8 .93 60 400 400 1 Total: 1045
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407051 Min 01407051 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 839 of 6486
Name
N SHAW Rate Amount Qty 21.3 .71 30 4.8 .16 30 66 1.1 60 27.9 .93 30 20.84 5.21 4 55.8 .93 60 400 400 1 Total: 596.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407069 Min 01407069 Name Appmt Dt Slno Description 22-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 840 of 6486
TILESHWARI SAHU Qty 2 1
Rate Amount 25.07 50.14 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407070 Min 01407070 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 841 of 6486
Name
C S S MUDLIAR Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 7.8 .26 30 12 .4 30 32.4 1.08 30 7.5 .25 30 12.3 .41 30 33 1.1 30 400 400 1 Total: 600.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407071 Min 01407071 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 842 of 6486
Name
CHHAYA MUDLIAR Rate Amount Qty 10.8 .36 30 36 .6 60 41.85 .93 45 3.84 .64 6 400 400 1 Total: 492.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407075 Min 01407075 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 843 of 6486
Name
F C ARORA Rate Amount Qty 27.9 .93 30 7.5 .25 30 54 .6 90 20.84 5.21 4 400 400 1 Total: 510.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407083 Min 01407083 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 PRAZOSIN,2.5MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 844 of 6486
Name
P C MALATHI Rate Amount Qty 21.3 .71 30 12 .4 30 32.4 1.08 30 6.9 .23 30 66 1.1 60 78 1.3 60 55.8 .93 60 400 400 1 Total: 672.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407086 Min 01407086 Slno Description Appmt Dt IVABRADINE,5MG,,TABLET 1 06-FEB-19 TAB,TRIMETHOPRIM80MG+SULPHAMETHOXAZ400MG 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 845 of 6486
R C NAYYAR Rate Amount Qty 99.5 9.95 10 27.6 .69 40 400 400 1 Total: 527.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407087 Min 01407087 Appmt Dt Slno Description 21-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 846 of 6486
Name
GEETA NAYYAR Qty Rate Amount 30 .89 26.7 30 1.08 32.4 30 .23 6.9 1 400 400 Total: 466
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407089 Min 01407089 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 PRAZOSIN,2.5MG,TABLET 3 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 847 of 6486
Name
K R KAMALA DEVI Rate Amount Qty 27.9 .93 30 66 1.1 60 39 1.3 30 20.84 5.21 4 15.6 .26 60 32.4 1.08 30 400 400 1 Total: 601.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407092 Min 01407092 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 UREA (BUN /UR) 4 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 25-FEB-19 CHOLESTEROL (CHOL) 6 25-FEB-19 TRIGLYCERIDES (TGL) 7 25-FEB-19 CREATININE /CRT 8 25-FEB-19 UREA (BUN /UR) 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 25-FEB-19
Page 848 of 6486
Name
L D KAUSHAL Rate Amount Qty 60.9 2.03 30 275 275 1 26.7 .89 30 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 7.5 .25 30 105.9 3.53 30 55.8 .93 60 36.3 1.21 30 400 400 1 275 275 1 32.4 1.08 30 Total: 3221.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407093 Min 01407093 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CREATININE /CRT 8 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 25-FEB-19
Page 849 of 6486
Name
NIRMALA KAUSHAL Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 105.9 3.53 30 33 1.1 30 55.8 .93 60 26.7 .89 30 275 275 1 12 .4 30 7.5 .25 30 Total: 2490.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407106 Min 01407106 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 850 of 6486
Name
CHAMPALAL BERDIA Rate Amount Qty 66 1.1 60 10.8 .36 30 54 .6 90 34.8 1.16 30 12 .4 30 32.4 1.08 30 27.9 .93 30 16.2 .27 60 400 400 1 Total: 654.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407107 Min 01407107 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 851 of 6486
Name
SHANTA BERDIA Rate Amount Qty 11.1 .37 30 27.9 .93 30 7.5 .25 30 8.1 .27 30 400 400 1 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407109 Min 01407109 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 852 of 6486
Name
LEELAMMA KUNJU KUNJU Rate Amount Qty 27.9 .93 30 16.2 .27 60 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407112 Min 01407112 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 853 of 6486
Name
SOSAMMA OOMMEN Rate Amount Qty 9 .3 30 47.4 .79 60 7.5 .25 30 36 .6 60 21.3 .71 30 400 400 1 Total: 521.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407120 Min 01407120 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 854 of 6486
Name
SARAMMA GEORGE Rate Amount Qty 18.9 .63 30 55.8 .93 60 21.3 .71 30 66 1.1 60 12 .4 30 15.6 .26 60 400 400 1 Total: 589.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407123 Min 01407123 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 28-FEB-19 SOLIFENACIN,5MG,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 855 of 6486
Name
SURJEET SINGH HORA Rate Amount Qty 60.9 2.03 30 21.3 .71 30 72.6 1.21 60 32.4 1.08 30 12 .4 30 8.1 .27 30 400 400 1 43.96 131.88 3 60.9 2.03 30 806.4 13.44 60 400 400 1 Total: 2006.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407124 Min 01407124 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 856 of 6486
Name
KULWANT KAUR HORA Rate Amount Qty 12 .4 30 167.4 5.58 30 12.8 .64 20 21.3 .71 30 15.6 .26 60 400 400 1 Total: 629.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407130 Min 01407130 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 10 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 857 of 6486
Name
H S RAWAT Rate Amount Qty 54 .9 60 16.2 .18 90 26.7 .89 30 400 400 1 10.08 1.12 9 5.76 .64 9 33.12 1.84 18 400 400 1 33.12 1.84 18 3.6 .6 6 5.76 .64 9 400 400 1 Total: 1388.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407131 Min 01407131 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 858 of 6486
Name
KAUSHALYA RAWAT Rate Amount Qty 371.4 6.19 60 400 400 1 34.8 1.16 30 12 .4 30 8.1 .27 30 66 1.1 60 43.96 43.96 1 117 1.3 90 54 .6 90 12 .4 30 11.55 .77 15 167.4 5.58 30 400 400 1 Total: 1698.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407147 Min 01407147 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 859 of 6486
Name
ASHOK NEMA Rate Amount Qty 3.75 .25 15 33 1.1 30 22.2 .37 60 55.8 .93 60 400 400 1 Total: 514.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407149 Min 01407149 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 6 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 860 of 6486
Name
RAJANY RAMADAS Rate Amount Qty 43.33 6.19 7 6.23 .89 7 4.48 .64 7 2.05 .41 5 400 400 1 69.05 69.05 1 100.71 100.71 1 108 .9 120 313.2 1.74 180 400 400 1 185.7 6.19 30 26.7 .89 30 19.2 .64 30 4.1 .41 10 400 400 1 Total: 2082.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407173 Min 01407173 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 861 of 6486
Name
H G DANI Rate Amount Qty 7.5 .25 30 21.3 .71 30 118.5 3.95 30 12 .4 30 18 .6 30 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1230.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407176 Min 01407176 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 862 of 6486
Name
GOURI GOSWAMI Rate Amount Qty 38.76 3.23 12 21.3 .71 30 11.4 .38 30 21 .7 30 26.7 .89 30 19.2 .64 30 400 400 1 Total: 538.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407192 Min 01407192 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 23-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 23-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 PRAZOSIN,2.5MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 863 of 6486
Name
S MUKHOPADHYAY Rate Amount Qty 34.8 1.16 30 15.6 .26 60 36.3 1.21 30 118.5 3.95 30 27.9 .93 30 15.84 .99 16 18.6 .62 30 55.8 .93 60 156 1.3 120 400 400 1 Total: 879.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407193 Min 01407193 Appmt Dt Slno Description 22-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 864 of 6486
Name
SWAPNA MUKHERJEE Qty Rate Amount 30 .25 7.5 30 .27 8.1 30 1.08 32.4 1 400 400 Total: 448
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407194 Min 01407194 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 865 of 6486
Name
H U SIDDIQUE Rate Amount Qty 60.9 2.03 30 11.4 .38 30 7.5 .25 30 23.7 .79 30 24 .4 60 21.3 .71 30 15.6 1.04 15 66 1.1 60 18.9 .63 30 400 400 1 Total: 649.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407199 Min 01407199 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 866 of 6486
Name
SESHA KUMARI Rate Amount Qty 39 1.3 30 10.8 .36 30 36 .6 60 30.6 .34 90 16.2 .27 60 55.8 .93 60 12 .4 30 34.8 1.16 30 400 400 1 Total: 635.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407202 Min 01407202 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 867 of 6486
Name
P M BAWANEY Rate Amount Qty 66 1.1 60 34.8 1.16 30 7.65 .51 15 60.9 2.03 30 8.9 .89 10 12 .4 30 400 400 1 Total: 590.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407203 Min 01407203 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 5 08-FEB-19 TICAGRELOR 90MG ,TABLET 6 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 868 of 6486
Name
PRAMILA BAWANEY Rate Amount Qty 57.84 115.68 2 11.1 .37 30 19.72 9.86 2 400 400 1 280 280 1 30.77 1846.2 60 4.2 .42 10 400 400 1 4.2 .42 10 6.4 .64 10 185.7 6.19 30 400 400 1 Total: 3673.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407205 Min 01407205 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 02-FEB-19 BLOOD FOR T-3,T-4,TSH 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 23-FEB-19 PRAZOSIN,2.5MG,TABLET 14 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 869 of 6486
Name
VINAY DHUNDHEL Rate Amount Qty 18.6 .62 30 2400 2400 1 400 400 1 43.2 1.44 30 4.8 .16 30 21.3 .71 30 31.2 1.04 30 12 .4 30 170.4 .71 240 47.4 .79 60 69.6 1.16 60 400 400 1 55.8 .93 60 117 1.3 90 9.3 .62 15 400 400 1 Total: 4200.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407208 Min 01407208 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 870 of 6486
S B RAI Qty 1 1 2 1 1
Rate Amount 275 275 275 275 50.14 25.07 6.82 6.82 400 400 Total: 1006.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407209 Min 01407209 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 15-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 26-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 19 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 871 of 6486
BASMATI RAI Rate Amount Qty 25.07 25.07 1 18.21 18.21 1 400 400 1 167.4 5.58 30 17.4 1.16 15 16.2 .36 45 15.6 .26 60 42.6 .71 60 32.4 1.08 30 14.85 .99 15 400 400 1 3.84 .64 6 169 1.3 130 23.25 .93 25 400 400 1 13.35 .89 15 39 2.6 15 7.5 .25 30 21.3 .71 30 185.7 6.19 30 400 400 1 Total: 2412.67
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407214 Min 01407214 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 04-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 9 04-FEB-19 PRAZOSIN,2.5MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 20-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 15 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 16 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 17 28-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 18 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 28-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 872 of 6486
DR H L ARORA Rate Amount Qty 32.4 1.08 30 39.6 .66 60 26.7 .89 30 21.3 .71 30 4.27 192.15 45 21.3 .71 30 150.9 5.03 30 12 .4 30 118.5 3.95 30 39 1.3 30 400 400 1 25.07 25.07 1 6.82 6.82 1 400 400 1 19.72 9.86 2 18.9 .63 30 185.7 6.19 30 150.9 5.03 30 7.4 .37 20 26.96 3.37 8 400 400 1 Total: 2295.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407215 Min 01407215 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 UREA (BUN /UR) 4 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 5 01-FEB-19 24 HR URINARY ALBUMIN (24 HR UR ALB) 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 01-FEB-19 URIC ACID (UA /URATES /UR) 8 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 01-FEB-19 CREATININE /CRT 10 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 13 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 04-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 873 of 6486
Name
DR MAYA ARORA Rate Amount Qty 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 500 500 1 400 400 1 275 275 1 1300 1300 1 275 275 1 60.9 2.03 30 72.6 1.21 60 118.5 3.95 30 2.4 .16 15 26.7 .89 30 30.6 .34 90 31.2 1.04 30 11.4 .38 30 21.3 .71 30 32.4 1.08 30 400 400 1 150.9 5.03 30 400 400 1 Total: 5758.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407218 Min 01407218 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 IVABRADINE,5MG,,TABLET 10 25-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 26-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 14 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 17 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 18 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 19 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 26-FEB-19
Page 874 of 6486
Name
MOTILAL CHAURASIA Rate Amount Qty 36 .6 60 34.8 1.16 30 12 .4 30 86.4 1.44 60 23.7 .79 30 123.53 123.53 1 400 400 1 15.3 .51 30 400 400 1 298.5 9.95 30 26.55 26.55 1 400 400 1 36 .6 60 86.4 1.44 60 12 .4 30 21.3 .71 30 7.65 .51 15 123.53 123.53 1 23.7 .79 30 400 400 1 Total: 2567.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407221 Min 01407221 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 6 11-FEB-19 TRIGLYCERIDES (TGL) 7 11-FEB-19 CHOLESTEROL (CHOL) 8 11-FEB-19 CREATININE /CRT 9 11-FEB-19 UREA (BUN /UR) 10 11-FEB-19 CREATININE /CRT 11 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 17 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 18 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 11-FEB-19
Page 875 of 6486
Name
UMA PANDEY Rate Amount Qty 275 275 1 400 400 1 185.7 6.19 30 13.7 1.37 10 55.8 .93 60 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 32.4 1.08 30 550 550 1 16.2 .27 60 76.5 2.55 30 18.6 .62 30 21.3 .71 30 26.7 .89 30 400 400 1 400 400 1 Total: 4671.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407222 Min 01407222 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 4 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 876 of 6486
Name
SURESH CHAND SEN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 3.9 .26 15 26.6 2.66 10 6.4 .64 10 54 .9 60 400 400 1 Total: 1144.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407223 Min 01407223 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 15-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 877 of 6486
Name
IMARTI BAI SEN Rate Amount Qty 21.3 .71 30 6.4 .64 10 87.92 43.96 2 82.76 248.28 3 27.9 .93 30 8.1 .27 30 400 400 1 Total: 799.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407224 Min 01407224 Appmt Dt Slno Description 12-FEB-19 1 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 878 of 6486
Name
K K BHALLA Qty Rate Amount 10 3.52 35.2 5 .89 4.45 5 .37 1.85 1 400 400 Total: 441.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407225 Min 01407225 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 879 of 6486
Name
KANTA BHALLA Rate Amount Qty 34.8 1.16 30 7.5 .25 30 12 .4 30 76.5 2.55 30 29.7 .99 30 16.2 .27 60 167.4 5.58 30 21.6 .36 60 26.7 .89 30 400 400 1 Total: 792.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407240 Min 01407240 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 880 of 6486
Name
ANIMA ROY Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407253 Min 01407253 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 881 of 6486
Name
AKBAR HUSSAIN ANSARI Rate Amount Qty 3.63 1.21 3 23.7 .79 30 8.1 .27 30 36 .6 60 78 1.3 60 400 400 1 16.5 1.1 15 400 400 1 78 1.3 60 2.5 .25 10 36 .6 60 8.1 .27 30 23.7 .79 30 33 1.1 30 400 400 1 Total: 1547.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407258 Min 01407258 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 882 of 6486
Name
RADHIKA DEVI RANGARI Rate Amount Qty 21.3 .71 30 36 .6 60 32.4 1.08 30 12 .4 30 29.7 .99 30 66 1.1 60 55.8 .93 60 8.1 .27 30 400 400 1 Total: 661.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407272 Min 01407272 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 15-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 883 of 6486
Name
INDIRA DEVI Rate Amount Qty 21.3 .71 30 7.5 .25 30 26.7 .89 30 4.8 .16 30 21.6 .36 60 36 .6 60 27.9 .93 30 21.3 .71 30 88.2 1.47 60 400 400 1 Total: 655.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407279 Min 01407279 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 884 of 6486
Name
V D NILKANTHAN Rate Amount Qty 11.4 .38 30 28.69 28.69 1 400 400 1 Total: 440.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407288 Min 01407288 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 885 of 6486
Name
BUDHI BAI Rate Amount Qty 26.7 .89 30 7.5 .25 30 27.9 .93 30 12.8 .64 20 400 400 1 Total: 474.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407299 Min 01407299 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 14-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 886 of 6486
FULENA SINGH Rate Amount Qty 12 .4 30 9 .3 30 43.96 43.96 1 17.4 1.16 15 18 .6 30 6.4 .64 10 27.9 .93 30 400 400 1 50.14 25.07 2 58 29 2 400 400 1 Total: 1042.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407300 Min 01407300 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 17 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 19 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 20 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 22 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 23 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 24 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 27-FEB-19
Page 887 of 6486
Name
RAJ KISHORI DEVI Rate Amount Qty 36 .6 60 12 .4 30 46.2 .77 60 6.8 .34 20 78 1.3 60 32.4 1.08 30 23.7 .79 30 72.6 1.21 60 15.6 .26 60 34.8 1.16 30 400 400 1 43.96 43.96 1 .48 .16 3 4.45 .89 5 400 400 1 66 1.1 60 27.6 .92 30 27.9 .93 30 36 .6 60 7.8 .26 30 32.4 1.08 30 12 .4 30 5.7 .38 15 34.8 1.16 30 400 400 1 Total: 1857.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407305 Min 01407305 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 01-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 21-FEB-19 SOLIFENACIN,5MG,,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19
Page 888 of 6486
Name
SATYANARAYAN SANGHI Rate Amount Qty 9.6 .64 15 13.35 .89 15 185.7 6.19 30 301.8 5.03 60 400 400 1 3.6 .6 6 5.76 .64 9 33.12 1.84 18 400 400 1 12.81 12.81 1 11.1 .37 30 9.86 9.86 1 8.1 .27 30 33 1.1 30 21.3 .71 30 806.4 13.44 60 400 400 1 Total: 2655.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407306 Min 01407306 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 01-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 4 01-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 01-FEB-19 ECG 11 01-FEB-19 OBSERVATION IN CASUALTY 12 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 01-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 15 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 18 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 21 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 21-FEB-19
Page 889 of 6486
Name
JAMUNA SANGHI Rate Amount Qty 5.34 .89 6 36.84 6.14 6 20.06 20.06 1 9.81 9.81 1 11.89 11.89 1 27.9 .93 30 17.4 1.16 15 17.4 .58 30 7.5 .25 30 24.52 24.52 1 450 450 1 420 420 1 18.6 .62 30 400 400 1 4.8 .6 8 5.84 .73 8 7.68 .64 12 44.16 1.84 24 400 400 1 7.5 .25 30 18.6 .62 30 21.3 .71 30 27.9 .93 30 20.06 20.06 1 400 400 1 Total: 2425.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407307 Min 01407307 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 890 of 6486
Name
HENDRY KUMAR GLAD Rate Amount Qty 16.2 .18 90 54 .9 60 26.7 .89 30 38.76 3.23 12 3.04 .38 8 2.4 .16 15 104.4 1.74 60 12.8 .64 20 400 400 1 Total: 658.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407308 Min 01407308 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 891 of 6486
Name
SHANTA GLAD Rate Amount Qty 66 1.1 60 23.7 .79 30 21.3 .71 30 2.4 .16 15 10.42 5.21 2 7.5 .25 30 400 400 1 Total: 531.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407311 Min 01407311 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 892 of 6486
Name
S N ADHIKARY Rate Amount Qty 25.2 .63 40 17.8 .89 20 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 718
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407312 Min 01407312 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 MEGESTROL ACETATE,40MG,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 23-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 5 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 893 of 6486
Name
RANU ADHIKARY Rate Amount Qty 111.6 .93 120 13.63 3271.2 240 400 400 1 12.6 .63 20 62.8 3.14 20 35.6 .89 40 247.6 6.19 40 400 400 1 Total: 4541.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407314 Min 01407314 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 25-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 ACENOCOUMAROL,2MG,,TABLET 4 25-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 894 of 6486
Name
P USHA SANKAR Rate Amount Qty 7.65 .51 15 25.96 1.18 22 12 .4 30 202.5 6.75 30 43.2 1.44 30 400 400 1 Total: 691.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407325 Min 01407325 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 895 of 6486
Name
K C DUNAIL Rate Amount Qty 32.4 1.08 30 7.4 .37 20 25.62 12.81 2 7.5 .25 30 8.9 .89 10 12 .4 30 26 2.6 10 123.53 247.06 2 2.4 .16 15 21.3 .71 30 400 400 1 13.35 .89 15 39 2.6 15 400 400 1 Total: 1242.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407326 Min 01407326 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19 ECG 7 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 27-FEB-19 CREATININE /CRT 10 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 27-FEB-19
Page 896 of 6486
Name
PARVATI BAI Rate Amount Qty 21.3 .71 30 14.85 .99 15 12 .4 30 55.8 .93 60 33 1.1 30 400 400 1 450 450 1 400 400 1 275 275 1 275 275 1 1300 1300 1 550 550 1 400 400 1 275 275 1 275 275 1 Total: 4736.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407331 Min 01407331 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 897 of 6486
Name
VINAY KUMAR MUKHERJEE Rate Amount Qty 95.7 3.19 30 21.3 .71 30 23.7 .79 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 585.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407342 Min 01407342 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 PRAZOSIN,2.5MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 898 of 6486
Name
SISIR KUMAR GUHA Rate Amount Qty 10.8 .36 30 12 .4 30 32.4 1.08 30 26.7 .89 30 7.5 .25 30 16.2 .27 60 55.8 .93 60 36 .6 60 156 1.3 120 400 400 1 Total: 753.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407343 Min 01407343 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 899 of 6486
Name
AMITA GUHA Rate Amount Qty 8.1 .27 30 9.3 .62 15 34.8 1.16 30 32.4 1.08 30 18.9 .63 30 400 400 1 Total: 503.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407350 Min 01407350 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 900 of 6486
Name
J L RAJA Rate Amount Qty 60.9 2.03 30 26.7 .89 30 21.3 .71 30 13.95 .93 15 400 400 1 Total: 522.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407351 Min 01407351 Appmt Dt Slno Description 13-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 13-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 13-FEB-19 3 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 901 of 6486
Name
NALINI RAJA Qty Rate Amount 30 1.16 34.8 30 .6 18 30 .3 9 1 400 400 Total: 461.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407370 Min 01407370 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 902 of 6486
Name
S P NAIR Rate Amount Qty 39 1.3 30 34.8 1.16 30 32.4 1.08 30 15.3 .51 30 21.3 .71 30 18.6 .62 30 41.85 .93 45 400 400 1 Total: 603.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407371 Min 01407371 Appmt Dt Slno Description 04-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 04-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 903 of 6486
Name
P AMBHALIKA KUMARY Qty Rate Amount 30 .89 26.7 30 .71 21.3 30 .93 27.9 1 400 400 Total: 475.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407372 Min 01407372 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 PRAZOSIN,2.5MG,TABLET 2 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 904 of 6486
Name
C SURYANARAYANA Rate Amount Qty 55.8 .93 60 156 1.3 120 11.1 .37 30 76.5 2.55 30 29.7 .99 30 12 .4 30 34.8 1.16 30 2.4 .16 15 60.9 2.03 30 26.7 .89 30 400 400 1 Total: 865.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407376 Min 01407376 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 18-FEB-19 GUM ANALGESIC GEL 16 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 18-FEB-19
Page 905 of 6486
Name
D P TIWARI Rate Amount Qty 17.6 17.6 1 7.4 .37 20 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 167.4 5.58 30 72 .6 120 7.5 .25 30 9 .3 30 8.96 .64 14 6.23 .89 7 28.69 28.69 1 66.2 6.62 10 400 400 1 Total: 3090.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407384 Min 01407384 Name Appmt Dt Slno Description 02-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 906 of 6486
T K MUKHERJEE Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407387 Min 01407387 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 26-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 26-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 907 of 6486
Name
C T JOY Rate Amount Qty 156.6 1.74 90 100.71 100.71 1 12.15 12.15 1 54 .9 60 400 400 1 Total: 723.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407396 Min 01407396 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 GUM ANALGESIC GEL 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 908 of 6486
Name
S C BANERJEE Rate Amount Qty 27.9 .93 30 13.8 .23 60 32.4 1.08 30 21.3 .71 30 60.9 2.03 30 2.4 .16 15 26.7 .89 30 400 400 1 28.69 28.69 1 400 400 1 Total: 1014.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407397 Min 01407397 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 909 of 6486
Name
SHIKHA BANERJEE Rate Amount Qty 7.5 .25 30 4.8 .16 30 21.3 .71 30 21.3 .71 30 53.4 .89 60 400 400 1 21.3 .71 30 400 400 1 Total: 929.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407400 Min 01407400 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 910 of 6486
Name
RAM PRASAD SHARMA Rate Amount Qty 12 .4 30 54 .6 90 10.8 .36 30 26.7 .89 30 21.3 .71 30 78 1.3 60 55.8 .93 60 29.7 .99 30 33 1.1 30 400 400 1 Total: 721.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407405 Min 01407405 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 23-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 911 of 6486
Name
SRIPARNA DE Rate Amount Qty 4.8 .6 8 5.84 .73 8 44.16 1.84 24 7.68 .64 12 400 400 1 Total: 462.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407409 Min 01407409 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 8 23-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 14 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 912 of 6486
Name
DARBARI LAL DESHMUKH Rate Amount Qty 55.2 1.84 30 6 .6 10 6.4 .64 10 55.2 1.84 30 6.4 .64 10 6 .6 10 400 400 1 45.44 136.32 3 85.52 85.52 1 11.1 .37 30 400 400 1 7.68 .64 12 44.16 1.84 24 4.8 .6 8 5.84 .73 8 400 400 1 Total: 1630.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407410 Min 01407410 Appmt Dt Slno Description 14-FEB-19 1 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 913 of 6486
Name
BEDIYA BAI DESHMUKH Qty Rate Amount 30 .71 21.3 60 .25 15 10 .64 6.4 1 400 400 Total: 442.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407411 Min 01407411 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 914 of 6486
Name
S D RAI Rate Amount Qty 21.3 .71 30 167.4 5.58 30 6.9 .23 30 72.6 1.21 60 10.8 .36 30 18 .6 30 400 400 1 Total: 697
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407419 Min 01407419 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 13-FEB-19 TENOFOVIR,LAMIVUDINE300 & EFAVIRENZ600MG 3 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 915 of 6486
Name
NIRMAL KUMAR SHARMA Rate Amount Qty 21.3 .71 30 66 1.1 60 779.4 25.98 30 9 .3 30 23.7 .79 30 400 400 1 Total: 1299.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407420 Min 01407420 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 916 of 6486
Name
VIMALA SHARMA Rate Amount Qty 11.4 .38 30 8.1 .27 30 400 400 1 7.5 .25 30 423.6 7.06 60 26.7 .89 30 400 400 1 Total: 1277.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407421 Min 01407421 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 INHALANT,STRIP PACK,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 917 of 6486
Name
K D MEHARCHANDANI Rate Amount Qty 55.8 .93 60 23.7 .79 30 15.3 .51 30 6.9 .23 30 400 400 1 1.85 .37 5 17.8 .89 20 17 1.7 10 400 400 1 10.08 1.12 9 5.76 .64 9 33.12 1.84 18 400 400 1 Total: 1387.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407422 Min 01407422 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 GUM ANALGESIC GEL 5 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 20-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 918 of 6486
Name
LATA MEHARCHANDANI Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 400 400 1 7.5 .25 30 28.69 28.69 1 10.42 5.21 2 11.25 .75 15 400 400 1 Total: 925.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407427 Min 01407427 Appmt Dt Slno Description 20-FEB-19 1 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 20-FEB-19 2 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 20-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 919 of 6486
Name
B K DUBEY Qty Rate Amount 10 18.41 184.1 30 .93 27.9 10 .64 6.4 1 400 400 Total: 618.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407428 Min 01407428 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 20-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 2 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 20-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 20-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 920 of 6486
Name
MEENA DUBEY Rate Amount Qty 9.88 .38 26 64.6 3.23 20 20.84 5.21 4 53.4 .89 60 55.8 .93 60 123.53 247.06 2 82.76 165.52 2 400 400 1 Total: 1017.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407433 Min 01407433 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19
Page 921 of 6486
Name
SARACHANDRAN Rate Amount Qty 54 .9 60 20.1 .67 30 156.6 1.74 90 11.1 .37 30 100.71 201.42 2 26.7 .89 30 70.2 2.34 30 400 400 1 26.7 .89 30 21.3 .71 30 12 .4 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 1436.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407434 Min 01407434 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 922 of 6486
Name
SOBHANA SARACHANDRAN Rate Amount Qty 55.8 .93 60 36 .6 60 21.6 .36 60 26.7 .89 30 21.3 .71 30 21.3 .71 30 12 .4 30 400 400 1 Total: 594.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407437 Min 01407437 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 923 of 6486
Name
PRITAMDAS Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 12 .4 30 15.6 1.04 15 3.84 .64 6 15.96 2.66 6 30.6 .34 90 23.7 .79 30 23.1 .77 30 400 400 1 Total: 592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407441 Min 01407441 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 20-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 20-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 924 of 6486
Name
P L GUPTA Rate Amount Qty 54 .9 60 11.4 .38 30 7.5 .25 30 4.1 .41 10 39.6 .66 60 13.95 .93 15 11.4 .38 30 208.8 1.74 120 400 400 1 Total: 750.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407443 Min 01407443 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 925 of 6486
Name
B B PANDEY Rate Amount Qty 192.3 6.41 30 7.5 .25 30 60.9 2.03 30 2.4 .16 15 66 1.1 60 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 36 .6 60 400 400 1 Total: 860.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407446 Min 01407446 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 926 of 6486
Name
DHANJI SHARMA Rate Amount Qty 59.4 .99 60 26.7 .89 30 80.24 20.06 4 400 400 1 12 .4 30 15.6 .26 60 34.8 1.16 30 11.85 .79 15 33 1.1 30 245.6 6.14 40 17.8 .89 20 32.4 1.08 30 400 400 1 Total: 1369.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407447 Min 01407447 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 UREA (BUN /UR) 6 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19
Page 927 of 6486
Name
SARSWATI SHARMA Rate Amount Qty 36 .6 60 66 1.1 60 14.85 .99 15 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 3.75 .25 15 55.8 .93 60 Total: 1801.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407454 Min 01407454 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 16-FEB-19 UREA (BUN /UR) 4 16-FEB-19 CREATININE /CRT 5 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 928 of 6486
Name
S S VIRDI Rate Amount Qty 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 27.6 .92 30 21.3 .71 30 32.4 1.08 30 12 .4 30 55.8 .93 60 54 .6 90 16.2 .27 60 66 1.1 60 400 400 1 Total: 3485.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407455 Min 01407455 Slno Description Appmt Dt UREA (BUN /UR) 1 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 16-FEB-19 CREATININE /CRT 5 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 929 of 6486
Name
MANJIT KAUR Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 1300 1300 1 9 .3 30 10.8 .36 30 21.3 .71 30 66 1.1 60 16.2 .27 60 11.4 .38 30 400 400 1 Total: 3334.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407463 Min 01407463 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 01-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 9 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 13-FEB-19 COMPLETE HAEMOGRAM 13 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 13-FEB-19 URIC ACID (UA /URATES /UR) 15 13-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 16 13-FEB-19 CREATININE /CRT 17 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 13-FEB-19
Page 930 of 6486
Name
NALINI TRIPATHI Rate Amount Qty 66 1.1 60 12 .4 30 55.8 .93 60 4.8 .16 30 26.7 .89 30 83.4 2.78 30 21.3 .71 30 30.6 .34 90 51.68 3.23 16 6.08 .38 16 400 400 1 400 400 1 750 750 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3558.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407467 Min 01407467 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 04-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 931 of 6486
Name
KIRAN AGRAWAL Rate Amount Qty 7.5 .25 30 21.3 .71 30 185.7 6.19 30 26.7 .89 30 19.2 .64 30 17.25 1.15 15 400 400 1 Total: 677.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407474 Min 01407474 Appmt Dt Slno Description 02-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 932 of 6486
Name
D P SINGH Qty Rate Amount 30 .3 9 1 400 400 409 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407475 Min 01407475 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 PROTHROMBIN TIME (PT) 2 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 26-FEB-19 ACENOCOUMAROL,2MG,,TABLET 7 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 933 of 6486
Name
SAVITRI DEVI Rate Amount Qty 400 400 1 330 330 1 9.3 .62 15 7.5 .25 30 7.65 .51 15 47.4 .79 60 6.75 101.25 15 2.4 .16 15 400 400 1 Total: 1305.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407476 Min 01407476 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 13-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 13-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 13-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 8 13-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 9 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 934 of 6486
Name
K K MANDAL Rate Amount Qty 18.9 .63 30 11.4 .38 30 36 .6 60 11.1 .37 30 11.25 .75 15 36 .6 60 25.62 12.81 2 74.08 37.04 2 38.76 3.23 12 21.3 .71 30 60.9 2.03 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 817.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407477 Min 01407477 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 13-FEB-19 PRAZOSIN,2.5MG,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 935 of 6486
Name
MUKTI MANDAL Rate Amount Qty 27.9 .93 30 18 .6 30 18 .6 30 39 1.3 30 27.9 .93 30 400 400 1 Total: 530.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407478 Min 01407478 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 7 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 07-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 07-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 936 of 6486
Name
M L CHANDRA Rate Amount Qty 21.3 .71 30 27.9 .93 30 72 .6 120 78 1.3 60 32.4 .36 90 400 400 1 35.2 17.6 2 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 85.52 85.52 1 400 400 1 Total: 1206.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407479 Min 01407479 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 937 of 6486
Name
RADHA BAI CHANDRA Rate Amount Qty 117 1.3 90 54 .6 90 24 .4 60 21.3 .71 30 55.8 .93 60 8.1 .27 30 21.3 .71 30 400 400 1 Total: 701.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407481 Min 01407481 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 CILOSTAZOL,CAPSULE/100MG,TABLET 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 938 of 6486
Name
SANGITA SINGH Rate Amount Qty 14.85 .99 15 76.5 2.55 30 55.8 .93 60 8.1 .27 30 432.6 7.21 60 32.4 1.08 30 21.3 .71 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 1075.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407490 Min 01407490 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 18-FEB-19 CREATININE /CRT 8 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 15 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 22-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 17 22-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 18 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 22-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 20 22-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 21 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 22-FEB-19
Page 939 of 6486
Name
R K VISHWAKARMA Rate Amount Qty 29.7 .99 30 185.7 6.19 30 26.7 .89 30 37.8 .63 60 400 400 1 275 275 1 275 275 1 275 275 1 7.5 .25 30 21.3 .71 30 27.6 .92 30 55.8 .93 60 36 .6 60 400 400 1 1.82 .26 7 7.5 .25 30 7.8 .26 30 368.4 6.14 60 53.4 .89 60 124.5 4.15 30 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 4866.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407491 Min 01407491 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 9 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 23-FEB-19 ONDANSETRON,2MG/ML,INJECTION 11 23-FEB-19 OBSERVATION IN CASUALTY 12 23-FEB-19
Page 940 of 6486
Name
SAVITRI Rate Amount Qty 167.4 5.58 30 39 1.3 30 10.8 .36 30 400 400 1 275 275 1 275 275 1 2.56 .64 4 400 400 1 11.89 11.89 1 24.52 24.52 1 7.52 7.52 1 420 420 1 Total: 2033.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407497 Min 01407497 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 URIC ACID (UA /URATES /UR) 8 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 06-FEB-19
Page 941 of 6486
Name
ANITA ADHIKARI Rate Amount Qty 185.7 6.19 30 7.5 .25 30 13.7 1.37 10 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 17.4 .58 30 12 .4 30 21.3 .71 30 12.6 .42 30 8.1 .27 30 37.8 .63 60 400 400 1 Total: 2341.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407498 Min 01407498 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 942 of 6486
Name
SUBHASH BIJORIA Rate Amount Qty 16.2 1.08 15 13.95 .93 15 13.8 .92 15 10.65 .71 15 400 400 1 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407508 Min 01407508 Slno Description Appmt Dt KETOTIFEN,1MG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 BARIUM SWALLOW /BA BALL /BARIUM MEAL STU 15 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 08-FEB-19 X - RAY - SINGLE VIEW 17 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 18 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 22 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 22-FEB-19 C T THORAX 24 26-FEB-19 CREATININE /CRT 25 26-FEB-19 UREA (BUN /UR) 26 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 26-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 28 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 29 26-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 30 26-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 31 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 26-FEB-19
Page 943 of 6486
Name
C M GUPTA Rate Amount Qty 30.4 1.52 20 2.4 .16 15 9.45 .63 15 18.6 .62 30 11.85 .79 15 60.9 2.03 30 12 .4 30 21.3 .71 30 36 .6 60 70.2 2.34 30 8.9 .89 10 3.7 .37 10 18 .9 20 400 400 1 1500 1500 1 400 400 1 550 550 1 31.4 3.14 10 185.7 6.19 30 7.5 .25 30 400 400 1 20.06 20.06 1 400 400 1 9000 9000 1 275 275 1 275 275 1 400 400 1 184.2 6.14 30 31.36 1.12 28 2.34 196.56 84 2110 2110 1 37.38 .89 42 Total: 16707.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407519 Min 01407519 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 944 of 6486
Name
B R WASNIK Rate Amount Qty 33 1.1 30 55.8 .93 60 9 .3 30 31.95 .71 45 8.9 .89 10 400 400 1 Total: 538.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407525 Min 01407525 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 945 of 6486
Name
MURLIDHAR BARGATE Rate Amount Qty 7.5 .25 30 33 1.1 30 23.7 .79 30 78 .78 100 400 400 1 Total: 542.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407531 Min 01407531 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 15-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 946 of 6486
GHANSHYAM SHARMA Rate Amount Qty 6.82 6.82 1 25.07 25.07 1 400 400 1 9 .3 30 60.9 2.03 30 21.3 .71 30 27.9 .93 30 18 .6 30 10.8 .36 30 400 400 1 Total: 979.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407532 Min 01407532 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 947 of 6486
Name
MOHINI SHARMA Rate Amount Qty 33 1.1 30 12 .4 30 78 .78 100 11.4 .38 30 400 400 1 Total: 534.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407535 Min 01407535 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 UREA (BUN /UR) 2 08-FEB-19 CREATININE /CRT 3 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 08-FEB-19 CALCIUM (CA) 5 08-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 6 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 08-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 8 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 13 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 948 of 6486
Name
DHANESHWAR PRASAD PANDEY Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 382.5 12.75 30 26.7 .89 30 17.4 1.16 15 10.8 .36 30 32.4 1.08 30 72.6 1.21 60 16.2 .27 60 12 .4 30 400 400 1 Total: 4045.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407536 Min 01407536 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 949 of 6486
Name
GEETA DEVI PANDEY Rate Amount Qty 7.4 .37 20 25.62 12.81 2 400 400 1 33.3 1.11 30 21.6 .36 60 17.4 1.16 15 72 .6 120 400 400 1 Total: 977.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407551 Min 01407551 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 950 of 6486
Name
LAKHAN LAL Rate Amount Qty 121.8 2.03 60 47.4 .79 60 34.8 1.16 30 18 .6 30 400 400 1 Total: 622
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407568 Min 01407568 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 951 of 6486
Name
G LALITHAMBIKA Rate Amount Qty 14.85 .99 15 55.8 .93 60 21.3 .71 30 72.6 1.21 60 22.2 .37 60 400 400 1 Total: 586.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407573 Min 01407573 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 4 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 5 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 28-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 9 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 28-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 952 of 6486
U N PATHAK Rate Amount Qty 6.82 6.82 1 2.46 .41 6 14.08 3.52 4 18.03 18.03 1 20.29 20.29 1 7.98 .38 21 400 400 1 25.07 25.07 1 24.45 24.45 1 6.82 6.82 1 18.03 18.03 1 400 400 1 Total: 944.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407574 Min 01407574 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 PRAZOSIN,2.5MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 953 of 6486
Name
SUSHILA DEVI Rate Amount Qty 10.65 .71 15 40.12 20.06 2 32.4 1.08 30 38.25 2.55 15 16.2 .27 60 29.7 .99 30 156 1.3 120 400 400 1 Total: 723.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407575 Min 01407575 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 954 of 6486
Name
SARASWATHIK PILLAI Rate Amount Qty 21.3 .71 30 4.8 .16 30 60.9 2.03 30 36 .6 60 20.06 20.06 1 26.7 .89 30 400 400 1 Total: 569.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407579 Min 01407579 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 955 of 6486
Name
BIRENDRA PATHAK Rate Amount Qty 13.7 1.37 10 8.9 .89 10 123.8 6.19 20 15.63 5.21 3 55.8 .93 60 21.3 .71 30 1.85 .37 5 400 400 1 Total: 640.98
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407580 Min 01407580 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 7 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 956 of 6486
ANUSUYA PATHAK Rate Amount Qty 15.3 .51 30 42.6 .71 60 36 .6 60 12 .4 30 55.8 .93 60 21.3 .71 30 43.2 1.44 30 25.07 25.07 1 6.6 .66 10 20.84 5.21 4 10.8 .36 30 400 400 1 Total: 689.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407587 Min 01407587 Slno Description Appmt Dt AMIODARONE HCL,STRIP PKT,200MG,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 957 of 6486
Name
MANJU AGRAWAL Rate Amount Qty 61.8 4.12 15 21.6 .36 60 72 .6 120 8.1 .27 30 167.4 5.58 30 23.7 .79 30 34.8 1.16 30 12 .4 30 400 400 1 82.2 2.74 30 400 400 1 3.84 .64 6 33.12 1.84 18 6.72 1.12 6 400 400 1 Total: 1727.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407589 Min 01407589 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 958 of 6486
Name
B K CHAKRABORTY Rate Amount Qty 32.4 1.08 30 21.3 .71 30 18 .6 30 8.1 .27 30 400 400 1 Total: 479.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407605 Min 01407605 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 11 07-FEB-19 11 07-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 12 07-FEB-19 OXYGEN THERAPY 13 07-FEB-19 OBSERVATION IN CASUALTY 14 07-FEB-19 X - RAY - SINGLE VIEW 15 07-FEB-19 ECG 16 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 11-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 19 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 22 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 11-FEB-19
Page 959 of 6486
Name
R M NAIR Rate Amount Qty 55.8 .93 60 34.8 1.16 30 32.4 1.08 30 2.4 .16 15 7.5 .25 30 16.2 .27 60 15.3 .51 30 7.8 .26 30 400 400 1 400 400 1 100 100 1 3.68 1.84 2 25.54 25.54 1 300 300 1 420 420 1 550 550 1 450 450 1 4.45 .89 5 0 .37 0 1.98 .66 3 3.2 .64 5 1.25 .25 5 9 .9 10 1.85 .37 5 400 400 1 Total: 3243.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407606 Min 01407606 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 960 of 6486
Name
REMANI M NAIR Rate Amount Qty 7.5 .25 30 1.48 .37 4 36 .6 60 27.9 .93 30 34.8 1.16 30 15.96 2.66 6 3.84 .64 6 400 400 1 Total: 527.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407617 Min 01407617 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 15-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 15-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 7 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 961 of 6486
Name
MRINAL KANTI BASU Rate Amount Qty 27.9 .93 30 3.7 .37 10 11.4 .38 30 36 .6 60 60.9 2.03 30 65.6 .82 80 8.2 .82 10 7.8 .26 30 21.3 .71 30 400 400 1 Total: 642.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407618 Min 01407618 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 15-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 11 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 15-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 14 15-FEB-19 ENTACAVIR 0.5MG,,TABLET 15 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 962 of 6486
Name
DIPTI BASU Rate Amount Qty 20.06 20.06 1 55.2 1.84 30 6.4 .64 10 400 400 1 20.06 20.06 1 3.84 .64 6 33.12 1.84 18 400 400 1 33 1.1 30 7.5 .25 30 59.4 .99 60 5.21 5.21 1 8.1 .27 30 1270.8 7.06 180 673.5 22.45 30 32.4 1.08 30 400 400 1 Total: 3428.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407619 Min 01407619 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 963 of 6486
Name
GOPAL SHANKAR MATHUR Rate Amount Qty 18 .6 30 32.4 1.08 30 34.8 1.16 30 35.2 17.6 2 23.7 .79 30 15.6 .26 60 400 400 1 Total: 559.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407620 Min 01407620 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 964 of 6486
Name
HEMLATA MATHUR Rate Amount Qty 10.65 .71 15 33 1.1 30 400 400 1 Total: 443.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407623 Min 01407623 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 965 of 6486
Name
M P UPADHYAYA Rate Amount Qty 82.8 .92 90 21.3 .71 30 167.4 5.58 30 72 .6 120 400 400 1 Total: 743.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407624 Min 01407624 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 966 of 6486
GEETA DEVI UPADHYAYA Rate Amount Qty 25.07 25.07 1 400 400 1 18 .6 30 29.7 .99 30 55.8 .93 60 17.4 .58 30 400 400 1 35.2 17.6 2 11.1 .37 30 7.5 .25 30 25.07 25.07 1 400 400 1 Total: 1424.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407632 Min 01407632 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 967 of 6486
Name
PARWATI DEVI Rate Amount Qty 34.8 1.16 30 10.8 .36 30 36 .6 60 55.8 .93 60 36 .6 60 14.85 .99 15 1.48 .37 4 10.8 .36 30 400 400 1 Total: 600.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407659 Min 01407659 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 16-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 3 16-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 COST OF CONTRAST FOR MRI PER VIAL 10 19-FEB-19 CREATININE /CRT 11 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 28-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 13 28-FEB-19 UREA (BUN /UR) 14 28-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 15 28-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 16 28-FEB-19 ABC TEST HIV 17 28-FEB-19 PROTHROMBIN TIME (PT) 18 28-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 19 28-FEB-19 PLATELET COUNT 20 28-FEB-19 HB,TLC,DLC 21 28-FEB-19 X - RAY - SINGLE VIEW 22 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 28-FEB-19 URINE ROUTINE AND MICROSCOPIC 24 28-FEB-19
Page 968 of 6486
Name
RAM LAL SHARMA Rate Amount Qty 12 .4 30 15.6 .26 60 9000 9000 1 1300 1300 1 21.3 .71 30 400 400 1 26.7 .89 30 7.5 .25 30 27.9 .93 30 2640 2640 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 1000 1000 1 1250 1250 1 330 330 1 330 330 1 330 330 1 300 300 1 550 550 1 400 400 1 380 380 1 Total: 19971
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407660 Min 01407660 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 16 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 21 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 25-FEB-19
Page 969 of 6486
Name
MISHIRA DEVI Rate Amount Qty 34.8 1.16 30 16.2 .27 60 36 .6 60 32.4 1.08 30 3.2 .64 5 14.85 .99 15 26.7 .89 30 211.8 3.53 60 400 400 1 20.84 5.21 4 185.7 6.19 30 7.5 .25 30 17.8 .89 20 52 2.6 20 400 400 1 105.9 3.53 30 8.9 .89 10 16.2 .27 60 21.3 .71 30 18 .6 30 66.2 6.62 10 400 400 1 Total: 2096.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407661 Min 01407661 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 970 of 6486
Name
L B P S THAKUR Rate Amount Qty 14.85 .99 15 12 .4 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 503.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407662 Min 01407662 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 971 of 6486
Name
KAMALESH SINGH THAKUR Rate Amount Qty 13.95 .93 15 21.3 .71 30 36 .6 60 78 1.3 60 13.8 .92 15 400 400 1 Total: 563.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407670 Min 01407670 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 25-FEB-19
Page 972 of 6486
Name
KIRAN TRIPATHI Rate Amount Qty 7.5 .25 30 27.9 .62 45 17.4 .58 30 32.4 1.08 30 21.3 .71 30 400 400 1 27.9 .93 30 60.9 2.03 30 Total: 595.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407671 Min 01407671 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 14-FEB-19 GUM ANALGESIC GEL 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 24-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 8 24-FEB-19 OBSERVATION IN CASUALTY 9 24-FEB-19 ONDANSETRON,2MG/ML,INJECTION 10 24-FEB-19 ECG 11 24-FEB-19
Page 973 of 6486
Name
EMMANUEL SINGH Rate Amount Qty 13.35 .89 15 87.92 43.96 2 92.1 6.14 15 28.69 28.69 1 400 400 1 600 600 1 24.52 24.52 1 9.62 9.62 1 420 420 1 7.52 7.52 1 450 450 1 Total: 2133.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407672 Min 01407672 Slno Description Appmt Dt TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 21-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 15 24-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 16 24-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 17 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 19 24-FEB-19 OBSERVATION IN CASUALTY 20 24-FEB-19 ECG 21 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 25-FEB-19
Page 974 of 6486
Name
SUNILA SINGH Rate Amount Qty 159.6 1.33 120 400 400 1 18.6 .62 30 21.3 .71 30 14.85 .99 15 16.2 .27 60 55.8 .93 60 18 .6 30 167.4 5.58 30 1.85 .37 5 2.28 .38 6 3.84 .64 6 15.96 2.66 6 400 400 1 35.52 35.52 1 9.81 9.81 1 600 600 1 .89 .89 1 9.62 9.62 1 420 420 1 450 450 1 4.45 .89 5 1.85 .37 5 Total: 2827.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407679 Min 01407679 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 975 of 6486
Name
A N SINHA Rate Amount Qty 6.9 .23 30 55.8 .93 60 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407680 Min 01407680 Appmt Dt Slno Description 12-FEB-19 1 TENELIGLIPTIN,20MG,,TABLET 12-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 12-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 976 of 6486
Name
PRABHAVATI SINHA Qty Rate Amount 30 5.58 167.4 30 .6 18 30 .71 21.3 1 400 400 Total: 606.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407681 Min 01407681 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 977 of 6486
Name
KHITENDRANATH CHAKRABORTY Rate Amount Qty 27.9 .93 30 16.65 1.11 15 400 400 1 Total: 444.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407682 Min 01407682 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 978 of 6486
Name
SUBRAT KUMAR LAHIRI Rate Amount Qty 78 1.3 60 33 1.1 30 8.1 .27 30 21.3 .71 30 12 .4 30 36 .6 60 8.9 .89 10 400 400 1 Total: 597.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407693 Min 01407693 Slno Description Appmt Dt COMPLEMENT PROFILE (C3, C4) 1 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 23-FEB-19 ESR 4 23-FEB-19 COMPLETE HAEMOGRAM 5 23-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 23-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 23-FEB-19 UREA (BUN /UR) 13 23-FEB-19 CREATININE /CRT 14 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 23-FEB-19
Page 979 of 6486
Name
M N C PILLAI Rate Amount Qty 1050 1050 1 275 275 1 1300 1300 1 165 165 1 750 750 1 1610 1610 1 55.8 .93 60 8.1 .27 30 32.4 1.08 30 21.3 .71 30 192.3 6.41 30 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 Total: 7234.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407694 Min 01407694 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 980 of 6486
Name
P S MANGALA Rate Amount Qty 25.2 .42 60 18.9 .63 30 21.3 .71 30 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 553.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407698 Min 01407698 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 981 of 6486
Name
KAMALA SAHA CHOUDHURI Rate Amount Qty 105.9 3.53 30 36.3 1.21 30 14.85 .99 15 16.2 .27 60 55.8 .93 60 400 400 1 Total: 629.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407700 Min 01407700 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 DRESSING SIMPLE 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 12-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 6 12-FEB-19 DRESSING SIMPLE 7 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 16-FEB-19 DRESSING SIMPLE 13 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 23-FEB-19 DRESSING SIMPLE 16 23-FEB-19
Page 982 of 6486
Name
SAVITA NAIDU Rate Amount Qty 4.45 .89 5 1500 300 5 400 400 1 400 400 1 10.95 .73 15 157.8 15.78 10 1500 300 5 8.9 .89 10 4.1 .41 10 4.45 .89 5 10.95 .73 15 400 400 1 2100 300 7 35.2 3.52 10 400 400 1 1800 300 6 Total: 8736.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407702 Min 01407702 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 983 of 6486
Name
JAGDISH DASS Rate Amount Qty 36 .6 60 26.7 .89 30 27.9 .93 30 33 1.1 30 32.4 1.08 30 21.3 .71 30 60.9 2.03 30 167.4 5.58 30 400 400 1 Total: 805.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407703 Min 01407703 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 984 of 6486
Name
DULARI BAI Rate Amount Qty 2.4 .16 15 3.75 .25 15 10.65 .71 15 27.9 .93 30 9 .3 30 36 .6 60 400 400 1 Total: 489.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407704 Min 01407704 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 985 of 6486
Name
P BHATTACHARYA Rate Amount Qty 2.4 .16 15 60.9 2.03 30 27.6 .92 30 55.8 .93 60 192.3 6.41 30 76.5 2.55 30 12 .4 30 21.3 .71 30 14.85 .99 15 400 400 1 Total: 863.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407705 Min 01407705 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 986 of 6486
Name
MADHURI BHATTACHARYA Rate Amount Qty 3.84 .64 6 6.9 .23 30 27.6 .92 30 18 .6 30 55.8 .93 60 1.85 .37 5 21.3 .71 30 2.4 .16 15 46.8 2.34 20 2.28 .38 6 400 400 1 Total: 586.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407706 Min 01407706 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 07-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 987 of 6486
Name
D K AGRAWAL Rate Amount Qty 66.2 6.62 10 139.8 9.32 15 8.9 .89 10 10.95 .73 15 4.95 .99 5 7.1 .71 10 5.7 .38 15 3.7 .37 10 2 .4 5 400 400 1 27.9 .93 30 36.3 1.21 30 36 .6 60 9 .3 30 400 400 1 Total: 1158.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407707 Min 01407707 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 988 of 6486
Name
SHEELA AGRAWAL Rate Amount Qty 9 .3 30 18 .6 30 6.9 .23 30 36.3 1.21 30 400 400 1 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407708 Min 01407708 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 989 of 6486
Name
R S CHANDRAKAR Rate Amount Qty 55.8 .93 60 15.6 .26 60 33 1.1 30 34.8 1.16 30 8.1 .27 30 400 400 1 11.1 .37 30 400 400 1 Total: 958.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407710 Min 01407710 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 25-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 990 of 6486
Name
SUKHDEO RAO MAKODE Rate Amount Qty 3.84 .64 6 7.7 .77 10 400 400 1 21.3 .71 30 15 .25 60 400 400 1 66 1.1 60 23.1 .77 30 43.96 43.96 1 34.8 1.16 30 12 .4 30 47.4 .79 60 400 400 1 15.96 2.66 6 1.48 .37 4 3.84 .64 6 400 400 1 Total: 1896.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407711 Min 01407711 Appmt Dt Slno Description 05-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 2 METOPROLOL TARTRATE,50MG,,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 991 of 6486
Name
NIRMALA MAKODE Qty Rate Amount 15 .99 14.85 60 1.21 72.6 60 .93 55.8 1 400 400 Total: 543.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407725 Min 01407725 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 23-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 23-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 23-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 23-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 992 of 6486
Name
KAUSHAL NARAD Rate Amount Qty 7.4 .37 20 13.43 13.43 1 94.8 1.58 60 53.4 .89 60 12.81 12.81 1 43.96 43.96 1 8.1 .27 30 40.12 20.06 2 43.96 43.96 1 400 400 1 Total: 717.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407729 Min 01407729 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 993 of 6486
Name
N J CHANDU Rate Amount Qty 39 1.3 30 27.9 .93 30 6.9 .23 30 60.9 2.03 30 17.4 .58 30 11.4 .38 30 400 400 1 Total: 563.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407733 Min 01407733 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 994 of 6486
Name
FULMATI DEVI Rate Amount Qty 43.96 43.96 1 26.7 .89 30 33 1.1 30 32.4 1.08 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 621.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407738 Min 01407738 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 995 of 6486
Name
V K MALHOTRA Rate Amount Qty 36 .6 60 10.8 .36 30 23.7 .79 30 27.9 .93 30 21.3 .71 30 23.1 .77 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 587.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407751 Min 01407751 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 996 of 6486
Name
CHATURBHUJ TURKAR Rate Amount Qty 27.9 .93 30 1.48 .37 4 400 400 1 Total: 429.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407760 Min 01407760 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 14-FEB-19 UREA (BUN /UR) 4 14-FEB-19 CREATININE /CRT 5 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 997 of 6486
Name
CHAMPA SOLANKI Rate Amount Qty 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 55.8 .93 60 12 .4 30 72 .6 120 10.8 .36 30 400 400 1 Total: 2600.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407762 Min 01407762 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 998 of 6486
Name
RAMBUJHAWAN JHA Rate Amount Qty 17.4 1.16 15 55.8 .93 60 16.2 .27 60 66 1.1 60 400 400 1 Total: 555.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407763 Min 01407763 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 26-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 26-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 999 of 6486
Name
BUCHI DAI JHA Rate Amount Qty 3.75 .25 15 4.95 .99 5 36 .6 60 27.9 .93 30 400 400 1 6.82 6.82 1 42.6 .71 60 82.2 2.74 30 7.5 .25 30 4.8 .16 30 400 400 1 Total: 1016.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407781 Min 01407781 Appmt Dt Slno Description 12-FEB-19 1 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 12-FEB-19 2 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12-FEB-19 3 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1000 of 6486
Name
MUKTI NATH RAI Qty Rate Amount 30 .26 7.8 1 12.81 12.81 1 17.37 17.37 1 400 400 Total: 437.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407783 Min 01407783 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 13-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 1001 of 6486
Name
RAJULAL SAHU Rate Amount Qty 16.81 16.81 1 400 400 1 191.4 3.19 60 31.95 .71 45 53.4 .89 60 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1346.76
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407785 Min 01407785 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 9 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 1002 of 6486
SAROJ TOMAR Rate Amount Qty 7.3 .73 10 9.6 .64 15 55.2 1.84 30 8.9 .89 10 400 400 1 4.1 .41 10 4.45 .89 5 400 400 1 29 29 1 25.07 25.07 1 400 400 1 Total: 1343.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407786 Min 01407786 Slno Description Appmt Dt DRESSING SIMPLE 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 09-FEB-19 DRESSING SIMPLE 4 09-FEB-19 CULTURE AND SENSITIVITY SWAB - PUS/EAR 5 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 8 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 11-FEB-19 DRESSING SIMPLE 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 DRESSING SIMPLE 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 27-FEB-19 DRESSING SIMPLE 16 27-FEB-19
Page 1003 of 6486
Name
D S TOMAR Rate Amount Qty 300 300 1 400 400 1 400 400 1 300 300 1 650 650 1 400 400 1 5.34 .89 6 83.88 9.32 9 3.84 .64 6 1500 300 5 400 400 1 66.2 6.62 10 400 400 1 1500 300 5 400 400 1 1500 300 5 Total: 8309.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407787 Min 01407787 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 1004 of 6486
Name
ARTI YADAV Rate Amount Qty 54 .6 90 10.8 .36 30 78 1.3 60 32.4 1.08 30 21.3 .71 30 55.8 .93 60 8.1 .27 30 53.4 .89 60 20.06 20.06 1 11.4 .38 30 400 400 1 Total: 745.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407788 Min 01407788 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1005 of 6486
Name
S L YADAV Qty 6 4 1
Rate Amount 15.96 2.66 1.48 .37 400 400 Total: 417.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407794 Min 01407794 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 1006 of 6486
Name
VEENA DIWAN Rate Amount Qty 32.4 1.08 30 35.55 .79 45 3.75 .25 15 33 1.1 30 400 400 1 Total: 504.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407798 Min 01407798 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19
Page 1007 of 6486
Name
BRINDA BHARTI Rate Amount Qty 185.7 6.19 30 27.9 .93 30 29.7 .99 30 32.4 1.08 30 21.3 .71 30 5.21 5.21 1 7.5 .25 30 9.6 .64 15 26.7 .89 30 400 400 1 10.8 .36 30 36 .6 60 400 400 1 Total: 1192.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407805 Min 01407805 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 1008 of 6486
Name
T C DEWANGAN Rate Amount Qty 37.04 37.04 1 2.5 .25 10 4.1 .41 10 6.4 .64 10 7.7 .77 10 3.7 .37 10 70.2 2.34 30 400 400 1 7.5 .25 30 60.9 2.03 30 47.4 .79 60 72 .6 120 43.2 .36 120 400 400 1 Total: 1162.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407806 Min 01407806 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 02-FEB-19 GUM ANALGESIC GEL 8 02-FEB-19 GUM ANALGESIC GEL 9 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19
Page 1009 of 6486
Name
RAMHIN DEWANGAN Rate Amount Qty 2.5 .25 10 2.5 .25 10 4.1 .41 10 7.7 .77 10 70.2 2.34 30 3.7 .37 10 70.2 2.34 30 28.69 28.69 1 28.69 28.69 1 4.1 .41 10 7.7 .77 10 3.7 .37 10 400 400 1 Total: 633.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407807 Min 01407807 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 1010 of 6486
Name
R N SINGH Rate Amount Qty 34.8 1.16 30 26.7 .89 30 12 .4 30 20.84 5.21 4 11.4 .38 30 7.5 .25 30 400 400 1 Total: 513.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407823 Min 01407823 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 18-FEB-19
Page 1011 of 6486
Name
LILA GHOSH Rate Amount Qty 400 400 1 26.7 .89 30 4.8 .16 30 156.6 1.74 90 31.2 1.04 30 43.96 43.96 1 27 .9 30 Total: 690.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407840 Min 01407840 Slno Description Appmt Dt URINE ROUTINE AND MICROSCOPIC 1 04-FEB-19 COMPLETE HAEMOGRAM 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 1012 of 6486
Name
P H NAWARE Rate Amount Qty 380 380 1 750 750 1 400 400 1 3.56 .89 4 7.7 .77 10 39.72 6.62 6 6.4 .64 10 3.84 .64 6 400 400 1 Total: 1991.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407846 Min 01407846 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1013 of 6486
Name
MUKUL ROY Rate Amount Qty 12 .4 30 21.3 .71 30 8.1 .27 30 27.9 .93 30 8.7 .58 15 66 1.1 60 400 400 1 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407848 Min 01407848 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 06-FEB-19 DRESSING SIMPLE 2 06-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 07-FEB-19 DRESSING SIMPLE 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 1014 of 6486
Name
PRABHA V BHONSLE Rate Amount Qty 400 400 1 3000 300 10 57.84 231.36 4 1500 300 5 400 400 1 3.84 .64 6 5.34 .89 6 2.22 .37 6 39.72 6.62 6 2.28 .38 6 400 400 1 Total: 5984.76
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407850 Min 01407850 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 18-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 1015 of 6486
SAIJA BAI Rate Amount Qty 54 .9 60 15.73 15.73 1 26.7 .89 30 16.2 .18 90 400 400 1 18 .6 30 55.8 .93 60 34.8 1.16 30 16.2 .27 60 3.75 .25 15 400 400 1 Total: 1041.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407853 Min 01407853 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 20-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 1016 of 6486
SHRIRAM POKALE Rate Amount Qty 70.2 2.34 30 15.73 15.73 1 3.7 .37 10 5.4 .18 30 18 .9 20 25.07 25.07 1 400 400 1 8.9 .89 10 7.5 .25 30 55.8 .93 60 11.4 .38 30 6.4 .64 10 400 400 1 Total: 1028.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407854 Min 01407854 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 20-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 20-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1017 of 6486
Name
SUMITRA POKALE Rate Amount Qty 21.3 .71 30 29.7 .99 30 55.8 .93 60 21.3 .71 30 184.2 6.14 30 54 .6 90 185.7 6.19 30 26.7 .89 30 400 400 1 Total: 978.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407857 Min 01407857 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 1018 of 6486
Name
PRABHAT KUMAR SHRIVASTAVA Rate Amount Qty 26.7 .89 30 8.1 .27 30 42.6 .71 60 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 505.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407858 Min 01407858 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 1019 of 6486
Name
ANJANA SHRIVASTAVA Rate Amount Qty 7.5 .25 30 12 .4 30 20.84 5.21 4 6.9 .23 30 9 .3 30 400 400 1 Total: 456.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407859 Min 01407859 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 16-FEB-19 C T HEAD PLAIN 2 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 1020 of 6486
Name
S K BAGCHI Rate Amount Qty 400 400 1 5250 5250 1 11.4 .38 30 34.8 1.16 30 27.9 .93 30 18.6 .62 30 400 400 1 Total: 6142.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407860 Min 01407860 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 1021 of 6486
Name
SHILA BAGCHI Rate Amount Qty 13.35 .89 15 4.8 .16 30 12 .4 30 21.3 .71 30 32.4 1.08 30 72 .6 120 66 1.1 60 55.8 .93 60 78 1.3 60 29.7 .99 30 167.4 5.58 30 400 400 1 Total: 952.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407862 Min 01407862 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1022 of 6486
Name
NIRMAL KUMARRI AGARWAL Rate Amount Qty 8.9 .89 10 7.5 .25 30 21.3 .71 30 12 .4 30 27.9 .93 30 7.8 .26 30 36 .6 60 400 400 1 Total: 521.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407863 Min 01407863 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1023 of 6486
Name
SUKHDEV RAJ Rate Amount Qty 32.4 1.08 30 7.5 .25 30 9 .6 15 27.9 .93 30 26.7 .89 30 21.3 .71 30 18.9 .63 30 400 400 1 Total: 543.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407868 Min 01407868 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 SOLIFENACIN,5MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 1024 of 6486
Name
M L SHARMA Rate Amount Qty 60.9 2.03 30 403.2 13.44 30 400 400 1 Total: 864.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407876 Min 01407876 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1025 of 6486
Name
RAJKUMAR KANDHARI Rate Amount Qty 21.3 .71 30 7.5 .25 30 66 1.1 60 12 .4 30 26.7 .89 30 400 400 1 Total: 533.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407881 Min 01407881 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 18-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 18-FEB-19 BRIMONIDINE TARTRATE,0.15% 7 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 1026 of 6486
Name
SUBHRA DEY Rate Amount Qty 36 .6 60 12 .4 30 34.8 1.16 30 7.5 .25 30 10.8 .36 30 60.87 20.29 3 74.45 223.35 3 26 2.6 10 26.7 .89 30 400 400 1 Total: 838.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407884 Min 01407884 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1027 of 6486
Name
NARAYAN PRASAD KAHAR Rate Amount Qty 9 .6 15 55.8 .93 60 14.85 .99 15 6.4 .64 10 7.5 .25 30 13.35 .89 15 400 400 1 Total: 506.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407885 Min 01407885 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 01-FEB-19 UREA (BUN /UR) 7 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 01-FEB-19 CREATININE /CRT 11 01-FEB-19 ONDANSETRON,2MG/ML,INJECTION 12 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 14 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 07-FEB-19 OBSERVATION IN CASUALTY 16 07-FEB-19 ECG 17 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 18 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 25 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 26 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 28 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 29 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 30 14-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 31 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 33 14-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 34 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 35 14-FEB-19 ECG 36 14-FEB-19 OBSERVATION IN CASUALTY 37 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 39 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 40 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 41 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 42 20-FEB-19 PHYTOMENADIONE(VIT K1),1MG/0.5ML,INJ, 43 24-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 44 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 45 24-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 46 24-FEB-19
Page 1028 of 6486
Name
URMILA BAI KAHAR Qty 1 1 10 10 10 3 1 1 1 1 1 1 1 1 1 1 1 20 10 1 30 15 20 5 1 1 1 30 30 15 1 1 1 1 15 1 1 1 5 1 10 1 1 1 1 15
Rate Amount 650 650 1300 1300 66.2 6.62 6.4 .64 7.7 .77 .48 .16 275 275 275 275 275 275 400 400 275 275 7.52 7.52 .16 .16 9.62 9.62 24.52 24.52 420 420 450 450 14 .7 8.9 .89 400 400 18 .6 13.95 .93 17.8 .89 .8 .16 275 275 275 275 400 400 18 .6 7.5 .25 9.9 .66 9.62 9.62 .89 .89 .16 .16 600 600 13.95 .93 450 450 420 420 400 400 4.45 .89 20.06 20.06 6.4 .64 400 400 10.41 10.41 .16 .16 9.62 9.62 3.75 .25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407885 Min 01407885 Slno Description Appmt Dt OBSERVATION IN CASUALTY 47 24-FEB-19 ECG 48 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 49 24-FEB-19
Page 1029 of 6486
Name
URMILA BAI KAHAR Rate Amount Qty 420 420 1 450 450 1 400 400 1 Total: 9520.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407888 Min 01407888 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1030 of 6486
Name
S R DAS Rate Amount Qty 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 7.8 .26 30 7.5 .25 30 118.5 3.95 30 33 1.1 30 400 400 1 Total: 689.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407889 Min 01407889 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1031 of 6486
Name
BHARATI DAS Rate Amount Qty 8.1 .27 30 66 1.1 60 12 .4 30 21.3 .71 30 400 400 1 Total: 507.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407894 Min 01407894 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 IVABRADINE,5MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 19-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 14 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 1032 of 6486
A C VERMA Rate Amount Qty 25.07 25.07 1 400 400 1 32.4 1.08 30 21.3 .71 30 23.7 .79 30 60.9 2.03 30 192.3 6.41 30 597 9.95 60 400 400 1 31.95 .71 45 25.07 25.07 1 45.44 45.44 1 400 400 1 16.81 16.81 1 25.07 25.07 1 400 400 1 Total: 2697.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407895 Min 01407895 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1033 of 6486
Name
USHA VERMA Rate Amount Qty 20.84 5.21 4 400 400 1 9 .3 30 371.4 6.19 60 36 .6 60 118.5 3.95 30 6.9 .23 30 400 400 1 51.38 25.69 2 400 400 1 Total: 1814.02
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407896 Min 01407896 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 09-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 18-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 1034 of 6486
RAMKUMAR SHARMA Rate Amount Qty 1.85 .37 5 48.22 48.22 1 70.2 2.34 30 400 400 1 51.38 25.69 2 21.45 21.45 1 400 400 1 157.8 2.63 60 400 400 1 Total: 1550.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407897 Min 01407897 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 26-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 9 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 14 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 15 28-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 16 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 1035 of 6486
Name
ARUNESH SHARMA Rate Amount Qty 3.84 .64 6 15.3 .51 30 18.6 .62 30 7.5 .25 30 400 400 1 1750 1750 1 400 400 1 8.9 .89 10 37.04 37.04 1 12.8 .64 20 400 400 1 18.6 .62 30 7.5 .25 30 82.76 165.52 2 123.53 370.59 3 26.13 8.71 3 17.8 .89 20 87.92 43.96 2 400 400 1 Total: 4148.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407898 Min 01407898 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 X-RAY CONVENTIONAL FILM SINGLE VIEW 10 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 22-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 12 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 16 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 1036 of 6486
Name
VINAY KUMAR CHATURVEDI Rate Amount Qty 17 1.7 10 20.06 20.06 1 1.85 .37 5 8.9 .89 10 9.6 .64 15 66.2 6.62 10 400 400 1 2.7 .18 15 400 400 1 600 600 1 12 .4 30 21.45 21.45 1 6.4 .64 10 34.8 1.16 30 66 1.1 60 15.3 .51 30 78 1.3 60 36 .6 60 21.6 .36 60 334.8 5.58 60 400 400 1 Total: 2552.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407899 Min 01407899 Slno Description Appmt Dt DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 1 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 2 20-FEB-19 CONSULTATION IN HEALTH CENTRE 3 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 20-FEB-19 ONDANSETRON,2MG/ML,INJECTION 5 20-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 20-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 27-FEB-19 URINE ROUTINE AND MICROSCOPIC 16 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 27-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 20 27-FEB-19
Page 1037 of 6486
Name
MANJULA CHATURVEDI Rate Amount Qty 22.71 22.71 1 9.81 9.81 1 400 400 1 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 3.52 3.52 1 7 .7 10 8.9 .89 10 35.2 3.52 10 16.8 1.12 15 55.8 .93 60 7.5 .25 30 400 400 1 400 400 1 380 380 1 6.4 .64 10 8.9 .89 10 66.2 6.62 10 4.2 .7 6 Total: 1876.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407905 Min 01407905 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 1038 of 6486
Name
B M K BAJPAI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 27.6 .92 30 21.3 .71 30 8.1 .27 30 41.85 .93 45 192.3 6.41 30 12 .4 30 400 400 1 Total: 1356.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407906 Min 01407906 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 11 28-FEB-19 MEGESTROL ACETATE,40MG,,TABLET 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1039 of 6486
Name
SARLA BAJPAI Rate Amount Qty 123.53 247.06 2 10.8 .36 30 39 1.3 30 53.4 3.56 15 33 1.1 30 27.9 .93 30 167.4 5.58 30 21.3 .71 30 7.5 .25 30 400 400 1 41.06 41.06 1 13.63 3271.2 240 26.7 .89 30 400 400 1 Total: 4746.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407912 Min 01407912 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 09-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 13-FEB-19 SUTURE REMOVAL 15 13-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 16 13-FEB-19
Page 1040 of 6486
Name
Y K RASTOGI Rate Amount Qty 10.95 .73 15 13 1.3 10 6 .6 10 26.05 5.21 5 10.15 2.03 5 3.95 .79 5 2 .4 5 5.8 1.16 5 9.6 .64 15 8.9 .89 10 66.2 6.62 10 13.8 .92 15 400 400 1 400 400 1 490 490 1 41.06 41.06 1 Total: 1507.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407913 Min 01407913 Appmt Dt Slno Description 13-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1041 of 6486
Name
NIRMAL RASTOGI Qty 1 1
Rate Amount 6.82 6.82 400 400 406.82 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407925 Min 01407925 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 1042 of 6486
R S SEN Rate Amount Qty 17.8 .89 20 62.8 3.14 20 63.8 3.19 20 400 400 1 13.7 1.37 10 275 275 1 275 275 1 247.6 6.19 40 400 400 1 50.14 25.07 2 400 400 1 Total: 2205.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407926 Min 01407926 Appmt Dt Slno Description 26-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 26-FEB-19 2 SALBUTAMOL,2MG,STRIP PACK,,TABLET 26-FEB-19 3 CEFEXIME,STRIP PKT,200MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1043 of 6486
Name
VIMLA SEN Qty Rate Amount 20 .9 18 30 .18 5.4 10 6.62 66.2 1 400 400 Total: 489.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407933 Min 01407933 Appmt Dt Slno Description 01-FEB-19 1 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1044 of 6486
Name
K M KALAMKAR Qty 1 1
Rate Amount 43.96 43.96 400 400 443.96 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407935 Min 01407935 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 7 05-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1045 of 6486
Name
DHANARAM SURYAVANSHI Rate Amount Qty 2.4 .16 15 15.96 2.66 6 1.92 .64 3 1.48 .37 4 7.8 .26 30 23.7 .79 30 95.7 3.19 30 16.81 16.81 1 400 400 1 Total: 565.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407936 Min 01407936 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 1046 of 6486
Name
DEEPA DEVI Rate Amount Qty 55.8 .93 60 76.5 2.55 30 17.4 .58 30 105.9 3.53 30 14.85 .99 15 18.6 .62 30 400 400 1 Total: 689.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407949 Min 01407949 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 1047 of 6486
Name
GODAWARI BAI Rate Amount Qty 275 275 1 275 275 1 118.5 3.95 30 27.6 .92 30 34.8 1.16 30 7.44 .93 8 156 1.3 120 54 .6 90 32.4 1.08 30 400 400 1 Total: 1380.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407954 Min 01407954 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 14-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 11 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 19-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 13 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 1048 of 6486
Name
PRABHAKAR G PANSE Rate Amount Qty 34.8 1.16 30 55.8 .93 60 18 .6 30 27.6 .92 30 7.5 .25 30 9.9 .66 15 17.4 .58 30 400 400 1 1.85 .37 5 34 1.7 20 6.3 .42 15 15 .25 60 22.5 .75 30 11.4 .38 30 400 400 1 Total: 1062.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407955 Min 01407955 Appmt Dt Slno Description 05-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 05-FEB-19 2 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 05-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1049 of 6486
Name
PRATIMA PANSE Qty Rate Amount 14 .9 12.6 1 12.15 12.15 7 .37 2.59 1 400 400 Total: 427.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407960 Min 01407960 Appmt Dt Slno Description 21-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 21-FEB-19 2 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 21-FEB-19 3 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1050 of 6486
HEMLATA RADKE Qty 2 2 1 1
Rate Amount 20.29 40.58 25.07 50.14 156.51 156.51 400 400 Total: 647.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407967 Min 01407967 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 1051 of 6486
Name
SREE KRISHNA PAGAY Rate Amount Qty 32.4 .36 90 54 .6 90 39 1.3 30 55.8 .93 60 8.1 .27 30 7.5 .25 30 21.3 .71 30 400 400 1 54 .6 90 32.4 .36 90 21.3 .71 30 8.1 .27 30 39 1.3 30 55.8 .93 60 400 400 1 Total: 1228.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407968 Min 01407968 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 PRAZOSIN,2.5MG,TABLET 6 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 21-FEB-19 PRAZOSIN,2.5MG,TABLET 14 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 16 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19 UREA (BUN /UR) 19 28-FEB-19 CREATININE /CRT 20 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 28-FEB-19
Page 1052 of 6486
Name
JYOTI PAGAY Rate Amount Qty 17.4 .58 30 17.4 1.16 15 27.9 .93 30 36.3 1.21 30 32.4 1.08 30 78 1.3 60 16.2 .27 60 400 400 1 3.84 .64 6 13.35 .89 15 21.3 .71 30 16.2 .27 60 1.85 .37 5 39 1.3 30 32.4 1.08 30 36.3 1.21 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 2717.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407971 Min 01407971 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 04-FEB-19 UREA (BUN /UR) 9 04-FEB-19 CREATININE /CRT 10 04-FEB-19 CHOLESTEROL (CHOL) 11 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 04-FEB-19
Page 1053 of 6486
Name
S R MUKHERJEE Rate Amount Qty 275 275 1 21.3 .71 30 118.5 3.95 30 27.9 .93 30 185.7 6.19 30 400 400 1 12 .4 30 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3440.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407972 Min 01407972 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 UREA (BUN /UR) 13 04-FEB-19 URIC ACID (UA /URATES /UR) 14 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 04-FEB-19
Page 1054 of 6486
Name
RIKTA MUKHERJEE Rate Amount Qty 21.3 .71 30 1300 1300 1 31.2 1.04 30 12.3 .41 30 12 .4 30 72 .6 120 78 1.3 60 12 .4 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 27.9 .93 30 Total: 3891.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407973 Min 01407973 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 1055 of 6486
Name
NANDLAL SHROFF Rate Amount Qty 26.7 .89 30 7.5 .25 30 34.8 1.16 30 12 .4 30 9 .6 15 3 .3 10 400 400 1 Total: 493
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407975 Min 01407975 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 1056 of 6486
Name
SUBHAS KUMAR SINGH Rate Amount Qty 15.6 .26 60 2.4 .16 15 21.3 .71 30 12 .4 30 16.2 .27 60 47.4 .79 60 55.8 .93 60 400 400 1 Total: 570.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407976 Min 01407976 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 1057 of 6486
Name
SUKANA DEVI Rate Amount Qty 55.8 .93 60 33 1.1 30 14.85 .99 15 32.4 1.08 30 21.3 .71 30 26.7 .89 30 15.6 .26 60 400 400 1 Total: 599.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407985 Min 01407985 Appmt Dt Slno Description 28-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 28-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1058 of 6486
Name
N R SINGH Qty Rate Amount 60 .93 55.8 30 .23 6.9 30 1.1 33 1 400 400 Total: 495.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407986 Min 01407986 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 05-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 1059 of 6486
Name
URMILA DEVI Rate Amount Qty 26.7 .89 30 41.1 1.37 30 38.76 3.23 12 400 400 1 34.8 1.16 30 12 .4 30 39 1.3 30 18 .6 30 9 .3 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 1055.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407994 Min 01407994 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 1060 of 6486
ALKA DESHPANDE Qty 2 2 1
Rate Amount 13.64 6.82 50.14 25.07 400 400 Total: 463.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408019 Min 01408019 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 20-FEB-19 URINE ROUTINE AND MICROSCOPIC 13 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 15 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19 OBSERVATION IN CASUALTY 19 26-FEB-19 ECG 20 26-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 21 26-FEB-19 INDWELLING CATHETERIZATION /(USING FOLEY 22 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 26-FEB-19
Page 1061 of 6486
Name
RAMESH CHANDER Rate Amount Qty 82.12 41.06 2 43.96 131.88 3 7.5 .25 30 95.7 3.19 30 60.9 2.03 30 92.68 6.62 14 16.2 .27 60 33 1.1 30 11.4 .38 30 400 400 1 8.9 .89 10 2.5 .25 10 380 380 1 400 400 1 1750 1750 1 2.67 .89 3 2.52 .42 6 400 400 1 420 420 1 450 450 1 9.62 9.62 1 980 980 1 .89 .89 1 Total: 5738.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408020 Min 01408020 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 1062 of 6486
Name
INDRA KHETARPAL Rate Amount Qty 4.1 .41 10 8.9 .89 10 400 400 1 Total: 413
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408021 Min 01408021 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 1063 of 6486
Name
T R VERMA Rate Amount Qty 9.9 .99 10 3.8 .38 10 18.6 .93 20 7.1 .71 10 3.6 .36 10 18 .6 30 1.6 .16 10 400 400 1 Total: 462.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408022 Min 01408022 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 1064 of 6486
Name
KAMALA BAI VERMA Rate Amount Qty 9.3 .62 15 21.3 .71 30 34.8 1.16 30 36 .6 60 23.7 .79 30 8.1 .27 30 11.4 .38 30 400 400 1 Total: 544.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408023 Min 01408023 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 18-FEB-19 PRAZOSIN,2.5MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 1065 of 6486
Name
PUSHPALATA PAGEY Rate Amount Qty 27.9 .93 30 26.7 .89 30 4.8 .16 30 16.2 .27 60 78 1.3 60 400 400 1 Total: 553.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408031 Min 01408031 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1066 of 6486
Name
MAHAVIR SINGH TUMREKI Rate Amount Qty 33 1.1 30 27.9 .93 30 8.1 .27 30 32.4 1.08 30 24 .4 60 69.6 1.16 60 400 400 1 Total: 595
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408032 Min 01408032 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1067 of 6486
Name
SAROJ TUMREKI Rate Amount Qty 167.4 5.58 30 32.4 .36 90 8.9 .89 10 21.3 .71 30 16.2 .27 60 55.8 .93 60 72 .6 120 400 400 1 Total: 774
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408035 Min 01408035 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 1068 of 6486
Name
KARTIK CHANDRA DAS Rate Amount Qty 27.9 .93 30 8.9 .89 10 400 400 1 Total: 436.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408036 Min 01408036 Appmt Dt Slno Description 13-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1069 of 6486
Name
AVA DAS Qty Rate Amount 60 1.1 66 1 400 400 466 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408041 Min 01408041 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 1070 of 6486
Name
B C GANGULY Rate Amount Qty 24 .4 60 32.4 1.08 30 69.6 1.16 60 76.5 2.55 30 8.1 .27 30 400 400 1 Total: 610.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408042 Min 01408042 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1071 of 6486
Name
SUBHRA GANGULY Rate Amount Qty 32.4 1.08 30 22.2 .37 60 27.9 .93 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408045 Min 01408045 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1072 of 6486
Name
K K SHRIVASTAVA Rate Amount Qty 8.1 .27 30 21.3 .71 30 12 .4 30 32.4 1.08 30 8.1 .27 30 7.5 .25 30 400 400 1 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408049 Min 01408049 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 28-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1073 of 6486
Name
B S CHANDEL Rate Amount Qty 55.8 .93 60 2.4 .16 15 88.2 1.47 60 108 .6 180 18 .3 60 11.4 .38 30 26.7 .89 30 400 400 1 Total: 710.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408050 Min 01408050 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1074 of 6486
Name
SAROJ CHANDEL Rate Amount Qty 18 .6 30 11.4 .38 30 400 400 1 Total: 429.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408051 Min 01408051 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1075 of 6486
J N INGLE Rate Amount Qty 15.73 15.73 1 1.85 .37 5 35.1 2.34 15 1.92 .64 3 400 400 1 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408052 Min 01408052 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 1076 of 6486
PADAMINI INGLE Rate Amount Qty 8.1 .27 30 21.3 .71 30 35.1 2.34 15 1.85 .37 5 3.2 .64 5 15.73 15.73 1 400 400 1 Total: 485.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408055 Min 01408055 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 28-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 2 28-FEB-19 OBSERVATION IN CASUALTY 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 28-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 10 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 28-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1077 of 6486
Name
RAMANAND Rate Amount Qty 15.6 .26 60 5.21 5.21 1 420 420 1 8.1 .27 30 2.4 .16 15 21.3 .71 30 55.8 .93 60 66 1.1 60 29.7 .99 30 600 600 1 105.9 3.53 30 61.8 4.12 15 12 .4 30 400 400 1 Total: 1803.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408056 Min 01408056 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 1078 of 6486
Name
UMA BAI Rate Amount Qty 31.2 1.04 30 21.3 .71 30 66 1.1 60 55.8 .93 60 400 400 1 Total: 574.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408061 Min 01408061 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 28-FEB-19 CREATININE /CRT 18 28-FEB-19 ABC TEST HIV 19 28-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 20 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 24 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 25 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 28-FEB-19
Page 1079 of 6486
Name
J HUSSAIN RAO Rate Amount Qty 8.1 .27 30 167.4 5.58 30 117 1.3 90 36 .6 60 33 1.1 30 21.6 .36 60 7.5 .25 30 34.8 1.16 30 400 400 1 34.8 1.16 30 33 1.1 30 8.1 .27 30 167.4 5.58 30 7.5 .25 30 400 400 1 275 275 1 275 275 1 275 275 1 1250 1250 1 1000 1000 1 117 1.3 90 275 275 1 275 275 1 21.6 .36 60 36 .6 60 400 400 1 Total: 5675.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408062 Min 01408062 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 1080 of 6486
Name
SUBHALAXMI Rate Amount Qty 12.6 .42 30 400 400 1 21.3 .71 30 27.9 .93 30 8.1 .27 30 33 1.1 30 400 400 1 7.5 .25 30 21.3 .71 30 27.9 .93 30 8.1 .27 30 33 1.1 30 400 400 1 Total: 1400.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408074 Min 01408074 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 20-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 1081 of 6486
Name
S K LALL Rate Amount Qty 19.2 .64 30 95.7 3.19 30 36 .6 60 15 .25 60 19.8 .66 30 26.7 .89 30 400 400 1 Total: 612.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408086 Min 01408086 Slno Description Appmt Dt ECG 1 05-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 13 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 27-FEB-19
Page 1082 of 6486
Name
MINATI GHOSH Rate Amount Qty 450 450 1 2370 2370 1 400 400 1 1300 1300 1 1300 1300 1 17.4 .58 30 13.35 .89 15 7.5 .25 30 21.3 .71 30 18.9 .63 30 400 400 1 55.8 .93 60 36.3 1.21 30 34.8 1.16 30 3.84 .64 6 33.12 1.84 18 400 400 1 400 400 1 Total: 7262.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408093 Min 01408093 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 1083 of 6486
Name
DEY DILIP KUMAR Rate Amount Qty 156 1.3 120 21.6 .36 60 54 .6 90 21.3 .71 30 12 .4 30 400 400 1 Total: 664.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408096 Min 01408096 Appmt Dt Slno Description 21-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 21-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1084 of 6486
Name
GITA RANI METYA Qty Rate Amount 30 .71 21.3 15 .99 14.85 30 .93 27.9 1 400 400 Total: 464.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408116 Min 01408116 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 CREATININE /CRT 4 28-FEB-19 UREA (BUN /UR) 5 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 28-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 9 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 28-FEB-19
Page 1085 of 6486
Name
O P SONI Rate Amount Qty 35.2 17.6 2 3.7 .37 10 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3513.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408117 Min 01408117 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 CREATININE /CRT 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 04-FEB-19
Page 1086 of 6486
Name
PARVATI SONI Rate Amount Qty 550 550 1 1300 1300 1 275 275 1 275 275 1 27.9 .93 30 275 275 1 400 400 1 8.1 .27 30 275 275 1 Total: 3386
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408123 Min 01408123 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 6 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1087 of 6486
Name
VEENA BAKSHI Rate Amount Qty 16.2 .36 45 34.8 1.16 30 26.7 .89 30 7.5 .25 30 23.7 .79 30 11.88 .99 12 10.42 5.21 2 54 .6 90 400 400 1 Total: 585.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408132 Min 01408132 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 18-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 8 18-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 1088 of 6486
Name
ASHUTOSH KUILA Rate Amount Qty 192.3 6.41 30 33 1.1 30 27.9 .93 30 400 400 1 26.96 3.37 8 8.9 .89 10 4.1 .41 10 63.58 63.58 1 13.43 13.43 1 400 400 1 Total: 1170.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408144 Min 01408144 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 8 18-FEB-19 SEVELAMER ,800 MG,,TABLET 9 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 1089 of 6486
Name
TIRATHDAS Rate Amount Qty 18.4 1.84 10 8.9 .89 10 400 400 1 21.6 1.08 20 35.6 .89 40 7.6 .38 20 23.2 1.16 20 122.8 6.14 20 334.6 16.73 20 11.1 .37 30 5 .25 20 400 400 1 Total: 1388.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408153 Min 01408153 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 08-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 1090 of 6486
Name
V P NEMA Rate Amount Qty 72.6 1.21 60 15.6 2.6 6 192.3 6.41 30 36 .6 60 32.4 1.08 30 30.6 .34 90 60.9 2.03 30 400 400 1 27.9 .93 30 400 400 1 Total: 1268.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408168 Min 01408168 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 X - RAY - TWO VIEWS 2 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 15-FEB-19
Page 1091 of 6486
Name
B N SINGH Rate Amount Qty 8.9 .89 10 860 860 1 400 400 1 Total: 1268.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408177 Min 01408177 Slno Description Appmt Dt GUM ANALGESIC GEL 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 4 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 5 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 6 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 09-FEB-19 ECG 8 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 1092 of 6486
Name
D P JOSHI Rate Amount Qty 28.69 28.69 1 3.75 .25 15 400 400 1 19.77 19.77 1 24.45 24.45 1 6.42 2.14 3 44.16 1.84 24 450 450 1 400 400 1 19.77 19.77 1 400 400 1 51.38 25.69 2 400 400 1 1.85 .37 5 6.4 .64 10 28.08 2.34 12 400 400 1 Total: 2684.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408193 Min 01408193 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 5 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1093 of 6486
Name
LAXMI Rate Amount Qty 66 1.1 60 156 1.3 120 44.4 .37 120 55.8 .93 60 78 .78 100 15.6 1.04 15 53.4 .89 60 7.5 .25 30 400 400 1 Total: 876.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408198 Min 01408198 Appmt Dt Slno Description 07-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 2 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 07-FEB-19 3 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1094 of 6486
Name
B MOHINI Qty Rate Amount 5 .89 4.45 10 .73 7.3 10 .41 4.1 1 400 400 Total: 415.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408199 Min 01408199 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 22-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 8 22-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 9 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 12 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 1095 of 6486
Name
K M GIRDHAR Rate Amount Qty 17.6 17.6 1 7.4 .37 20 400 400 1 185.7 6.19 30 7.5 .25 30 20.84 5.21 4 34.8 1.16 30 123.6 4.12 30 43.2 1.44 30 31.2 1.04 30 23.7 .79 30 85.2 .71 120 43.96 43.96 1 12 .4 30 32.4 1.08 30 400 400 1 Total: 1469.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408200 Min 01408200 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 11-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 11-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1096 of 6486
Name
RENU GIRDHAR Rate Amount Qty 4.45 .89 5 45.44 45.44 1 26.96 3.37 8 3.7 .37 10 63.58 63.58 1 13.43 13.43 1 6.7 .67 10 400 400 1 Total: 564.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408204 Min 01408204 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 1097 of 6486
Name
DR GHANSHYAM DAS AGRAWAL Rate Amount Qty 7.5 .25 30 66 1.1 60 400 400 1 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408205 Min 01408205 Appmt Dt Slno Description 14-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1098 of 6486
Name
GITA AGRAWAL Qty Rate Amount 60 .23 13.8 60 .93 55.8 60 .6 36 1 400 400 Total: 505.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408208 Min 01408208 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 1099 of 6486
Name
ARVIND KUMAR SHRIVASTAVA Rate Amount Qty 5.4 .36 15 6 .4 15 18 .6 30 17.4 1.16 15 6.32 .79 8 20.4 2.55 8 400 400 1 Total: 473.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408217 Min 01408217 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 PRAZOSIN,2.5MG,TABLET 3 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 1100 of 6486
Name
S D DUBEY Rate Amount Qty 72 .6 120 27.9 .93 30 78 1.3 60 167.4 5.58 30 78 1.3 60 32.4 .36 90 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1108.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408218 Min 01408218 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 UREA (BUN /UR) 2 01-FEB-19 C T ANGIOGRAPHY 3 01-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 09-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 10 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 1101 of 6486
Name
JANKI DUBEY Rate Amount Qty 400 400 1 275 275 1 18930 18930 1 9000 9000 1 275 275 1 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 33 1.1 30 22.2 .37 60 12 .4 30 400 400 1 Total: 29442.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408220 Min 01408220 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 13-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 13-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 13-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 7 13-FEB-19 OBSERVATION IN CASUALTY 8 13-FEB-19 ECG 9 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 13-FEB-19 CIPROFLOXACIN,200MG/100ML,INJECTION 12 13-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 13 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 13-FEB-19
Page 1102 of 6486
Name
PUSHPA AGRAWAL Rate Amount Qty 17.8 .89 20 20.06 20.06 1 400 400 1 24.52 24.52 1 9.81 9.81 1 17.42 8.71 2 22.71 22.71 1 420 420 1 450 450 1 21.12 3.52 6 10.08 1.12 9 16.1 16.1 1 11.89 11.89 1 5.34 .89 6 Total: 1446.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408234 Min 01408234 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 21-FEB-19 PRAZOSIN,2.5MG,TABLET 5 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 CREATININE /CRT 9 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 22-FEB-19
Page 1103 of 6486
Name
SHEELA SHRIVASTAVA Rate Amount Qty 55.8 .93 60 34.8 1.16 30 12 .4 30 76.5 2.55 30 39 1.3 30 22.2 .37 60 29.7 .99 30 400 400 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 Total: 3195
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408235 Min 01408235 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1104 of 6486
Name
B K SHRIVASTAVA Rate Amount Qty 1.85 .37 5 2.28 .38 6 3.84 .64 6 42.12 2.34 18 400 400 1 Total: 450.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408238 Min 01408238 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1105 of 6486
Name
K L GUPTA Rate Amount Qty 13.95 .93 15 16.5 1.1 15 12 .4 30 21.3 .71 30 400 400 1 Total: 463.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408239 Min 01408239 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1106 of 6486
Name
SUMAN GUPTA Rate Amount Qty 27.6 .92 30 54 .6 90 27.9 .93 30 14.85 .99 15 55.8 .93 60 21.3 .71 30 8.9 .89 10 400 400 1 Total: 610.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408243 Min 01408243 Appmt Dt Slno Description 25-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 2 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 25-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1107 of 6486
Name
CHAMPA LAL PACHRAIYA Qty Rate Amount 4 .37 1.48 6 2.66 15.96 6 .64 3.84 1 400 400 Total: 421.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408244 Min 01408244 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1108 of 6486
Name
SHASHI PRABHA PACHRAIYA Rate Amount Qty 27.9 .93 30 21.3 .71 30 32.4 1.08 30 2.4 .16 15 38.25 2.55 15 400 400 1 2.28 .38 6 3.84 .64 6 1.85 .37 5 400 400 1 Total: 930.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408245 Min 01408245 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1109 of 6486
Name
P SHAKUNTALA Rate Amount Qty 7.5 .25 30 6.4 .64 10 12 .4 30 21.3 .71 30 33 1.1 30 16.2 .27 60 117 1.3 90 72 .6 120 400 400 1 Total: 685.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408246 Min 01408246 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 1110 of 6486
Name
M S MAHAJAN Rate Amount Qty 27.9 .93 30 10.65 .71 15 36 .6 60 34.8 1.16 30 10.8 .36 30 14.85 .99 15 60.9 2.03 30 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408247 Min 01408247 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 11-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 8 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 OBSERVATION IN CASUALTY 11 11-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 12 11-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 13 11-FEB-19 ECG 14 11-FEB-19 BOWEL WASH /ENEMA 15 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 18 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 19 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 14-FEB-19
Page 1111 of 6486
KUSUM MAHAJAN Rate Amount Qty 8.9 .89 10 61.9 6.19 10 8.2 .41 20 400 400 1 8.9 .89 10 7 .7 10 15.73 15.73 1 11.89 11.89 1 24.52 24.52 1 .93 .93 1 420 420 1 9.81 9.81 1 9.62 9.62 1 450 450 1 400 400 1 43.96 43.96 1 400 400 1 25.2 .42 60 19.8 .66 30 12 .4 30 21.3 .71 30 27.9 .93 30 36 .6 60 400 400 1 Total: 2823.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408254 Min 01408254 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 PARACETAMOL,125MG/5ML,60ML/BTL,SYRUP 6 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 15-FEB-19 PRAZOSIN,2.5MG,TABLET 9 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 1112 of 6486
Name
M D SHRIVASTAVA Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 1.11 .37 3 99.24 16.54 6 17.4 1.16 15 18 .6 30 156 1.3 120 16.2 .27 60 211.8 3.53 60 400 400 1 18.6 .93 20 400 400 1 Total: 1759.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408255 Min 01408255 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 16-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19
Page 1113 of 6486
Name
ARTI DEVI Rate Amount Qty 3.84 .64 6 1.85 .37 5 7.5 .25 30 28.08 2.34 12 66 1.1 60 157.8 2.63 60 72 .6 120 55.8 .93 60 211.8 3.53 60 17.4 1.16 15 32.4 1.08 30 10.8 .36 30 400 400 1 Total: 1065.27
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408258 Min 01408258 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 1114 of 6486
KALPAKAM HARIKRISHNAN Rate Amount Qty 15.73 15.73 1 21.3 .71 30 400 400 1 Total: 437.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408269 Min 01408269 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 1115 of 6486
HARSHAD RAI Rate Amount Qty 32.4 1.08 30 27.9 .93 30 15.73 15.73 1 21.3 .71 30 7.5 .25 30 400 400 1 Total: 504.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408273 Min 01408273 Appmt Dt Slno Description 09-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1116 of 6486
Name
ANNAMMA MATHEW Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408298 Min 01408298 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1117 of 6486
Name
RAMU THAKRE Rate Amount Qty 6.9 .23 30 66 1.1 60 40.12 20.06 2 43.96 1318.8 30 400 400 1 Total: 1831.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408299 Min 01408299 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 14 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 1118 of 6486
Name
RAJKANYA THAKRE Rate Amount Qty 4.8 .16 30 26.7 .89 30 7.5 .25 30 33 1.1 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 400 400 1 32.61 32.61 1 400 400 1 32.61 32.61 1 1.85 .37 5 400 400 1 Total: 1519.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408300 Min 01408300 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 09-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19
Page 1119 of 6486
Name
D L SAHU Rate Amount Qty 117 1.3 90 7.5 .25 30 21.3 .71 30 12 .4 30 54 .6 90 167.4 5.58 30 118.5 3.95 30 13.95 .93 15 9 .3 30 400 400 1 Total: 920.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408306 Min 01408306 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1120 of 6486
Name
M H KIKANI Rate Amount Qty 34.8 1.16 30 4.8 .16 30 33 1.1 30 8.1 .27 30 55.8 .93 60 167.4 5.58 30 9 .3 30 18 .6 30 400 400 1 Total: 730.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408307 Min 01408307 Slno Description Appmt Dt HB,TLC,DLC 1 06-FEB-19 PLATELET COUNT 2 06-FEB-19 ESR 3 06-FEB-19 X - RAY - SINGLE VIEW 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19
Page 1121 of 6486
Name
M M KIKANI Qty 1 1 1 1 1
Rate Amount 300 300 330 330 165 165 550 550 400 400 Total: 1745
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408323 Min 01408323 Slno Description Appmt Dt HYPERTONIC SALINE EYE DROPS, 5% W/V, 1 01-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 15-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 1122 of 6486
Name
SHANTI SHUKLA Qty 1 1 6 1 5 5 1
Rate Amount 33.58 33.58 21.45 21.45 2.22 .37 400 400 3.2 .64 2.05 .41 400 400 Total: 862.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408337 Min 01408337 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 01-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 12 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 16 15-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 23 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 24 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 25 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 27 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 28 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 28-FEB-19
Page 1123 of 6486
Name
V K JAIN Rate Amount Qty 30.6 .34 90 123.53 370.59 3 26.7 .89 30 7.65 .51 15 27.9 .93 30 6.9 .23 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 26.6 2.66 10 5.4 .18 30 3.7 .37 10 12.15 12.15 1 400 400 1 12.15 12.15 1 16.2 .18 90 400 400 1 12 .4 30 18 .6 30 26.7 .89 30 27.9 .93 30 30.6 .34 90 32.4 1.08 30 370.59 123.53 3 7.5 .25 30 34.8 1.16 30 6.9 .23 30 400 400 1 Total: 2793.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408338 Min 01408338 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19
Page 1124 of 6486
Name
SUDHA JAIN Rate Amount Qty 2.5 .25 10 8.9 .89 10 400 400 1 26.7 .89 30 7.5 .25 30 17.4 .58 30 21.3 .71 30 12 .4 30 8.1 .27 30 21.6 .36 60 117 1.3 90 23.7 .79 30 72 .6 120 167.4 5.58 30 400 400 1 Total: 1306.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408339 Min 01408339 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 13-FEB-19 CREATININE /CRT 8 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 1125 of 6486
Name
BIMELENDU DUTTA Rate Amount Qty 15.6 1.04 15 55.8 .93 60 211.8 3.53 60 66 1.1 60 12 .4 30 10.65 .71 15 22.2 .37 60 275 275 1 275 275 1 275 275 1 400 400 1 11.4 .38 30 185.7 6.19 30 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 2238.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408340 Min 01408340 Appmt Dt Slno Description 13-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 13-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1126 of 6486
Name
SHILA DUTTA Qty Rate Amount 30 .62 18.6 15 .27 4.05 30 .93 27.9 1 400 400 Total: 450.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408347 Min 01408347 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 13-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 13-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 13-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 1127 of 6486
Name
BALESHWAR MISHRA Rate Amount Qty 192.3 6.41 30 48 .4 120 36 .6 60 167.4 5.58 30 237 3.95 60 32.4 1.08 30 12 .4 30 26.7 .89 30 11.4 .38 30 4.8 .16 30 60.9 2.03 30 7.5 .25 30 82.12 41.06 2 400 400 1 Total: 1318.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408359 Min 01408359 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 15-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19
Page 1128 of 6486
Name
ROOT SINGH Rate Amount Qty 19.2 .64 30 26.7 .89 30 40.12 20.06 2 87.92 43.96 2 13.7 1.37 10 7.5 .25 30 400 400 1 20.06 20.06 1 26.7 .89 30 20.1 .67 30 54 .9 60 21.6 .18 120 400 400 1 Total: 1137.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408360 Min 01408360 Name Appmt Dt Slno Description 15-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1129 of 6486
MAHENDRA KAUR Qty 2 1
Rate Amount 25.07 50.14 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408374 Min 01408374 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1130 of 6486
Name
A K JOSHI Rate Amount Qty 18 .6 30 13.95 .93 15 73.8 .82 90 6.4 .64 10 7.7 .77 10 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 587.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408376 Min 01408376 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1131 of 6486
Name
RAM KARAN GUPTA Rate Amount Qty 334.8 5.58 60 21.6 .36 60 8.1 .27 30 27.9 .93 30 36 .6 60 400 400 1 Total: 828.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408377 Min 01408377 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 1132 of 6486
Name
KUNTI DEVI GUPTA Rate Amount Qty 36 .6 60 21.6 .36 60 78 1.3 60 10.65 .71 15 167.4 5.58 30 400 400 1 Total: 713.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408395 Min 01408395 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1133 of 6486
Name
C P AGRAWAL Rate Amount Qty 9 .3 30 8.1 .27 30 23.7 .79 30 36 .6 60 400 400 1 Total: 476.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408396 Min 01408396 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 12-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 1134 of 6486
C D AGRAWAL Rate Amount Qty 6.9 .23 30 82.76 165.52 2 55.8 .93 60 400 400 1 8.9 .89 10 3.7 .37 10 15.73 15.73 1 26.6 2.66 10 400 400 1 Total: 1083.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408401 Min 01408401 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1135 of 6486
Name
H N CHOUBE Rate Amount Qty 76.5 2.55 30 8.1 .27 30 400 400 1 106.8 3.56 30 400 400 1 Total: 991.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408402 Min 01408402 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1136 of 6486
Name
DHANMANI DEVI Rate Amount Qty 8.1 .27 30 3.75 .25 15 8.7 .58 15 27.9 .93 30 400 400 1 Total: 448.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408404 Min 01408404 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 PRAZOSIN,2.5MG,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 1137 of 6486
Name
MEENA CHOUKSEY Rate Amount Qty 34.8 1.16 30 78 1.3 60 55.8 .93 60 8.1 .27 30 76.5 2.55 30 15.6 1.04 15 400 400 1 Total: 668.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408413 Min 01408413 Appmt Dt Slno Description 18-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1138 of 6486
Name
P N BURMAN Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408415 Min 01408415 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 1139 of 6486
Name
K L TAMRAKAR Rate Amount Qty 55.8 .93 60 18 .6 30 400 400 1 Total: 473.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408416 Min 01408416 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 1140 of 6486
Name
KALPANA TAMRAKAR Rate Amount Qty 185.7 6.19 30 13.7 1.37 10 8.1 .27 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 656.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408420 Min 01408420 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 13 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 17 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 19 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 21 02-FEB-19 BRIMONIDINE TARTRATE,0.15% 22 02-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 23 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 02-FEB-19
Page 1141 of 6486
OMPRAKASH SOHANI Rate Amount Qty 55.8 .93 60 60.9 2.03 30 8.1 .27 30 18 .6 30 32.4 1.08 30 55.8 .93 60 72.6 1.21 60 32.4 1.08 30 18 .6 30 8.1 .27 30 60.9 2.03 30 3.7 .37 10 72.6 1.21 60 32.4 1.08 30 18 .6 30 8.1 .27 30 60.9 2.03 30 55.8 .93 60 72.6 1.21 60 400 400 1 50.14 25.07 2 148.9 74.45 2 40.58 20.29 2 400 400 1 Total: 1786.72
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408438 Min 01408438 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 7 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 04-FEB-19 COMPLETE HAEMOGRAM 14 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 04-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 17 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 20 04-FEB-19 INHALANT,STRIP PACK,CAPSULE 21 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 24 19-FEB-19 UREA (BUN /UR) 25 19-FEB-19 CREATININE /CRT 26 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 29 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 30 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 31 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 32 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 33 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 34 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 35 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 28-FEB-19
Page 1142 of 6486
S J FISCH Rate Amount Qty 78 1.3 60 1.85 .37 5 6.4 .64 10 66.2 6.62 10 25.07 25.07 1 7.5 .25 30 82.76 82.76 1 55.8 .93 60 26.7 .89 30 185.7 6.19 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 750 750 1 400 400 1 48.22 48.22 1 9 .3 30 8.1 .27 30 55.8 .93 60 15.6 .26 60 10.2 1.7 6 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 12 .4 30 32.4 1.08 30 55.8 .93 60 78 1.3 60 9 .3 30 8.1 .27 30 15.6 .26 60 400 400 1 Total: 5344.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408439 Min 01408439 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 07-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 UREA (BUN /UR) 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 19-FEB-19 CREATININE /CRT 15 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 1143 of 6486
Name
J S FISCH Rate Amount Qty 78 1.3 60 18 .6 30 21.3 .71 30 27.9 .93 30 10.8 .36 30 3.7 .37 10 9.86 9.86 1 13.48 3.37 4 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 10.8 .36 30 78 1.3 60 18 .6 30 21.3 .71 30 27.9 .93 30 400 400 1 Total: 3939.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408441 Min 01408441 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1144 of 6486
Name
ANILA SHRIVASTAV Rate Amount Qty 23.1 .77 30 12 .4 30 33 1.1 30 21.3 .71 30 55.8 .93 60 16.2 .27 60 7.8 .26 30 400 400 1 Total: 569.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408442 Min 01408442 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 1145 of 6486
Name
BHANWAR SINGH BANAFAR Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 9 .3 30 30.6 .34 90 13.95 .93 15 1.85 .37 5 39 1.3 30 400 400 1 39 1.3 30 27.9 .93 30 9 .3 30 21.3 .71 30 32.4 1.08 30 12 .4 30 30.6 .34 90 400 400 1 Total: 1132.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408443 Min 01408443 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 INHALANT,STRIP PACK,CAPSULE 4 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1146 of 6486
SUMITRA KUMARI BANAFAR Rate Amount Qty 55.8 .93 60 8.9 .89 10 3.7 .37 10 17 1.7 10 15.73 15.73 1 400 400 1 11.1 .37 30 57.84 115.68 2 55.8 .93 60 400 400 1 Total: 1083.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408461 Min 01408461 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 1147 of 6486
Name
SAMARNATH MISHRA Rate Amount Qty 6 .4 15 43.96 43.96 1 1.28 .16 8 60.9 2.03 30 16.5 1.1 15 26.7 .89 30 34.8 1.16 30 16.2 1.08 15 400 400 1 2.4 .16 15 53.4 .89 60 69.6 1.16 60 24 .4 60 33 1.1 30 32.4 1.08 30 43.96 43.96 1 60.9 2.03 30 400 400 1 Total: 1326
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408464 Min 01408464 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1148 of 6486
Name
YASHWANT SINGH RAWAT Rate Amount Qty 29.7 .99 30 54 .6 90 3.75 .25 15 55.8 .93 60 16.2 .27 60 33 1.1 30 400 400 1 Total: 592.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408465 Min 01408465 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1149 of 6486
Name
SUNITA RAWAT Rate Amount Qty 18.9 .63 30 55.8 .93 60 14.85 .99 15 32.4 1.08 30 66 1.1 60 400 400 1 Total: 587.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408466 Min 01408466 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1150 of 6486
Name
BASONA BANERJEE Rate Amount Qty 12 .4 30 72.6 1.21 60 55.8 .93 60 10.8 .36 30 36 .6 60 20.06 20.06 1 8.1 .27 30 7.65 .51 15 400 400 1 Total: 623.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408468 Min 01408468 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 1151 of 6486
Name
N N PANDEY Rate Amount Qty 21.3 .71 30 167.4 5.58 30 13.95 .93 15 20.84 5.21 4 400 400 1 Total: 623.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408470 Min 01408470 Appmt Dt Slno Description 23-FEB-19 1 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1152 of 6486
Name
S C KHANNA Qty 1 1
Rate Amount 41.06 41.06 400 400 441.06 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408472 Min 01408472 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1153 of 6486
Name
S KANAKA SEN Rate Amount Qty 27.9 .93 30 22.2 .37 60 211.8 3.53 60 18.9 .63 30 21.3 .71 30 23.1 .77 30 400 400 1 Total: 725.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408479 Min 01408479 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 14-FEB-19 DRESSING SIMPLE 5 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1154 of 6486
Name
G C DUTTA Rate Amount Qty 66.2 6.62 10 4.45 .89 5 6.4 .64 10 400 400 1 1500 300 5 100.71 100.71 1 54 .9 60 400 400 1 Total: 2531.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408498 Min 01408498 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 1155 of 6486
Name
SHOBHA WADNERKAR Rate Amount Qty 8.1 .27 30 27.6 .92 30 32.4 1.08 30 21.3 .71 30 211.8 3.53 60 27.9 .93 30 400 400 1 Total: 729.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408507 Min 01408507 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 1156 of 6486
Name
RAMJI TIWARI Rate Amount Qty 10.08 1.12 9 8.1 .27 30 32.4 .36 90 36 .6 60 47.4 .79 60 21.12 3.52 6 12 .4 30 7.5 .25 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 628.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408523 Min 01408523 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 02-FEB-19
Page 1157 of 6486
Name
V K CHARAN Rate Amount Qty 167.4 5.58 30 29.7 .99 30 21.3 .71 30 18.9 .63 30 32.4 1.08 30 33 1.1 30 55.8 .93 60 15.6 .26 60 78 1.3 60 72 .6 120 21.6 .36 60 400 400 1 Total: 945.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408529 Min 01408529 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 18-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19 POP APPLICATION (COST OF ROLL EXTRA) 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 19-FEB-19 PARASITES (MP /MF) 15 19-FEB-19 SYRINGE,DISPOSABLE,2ML 16 19-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 17 19-FEB-19 OBSERVATION IN CASUALTY 18 19-FEB-19
Page 1158 of 6486
Name
J P KUDARIYA Rate Amount Qty 3.7 .37 10 85.52 85.52 1 26.7 .89 30 31.4 3.14 10 55.8 .93 60 8.1 .27 30 21.3 .71 30 39 1.3 30 167.4 5.58 30 36 .6 60 21.6 .36 60 400 400 1 480 480 1 400 400 1 165 165 1 1.84 1.84 1 8.64 8.64 1 420 420 1 Total: 2372
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408530 Min 01408530 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 1159 of 6486
Name
USHA KUDARIYA Rate Amount Qty 10.8 .36 30 100.71 100.71 1 3.7 .37 10 21.3 .71 30 15.6 1.04 15 55.8 .93 60 167.4 5.58 30 36 .6 60 400 400 1 Total: 811.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408539 Min 01408539 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 1160 of 6486
Name
SHAKIL ANWAR KHAN Rate Amount Qty 55.8 .93 60 66 1.1 60 8.1 .27 30 14.85 .99 15 21.3 .71 30 400 400 1 Total: 566.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408540 Min 01408540 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 1161 of 6486
Name
AFSHAN SHAKIL KHAN Rate Amount Qty 27.9 .93 30 36 .6 60 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408542 Min 01408542 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 08-FEB-19 CREATININE /CRT 3 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 08-FEB-19 UREA (BUN /UR) 5 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 08-FEB-19 PRAZOSIN,2.5MG,TABLET 9 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 08-FEB-19
Page 1162 of 6486
Name
ARATI JOSHI Rate Amount Qty 27.9 .93 30 275 275 1 275 275 1 1300 1300 1 275 275 1 20.84 5.21 4 12 .4 30 34.8 1.16 30 39 1.3 30 275 275 1 Total: 2534.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408547 Min 01408547 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 09-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 09-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 09-FEB-19 CULTURE AND SENSITIVITY SWAB - PUS/EAR 12 09-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 13 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 18-FEB-19
Page 1163 of 6486
Name
DR GOVIND PRASAD AGRAWAL Rate Amount Qty 23.1 .77 30 79.8 2.66 30 400 400 1 11.25 .75 15 11.4 .38 30 25.62 12.81 2 63.22 31.61 2 400 400 1 85.52 85.52 1 275 275 1 275 275 1 650 650 1 130.42 130.42 1 20.84 5.21 4 400 400 1 400 400 1 1750 1750 1 Total: 5001.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408548 Min 01408548 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 16-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 23-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 11 23-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 URINE ALBUMIN 14 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 23-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 18 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 28-FEB-19
Page 1164 of 6486
Name
SUSHMA AGRAWAL Rate Amount Qty 21.3 .71 30 36 .6 60 3.75 .25 15 14.85 .99 15 400 400 1 25.62 12.81 2 26.86 13.43 2 7.4 .37 20 400 400 1 400 400 1 275 275 1 368.4 6.14 60 35.6 .89 40 150 150 1 36 .6 60 14.85 .99 15 3.75 .25 15 1000 1000 1 400 400 1 Total: 3619.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408554 Min 01408554 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 CREATININE /CRT 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 11-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 12 11-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 13 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 15 11-FEB-19 UREA (BUN /UR) 16 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 20 11-FEB-19 URIC ACID (UA /URATES /UR) 21 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 22 11-FEB-19
Page 1165 of 6486
Name
SHYAM LAL GUPTA Rate Amount Qty 36 .6 60 27.9 .93 30 8.1 .27 30 7.5 .25 30 26 2.6 10 400 400 1 275 275 1 36 .6 60 55.8 .93 60 8.1 .27 30 26.7 .89 30 7.8 .26 30 11.25 .75 15 38.43 12.81 3 41.06 41.06 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 275 275 1 550 550 1 Total: 4355.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408555 Min 01408555 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 11-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 8 11-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 11-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 1166 of 6486
Name
RADHA GUPTA Rate Amount Qty 7.5 .25 30 32.4 1.08 30 8.1 .27 30 27.9 .93 30 76.5 2.55 30 400 400 1 11.1 .37 30 11.25 .75 15 85.52 85.52 1 12.81 12.81 1 45.44 45.44 1 400 400 1 Total: 1118.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408562 Min 01408562 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 25-FEB-19 BLOOD FOR TSH 15 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 25-FEB-19
Page 1167 of 6486
Name
SURESH KUMAR RAICHA Rate Amount Qty 16.2 .27 60 12 .4 30 36.3 1.21 30 47.4 .79 60 60.9 2.03 30 21.3 .71 30 21.3 .71 30 400 400 1 66 1.1 60 60.9 2.03 30 26.7 .89 30 21.3 .71 30 12 .4 30 16.2 .27 60 800 800 1 47.4 .79 60 400 400 1 Total: 2065.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408563 Min 01408563 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1168 of 6486
Name
RAMA RAICHA Rate Amount Qty 33 1.1 30 34.8 1.16 30 43.96 43.96 1 7.5 .25 30 22.05 1.47 15 400 400 1 20.84 5.21 4 400 400 1 Total: 962.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408566 Min 01408566 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 20-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 11 20-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 12 20-FEB-19 OBSERVATION IN CASUALTY 13 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 20-FEB-19 INHALANT,STRIP PACK,CAPSULE 15 20-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 16 20-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 22 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 25-FEB-19
Page 1169 of 6486
Name
KUMAR F TAHILRAMANI Rate Amount Qty 550 550 1 8.1 .18 45 18 .9 20 3.7 .37 10 8.9 .89 10 12.15 12.15 1 400 400 1 400 400 1 .8 .16 5 1.85 .37 5 6.67 6.67 1 100 100 1 420 420 1 6.4 .64 10 8.5 1.7 5 5.77 5.77 1 22 4.4 5 400 400 1 3.2 .64 5 1.25 .25 5 4.45 .89 5 66.2 6.62 10 400 400 1 Total: 2847.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408568 Min 01408568 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 11-FEB-19 URIC ACID (UA /URATES /UR) 3 11-FEB-19 CREATININE /CRT 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 11 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 11-FEB-19 UREA (BUN /UR) 13 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 1170 of 6486
Name
N R CHANDRAKAR Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 7.5 .25 30 60.9 2.03 30 192.3 6.41 30 2.4 .16 15 25.2 .42 60 16.5 1.1 15 3.9 .26 15 21.3 .71 30 275 275 1 12 .4 30 275 275 1 275 275 1 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 4620.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408578 Min 01408578 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 19-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1171 of 6486
Name
MEERA CHAKRAVORTY Qty Rate Amount 30 1.16 34.8 30 .25 7.5 30 .93 27.9 1 400 400 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408579 Min 01408579 Slno Description Appmt Dt GUM ANALGESIC GEL 1 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 20-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 20-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 11 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19
Page 1172 of 6486
Name
G R CHAKRAVORTY Rate Amount Qty 28.69 28.69 1 4.1 .41 10 46.8 2.34 20 2.5 .25 10 400 400 1 123.53 123.53 1 8.54 4.27 2 21.3 .71 30 33 1.1 30 7.5 .25 30 4.27 119.56 28 60.9 2.03 30 26.7 .89 30 400 400 1 Total: 1283.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408584 Min 01408584 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1173 of 6486
Name
JAWAHARLAL Rate Amount Qty 5 .25 20 247.6 6.19 40 17.8 .89 20 27.4 1.37 20 400 400 1 Total: 697.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408603 Min 01408603 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 06-FEB-19 ECG 2 06-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 1174 of 6486
Name
SARALA DEVI Qty 1 1 1 1 4 1 1 4 1
Rate Amount 420 420 450 450 9.62 9.62 .64 .64 3.56 .89 .89 .89 .16 .16 2.56 .64 400 400 Total: 1287.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408631 Min 01408631 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 1175 of 6486
Name
MANASIJ CHAUDHURI Rate Amount Qty 25.2 .42 60 400 400 1 55.8 .93 60 18 .6 30 34.8 1.16 30 12 .4 30 16.2 .27 60 66 1.1 60 15.6 .26 60 400 400 1 Total: 1043.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408632 Min 01408632 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 1176 of 6486
Name
TANDRA CHAUDHURI Rate Amount Qty 55.8 .93 60 66 1.1 60 12 .4 30 21.6 .36 60 26.7 .89 30 34.8 1.16 30 167.4 5.58 30 117 1.3 90 54 .6 90 400 400 1 Total: 955.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408633 Min 01408633 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1177 of 6486
Name
R S DESHMUKH Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 1.48 .37 4 6.4 .64 10 400 400 1 41.06 41.06 1 400 400 1 Total: 1502.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408634 Min 01408634 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19 CREATININE /CRT 6 06-FEB-19 UREA (BUN /UR) 7 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19
Page 1178 of 6486
Name
SUSHILA DESHMUKH Rate Amount Qty 1.85 .37 5 13.95 .93 15 400 400 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 13.95 .93 15 1.85 .37 5 26.7 .89 30 400 400 1 288 9.6 30 400 400 1 Total: 4071.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408635 Min 01408635 Slno Description Appmt Dt ECG 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 13 20-FEB-19 INHALANT,STRIP PACK,CAPSULE 14 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 20-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 16 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 27-FEB-19
Page 1179 of 6486
Name
RAJ WAHI Rate Amount Qty 450 450 1 400 400 1 55.8 .93 60 26.7 .89 30 12 .4 30 14.85 .99 15 34.8 1.16 30 400 400 1 5 .25 20 8.9 .89 10 13.7 1.37 10 400 400 1 37.04 37.04 1 17 1.7 10 3.7 .37 10 17.6 17.6 1 8.9 .89 10 400 400 1 9.6 .64 15 400 400 1 Total: 2715.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408636 Min 01408636 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 14-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 8 20-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 1180 of 6486
Name
M L WAHI Rate Amount Qty 550 550 1 400 400 1 104.4 1.74 60 54 .9 60 400 400 1 550 550 1 400 400 1 21.45 21.45 1 25.69 25.69 1 400 400 1 Total: 2905.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408637 Min 01408637 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 1181 of 6486
Name
SATYA DEO PRASAD Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 8.1 .27 30 26.7 .89 30 32.4 1.08 30 400 400 1 Total: 562.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408647 Min 01408647 Appmt Dt Slno Description 07-FEB-19 1 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 07-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1182 of 6486
Name
A K VIJ Qty Rate Amount 30 .93 27.9 30 .25 7.5 60 .93 55.8 1 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408648 Min 01408648 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1183 of 6486
Name
S S VIJ Rate Amount Qty 54 .6 90 32.4 1.08 30 21.3 .71 30 66 1.1 60 47.4 .79 60 7.5 .25 30 400 400 1 Total: 628.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408657 Min 01408657 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 1184 of 6486
Name
C K PRABHAKARAN Rate Amount Qty 8.1 .27 30 60.9 2.03 30 400 400 1 Total: 469
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408663 Min 01408663 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 10 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 13 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 1185 of 6486
Name
BAIDYA NATH SINGH Rate Amount Qty 36 .6 60 192.3 6.41 30 60.9 2.03 30 12 .4 30 27.9 .93 30 34.8 1.16 30 23.1 .77 30 55.8 .93 60 29.7 .99 30 76.5 2.55 30 167.4 5.58 30 400 400 1 35.2 17.6 2 11.1 .37 30 400 400 1 Total: 1562.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408683 Min 01408683 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 1186 of 6486
Name
HRIDAYA NAND Rate Amount Qty 275 275 1 275 275 1 33 1.1 30 32.4 1.08 30 15.6 .26 60 54 .6 90 27.6 .92 30 17.4 1.16 15 7.5 .25 30 400 400 1 Total: 1137.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408685 Min 01408685 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1187 of 6486
Name
RAMESH CHANDRA TAUNK Rate Amount Qty 12 .4 30 21.3 .71 30 11.4 .38 30 26.7 .89 30 15.3 .51 30 72.6 1.21 60 8.1 .27 30 400 400 1 Total: 567.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408695 Min 01408695 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 5 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 1188 of 6486
FLORENCE GUHA Rate Amount Qty 55.8 .93 60 8.9 .89 10 400 400 1 8.9 .89 10 96.44 48.22 2 61.4 6.14 10 400 400 1 Total: 1031.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408696 Min 01408696 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 RACECADOTRIL,100MG,CAPSULE 7 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1189 of 6486
Name
RANJAN GUHA Rate Amount Qty 18 .6 30 26.7 .89 30 33 1.1 30 7.8 .26 30 43.2 1.44 30 400 400 1 119.4 5.97 20 16.8 1.12 15 35.2 3.52 10 400 400 1 Total: 1100.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408700 Min 01408700 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 1190 of 6486
Name
RADHA CHANDEL Rate Amount Qty 7.5 .25 30 9 .6 15 13.7 1.37 10 185.7 6.19 30 11.1 .37 30 2.4 .16 15 66 1.1 60 55.8 .93 60 7.5 .25 30 400 400 1 Total: 758.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408709 Min 01408709 Appmt Dt Slno Description 19-FEB-19 1 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1191 of 6486
Name
RATRANI DHIR Qty 2 1
Rate Amount 123.53 247.06 400 400 647.06 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408710 Min 01408710 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 1192 of 6486
Name
YODH RAJ DHIR Rate Amount Qty 123.53 123.53 1 54 .9 60 11.1 .37 30 100.71 100.71 1 12.15 12.15 1 400 400 1 Total: 701.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408712 Min 01408712 Appmt Dt Slno Description 25-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1193 of 6486
Name
KEDAR NATH PRASAD Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408713 Min 01408713 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 1194 of 6486
Name
PRABHA PRASAD Rate Amount Qty 6.9 .23 30 3.75 .25 15 33 1.1 30 10.65 .71 15 32.4 1.08 30 18 .6 30 400 400 1 Total: 504.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408718 Min 01408718 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 1195 of 6486
Name
SHRIDHAR P JOSHI Rate Amount Qty 81 .6 135 34.8 1.16 30 66 1.1 60 117 1.3 90 21.6 .36 60 400 400 1 Total: 720.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408723 Min 01408723 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 1196 of 6486
Name
RAM RATAN SINGH Rate Amount Qty 6.9 .23 30 17.8 .89 20 19.8 .66 30 55.8 .93 60 400 400 1 Total: 500.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408724 Min 01408724 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 1197 of 6486
Name
CHAMPA DEVI Rate Amount Qty 55.8 .93 60 8.9 .89 10 400 400 1 Total: 464.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408725 Min 01408725 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 28-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 1198 of 6486
Name
VEENA MATHUR Rate Amount Qty 7.5 .25 30 55.8 .93 60 211.8 3.53 60 14.85 .99 15 21.3 .71 30 400 400 1 20.84 5.21 4 11.4 .38 30 301.8 5.03 60 400 400 1 Total: 1445.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408726 Min 01408726 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1199 of 6486
Name
V N MATHUR Rate Amount Qty 34.8 1.16 30 12 .4 30 33 1.1 30 23.7 .79 30 30.6 .34 90 2.4 .16 15 43.96 43.96 1 400 400 1 Total: 580.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408727 Min 01408727 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1200 of 6486
Name
JAGESHWAR PRASAD Rate Amount Qty 16.2 .36 45 36 .6 60 55.8 .93 60 33 1.1 30 6.9 .23 30 60.9 2.03 30 4.8 .16 30 7.5 .25 30 400 400 1 Total: 621.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408734 Min 01408734 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19
Page 1201 of 6486
PUSHPALATA BANSAL Rate Amount Qty 29.7 .99 30 55.8 .93 60 8.1 .27 30 7.5 .25 30 15.73 15.73 1 21.3 .71 30 247.6 6.19 40 21.3 .71 30 12 .4 30 33 1.1 30 26.7 .89 30 20.84 5.21 4 47.1 3.14 15 400 400 1 Total: 946.67
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408736 Min 01408736 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 8 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 15 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 16 26-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 19 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 20 28-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 21 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 24 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 26 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 28-FEB-19
Page 1202 of 6486
WASUDEO GHANGHORKAR Rate Amount Qty 30.8 .77 40 12.8 .64 20 10 .25 40 16.8 .42 40 400 400 1 21.3 .71 30 13.95 .93 15 36 .6 60 7.5 .25 30 400 400 1 20.29 20.29 1 14.08 3.52 4 2.46 .41 6 7.98 .38 21 18.03 18.03 1 6.82 6.82 1 33.58 33.58 1 400 400 1 18.03 18.03 1 25.07 25.07 1 33.58 33.58 1 13.95 .93 15 21.3 .71 30 18 .6 30 7.5 .25 30 6.82 6.82 1 400 400 1 Total: 1996.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408737 Min 01408737 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 1203 of 6486
Name
PUSHPA GHANGHORKAR Rate Amount Qty 21.3 .71 30 26.7 .89 30 5.21 5.21 1 7.5 .25 30 400 400 1 26.7 .89 30 21.3 .71 30 5.21 5.21 1 7.5 .25 30 400 400 1 Total: 921.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408745 Min 01408745 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 1204 of 6486
Name
N K KAKRAYANE Rate Amount Qty 12 .4 30 55.8 .93 60 10.65 .71 15 7.5 .25 30 400 400 1 Total: 485.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408746 Min 01408746 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1205 of 6486
Name
RUPKUMARI Rate Amount Qty 27.9 .62 45 8.1 .27 30 78 1.3 60 17.4 .58 30 18 .6 30 55.8 .93 60 400 400 1 Total: 605.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408747 Min 01408747 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 20-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 8 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 20-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 10 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 27-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 27-FEB-19
Page 1206 of 6486
Name
LEKH RAM SAHU Rate Amount Qty 34.8 1.16 30 4.27 192.15 45 12 .4 30 8.1 .27 30 22.95 .51 45 400 400 1 14.2 .71 20 128.1 4.27 30 17.8 .89 20 5.1 .51 10 8 .4 20 400 400 1 400 400 1 1750 1750 1 Total: 3393.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408748 Min 01408748 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1207 of 6486
BELASIYA SAHU Rate Amount Qty 25.07 25.07 1 400 400 1 5.21 5.21 1 21.3 .71 30 33 1.1 30 55.8 .93 60 20.06 20.06 1 400 400 1 Total: 960.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408753 Min 01408753 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 7 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 1208 of 6486
VAISHALI V DHARIYA Rate Amount Qty 8.1 .27 30 27.9 .93 30 3.84 .64 6 33 1.1 30 12 .4 30 400 400 1 20.29 20.29 1 25.07 25.07 1 400 400 1 Total: 930.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408754 Min 01408754 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 07-FEB-19 UREA (BUN /UR) 6 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19
Page 1209 of 6486
Name
NIHAL SINGH DESHMUKH Rate Amount Qty 8.1 .27 30 21.3 .71 30 27.9 .93 30 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 2707.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408764 Min 01408764 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1210 of 6486
Name
DEO CHARAN SAHU Rate Amount Qty 36 .6 60 26.7 .89 30 7.5 .25 30 6.9 .23 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 567.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408765 Min 01408765 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 1211 of 6486
Name
SARASWATI SAHU Rate Amount Qty 76.5 2.55 30 27.9 .93 30 17.4 .58 30 8.1 .27 30 400 400 1 Total: 529.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408794 Min 01408794 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 1212 of 6486
Name
JAMIL KHAN Rate Amount Qty 8.1 .27 30 27.9 .93 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408795 Min 01408795 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 PRAZOSIN,2.5MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 1213 of 6486
Name
NEELAM BANO Rate Amount Qty 167.4 5.58 30 32.4 .36 90 72 .6 120 78 1.3 60 27.9 .93 30 39 1.3 30 400 400 1 Total: 816.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408806 Min 01408806 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1214 of 6486
Name
SUSHILA THAKKAR Rate Amount Qty 104.4 1.74 60 6.4 .64 10 26.7 .89 30 8.1 .27 30 400 400 1 Total: 545.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408808 Min 01408808 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1215 of 6486
Name
NAND KISHORE Rate Amount Qty 30.6 .34 90 18.9 .63 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 47.4 .79 60 7.65 .51 15 400 400 1 Total: 583.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408810 Min 01408810 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 4 21-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1216 of 6486
Name
ARUN KUMAR DUBEY Rate Amount Qty 60.9 2.03 30 21.3 .71 30 12 .4 30 157.8 2.63 60 118.5 3.95 30 15.6 .26 60 27.9 .93 30 400 400 1 Total: 814
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408811 Min 01408811 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 1217 of 6486
Name
INDRA DUBEY Rate Amount Qty 13.7 1.37 10 2.5 .25 10 7.5 .25 30 185.7 6.19 30 400 400 1 21.3 .71 30 36 .6 60 55.8 .93 60 42.6 .71 60 10.8 .36 30 3.75 .25 15 400 400 1 Total: 1179.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408814 Min 01408814 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 06-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 2 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 06-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 1218 of 6486
Name
ANAND SHANKER MISHRA Rate Amount Qty 11.4 .38 30 61.8 4.12 15 21.3 .71 30 78 .78 100 16.2 .27 60 55.8 .93 60 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 698.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408824 Min 01408824 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 1219 of 6486
Name
KAMALESH MUKHERJEE Rate Amount Qty 21.3 .71 30 27.9 .93 30 7.5 .25 30 11.4 .38 30 400 400 1 Total: 468.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408825 Min 01408825 Slno Description Appmt Dt HB,TLC,DLC 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 08-FEB-19 PLATELET COUNT 4 08-FEB-19 CREATININE /CRT 5 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 1220 of 6486
Name
NAMITA MUKHERJEE Rate Amount Qty 300 300 1 400 400 1 1300 1300 1 330 330 1 275 275 1 275 275 1 275 275 1 167.4 5.58 30 7.5 .25 30 21.3 .71 30 18 .6 30 11.4 .38 30 400 400 1 Total: 3780.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408830 Min 01408830 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 1221 of 6486
Name
C R MALLICK Rate Amount Qty 12 .4 30 21.3 .71 30 400 400 1 Total: 433.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408832 Min 01408832 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1222 of 6486
Name
GULAB KHAN Rate Amount Qty 12 .4 30 7.5 .25 30 76.5 2.55 30 55.8 .93 60 36 .6 60 10.8 .36 30 400 400 1 Total: 598.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408833 Min 01408833 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 1223 of 6486
Name
SHAFIQUE NISHAT Rate Amount Qty 167.4 5.58 30 66 1.1 60 72 .6 120 55.8 .93 60 7.5 .25 30 12 .4 30 32.4 1.08 30 21.3 .71 30 15.3 .51 30 15.6 .26 60 400 400 1 Total: 865.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408839 Min 01408839 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1224 of 6486
Name
SANDHYA BOSE Rate Amount Qty 21.3 .71 30 12 .4 30 36 .6 60 8.1 .27 30 29.7 .99 30 27.9 .93 30 33 1.1 30 400 400 1 Total: 568
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408842 Min 01408842 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 21-FEB-19 PRAZOSIN,2.5MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1225 of 6486
Name
K A HARIRAMANI Rate Amount Qty 7.5 .25 30 27.9 .93 30 515.2 .92 560 8.1 .27 30 15.3 .51 30 39 1.3 30 400 400 1 Total: 1013
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408843 Min 01408843 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1226 of 6486
Name
INDRA HARIRAMANI Rate Amount Qty 17.6 17.6 1 11.4 .38 30 7.5 .25 30 21.3 .71 30 400 400 1 Total: 457.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408844 Min 01408844 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 1227 of 6486
Name
S K SARKAR Rate Amount Qty 192.3 6.41 30 13.35 .89 15 39 1.3 30 27 .9 30 12 .4 30 27.9 .93 30 400 400 1 Total: 711.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408847 Min 01408847 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 ECG 9 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 14 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1228 of 6486
Name
D K KHOSLA Rate Amount Qty 13.7 1.37 10 8.9 .89 10 400 400 1 26.7 .89 30 275 275 1 27.9 .93 30 34.8 1.16 30 12 .4 30 450 450 1 275 275 1 400 400 1 15.6 .26 60 44.16 1.84 24 19.77 19.77 1 24.45 24.45 1 400 400 1 Total: 2427.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408853 Min 01408853 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 1229 of 6486
Name
RAM KUMAR GUPTA Rate Amount Qty 12 .4 30 60.9 2.03 30 192.3 6.41 30 36 .6 60 33 1.1 30 30.6 .51 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 793.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408854 Min 01408854 Appmt Dt Slno Description 14-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14-FEB-19 2 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 14-FEB-19 3 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1230 of 6486
PRASANN GUPTA Qty 2 2 1 1
Rate Amount 25.07 50.14 20.29 40.58 21.45 21.45 400 400 Total: 512.17
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408862 Min 01408862 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1231 of 6486
MOHINDER SINGH PAUL Rate Amount Qty 7.8 .26 30 25.07 25.07 1 23.7 .79 30 33 1.1 30 21.3 .71 30 12 .4 30 400 400 1 Total: 522.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408863 Min 01408863 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1232 of 6486
Name
NARINDER KAUR Rate Amount Qty 27.9 .93 30 26.7 .89 30 12 .4 30 7.5 .25 30 21.6 .36 60 36 .6 60 6.4 .64 10 400 400 1 Total: 538.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408864 Min 01408864 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 22-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1233 of 6486
Name
NC PALIT Rate Amount Qty 26.6 2.66 10 54 .9 60 53.4 .89 60 400 400 1 60.9 2.03 30 18.9 .63 30 11.4 .38 30 32.4 1.08 30 21.3 .71 30 27.9 .93 30 118.5 3.95 30 123.53 123.53 1 400 400 1 Total: 1348.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408865 Min 01408865 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1234 of 6486
Name
SUNANDA PALIT Rate Amount Qty 13.95 .93 15 21.3 .71 30 7.5 .25 30 9 .3 30 18 .6 30 400 400 1 Total: 469.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408870 Min 01408870 Name Appmt Dt Slno Description 07-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1235 of 6486
AVTAR SINGH Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408886 Min 01408886 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 23-FEB-19
Page 1236 of 6486
Name
P SCARIA CHERIAN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 400 400 1 1750 1750 1 12 .4 30 21.6 .36 60 36 .6 60 117 1.3 90 55.8 .93 60 21.3 .71 30 33 1.1 30 400 400 1 275 275 1 275 275 1 Total: 4049.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408887 Min 01408887 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 4 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 C T HEAD PLAIN 7 23-FEB-19
Page 1237 of 6486
Name
RACHEL SCARIA Rate Amount Qty 13.95 .93 15 400 400 1 16.2 .27 60 53.75 2.15 25 80.58 .51 158 21.3 .71 30 5250 5250 1 Total: 5835.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408888 Min 01408888 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1238 of 6486
Name
GEORGE VARGHESE Rate Amount Qty 60.9 2.03 30 24 .4 60 400 400 1 Total: 484.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408889 Min 01408889 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1239 of 6486
Name
MARY GEORGE Qty Rate Amount 30 .71 21.3 30 .27 8.1 60 .93 55.8 1 400 400 Total: 485.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408894 Min 01408894 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1240 of 6486
Name
RIKHI RAM THAKUR Rate Amount Qty 66 1.1 60 23.7 .79 30 400 400 1 Total: 489.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408895 Min 01408895 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 SYP,LEVOCETIRIZINE,2.5MG/5ML,30ML BOTTLE 7 28-FEB-19
Page 1241 of 6486
Name
CHAMARIN BAI THAKUR Rate Amount Qty 10.8 .36 30 54 .6 90 34.8 1.16 30 16.2 .27 60 27.9 .93 30 400 400 1 10.71 10.71 1 Total: 554.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408896 Min 01408896 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 1242 of 6486
Name
P L HIRWANI Rate Amount Qty 36.3 1.21 30 4.5 .3 15 36 .6 60 55.8 .93 60 400 400 1 Total: 532.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408897 Min 01408897 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 GUM ASTRINGENT PAINT 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1243 of 6486
Name
INDRANI Rate Amount Qty 55.8 .93 60 105.9 3.53 30 11.4 .38 30 6.4 .64 10 31.54 31.54 1 400 400 1 Total: 611.04
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408900 Min 01408900 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 15-FEB-19 PRAZOSIN,2.5MG,TABLET 11 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19
Page 1244 of 6486
D R K REDDY Rate Amount Qty 31.46 15.73 2 53.4 .89 60 17.4 .58 30 39.6 .66 60 104.4 1.74 60 400 400 1 11.4 .38 30 17.4 .58 30 17.4 1.16 15 27.9 .93 30 78 1.3 60 9 .3 30 400 400 1 Total: 1207.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408901 Min 01408901 Appmt Dt Slno Description 15-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 15-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1245 of 6486
Name
D LAXMI DEVI Qty Rate Amount 30 2.55 76.5 60 .93 55.8 6 .64 3.84 1 400 400 Total: 536.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408906 Min 01408906 Slno Description Appmt Dt UREA (BUN /UR) 1 12-FEB-19 CREATININE /CRT 2 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 12-FEB-19
Page 1246 of 6486
Name
M L CHADDA Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 10.8 .36 30 20.06 20.06 1 11.4 .38 30 55.8 .93 60 7.5 .25 30 36 .6 60 12 .4 30 21.3 .71 30 60.9 2.03 30 26.7 .89 30 Total: 1762.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408907 Min 01408907 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 1247 of 6486
Name
KANWAL CHADDA Rate Amount Qty 34.8 1.16 30 44.1 1.47 30 55.8 .93 60 36 .6 60 7.5 .25 30 8.1 .27 30 185.7 6.19 30 20.55 1.37 15 27.9 .93 30 400 400 1 Total: 820.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408910 Min 01408910 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 1248 of 6486
Name
M R MISHRA Rate Amount Qty 32.4 1.08 30 66 1.1 60 8.1 .27 30 18 .6 30 34.8 1.16 30 400 400 1 Total: 559.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408912 Min 01408912 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 1249 of 6486
Name
MADHURI RANI PAUL Rate Amount Qty 12 .4 30 54 .6 90 78 1.3 60 55.8 .93 60 73.8 .82 90 400 400 1 Total: 673.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408919 Min 01408919 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 1250 of 6486
Name
K A VARUGHESE Rate Amount Qty 23.7 .79 30 7.5 .25 30 60.9 2.03 30 36 .6 60 32.4 1.08 30 10.8 .36 30 33 1.1 30 12 .4 30 21.3 .71 30 400 400 1 Total: 637.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408920 Min 01408920 Appmt Dt Slno Description 05-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 05-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1251 of 6486
Name
ALEYAMMA VARUGHESE Qty Rate Amount 4 5.21 20.84 30 .99 29.7 30 1.1 33 1 400 400 Total: 483.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408921 Min 01408921 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 1252 of 6486
Name
M M DAPKE Rate Amount Qty 52 2.6 20 15 .25 60 6.82 6.82 1 43.96 43.96 1 4.8 .16 30 21.3 .71 30 32.4 1.08 30 7.8 .26 30 13.8 .23 60 27.9 .93 30 400 400 1 Total: 625.78
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408924 Min 01408924 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 X - RAY - SINGLE VIEW 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 24 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 25 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 27 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 22-FEB-19
Page 1253 of 6486
V K PHILIPOSE Rate Amount Qty 15.73 15.73 1 1.48 .37 4 3.56 .89 4 7.2 .9 8 52.96 6.62 8 400 400 1 3.84 .64 6 2.28 .38 6 1.48 .37 4 52.96 6.62 8 400 400 1 550 550 1 400 400 1 9 .9 10 1.85 .37 5 15.73 15.73 1 400 400 1 9 .9 10 400 400 1 34.8 1.16 30 8.1 .27 30 78 1.3 60 18 .6 30 24 .4 60 60.9 2.03 30 27.9 .93 30 33 1.1 30 400 400 1 Total: 3411.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408925 Min 01408925 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1254 of 6486
Name
THANKAMMA PHILIPOSE Qty Rate Amount 30 .71 21.3 30 .93 27.9 60 .6 36 1 400 400 Total: 485.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408926 Min 01408926 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OBSERVATION IN CASUALTY 5 16-FEB-19 DIAZEPAM,10MG/2ML,INJECTION 6 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 16-FEB-19 SYRINGE,DISPOSABLE,2ML 8 16-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 17-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 18-FEB-19 X - RAY - TWO VIEWS 15 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 20-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 17 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 20-FEB-19 X - RAY - TWO VIEWS 19 20-FEB-19 HB,TLC,DLC 20 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 23 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 24 28-FEB-19 ESR 25 28-FEB-19 PLATELET COUNT 26 28-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 27 28-FEB-19 CREATININE /CRT 28 28-FEB-19 UREA (BUN /UR) 29 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 30 28-FEB-19 CALCIUM (CA) 31 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 28-FEB-19
Page 1255 of 6486
Name
M M RACHELAMMA Rate Amount Qty 26.7 .89 30 4.8 .16 30 33 1.1 30 400 400 1 420 420 1 13.45 13.45 1 24.52 24.52 1 5.52 1.84 3 5.77 5.77 1 5.34 .89 6 3.84 .64 6 .8 .16 5 400 400 1 400 400 1 1720 860 2 550 550 1 330 330 1 400 400 1 1720 860 2 300 300 1 400 400 1 6.4 .64 10 1.6 .16 10 550 550 1 165 165 1 330 330 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 400 400 1 Total: 11016.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408933 Min 01408933 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 1256 of 6486
Name
C P P NAIR Rate Amount Qty 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 400 400 1 275 275 1 275 275 1 36 .6 60 16.8 1.12 15 20.06 20.06 1 8.9 .89 10 7.5 .25 30 33 1.1 30 55.8 .93 60 15.6 .26 60 34.8 1.16 30 32.4 1.08 30 39 1.3 30 21.6 .36 60 400 400 1 Total: 2092.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408934 Min 01408934 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 22-FEB-19 HAEMOGLOBIN / (HB %) 3 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 1257 of 6486
Name
SNT B OMANA AMMA Rate Amount Qty 275 275 1 275 275 1 130 130 1 400 400 1 21.3 .71 30 66 1.1 60 400 400 1 Total: 1567.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408937 Min 01408937 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1258 of 6486
Name
P O OOMMEN Rate Amount Qty 6.7 .67 10 12.15 12.15 1 27 .9 30 5.55 .37 15 8.1 .18 45 400 400 1 Total: 459.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408940 Min 01408940 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1259 of 6486
Name
LEELAMMA MATHEW Rate Amount Qty 12.15 12.15 1 3.7 .37 10 5.4 .18 30 66.2 6.62 10 400 400 1 Total: 487.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408942 Min 01408942 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 21-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 9 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 11 21-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 1260 of 6486
Name
SUMAN SINGH Rate Amount Qty 12 .4 30 18.9 .63 30 21.3 .71 30 36 .6 60 167.4 5.58 30 7.5 .25 30 26.7 .89 30 43.2 1.44 30 64.5 2.15 30 15.3 .51 30 42.6 .71 60 23.6 1.18 20 400 400 1 Total: 879
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408944 Min 01408944 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 1261 of 6486
Name
GURBAKHSH KAUR Rate Amount Qty 12 .4 30 132 1.1 120 69.6 1.16 60 167.4 5.58 30 36 .6 60 10.8 .36 30 400 400 1 Total: 827.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408945 Min 01408945 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 1262 of 6486
Name
M JEROME Rate Amount Qty 66.2 6.62 10 7.3 .73 10 400 400 1 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408947 Min 01408947 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 1263 of 6486
Name
NIRMALA NAIDU Rate Amount Qty 72.6 1.21 60 16.2 .27 60 47.4 .79 60 31.2 1.04 30 32.4 1.08 30 21.3 .71 30 7.5 .25 30 4.8 .16 30 400 400 1 Total: 633.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408958 Min 01408958 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1264 of 6486
Name
BRIJENDRA SWARUP SHARMA Rate Amount Qty 55.8 .93 60 12 .4 30 4.8 .16 30 26.7 .89 30 400 400 1 6.82 6.82 1 400 400 1 Total: 906.12
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408959 Min 01408959 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 09-FEB-19 PRAZOSIN,2.5MG,TABLET 3 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 1265 of 6486
N P SINGH Rate Amount Qty 27.9 .93 30 211.8 3.53 60 39 1.3 30 60.9 2.03 30 25.07 25.07 1 400 400 1 Total: 764.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408960 Min 01408960 Appmt Dt Slno Description 13-FEB-19 1 OLOPATADINE,0.1%,EYE DROP,5ML PACK 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1266 of 6486
Name
KAMINI RASTOGI Qty 1 1
Rate Amount 18.21 18.21 400 400 418.21 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408965 Min 01408965 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 1267 of 6486
SURESH CHANDRA Rate Amount Qty 39 1.3 30 16.2 .27 60 27.9 .93 30 15.73 15.73 1 12 .4 30 400 400 1 Total: 510.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408966 Min 01408966 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 URIC ACID (UA /URATES /UR) 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 04-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 04-FEB-19
Page 1268 of 6486
Name
REKHA Rate Amount Qty 1.25 .25 5 275 275 1 400 400 1 10.65 .71 15 78 1.3 60 8.1 .27 30 27.9 .93 30 15.95 3.19 5 4.45 .89 5 13 2.6 5 7.5 .25 30 19.2 .64 30 185.7 6.19 30 10.65 .71 15 26.7 .89 30 400 400 1 Total: 1484.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408967 Min 01408967 Appmt Dt Slno Description 01-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1269 of 6486
Name
BALA RAM DEWANGAN Qty Rate Amount 30 1.1 33 1 400 400 433 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408968 Min 01408968 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 1270 of 6486
Name
PUNIYA BAI Rate Amount Qty 7.5 .25 30 36 .6 60 8.9 .89 10 8.1 .27 30 400 400 1 6.4 .64 10 55.2 1.84 30 6.72 1.12 6 400 400 1 Total: 928.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408971 Min 01408971 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 IVABRADINE,5MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 1271 of 6486
Name
JAGDISH CHAND CHOPRA Rate Amount Qty 11.4 .38 30 7.5 .25 30 53.4 .89 60 9.95 149.25 15 400 400 1 Total: 621.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408972 Min 01408972 Slno Description Appmt Dt CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 1 21-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 2 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1272 of 6486
Name
USHA CHOPRA Rate Amount Qty 128.1 4.27 30 30.6 .51 60 9.9 .66 15 7.5 .25 30 400 400 1 Total: 576.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408974 Min 01408974 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 1273 of 6486
Name
MARIAMMA VARGHESE Rate Amount Qty 22.2 .37 60 21.3 .71 30 26.7 .89 30 55.8 .93 60 400 400 1 Total: 526
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408980 Min 01408980 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1274 of 6486
Name
REMA NAIR Rate Amount Qty 27.6 .92 30 36 .6 60 400 400 1 Total: 463.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408981 Min 01408981 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 1275 of 6486
Name
MUKTA RATHOD Rate Amount Qty 18 .6 30 26.7 .89 30 7.5 .25 30 27.6 .92 30 33 1.1 30 400 400 1 Total: 512.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408988 Min 01408988 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 12 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 PARASITES (MP /MF) 16 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 17 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 19 23-FEB-19 HB,TLC,DLC 20 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 23-FEB-19 PLATELET COUNT 22 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19
Page 1276 of 6486
Name
MARKANDEY RAI Rate Amount Qty 12 .4 30 167.4 5.58 30 7.5 .25 30 32.4 1.08 30 34.8 1.16 30 23.7 .79 30 39 1.3 30 21.6 .36 60 72 .6 120 400 400 1 5.12 .64 8 12.15 12.15 1 2.22 .37 6 52.96 6.62 8 400 400 1 165 165 1 9.38 .67 14 400 400 1 12.15 12.15 1 300 300 1 3.7 .37 10 330 330 1 39.72 6.62 6 400 400 1 Total: 2942.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408989 Min 01408989 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 10 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 1277 of 6486
Name
URMILA RAI Rate Amount Qty 6.4 .64 10 11.2 1.12 10 18 .6 30 7.5 .25 30 35.2 3.52 10 17.4 .58 30 21.3 .71 30 27.9 .93 30 36.3 1.21 30 18.6 .62 30 8.1 .27 30 400 400 1 Total: 607.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408993 Min 01408993 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 1278 of 6486
Name
M S THAKUR Rate Amount Qty 27.9 .93 30 60.9 2.03 30 31.2 1.04 30 4.8 .16 30 12 .4 30 21.3 .71 30 33 1.1 30 8.1 .27 30 400 400 1 Total: 599.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408999 Min 01408999 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1279 of 6486
Name
SUDESH NAGPAL Rate Amount Qty 12 .4 30 21.3 .71 30 27.9 .93 30 78 1.3 60 185.7 6.19 30 5.8 .58 10 400 400 1 Total: 730.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409000 Min 01409000 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 07-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 07-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 5 07-FEB-19 ECG 6 07-FEB-19 OXYGEN THERAPY 7 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 18 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 1280 of 6486
Name
VASUMATHI BALAN Rate Amount Qty 420 420 1 4.45 .89 5 24.52 24.52 1 100 100 1 25.54 25.54 1 450 450 1 300 300 1 26.6 2.66 10 2.7 .18 15 9 .9 10 1.85 .37 5 400 400 1 10.8 .36 30 26.7 .89 30 27 .9 30 27.9 .93 30 18 .6 30 15.6 .26 60 21.3 .71 30 12 .4 30 400 400 1 Total: 2323.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409001 Min 01409001 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 22-FEB-19
Page 1281 of 6486
Name
BAPU RAO DODKE Rate Amount Qty 400 400 1 43.2 .36 120 108 .6 180 111.6 .93 120 16.2 .27 60 9.9 .99 10 9.6 .16 60 42.6 .71 60 132 1.1 120 334.8 5.58 60 Total: 1207.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409002 Min 01409002 Appmt Dt Slno Description 22-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 ATORVASTATIN,10 MG,STRIP PACK,TABLET
Page 1282 of 6486
Name
RESHAMI DODKE Qty Rate Amount 180 .6 108 1 400 400 120 .93 111.6 60 .71 42.6 Total: 662.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409003 Min 01409003 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 15-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 9 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19
Page 1283 of 6486
Name
D P SHRIVASTAVA Rate Amount Qty 100.71 100.71 1 54 .9 60 12.15 12.15 1 26.7 .89 30 400 400 1 1.25 .25 5 3.2 .64 5 9 .9 10 1.3 .26 5 66.2 6.62 10 8.9 .89 10 400 400 1 Total: 1083.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409004 Min 01409004 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 2 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 1284 of 6486
Name
BIDYAWATI DEVI Rate Amount Qty 1.25 .25 5 22 4.4 5 9 .9 10 4.45 .89 5 66.2 6.62 10 400 400 1 6 .6 10 9.6 .64 15 11.2 1.12 10 55.2 1.84 30 400 400 1 42.6 .71 60 27.9 .93 30 8.1 .27 30 12 .4 30 18 .6 30 21.3 .71 30 400 400 1 Total: 1514.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409005 Min 01409005 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 21-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 21-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1285 of 6486
Name
LALIT DAS Rate Amount Qty 21.3 .71 30 33 1.1 30 189 2.1 90 9.9 .66 15 60.9 2.03 30 256.2 4.27 60 400 400 1 Total: 970.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409010 Min 01409010 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 28-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1286 of 6486
Name
V SHANTA Rate Amount Qty 26.7 .89 30 43.96 43.96 1 123.6 4.12 30 21.3 .71 30 12 .4 30 7.65 .51 15 27.9 .93 30 400 400 1 Total: 663.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409015 Min 01409015 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 27-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 2 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 BICALUTAMIDE,50MG,CAPSULE/,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 1287 of 6486
Name
DR MAHESH CHANDRA TAYAL Rate Amount Qty 3.45 .23 15 48.76 12.19 4 4.8 .16 30 21.3 .71 30 11.4 .38 30 20.84 5.21 4 57 .38 150 26.7 .89 30 312 10.4 30 400 400 1 Total: 906.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409019 Min 01409019 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 21-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 21-FEB-19 ECG 11 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 21-FEB-19 CREATININE /CRT 18 21-FEB-19
Page 1288 of 6486
Name
MAHESH CHANDRA SHARMA Rate Amount Qty 10.65 .71 15 33 1.1 30 55.8 .93 60 78 1.3 60 18 .4 45 104.4 1.74 60 400 400 1 55.8 .93 60 78 1.3 60 12 .4 30 450 450 1 10.65 .71 15 400 400 1 275 275 1 275 275 1 1300 1300 1 33 1.1 30 275 275 1 Total: 3864.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409020 Min 01409020 Appmt Dt Slno Description 13-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 13-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1289 of 6486
Name
USHA SHARMA Qty Rate Amount 60 1.21 72.6 30 .71 21.3 30 .25 7.5 1 400 400 Total: 501.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409023 Min 01409023 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 06-FEB-19 COMPLETE HAEMOGRAM 2 06-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 1290 of 6486
Name
R B SHARMA Rate Amount Qty 400 400 1 750 750 1 31.4 3.14 10 247.6 6.19 40 25.2 .63 40 400 400 1 36 .6 60 78 1.3 60 17.4 .58 30 15.6 .26 60 32.4 1.08 30 34.8 1.16 30 12 .4 30 400 400 1 Total: 2480.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409024 Min 01409024 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 C T HEAD PLAIN 9 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 1291 of 6486
Name
SHAKUN SHARMA Rate Amount Qty 29.7 .99 30 17.4 .58 30 33 1.1 30 27.9 .93 30 400 400 1 26.7 .89 30 6.6 .66 10 400 400 1 5250 5250 1 123.53 370.59 3 400 400 1 12.8 .64 20 400 400 1 Total: 7374.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409030 Min 01409030 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 1292 of 6486
Name
K PAWAR Rate Amount Qty 123.53 123.53 1 4.8 .16 30 60.9 2.03 30 167.4 5.58 30 34.8 1.16 30 12 .4 30 31.2 1.04 30 36.3 1.21 30 55.8 .93 60 36 .6 60 400 400 1 Total: 962.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409031 Min 01409031 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1293 of 6486
Name
KAVITA PAWAR Rate Amount Qty 18.6 .62 30 6.9 .23 30 23.7 .79 30 167.4 5.58 30 21.3 .71 30 72 .6 120 32.4 .36 90 117 1.3 90 400 400 1 Total: 859.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409041 Min 01409041 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 2 07-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 3 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 14-FEB-19 SOLIFENACIN,5MG,,TABLET 7 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 1294 of 6486
BAIJ NATH YADAV Rate Amount Qty 50.14 25.07 2 94.42 283.26 3 156.51 313.02 2 50.14 25.07 2 400 400 1 14.85 .99 15 403.2 13.44 30 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 55.8 .93 60 153 2.55 60 12 .4 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 2469.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409046 Min 01409046 Appmt Dt Slno Description 22-FEB-19 1 SALBUTAMOL,2MG,STRIP PACK,,TABLET 22-FEB-19 2 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 22-FEB-19 3 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1295 of 6486
Name
C T CHERIAN Qty Rate Amount 90 .18 16.2 60 .9 54 1 100.71 100.71 1 400 400 Total: 570.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409048 Min 01409048 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 22-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 22-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19 X - RAY - SINGLE VIEW 13 28-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 14 28-FEB-19 X - RAY - TWO VIEWS 15 28-FEB-19 OBSERVATION IN CASUALTY 16 28-FEB-19 X - RAY - SINGLE VIEW 17 28-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 18 28-FEB-19
Page 1296 of 6486
Name
PARAMJEET KAUR Rate Amount Qty 31.95 .71 45 1.6 .16 10 20.84 5.21 4 13.43 13.43 1 63.58 63.58 1 20.06 20.06 1 6.4 .64 10 33 1.1 30 26.7 .89 30 32.4 1.08 30 400 400 1 400 400 1 550 550 1 24.52 24.52 1 10320 860 12 420 420 1 550 550 1 5.85 5.85 1 Total: 12920.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409049 Min 01409049 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 1297 of 6486
Name
GAJENDRA SINGH Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409051 Min 01409051 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1298 of 6486
Name
DHANUSH SINGH THAKUR Rate Amount Qty 36 .6 60 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 13.95 .93 15 18.6 .62 30 21.3 .71 30 12 .4 30 400 400 1 Total: 762.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409052 Min 01409052 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 1299 of 6486
Name
KAUSHILYA THAKUR Rate Amount Qty 54 .9 60 104.4 1.74 60 400 400 1 Total: 558.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409062 Min 01409062 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1300 of 6486
Name
K APPA RAO Rate Amount Qty 2.4 .16 15 21.3 .71 30 12 .4 30 26.7 .89 30 47.4 .79 60 400 400 1 Total: 509.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409063 Min 01409063 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1301 of 6486
Name
K SITA Rate Amount Qty 8.9 .89 10 2.4 .16 15 3.75 .25 15 27.9 .93 30 9 .3 30 400 400 1 Total: 451.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409074 Min 01409074 Appmt Dt Slno Description 19-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 2 PRAZOSIN,2.5MG,TABLET 19-FEB-19 3 MOXONIDIN 0.2MG,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1302 of 6486
Name
ANJANA MUKHERJEE Qty Rate Amount 30 .93 27.9 30 1.3 39 90 3.53 317.7 1 400 400 Total: 784.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409084 Min 01409084 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 13-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 1303 of 6486
Name
SHEFALI DAS Rate Amount Qty 6.9 .23 30 21.3 .71 30 12 .4 30 30.6 .34 90 32.4 1.08 30 400 400 1 Total: 503.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409086 Min 01409086 Appmt Dt Slno Description 13-FEB-19 1 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 13-FEB-19 2 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 13-FEB-19 3 RISPERIDONE,STRIP PKT,2MG,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1304 of 6486
Name
MITA LASKAR Qty Rate Amount 15 2.45 36.75 30 .51 15.3 90 1.37 123.3 1 400 400 Total: 575.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409089 Min 01409089 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 27-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 14 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1305 of 6486
Name
B N MUKHERJEE Rate Amount Qty 12 .4 30 34.8 1.16 30 27.9 .93 30 30.6 .34 90 400 400 1 123.53 123.53 1 400 400 1 123.53 370.59 3 2.4 .16 15 26.7 .89 30 31.2 1.04 30 34.8 1.16 30 12 .4 30 30.6 .34 90 55.8 .93 60 400 400 1 Total: 1992.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409090 Min 01409090 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 1306 of 6486
Name
GEETAMUKHERJEE Rate Amount Qty 123.53 123.53 1 400 400 1 15.6 1.04 15 66 1.1 60 26.7 .89 30 32.4 1.08 30 34.8 1.16 30 123.53 247.06 2 400 400 1 Total: 1346.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409093 Min 01409093 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1307 of 6486
Name
SHALINI MASIH Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 47.4 .79 60 167.4 5.58 30 36 .6 60 400 400 1 Total: 718
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409097 Min 01409097 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 1308 of 6486
Name
R S SODHI Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 Total: 472
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409106 Min 01409106 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 11 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1309 of 6486
GOMA ZARBADE Rate Amount Qty 1.85 .37 5 15.73 15.73 1 26.6 2.66 10 400 400 1 12.15 12.15 1 400 400 1 15.73 15.73 1 26.6 2.66 10 400 400 1 4.45 .89 5 92.05 18.41 5 7.1 .71 10 400 400 1 Total: 1802.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409107 Min 01409107 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 11-FEB-19 X - RAY - SINGLE VIEW 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 11-FEB-19
Page 1310 of 6486
Name
ASHA DEVI Rate Amount Qty 5.4 .9 6 1.85 .37 5 400 400 1 159.6 1.33 120 400 400 1 1750 1750 1 550 550 1 400 400 1 Total: 3666.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409110 Min 01409110 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1311 of 6486
Name
ANIL KUMAR RASTOGI Rate Amount Qty 118.5 3.95 30 12 .4 30 34.8 1.16 30 60.9 2.03 30 32.4 1.08 30 55.8 .93 60 400 400 1 Total: 714.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409111 Min 01409111 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 1312 of 6486
Name
KAMINI RASTOGI Rate Amount Qty 34.8 1.16 30 21.3 .71 30 36 .6 60 85.2 .71 120 55.8 .93 60 400 400 1 Total: 633.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409114 Min 01409114 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1313 of 6486
Name
J GHOSH Rate Amount Qty 34.8 1.16 30 12 .4 30 13.95 .93 15 17.8 .89 20 33 1.1 30 7.5 .25 30 400 400 1 Total: 519.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409120 Min 01409120 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 1314 of 6486
Name
A C SHARMA Rate Amount Qty 8.1 .27 30 32.4 1.08 30 6.4 .64 10 1.48 .37 4 26.6 2.66 10 18 .6 30 72.6 1.21 60 18 .3 60 12 .4 30 34.8 1.16 30 60.9 2.03 30 400 400 1 Total: 691.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409121 Min 01409121 Appmt Dt Slno Description 05-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 2 METOPROLOL TARTRATE,50MG,,TABLET 05-FEB-19 3 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1315 of 6486
Name
LATA SHARMA Qty Rate Amount 30 .93 27.9 60 1.21 72.6 30 .37 11.1 1 400 400 Total: 511.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409123 Min 01409123 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1316 of 6486
Name
R M DUBEY Rate Amount Qty 60.9 2.03 30 8.1 .27 30 47.4 .79 60 12 .4 30 26.7 .89 30 30.6 .34 90 105.9 3.53 30 400 400 1 Total: 691.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409125 Min 01409125 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 1317 of 6486
Name
N BHASKARAN NAIR Rate Amount Qty 60.9 2.03 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 540.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409126 Min 01409126 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 1318 of 6486
Name
OMANA KUNJAMMA Rate Amount Qty 26.7 .89 30 9 .3 30 14.85 .99 15 55.8 .93 60 11.1 .37 30 34.8 1.16 30 400 400 1 Total: 552.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409129 Min 01409129 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 1319 of 6486
Name
KISHAN HARI INGLE Rate Amount Qty 8.1 .27 30 192.3 6.41 30 60.9 2.03 30 400 400 1 192.3 6.41 30 8.1 .27 30 60.9 2.03 30 400 400 1 Total: 1322.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409137 Min 01409137 Appmt Dt Slno Description 06-FEB-19 1 ACYCLOVIR,STRIP PKT,800MG,TABLET 06-FEB-19 2 CREAM,ACICLOVIR,5%,5GM/TUBE 06-FEB-19 3 CREAM,CLOTRIMAZOLE,1%,15-20GM 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1320 of 6486
Name
S P MISHRA Qty Rate Amount 10 12.75 127.5 1 35.63 35.63 2 9.86 19.72 1 400 400 Total: 582.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409138 Min 01409138 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 06-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 1321 of 6486
Name
DHARMO DEVI MISHRA Rate Amount Qty 26.96 3.37 8 63.58 63.58 1 400 400 1 Total: 490.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409139 Min 01409139 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 13-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 1322 of 6486
Name
VIDULA GANDHI Rate Amount Qty 55.8 .93 60 20.84 5.21 4 16.2 .27 60 7.5 .25 30 10.95 .73 15 22.5 .75 30 11.4 .38 30 400 400 1 Total: 545.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409151 Min 01409151 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1323 of 6486
Name
K H KHARCHE Rate Amount Qty 6.4 .64 10 185.7 6.19 30 3.7 .37 10 55.2 1.84 30 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 1087.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409152 Min 01409152 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 20-FEB-19 CREATININE /CRT 15 20-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 16 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 20-FEB-19
Page 1324 of 6486
Name
PADMINI KHARCHE Rate Amount Qty 21.3 .71 30 66 1.1 60 26.7 .89 30 31.2 1.04 30 32.4 1.08 30 55.8 .93 60 36 .6 60 12.8 .64 20 8.1 .27 30 7.5 .25 30 400 400 1 400 400 1 3300 275 12 275 275 1 275 275 1 9.86 9.86 1 7.4 .37 20 Total: 4965.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409155 Min 01409155 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 21-FEB-19
Page 1325 of 6486
Name
KAMALA Rate Amount Qty 7.5 .25 30 21.3 .71 30 4.8 .16 30 368.4 6.14 60 53.4 .89 60 33 1.1 30 21.3 .71 30 8.1 .27 30 275 275 1 275 275 1 400 400 1 Total: 1467.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409157 Min 01409157 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 1326 of 6486
Name
S N MODI Rate Amount Qty 26 2.6 10 8.9 .89 10 400 400 1 3.7 .37 10 8.1 .27 30 55.8 .93 60 400 400 1 8.1 .27 30 33 1.1 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1596.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409162 Min 01409162 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 1327 of 6486
Name
A P TARE Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 7.5 .25 30 16.5 1.1 15 43.2 1.44 30 26.7 .89 30 400 400 1 Total: 573.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409188 Min 01409188 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 1328 of 6486
Name
R G MANSUKHANI Rate Amount Qty 14.85 .99 15 185.7 6.19 30 34.8 1.16 30 55.8 .93 60 167.4 5.58 30 36 .6 60 400 400 1 27.9 .93 30 8.1 .27 30 400 400 1 Total: 1330.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409194 Min 01409194 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 1329 of 6486
Name
L N VISHWAKARMA Rate Amount Qty 12 .4 30 371.4 6.19 60 60.9 2.03 30 26.7 .89 30 34.8 1.16 30 32.4 1.08 30 33 1.1 30 18 .6 30 400 400 1 Total: 989.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409195 Min 01409195 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 IVABRADINE,5MG,,TABLET 3 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 IVABRADINE,5MG,,TABLET 10 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 17 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19
Page 1330 of 6486
Name
SUSHEELA VISHWAKARMA Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 597 9.95 60 23.7 .79 30 27 .6 45 27.6 .92 30 167.4 5.58 30 4.8 .16 30 26.7 .89 30 597 9.95 60 4.8 .16 30 32.4 1.08 30 34.8 1.16 30 167.4 5.58 30 27.6 .92 30 27 .6 45 23.7 .79 30 26.7 .89 30 400 400 1 Total: 2282.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409202 Min 01409202 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 16-FEB-19 PRAZOSIN,2.5MG,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 11 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 20-FEB-19
Page 1331 of 6486
Name
K VENUGOPAL Rate Amount Qty 2.4 .16 15 34.8 1.16 30 36.3 1.21 30 211.8 3.53 60 55.8 .93 60 22.2 .37 60 156 1.3 120 400 400 1 60.9 2.03 30 400 400 1 1750 1750 1 192.3 6.41 30 Total: 3322.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409206 Min 01409206 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1332 of 6486
Name
P A RAGHVAN Rate Amount Qty 21.3 .71 30 7.5 .25 30 400 400 1 Total: 428.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409207 Min 01409207 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 11-FEB-19
Page 1333 of 6486
Name
D K DAS TALUKDAR Rate Amount Qty 275 275 1 400 400 1 18.9 .63 30 7.5 .25 30 550 550 1 12 .4 30 14.85 .99 15 27.9 .93 30 21.3 .71 30 Total: 1327.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409220 Min 01409220 Appmt Dt Slno Description 11-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1334 of 6486
Name
GAURI DAVE Qty Rate Amount 30 .79 23.7 1 400 400 423.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409221 Min 01409221 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1335 of 6486
Name
M M DAVE Rate Amount Qty 21.3 .71 30 32.4 .36 90 43.96 43.96 1 8.1 .27 30 12 .4 30 27.9 .93 30 167.4 5.58 30 54 .6 90 400 400 1 Total: 767.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409224 Min 01409224 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 1336 of 6486
Name
S K CHATTERJEE Rate Amount Qty 15.6 .26 60 12 .4 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 492.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409227 Min 01409227 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1337 of 6486
Name
SUBBALAKSHMI Rate Amount Qty 27.9 .93 30 5 .25 20 63.8 3.19 20 17.8 .89 20 83.97 9.33 9 62.8 3.14 20 400 400 1 Total: 661.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409230 Min 01409230 Appmt Dt Slno Description 26-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1338 of 6486
Name
K P NAIR Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409231 Min 01409231 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 1339 of 6486
Name
BHARGAVI NAIR Rate Amount Qty 16.2 .18 90 12.15 12.15 1 26.7 .89 30 54 .9 60 156.6 1.74 90 400 400 1 Total: 665.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409232 Min 01409232 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19
Page 1340 of 6486
Name
V P TIWARI Rate Amount Qty 400 400 1 400 400 1 6.4 .64 10 185.7 6.19 30 34.8 1.16 30 7.5 .25 30 55.2 .92 60 36 .6 60 55.8 .93 60 211.8 3.53 60 14.85 .99 15 60.9 2.03 30 8.9 .89 10 400 400 1 Total: 1877.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409233 Min 01409233 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 15-FEB-19 PRAZOSIN,2.5MG,TABLET 3 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1341 of 6486
Name
HEM NARAYAN PACHORI Rate Amount Qty 55.8 .93 60 317.7 3.53 90 39 1.3 30 117 1.3 90 32.4 1.08 30 10.8 .36 30 36 .6 60 21.3 .71 30 400 400 1 Total: 1030
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409234 Min 01409234 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 PRAZOSIN,2.5MG,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 1342 of 6486
Name
SAROJ PACHORI Rate Amount Qty 7.5 .25 30 55.8 .93 60 29.7 .99 30 12 .4 30 78 1.3 60 83.7 5.58 15 400 400 1 Total: 666.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409236 Min 01409236 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 1343 of 6486
Name
ANURADHA GERA Rate Amount Qty 32.4 1.08 30 12 .4 30 118.5 3.95 30 55.8 .93 60 1.6 .16 10 400 400 1 Total: 620.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409239 Min 01409239 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 5 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 01-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 17 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 26-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 21 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 1344 of 6486
Name
S R DEWANGAN Rate Amount Qty 55.8 .93 60 8.1 .27 30 76.5 2.55 30 34.8 1.16 30 189 2.1 90 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 7.5 .25 30 18.9 .63 30 311.4 5.19 60 400 400 1 7.5 .25 30 26.7 .89 30 8.1 .27 30 55.8 .93 60 76.5 2.55 30 34.8 1.16 30 192.3 6.41 30 60.9 2.03 30 189 2.1 90 18.9 .63 30 400 400 1 Total: 2452.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409240 Min 01409240 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 1345 of 6486
Name
KHORBAHRIN BAI DEWANGAN Rate Amount Qty 7.65 .51 15 55.8 .93 60 185.7 6.19 30 17.4 1.16 15 400 400 1 Total: 666.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409252 Min 01409252 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 1346 of 6486
Name
M C NAYAK Rate Amount Qty 27.9 .93 30 8.1 .27 30 21.3 .71 30 16.5 1.1 15 400 400 1 Total: 473.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409253 Min 01409253 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 15-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1347 of 6486
Name
MOHANI NAYAK Rate Amount Qty 87.92 43.96 2 82.76 165.52 2 7.5 .25 30 167.4 5.58 30 21.3 .71 30 117 1.3 90 36 .6 60 21.6 .36 60 400 400 1 Total: 1024.24
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409256 Min 01409256 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 1348 of 6486
TIRTH PRASAD NEMA Rate Amount Qty 25.07 25.07 1 21.45 21.45 1 400 400 1 Total: 446.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409273 Min 01409273 Appmt Dt Slno Description 22-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 22-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1349 of 6486
Name
GIRDHARI LAL VERMA Qty Rate Amount 30 .3 9 30 .93 27.9 30 .71 21.3 1 400 400 Total: 458.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409274 Min 01409274 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1350 of 6486
ALENA BAI VERMA Rate Amount Qty 27.9 .93 30 15.73 15.73 1 66 1.1 60 32.4 1.08 30 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 570.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409291 Min 01409291 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 X - RAY - TWO VIEWS 2 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1351 of 6486
Name
P R INDURKAR Rate Amount Qty 400 400 1 860 860 1 4.38 .73 6 2.67 .89 3 7.8 2.6 3 8.96 .64 14 10.22 .73 14 400 400 1 Total: 1694.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409292 Min 01409292 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1352 of 6486
Name
JYOTI INDURKAR Qty 1 1 1 1 1
Rate Amount 400 400 57.84 57.84 1750 1750 57.84 57.84 400 400 Total: 2665.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409293 Min 01409293 Slno Description Appmt Dt URSODEOXYCHOLIC ACID,150MG,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 3 02-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 11 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19
Page 1353 of 6486
Name
B P AGRAWAL Rate Amount Qty 635.4 7.06 90 26.7 .89 30 15.6 .26 60 87.92 43.96 2 7.5 .25 30 21.3 .71 30 32.4 1.08 30 36 .6 60 55.8 .93 60 8.1 .27 30 18.6 .62 30 78 1.3 60 400 400 1 Total: 1423.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409295 Min 01409295 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 1354 of 6486
Name
A K BHOWMICK Rate Amount Qty 8.1 .27 30 13.95 .93 15 20.06 20.06 1 1.6 .16 10 400 400 1 Total: 443.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409300 Min 01409300 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1355 of 6486
Name
DUBE LAL MARAI Rate Amount Qty 29.7 .99 30 8.1 .27 30 41.85 .93 45 66 1.1 60 30.6 .34 90 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 643.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409301 Min 01409301 Slno Description Appmt Dt URINE ROUTINE AND MICROSCOPIC 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 1356 of 6486
Name
RUKHMANI BAI Rate Amount Qty 380 380 1 400 400 1 55.8 .93 60 44.1 1.47 30 32.4 1.08 30 17.4 1.16 15 6.9 .23 30 11.4 .38 30 36 .6 60 400 400 1 Total: 1384
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409305 Min 01409305 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 1357 of 6486
Name
RAM SEWAK VERMA Rate Amount Qty 6.4 .64 10 185.7 6.19 30 400 400 1 Total: 592.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409321 Min 01409321 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 21-FEB-19 URIC ACID (UA /URATES /UR) 10 21-FEB-19 CREATININE /CRT 11 21-FEB-19 UREA (BUN /UR) 12 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 21-FEB-19
Page 1358 of 6486
Name
JOHN DANIEL Rate Amount Qty 78 1.3 60 400 400 1 7.5 .25 30 21.3 .71 30 8.1 .27 30 275 275 1 36 .6 60 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3775.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409322 Min 01409322 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 14-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 1359 of 6486
Name
U S DANIEL Rate Amount Qty 12 .4 30 21.3 .71 30 26.7 .89 30 52.8 17.6 3 7.5 .25 30 211.8 3.53 60 28.69 28.69 1 55.8 .93 60 66 1.1 60 15.3 .51 30 400 400 1 Total: 897.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409323 Min 01409323 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 1360 of 6486
Name
BISHNU PADA SAHA Rate Amount Qty 860 860 1 400 400 1 12.8 .64 20 8.9 .89 10 400 400 1 Total: 1681.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409324 Min 01409324 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 1361 of 6486
Name
JHARNA RANI SAHA Rate Amount Qty 7.5 .25 30 4.8 .16 30 26.7 .89 30 12 .4 30 14.85 .99 15 55.8 .93 60 76.5 2.55 30 400 400 1 Total: 598.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409325 Min 01409325 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 1362 of 6486
Name
K G GOPALAKRISHNAN NAIR Rate Amount Qty 39.6 .66 60 53.4 .89 60 400 400 1 Total: 493
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409334 Min 01409334 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1363 of 6486
Name
G K MEHTA Rate Amount Qty 27.9 .93 30 23.1 .77 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 94.42 94.42 1 400 400 1 Total: 624.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409335 Min 01409335 Appmt Dt Slno Description 04-FEB-19 1 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1364 of 6486
Name
PRATIBHA MEHTA Qty Rate Amount 1 156.51 156.51 30 .93 27.9 30 .27 8.1 1 400 400 Total: 592.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409340 Min 01409340 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 07-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 1365 of 6486
Name
A C CHABLANI Rate Amount Qty 104.4 1.74 60 69.05 69.05 1 400 400 1 Total: 573.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409352 Min 01409352 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 1366 of 6486
Name
SAROJ GARG Rate Amount Qty 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 593.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409356 Min 01409356 Appmt Dt Slno Description 07-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 07-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 07-FEB-19 3 SOLIFENACIN,5MG,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1367 of 6486
Name
L K VISHWANADHAM Qty Rate Amount 30 2.03 60.9 30 6.41 192.3 30 13.44 403.2 1 400 400 Total: 1056.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409364 Min 01409364 Appmt Dt Slno Description 23-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 23-FEB-19 2 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 23-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1368 of 6486
K B SHRIVASTAVA Qty Rate Amount 4 20.29 81.16 4 25.07 100.28 30 .16 4.8 1 400 400 Total: 586.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409369 Min 01409369 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1369 of 6486
Name
SAROJAM Rate Amount Qty 12 .4 30 55.8 .93 60 9.45 .63 15 21.3 .71 30 66 1.1 60 400 400 1 Total: 564.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409381 Min 01409381 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 1370 of 6486
Name
TOMY THOMAS Rate Amount Qty 12 .4 30 26.7 .89 30 60.9 2.03 30 23.7 .79 30 72.6 1.21 60 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 663.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409383 Min 01409383 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 1371 of 6486
Name
KAMLESH KUMAR VERMA Rate Amount Qty 32.4 1.08 30 8.1 .27 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 517.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409394 Min 01409394 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 08-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 5 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 1372 of 6486
Name
K RAGHUNATHAN Rate Amount Qty 47.4 .79 60 27 .6 45 66 1.1 60 9 .3 30 94.8 1.58 60 11.1 .37 30 40.12 20.06 2 400 400 1 Total: 695.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409399 Min 01409399 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 20-FEB-19 ECG 4 20-FEB-19 OBSERVATION IN CASUALTY 5 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 21-FEB-19
Page 1373 of 6486
Name
SANTOSH WAHI Rate Amount Qty .89 .89 1 .64 .64 1 9.62 9.62 1 450 450 1 420 420 1 34.8 1.16 30 18 .6 30 55.2 .92 60 55.8 .93 60 400 400 1 1.15 .23 5 .8 .16 5 Total: 1446.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409404 Min 01409404 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1374 of 6486
Name
TRIVENI Rate Amount Qty 275 275 1 275 275 1 17.4 1.16 15 211.8 3.53 60 10.8 .36 30 36 .6 60 55.8 .93 60 400 400 1 Total: 1281.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409419 Min 01409419 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 1375 of 6486
Name
NALINI DEVI NADAMWAR Rate Amount Qty 26.7 .89 30 18.6 .62 30 8.1 .27 30 33 1.1 30 21.3 .71 30 400 400 1 Total: 507.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409421 Min 01409421 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1376 of 6486
Name
RAJLAKSHMI Rate Amount Qty 26.7 .89 30 20.84 5.21 4 4.8 .16 30 34.8 1.16 30 211.8 3.53 60 153 2.55 60 55.8 .93 60 400 400 1 Total: 907.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409436 Min 01409436 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 09-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 09-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 6 11-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 7 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 8 11-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 9 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 13 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 15 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 21-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 18 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 21-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 20 21-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 21 21-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 22 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 21-FEB-19
Page 1377 of 6486
Name
PARVATI DEVI Rate Amount Qty 6.4 .64 10 2.6 .26 10 3.8 .38 10 57.84 115.68 2 400 400 1 5.2 .26 20 57.84 115.68 2 82.12 41.06 2 157.8 15.78 10 7.6 .38 20 5 .25 20 400 400 1 48.76 12.19 4 26.7 .89 30 40.2 .67 60 11.1 .37 30 6.4 .64 10 101.4 3.38 30 66.2 6.62 10 41.06 41.06 1 52.8 17.6 3 15.6 .26 60 400 400 1 Total: 2112.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409439 Min 01409439 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1378 of 6486
Name
D A KARMARKAR Rate Amount Qty 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 444.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409448 Min 01409448 Appmt Dt Slno Description 05-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 05-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1379 of 6486
Name
S D DEWANGAN Qty Rate Amount 30 1.1 33 30 1.08 32.4 30 .71 21.3 1 400 400 Total: 486.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409449 Min 01409449 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 1380 of 6486
Name
MADHULATA DEWANGAN Rate Amount Qty 12 .4 30 34.8 1.16 30 7.8 .26 30 167.4 5.58 30 54 .6 90 21.6 .36 60 27.9 .93 30 400 400 1 Total: 725.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409452 Min 01409452 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 18-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 1381 of 6486
Name
MS BHIMA DILLIWAR Rate Amount Qty 7.5 .25 30 19.8 .66 30 22.2 .37 60 36.3 1.21 30 400 400 1 Total: 485.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409453 Min 01409453 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1382 of 6486
C P VISHWAKARMA Rate Amount Qty 15.73 15.73 1 27.9 .93 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 473.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409454 Min 01409454 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1383 of 6486
Name
SAVITA VISHWAKARMA Rate Amount Qty 55.8 .93 60 36 .6 60 18.6 .62 30 7.5 .25 30 21.3 .71 30 400 400 1 Total: 539.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409456 Min 01409456 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 1384 of 6486
Name
NEETA SIDANA Rate Amount Qty 35.2 3.52 10 4.1 .41 10 400 400 1 20.55 1.37 15 6.23 .89 7 400 400 1 Total: 866.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409460 Min 01409460 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 05-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19
Page 1385 of 6486
Name
HARE RAM ROY Rate Amount Qty 275 275 1 1300 1300 1 1500 1500 1 275 275 1 275 275 1 400 400 1 53.4 .89 60 7.5 .25 30 18.9 .63 30 21.3 .71 30 12 .4 30 32.4 1.08 30 16.2 .27 60 27.9 .93 30 400 400 1 Total: 4614.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409464 Min 01409464 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 1386 of 6486
Name
MS C SHRADDHA RAO Rate Amount Qty 860 860 1 400 400 1 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 1682.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409472 Min 01409472 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 12 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19
Page 1387 of 6486
Name
SHIV DAS SAHU Rate Amount Qty 7.5 .25 30 3.8 .38 10 26.7 .89 30 34.8 1.16 30 12 .4 30 27.9 .93 30 167.4 5.58 30 40.12 20.06 2 78 1.3 60 36 .6 60 400 400 1 100.71 100.71 1 54 .9 60 26.7 .89 30 400 400 1 Total: 1415.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409473 Min 01409473 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 12-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 15-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 1388 of 6486
Name
PUNIYA BAI SAHU Rate Amount Qty 3.7 .37 10 26.6 2.66 10 12.15 12.15 1 26.7 .89 30 54 .9 60 104.4 1.74 60 59.4 .66 90 400 400 1 26.96 3.37 8 63.58 63.58 1 400 400 1 Total: 1177.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409476 Min 01409476 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 1389 of 6486
Name
BABA PRASAD Rate Amount Qty 9 .3 30 7.5 .25 30 47.4 .79 60 27.9 .93 30 7.65 .51 15 18 .6 30 17.4 1.16 15 400 400 1 Total: 534.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409477 Min 01409477 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 3 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 06-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 12 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19
Page 1390 of 6486
PHULWA DEVI Rate Amount Qty 25.69 25.69 1 25.07 25.07 1 13.49 13.49 1 18.62 2.66 7 400 400 1 17.4 .58 30 7.5 .25 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 14.85 .99 15 73.8 .82 90 55.8 .93 60 400 400 1 25.07 25.07 1 400 400 1 Total: 1556.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409482 Min 01409482 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 1391 of 6486
Name
MANGI LAL Rate Amount Qty 100.71 100.71 1 54 .9 60 400 400 1 60.9 2.03 30 12 .4 30 72 .6 120 11.4 .38 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 1172.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409484 Min 01409484 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 PRAZOSIN,2.5MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1392 of 6486
Name
SADHANA PRAKASH Rate Amount Qty 55.8 .93 60 3.75 .25 15 32.4 1.08 30 66 1.1 60 34.8 1.16 30 39 1.3 30 400 400 1 Total: 631.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409487 Min 01409487 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 01-FEB-19 PRAZOSIN,2.5MG,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 01-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 18-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19
Page 1393 of 6486
BHALCHANDRA N THOKE Rate Amount Qty 60.9 2.03 30 15.73 15.73 1 39 1.3 30 32.4 1.08 30 18 .6 30 21.6 .36 60 72.6 1.21 60 27.9 .93 30 66.2 6.62 10 6.4 .64 10 17 1.7 10 8.9 .89 10 21.3 .71 30 400 400 1 8.9 .89 10 96.44 48.22 2 400 400 1 3.7 .37 10 400 400 1 Total: 1716.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409488 Min 01409488 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 01-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 2 01-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 1394 of 6486
Name
NEELIMA B THOKE Rate Amount Qty 148.9 74.45 2 58 29 2 51.38 25.69 2 400 400 1 7.4 .37 20 25.62 12.81 2 26.7 .89 30 27.9 .93 30 27.9 .62 45 21.3 .71 30 400 400 1 Total: 1195.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409491 Min 01409491 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 12-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 1395 of 6486
Name
B K BHATLI Rate Amount Qty 4.1 .41 10 26.98 13.49 2 400 400 1 Total: 431.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409502 Min 01409502 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1396 of 6486
Name
GURCHARAN SINGH DHALIWAL Rate Amount Qty 10.8 .36 30 6.9 .23 30 400 400 1 Total: 417.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409512 Min 01409512 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 X - RAY - TWO VIEWS 10 05-FEB-19 COMPLETE HAEMOGRAM 11 05-FEB-19 C T ABDOMEN AND PELVIS 12 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 17 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 26-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 1397 of 6486
Name
SHANKER LAL SAHU Rate Amount Qty 26.7 .89 30 9.9 .66 15 30.45 2.03 15 5.7 .38 15 3.75 .25 15 17.4 1.16 15 16.2 1.08 15 66.2 6.62 10 400 400 1 1720 860 2 750 750 1 12000 12000 1 400 400 1 400 400 1 12.8 .64 20 17.8 .89 20 63.8 3.19 20 7.4 .37 20 400 400 1 53.4 .89 60 19.8 .66 30 400 400 1 Total: 16821.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409513 Min 01409513 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 1398 of 6486
Name
ANASUIYA Rate Amount Qty 55.8 .93 60 22.2 .37 60 21.3 .71 30 92.85 6.19 15 6.4 .64 10 400 400 1 Total: 598.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409531 Min 01409531 Appmt Dt Slno Description 01-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 01-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 01-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1399 of 6486
Name
B K PRASAD Qty Rate Amount 60 .23 13.8 8 2.03 16.24 22 2.03 44.66 1 400 400 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409536 Min 01409536 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 1400 of 6486
Name
C G VERGHESE Rate Amount Qty 55.8 .93 60 3.75 .25 15 18 .6 30 167.4 5.58 30 400 400 1 Total: 644.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409566 Min 01409566 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 1401 of 6486
Name
ANGAD SINGH Rate Amount Qty 62.8 3.14 20 247.6 6.19 40 16.8 .42 40 25.2 .63 40 63.8 3.19 20 17.8 .89 20 400 400 1 21.3 .71 30 16.5 1.1 15 55.8 .93 60 16.2 .27 60 400 400 1 Total: 1343.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409567 Min 01409567 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1402 of 6486
PHOOLA DEVI Rate Amount Qty 32.4 1.08 30 27.9 .93 30 33 1.1 30 12 .4 30 34.8 1.16 30 400 400 1 25.07 25.07 1 400 400 1 Total: 965.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409568 Min 01409568 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 3 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 PRAZOSIN,2.5MG,TABLET 9 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 01-FEB-19 UREA (BUN /UR) 12 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 01-FEB-19 URIC ACID (UA /URATES /UR) 16 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 17 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 19 18-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 20 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 1403 of 6486
Name
PARSHU RAM SHARMA Rate Amount Qty 20.06 20.06 1 53.4 .89 60 155.7 5.19 30 27.6 .92 30 21.3 .71 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 78 1.3 60 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 20.06 20.06 1 26.7 .89 30 54 .9 60 100.71 100.71 1 12.15 12.15 1 400 400 1 21.3 .71 30 400 400 1 Total: 4858.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409571 Min 01409571 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 16 28-FEB-19
Page 1404 of 6486
Name
KANIZ SUGRA Rate Amount Qty 26.6 2.66 10 7.5 .25 30 34.8 1.16 30 1.85 .37 5 27.9 .93 30 15.6 1.04 15 18 .6 30 400 400 1 3.84 .64 6 400 400 1 275 275 1 7.68 .64 12 275 275 1 400 400 1 44.16 1.84 24 4.8 .6 8 Total: 1942.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409572 Min 01409572 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 26-FEB-19
Page 1405 of 6486
Name
RAM LAL GAJPAL Qty 1 1 1 1 1
Rate Amount 400 400 275 275 1300 1300 275 275 1300 1300 Total: 3550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409573 Min 01409573 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19
Page 1406 of 6486
Name
TRIVENI GAJPAL Qty 1 1 1 1 1
Rate Amount 275 275 275 275 1300 1300 1300 1300 400 400 Total: 3550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409575 Min 01409575 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 1407 of 6486
Name
CHHABI DAS Rate Amount Qty 27.9 .93 30 167.4 5.58 30 14.85 .99 15 21.3 .71 30 78 1.3 60 21.6 .36 60 54 .6 90 400 400 1 Total: 785.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409576 Min 01409576 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 PRAZOSIN,2.5MG,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 07-FEB-19 URIC ACID (UA /URATES /UR) 10 07-FEB-19 CREATININE /CRT 11 07-FEB-19 UREA (BUN /UR) 12 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19
Page 1408 of 6486
Name
C K MEHROTRA Rate Amount Qty 371.4 6.19 60 400 400 1 16.2 .27 60 156 1.3 120 21.3 .71 30 118.5 3.95 30 43.96 43.96 1 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 4752.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409577 Min 01409577 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 06-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 06-FEB-19 PRAZOSIN,2.5MG,TABLET 10 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 06-FEB-19
Page 1409 of 6486
Name
MANJU MEHROTRA Rate Amount Qty 20.55 1.37 15 334.8 5.58 60 90 .6 150 36 .3 120 7.5 .25 30 185.7 6.19 30 34.8 1.16 30 21.3 .71 30 20.84 5.21 4 156 1.3 120 55.8 .93 60 76.5 2.55 30 400 400 1 Total: 1439.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409578 Min 01409578 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1410 of 6486
Name
RAM NATH VERMA Rate Amount Qty 27.9 .93 30 26.7 .89 30 30.6 .34 90 11.4 .38 30 32.4 1.08 30 12 .4 30 21.3 .71 30 31.2 1.04 30 400 400 1 Total: 593.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409583 Min 01409583 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 1411 of 6486
Name
SHEELA DEVI Rate Amount Qty 6.4 .64 10 400 400 1 185.7 6.19 30 31.4 3.14 10 26.7 .89 30 400 400 1 Total: 1050.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409584 Min 01409584 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 U S FOLLICULAR STUDY 3 TO 5 DAYS SERIAL 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 04-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 5 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 16-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 16-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 15 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 19 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 24 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 26 25-FEB-19
Page 1412 of 6486
Name
SHRICHAND Rate Amount Qty 400 400 1 2850 2850 1 7.4 .37 20 25.62 12.81 2 26.86 13.43 2 55.2 1.84 30 6.4 .64 10 85.52 85.52 1 400 400 1 9.6 .64 15 185.7 6.19 30 400 400 1 400 400 1 1750 1750 1 650 650 1 60.9 2.03 30 6.4 .64 10 78 1.3 60 55.2 .92 60 27.9 .93 30 26.7 .89 30 36 .6 60 400 400 1 275 275 1 400 400 1 275 275 1 Total: 8893.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409585 Min 01409585 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 08-FEB-19 ECG 2 08-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 08-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 4 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 8 08-FEB-19 RACECADOTRIL,100MG,CAPSULE 9 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 1413 of 6486
Name
YASMIN GAFFAR Qty 1 1 1 1 1 9 1 6 6 6 1
Rate Amount 420 420 450 450 9.62 9.62 11.89 11.89 3.52 3.52 10.08 1.12 .89 .89 55.98 9.33 35.82 5.97 39.72 6.62 400 400 Total: 1437.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409586 Min 01409586 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 02-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 02-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 02-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 17 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 05-FEB-19 RACECADOTRIL,100MG,CAPSULE 19 18-FEB-19 RIFAXIMIN 200 MG,,TABLET 20 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 22 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 24 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 26 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 27 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 29 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 20-FEB-19
Page 1414 of 6486
Name
REKHA GUPTA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 72 .6 120 167.4 5.58 30 21.3 .71 30 8.9 .89 10 12 .4 30 117 1.3 90 7.5 .25 30 26 2.6 10 400 400 1 15 .25 60 26 2.6 10 20.06 20.06 1 371.4 6.19 60 400 400 1 8.7 .58 15 400 400 1 47.76 5.97 8 9.33 111.96 12 55.8 .93 60 66 1.1 60 72 .6 120 167.4 5.58 30 21.3 .71 30 185.7 6.19 30 12 .4 30 7.5 .25 30 117 1.3 90 400 400 1 Total: 3530.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409588 Min 01409588 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 05-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 05-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 05-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 X - RAY - SINGLE VIEW 7 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 10 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 23-FEB-19 ECG 13 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 23-FEB-19
Page 1415 of 6486
Name
BALAKRISHNA PADHY Rate Amount Qty 11.25 .75 15 31.61 31.61 1 19.72 9.86 2 25.62 12.81 2 90.88 45.44 2 400 400 1 550 550 1 400 400 1 20.06 20.06 1 12.15 12.15 1 6.3 .9 7 26.7 .89 30 450 450 1 66.2 6.62 10 Total: 2110.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409589 Min 01409589 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 21-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 13 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 21-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 15 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19
Page 1416 of 6486
Name
MEERA PADHY Rate Amount Qty 3.7 .37 10 23.7 .79 30 27.9 .93 30 21.3 .71 30 18.9 .63 30 6.4 .64 10 35.2 3.52 10 400 400 1 27.9 .93 30 21.3 .71 30 82.95 .79 105 18.9 .63 30 25.62 12.81 2 19.72 9.86 2 31.61 31.61 1 6.82 6.82 1 400 400 1 Total: 1171.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409594 Min 01409594 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1417 of 6486
Name
K C AGARWAL Rate Amount Qty 27.9 .93 30 12 .4 30 33 1.1 30 34.8 1.16 30 400 400 1 Total: 507.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409596 Min 01409596 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 CREATININE /CRT 4 04-FEB-19 UREA (BUN /UR) 5 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1418 of 6486
Name
SUBRAMANIAM Rate Amount Qty 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 7.5 .25 30 36 .6 60 78 1.3 60 10.8 .36 30 23.7 .79 30 400 400 1 Total: 4181
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409611 Min 01409611 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1419 of 6486
Name
LALITA JHA Rate Amount Qty 29.7 .99 30 21.3 .71 30 27.9 .93 30 34.8 1.16 30 400 400 1 34.8 1.16 30 27.9 .93 30 29.7 .99 30 21.3 .71 30 400 400 1 Total: 1027.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409612 Min 01409612 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1420 of 6486
Name
R K DAS Rate Amount Qty 8.1 .27 30 72.6 1.21 60 26.7 .89 30 23.7 .79 30 400 400 1 Total: 531.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409613 Min 01409613 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1421 of 6486
Name
SURYA LAXMI DAS Rate Amount Qty 7.5 .25 30 26.7 .89 30 47.4 .79 60 36 .6 60 21.6 .36 60 66 1.1 60 400 400 1 Total: 605.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409616 Min 01409616 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 1422 of 6486
Name
H V SHARMA Rate Amount Qty 23.1 .77 30 192.3 6.41 30 60.9 2.03 30 12 .4 30 32.4 1.08 30 69.6 1.16 60 27.9 .93 30 14.85 .99 15 19.8 .66 30 400 400 1 Total: 852.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409617 Min 01409617 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1423 of 6486
Name
SUMAN SHARMA Rate Amount Qty 21.3 .71 30 76.5 2.55 30 46.5 .62 75 27.9 .93 30 39 1.3 30 400 400 1 Total: 611.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409619 Min 01409619 Appmt Dt Slno Description 14-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1424 of 6486
Name
SANGITA SHARMA Qty Rate Amount 15 .62 9.3 1 400 400 409.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409620 Min 01409620 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1425 of 6486
Name
GIRAWAR KUMAR ADIL Rate Amount Qty 32.4 .36 90 192.3 6.41 30 60.9 2.03 30 21.3 .71 30 32.4 1.08 30 27.9 .93 30 117 1.3 90 167.4 5.58 30 400 400 1 Total: 1051.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409626 Min 01409626 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 1426 of 6486
Name
LAXMI NAGPAL Rate Amount Qty 12.15 .27 45 49.5 1.1 45 400 400 1 Total: 461.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409629 Min 01409629 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 21-FEB-19 URIC ACID (UA /URATES /UR) 4 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 21-FEB-19
Page 1427 of 6486
Name
M L SHARMA Rate Amount Qty 400 400 1 8.9 .89 10 185.7 6.19 30 275 275 1 13.7 1.37 10 Total: 883.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409630 Min 01409630 Appmt Dt Slno Description 19-FEB-19 1 GUM ASTRINGENT PAINT 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1428 of 6486
Name
PUSHPALATA SHARMA Qty Rate Amount 1 31.54 31.54 1 400 400 431.54 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409631 Min 01409631 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 3 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1429 of 6486
Name
GOBARDHAN DAS GUPTA Qty Rate Amount 30 1.1 33 30 .25 7.5 45 4.27 192.15 1 400 400 Total: 632.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409632 Min 01409632 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 1430 of 6486
Name
MANORAMA GUPTA Rate Amount Qty 13.8 .23 60 7.5 .25 30 26.7 .89 30 36 .6 60 21.6 .36 60 29.7 .99 30 167.4 5.58 30 55.8 .93 60 400 400 1 Total: 758.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409633 Min 01409633 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 25-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 26-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 1431 of 6486
Name
KABIR KUMAR GAVEL Rate Amount Qty 25.62 12.81 2 63.22 31.61 2 11.1 .37 30 400 400 1 4.45 .89 5 192.3 6.41 30 60.9 2.03 30 12.81 12.81 1 35.2 3.52 10 1.85 .37 5 400 400 1 117 1.3 90 21.6 .36 60 36 .6 60 400 400 1 Total: 1782.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409634 Min 01409634 Slno Description Appmt Dt SPOT URINE ACR(ALBUMIN CREATININE RATIO) 1 25-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 2 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 28-FEB-19 PRAZOSIN,2.5MG,TABLET 5 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 1432 of 6486
Name
RATNA GAVEL Rate Amount Qty 750 750 1 650 650 1 400 400 1 66 1.1 60 39 1.3 30 52.2 1.16 45 18.9 .63 30 12 .4 30 32.4 1.08 30 55.8 .93 60 117 1.3 90 317.7 3.53 90 400 400 1 Total: 2911
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409635 Min 01409635 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 GUM ASTRINGENT PAINT 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1433 of 6486
Name
SUMAN SHRIVASTAVA Rate Amount Qty 4.45 .89 5 31.54 31.54 1 6.4 .64 10 4.8 .16 30 1.25 .25 5 55.8 .93 60 66 1.1 60 13.8 .23 60 400 400 1 Total: 584.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409636 Min 01409636 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1434 of 6486
Name
M M SHARMA Rate Amount Qty 7.5 .25 30 27.9 .93 30 18 .6 30 167.4 5.58 30 10.8 .36 30 400 400 1 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409638 Min 01409638 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1435 of 6486
Name
M V G S S N SHARMA Rate Amount Qty 191.4 3.19 60 400 400 1 60.9 2.03 30 17.4 .58 30 46.2 .77 60 16.2 .27 60 400 400 1 Total: 1132.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409639 Min 01409639 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 1436 of 6486
Name
M S KANTAM Rate Amount Qty 17.4 .58 30 47.4 .79 60 400 400 1 20.84 5.21 4 47.4 .79 60 66 1.1 60 6.9 .23 30 400 400 1 Total: 1005.94
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409642 Min 01409642 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 23-FEB-19
Page 1437 of 6486
ANUP SINGH Rate Amount Qty 27.9 .93 30 36.3 1.21 30 25.07 25.07 1 400 400 1 400 400 1 275 275 1 Total: 1164.27
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409643 Min 01409643 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 19-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 19-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 7 19-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 8 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 9 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 1438 of 6486
HARPAL KAUR Rate Amount Qty 26.7 .89 30 33 1.1 30 27.9 .93 30 41.06 41.06 1 37.04 37.04 1 25.07 25.07 1 16.81 16.81 1 24.45 24.45 1 63.8 3.19 20 368.4 6.14 60 2.4 .16 15 21.3 .71 30 400 400 1 Total: 1087.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409645 Min 01409645 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 15-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 4 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 1439 of 6486
Name
R N CHATURVEDI Rate Amount Qty 18.9 .63 30 8.9 .89 10 26 2.6 10 184.1 18.41 10 7.5 .25 30 400 400 1 Total: 645.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409649 Min 01409649 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1440 of 6486
Name
JAMES TIRKEY Rate Amount Qty 12 .4 30 18.6 .62 30 21.3 .71 30 7.5 .25 30 18.9 .63 30 23.7 .79 30 400 400 1 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409653 Min 01409653 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 3 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1441 of 6486
Name
MADHU KANTA THAKKAR Rate Amount Qty 13.7 1.37 10 247.6 6.19 40 161.1 5.37 30 12.6 .63 20 20.84 5.21 4 400 400 1 45.44 45.44 1 7.4 .37 20 25.62 12.81 2 400 400 1 Total: 1334.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409663 Min 01409663 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 1442 of 6486
Name
N VASUDHA Rate Amount Qty 26.7 .89 30 12 .4 30 6.4 .64 10 3.75 .25 15 27.9 .93 30 167.4 5.58 30 10.8 .36 30 54 .6 90 21.3 .71 30 400 400 1 Total: 730.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409665 Min 01409665 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1443 of 6486
Name
CHHAYA PITALE Rate Amount Qty 29.7 .99 30 55.8 .93 60 26 2.6 10 400 400 1 15 .25 60 27.9 .93 30 29.7 .99 30 400 400 1 Total: 984.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409670 Min 01409670 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1444 of 6486
Name
DR M K SHARMA Rate Amount Qty 6.82 6.82 1 55.8 .93 60 26.7 .89 30 12.8 .64 20 400 400 1 Total: 502.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409671 Min 01409671 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 1445 of 6486
Name
ASHA SHARMA Rate Amount Qty 26.7 .89 30 12.8 .64 20 400 400 1 Total: 439.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409676 Min 01409676 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1446 of 6486
Name
SHAMBHU SHARAN TIWARI Rate Amount Qty 36.3 1.21 30 12 .4 30 27.9 .93 30 16.2 .27 60 400 400 1 Total: 492.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409677 Min 01409677 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1447 of 6486
Name
SANTOSH TIWARI Rate Amount Qty 29.7 .99 30 21.3 .71 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 523
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409678 Min 01409678 Appmt Dt Slno Description 19-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1448 of 6486
Name
SUBODH KUMAR CHAKRAVARTY Qty Rate Amount 30 1.1 33 1 400 400 433 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409679 Min 01409679 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 MEGESTROL ACETATE,40MG,,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 1449 of 6486
Name
KALPITA CHAKRAVARTY Rate Amount Qty 12.8 .64 20 400 400 1 7.5 .25 30 13.95 .93 15 47.4 1.58 30 33 1.1 30 29.7 .99 30 167.4 5.58 30 36 .6 60 400 400 1 13.63 3271.2 240 400 400 1 Total: 4818.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409680 Min 01409680 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 7 21-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 11 22-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1450 of 6486
D B GANGULY Rate Amount Qty 50.14 25.07 2 23.7 .79 30 32.4 1.08 30 21.3 .71 30 4.2 .42 10 9 .3 30 74.45 223.35 3 156.51 313.02 2 18 .6 30 400 400 1 301.8 5.03 60 301.8 5.03 60 400 400 1 Total: 2098.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409681 Min 01409681 Appmt Dt Slno Description 25-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 25-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 3 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1451 of 6486
Name
SABITA GANGULY Qty 5 5 5 1
Rate Amount 2.6 13 .89 4.45 18.41 92.05 400 400 Total: 509.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409683 Min 01409683 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1452 of 6486
Name
SHARDA TIWARI Rate Amount Qty 26.96 3.37 8 10.8 .36 30 19.72 9.86 2 39 1.3 30 7.5 .25 30 83.4 2.78 30 7.4 .37 20 400 400 1 Total: 594.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409684 Min 01409684 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 1453 of 6486
Name
KAILASH NATH Rate Amount Qty 7.5 .25 30 26.7 .89 30 34.8 1.16 30 55.8 .93 60 16.2 .27 60 32.4 1.08 30 2.4 .16 15 7.5 .25 30 400 400 1 Total: 583.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409685 Min 01409685 Slno Description Appmt Dt ONDANSETRON,2MG/ML,INJECTION 1 10-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 10-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 3 10-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 4 10-FEB-19 OBSERVATION IN CASUALTY 5 10-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 10-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 7 10-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 10-FEB-19 ECG 9 10-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 16 26-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 17 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 20 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 1454 of 6486
Name
KALINDI DEVI Rate Amount Qty 7.52 7.52 1 24.52 24.52 1 11.89 11.89 1 35.52 35.52 1 420 420 1 9.81 9.81 1 9.62 9.62 1 3.52 3.52 1 450 450 1 16.8 1.12 15 40.12 20.06 2 8.9 .89 10 .8 .16 5 35.2 3.52 10 21.3 .71 30 60.18 20.06 3 184.2 6.14 30 2.4 .16 15 55.8 .93 60 13.8 .23 60 26.7 .89 30 400 400 1 Total: 1838.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409694 Min 01409694 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 X - RAY - SINGLE VIEW 7 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 12 07-FEB-19 UREA (BUN /UR) 13 07-FEB-19 CREATININE /CRT 14 07-FEB-19
Page 1455 of 6486
Name
B S JOGE Rate Amount Qty 9.9 .66 15 275 275 1 60.9 2.03 30 21.3 .71 30 21.6 .36 60 55.8 .93 60 550 550 1 1300 1300 1 1300 1300 1 400 400 1 275 275 1 21.3 .71 30 275 275 1 275 275 1 Total: 4840.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409695 Min 01409695 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 07-FEB-19 PRAZOSIN,2.5MG,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1456 of 6486
Name
MADHUMATI JOGE Rate Amount Qty 43.96 131.88 3 34.8 1.16 30 12 .4 30 18 .6 30 76.5 2.55 30 78 1.3 60 55.8 .93 60 400 400 1 Total: 806.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409706 Min 01409706 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 19-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 27-FEB-19
Page 1457 of 6486
Name
M J HUSSAIN Rate Amount Qty 19.72 9.86 2 63.22 31.61 2 11.1 .37 30 11.25 .75 15 400 400 1 400 400 1 275 275 1 275 275 1 1300 1300 1 Total: 2755.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409711 Min 01409711 Slno Description Appmt Dt LINEZOLID,600MG STRIP PACK,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 1458 of 6486
Name
SUDHA MISHRA Rate Amount Qty 157.8 15.78 10 400 400 1 27.9 .93 30 6.4 .64 10 157.8 15.78 10 167.4 5.58 30 16.2 .27 60 76.5 2.55 30 12 .4 30 21.3 .71 30 400 400 1 Total: 1443.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409736 Min 01409736 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 1459 of 6486
P S RAO Rate Amount Qty 4.45 .89 5 6.4 .64 10 27.9 .93 30 34.8 1.16 30 11.2 1.12 10 36 .6 60 167.4 5.58 30 25.07 25.07 1 36.8 1.84 20 12 .4 30 400 400 1 Total: 762.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409737 Min 01409737 Appmt Dt Slno Description 07-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 07-FEB-19 2 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 07-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1460 of 6486
Name
P SATYAVATI Qty Rate Amount 60 .6 36 10 .25 2.5 10 .42 4.2 1 400 400 Total: 442.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409741 Min 01409741 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 1461 of 6486
Name
TARINI DEVI TIWARI Rate Amount Qty 23.7 .79 30 7.5 .25 30 36.3 1.21 30 54 .6 90 21.6 .36 60 400 400 1 Total: 543.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409744 Min 01409744 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 23-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 1462 of 6486
Name
B N JHA Rate Amount Qty 3.7 .37 10 25.62 12.81 2 400 400 1 Total: 429.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409745 Min 01409745 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 X - RAY - SINGLE VIEW 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1463 of 6486
Name
RITA JHA Rate Amount Qty 20.84 5.21 4 7.5 .25 30 550 550 1 400 400 1 400 400 1 Total: 1378.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409757 Min 01409757 Appmt Dt Slno Description 20-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 20-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1464 of 6486
Name
AMAL KANTI ROYCHAUDHURY Qty Rate Amount 30 .4 12 60 .6 36 60 .93 55.8 1 400 400 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409758 Min 01409758 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 20-FEB-19 PRAZOSIN,2.5MG,TABLET 10 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 1465 of 6486
Name
BULA ROYCHAUDHURY Rate Amount Qty 34.8 1.16 30 9.9 .66 15 157.8 2.63 60 7.5 .25 30 36 .6 60 12 .4 30 18.6 .62 30 72.6 1.21 60 14.85 .99 15 78 1.3 60 55.8 .93 60 16.2 .27 60 400 400 1 Total: 914.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409762 Min 01409762 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 1466 of 6486
Name
R N SONI Rate Amount Qty 55.8 .93 60 36 .6 60 24 .4 60 7.5 .25 30 400 400 1 Total: 523.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409763 Min 01409763 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 1467 of 6486
Name
KIRAN SONI Rate Amount Qty 55.8 .93 60 1.6 .16 10 400 400 1 Total: 457.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409764 Min 01409764 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1468 of 6486
Name
CHANDRA PRAKASH Rate Amount Qty 36 .6 60 55.8 .93 60 66 1.1 60 21.3 .71 30 32.4 1.08 30 78 1.3 60 400 400 1 3.7 .37 10 57.84 57.84 1 400 400 1 Total: 1151.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409766 Min 01409766 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1469 of 6486
Name
P SAROJA Rate Amount Qty 21.3 .71 30 21.3 .71 30 55.8 .93 60 2.4 .16 15 7.5 .25 30 78 2.6 30 18.9 .63 30 400 400 1 Total: 605.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409768 Min 01409768 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 11-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 5 11-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 12-FEB-19 IVABRADINE,5MG,,TABLET 11 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 13 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 20 25-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 21 25-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 22 25-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 23 25-FEB-19 CREATININE /CRT 24 25-FEB-19 UREA (BUN /UR) 25 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 28 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 29 25-FEB-19
Page 1470 of 6486
Name
RAM DULARI Rate Amount Qty 16.85 3.37 5 41.06 41.06 1 19.72 9.86 2 11.1 .37 30 85.52 85.52 1 35.2 17.6 2 400 400 1 29.7 .99 30 21.3 .71 30 36 .6 60 597 9.95 60 13.35 .89 15 19.8 .66 30 76.5 2.55 30 400 400 1 3.2 .64 5 1.12 171.36 153 8.9 .89 10 66.2 6.62 10 20.06 20.06 1 3.5 .7 5 1750 1750 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 550 550 1 Total: 6151.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409769 Min 01409769 Slno Description Appmt Dt CREATININE /CRT 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 19-FEB-19 UREA (BUN /UR) 9 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 19-FEB-19
Page 1471 of 6486
Name
JANKI BAI Rate Amount Qty 275 275 1 55.8 .93 60 16.2 .27 60 7.65 .51 15 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 7.5 .25 30 Total: 2887.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409783 Min 01409783 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 1472 of 6486
Name
SHYAM LAL SAHU Rate Amount Qty 34.8 1.16 30 21.6 .36 60 54 .6 90 53.4 .89 60 23.7 .79 30 14.85 .99 15 12 .4 30 32.4 1.08 30 400 400 1 60.9 2.03 30 185.7 6.19 30 192.3 6.41 30 16.8 1.12 15 6 .6 10 400 400 1 Total: 1508.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409784 Min 01409784 Appmt Dt Slno Description 05-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 05-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 05-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1473 of 6486
Name
PRAMILA SAHU Qty Rate Amount 30 .25 7.5 15 .79 11.85 60 .42 25.2 1 400 400 Total: 444.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409791 Min 01409791 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 16-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 1474 of 6486
Name
BINDESHWARI SINGH Rate Amount Qty 6.56 .82 8 234 3.9 60 400 400 1 Total: 640.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409795 Min 01409795 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 1475 of 6486
Name
GURMUKH SINGH Rate Amount Qty 21.6 .36 60 6.9 .23 30 400 400 1 Total: 428.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409796 Min 01409796 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1476 of 6486
Name
RANJIT KAUR Rate Amount Qty 7.65 .51 15 15.6 .26 60 43.96 43.96 1 1.6 .16 10 21.3 .71 30 55.8 .93 60 400 400 1 Total: 545.91
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409805 Min 01409805 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 9 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 1477 of 6486
JYOTISH KUMAR PATRICK Rate Amount Qty 35.2 3.52 10 3.7 .37 10 6.4 .64 10 31.46 15.73 2 400 400 1 11.4 .38 30 1.6 .16 10 43.96 43.96 1 9.9 .99 10 12.8 .64 20 3.7 .37 10 35.2 3.52 10 400 400 1 Total: 995.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409806 Min 01409806 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 1478 of 6486
Name
ANJILEENA PATRICK Rate Amount Qty 27.9 .93 30 123.6 4.12 30 12 .4 30 9.9 .66 15 26.7 .89 30 32.4 1.08 30 31.2 1.04 30 4.8 .16 30 1.85 .37 5 400 400 1 Total: 670.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409814 Min 01409814 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 BRIMONIDINE TARTRATE,0.15% 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 1479 of 6486
Name
RAM KRISHNA SONI Rate Amount Qty 39 1.3 30 36 .6 60 55.8 .93 60 36.3 1.21 30 211.8 3.53 60 29.7 .99 30 400 400 1 148.9 74.45 2 400 400 1 Total: 1357.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409818 Min 01409818 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 16-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 11 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 16 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 17 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 21 26-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 24 28-FEB-19 SOLIFENACIN,5MG,,TABLET 25 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 28-FEB-19
Page 1480 of 6486
Name
C B MEHER Rate Amount Qty 92.85 6.19 15 19.2 .64 30 3.75 .25 15 400 400 1 1.85 .37 5 12.15 12.15 1 26.6 2.66 10 21.3 .71 30 13.95 .93 15 400 400 1 73.35 4.89 15 39 2.6 15 185.7 6.19 30 400 400 1 54 .9 60 100.71 100.71 1 46.2 .77 60 16.2 .18 90 400 400 1 7.4 .37 20 36.8 1.84 20 41.06 41.06 1 400 400 1 192.3 6.41 30 403.2 13.44 30 60.9 2.03 30 400 400 1 Total: 3848.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409819 Min 01409819 Slno Description Appmt Dt U S ABDOMEN + THORAX 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 26-FEB-19 SOLIFENACIN,5MG,,TABLET 5 26-FEB-19
Page 1481 of 6486
Name
PRABHAWATI MEHER Rate Amount Qty 1750 1750 1 275 275 1 275 275 1 400 400 1 403.2 13.44 30 Total: 3103.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409822 Min 01409822 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 1482 of 6486
Name
SUBHASH CHANDRA SONI Rate Amount Qty 7.5 .25 30 34.8 1.16 30 12 .4 30 27.9 .93 30 18.9 .63 30 400 400 1 Total: 501.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409825 Min 01409825 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 3 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 5 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 1483 of 6486
A VANITA NAIDU Rate Amount Qty 13.49 13.49 1 400 400 1 18.03 18.03 1 6.82 6.82 1 24.45 24.45 1 25.07 25.07 1 400 400 1 55.8 .93 60 21.3 .71 30 400 400 1 25.07 25.07 1 400 400 1 Total: 1790.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409831 Min 01409831 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1484 of 6486
Name
V K JAIN Rate Amount Qty 43.96 43.96 1 12.81 12.81 1 7.4 .37 20 18 .6 30 167.4 5.58 30 78 1.3 60 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 66 1.1 60 4.8 .16 30 29.7 .99 30 400 400 1 Total: 923.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409841 Min 01409841 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1485 of 6486
Name
AKSHAYA KUMAR DUTTA Rate Amount Qty 9 .3 30 45 .6 75 27.9 .93 30 7.5 .25 30 400 400 1 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409842 Min 01409842 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 27-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 1486 of 6486
Name
JAYANTI DUTTA Rate Amount Qty 7.5 .25 30 53.4 .89 60 54 .9 60 21.6 .18 120 400 400 1 Total: 536.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409849 Min 01409849 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 1487 of 6486
Name
RAM SWAROOP SHARMA Rate Amount Qty 21.6 .36 60 54 .6 90 117 1.3 90 7.5 .25 30 55.8 .93 60 211.8 3.53 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 946.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409855 Min 01409855 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 15 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 16 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 1488 of 6486
Name
RAM SEWAK MALVIYA Rate Amount Qty 19.8 .66 30 8.1 .27 30 34.8 1.16 30 12 .4 30 167.4 5.58 30 36 .6 60 21.6 .36 60 15.6 .26 60 26.7 .89 30 400 400 1 36 .6 60 167.4 5.58 30 12 .4 30 34.8 1.16 30 157.8 2.63 60 19.8 .66 30 15.6 .26 60 21.6 .36 60 26.7 .89 30 400 400 1 Total: 1633.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409856 Min 01409856 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1489 of 6486
Name
UMA MALVIYA Rate Amount Qty 55.8 .93 60 2.4 .16 15 21.3 .71 30 23.7 .79 30 33 1.1 30 7.65 .51 15 400 400 1 Total: 543.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409857 Min 01409857 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 11 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1490 of 6486
VIDYA SAGAR MISHRA Rate Amount Qty 3.6 .36 10 400 400 1 275 275 1 275 275 1 72 .6 120 5.2 2.6 2 167.4 5.58 30 78 1.3 60 43.2 .36 120 400 400 1 21.45 21.45 1 25.07 25.07 1 400 400 1 Total: 2165.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409871 Min 01409871 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1491 of 6486
Name
TAPAN KUMAR MUKHERJEE Rate Amount Qty 36 .6 60 55.8 .93 60 13.5 .3 45 117 1.3 90 3.2 .16 20 400 400 1 7.5 .25 30 14.85 .99 15 23.7 .79 30 400 400 1 Total: 1071.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409872 Min 01409872 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 10 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 23-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 17 23-FEB-19
Page 1492 of 6486
Name
DEBI MUKHERJEE Rate Amount Qty 7.5 .25 30 40.12 20.06 2 7.2 .16 45 26.7 .89 30 18.9 .63 30 34.8 1.16 30 32.4 1.08 30 8.1 .27 30 29.7 .99 30 76.5 2.55 30 55.8 .93 60 400 400 1 6.4 .64 10 2.5 .25 10 400 400 1 400 400 1 2110 2110 1 Total: 3656.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409877 Min 01409877 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 1493 of 6486
Name
W P BAGHMAR Rate Amount Qty 6.9 .23 30 32.4 1.08 30 8.1 .27 30 167.4 5.58 30 72 .6 120 32.4 .36 90 400 400 1 Total: 719.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409878 Min 01409878 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 26-FEB-19 AMISULPRIDE, 100MG,,TABLET 2 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 1494 of 6486
Name
RAJKUMARI BAGHMAR Rate Amount Qty 55.5 1.85 30 234.6 7.82 30 11.4 .38 30 12 .4 30 27.9 .93 30 39 1.3 30 72 .6 120 21.6 .36 60 400 400 1 Total: 874
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409884 Min 01409884 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 1495 of 6486
Name
B S C CHHIBBER Rate Amount Qty 5.21 5.21 1 54 .6 90 167.4 5.58 30 21.6 .36 60 27.9 .93 30 78 1.3 60 7.5 .25 30 21.3 .71 30 12 .4 30 400 400 1 Total: 794.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409885 Min 01409885 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1496 of 6486
Name
AVINASH CHHIBBER Rate Amount Qty 16.2 .27 60 27.9 .93 30 14.85 .99 15 21.3 .71 30 11.4 .38 30 26.7 .89 30 12 .4 30 400 400 1 Total: 530.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409886 Min 01409886 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 09-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 09-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 09-FEB-19
Page 1497 of 6486
RAMKRISHNA DWIVEDI Rate Amount Qty 15.73 15.73 1 5.76 .64 9 1.11 .37 3 4.62 .77 6 42.12 2.34 18 400 400 1 1.14 .38 3 Total: 470.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409888 Min 01409888 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 1498 of 6486
Name
G SASTRY Rate Amount Qty 21.6 .36 60 7.5 .25 30 12 .4 30 60.9 2.03 30 192.3 6.41 30 34.8 1.16 30 32.4 1.08 30 78 1.3 60 36 .6 60 400 400 1 Total: 875.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409897 Min 01409897 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 1499 of 6486
Name
A V DESHPANDE Rate Amount Qty 1750 1750 1 400 400 1 3.8 .38 10 400 400 1 6.4 .64 10 4.45 .89 5 66.2 6.62 10 400 400 1 Total: 3030.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409899 Min 01409899 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 1500 of 6486
Name
SHIV RAJ SINGH Rate Amount Qty 27.9 .93 30 17.4 1.16 15 16.2 .27 60 12 .4 30 66 1.1 60 36 .6 60 167.4 5.58 30 400 400 1 Total: 742.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409900 Min 01409900 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 1501 of 6486
Name
URMILA SINGH Rate Amount Qty 76.5 2.55 30 17.4 1.16 15 29.7 .99 30 55.8 .93 60 400 400 1 Total: 579.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409905 Min 01409905 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 20-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1502 of 6486
Name
SUBHASH ARYA Rate Amount Qty 7.8 .26 30 36 .6 60 118.5 3.95 30 32.4 1.08 30 34.8 1.16 30 60.9 2.03 30 123.53 247.06 2 2.5 .25 10 400 400 1 Total: 939.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409906 Min 01409906 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 PRAZOSIN,2.5MG,TABLET 3 20-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 1503 of 6486
Name
RANJANA ARYA Rate Amount Qty 26.7 .89 30 1.85 .37 5 117 1.3 90 73.8 .82 90 400 400 1 Total: 619.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409909 Min 01409909 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19
Page 1504 of 6486
Name
OM NATH PRASAD Rate Amount Qty 6.9 .23 30 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 7.8 .26 30 18 .6 30 49.5 1.1 45 26.7 .89 30 60.9 2.03 30 400 400 1 66.2 6.62 10 8.9 .89 10 20.06 20.06 1 400 400 1 Total: 1172.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409913 Min 01409913 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 PLATELET COUNT 12 16-FEB-19 HB,TLC,DLC 13 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 16-FEB-19
Page 1505 of 6486
Name
RAM JEET SINGH Rate Amount Qty 76.5 2.55 30 13.8 .23 60 36 .6 60 9.3 .62 15 2.4 .16 15 55.8 .93 60 60.9 2.03 30 21.3 .71 30 12 .4 30 31.2 1.04 30 400 400 1 330 330 1 300 300 1 275 275 1 400 400 1 275 275 1 Total: 2299.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409914 Min 01409914 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 1506 of 6486
Name
NIRMALA SINGH Rate Amount Qty 185.7 6.19 30 18.6 .62 30 8.1 .27 30 18.9 .63 30 400 400 1 Total: 631.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409915 Min 01409915 Slno Description Appmt Dt DRY REAGENT BASED,GLUCOMETER TEST STRIPS 1 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 25-FEB-19 ECG 3 25-FEB-19 OBSERVATION IN CASUALTY 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 26-FEB-19 RIFAXIMIN 200 MG,,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 26-FEB-19
Page 1507 of 6486
Name
KRISHNA KANT SHARMA Rate Amount Qty 9.62 9.62 1 24.52 24.52 1 450 450 1 420 420 1 9 .3 30 55.98 9.33 6 6 .4 15 16.2 1.08 15 26.7 .89 30 11.2 1.12 10 18 .6 30 17.4 1.16 15 16.5 1.1 15 Total: 1081.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409920 Min 01409920 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1508 of 6486
Name
MANJEET SINGH SONDHI Rate Amount Qty 12 .4 30 32.4 1.08 30 66 1.1 60 20.06 20.06 1 167.4 5.58 30 21.6 .36 60 54 .6 90 21.3 .71 30 2.22 .37 6 78 1.3 60 4.8 .16 30 26.7 .89 30 400 400 1 Total: 906.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409921 Min 01409921 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 1509 of 6486
Name
RAJINDER PAUL KAUR SONDHI Rate Amount Qty 20.84 5.21 4 26 2.6 10 2.4 .16 15 21.3 .71 30 7.5 .25 30 26.7 .89 30 21.6 .36 60 54 .6 90 167.4 5.58 30 400 400 1 Total: 747.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409923 Min 01409923 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 1510 of 6486
Name
VIMLA RAMANI Rate Amount Qty 371.4 6.19 60 1.6 .16 10 47.4 .79 60 21.3 .71 30 26.7 .89 30 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 896.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409935 Min 01409935 Appmt Dt Slno Description 02-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 02-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 02-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1511 of 6486
Name
TILAK CHAND MESHRAM Qty Rate Amount 30 .4 12 60 .93 55.8 8 1.16 9.28 1 400 400 Total: 477.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409940 Min 01409940 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 1512 of 6486
Name
GEETA GUPTA Rate Amount Qty 21.3 .71 30 18.9 .63 30 15.6 .26 60 18.6 .62 30 18.72 1.04 18 26.7 .89 30 12 .4 30 12.48 1.04 12 400 400 1 2.67 .89 3 3.84 .64 6 400 400 1 Total: 950.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409941 Min 01409941 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 11-FEB-19 X - RAY - SINGLE VIEW 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1513 of 6486
Name
CHATRI R GOPWANI Rate Amount Qty 1750 1750 1 550 550 1 400 400 1 18 .6 30 27.9 .93 30 7.5 .25 30 36.3 1.21 30 400 400 1 Total: 3189.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409942 Min 01409942 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 1514 of 6486
Name
RAMESH GOPWANI Rate Amount Qty 26.7 .89 30 100.71 100.71 1 54 .9 60 24.3 12.15 2 70.2 2.34 30 400 400 1 Total: 675.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409945 Min 01409945 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 20-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 20-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 11 20-FEB-19 BUDESONIDE,200MCG,CAPSULE 12 20-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19
Page 1515 of 6486
Name
B C BAL Rate Amount Qty 27.9 .93 30 21.3 .71 30 32.4 1.08 30 7.8 .26 30 11.4 .38 30 400 400 1 26.7 .89 30 20.1 .67 30 21.6 .18 120 54 .9 60 79.2 .66 120 156.6 1.74 90 100.71 100.71 1 400 400 1 Total: 1359.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409946 Min 01409946 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 13 07-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 14 07-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 17 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 11-FEB-19 URIC ACID (UA /URATES /UR) 19 11-FEB-19 CREATININE /CRT 20 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 11-FEB-19 GUM ANALGESIC GEL 24 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 26 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 27 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 28 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 12-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 30 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 32 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 34 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 35 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 23-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 37 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 38 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 39 23-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 40 26-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 41 26-FEB-19 IVABRADINE,5MG,,TABLET 42 26-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 43 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 44 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 45 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 46 26-FEB-19
Page 1516 of 6486
Name
MINOTI BAL Qty 30 60 60 15 30 15 60 30 1 10 30 15 10 1 1 1 1 1 1 1 1 1 1 1 15 9 6 18 1 1 5 10 1 90 45 30 30 60 1 30 30 60 15 30 30 60
Rate Amount 23.7 .79 15.6 .26 34.8 .58 17.4 1.16 18.6 .62 15.6 1.04 53.4 .89 12 .4 400 400 4.1 .41 55.2 1.84 9.6 .64 7.3 .73 13.49 13.49 24.45 24.45 400 400 550 550 1300 1300 275 275 275 275 275 275 275 275 400 400 28.69 28.69 3.75 .25 5.76 .64 3.6 .6 33.12 1.84 400 400 20.25 20.25 3.2 .64 2.5 .25 400 400 16.2 .18 30.15 .67 26.7 .89 70.2 2.34 54 .9 400 400 31.2 1.04 43.2 1.44 597 9.95 61.8 4.12 18.6 .62 12 .4 69.6 1.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409946 Min 01409946 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 47 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 48 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 49 26-FEB-19
Page 1517 of 6486
Name
MINOTI BAL Rate Amount Qty 32.4 1.08 30 15.6 .26 60 400 400 1 Total: 7234.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409949 Min 01409949 Slno Description Appmt Dt DRESSING SIMPLE 1 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 26-FEB-19 DRESSING SIMPLE 3 26-FEB-19 OBSERVATION IN CASUALTY 4 26-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 5 26-FEB-19 DICLOFENAC SODIUM SR,100MG,TABLET 6 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 28-FEB-19 DRESSING SIMPLE 9 28-FEB-19
Page 1518 of 6486
Name
SARAT KUMAR RATH Rate Amount Qty 300 300 1 400 400 1 900 300 3 420 420 1 8.64 8.64 1 .41 .41 1 3.68 1.84 2 400 400 1 1800 300 6 Total: 4232.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409952 Min 01409952 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 1519 of 6486
Name
P S V PRASAD RAO Rate Amount Qty 16.8 1.12 15 35.2 3.52 10 26.7 .89 30 230.7 7.69 30 400 400 1 Total: 709.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409960 Min 01409960 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 11-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 8 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 19 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 26-FEB-19
Page 1520 of 6486
Name
BRIJ MOHAN BHATIA Rate Amount Qty 22.2 .37 60 55.8 .93 60 29.7 .99 30 34.8 1.16 30 54 .9 60 35.2 3.52 10 16.8 1.12 15 230.7 7.69 30 7.5 .25 30 21.3 .71 30 14.85 .99 15 167.4 5.58 30 16.2 .27 60 55.8 .93 60 117 1.3 90 72 .6 120 21.6 .36 60 400 400 1 25.69 25.69 1 400 400 1 Total: 1798.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409961 Min 01409961 Slno Description Appmt Dt METRONIDAZOLE 500 MG, I.V. INFUSION 1 27-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 27-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 27-FEB-19 RACECADOTRIL,100MG,CAPSULE 5 27-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 27-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 9 27-FEB-19 ECG 10 27-FEB-19 OBSERVATION IN CASUALTY 11 27-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 1521 of 6486
Name
SAHASHI BHATIA Rate Amount Qty 11.89 11.89 1 24.52 24.52 1 35.2 3.52 10 16.8 1.12 15 59.7 5.97 10 9.81 9.81 1 8.9 .89 10 7.52 7.52 1 22.71 22.71 1 450 450 1 420 420 1 34.84 8.71 4 400 400 1 Total: 1501.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409963 Min 01409963 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 1522 of 6486
Name
SAIRA BANO ANSARI Rate Amount Qty 117 1.3 90 167.4 5.58 30 54 .6 90 27.9 .93 30 16.2 .36 45 400 400 1 Total: 782.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409965 Min 01409965 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 1523 of 6486
Name
RAJANI PRABHA GUPTA Rate Amount Qty 2.56 .64 4 33.12 1.84 18 400 400 1 21.3 .71 30 55.8 .93 60 36 .6 60 29.7 .99 30 9 .3 30 6.9 .23 30 400 400 1 Total: 994.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409967 Min 01409967 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 1524 of 6486
Name
CHANDRAKALA DHURANDHER Rate Amount Qty 36 .6 60 3.75 .25 15 8.9 .89 10 21.3 .71 30 400 400 1 Total: 469.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409969 Min 01409969 Slno Description Appmt Dt OLOPATADINE,0.1%,EYE DROP,5ML PACK 1 25-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 1525 of 6486
Name
GIRIJA PATAILA Qty 1 1 1
Rate Amount 18.21 18.21 19.77 19.77 400 400 Total: 437.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409972 Min 01409972 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1526 of 6486
Name
R M SAHA Rate Amount Qty 6.9 .23 30 18.6 .62 30 12 .4 30 29.7 .99 30 27.9 .93 30 10.8 .36 30 36 .6 60 400 400 1 Total: 541.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409973 Min 01409973 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 1527 of 6486
Name
PURNIMA SAHA Rate Amount Qty 12 .4 30 21.3 .71 30 66 1.1 60 8.1 .27 30 55.8 .93 60 167.4 5.58 30 78 1.3 60 72 .6 120 21.6 .36 60 400 400 1 Total: 902.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409978 Min 01409978 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 6 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 7 04-FEB-19 PRAZOSIN,2.5MG,TABLET 8 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 1528 of 6486
Name
S PADMAVATHY KUNJAMMA Rate Amount Qty 860 860 1 400 400 1 8.9 .89 10 8.2 .41 20 9.9 .66 15 184.1 18.41 10 6.82 6.82 1 78 1.3 60 105.9 3.53 30 6.4 .64 10 400 400 1 247.6 6.19 40 19.8 .99 20 12.8 .64 20 16.8 .42 40 400 400 1 Total: 2765.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409989 Min 01409989 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 26-FEB-19 X - RAY - SINGLE VIEW 2 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 CREATININE /CRT 5 26-FEB-19 ECG 6 26-FEB-19 HB,TLC,DLC 7 26-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 8 26-FEB-19 PLATELET COUNT 9 26-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 10 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 26-FEB-19
Page 1529 of 6486
Name
CHHAYA DEVI SATYADEO Rate Amount Qty 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 450 450 1 300 300 1 330 330 1 330 330 1 165 165 1 1300 1300 1 Total: 4650
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409991 Min 01409991 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 1530 of 6486
Name
VAISHALI J RANE Rate Amount Qty 8.9 .89 10 38.25 2.55 15 185.7 6.19 30 17.4 .58 30 400 400 1 Total: 650.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409994 Min 01409994 Slno Description Appmt Dt RISPERIDONE,STRIP PKT,2MG,TABLET 1 07-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 07-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 07-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 1531 of 6486
Name
PRATIMA GHOSH Rate Amount Qty 20.55 1.37 15 55.5 1.85 30 39.6 2.64 15 30.6 .51 60 400 400 1 Total: 546.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409995 Min 01409995 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 1532 of 6486
Name
KAMAL KANT G NAGAR Rate Amount Qty 371.4 6.19 60 41.1 1.37 30 26.7 .89 30 21.3 .71 30 13.95 .93 15 8.1 .27 30 54 .6 90 12 .4 30 400 400 1 Total: 948.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409996 Min 01409996 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1533 of 6486
Name
MAYA NAGAR Rate Amount Qty 13.7 1.37 10 26.7 .89 30 185.7 6.19 30 21.3 .71 30 18 .6 30 55.8 .93 60 33 1.1 30 400 400 1 Total: 754.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409999 Min 01409999 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 28-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 5 28-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 28-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 CLOMIPRAMINE,25MG,TABLET 9 28-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 10 28-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 11 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 1534 of 6486
Name
KAMAL NARAYAN KASHYAP Rate Amount Qty 21.3 .71 30 12 .4 30 27.9 .93 30 167.4 5.58 30 59.4 .99 60 55.2 .92 60 27.9 .93 30 36 .6 60 128.4 2.14 60 82.2 2.74 30 20.55 1.37 15 87.92 43.96 2 400 400 1 Total: 1126.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410000 Min 01410000 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 1535 of 6486
Name
SAROJ KASHYAP Rate Amount Qty 7.7 .77 10 10.08 1.12 9 18.6 .93 20 41.06 41.06 1 400 400 1 7.5 .25 30 11.85 .79 15 71 .71 100 10.42 5.21 2 400 400 1 Total: 978.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410002 Min 01410002 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 1536 of 6486
Name
ANITA KANUNGO Rate Amount Qty 55.8 .93 60 12 .4 30 8.1 .27 30 36 .6 60 34.8 1.16 30 400 400 1 Total: 546.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410003 Min 01410003 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 25-FEB-19 MRCP (COST OF CONTRAST EXTRA) 7 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 9 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 14 25-FEB-19
Page 1537 of 6486
Name
PRAHLAD SINGH Rate Amount Qty 4.8 .6 8 44.16 1.84 24 7.68 .64 12 400 400 1 400 400 1 7.92 .99 8 10000 10000 1 21.3 .71 30 4.27 192.15 45 54 .6 90 27.9 .93 30 7.5 .25 30 12 .4 30 7.65 .51 15 Total: 11187.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410005 Min 01410005 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 21-FEB-19 COMPLETE HAEMOGRAM 10 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 21-FEB-19
Page 1538 of 6486
Name
R S VERMA Rate Amount Qty 34.8 1.16 30 54 .6 90 167.4 5.58 30 55.8 .93 60 6.9 .23 30 12 .4 30 29.7 .99 30 400 400 1 400 400 1 750 750 1 36 .6 60 29.7 .99 30 275 275 1 167.4 5.58 30 55.8 .93 60 34.8 1.16 30 12 .4 30 275 275 1 8.1 .27 30 Total: 2804.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410012 Min 01410012 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 06-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 14-FEB-19 CHOLESTEROL (CHOL) 5 14-FEB-19 CREATININE /CRT 6 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 14-FEB-19 TRIGLYCERIDES (TGL) 8 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 15-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 17 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 19 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 21 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 22 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 26 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 27 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 28 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 25-FEB-19
Page 1539 of 6486
V RAJLAKSHMI Rate Amount Qty 2.4 .16 15 17.6 17.6 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 12.81 12.81 1 25.07 25.07 1 11.1 .37 30 39 1.3 30 13.95 .93 15 17.4 1.16 15 4.8 .16 30 21.6 .36 60 9 .3 30 32.4 1.08 30 36 .6 60 400 400 1 55.2 1.84 30 6.72 1.12 6 6.4 .64 10 20.06 20.06 1 400 400 1 6.72 1.12 6 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 3350.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410013 Min 01410013 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 1540 of 6486
Name
MOTILAL RAM Rate Amount Qty 1750 1750 1 400 400 1 37.04 37.04 1 2.5 .25 10 6.4 .64 10 55.2 1.84 30 13.7 1.37 10 185.7 6.19 30 18.9 .63 30 21.3 .71 30 12 .4 30 7.8 .26 30 400 400 1 Total: 2910.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410017 Min 01410017 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1541 of 6486
Name
S S DEORAS Rate Amount Qty 9 .3 30 36 .6 60 39 1.3 30 27.9 .93 30 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 573.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410022 Min 01410022 Slno Description Appmt Dt HB,TLC,DLC 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 02-FEB-19 PLATELET COUNT 7 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 02-FEB-19
Page 1542 of 6486
Name
BANANI GHOSH Rate Amount Qty 300 300 1 400 400 1 20.22 3.37 6 26.7 .89 30 34.8 1.16 30 7.8 .26 30 330 330 1 12 .4 30 33 1.1 30 8.1 .27 30 32.4 1.08 30 Total: 1205.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410025 Min 01410025 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 1543 of 6486
Name
KCCS PILLAI Rate Amount Qty 21.3 .71 30 7.5 .25 30 400 400 1 Total: 428.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410026 Min 01410026 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 1544 of 6486
Name
GEETHA CHANDRAN Rate Amount Qty 21.3 .71 30 18.6 .62 30 26.7 .89 30 32.4 1.08 30 400 400 1 Total: 499
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410027 Min 01410027 Appmt Dt Slno Description 21-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 21-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1545 of 6486
Name
V K NAIDU Qty Rate Amount 60 .93 55.8 30 .63 18.9 60 1.1 66 1 400 400 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410028 Min 01410028 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 1546 of 6486
Name
VIMALA NAIDU Rate Amount Qty 8.1 .27 30 14.85 .99 15 33 1.1 30 18.6 .62 30 34.8 1.16 30 12 .4 30 1.85 .37 5 3.75 .25 15 55.8 .93 60 400 400 1 Total: 582.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410030 Min 01410030 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 27-FEB-19
Page 1547 of 6486
Name
SUNITA RANI TANEJA Rate Amount Qty 7.4 .37 20 13.43 13.43 1 400 400 1 16.2 .27 60 26 2.6 10 26.7 .89 30 20.84 5.21 4 18.9 .63 30 55.8 .93 60 400 400 1 275 275 1 400 400 1 275 275 1 Total: 1935.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410034 Min 01410034 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 2 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 1548 of 6486
Name
G L ISAAC Rate Amount Qty 400 400 1 280 280 1 54 .9 60 26.7 .89 30 104.4 1.74 60 39.6 .66 60 400 400 1 Total: 1304.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410038 Min 01410038 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1549 of 6486
Name
KESHARI NANDAN PANDEY Rate Amount Qty 12 .4 30 8.1 .27 30 21.3 .71 30 36 .6 60 60.9 2.03 30 400 400 1 Total: 538.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410039 Min 01410039 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1550 of 6486
Name
MUNNI DEVI PANDEY Rate Amount Qty 12 .4 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 486.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410054 Min 01410054 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1551 of 6486
Name
BALBIR SINGH Rate Amount Qty 34.8 1.16 30 8.1 .27 30 32.4 1.08 30 16.8 1.12 15 18.6 .62 30 35.2 3.52 10 8.9 .89 10 400 400 1 Total: 554.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410058 Min 01410058 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1552 of 6486
MANI Rate Amount Qty 66.2 6.62 10 12.15 12.15 1 15.73 15.73 1 26.7 .89 30 400 400 1 Total: 520.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410073 Min 01410073 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 1553 of 6486
Name
KSHITI SHWAR SHARMA Rate Amount Qty 32.4 1.08 30 7.5 .25 30 72 .6 120 22.2 .37 60 66 1.1 60 21.6 .36 60 400 400 1 Total: 621.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410075 Min 01410075 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 8 19-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 9 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 1554 of 6486
Name
KIRAN SEPAHA Rate Amount Qty 17.4 .58 30 21.3 .71 30 27.9 .93 30 9 .3 30 54 .6 90 167.4 5.58 30 400 400 1 106.8 3.56 30 189 2.1 90 19.8 .66 30 400 400 1 Total: 1412.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410091 Min 01410091 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 1555 of 6486
Name
R HALDAR Rate Amount Qty 33 1.1 30 36 .6 60 21.3 .71 30 7.5 .25 30 12 .4 30 60.9 2.03 30 400 400 1 Total: 570.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410092 Min 01410092 Slno Description Appmt Dt LINEZOLID,600MG STRIP PACK,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 1556 of 6486
Name
KAKALI HALDAR Rate Amount Qty 94.68 15.78 6 4.45 .89 5 63.12 15.78 4 55.8 .93 60 62.4 1.04 60 400 400 1 Total: 680.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410094 Min 01410094 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 1557 of 6486
Name
GULABI Rate Amount Qty 8.1 .27 30 4.27 192.15 45 13.35 .89 15 7.5 .25 30 31.2 1.04 30 55.8 .93 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 787.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410098 Min 01410098 Appmt Dt Slno Description 12-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 28-FEB-19 3 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1558 of 6486
MD SHAFIQUE ANSARI Qty Rate Amount 1 25.07 25.07 1 400 400 1 25.07 25.07 1 400 400 Total: 850.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410099 Min 01410099 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 CREATININE /CRT 4 05-FEB-19 UREA (BUN /UR) 5 05-FEB-19 URIC ACID (UA /URATES /UR) 6 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 05-FEB-19 BLOOD FOR TSH 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19
Page 1559 of 6486
Name
SABRUN NISHA Qty 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 400 400 275 275 275 275 275 275 275 275 275 275 1300 1300 1300 1300 550 550 800 800 400 400 Total: 6125
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410100 Min 01410100 Appmt Dt Slno Description 22-FEB-19 1 DIAGNOSTIC UGI ENDOSCOPY 22-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 22-FEB-19 3 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 22-FEB-19 4 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE
Page 1560 of 6486
Name
GURCHARAN SINGH SANDHU Qty Rate Amount 1 2110 2110 1 400 400 30 .26 7.8 15 .89 13.35 Total: 2531.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410102 Min 01410102 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 4 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1561 of 6486
Name
M R MANKER Rate Amount Qty 72 .6 120 82.8 .92 90 7.5 .25 30 73.8 .82 90 14.85 .99 15 8.9 .89 10 117 1.3 90 400 400 1 Total: 776.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410103 Min 01410103 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 BLOOD FOR T-3,T-4,TSH 2 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 12-FEB-19
Page 1562 of 6486
Name
VIDYA MANKER Rate Amount Qty 400 400 1 2400 2400 1 14.85 .99 15 27.9 .62 45 34.8 1.16 30 27.9 .93 30 18 .6 30 6.4 .64 10 Total: 2929.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410113 Min 01410113 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 7 27-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 8 27-FEB-19 OBSERVATION IN CASUALTY 9 27-FEB-19 ECG 10 27-FEB-19
Page 1563 of 6486
Name
SAIDA NISA Rate Amount Qty 42.12 2.34 18 1.14 .38 3 1.11 .37 3 5.76 .64 9 400 400 1 24.52 24.52 1 7.52 7.52 1 9.62 9.62 1 420 420 1 450 450 1 Total: 1361.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410119 Min 01410119 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 10-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 10-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 4 12-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 12-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 12-FEB-19 OBSERVATION IN CASUALTY 7 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 9 12-FEB-19 ECG 10 12-FEB-19
Page 1564 of 6486
Name
SHARAD KUMAR BHAKRE Rate Amount Qty 21.12 3.52 6 6.4 .64 10 400 400 1 1750 1750 1 9.62 9.62 1 600 600 1 420 420 1 400 400 1 650 650 1 450 450 1 Total: 4707.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410124 Min 01410124 Appmt Dt Slno Description 21-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 21-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1565 of 6486
Name
TARUN KUMAR DAS Qty Rate Amount 30 1.08 32.4 30 1.04 31.2 60 1.21 72.6 1 400 400 Total: 536.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410132 Min 01410132 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 1566 of 6486
Name
DEVI GANDHI Rate Amount Qty 32.4 1.08 30 10.8 .36 30 18 .6 30 8.1 .27 30 55.8 .93 60 21.3 .71 30 7.5 .25 30 83.4 2.78 30 19.2 .64 30 400 400 1 Total: 656.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410147 Min 01410147 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 HB,TLC,DLC 2 04-FEB-19 PLATELET COUNT 3 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 11 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 12 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 13 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 13-FEB-19
Page 1567 of 6486
Name
JIWAN LAL SINHA Rate Amount Qty 400 400 1 300 300 1 330 330 1 1.85 .37 5 11.4 .38 30 7.5 .25 30 46.2 .77 60 21.3 .71 30 32.4 1.08 30 400 400 1 39.6 .66 60 100.71 100.71 1 104.4 1.74 60 54 .9 60 26.7 .89 30 400 400 1 Total: 2276.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410148 Min 01410148 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1568 of 6486
Name
URMILA SINHA Rate Amount Qty 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 436.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410149 Min 01410149 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1569 of 6486
Name
SUSHEEL KUMAR SHARMA Qty Rate Amount 30 .93 27.9 30 .27 8.1 30 .79 23.7 1 400 400 Total: 459.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410155 Min 01410155 Appmt Dt Slno Description 13-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13-FEB-19 2 SOLIFENACIN,5MG,,TABLET 13-FEB-19 3 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1570 of 6486
Name
M E RAJHANSA Qty Rate Amount 30 2.03 60.9 30 13.44 403.2 30 6.41 192.3 1 400 400 Total: 1056.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410156 Min 01410156 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 1571 of 6486
Name
SHALINI RAJHANSA Rate Amount Qty 100.71 100.71 1 20.84 5.21 4 38.4 .64 60 26.7 .89 30 11.4 .38 30 25.2 .42 60 400 400 1 31.2 1.04 30 15.6 .26 60 55.8 .93 60 13.8 .23 60 12 .4 30 34.8 1.16 30 400 400 1 Total: 1186.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410164 Min 01410164 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 27-FEB-19 UREA (BUN /UR) 15 27-FEB-19 CREATININE /CRT 16 27-FEB-19 URIC ACID (UA /URATES /UR) 17 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 27-FEB-19
Page 1572 of 6486
Name
ARUN KUMAR DAS Rate Amount Qty 72 .6 120 21.6 .36 60 18.9 .63 30 7.5 .25 30 27.9 .93 30 136.5 1.3 105 400 400 1 8.1 .27 30 234 1.3 180 18.9 .63 30 7.5 .25 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 21.6 .36 60 72 .6 120 13.95 .93 15 Total: 4685.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410184 Min 01410184 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 07-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 9 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 27-FEB-19
Page 1573 of 6486
Name
B R CHAUHAN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 66 4.4 15 400 400 1 2.4 .16 15 11.1 .37 30 27.9 .93 30 400 400 1 1610 1610 1 400 400 1 Total: 3170.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410190 Min 01410190 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 1574 of 6486
Name
S N BOSE Rate Amount Qty 8.1 .27 30 55.8 .93 60 29.7 .99 30 21.3 .71 30 192.3 6.41 30 60.9 2.03 30 54 .6 90 21.6 .36 60 400 400 1 Total: 843.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410191 Min 01410191 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1575 of 6486
Name
KRISHNA BOSE Rate Amount Qty 12 .4 30 33 1.1 30 6.9 .23 30 21.3 .71 30 400 400 1 Total: 473.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410200 Min 01410200 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 02-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 02-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 GUM ANALGESIC GEL 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 1576 of 6486
Name
MURLIDHAR PURSHOTTAM JAWALE Rate Amount Qty 85.52 85.52 1 16.85 3.37 5 8.51 .37 23 19.72 9.86 2 57.84 115.68 2 2.59 .37 7 400 400 1 7.5 .25 30 4.8 .16 30 400 400 1 57.38 28.69 2 400 400 1 55.8 .93 60 26.7 .89 30 400 400 1 Total: 2001.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410201 Min 01410201 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 13-FEB-19 COMPLETE HAEMOGRAM 5 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 13-FEB-19 ECG 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 13-FEB-19
Page 1577 of 6486
Name
SHOBHA MURLIDHAR JAWALE Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 750 750 1 400 400 1 450 450 1 34.8 1.16 30 55.8 .93 60 6.9 .23 30 66 1.1 60 32.4 1.08 30 Total: 4195.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410202 Min 01410202 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1578 of 6486
Name
AJAY SINGH GUPTA Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410208 Min 01410208 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 1579 of 6486
Name
SATYA RAJ JAMES Rate Amount Qty 8.1 .27 30 12 .4 30 32.4 1.08 30 33 1.1 30 17.4 1.16 15 2.4 .16 15 400 400 1 8.1 .27 30 12 .4 30 32.4 1.08 30 33 1.1 30 21.3 .71 30 2.4 .16 15 400 400 1 Total: 1014.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410209 Min 01410209 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1580 of 6486
Name
V S JAMES Rate Amount Qty 36 .6 60 34.8 1.16 30 32.4 1.08 30 12 .4 30 66 1.1 60 8.1 .27 30 27.9 .93 30 400 400 1 32.4 1.08 30 36 .6 60 34.8 1.16 30 27.9 .93 30 12 .4 30 66 1.1 60 8.1 .27 30 400 400 1 Total: 1234.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410231 Min 01410231 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 05-FEB-19 X - RAY - SINGLE VIEW 11 05-FEB-19
Page 1581 of 6486
M I KHAN Rate Amount Qty 35.2 17.6 2 192.3 6.41 30 31.46 15.73 2 6.4 .64 10 7.4 .37 20 11.25 .75 15 27.9 .93 30 85.52 85.52 1 400 400 1 400 400 1 550 550 1 Total: 1747.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410251 Min 01410251 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 1582 of 6486
Name
T J GEORGE Rate Amount Qty 60.9 2.03 30 400 400 1 36 .6 60 39 1.3 30 167.4 5.58 30 60.9 2.03 30 7.5 .25 30 43.96 43.96 1 400 400 1 Total: 1215.66
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410252 Min 01410252 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 06-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 UREA (BUN /UR) 7 21-FEB-19 URIC ACID (UA /URATES /UR) 8 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 21-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 12 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 1583 of 6486
MARYAMMA GEORGE Rate Amount Qty 15.73 15.73 1 10.8 .18 60 16.75 .67 25 156.6 1.74 90 54 .9 60 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 400 400 1 1300 1300 1 275 275 1 8.1 .27 30 55.8 .93 60 17.8 .89 20 7.5 .25 30 21.3 .71 30 400 400 1 25.07 25.07 1 400 400 1 Total: 5689.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410257 Min 01410257 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 1584 of 6486
Name
NAOSHABA QURAISHI Rate Amount Qty 8.9 .89 10 20.06 20.06 1 400 400 1 Total: 428.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410258 Min 01410258 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 23-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 3 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 23-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 1585 of 6486
Name
W J VICTOR Rate Amount Qty 8.9 .89 10 16.8 1.12 15 22 4.4 5 54 .6 90 7.5 .25 30 27.6 .92 30 39 1.3 30 23.7 .79 30 400 400 1 Total: 599.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410259 Min 01410259 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 1586 of 6486
Name
MAYA VICTOR Rate Amount Qty 7.65 .51 15 21.3 .71 30 7.5 .25 30 27.9 .93 30 16.8 1.12 15 21.6 .36 60 47.4 .79 60 78 1.3 60 36 .6 60 16.2 .27 60 400 400 1 Total: 680.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410261 Min 01410261 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 06-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 2 06-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 3 06-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 4 06-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 5 06-FEB-19 X - RAY - SINGLE VIEW 6 06-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 7 13-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 18-FEB-19 CREATININE /CRT 11 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 13 18-FEB-19 UREA (BUN /UR) 14 18-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 15 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 18-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 17 20-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 18 20-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 19 20-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 20 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 20-FEB-19
Page 1587 of 6486
Name
KALPANA TAMBEKAR Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1.3 .26 5 2.6 .26 10 400 400 1 550 550 1 275 275 1 400 400 1 1300 1300 1 275 275 1 275 275 1 1300 1300 1 211.8 7.06 30 3.9 .26 15 88.95 5.93 15 62.25 4.15 15 13.35 .89 15 400 400 1 Total: 7609.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410277 Min 01410277 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 04-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1588 of 6486
Name
HARJINDER KAUR DHANJAL Rate Amount Qty 20.84 5.21 4 400 400 1 21.6 1.08 20 9.2 .23 40 5.4 .18 30 12 .6 20 18.6 .93 20 400 400 1 Total: 887.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410279 Min 01410279 Appmt Dt Slno Description 22-FEB-19 1 BRIMONIDINE TARTRATE,0.15% 22-FEB-19 2 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 22-FEB-19 3 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1589 of 6486
GIRJA DEVI MISHRA Qty Rate Amount 4 74.45 297.8 2 156.51 313.02 2 25.07 50.14 1 400 400 Total: 1060.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410304 Min 01410304 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 11 27-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 1590 of 6486
Name
LOIS P SINDHU Rate Amount Qty 10.42 5.21 2 10.8 .36 30 36 .6 60 35.55 .79 45 7.5 .25 30 118.5 3.95 30 400 400 1 16.8 1.12 15 6.4 .64 10 3.7 .37 10 41.06 41.06 1 45.44 45.44 1 400 400 1 Total: 1132.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410305 Min 01410305 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 11-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 11-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1591 of 6486
Name
PRABHASHIL SINDHU Rate Amount Qty 30.6 .34 90 24 .4 60 34.8 1.16 30 27.9 .93 30 29.7 .99 30 86.4 1.44 60 3.7 .37 10 42.6 .71 60 400 400 1 Total: 679.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410306 Min 01410306 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1592 of 6486
Name
GOVIND PRASAD CHANPURIYA Rate Amount Qty 403.2 13.44 30 60.9 2.03 30 192.3 6.41 30 400 400 1 47.4 .79 60 54 .6 90 32.4 .36 90 27.9 .93 30 400 400 1 Total: 1618.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410307 Min 01410307 Appmt Dt Slno Description 25-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 25-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1593 of 6486
Name
MAYA DEVI Qty Rate Amount 30 1.1 33 30 .71 21.3 30 .93 27.9 1 400 400 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410311 Min 01410311 Slno Description Appmt Dt LINEZOLID,600MG STRIP PACK,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 1594 of 6486
Name
NAND KISHORE MISHRA Rate Amount Qty 157.8 15.78 10 8.9 .89 10 9.6 .64 15 9.5 .38 25 400 400 1 21.3 .71 30 8.1 .27 30 167.4 5.58 30 400 400 1 Total: 1182.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410315 Min 01410315 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 04-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 GUM ANALGESIC GEL 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 UREA (BUN /UR) 7 07-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 8 07-FEB-19 CREATININE /CRT 9 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 21-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 13 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 15 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 16 21-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 19 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 20 23-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 1595 of 6486
Name
R S WAGHMARE Rate Amount Qty 85.52 85.52 1 63.22 31.61 2 11.25 .75 15 7.5 .25 30 28.69 28.69 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 7.98 .38 21 13.49 13.49 1 21.12 3.52 6 6.82 6.82 1 2.46 .41 6 20.29 20.29 1 400 400 1 13.64 6.82 2 36.06 18.03 2 24.45 24.45 1 400 400 1 Total: 3042.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410316 Min 01410316 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 07-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 2 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 1596 of 6486
Name
METHA WAGHMARE Rate Amount Qty 25.69 25.69 1 5.74 103.32 18 123.53 123.53 1 400 400 1 55.8 .93 60 78 1.3 60 21.3 .71 30 10.8 .36 30 13.8 .23 60 400 400 1 Total: 1232.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410330 Min 01410330 Appmt Dt Slno Description 25-FEB-19 1 BACLOFEN,STRIP PKT,10MG,TABLET 25-FEB-19 2 GRANULE,VITAMIN D-3,1GM/PKT 25-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 25-FEB-19 4 SUTURE REMOVAL
Page 1597 of 6486
Name
FALAN SINGH DESHMUKH Qty Rate Amount 30 3.19 95.7 1 5.21 5.21 1 400 400 1 490 490 Total: 990.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410331 Min 01410331 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1598 of 6486
Name
VIDYA DEVI DESHMUKH Rate Amount Qty 3.75 .25 15 237 3.95 60 27.9 .93 30 14.85 .99 15 400 400 1 Total: 683.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410332 Min 01410332 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1599 of 6486
Name
PRAVIN PRASAD Rate Amount Qty 16.2 .27 60 26.7 .89 30 15 .25 60 55.8 .93 60 400 400 1 Total: 513.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410333 Min 01410333 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 14-FEB-19 MYCOPHENOLATE MOFETIL,500MG,TABLET 11 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 1600 of 6486
Name
USHA PRASAD Rate Amount Qty 29.7 .99 30 20.84 5.21 4 30.6 .34 90 33 1.1 30 21.3 .71 30 32.4 1.08 30 12 .4 30 7.5 .25 30 25.62 12.81 2 20.06 20.06 1 1722 22.96 75 8.1 .27 30 55.8 .93 60 400 400 1 Total: 2418.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410338 Min 01410338 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 1601 of 6486
Name
S K TIWARI Rate Amount Qty 8.1 .27 30 21.3 .71 30 400 400 1 Total: 429.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410339 Min 01410339 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 1602 of 6486
Name
ARTI TIWARI Rate Amount Qty 66 1.1 60 55.8 .93 60 400 400 1 Total: 521.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410356 Min 01410356 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 25-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 6 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 25-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1603 of 6486
Name
VIVEKANAND BOSE Rate Amount Qty 12 .4 30 32.4 1.08 30 34.8 1.16 30 47.4 .79 60 30.6 .34 90 126 2.1 60 9.9 .66 15 60.9 2.03 30 23.7 .79 30 400 400 1 Total: 777.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410357 Min 01410357 Appmt Dt Slno Description 25-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1604 of 6486
Name
SHUKLA BOSE Qty 4 1
Rate Amount 5.21 20.84 400 400 420.84 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410363 Min 01410363 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1605 of 6486
A V BHOPE Rate Amount Qty 15.73 15.73 1 21.3 .71 30 39 1.3 30 156 1.3 120 36 .6 60 43.2 .36 120 400 400 1 Total: 711.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410364 Min 01410364 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 1606 of 6486
NILIMA BHOPE Rate Amount Qty 15.73 15.73 1 4.45 .89 5 26.6 2.66 10 7.5 .25 30 76.5 2.55 30 400 400 1 Total: 530.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410367 Min 01410367 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 19-FEB-19
Page 1607 of 6486
Name
NAIMUDDIN HANFI Rate Amount Qty 104.4 1.74 60 39.6 .66 60 400 400 1 275 275 1 43.2 .36 120 54 .6 90 167.4 5.58 30 18.9 .63 30 21.3 .71 30 275 275 1 27.9 .93 30 Total: 1426.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410368 Min 01410368 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 2 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19-FEB-19 3 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19-FEB-19 4 TELMISARTAN 40MG,STRIP PACK,,TABLET
Page 1608 of 6486
Name
SHAHIDA TABASSUM Qty Rate Amount 15 .71 10.65 1 275 275 1 275 275 15 .93 13.95 Total: 574.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410374 Min 01410374 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 27-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 27-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 4 27-FEB-19 OBSERVATION IN CASUALTY 5 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 6 27-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 7 27-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 1609 of 6486
Name
BHARAT LAL SWARNAKAR Rate Amount Qty 24.52 24.52 1 21.12 3.52 6 10.08 1.12 9 17.42 8.71 2 420 420 1 7.52 7.52 1 5.41 5.41 1 11.89 11.89 1 400 400 1 Total: 917.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410375 Min 01410375 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 20-FEB-19 C T HEAD PLAIN 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1610 of 6486
Name
JANKI Rate Amount Qty 8.9 .89 10 10.95 .73 15 4.1 .41 10 400 400 1 400 400 1 5250 5250 1 6.4 .64 10 400 400 1 Total: 6480.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410377 Min 01410377 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 27-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 11 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 27-FEB-19 SUTURE REMOVAL 13 27-FEB-19
Page 1611 of 6486
Name
S K MISHRA Rate Amount Qty 9.6 .64 15 9.3 .93 10 8.9 .89 10 1.35 .27 5 16.8 1.12 15 66.2 6.62 10 400 400 1 17.6 17.6 1 400 400 1 400 400 1 211.8 7.06 30 7.5 .25 30 490 490 1 Total: 2039.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410382 Min 01410382 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19
Page 1612 of 6486
Name
DEEPAK KUMAR SAMAZDAR Rate Amount Qty 7.5 .25 30 27 .6 45 13.95 .93 15 13.95 .93 15 36 .6 60 53.4 .89 60 21.3 .71 30 60.9 2.03 30 2.4 .16 15 192.3 6.41 30 400 400 1 Total: 828.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410384 Min 01410384 Appmt Dt Slno Description 13-FEB-19 1 GUM ANALGESIC GEL 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1613 of 6486
Name
ROHIT KUMAR YADAV Qty Rate Amount 1 28.69 28.69 1 400 400 428.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410385 Min 01410385 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 1614 of 6486
Name
LAXMI YADAV Rate Amount Qty 36.3 1.21 30 211.8 3.53 60 32.4 1.08 30 9.3 .62 15 10.8 .36 30 36 .6 60 26.7 .89 30 22.2 .37 60 18.9 .63 30 55.8 .93 60 400 400 1 Total: 860.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410387 Min 01410387 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 1615 of 6486
Name
MITHLESH THAKUR Rate Amount Qty 13.95 .93 15 21.3 .71 30 167.4 5.58 30 12 .4 30 72 .6 120 400 400 1 Total: 686.65
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410389 Min 01410389 Slno Description Appmt Dt CREATININE /CRT 1 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 02-FEB-19 ECG 3 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 12-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 17-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 14 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 17-FEB-19 OBSERVATION IN CASUALTY 17 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 17-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 20 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 23 25-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 24 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 25-FEB-19
Page 1616 of 6486
MAMTA DUBEY Rate Amount Qty 275 275 1 1300 1300 1 450 450 1 275 275 1 400 400 1 275 275 1 25.07 25.07 1 18.21 18.21 1 400 400 1 5.34 .89 6 6.4 .64 10 39.72 6.62 6 2.22 .37 6 600 600 1 .64 .64 1 .37 .37 1 420 420 1 400 400 1 185.7 6.19 30 20.84 5.21 4 13.7 1.37 10 400 400 1 50.14 25.07 2 36.42 18.21 2 400 400 1 Total: 5999.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410390 Min 01410390 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1617 of 6486
Name
MAKHANLAL VERMA Rate Amount Qty 6.15 .41 15 92.85 6.19 15 13.35 .89 15 400 400 1 18 .6 30 13.35 .89 15 92.85 6.19 15 6.15 .41 15 43.96 43.96 1 35.2 3.52 10 2.22 .37 6 14.85 .99 15 27.9 .93 30 400 400 1 Total: 1166.83
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410391 Min 01410391 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 07-FEB-19 URIC ACID (UA /URATES /UR) 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 07-FEB-19 UREA (BUN /UR) 6 07-FEB-19 CREATININE /CRT 7 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 1618 of 6486
RAMLA DEVI VERMA Rate Amount Qty 275 275 1 275 275 1 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 15.73 15.73 1 18 .6 30 3.7 .37 10 400 400 1 Total: 3512.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410394 Min 01410394 Appmt Dt Slno Description 22-FEB-19 1 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 22-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1619 of 6486
Name
HARMINDER SINGH REKHI Qty Rate Amount 1 130.42 130.42 5 .37 1.85 10 3.52 35.2 1 400 400 Total: 567.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410395 Min 01410395 Appmt Dt Slno Description 19-FEB-19 1 INHALER FOR INHALING DRY POWDER CAPSULE 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1620 of 6486
Name
INDERJEET KAUR REKHI Qty Rate Amount 1 69.05 69.05 1 400 400 469.05 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410396 Min 01410396 Appmt Dt Slno Description 14-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1621 of 6486
Name
MADHUKAR TULSIRAM LANJEWAR Qty Rate Amount 10 1.37 13.7 20 .25 5 5 .42 2.1 1 400 400 Total: 420.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410397 Min 01410397 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1622 of 6486
Name
SULBHA LANJEWAR Rate Amount Qty 7.5 .25 30 185.7 6.19 30 8.9 .89 10 100.71 100.71 1 26 2.6 10 400 400 1 Total: 728.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410408 Min 01410408 Slno Description Appmt Dt NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 27-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1623 of 6486
Name
T G GRAHAM Rate Amount Qty 157.8 2.63 60 18 .6 30 46.8 1.04 45 55.8 .93 60 34.8 1.16 30 12 .4 30 32.4 1.08 30 18.9 .63 30 26.7 .89 30 54 .9 60 371.4 6.19 60 18.6 .62 30 20.06 20.06 1 38.25 2.55 15 55.2 .92 60 400 400 1 Total: 1360.71
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410409 Min 01410409 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 8 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 10 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 12 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 26-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 16 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 17 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 1624 of 6486
GODFREY GRAHAM Rate Amount Qty 9.9 .99 10 66.2 6.62 10 20.06 20.06 1 26.7 .89 30 32.4 .36 90 54 .6 90 400 400 1 20.29 20.29 1 6.82 6.82 1 18.03 18.03 1 7.98 .38 21 2.46 .41 6 14.08 3.52 4 400 400 1 25.07 25.07 1 24.45 24.45 1 13.64 6.82 2 36.06 18.03 2 400 400 1 Total: 1578.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410410 Min 01410410 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 1625 of 6486
Name
D H SINGH Rate Amount Qty 18.9 .63 30 3.7 .37 10 6.4 .64 10 76.5 2.55 30 27.9 .93 30 21.3 .71 30 400 400 1 76.5 2.55 30 27.9 .93 30 21.3 .71 30 18.9 .63 30 400 400 1 Total: 1099.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410411 Min 01410411 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 1626 of 6486
Name
LAXMI DEVI Rate Amount Qty 3.7 .37 10 17 1.7 10 26.6 2.66 10 185.7 6.19 30 400 400 1 3.7 .37 10 400 400 1 3.7 .37 10 26 2.6 10 20.84 5.21 4 400 400 1 Total: 1487.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410412 Min 01410412 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1627 of 6486
Name
SHYAM SUNDER AGARWAL Rate Amount Qty 17.8 .89 20 15.12 .42 36 12.8 .64 20 1.68 .42 4 400 400 1 9.9 .66 15 33 1.1 30 13.8 .23 60 400 400 1 Total: 904.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410413 Min 01410413 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 14 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 20-FEB-19 SOLIFENACIN,5MG,,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 1628 of 6486
Name
SUDHA AGARWAL Rate Amount Qty 22 1.1 20 11.6 1.16 10 4 .4 10 10.8 1.08 10 66.2 6.62 10 .8 .16 5 400 400 1 59.4 .66 90 26.7 .89 30 54 .9 60 156.6 1.74 90 400 400 1 21.3 .71 30 21.3 .71 30 55.8 .93 60 14.85 .99 15 400 400 1 403.2 13.44 30 400 400 1 Total: 2528.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410414 Min 01410414 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 28-FEB-19 COMPLETE HAEMOGRAM 11 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 28-FEB-19 CREATININE /CRT 14 28-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 15 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 28-FEB-19 URIC ACID (UA /URATES /UR) 20 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 21 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 22 28-FEB-19
Page 1629 of 6486
Name
M P SINGH Rate Amount Qty 2.4 .16 15 118.5 3.95 30 41.85 .93 45 17.4 1.16 15 32.4 1.08 30 400 400 1 15 .25 60 21.3 .71 30 400 400 1 400 400 1 750 750 1 275 275 1 275 275 1 275 275 1 118.5 3.95 30 550 550 1 41.85 .93 45 21.3 .71 30 32.4 1.08 30 275 275 1 2.4 .16 15 1300 1300 1 Total: 5365.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410419 Min 01410419 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 18-FEB-19 CREATININE /CRT 2 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 1630 of 6486
Name
VANMALA RAMTEKE Rate Amount Qty 1300 1300 1 275 275 1 400 400 1 275 275 1 275 275 1 6.9 .23 30 36 .6 60 9 .3 30 27.9 .62 45 21.3 .71 30 400 400 1 Total: 3026.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410421 Min 01410421 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1631 of 6486
Name
R L NAIDU Rate Amount Qty 23.7 .79 30 54 .6 90 15.3 .51 30 12 .4 30 21.3 .71 30 400 400 1 Total: 526.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410432 Min 01410432 Slno Description Appmt Dt DEXAMETHASONE SODIUM,4MG/ML,INJECTION 1 03-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 2 03-FEB-19 ECG 3 03-FEB-19 OBSERVATION IN CASUALTY 4 03-FEB-19 BOWEL WASH /ENEMA 5 03-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 03-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 03-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 07-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 11 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 13 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14 07-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 15 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 22-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 19 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 20 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 21 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 22 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 24 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 22-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 26 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 27 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 28 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 29 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 30 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 22-FEB-19
Page 1632 of 6486
RAM SANEHI MISHRA Rate Amount Qty 6.67 6.67 1 3.66 3.66 1 450 450 1 420 420 1 400 400 1 600 600 1 43.96 131.88 3 400 400 1 13 2.6 5 50.14 25.07 2 42.9 21.45 2 11.1 .37 30 31.61 31.61 1 12.81 12.81 1 184.1 18.41 10 4.45 .89 5 400 400 1 7.5 .25 30 17.4 .58 30 104.4 1.74 60 12.15 12.15 1 40.12 20.06 2 3.7 .37 10 20.1 .67 30 26.7 .89 30 9.9 .66 15 7.5 .25 30 43.96 43.96 1 54 .9 60 26 2.6 10 38.4 .64 60 400 400 1 Total: 3974.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410436 Min 01410436 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1633 of 6486
Name
K C GUPTA Rate Amount Qty 26.7 .89 30 5.4 .18 30 400 400 1 Total: 432.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410437 Min 01410437 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 1634 of 6486
Name
MALTI GUPTA Rate Amount Qty 12.15 12.15 1 5.55 .37 15 27.9 .93 30 21.3 .71 30 66.2 6.62 10 192.3 6.41 30 60.9 2.03 30 7.5 .25 30 7.65 .51 15 12 .4 30 400 400 1 16.2 .36 45 7.5 .25 30 21.3 .71 30 32.4 1.08 30 36 .6 60 400 400 1 Total: 1326.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410444 Min 01410444 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 25-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1635 of 6486
Name
BHIMA NAND DAS Qty Rate Amount 30 .93 27.9 30 .4 12 30 .71 21.3 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410450 Min 01410450 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 1636 of 6486
Name
P D BATHRE Rate Amount Qty 23.7 .79 30 26.7 .89 30 7.5 .25 30 167.4 5.58 30 8.1 .27 30 36 .6 60 12 .4 30 21.3 .71 30 400 400 1 Total: 702.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410455 Min 01410455 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 UREA (BUN /UR) 4 02-FEB-19 CREATININE /CRT 5 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 6 02-FEB-19 URIC ACID (UA /URATES /UR) 7 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 04-FEB-19 PRAZOSIN,2.5MG,TABLET 14 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 16 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 17 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 04-FEB-19
Page 1637 of 6486
Name
GANESH PRASAD TIWARI Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 8.1 .27 30 12 .4 30 34.8 1.16 30 66 1.1 60 39 1.3 30 27.9 .93 30 11.4 .38 30 60.9 2.03 30 400 400 1 Total: 4560.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410464 Min 01410464 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 13-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 1638 of 6486
Name
P K HARVEY Rate Amount Qty 156 1.3 120 105.9 3.53 30 66 1.1 60 55.8 .93 60 17.4 1.16 15 12 .4 30 400 400 1 Total: 813.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410465 Min 01410465 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 22-FEB-19
Page 1639 of 6486
Name
C K HARVEY Rate Amount Qty 38.25 2.55 15 12 .4 30 55.8 .93 60 18.9 .63 30 17.4 1.16 15 156 1.3 120 72 .6 120 400 400 1 275 275 1 275 275 1 Total: 1320.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410469 Min 01410469 Slno Description Appmt Dt CLOBAZAM,STRIP PKT,10MG,TABLET 1 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 19-FEB-19
Page 1640 of 6486
Name
AZIBUN NISA Rate Amount Qty 146.7 4.89 30 78 2.6 30 185.7 6.19 30 400 400 1 275 275 1 275 275 1 Total: 1360.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410470 Min 01410470 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 1641 of 6486
Name
SATISH CHANDRA UPADHYAY Rate Amount Qty 60.9 2.03 30 27.9 .62 45 21.3 .71 30 27.9 .93 30 400 400 1 Total: 538
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410471 Min 01410471 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 1642 of 6486
Name
PUNAM UPADHYAY Rate Amount Qty 22.32 .62 36 27.9 .93 30 400 400 1 Total: 450.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410472 Min 01410472 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 PRAZOSIN,2.5MG,TABLET 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 1643 of 6486
Name
RAJA RAM SAHU Rate Amount Qty 39 1.3 30 55.8 .93 60 72.6 1.21 60 17.4 .58 30 21.3 .71 30 78 1.3 60 29.7 .99 30 9 .3 30 32.4 1.08 30 400 400 1 Total: 755.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410473 Min 01410473 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1644 of 6486
Name
TULSI BAI Qty Rate Amount 60 .93 55.8 60 .27 16.2 15 .99 14.85 1 400 400 Total: 486.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410475 Min 01410475 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 1645 of 6486
Name
VIJAY LAXMI Rate Amount Qty 26.7 .89 30 20.06 20.06 1 400 400 1 Total: 446.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410476 Min 01410476 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 04-FEB-19 HB,TLC,DLC 2 04-FEB-19 PLATELET COUNT 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 04-FEB-19 CREATININE /CRT 5 04-FEB-19 UREA (BUN /UR) 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 04-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 9 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 04-FEB-19
Page 1646 of 6486
Name
K R PRASAD Qty 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 275 275 300 300 330 330 1300 1300 275 275 275 275 1300 1300 275 275 330 330 400 400 275 275 Total: 5335
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410492 Min 01410492 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1647 of 6486
Name
MAYA DEVI MISHRA Rate Amount Qty 6.9 .23 30 2.28 .38 6 1.85 .37 5 3.84 .64 6 4.8 .16 30 10.8 .36 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 507.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410493 Min 01410493 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 1648 of 6486
Name
MOHAN LAL DEWANGAN Rate Amount Qty 55.2 1.84 30 6.4 .64 10 6.72 1.12 6 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 905.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410494 Min 01410494 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 1649 of 6486
Name
TIJAN DEWANGAN Rate Amount Qty 32.4 1.08 30 7.5 .25 30 66 1.1 60 17.4 1.16 15 400 400 1 27.9 .93 30 400 400 1 Total: 951.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410499 Min 01410499 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1650 of 6486
Name
BHADRAKALI PRASAD PANDEY Rate Amount Qty 3.7 .37 10 54 .6 90 117 1.3 90 47.4 .79 60 16.2 .27 60 21.6 .36 60 26.7 .89 30 400 400 1 Total: 686.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410500 Min 01410500 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1651 of 6486
Name
TULSA BAI Rate Amount Qty 7.5 .25 30 21.3 .71 30 26.7 .89 30 6.4 .64 10 400 400 1 Total: 461.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410508 Min 01410508 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 22-FEB-19 X - RAY - TWO VIEWS 5 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19
Page 1652 of 6486
Name
GURBIR SINGH BHALLA Rate Amount Qty 750 750 1 275 275 1 275 275 1 1300 1300 1 860 860 1 400 400 1 39 1.3 30 21.3 .71 30 7.5 .25 30 26 2.6 10 26.7 .89 30 Total: 3980.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410510 Min 01410510 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 08-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 14 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19
Page 1653 of 6486
Name
DR JAINARAYAN AGRAWAL Rate Amount Qty 1.12 .16 7 13.73 192.22 14 400 400 1 208.8 1.74 120 59.4 .66 90 400 400 1 18 .6 30 6.4 .64 10 1.85 .37 5 55.8 .93 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 15.6 .26 60 33 1.1 30 35.2 3.52 10 400 400 1 Total: 1906.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410511 Min 01410511 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1654 of 6486
Name
MANJU AGRAWAL Rate Amount Qty 12.8 .64 20 5 .25 20 8.9 .89 10 18 .9 20 3.7 .37 10 26.6 2.66 10 400 400 1 7.5 .25 30 400 400 1 Total: 882.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410515 Min 01410515 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1655 of 6486
Name
MANISHA Rate Amount Qty 21.3 .71 30 29.7 .99 30 66 1.1 60 36 .6 60 27.9 .93 30 167.4 5.58 30 8.1 .27 30 400 400 1 Total: 756.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410518 Min 01410518 Appmt Dt Slno Description 07-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1656 of 6486
Name
RAM SOHAGIL SAHU Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410519 Min 01410519 Appmt Dt Slno Description 18-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 18-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 3 BISOPROLOL FUMARATE,5MG,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1657 of 6486
Name
VIMLA SAHU Qty Rate Amount 10 .64 6.4 30 .93 27.9 30 2.55 76.5 1 400 400 Total: 510.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410520 Min 01410520 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 1658 of 6486
Name
A K KHANRA Rate Amount Qty 33 1.1 30 10.42 5.21 2 12 .4 30 21.3 .71 30 23.7 .79 30 400 400 1 Total: 500.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410521 Min 01410521 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 1659 of 6486
Name
REBA RANI KHANRA Rate Amount Qty 21.3 .71 30 72.6 1.21 60 12 .4 30 27.9 .93 30 185.7 6.19 30 10.42 5.21 2 13.8 .23 60 14.85 .99 15 400 400 1 Total: 758.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410523 Min 01410523 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1660 of 6486
Name
KUSUM SHARMA Rate Amount Qty 16.2 .27 60 55.8 .93 60 54 .6 90 21.3 .71 30 400 400 1 Total: 547.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410530 Min 01410530 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 03-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 03-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 03-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 03-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19
Page 1661 of 6486
LALLAN PRASAD Rate Amount Qty 1.85 .37 5 21.12 3.52 6 6.4 .64 10 31.46 15.73 2 400 400 1 46.8 2.34 20 11.2 1.12 10 7.5 .25 30 26.7 .89 30 27.9 .93 30 12 .4 30 21.3 .71 30 18 .3 60 400 400 1 Total: 1032.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410531 Min 01410531 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 ECG 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 OBSERVATION IN CASUALTY 4 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 1662 of 6486
KAMLA DEVI Rate Amount Qty .16 .16 1 450 450 1 .89 .89 1 420 420 1 15.73 15.73 1 2.67 .89 3 3.75 .25 15 3.84 .64 6 400 400 1 Total: 1297.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410532 Min 01410532 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 1663 of 6486
Name
RAMGOPAL MISHRA Rate Amount Qty 55.8 .93 60 8.1 .27 30 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410533 Min 01410533 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 1664 of 6486
Name
KUMARI BAI MISHRA Rate Amount Qty 25.2 .63 40 27.4 1.37 20 247.6 6.19 40 17.8 .89 20 400 400 1 Total: 718
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410550 Min 01410550 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 11-FEB-19 PRAZOSIN,2.5MG,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 1665 of 6486
Name
V K AGRAWAL Rate Amount Qty 10.8 .36 30 21.3 .71 30 27.9 .93 30 66 1.1 60 12 .4 30 15.6 1.04 15 7.5 .25 30 156 1.3 120 32.4 1.08 30 400 400 1 Total: 749.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410551 Min 01410551 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 1666 of 6486
Name
VIMLA AGRAWAL Rate Amount Qty 27.9 .93 30 72 .6 120 334.8 5.58 60 43.2 .36 120 21.3 .71 30 400 400 1 Total: 899.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410554 Min 01410554 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1667 of 6486
Name
MADAN SINGH OTTI Rate Amount Qty 32.4 1.08 30 26.7 .89 30 7.5 .25 30 21.3 .71 30 12 .4 30 27.9 .93 30 400 400 1 Total: 527.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410555 Min 01410555 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CREATININE /CRT 6 09-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19 BLOOD FOR T-3,T-4,TSH 12 09-FEB-19 UREA (BUN /UR) 13 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 14 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19
Page 1668 of 6486
Name
RUKHMANI OTTI Rate Amount Qty 24.3 12.15 2 11.1 .37 30 26.7 .89 30 54 .9 60 400 400 1 275 275 1 550 550 1 275 275 1 1300 1300 1 275 275 1 400 400 1 2400 2400 1 275 275 1 18.6 .62 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 6748.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410567 Min 01410567 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 19-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 1669 of 6486
ANNIE RAPHEL Rate Amount Qty 148.9 74.45 2 25.07 25.07 1 400 400 1 8.1 .27 30 26 2.6 10 20.84 5.21 4 8.36 .38 22 8.9 .89 10 18.6 .62 30 21.3 .71 30 51.68 3.23 16 400 400 1 Total: 1137.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410568 Min 01410568 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1670 of 6486
Name
A T RAPHEL Rate Amount Qty 10.65 .71 15 41.85 .93 45 400 400 1 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410572 Min 01410572 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 1671 of 6486
Name
J M SHARIFF Rate Amount Qty 72.6 1.21 60 55.8 .93 60 14.85 .99 15 60.9 2.03 30 37.8 .63 60 55.2 .92 60 36 .6 60 400 400 1 63.58 63.58 1 400 400 1 Total: 1196.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410574 Min 01410574 Slno Description Appmt Dt ONDANSETRON,8MG,STRIP PACK.,TABLET 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 1672 of 6486
Name
K K JAIN Rate Amount Qty 7 .7 10 8.9 .89 10 15.4 .77 20 5 .25 20 400 400 1 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410575 Min 01410575 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19 SILDENAFIL,25 MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1673 of 6486
Name
VEENA JAIN Rate Amount Qty 10.05 .67 15 26.7 .89 30 7.5 .25 30 33 1.1 30 27.9 .93 30 400 400 1 79.2 2.64 30 400 400 1 Total: 984.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410578 Min 01410578 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 22-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1674 of 6486
Name
TEJLAL VISHWAKARMA Qty Rate Amount 30 .27 8.1 1 400 400 30 1.84 55.2 1 400 400 Total: 863.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410579 Min 01410579 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 19-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 19-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 9 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 1675 of 6486
Name
SUSHILA DEVI VISHWAKARMA Rate Amount Qty 34.8 1.16 30 20.1 .67 30 8.1 .27 30 21.3 .71 30 202.8 3.38 60 26.7 .89 30 7.5 .25 30 20.84 5.21 4 48.76 12.19 4 12 .4 30 32.4 1.08 30 54 .9 60 92.68 6.62 14 400 400 1 Total: 981.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410591 Min 01410591 Appmt Dt Slno Description 08-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 3 BACLOFEN,STRIP PKT,10MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1676 of 6486
Name
YASHODA PAWAR Qty 6 6 6 1
Rate Amount .64 3.84 .89 5.34 3.19 19.14 400 400 Total: 428.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410594 Min 01410594 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 19-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 1677 of 6486
Name
M S THAKUR Rate Amount Qty 1.6 .16 10 13.8 .23 60 106.8 3.56 30 26.7 .89 30 400 400 1 Total: 548.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410602 Min 01410602 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 4 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 21-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1678 of 6486
Name
MANJEET SINGH NANDA Rate Amount Qty 26.7 .89 30 123.53 370.59 3 7.5 .25 30 423.6 7.06 60 279.9 9.33 30 31.2 1.04 30 4.27 192.15 45 400 400 1 Total: 1731.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410603 Min 01410603 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 1679 of 6486
Name
AMRIT KAUR NANDA Rate Amount Qty 8.1 .27 30 55.8 .93 60 34.8 1.16 30 45.44 45.44 1 400 400 1 21.3 .71 30 12.6 .42 30 55.8 .93 60 8.1 .27 30 400 400 1 185.7 6.19 30 13.7 1.37 10 400 400 1 Total: 1641.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410606 Min 01410606 Appmt Dt Slno Description 22-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 22-FEB-19 2 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 22-FEB-19 3 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1680 of 6486
Name
KAMALA BHOIR Qty Rate Amount 30 .38 11.4 30 .66 19.8 100 .78 78 1 400 400 Total: 509.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410608 Min 01410608 Appmt Dt Slno Description 07-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 2 ETORICOXIB,STRIP PKT,90MG,TABLET 07-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1681 of 6486
Name
SHAIL TIWARI Qty Rate Amount 20 .25 5 10 2.6 26 40 6.19 247.6 1 400 400 Total: 678.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410615 Min 01410615 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 4 08-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 1682 of 6486
Name
RAM KUMAR GAUTAM Rate Amount Qty 66.2 6.62 10 16.8 1.12 15 12.46 .89 14 2.1 .7 3 8.71 8.71 1 400 400 1 16.2 .27 60 55.8 .93 60 7.5 .25 30 2.4 .16 15 36 .6 60 14.85 .99 15 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 1100.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410619 Min 01410619 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 1683 of 6486
Name
SHIROMANI NICHOLS Rate Amount Qty 1.85 .37 5 53.4 .89 60 21.3 .71 30 7.5 .25 30 55.8 .93 60 54 .6 90 400 400 1 Total: 593.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410620 Min 01410620 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1684 of 6486
Name
VINOD KUMAR NICHOLS Rate Amount Qty 31.2 1.04 30 4.8 .16 30 60.9 2.03 30 21.3 .71 30 54 .6 90 53.4 .89 60 43.2 .36 120 400 400 1 Total: 668.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410623 Min 01410623 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1685 of 6486
Name
BHARAT LAL SHRIVASTAVA Rate Amount Qty 66 1.1 60 12 .4 30 23.1 .77 30 4.8 .16 30 9.3 .62 15 123.53 247.06 2 7.5 .25 30 400 400 1 Total: 769.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410624 Min 01410624 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1686 of 6486
Name
CHANCHAL SHRIVASTAVA Rate Amount Qty 13.35 .89 15 12 .4 30 19.8 .66 30 66 1.1 60 21.3 .71 30 27.9 .93 30 157.8 2.63 60 400 400 1 Total: 718.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410628 Min 01410628 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 04-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 04-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 3 04-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 16 28-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 17 28-FEB-19 ESCITALOPRAM,10MG,,TABLET 18 28-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 1687 of 6486
Name
WAMAN LATA Rate Amount Qty 55.5 1.85 30 79.2 2.64 30 3.51 157.95 45 30.6 .51 60 400 400 1 1.25 .25 5 4.45 .89 5 66.2 6.62 10 9 .9 10 1.85 .37 5 400 400 1 66.2 6.62 10 3.7 .37 10 12.15 12.15 1 8.9 .89 10 3.51 157.95 45 30.6 .51 60 55.5 1.85 30 79.2 2.64 30 400 400 1 Total: 2020.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410637 Min 01410637 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 18-FEB-19 URIC ACID (UA /URATES /UR) 11 18-FEB-19 CREATININE /CRT 12 18-FEB-19 UREA (BUN /UR) 13 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 BLOOD FOR T-3,T-4,TSH 17 18-FEB-19
Page 1688 of 6486
Name
AMARJEET DESHMUKH Rate Amount Qty 7.5 .25 30 10.65 .71 15 13.95 .93 15 66 1.1 60 185.7 6.19 30 7.5 .25 30 13.7 1.37 10 2.4 .16 15 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 2400 2400 1 Total: 6182.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410644 Min 01410644 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 1689 of 6486
Name
PRABHU KUMAR SHRIVASTAVA Rate Amount Qty 66 1.1 60 55.8 .93 60 400 400 1 8.1 .27 30 3.7 .37 10 6.4 .64 10 60.9 2.03 30 21.3 .71 30 12 .4 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 1095.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410645 Min 01410645 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 21-FEB-19 BLOOD FOR T-3,T-4,TSH 9 21-FEB-19
Page 1690 of 6486
Name
ARUNA SHRIVASTAVA Rate Amount Qty 21.3 .71 30 37.2 .93 40 400 400 1 66.2 6.62 10 3.7 .37 10 6.4 .64 10 400 400 1 400 400 1 4800 2400 2 Total: 6134.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410649 Min 01410649 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 4 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 1691 of 6486
Name
SUKH CHAIN JANGHEL Rate Amount Qty 7.8 .26 30 32.4 1.08 30 34.8 1.16 30 61.8 4.12 15 7.65 .51 15 47.4 .79 60 400 400 1 Total: 591.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410654 Min 01410654 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 3 01-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 14-FEB-19 X - RAY - TWO VIEWS 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 1692 of 6486
SUCHA SINGH Rate Amount Qty 11.25 .75 15 11.1 .37 30 85.52 85.52 1 35.2 17.6 2 400 400 1 25.07 25.07 1 400 400 1 36 .6 60 12 .4 30 17.4 1.16 15 27.9 .93 30 4.5 .3 15 400 400 1 860 860 1 400 400 1 24.6 .82 30 400 400 1 Total: 3150.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410655 Min 01410655 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 1693 of 6486
Name
DALBIR KAUR Rate Amount Qty 2.4 .16 15 41.85 .93 45 17.4 1.16 15 66 1.1 60 12 .4 30 400 400 1 Total: 539.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410669 Min 01410669 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 22-FEB-19 CREATININE /CRT 5 25-FEB-19 URIC ACID (UA /URATES /UR) 6 25-FEB-19 UREA (BUN /UR) 7 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 25-FEB-19
Page 1694 of 6486
Name
BAISHAKHIN BAI Rate Amount Qty 47.4 .79 60 6.4 .64 10 33 1.1 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 Total: 3561.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410685 Min 01410685 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 01-FEB-19 URIC ACID (UA /URATES /UR) 9 01-FEB-19 CREATININE /CRT 10 01-FEB-19 UREA (BUN /UR) 11 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 24 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 25 06-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 26 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 27 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 28 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 29 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 30 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 31 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 32 23-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 33 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 34 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 35 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 23-FEB-19
Page 1695 of 6486
Name
RAMKISUN SAHU Rate Amount Qty 12.15 12.15 1 20.1 .67 30 400 400 1 54 .9 60 79.2 .66 120 156.6 1.74 90 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 87.92 43.96 2 400 400 1 275 275 1 7.8 .26 30 275 275 1 400 400 1 2.4 .16 15 7.5 .25 30 117 1.3 90 36 .6 60 32.4 1.08 30 34.8 1.16 30 73.8 .82 90 29.7 .99 30 27.9 .93 30 15.6 .26 60 24 .6 40 78 1.3 60 8.82 .42 21 1.5 .25 6 8.9 .89 10 23.2 1.16 20 400 400 1 Total: 6314.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410686 Min 01410686 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 06-FEB-19 URIC ACID (UA /URATES /UR) 12 06-FEB-19 CREATININE /CRT 13 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 06-FEB-19 UREA (BUN /UR) 15 06-FEB-19
Page 1696 of 6486
Name
RAJBAI SAHU Rate Amount Qty 12 .4 30 21.3 .71 30 26.7 .89 30 368.4 6.14 60 13.95 .93 15 275 275 1 400 400 1 6.9 .23 30 66 1.1 60 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 4140.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410689 Min 01410689 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 1697 of 6486
Name
VASANT KUMAR PATKI Rate Amount Qty 66 1.1 60 55.8 .93 60 21.3 .71 30 26.7 .89 30 7.5 .25 30 8.1 .27 30 123.53 247.06 2 11.4 .38 30 12 .4 30 7.65 .51 15 400 400 1 Total: 863.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410690 Min 01410690 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 02-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 1698 of 6486
Name
VAISHALI PATKI Rate Amount Qty 36 .6 60 21.3 .71 30 14.85 .99 15 12 .4 30 21.3 .71 30 55.2 .92 60 400 400 1 21.3 .71 30 12 .4 30 7.1 .71 10 66.2 6.62 10 55.2 .92 60 14.85 .99 15 1.85 .37 5 6.4 .64 10 36 .6 60 400 400 1 Total: 1181.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410691 Min 01410691 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 23-FEB-19 SOLIFENACIN,5MG,,TABLET 3 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 1699 of 6486
Name
RAMESH PRASAD KHANNA Rate Amount Qty 29.7 .99 30 60.9 2.03 30 403.2 13.44 30 21.3 .71 30 27.9 .93 30 21.3 .71 30 20.55 1.37 15 8.1 .27 30 400 400 1 Total: 992.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410694 Min 01410694 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1700 of 6486
Name
JAYASHREE NAGORI Rate Amount Qty 6.4 .64 10 55.2 1.84 30 400 400 1 Total: 461.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410695 Min 01410695 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 25-FEB-19
Page 1701 of 6486
Name
T K GUHA NEOGI Rate Amount Qty 117 1.3 90 55.8 .93 60 72.6 1.21 60 12 .4 30 21.3 .71 30 5.21 5.21 1 72 .6 120 21.6 .36 60 275 275 1 400 400 1 275 275 1 Total: 1327.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410696 Min 01410696 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 14 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 1702 of 6486
Name
DEEPALI GUHA NEOGI Rate Amount Qty .8 .16 5 20.84 5.21 4 12.3 .41 30 27.9 .93 30 12 .4 30 55.8 .93 60 26.7 .89 30 12 .4 30 21.3 .71 30 211.8 3.53 60 29.7 .99 30 66 1.1 60 55.8 .93 60 21.3 .71 30 167.4 5.58 30 117 1.3 90 21.6 .36 60 72 .6 120 400 400 1 Total: 1352.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410698 Min 01410698 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1703 of 6486
Name
RAJANI BORKAR Rate Amount Qty 7.5 .25 30 21.3 .71 30 18 .6 30 118.5 3.95 30 27.9 .93 30 14.85 .99 15 26 2.6 10 400 400 1 Total: 634.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410701 Min 01410701 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 11-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 DRESSING SIMPLE 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 12-FEB-19 DRESSING SIMPLE 7 12-FEB-19
Page 1704 of 6486
Name
THAKUR RAM VERMA Rate Amount Qty 55.2 1.84 30 4.1 .41 10 41.06 41.06 1 400 400 1 600 300 2 400 400 1 300 300 1 Total: 1800.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410702 Min 01410702 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1705 of 6486
Name
RUKMANI VERMA Rate Amount Qty 14.85 .99 15 8.1 .27 30 39 1.3 30 18 .6 30 27.9 .93 30 400 400 1 Total: 507.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410710 Min 01410710 Appmt Dt Slno Description 26-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1706 of 6486
Name
MANJU SAMANTA Qty Rate Amount 30 .71 21.3 15 .93 13.95 30 .62 18.6 1 400 400 Total: 453.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410717 Min 01410717 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 1707 of 6486
Name
C K MALINI Rate Amount Qty 36 .6 60 21.6 .36 60 25.62 12.81 2 82.12 41.06 2 85.52 85.52 1 78 1.3 60 13.95 .93 15 12 .4 30 21.3 .71 30 7.5 .25 30 7.4 .37 20 400 400 1 82.12 41.06 2 25.62 12.81 2 36.8 1.84 20 7.4 .37 20 400 400 1 Total: 1342.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410719 Min 01410719 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 IVABRADINE,5MG,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 TICAGRELOR 90MG ,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 1708 of 6486
Name
ANIL KUMAR WILSON Rate Amount Qty 69.6 1.16 60 12 .4 30 597 9.95 60 400 400 1 30.77 1846.2 60 400 400 1 Total: 3324.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410720 Min 01410720 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1709 of 6486
Name
SHANTI WILSON Rate Amount Qty 31.95 .71 45 55.8 .93 60 14.85 .99 15 7.5 .25 30 83.4 2.78 30 34.8 1.16 30 400 400 1 Total: 628.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410731 Min 01410731 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 12-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1710 of 6486
Name
RAVINDRA KUMAR SHIRKE Qty Rate Amount 60 .93 55.8 30 .4 12 30 .23 6.9 1 400 400 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410732 Min 01410732 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 X - RAY - TWO VIEWS 10 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 1711 of 6486
Name
RAJANI BALA SHIRKE Rate Amount Qty 27.9 .93 30 21.3 .71 30 8.1 .27 30 7.5 .25 30 20.84 5.21 4 400 400 1 4.45 .89 5 4.1 .41 10 400 400 1 860 860 1 400 400 1 43.96 43.96 1 17.8 .89 20 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 2890.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410733 Min 01410733 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1712 of 6486
Name
ARUN KUMAR AGRAWAL Rate Amount Qty 6.9 .23 30 1.6 .16 10 36.3 1.21 30 14.85 .99 15 17.8 .89 20 12.6 .63 20 8.4 .42 20 13.7 1.37 10 400 400 1 Total: 512.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410734 Min 01410734 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1713 of 6486
Name
ASHA AGRAWAL Rate Amount Qty 55.8 .93 60 29.7 .99 30 12 .4 30 7.5 .25 30 36 .6 60 21.6 .36 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 600.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410738 Min 01410738 Appmt Dt Slno Description 19-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1714 of 6486
Name
PRAMILA PANDEY Qty Rate Amount 40 6.19 247.6 10 .89 8.9 10 1.37 13.7 1 400 400 Total: 670.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410750 Min 01410750 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 1715 of 6486
Name
GHANSHYAM GANWIR Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 18 .6 30 400 400 1 Total: 497.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410752 Min 01410752 Slno Description Appmt Dt CREATININE /CRT 1 19-FEB-19 UREA (BUN /UR) 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 19-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 7 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 19-FEB-19
Page 1716 of 6486
Name
RAM KUMAR SWARNKAR Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 7.4 .37 20 13.43 13.43 1 25.62 12.81 2 21.3 .71 30 36 .6 60 9 .3 30 Total: 1612.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410753 Min 01410753 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 19-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 1717 of 6486
Name
GAJARA BAI SWARNKAR Rate Amount Qty 10.42 5.21 2 18.9 .63 30 8.1 .27 30 26.86 13.43 2 19.72 9.86 2 26.96 3.37 8 6.4 .64 10 400 400 1 Total: 517.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410761 Min 01410761 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1718 of 6486
Name
SHANKAR SEWAK VERMA Rate Amount Qty 32.4 1.08 30 12 .4 30 7.5 .25 30 18 .6 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 531.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410762 Min 01410762 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 1719 of 6486
RAMPYARI VERMA Rate Amount Qty 15.73 15.73 1 15.96 2.66 6 17.4 1.16 15 6.9 .23 30 27.9 .93 30 400 400 1 Total: 483.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410763 Min 01410763 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 3 21-FEB-19 GUM ANALGESIC GEL 4 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 1720 of 6486
Name
CHITRA ROY Rate Amount Qty 12.3 .41 30 26.7 .89 30 20.25 20.25 1 28.69 28.69 1 60.18 20.06 3 400 400 1 100.71 100.71 1 12.15 12.15 1 400 400 1 Total: 1060.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410770 Min 01410770 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 1721 of 6486
Name
RANJU WANDALKAR Rate Amount Qty 185.7 6.19 30 17.4 1.16 15 12 .4 30 66 1.1 60 26 2.6 10 8.01 .89 9 18.69 .89 21 20.84 5.21 4 400 400 1 26 2.6 10 400 400 1 Total: 1180.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410777 Min 01410777 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19
Page 1722 of 6486
M P SINGH Rate Amount Qty 14.85 .99 15 31.46 15.73 2 23.1 .77 30 32.4 1.08 30 26.6 2.66 10 66.2 6.62 10 400 400 1 60.9 2.03 30 7.5 .25 30 8.1 .27 30 21.3 .71 30 23.7 .79 30 110.4 .92 120 400 400 1 Total: 1226.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410778 Min 01410778 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 1723 of 6486
Name
S N BOSE Rate Amount Qty 33 1.1 30 27.9 .93 30 12 .4 30 21.3 .71 30 400 400 1 9 .3 30 20.84 5.21 4 36 .6 60 27.9 .93 30 25.2 .42 60 12 .4 30 21.3 .71 30 400 400 1 Total: 1046.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410779 Min 01410779 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1724 of 6486
Name
ALO BOSE Rate Amount Qty 13.95 .93 15 8.7 .58 15 10.65 .71 15 37.8 .63 60 400 400 1 Total: 471.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410781 Min 01410781 Name Appmt Dt Slno Description 26-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1725 of 6486
INDIRA MUDUMBI Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410787 Min 01410787 Appmt Dt Slno Description 18-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1726 of 6486
Name
SHARDA RAMTEKE Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410788 Min 01410788 Slno Description Appmt Dt CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 1727 of 6486
Name
S R RAMTEKE Rate Amount Qty 512.4 4.27 120 7.5 .25 30 54 .6 90 6.9 .23 30 12 .4 30 21.3 .71 30 400 400 1 Total: 1014.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410789 Min 01410789 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 13-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 4 13-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 13-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 6 13-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 7 13-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 8 13-FEB-19 SYRINGE,DISPOSABLE,2ML 9 13-FEB-19 OBSERVATION IN CASUALTY 10 13-FEB-19 ECG 11 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 12 13-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 13 13-FEB-19 ONDANSETRON,2MG/ML,INJECTION 14 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 16 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 18 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 22 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 20-FEB-19 GUM ANALGESIC GEL 24 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 25 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 20-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 27 20-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 28 20-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 29 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 30 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 31 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 32 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 20-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 34 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 35 22-FEB-19 GUM ANALGESIC GEL 36 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 37 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 22-FEB-19
Page 1728 of 6486
Name
A J JENDON Rate Amount Qty 16.8 1.12 15 7 .7 10 8.9 .89 10 13.08 2.18 6 43.55 8.71 5 5.41 5.41 1 23.39 23.39 1 9.81 9.81 1 5.52 1.84 3 420 420 1 450 450 1 9.62 9.62 1 11.89 11.89 1 7.52 7.52 1 24.52 24.52 1 21.3 .71 30 26.7 .89 30 20.84 5.21 4 60.9 2.03 30 32.4 1.08 30 400 400 1 17.6 17.6 1 6.23 .89 7 28.69 28.69 1 10.08 1.12 9 15 .25 60 31.61 31.61 1 11.25 .75 15 85.52 85.52 1 6.4 .64 10 20.84 5.21 4 185.7 6.19 30 400 400 1 30.8 4.4 7 23.52 1.12 21 28.69 28.69 1 13.35 .89 15 400 400 1 Total: 2934.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410794 Min 01410794 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 AMIODARONE HCL,STRIP PKT,200MG,TABLET 04-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1729 of 6486
Name
UJWALA KIROLIKAR Qty Rate Amount 60 1.1 66 30 4.12 123.6 60 .6 36 1 400 400 Total: 625.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410797 Min 01410797 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 02-FEB-19 CREATININE /CRT 3 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 02-FEB-19 UREA (BUN /UR) 7 02-FEB-19 TACROLIMUS,1MG, TAB/CAP 8 04-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 9 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 1730 of 6486
Name
JEET SINGH Rate Amount Qty 550 275 2 1100 550 2 550 275 2 2600 1300 2 400 400 1 550 275 2 550 275 2 11.21 1345.2 120 31.99 2879.1 90 20.1 .67 30 400 400 1 Total: 10944.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410805 Min 01410805 Slno Description Appmt Dt INHALER FOR INHALING DRY POWDER CAPSULE 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 1731 of 6486
Name
JAGMOHAN LAL Rate Amount Qty 138.1 69.05 2 12.15 12.15 1 26.7 .89 30 20.1 .67 30 54 .9 60 400 400 1 Total: 651.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410806 Min 01410806 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1732 of 6486
Name
SEWTI BAI Rate Amount Qty 7.5 .25 30 21.3 .71 30 55.8 .93 60 27 .6 45 23.7 .79 30 400 400 1 Total: 535.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410810 Min 01410810 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 26-FEB-19 CREATININE /CRT 6 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 1733 of 6486
Name
R CHELLAYYAMMA Rate Amount Qty 275 275 1 400 400 1 550 550 1 275 275 1 1300 1300 1 275 275 1 18.9 .63 30 7.5 .25 30 21.3 .71 30 36 .6 60 10.8 .36 30 26.7 .89 30 400 400 1 Total: 3596.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410811 Min 01410811 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1734 of 6486
Name
LOKNATH SAHU Rate Amount Qty 26.55 26.55 1 3.7 .37 10 400 400 1 Total: 430.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410817 Min 01410817 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 06-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1735 of 6486
Name
CHANDER SHEKHAR CHOUBEY Rate Amount Qty 13.8 .23 60 15 .25 60 211.8 3.53 60 29.7 .99 30 55.8 .93 60 400 400 1 Total: 726.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410818 Min 01410818 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 1736 of 6486
Name
NIRMALA CHOUBEY Rate Amount Qty 27.9 .93 30 21.3 .71 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410819 Min 01410819 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 1737 of 6486
Name
GEETA BICHPURIA Rate Amount Qty 167.4 5.58 30 26.7 .89 30 7.5 .25 30 400 400 1 26.7 .89 30 54 .9 60 33.48 .93 36 22.32 .93 24 400 400 1 Total: 1138.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410820 Min 01410820 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 11-FEB-19 PRAZOSIN,2.5MG,TABLET 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 1738 of 6486
Name
BRAJESH BICHPURIA Rate Amount Qty 36.3 1.21 30 55.8 .93 60 167.4 5.58 30 21.6 .36 60 7.5 .25 30 8.1 .27 30 39 1.3 30 21.3 .71 30 400 400 1 .8 .16 5 20.06 20.06 1 8.9 .89 10 400 400 1 Total: 1186.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410821 Min 01410821 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 1739 of 6486
Name
R C SINGH Rate Amount Qty 1750 1750 1 40.6 2.03 20 400 400 1 66.2 6.62 10 400 400 1 43.96 43.96 1 10.8 .36 30 36 .6 60 400 400 1 87.92 43.96 2 26.7 .89 30 400 400 1 Total: 3662.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410827 Min 01410827 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 1740 of 6486
Name
JIWAN LAL TAMRAKAR Rate Amount Qty 6.9 .23 30 55.8 .93 60 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410828 Min 01410828 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 CREATININE /CRT 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19
Page 1741 of 6486
Name
ARCHANA TAMRAKAR Rate Amount Qty 33.12 1.84 18 3.84 .64 6 275 275 1 400 400 1 275 275 1 275 275 1 Total: 1261.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410841 Min 01410841 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1742 of 6486
Name
RAJKUMAR GUPTA Rate Amount Qty 7.5 .25 30 32.4 1.08 30 192.3 6.41 30 60.9 2.03 30 13.95 .93 15 54 .9 60 26.7 .89 30 36 .6 60 400 400 1 Total: 823.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410844 Min 01410844 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 11-FEB-19 CREATININE /CRT 5 11-FEB-19 UREA (BUN /UR) 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 1743 of 6486
Name
SHOBHA SIMON Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 10.65 .71 15 27.9 .93 30 36 .6 60 10.8 .36 30 3.75 .25 15 400 400 1 Total: 3289.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410845 Min 01410845 Slno Description Appmt Dt CREATININE /CRT 1 11-FEB-19 UREA (BUN /UR) 2 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 1744 of 6486
Name
NISHAT S SIMON Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 10.65 .71 15 9.3 .62 15 78 1.3 60 167.4 5.58 30 36 .6 60 10.8 .36 30 3.75 .25 15 400 400 1 Total: 3515.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410857 Min 01410857 Appmt Dt Slno Description 07-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 2 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 07-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1745 of 6486
Name
ANIL DARVEKAR Qty Rate Amount 30 1.1 33 15 .66 9.9 30 1.16 34.8 1 400 400 Total: 477.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410858 Min 01410858 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 07-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 5 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 8 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 1746 of 6486
Name
ANJALI DARVEKAR Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 21.3 .71 30 88.2 1.47 60 211.8 3.53 60 7.5 .25 30 64.2 2.14 30 66 1.1 60 55.8 .93 60 36 .6 60 12 .4 30 400 400 1 Total: 1028.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410865 Min 01410865 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1747 of 6486
Name
K NAGESHWAR RAO Rate Amount Qty 7.5 .25 30 26.7 .89 30 34.8 1.16 30 12 .4 30 33 1.1 30 400 400 1 Total: 514
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410866 Min 01410866 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1748 of 6486
Name
K MANJULATA Rate Amount Qty 10.8 .36 30 27 .9 30 26.7 .89 30 54 .6 90 15.3 .51 30 27.9 .93 30 400 400 1 Total: 561.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410871 Min 01410871 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1749 of 6486
Name
VISHWAMBHAR RAM SAHU Rate Amount Qty 33 1.1 30 55.8 .93 60 32.4 1.08 30 30.6 .34 90 7.5 .25 30 12 .4 30 34.8 1.16 30 36 .6 60 400 400 1 Total: 642.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410872 Min 01410872 Appmt Dt Slno Description 11-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1750 of 6486
Name
INDU SAHU Qty Rate Amount 30 .62 18.6 60 .6 36 30 .36 10.8 1 400 400 Total: 465.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410877 Min 01410877 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 1751 of 6486
Name
M L KASHYAP Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 78 1.3 60 54 .6 90 21.6 .36 60 400 400 1 Total: 959.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410878 Min 01410878 Appmt Dt Slno Description 11-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1752 of 6486
Name
KAMALA KASHYAP Qty Rate Amount 30 .71 21.3 60 .93 55.8 15 .6 9 1 400 400 Total: 486.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410879 Min 01410879 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1753 of 6486
GHANSHYAM SONI Rate Amount Qty 20.06 20.06 1 25.07 25.07 1 54 .6 90 12.8 .64 20 21.6 .36 60 400 400 1 9.6 .64 15 400 400 1 Total: 943.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410880 Min 01410880 Slno Description Appmt Dt GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 1 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1754 of 6486
Name
KIRAN BALA SONI Rate Amount Qty 39.54 19.77 2 20.06 20.06 1 21.6 .36 60 54 .6 90 400 400 1 Total: 535.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410883 Min 01410883 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 19-FEB-19 UREA (BUN /UR) 9 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 15 20-FEB-19 PRAZOSIN,2.5MG,TABLET 16 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19
Page 1755 of 6486
Name
JAGDISH PRASAD Rate Amount Qty .75 .25 3 3.84 .64 6 3.84 .64 6 3.84 .64 6 1.11 .37 3 2.67 .89 3 400 400 1 275 275 1 275 275 1 275 275 1 60.9 2.03 30 36 .6 60 14.85 .99 15 18.9 .63 30 22.2 .37 60 156 1.3 120 211.8 3.53 60 400 400 1 Total: 2161.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410884 Min 01410884 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 1756 of 6486
Name
MAYA DEVI Rate Amount Qty 275 275 1 275 275 1 55.8 .93 60 11.1 .37 30 39 1.3 30 9 .3 30 36 .6 60 400 400 1 Total: 1100.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410885 Min 01410885 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 07-FEB-19
Page 1757 of 6486
Name
TULSI RAM SAHU Rate Amount Qty 27.9 .93 30 8.1 .27 30 34.8 1.16 30 27.6 .92 30 36 .6 60 117 1.3 90 12 .4 30 12.6 .42 30 7.5 .25 30 400 400 1 275 275 1 275 275 1 Total: 1233.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410887 Min 01410887 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 1758 of 6486
Name
SHYAM BIHARI PRAJAPATI Rate Amount Qty 34.8 1.16 30 27.9 .93 30 18.9 .63 30 6.9 .23 30 400 400 1 Total: 488.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410888 Min 01410888 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 18-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 2 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 25-FEB-19
Page 1759 of 6486
Name
SAVITA DEVI Rate Amount Qty 35.2 3.52 10 13.08 2.18 6 18.6 .62 30 7.7 .77 10 400 400 1 275 275 1 275 275 1 Total: 1024.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410890 Min 01410890 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 23-FEB-19 CREATININE /CRT 3 23-FEB-19 URIC ACID (UA /URATES /UR) 4 23-FEB-19 UREA (BUN /UR) 5 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 23-FEB-19
Page 1760 of 6486
Name
KAMRUNNISHA BEGUM Rate Amount Qty 860 860 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3385
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410900 Min 01410900 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 1761 of 6486
Name
S K TIWARI Rate Amount Qty 16.2 .36 45 27.9 .93 30 15.96 2.66 6 17.4 .58 30 1.48 .37 4 60.9 2.03 30 400 400 1 9 .3 30 10.8 .36 30 27.9 .93 30 60.9 2.03 30 400 400 1 Total: 1048.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410901 Min 01410901 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1762 of 6486
Name
SAROJ TIWARI Rate Amount Qty 21.3 .71 30 8.1 .27 30 334.8 5.58 60 117 1.3 90 72 .6 120 21.6 .36 60 33 1.1 30 400 400 1 Total: 1007.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410913 Min 01410913 Appmt Dt Slno Description 15-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 15-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1763 of 6486
Name
PREM LAL Qty Rate Amount 15 .79 11.85 30 .89 26.7 30 .25 7.5 1 400 400 Total: 446.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410914 Min 01410914 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1764 of 6486
Name
PRABHA Rate Amount Qty 7.5 .25 30 13.8 .23 60 33 1.1 30 1.11 .37 3 400 400 1 Total: 455.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410923 Min 01410923 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 1765 of 6486
Name
N P MISHRA Rate Amount Qty 66 1.1 60 16.2 .27 60 34.8 1.16 30 26.7 .89 30 12 .4 30 55.8 .93 60 400 400 1 Total: 611.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410924 Min 01410924 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1766 of 6486
Name
SUSHILA MISHRA Rate Amount Qty 21.3 .71 30 121.8 2.03 60 29.7 .99 30 7.5 .25 30 36 .6 60 66 1.1 60 27.6 .92 30 400 400 1 Total: 709.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410932 Min 01410932 Appmt Dt Slno Description 13-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 13-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 13-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1767 of 6486
Name
MAYA DEVI TIWARI Qty Rate Amount 60 .6 36 30 .79 23.7 30 1.08 32.4 1 400 400 Total: 492.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410933 Min 01410933 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 1768 of 6486
Name
MAYA SARKAR Rate Amount Qty 4.1 .41 10 26.7 .89 30 21.3 .71 30 78 1.3 60 167.4 5.58 30 400 400 1 Total: 697.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410934 Min 01410934 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1769 of 6486
Name
DIPAK KUMAR SARKAR Rate Amount Qty 36 .6 60 34.8 1.16 30 26 2.6 10 39 1.3 30 26.7 .89 30 27.9 .93 30 12 .4 30 23.7 .79 30 400 400 1 Total: 626.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410949 Min 01410949 Appmt Dt Slno Description 11-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 11-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 11-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1770 of 6486
Name
R K CHOUBEY Qty Rate Amount 60 1.1 66 8 1.16 9.28 30 .4 12 1 400 400 Total: 487.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410950 Min 01410950 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 1771 of 6486
Name
MEENA CHOUBEY Rate Amount Qty 13.95 .93 15 9.28 1.16 8 400 400 1 Total: 423.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410959 Min 01410959 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 METOPROLOL TARTRATE,50MG,,TABLET 15-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1772 of 6486
Name
ARUN KUMA SURI Qty Rate Amount 30 .93 27.9 60 1.21 72.6 30 1.16 34.8 1 400 400 Total: 535.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410970 Min 01410970 Appmt Dt Slno Description 11-FEB-19 1 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11-FEB-19 2 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 11-FEB-19 4 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G
Page 1773 of 6486
Name
SHASHI PRABHA JAIN Qty Rate Amount 1 275 275 1 1300 1300 1 400 400 1 275 275 Total: 2250
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410971 Min 01410971 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 11 17-FEB-19 OBSERVATION IN CASUALTY 12 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 13 17-FEB-19 ECG 14 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 17-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 27-FEB-19 CREATININE /CRT 19 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 27-FEB-19
Page 1774 of 6486
Name
DASHRATH LAL VERMA Rate Amount Qty 43.2 .36 120 167.4 5.58 30 55.8 .93 60 118.5 3.95 30 32.4 1.08 30 60.9 2.03 30 4.8 .16 30 34.8 1.16 30 29.7 .99 30 400 400 1 600 600 1 420 420 1 9.62 9.62 1 450 450 1 24.52 24.52 1 550 550 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 6826.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410972 Min 01410972 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1775 of 6486
Name
SUMITRA VERMA Rate Amount Qty 34.8 1.16 30 12 .4 30 26.7 .89 30 400 400 1 26 2.6 10 2.5 .25 10 400 400 1 Total: 902
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410973 Min 01410973 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 14-FEB-19 X - RAY - TWO VIEWS 5 14-FEB-19 X - RAY - TWO VIEWS 6 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 28-FEB-19
Page 1776 of 6486
Name
J P KHARWAR Rate Amount Qty 8.9 .89 10 247.6 6.19 40 13.7 1.37 10 400 400 1 860 860 1 860 860 1 400 400 1 11.4 .38 30 20.84 5.21 4 21.9 .73 30 Total: 2844.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410974 Min 01410974 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 22-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 22-FEB-19
Page 1777 of 6486
BINDA DEVI Rate Amount Qty 2.28 .38 6 1.85 .37 5 8.1 .27 30 400 400 1 3.7 .37 10 48.22 48.22 1 Total: 464.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410979 Min 01410979 Appmt Dt Slno Description 16-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 2 DEXKETOPROFEN,25MG,TAB STRIP PACK 16-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1778 of 6486
Name
P K BHATTACHARJEE Qty Rate Amount 15 .89 13.35 15 3.14 47.1 30 .63 18.9 1 400 400 Total: 479.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410980 Min 01410980 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 21-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1779 of 6486
Name
PURNIMA BHATTACHARJEE Rate Amount Qty 3.8 .38 10 1.85 .37 5 3.84 .64 6 15.96 2.66 6 400 400 1 Total: 425.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410986 Min 01410986 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1780 of 6486
Name
K SADHANA Rate Amount Qty 12 .4 30 55.8 .93 60 167.4 5.58 30 36 .6 60 211.8 3.53 60 2.4 .16 15 400 400 1 Total: 885.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410993 Min 01410993 Slno Description Appmt Dt DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 1781 of 6486
Name
A K JAMES Rate Amount Qty 280 280 1 400 400 1 26.7 .89 30 3.7 .37 10 40.12 20.06 2 400 400 1 Total: 1150.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410994 Min 01410994 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 05-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 2 05-FEB-19 CALCIUM (CA) 3 05-FEB-19 X - RAY - TWO VIEWS 4 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 6 05-FEB-19 URIC ACID (UA /URATES /UR) 7 05-FEB-19 CREATININE /CRT 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 05-FEB-19 UREA (BUN /UR) 11 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 05-FEB-19 ANA SCREENING 18 05-FEB-19 RA FACTOR /RH FACTOR 19 05-FEB-19 PLATELET COUNT 20 05-FEB-19 ESR 21 05-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 22 05-FEB-19 HB,TLC,DLC 23 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 05-FEB-19
Page 1782 of 6486
Name
N D JAMES Rate Amount Qty 550 550 1 275 275 1 275 275 1 860 860 1 1300 1300 1 1500 1500 1 275 275 1 275 275 1 17.8 .89 20 275 275 1 275 275 1 26 2.6 10 7.5 .25 30 78 1.3 60 21.3 .71 30 36 .6 60 275 275 1 2430 2430 1 600 600 1 330 330 1 165 165 1 330 330 1 300 300 1 400 400 1 Total: 10876.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410995 Min 01410995 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 14-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19
Page 1783 of 6486
Name
BHUPENDRA SINGH BHATIA Rate Amount Qty 26.7 .89 30 7.5 .25 30 26.6 2.66 10 70.2 .78 90 7.2 .16 45 17.4 1.16 15 54 .9 60 27.9 .93 30 32.4 1.08 30 400 400 1 10.8 .18 60 123.53 370.59 3 4.8 .16 30 400 400 1 Total: 1456.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410996 Min 01410996 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1784 of 6486
Name
SURANDER KAUR BHATIA Rate Amount Qty 15.3 .51 30 26.7 .89 30 32.4 1.08 30 34.8 1.16 30 66 1.1 60 4.8 .16 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 652
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411000 Min 01411000 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1785 of 6486
Name
H C JOHN Rate Amount Qty 118.5 3.95 30 21.3 .71 30 26.7 .89 30 23.7 .79 30 32.4 1.08 30 30.6 .34 90 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411005 Min 01411005 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 1786 of 6486
Name
CHANDRA KUMARI CHANDRAKER Rate Amount Qty 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 422.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411012 Min 01411012 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 1787 of 6486
Name
SHOBHA MISHRA Rate Amount Qty 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 453.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411013 Min 01411013 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1788 of 6486
Name
S K MISHRA Rate Amount Qty 9.3 .62 15 32.4 1.08 30 14.85 .99 15 118.5 3.95 30 21.3 .71 30 400 400 1 Total: 596.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411016 Min 01411016 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1789 of 6486
Name
H K SARAN Rate Amount Qty 21.3 .71 30 27.9 .93 30 78 1.3 60 7.5 .25 30 36 .6 60 21.6 .36 60 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411017 Min 01411017 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 25-FEB-19 CREATININE /CRT 13 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 25-FEB-19
Page 1790 of 6486
Name
RITA SARAN Rate Amount Qty 8.1 .27 30 1.85 .37 5 3.84 .64 6 27.9 .93 30 3.75 .25 15 400 400 1 21.3 .71 30 72.6 1.21 60 8.1 .27 30 55.8 .93 60 9 .6 15 1300 1300 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 3137.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411018 Min 01411018 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 1791 of 6486
Name
A K GANGULY Rate Amount Qty 66 1.1 60 8.1 .27 30 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411028 Min 01411028 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 13-FEB-19 UREA (BUN /UR) 3 13-FEB-19 CREATININE /CRT 4 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 13-FEB-19 COMPLETE HAEMOGRAM 6 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 13-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 9 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 14-FEB-19
Page 1792 of 6486
Name
ASHOK KUMAR SHUKLA Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 275 275 1 550 550 1 750 750 1 275 275 1 275 275 1 1750 1750 1 400 400 1 Total: 6250
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411035 Min 01411035 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 1793 of 6486
Name
TREESA MATHEW Rate Amount Qty 55.8 .93 60 53.25 .71 75 21.3 .71 30 12 .4 30 400 400 1 Total: 542.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411045 Min 01411045 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 1794 of 6486
Name
NARBADIYA BAI Rate Amount Qty 275 275 1 275 275 1 36 .6 60 21.6 .36 60 13.35 .89 15 78 1.3 60 55.8 .93 60 17.4 1.16 15 400 400 1 Total: 1172.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411050 Min 01411050 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 11-FEB-19 SYRINGE,DISPOSABLE,2ML 10 11-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 11 11-FEB-19 OBSERVATION IN CASUALTY 12 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 16 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 11-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 18 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 15-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 20 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 27 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 28 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 29 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 31 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 32 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 33 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 34 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 35 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 36 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 37 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 38 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 39 23-FEB-19 URIC ACID (UA /URATES /UR) 40 23-FEB-19 UREA (BUN /UR) 41 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 42 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 43 23-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 44 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 45 27-FEB-19
Page 1795 of 6486
Name
RAMADHAR SAHU Rate Amount Qty 69.6 1.16 60 9 .3 30 36 .6 60 117 1.3 90 60.9 2.03 30 12 .4 30 32.4 1.08 30 400 400 1 600 600 1 1.84 1.84 1 5.77 5.77 1 420 420 1 9 .9 10 6.4 .64 10 1.85 .37 5 42.12 2.34 18 400 400 1 12.15 12.15 1 6.4 .64 10 13.2 4.4 3 54 .9 60 26.7 .89 30 400 400 1 20.06 20.06 1 8.9 .89 10 400 400 1 32.4 1.08 30 12 .4 30 34.8 1.16 30 26.7 .89 30 36 .6 60 66.2 6.62 10 1.85 .37 5 9 .3 30 117 1.3 90 60.9 2.03 30 400 400 1 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 78.9 2.63 30 400 400 1 Total: 7241.04
OPD Mediclaim Bill for the month of February-2019
Page 1796 of 6486
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411057 Min 01411057 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1797 of 6486
Name
NIBARAN CHANDRA HALDAR Rate Amount Qty 27.9 .93 30 17.8 .89 20 17.4 1.16 15 167.4 5.58 30 6.9 .23 30 400 400 1 Total: 637.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411064 Min 01411064 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 1798 of 6486
Name
FATTE SINGH Rate Amount Qty 14.08 3.52 4 400 400 1 275 275 1 1300 1300 1 400 400 1 275 275 1 7.8 .26 30 14.85 .99 15 66 1.1 60 8.9 .89 10 32.4 1.08 30 21.3 .71 30 23.7 .79 30 400 400 1 126 2.1 60 400 400 1 Total: 3765.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411065 Min 01411065 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 6 17-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 17-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 8 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 17-FEB-19
Page 1799 of 6486
Name
SAROJ THAKUR Rate Amount Qty 9 .3 30 16.2 .27 60 27.9 .62 45 18 .6 30 400 400 1 82.76 165.52 2 43.96 43.96 1 19.59 19.59 1 400 400 1 Total: 1100.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411066 Min 01411066 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 1800 of 6486
Name
D B DEY Rate Amount Qty 72.6 1.21 60 55.8 .93 60 16.2 .27 60 29.7 .99 30 36 .6 60 60.9 2.03 30 167.4 5.58 30 18.9 .63 30 26.7 .89 30 12 .4 30 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 963.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411069 Min 01411069 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 02-FEB-19 SOLIFENACIN,5MG,,TABLET 4 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 02-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 14-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 14-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 15 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 14-FEB-19 SOLIFENACIN,5MG,,TABLET 17 14-FEB-19
Page 1801 of 6486
MOHAN DAS AGRAWAL Rate Amount Qty 1.85 .37 5 6.4 .64 10 66.2 6.62 10 403.2 13.44 30 60.9 2.03 30 185.7 6.19 30 14.85 .99 15 27.9 .93 30 48.22 48.22 1 400 400 1 20.84 5.21 4 400 400 1 60.9 2.03 30 1750 1750 1 1610 1610 1 400 400 1 403.2 13.44 30 Total: 5860.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411070 Min 01411070 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 1802 of 6486
Name
SHASHI AGRAWAL Rate Amount Qty 185.7 6.19 30 4.8 .16 30 26.7 .89 30 76.5 2.55 30 14.85 .99 15 400 400 1 20.84 5.21 4 400 400 1 Total: 1129.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411073 Min 01411073 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 05-FEB-19 CREATININE /CRT 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 05-FEB-19
Page 1803 of 6486
Name
RAMESHWAR PRASAD PYASI Rate Amount Qty 167.4 5.58 30 400 400 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 12 .4 30 10.8 .36 30 36 .6 60 1300 1300 1 39 1.3 30 27.9 .93 30 Total: 2839.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411074 Min 01411074 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 CREATININE /CRT 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19
Page 1804 of 6486
Name
KAMLA PYASI Rate Amount Qty 76.5 2.55 30 6.9 .23 30 55.8 .93 60 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 2389.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411083 Min 01411083 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 PRAZOSIN,2.5MG,TABLET 10 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 1805 of 6486
Name
NARENDRA SINGH Rate Amount Qty 1.15 .23 5 400 400 1 11.1 .37 30 25.62 12.81 2 400 400 1 7.5 .25 30 32.4 1.08 30 21.3 .71 30 55.8 .93 60 78 1.3 60 36 .6 60 400 400 1 Total: 1468.87
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411084 Min 01411084 Slno Description Appmt Dt SERUM LACTATE DEHYDROGENASE (LDH /LD) 1 01-FEB-19 TRIGLYCERIDES (TGL) 2 01-FEB-19 CHOLESTEROL (CHOL) 3 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 UREA (BUN /UR) 6 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 02-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 16 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 06-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 18 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 06-FEB-19 INHALANT,STRIP PACK,CAPSULE 20 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 22 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 24 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 26 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 28 25-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 29 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 25-FEB-19
Page 1806 of 6486
PRAMILA SINGH Rate Amount Qty 550 550 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 3.7 .37 10 12.6 .9 14 10.78 .77 14 6.4 .64 10 26.6 2.66 10 400 400 1 22.5 .75 30 7.5 .25 30 11.4 .38 30 2.59 .37 7 23.8 1.7 14 400 400 1 46.2 .77 60 6.4 .64 10 54 .9 60 5.55 .37 15 12.8 .64 20 400 400 1 25.07 25.07 1 18.21 18.21 1 400 400 1 Total: 5046.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411090 Min 01411090 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 1807 of 6486
BALDAU LAL SAHU Rate Amount Qty 400 400 1 275 275 1 275 275 1 51.38 25.69 2 21.3 .71 30 27.9 .93 30 6.9 .23 30 400 400 1 7.98 .38 21 25.07 25.07 1 .82 .41 2 3.56 .89 4 14.08 3.52 4 400 400 1 Total: 1908.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411091 Min 01411091 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 06-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 1808 of 6486
Name
KUNJ BAI SAHU Rate Amount Qty 27.9 .93 30 33 1.1 30 17.4 1.16 15 66.2 6.62 10 6.4 .64 10 3.7 .37 10 18 .9 20 400 400 1 Total: 572.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411106 Min 01411106 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 15-FEB-19 CREATININE /CRT 4 15-FEB-19 URIC ACID (UA /URATES /UR) 5 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 15-FEB-19
Page 1809 of 6486
Name
ARUNA SHARMA Qty 1 1 1 1 1 1
Rate Amount 400 400 275 275 1300 1300 275 275 275 275 275 275 Total: 2800
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411114 Min 01411114 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 26-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1810 of 6486
Name
LEELA K NAIR Rate Amount Qty 6 .6 10 55.2 1.84 30 7.3 .73 10 9.6 .64 15 400 400 1 Total: 478.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411124 Min 01411124 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 4 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19
Page 1811 of 6486
Name
JEET RAM SAHU Rate Amount Qty 6.6 .66 10 17.8 .89 20 400 400 1 9000 9000 1 400 400 1 Total: 9824.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411125 Min 01411125 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 09-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 1812 of 6486
Name
PHOOL BAI SAHU Rate Amount Qty 7.5 .25 30 72 .6 120 38.25 2.55 15 167.4 5.58 30 21.3 .71 30 34.8 1.16 30 12 .4 30 10.42 5.21 2 400 400 1 Total: 763.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411126 Min 01411126 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 1813 of 6486
Name
C P THANGA Rate Amount Qty 36 .6 60 15.6 .26 60 21.3 .71 30 7.5 .25 30 12 .4 30 21.3 .71 30 55.8 .93 60 .64 .16 4 400 400 1 Total: 570.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411131 Min 01411131 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 13 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19
Page 1814 of 6486
Name
P K D CHOUDHARY Rate Amount Qty 7.8 .26 30 12 .4 30 21.3 .71 30 36 .6 60 14.85 .99 15 21.3 .71 30 27.9 .93 30 12 .4 30 21.3 .71 30 7.8 .26 30 36 .6 60 14.85 .99 15 21.3 .71 30 27.9 .93 30 400 400 1 Total: 682.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411132 Min 01411132 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 26-FEB-19 PRAZOSIN,2.5MG,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1815 of 6486
Name
NEMLAL SINHA Rate Amount Qty 60.9 2.03 30 39 1.3 30 27.9 .93 30 36 .6 60 400 400 1 Total: 563.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411133 Min 01411133 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 1816 of 6486
Name
DURGA SINHA Rate Amount Qty 2.22 .37 6 21.12 3.52 6 3.84 .64 6 400 400 1 7.5 .25 30 13.95 .93 15 400 400 1 Total: 848.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411134 Min 01411134 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 1817 of 6486
Name
RAVI ARYA Rate Amount Qty 55.8 .93 60 72.6 1.21 60 21.3 .71 30 9.3 .62 15 6.9 .23 30 400 400 1 Total: 565.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411135 Min 01411135 Appmt Dt Slno Description 19-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1818 of 6486
Name
KAMLESH ARYA Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411136 Min 01411136 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 1819 of 6486
Name
ARCHANA JAIN Rate Amount Qty 7.5 .25 30 8.1 .27 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 469.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411139 Min 01411139 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 3 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 01-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 08-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 10 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 18 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 19 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19
Page 1820 of 6486
Name
ASMITA GANWIR Rate Amount Qty 12.8 .64 20 13.35 .89 15 69.05 69.05 1 52.2 1.74 30 27 .9 30 137.3 13.73 10 400 400 1 12.15 12.15 1 156.6 1.74 90 39.6 .66 60 54 .9 60 6.4 .64 10 26.7 .89 30 400 400 1 11.4 .38 30 7.5 .25 30 21.3 .71 30 185.7 6.19 30 17.4 .58 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 2086.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411140 Min 01411140 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 1821 of 6486
Name
A J GANWIR Rate Amount Qty 8.1 .27 30 17.4 .58 30 60.9 2.03 30 11.4 .38 30 7.5 .25 30 400 400 1 Total: 505.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411143 Min 01411143 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 1822 of 6486
Name
JAYALAKSHMI RAJENDRAN Rate Amount Qty 21.6 .36 60 36 .6 60 26.7 .89 30 19.72 9.86 2 7.5 .25 30 167.4 5.58 30 400 400 1 Total: 678.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411144 Min 01411144 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1823 of 6486
Name
PUSAU RAM Rate Amount Qty 32.4 1.08 30 13.95 .93 15 72.6 1.21 60 16.2 .27 60 15.6 .26 60 14.85 .99 15 400 400 1 Total: 565.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411145 Min 01411145 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 1824 of 6486
Name
KUNTI BAI Rate Amount Qty 11.85 .79 15 22.2 .37 60 7.65 .51 15 33 1.1 30 400 400 1 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411147 Min 01411147 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 18-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 1825 of 6486
Name
SWARN SINGH Rate Amount Qty 27 .9 30 13.95 .93 15 400 400 1 21.12 3.52 6 8.71 8.71 1 4.62 .77 6 10.08 1.12 9 400 400 1 Total: 885.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411148 Min 01411148 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 URINE ROUTINE AND MICROSCOPIC 14 11-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 15 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 19 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 22 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 23 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 24 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 25 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 21-FEB-19
Page 1826 of 6486
Name
NARINDER KAUR Rate Amount Qty 55.8 .93 60 22.2 .37 60 9.3 .62 15 36 .6 60 21.3 .71 30 7.5 .25 30 167.4 5.58 30 10.8 .36 30 117 1.3 90 41.06 41.06 1 26.7 .89 30 400 400 1 400 400 1 380 380 1 165 165 1 275 275 1 275 275 1 400 400 1 117 1.3 90 10.8 .36 30 167.4 5.58 30 9.3 .62 15 22.2 .37 60 21.3 .71 30 36 .6 60 55.8 .93 60 400 400 1 Total: 3649.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411152 Min 01411152 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 21-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1827 of 6486
Name
NARENDRA KUMAR JAIN Rate Amount Qty 104.4 1.74 60 69.05 69.05 1 400 400 1 7.5 .25 30 9 .3 30 13.95 .93 15 36 .6 60 400 400 1 Total: 1039.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411153 Min 01411153 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 01-FEB-19 UREA (BUN /UR) 10 01-FEB-19 CREATININE /CRT 11 01-FEB-19 URIC ACID (UA /URATES /UR) 12 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 1828 of 6486
Name
MANORAMA JAIN Rate Amount Qty 7.5 .25 30 36 .6 60 167.4 5.58 30 39 1.3 30 13.95 .93 15 21.3 .71 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 7.5 .25 30 10.65 .71 15 13.95 .93 15 39 1.3 30 167.4 5.58 30 36 .6 60 400 400 1 Total: 4584.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411154 Min 01411154 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 PRAZOSIN,2.5MG,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1829 of 6486
Name
MAHENDRA KUMAR SHRIVASTAVA Rate Amount Qty 22.2 .37 60 33 1.1 30 117 1.3 90 78 1.3 60 32.4 1.08 30 8.9 .89 10 400 400 1 Total: 691.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411155 Min 01411155 Appmt Dt Slno Description 16-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 16-FEB-19 2 X - RAY - TWO VIEWS
Page 1830 of 6486
Name
PUSHPA SHRIVASTAVA Qty Rate Amount 1 400 400 1 860 860 1260 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411156 Min 01411156 Appmt Dt Slno Description 06-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1831 of 6486
Name
RAJIV RATAN GARGA Qty Rate Amount 10 .64 6.4 1 400 400 406.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411157 Min 01411157 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 1832 of 6486
Name
NEERJA GARGA Rate Amount Qty 18.2 2.6 7 6.23 .89 7 55.23 18.41 3 400 400 1 167.4 5.58 30 27.9 .93 30 12 .4 30 21.3 .71 30 9 .3 30 54 .6 90 400 400 1 13 2.6 5 4.45 .89 5 400 400 1 Total: 1588.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411161 Min 01411161 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 1833 of 6486
Name
RAM BABOO GUPTA Rate Amount Qty 72.6 1.21 60 .8 .16 5 4.1 .41 10 26 2.6 10 37.8 .63 60 3.7 .37 10 60.9 2.03 30 400 400 1 Total: 605.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411163 Min 01411163 Appmt Dt Slno Description 05-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1834 of 6486
Name
GVR MURTY Qty Rate Amount 6 .64 3.84 60 .93 55.8 15 .71 10.65 1 400 400 Total: 470.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411168 Min 01411168 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 05-FEB-19 RACECADOTRIL,100MG,CAPSULE 5 05-FEB-19 RIFAXIMIN 200 MG,,TABLET 6 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 11 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 13 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 14 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 17 19-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 18 19-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 19 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 19-FEB-19 ECG 21 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 22 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 24 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 25 23-FEB-19 RIFAXIMIN 200 MG,,TABLET 26 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 28 23-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 29 23-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 30 23-FEB-19 RACECADOTRIL,100MG,CAPSULE 31 23-FEB-19 OBSERVATION IN CASUALTY 32 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 23-FEB-19
Page 1835 of 6486
Name
BABY TAI BARGAT Rate Amount Qty 39 1.3 30 66 1.1 60 36 .6 60 82.76 165.52 2 35.82 5.97 6 83.97 9.33 9 10.08 1.12 9 7.5 .25 30 23.1 .77 30 32.4 1.08 30 95.7 3.19 30 21.3 .71 30 30.6 .34 90 7.65 .51 15 55.8 .93 60 400 400 1 39.6 2.64 15 73.5 2.45 30 106.8 3.56 30 400 400 1 450 450 1 9.62 9.62 1 5.34 .89 6 6.72 1.12 6 21.12 3.52 6 55.98 9.33 6 .89 .89 1 3.52 3.52 1 11.89 11.89 1 22.71 22.71 1 35.82 5.97 6 420 420 1 400 400 1 Total: 3173.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411169 Min 01411169 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 1836 of 6486
Name
ASHOK KUMAR KHARE Rate Amount Qty 18 .6 30 4.5 .3 15 12 .4 30 13.95 .93 15 34.8 1.16 30 400 400 1 Total: 483.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411176 Min 01411176 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 1837 of 6486
Name
MITHILA MANDAVI Rate Amount Qty 66 1.1 60 8.1 .27 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 523.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411177 Min 01411177 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 19-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 3 19-FEB-19 HB,TLC,DLC 4 19-FEB-19 PLATELET COUNT 5 19-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 6 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 X - RAY - SINGLE VIEW 8 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 19-FEB-19 CREATININE /CRT 10 19-FEB-19 UREA (BUN /UR) 11 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 19-FEB-19
Page 1838 of 6486
Name
E K S PILLAI Rate Amount Qty 1300 1300 1 1300 1300 1 1610 1610 1 300 300 1 330 330 1 330 330 1 400 400 1 550 550 1 550 550 1 275 275 1 275 275 1 275 275 1 30.45 2.03 15 275 275 1 Total: 7800.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411188 Min 01411188 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1839 of 6486
Name
RAMNATH FATE Rate Amount Qty 117 1.3 90 55.8 .93 60 36 .6 60 167.4 5.58 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1429.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411205 Min 01411205 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 19-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 11 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 19-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 19-FEB-19
Page 1840 of 6486
Name
ASHOK KUMAR TRIVEDI Rate Amount Qty 43.96 43.96 1 9.33 195.93 21 11.2 1.12 10 1.85 .37 5 122.8 6.14 20 17.8 .89 20 400 400 1 368.4 6.14 60 53.4 .89 60 167.4 5.58 30 2.34 196.56 84 31.36 1.12 28 2110 2110 1 400 400 1 16.2 .27 60 117 1.3 90 7.5 .25 30 43.2 .36 120 Total: 4304.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411206 Min 01411206 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1841 of 6486
Name
MADHU TRIVEDI Rate Amount Qty 117 1.3 90 29.7 .99 30 33 1.1 30 55.8 .93 60 400 400 1 Total: 635.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411207 Min 01411207 Appmt Dt Slno Description 18-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 18-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18-FEB-19 3 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1842 of 6486
Name
T S DESHMUKH Qty Rate Amount 30 .6 18 30 .25 7.5 30 .3 9 1 400 400 Total: 434.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411208 Min 01411208 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1843 of 6486
Name
SARLA DESHMUKH Rate Amount Qty 46.2 .77 60 27.9 .93 30 15.6 1.04 15 66 1.1 60 21.6 .36 60 36 .6 60 12 .4 30 2.4 .16 15 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411219 Min 01411219 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1844 of 6486
Name
PARSHU RAM SINGH Rate Amount Qty 167.4 5.58 30 34.8 1.16 30 17.8 .89 20 6.3 .42 15 24 .6 40 87.92 43.96 2 1.6 .16 10 40.6 2.03 20 400 400 1 Total: 780.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411221 Min 01411221 Name Appmt Dt Slno Description 12-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1845 of 6486
GANGA PRASAD Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411225 Min 01411225 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 1846 of 6486
Name
KANHAIYALAL DESHMUKH Rate Amount Qty 1.48 .37 4 3.84 .64 6 39.72 6.62 6 400 400 1 34.8 1.16 30 29.7 .99 30 55.8 .93 60 3.75 .25 15 72 .6 120 32.4 1.08 30 400 400 1 Total: 1073.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411226 Min 01411226 Slno Description Appmt Dt SUTURE REMOVAL 1 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 13 27-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 14 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19 DRESSING SIMPLE 17 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 28-FEB-19
Page 1847 of 6486
Name
MANORAMA DESHMUKH Rate Amount Qty 490 490 1 400 400 1 9.6 .64 15 20.84 5.21 4 7.5 .25 30 400 400 1 1.64 .41 4 3.84 .64 6 400 400 1 105.9 3.53 30 27.9 .93 30 400 400 1 25.62 12.81 2 13.43 13.43 1 7.4 .37 20 400 400 1 1800 300 6 400 400 1 Total: 4913.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411228 Min 01411228 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 24-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 24-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 24-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 24-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1848 of 6486
Name
RAM KUMARI PATEL Rate Amount Qty 32.4 1.08 30 21.3 .71 30 3.7 .37 10 66.2 6.62 10 26.7 .89 30 400 400 1 2.6 .26 10 400 400 1 Total: 952.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411230 Min 01411230 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 X - RAY - TWO VIEWS 2 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1849 of 6486
Name
BHUMIKA DEWANGAN Rate Amount Qty 400 400 1 860 860 1 21.3 .71 30 400 400 1 8.2 .41 20 17.8 .89 20 400 400 1 Total: 2107.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411235 Min 01411235 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 20-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 20-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 27-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 1850 of 6486
Name
TRILOKI NATH SHARMA Rate Amount Qty 18.2 2.6 7 10.22 .73 14 44.66 3.19 14 400 400 1 8.9 .89 10 6.4 .64 10 31.9 3.19 10 400 400 1 Total: 920.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411241 Min 01411241 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1851 of 6486
Name
SWAYAM PRAKASH Rate Amount Qty 23.7 .79 30 21.3 .71 30 400 400 1 Total: 445
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411242 Min 01411242 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 26-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 1852 of 6486
Name
NEELIMA PRAKASH Rate Amount Qty 34.8 1.16 30 9 .3 30 54 .6 90 23.7 .79 30 73.8 .82 90 400 400 1 Total: 595.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411243 Min 01411243 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 26-FEB-19 CREATININE /CRT 9 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 26-FEB-19
Page 1853 of 6486
Name
LAL CHAND Rate Amount Qty 403.2 13.44 30 60.9 2.03 30 15 .25 60 21.3 .71 30 26.7 .89 30 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 Total: 3452.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411244 Min 01411244 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 26-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1854 of 6486
Name
BHAGWATI Rate Amount Qty 15.3 .51 30 41.1 1.37 30 400 400 1 Total: 456.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411247 Min 01411247 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 1855 of 6486
Name
RADHESHYAM Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 7.65 .51 15 33 1.1 30 22.2 .37 60 400 400 1 Total: 1116.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411248 Min 01411248 Appmt Dt Slno Description 20-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1856 of 6486
Name
KAUSHILYA DEVI Qty Rate Amount 60 .93 55.8 15 .99 14.85 4 .37 1.48 1 400 400 Total: 472.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411251 Min 01411251 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 1857 of 6486
Name
KUNTALA GUHA ROY Rate Amount Qty 368.4 6.14 60 185.7 6.19 30 55.8 .93 60 39 1.3 30 53.4 .89 60 104.4 1.74 60 18.6 .62 30 7.5 .25 30 2.4 .16 15 100.71 100.71 1 400 400 1 Total: 1335.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411252 Min 01411252 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 14-FEB-19 CREATININE /CRT 4 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 14-FEB-19 URIC ACID (UA /URATES /UR) 6 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 15-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 15-FEB-19 PRAZOSIN,2.5MG,TABLET 14 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 15 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 1858 of 6486
Name
BALESHWAR SINGH VERMA Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 43.96 43.96 1 12 .4 30 15.6 .26 60 7.5 .25 30 16.2 .27 60 18.9 .63 30 7.65 .51 15 78 1.3 60 72.6 1.21 60 17.4 1.16 15 400 400 1 Total: 3489.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411253 Min 01411253 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 03-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 03-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 5 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 1859 of 6486
Name
CHAND BAI Rate Amount Qty 55.2 1.84 30 3.84 .64 6 400 400 1 21.3 .71 30 63.9 .71 90 76.5 2.55 30 13.95 .93 15 7.5 .25 30 400 400 1 Total: 1042.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411259 Min 01411259 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 23-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 23-FEB-19 PRAZOSIN,2.5MG,TABLET 4 23-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 10 28-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 11 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1860 of 6486
Name
SATYANARAYAN RAO Rate Amount Qty 21.3 .71 30 46.8 .78 60 32.4 1.08 30 39 1.3 30 31.2 1.04 30 66 1.1 60 36 .6 60 55.8 .93 60 400 400 1 322.2 5.37 60 79.2 2.64 30 9.6 .16 60 7.5 .25 30 400 400 1 Total: 1547
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411260 Min 01411260 Slno Description Appmt Dt AMIODARONE HCL,STRIP PKT,200MG,TABLET 1 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1861 of 6486
Name
SANT RAM SHRIVAS Rate Amount Qty 61.8 4.12 15 72.6 1.21 60 23.7 .79 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 30.6 .34 90 400 400 1 Total: 667.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411263 Min 01411263 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 1862 of 6486
Name
PAPIYA CHATTERJEE Rate Amount Qty 8.9 .89 10 34.8 1.16 30 12 .4 30 29.7 .99 30 8.1 .27 30 55.8 .93 60 167.4 5.58 30 36 .6 60 21.6 .36 60 400 400 1 Total: 774.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411278 Min 01411278 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 05-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1863 of 6486
Name
MOHD. SAFI QURESHI Rate Amount Qty 34.8 1.16 30 10.2 .34 30 12 .4 30 32.4 1.08 30 21.3 .71 30 11.85 .79 15 15.3 .51 30 43.2 1.44 30 400 400 1 Total: 581.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411280 Min 01411280 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 23-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 2 23-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 28-FEB-19
Page 1864 of 6486
J C JOSHI Rate Amount Qty 25.07 25.07 1 32.61 32.61 1 46.8 .78 60 13.95 .93 15 36 .6 60 21.3 .71 30 12 .4 30 7.5 .25 30 2.05 .41 5 400 400 1 275 275 1 275 275 1 1300 1300 1 400 400 1 Total: 2847.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411281 Min 01411281 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 1865 of 6486
Name
MAMTA JOSHI Rate Amount Qty 27.9 .93 30 18.9 .63 30 400 400 1 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411283 Min 01411283 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 19-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1866 of 6486
Name
SASHI PARKHE Rate Amount Qty 79.2 2.64 30 111 1.85 60 400 400 1 Total: 590.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411287 Min 01411287 Slno Description Appmt Dt UREA (BUN /UR) 1 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 22-FEB-19 CREATININE /CRT 3 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 23-FEB-19
Page 1867 of 6486
Name
RAMDIN Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 15.6 .26 60 32.4 1.08 30 27.9 .93 30 8.1 .27 30 9 .3 30 156 1.3 120 167.4 5.58 30 72 .6 120 10.8 .36 30 21.3 .71 30 400 400 1 Total: 3720.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411288 Min 01411288 Slno Description Appmt Dt CREATININE /CRT 1 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 22-FEB-19 UREA (BUN /UR) 3 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 14 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 23-FEB-19 ECG 19 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 21 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 1868 of 6486
Name
LALITA BAI Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 167.4 5.58 30 117 1.3 90 90 .6 150 23.7 .79 30 8.9 .89 10 7.5 .25 30 34.8 1.16 30 15.6 .26 60 32.4 1.08 30 12 .4 30 32.4 .36 90 400 400 1 450 450 1 8.9 .89 10 66.2 6.62 10 10.08 1.12 9 400 400 1 Total: 4676.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411297 Min 01411297 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1869 of 6486
Name
M S TAKLIKAR Rate Amount Qty 55.8 .93 60 10.8 .36 30 32.4 1.08 30 12 .4 30 15.6 .26 60 21.3 .71 30 8.1 .27 30 400 400 1 Total: 556
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411299 Min 01411299 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 1870 of 6486
Name
N K SINHA Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 17.4 1.16 15 32.4 1.08 30 41.85 .93 45 36 .6 60 256.2 4.27 60 26.7 .89 30 400 400 1 Total: 1063.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411300 Min 01411300 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 1871 of 6486
Name
UMA SINHA Rate Amount Qty 36 .6 60 167.4 5.58 30 64.8 1.08 60 24 .4 60 27.9 .62 45 69.6 1.16 60 23.7 .79 30 8.1 .27 30 400 400 1 Total: 821.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411311 Min 01411311 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 15 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 16 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 12-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 18 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 20 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 19-FEB-19
Page 1872 of 6486
Name
JYOTI PRAKASH LODH Rate Amount Qty 7.5 .25 30 55.8 .93 60 36 .6 60 18 .3 60 78 1.3 60 60.9 2.03 30 21.3 .71 30 192.3 6.41 30 400 400 1 6.4 .64 10 92.85 6.19 15 400 400 1 60.9 2.03 30 185.7 6.19 30 21.3 .71 30 192.3 6.41 30 400 400 1 62.8 3.14 20 17.8 .89 20 16.8 .42 40 123.8 6.19 20 5 .25 20 400 400 1 Total: 2855.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411312 Min 01411312 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1873 of 6486
Name
PRONOTI LODH Rate Amount Qty 21.3 .71 30 14.85 .99 15 18.6 .93 20 37.2 .93 40 39 1.3 30 36 .6 60 9 .3 30 7.5 .25 30 400 400 1 Total: 583.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411318 Min 01411318 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 1874 of 6486
Name
MURARI RAM SAHU Rate Amount Qty 29.7 .99 30 21.3 .71 30 55.8 .93 60 156 1.3 120 211.8 3.53 60 18.9 .63 30 400 400 1 Total: 893.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411319 Min 01411319 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 OBSERVATION IN CASUALTY 3 28-FEB-19 TETANUS IMMUNOGLOBULIN 4 28-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 5 28-FEB-19 X - RAY - SINGLE VIEW 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1875 of 6486
Name
ANUSUIYA SAHU Rate Amount Qty 6.4 .64 10 2.67 .89 3 420 420 1 1.37 1.37 1 5.85 5.85 1 550 550 1 400 400 1 Total: 1386.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411320 Min 01411320 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 3 09-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 16-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 1876 of 6486
Name
LALITA SINGH Rate Amount Qty 82.12 41.06 2 6.4 .64 10 16.81 16.81 1 51.38 25.69 2 19.72 9.86 2 18.9 .63 30 34.8 1.16 30 400 400 1 1.85 .37 5 17 1.7 10 400 400 1 Total: 1048.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411322 Min 01411322 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 13-FEB-19 24 HR URINARY ALBUMIN (24 HR UR ALB) 2 13-FEB-19 CREATININE /CRT 3 13-FEB-19 UREA (BUN /UR) 4 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 13-FEB-19 PLATELET COUNT 7 13-FEB-19 HAEMOGLOBIN / (HB %) 8 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 19-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 11 19-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 12 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 13 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 16 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 19-FEB-19
Page 1877 of 6486
Name
S K DAS Rate Amount Qty 275 275 1 500 500 1 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 130 130 1 400 400 1 21.6 .36 60 21.3 .71 30 12.3 .41 30 10.42 5.21 2 34.8 1.16 30 55.8 .93 60 7.65 .51 15 72 .6 120 117 1.3 90 8.1 .27 30 400 400 1 Total: 3495.97
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411323 Min 01411323 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 19-FEB-19 PRAZOSIN,2.5MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 1878 of 6486
BASANA DAS Rate Amount Qty 55.8 .93 60 66 1.1 60 12 .4 30 25.07 25.07 1 21.3 .71 30 16.2 .27 60 78 1.3 60 400 400 1 Total: 674.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411325 Min 01411325 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19
Page 1879 of 6486
Name
KAUSHAL GUPTA Rate Amount Qty 21.3 .71 30 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 2671.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411326 Min 01411326 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1880 of 6486
Name
KAVITA RAMWANI Rate Amount Qty 25.2 .42 60 55.8 .93 60 8.1 .27 30 400 400 1 25.2 .42 60 55.8 .93 60 8.1 .27 30 400 400 1 Total: 978.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411342 Min 01411342 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 1881 of 6486
Name
DEVKI VERMA Rate Amount Qty 15.3 .51 30 211.8 3.53 60 32.4 1.08 30 15.96 2.66 6 1.85 .37 5 26.7 .89 30 12 .4 30 34.8 1.16 30 18.6 .62 30 7.5 .25 30 400 400 1 Total: 776.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411344 Min 01411344 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1882 of 6486
Name
ANITA THAKUR Rate Amount Qty 9.86 9.86 1 17.4 1.16 15 105.9 3.53 30 55.8 .93 60 10.8 .36 30 36 .6 60 400 400 1 Total: 635.76
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411345 Min 01411345 Appmt Dt Slno Description 25-FEB-19 1 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 25-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 3 CEFEXIME,STRIP PKT,200MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1883 of 6486
R S HENRY Qty Rate Amount 1 48.22 48.22 5 .37 1.85 10 6.62 66.2 1 400 400 Total: 516.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411351 Min 01411351 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 PRAZOSIN,2.5MG,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1884 of 6486
Name
K K PATHAK Rate Amount Qty 275 275 1 275 275 1 55.8 .93 60 36 .6 60 39 1.3 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 1134.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411361 Min 01411361 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 1885 of 6486
Name
CHANDRA LEKHA PRAKASH Rate Amount Qty 32.3 3.23 10 11.4 .38 30 72.6 1.21 60 55.8 .93 60 26 2.6 10 20.84 5.21 4 400 400 1 Total: 618.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411362 Min 01411362 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19
Page 1886 of 6486
Name
ALOK SIRIL PRAKASH Rate Amount Qty 6.4 .64 10 45.44 45.44 1 400 400 1 26.7 .89 30 4.1 .41 10 55.2 1.84 30 11.4 .38 30 60.9 2.03 30 7.5 .25 30 27.9 .93 30 6.4 .64 10 400 400 1 3.7 .37 10 400 400 1 4.45 .89 5 3.84 .64 6 1.85 .37 5 400 400 1 Total: 1865.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411363 Min 01411363 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1887 of 6486
Name
ANIL KUMAR SURI Rate Amount Qty 32.4 .36 90 26 2.6 10 7.5 .25 30 21.3 .71 30 54 .6 90 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 629.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411367 Min 01411367 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 INHALANT,STRIP PACK,CAPSULE 8 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1888 of 6486
R RAMANUJAM Rate Amount Qty 18 .6 30 34.8 1.16 30 130.42 130.42 1 32.4 1.08 30 12 .4 30 3.7 .37 10 400 400 1 17 1.7 10 66.2 6.62 10 1.85 .37 5 4.45 .89 5 48.22 48.22 1 400 400 1 Total: 1169.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411368 Min 01411368 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 12-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 1889 of 6486
Name
R JAYALAKSHMI Rate Amount Qty 33 1.1 30 17 1.7 10 3.7 .37 10 7.5 .25 30 16.2 .27 60 55.8 .93 60 18 .6 30 400 400 1 6.4 .64 10 32.61 32.61 1 400 400 1 Total: 990.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411371 Min 01411371 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1890 of 6486
Name
GANGA RAM DESHMUKH Rate Amount Qty 27.9 .93 30 36 .6 60 31.2 1.04 30 33 1.1 30 69.6 1.16 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 642.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411372 Min 01411372 Appmt Dt Slno Description 15-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1891 of 6486
Name
BHANI BAI Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411373 Min 01411373 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 04-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 ASO 4 04-FEB-19 CRP 5 04-FEB-19 RA FACTOR /RH FACTOR 6 04-FEB-19 URIC ACID (UA /URATES /UR) 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 12 20-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 15 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 22-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 20 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 22 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 23 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 27-FEB-19
Page 1892 of 6486
Name
BALDAU RAM Rate Amount Qty 25.69 25.69 1 18.21 18.21 1 400 400 1 600 600 1 600 600 1 600 600 1 275 275 1 400 400 1 9.6 .64 15 3.75 .25 15 400 400 1 36.42 18.21 2 51.38 25.69 2 400 400 1 6.9 .23 30 34.8 1.16 30 43.96 43.96 1 12 .4 30 400 400 1 73.35 4.89 15 7.5 .25 30 185.7 6.19 30 26 2.6 10 400 400 1 Total: 5010.26
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411374 Min 01411374 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 04-FEB-19 CREATININE /CRT 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 14 12-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 15 12-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 16 12-FEB-19 HAEMOGLOBIN / (HB %) 17 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 25-FEB-19 X - RAY - TWO VIEWS 20 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 22 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 25 28-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 26 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 27 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 28 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 28-FEB-19
Page 1893 of 6486
USHA BAI Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 400 400 1 275 275 1 275 275 1 13.95 .93 15 9 .3 30 9.28 1.16 8 36 .6 60 39 1.3 30 18.9 .63 30 400 400 1 27.9 .93 30 550 550 1 165 165 1 130 130 1 400 400 1 400 400 1 1720 860 2 20.55 1.37 15 185.7 6.19 30 7.5 .25 30 400 400 1 19.77 19.77 1 21.45 21.45 1 25.07 25.07 1 20.29 20.29 1 400 400 1 Total: 7819.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411381 Min 01411381 Slno Description Appmt Dt IVABRADINE,5MG,,TABLET 1 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 12 18-FEB-19 GUM ASTRINGENT PAINT 13 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 21-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19 COMPLETE HAEMOGRAM 20 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 27-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 22 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 1894 of 6486
PARDESHI RAM HIRWANI Rate Amount Qty 597 9.95 60 10.8 .36 30 72 .6 120 32.4 1.08 30 167.4 5.58 30 12 .4 30 43.96 43.96 1 26.7 .89 30 34.8 1.16 30 400 400 1 400 400 1 1170 1170 1 31.54 31.54 1 25.07 25.07 1 25.69 25.69 1 400 400 1 8.9 .89 10 66.2 6.62 10 400 400 1 750 750 1 400 400 1 25.69 25.69 1 25.07 25.07 1 400 400 1 Total: 5525.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411382 Min 01411382 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 16-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19
Page 1895 of 6486
Name
UKHA BAI HIRWANI Rate Amount Qty 16.85 3.37 5 11.1 .37 30 9.86 9.86 1 400 400 1 54 .6 90 10.8 .36 30 55.8 .93 60 8.1 .27 30 21.3 .71 30 7.5 .25 30 8.9 .89 10 26 2.6 10 18.9 .63 30 39 1.3 30 400 400 1 Total: 1088.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411383 Min 01411383 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1896 of 6486
Name
PRAKASH KUMAR MANE Rate Amount Qty 3.84 .64 6 1.48 .37 4 15.96 2.66 6 400 400 1 38.25 2.55 15 400 400 1 Total: 859.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411384 Min 01411384 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19
Page 1897 of 6486
Name
DURGESH NANDINI MANE Rate Amount Qty 2.28 .38 6 42.12 2.34 18 3.84 .64 6 1.85 .37 5 400 400 1 21.3 .71 30 32.4 1.08 30 27.9 .93 30 66 1.1 60 72 .6 120 21.6 .36 60 3.75 .25 15 31.2 1.04 30 400 400 1 Total: 1126.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411385 Min 01411385 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 20-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 1898 of 6486
Name
PARMESHWAR DAYAL BANCHHOR Rate Amount Qty 27.9 .93 30 66 1.1 60 400 400 1 1.75 .25 7 6 .6 10 2.1 .3 7 13.02 .93 14 8.12 1.16 7 2.8 .4 7 3.96 .99 4 1.89 .27 7 7.14 .34 21 400 400 1 Total: 940.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411391 Min 01411391 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 3 08-FEB-19 UREA (BUN /UR) 4 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 08-FEB-19 CREATININE /CRT 6 08-FEB-19 URIC ACID (UA /URATES /UR) 7 08-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 19-FEB-19 SOLIFENACIN,5MG,,TABLET 11 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 28-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 21 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 23 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 24 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 28-FEB-19
Page 1899 of 6486
Name
M G BAIG Rate Amount Qty 400 400 1 275 275 1 9000 9000 1 275 275 1 1300 1300 1 275 275 1 275 275 1 43.96 43.96 1 26.7 .89 30 192.3 6.41 30 403.2 13.44 30 60.9 2.03 30 400 400 1 32.4 1.08 30 400 400 1 18 .6 30 21.3 .71 30 26.7 .89 30 32.4 1.08 30 66 1.1 60 25.69 25.69 1 55.8 .93 60 3.8 .38 10 1.85 .37 5 400 400 1 Total: 14011
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411392 Min 01411392 Slno Description Appmt Dt VITAMIN E,STRIP PKT,200MG,CAPSULE 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 1900 of 6486
Name
JULEKHA BANO Rate Amount Qty 94.8 1.58 60 7.5 .25 30 34.8 1.16 30 7.65 .51 15 105.9 3.53 30 55.8 .93 60 400 400 1 Total: 706.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411393 Min 01411393 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1901 of 6486
Name
D K LANKE Rate Amount Qty 21.3 .71 30 60.9 2.03 30 76.5 2.55 30 12 .4 30 18 .6 30 41.85 .93 45 400 400 1 Total: 630.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411394 Min 01411394 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1902 of 6486
Name
NANDA LANKE Rate Amount Qty 32.4 .36 90 54 .6 90 167.4 5.58 30 55.8 .93 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 747.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411395 Min 01411395 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 18-FEB-19 DRESSING SIMPLE 9 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 20-FEB-19 DRESSING SIMPLE 11 20-FEB-19
Page 1903 of 6486
Name
KAMAL RAJ KUMAR Rate Amount Qty 55.8 .93 60 34.8 1.16 30 12 .4 30 18 .6 30 6.9 .23 30 400 400 1 3.84 .64 6 400 400 1 300 300 1 400 400 1 600 300 2 Total: 2231.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411399 Min 01411399 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 05-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 9 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 1904 of 6486
Name
SUNDER LAL Rate Amount Qty 55.8 .93 60 36 .6 60 26.7 .89 30 7.5 .25 30 15.96 2.66 6 1.48 .37 4 21.3 .71 30 12 .4 30 22.05 1.47 15 15.6 .26 60 400 400 1 Total: 614.39
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411400 Min 01411400 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19
Page 1905 of 6486
S E LAL Rate Amount Qty 3.78 .18 21 15.73 15.73 1 5.32 .38 14 2.59 .37 7 400 400 1 26.7 .89 30 2.4 .16 15 18.9 .63 30 15.3 .51 30 55.8 .93 60 54 .6 90 16.2 .27 60 12 .4 30 400 400 1 Total: 1028.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411405 Min 01411405 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1906 of 6486
Name
SATISH KUMAR VERMA Rate Amount Qty 18 .6 30 21.3 .71 30 55.2 .92 60 167.4 5.58 30 400 400 1 12 .4 30 34.8 1.16 30 7.5 .25 30 185.7 6.19 30 400 400 1 Total: 1301.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411406 Min 01411406 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1907 of 6486
Name
SHAILJA VERMA Rate Amount Qty 27.9 .93 30 76.5 2.55 30 32.4 1.08 30 34.8 1.16 30 19.8 .66 30 5.21 5.21 1 185.7 6.19 30 400 400 1 Total: 782.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411407 Min 01411407 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1908 of 6486
Name
SHIV KUMAR HIRWANI Rate Amount Qty 60.9 2.03 30 12 .4 30 17.4 1.16 15 78 1.3 60 10.8 .36 30 54 .6 90 192.3 6.41 30 8.1 .27 30 400 400 1 Total: 833.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411408 Min 01411408 Slno Description Appmt Dt METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 1 11-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1909 of 6486
Name
KRISHNA HIRWANI Rate Amount Qty 2.6 .26 10 184.2 6.14 30 400 400 1 17.4 1.16 15 36 .6 60 55.8 .93 60 26.7 .89 30 2.55 .51 5 400 400 1 Total: 1125.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411410 Min 01411410 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 11-FEB-19 COMPLETE HAEMOGRAM 5 11-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 11-FEB-19
Page 1910 of 6486
Name
AMBIKA SHARMA Rate Amount Qty 4.8 .16 30 27.9 .93 30 18.6 .62 30 400 400 1 750 750 1 1300 1300 1 Total: 2501.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411412 Min 01411412 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1911 of 6486
Name
RAMA SHARMA Rate Amount Qty 12 .4 30 55.8 .93 60 76.5 2.55 30 21.3 .71 30 36 .6 60 32.4 .36 90 167.4 5.58 30 400 400 1 Total: 801.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411417 Min 01411417 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 1912 of 6486
Name
I U SHAREEF Rate Amount Qty 32.4 .36 90 21.3 .71 30 33 1.1 30 7.5 .25 30 32.4 1.08 30 12 .4 30 167.4 5.58 30 54 .6 90 400 400 1 Total: 760
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411426 Min 01411426 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 5 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 7 01-FEB-19
Page 1913 of 6486
Name
SHOBHA DEVI RATHI Rate Amount Qty 750 750 1 550 550 1 400 400 1 1300 1300 1 275 275 1 275 275 1 1300 1300 1 Total: 4850
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411429 Min 01411429 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 14-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 21-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 25-FEB-19 CREATININE /CRT 22 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 25-FEB-19
Page 1914 of 6486
K L SAHU Rate Amount Qty 13.49 13.49 1 400 400 1 2.4 .16 15 8.9 .89 10 25.69 25.69 1 7.5 .25 30 18.9 .63 30 8.1 .27 30 55.8 .93 60 11.4 .38 30 25.07 25.07 1 16.81 16.81 1 400 400 1 25.07 25.07 1 19.77 19.77 1 400 400 1 3.75 .25 15 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 4367.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411432 Min 01411432 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 1915 of 6486
Name
SWAPNAL KHERDEKAR Rate Amount Qty 6.4 .64 10 8.9 .89 10 4.8 .16 30 36 .6 60 27.9 .93 30 30.6 .51 60 7.5 .25 30 21.3 .71 30 6.6 .66 10 400 400 1 Total: 550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411433 Min 01411433 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 RACECADOTRIL,100MG,CAPSULE 2 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 1916 of 6486
Name
N P MATHUR Rate Amount Qty 6.4 .64 10 89.55 5.97 15 93.3 9.33 10 21.6 .36 60 7.5 .25 30 26.7 .89 30 21.3 .71 30 156.3 5.21 30 23.7 .79 30 36 .6 60 400 400 1 Total: 882.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411434 Min 01411434 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 1917 of 6486
Name
SHARAD MATHUR Rate Amount Qty 185.7 6.19 30 21.3 .71 30 7.5 .25 30 21.3 .71 30 72.6 1.21 60 55.8 .93 60 26.7 .89 30 400 400 1 Total: 790.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411442 Min 01411442 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 1918 of 6486
Name
BHAGWANI RAM KUNJAM Rate Amount Qty 3.84 .64 6 60.9 2.03 30 72 .6 120 10.8 .36 30 7.5 .25 30 117 1.3 90 23.7 .79 30 36.3 1.21 30 400 400 1 54 .9 60 400 400 1 Total: 1186.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411443 Min 01411443 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 1919 of 6486
Name
SARALA DEVI KUNJAM Rate Amount Qty 55.8 .93 60 16.2 .27 60 36.3 1.21 30 21.3 .71 30 2.4 .16 15 400 400 1 Total: 532
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411451 Min 01411451 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 12-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 15 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 1920 of 6486
MAKHAN LAL Rate Amount Qty 12 .4 30 55.8 .93 60 66 1.1 60 21.3 .71 30 26.7 .89 30 7.5 .25 30 123.53 123.53 1 400 400 1 7.4 .37 20 19.72 9.86 2 26.96 3.37 8 400 400 1 87.92 43.96 2 400 400 1 6.82 6.82 1 25.07 25.07 1 400 400 1 Total: 2086.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411452 Min 01411452 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 SUTURE REMOVAL 2 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 05-FEB-19 SOLIFENACIN,5MG,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 11 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 14 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 12-FEB-19 GUM ANALGESIC GEL 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 14-FEB-19 INHALANT,STRIP PACK,CAPSULE 23 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 28 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 29 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 30 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 18-FEB-19
Page 1921 of 6486
Name
MEENA BAI Rate Amount Qty 400 400 1 490 490 1 10.65 .71 15 403.2 13.44 30 400 400 1 27.9 .93 30 26.7 .89 30 5.7 .38 15 3.75 .25 15 185.7 6.19 30 17.4 .58 30 38.25 2.55 15 400 400 1 4.8 .6 8 7.68 .64 12 44.16 1.84 24 7.5 .25 30 28.69 28.69 1 400 400 1 35.2 3.52 10 8.9 .89 10 6.4 .64 10 25.5 1.7 15 40.12 20.06 2 400 400 1 26.7 .89 30 12.8 .64 20 11.1 .37 30 12.15 12.15 1 54 .9 60 400 400 1 Total: 3934.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411456 Min 01411456 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1922 of 6486
Name
SHYAM RAO DHOPTE Rate Amount Qty 8.1 .27 30 34.8 1.16 30 12 .4 30 192.3 6.41 30 13.95 .93 15 400 400 1 Total: 661.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411457 Min 01411457 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1923 of 6486
Name
RAMESH TAHENGURIA Rate Amount Qty 192.3 6.41 30 185.7 6.19 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 846.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411458 Min 01411458 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 02-FEB-19 SOLIFENACIN,5MG,,TABLET 8 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 SOLIFENACIN,5MG,,TABLET 11 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 OBSERVATION IN CASUALTY 14 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 15 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 16 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 07-FEB-19
Page 1924 of 6486
Name
SHOBHA TAHENGURIA Rate Amount Qty 26.7 .89 30 27.9 .93 30 33 1.1 30 36 .6 60 167.4 5.58 30 21.3 .71 30 60.9 2.03 30 403.2 13.44 30 185.7 6.19 30 400 400 1 403.2 13.44 30 60.9 2.03 30 400 400 1 420 420 1 .34 .34 1 .16 .16 1 24.52 24.52 1 Total: 2671.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411459 Min 01411459 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1925 of 6486
Name
DASHRATH SHENDE Rate Amount Qty 62.8 3.14 20 20.84 5.21 4 43.8 .73 60 11.4 .38 30 26.7 .89 30 371.4 6.19 60 400 400 1 Total: 936.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411460 Min 01411460 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1926 of 6486
Name
KANTA SHENDE Rate Amount Qty 25.2 .42 60 20.84 5.21 4 41.1 1.37 30 371.4 6.19 60 26.7 .89 30 11.4 .38 30 400 400 1 Total: 896.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411462 Min 01411462 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1927 of 6486
Name
PREMLATA DESHMUKH Rate Amount Qty 7.5 .25 30 33 1.1 30 36 .6 60 10.8 .36 30 400 400 1 Total: 487.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411465 Min 01411465 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 9 18-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 11 18-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 12 18-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 13 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 18-FEB-19 CREATININE /CRT 18 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 20 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 21 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 18-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 23 18-FEB-19
Page 1928 of 6486
Name
SURESH CHIMURKAR Rate Amount Qty 185.7 6.19 30 12.8 .64 20 34.8 1.16 30 32.4 1.08 30 27.9 .93 30 12 .4 30 400 400 1 8.9 .89 10 32.61 32.61 1 17 1.7 10 12.81 12.81 1 63.58 63.58 1 13.48 3.37 4 3.7 .37 10 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 66.2 6.62 10 6.4 .64 10 3.9 .26 15 Total: 4009.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411466 Min 01411466 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 17-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 17-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 17-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 17-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 17-FEB-19
Page 1929 of 6486
Name
MANDA CHIMURKAR Rate Amount Qty 5.34 .89 6 83.97 9.33 9 21.12 3.52 6 17.4 1.16 15 6 .4 15 400 400 1 Total: 533.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411472 Min 01411472 Appmt Dt Slno Description 28-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 28-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 28-FEB-19 3 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1930 of 6486
Name
RAMDIN VERMA Qty Rate Amount 30 2.03 60.9 60 .89 53.4 30 6.41 192.3 1 400 400 Total: 706.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411473 Min 01411473 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 19-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 1931 of 6486
Name
TAMIN BAI VERMA Rate Amount Qty 25.2 .63 40 247.6 6.19 40 62.8 3.14 20 17.8 .89 20 400 400 1 Total: 753.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411474 Min 01411474 Appmt Dt Slno Description 05-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 05-FEB-19 2 RANITIDINE HCL,STRIP PKT,150MG,TABLET 05-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1932 of 6486
Name
MAHESH PRASAD MISHRA Qty Rate Amount 24 1.84 44.16 8 .77 6.16 12 .64 7.68 1 400 400 Total: 458
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411476 Min 01411476 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 C T HEAD PLAIN 15 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 22-FEB-19 DRESSING SIMPLE 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 1933 of 6486
Name
BIHARI LAL SAHU Rate Amount Qty 9 .3 30 34.8 1.16 30 66 1.1 60 30.6 .34 90 31.2 1.04 30 8.1 .27 30 12 .4 30 36 .6 60 55.8 .93 60 400 400 1 1.25 .25 5 1.9 .38 5 4.1 .41 10 8.9 .89 10 5250 5250 1 400 400 1 600 300 2 400 400 1 6.4 .64 10 400 400 1 Total: 7756.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411477 Min 01411477 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1934 of 6486
Name
KARAJ SAHU Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411480 Min 01411480 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1935 of 6486
Name
ASHOK KUMAR KUMRA Rate Amount Qty 18 .9 20 66.2 6.62 10 12.15 12.15 1 6.7 .67 10 3.7 .37 10 400 400 1 12.15 12.15 1 27 .9 30 5.55 .37 15 400 400 1 Total: 951.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411482 Min 01411482 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 1936 of 6486
Name
NET RAM Rate Amount Qty 7.65 .51 15 7.5 .25 30 6.4 .64 10 8.1 .27 30 55.8 .93 60 400 400 1 17.8 .89 20 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 1178.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411483 Min 01411483 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 1937 of 6486
Name
YOGESHWARI BAI Rate Amount Qty 55.8 .93 60 7.5 .25 30 400 400 1 Total: 463.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411485 Min 01411485 Slno Description Appmt Dt TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 1 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1938 of 6486
M A K GYANABARNAM Rate Amount Qty 21.45 21.45 1 25.07 25.07 1 400 400 1 21.3 .71 30 33 1.1 30 6.9 .23 30 400 400 1 Total: 907.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411486 Min 01411486 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 COMPLETE HAEMOGRAM 5 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 26-FEB-19 CREATININE /CRT 16 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 26-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 1939 of 6486
Name
VINEETA GYANABARNAM Rate Amount Qty 26.7 .89 30 7.5 .25 30 405.6 3.38 120 400 400 1 750 750 1 550 550 1 400 400 1 1300 1300 1 17.4 1.16 15 211.8 3.53 60 55.8 .93 60 275 275 1 1300 1300 1 400 400 1 550 550 1 275 275 1 275 275 1 41.1 1.37 30 400 400 1 Total: 7640.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411488 Min 01411488 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 IMATINIB 400MG,,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1940 of 6486
Name
MANORAMA PATIL Rate Amount Qty 10.8 .36 30 36 .6 60 17.4 1.16 15 42.29 2537.4 60 33 1.1 30 27.9 .93 30 78 1.3 60 400 400 1 Total: 3140.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411491 Min 01411491 Appmt Dt Slno Description 13-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1941 of 6486
Name
S C ANAND Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411497 Min 01411497 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1942 of 6486
Name
MAYA DAVE Qty Rate Amount 30 .71 21.3 30 .27 8.1 30 .93 27.9 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411498 Min 01411498 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 1943 of 6486
Name
RAMAN DAVE Rate Amount Qty 21.3 .71 30 32.4 1.08 30 8.1 .27 30 36 .6 60 7.5 .25 30 400 400 1 Total: 505.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411501 Min 01411501 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 PRAZOSIN,2.5MG,TABLET 2 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 9 12-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 10 12-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 1944 of 6486
Name
RELLA RAJA RAO Rate Amount Qty 55.8 .93 60 78 1.3 60 6.9 .23 30 15.96 2.66 6 32.4 1.08 30 2.22 .37 6 34.8 1.16 30 400 400 1 13.49 13.49 1 19.77 19.77 1 94.42 94.42 1 400 400 1 Total: 1153.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411502 Min 01411502 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 10 12-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 1945 of 6486
Name
RELLA SHYAMANTHI Rate Amount Qty 7.5 .25 30 17.4 1.16 15 2.22 .37 6 26.6 2.66 10 54 .6 90 14.85 .99 15 55.8 .93 60 9 .3 30 400 400 1 40.58 20.29 2 67.16 33.58 2 400 400 1 Total: 1095.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411507 Min 01411507 Slno Description Appmt Dt RACECADOTRIL,100MG,CAPSULE 1 09-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 2 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 12-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 12-FEB-19 UREA (BUN /UR) 11 12-FEB-19 CREATININE /CRT 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 15 22-FEB-19 GUM ASTRINGENT PAINT 16 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 18 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 22-FEB-19
Page 1946 of 6486
Name
B R BHALEKAR Rate Amount Qty 35.82 5.97 6 17.42 8.71 2 21.12 3.52 6 4.45 .89 5 10.08 1.12 9 400 400 1 85.8 8.58 10 400 400 1 275 275 1 380 380 1 275 275 1 275 275 1 400 400 1 275 275 1 27.9 .62 45 31.54 31.54 1 5.76 .64 9 33.12 1.84 18 10.08 1.12 9 400 400 1 Total: 3363.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411508 Min 01411508 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19
Page 1947 of 6486
Name
KANTI BAI BHALEKAR Rate Amount Qty 2.5 .25 10 26 2.6 10 8.9 .89 10 400 400 1 167.4 5.58 30 7.5 .25 30 18 .6 30 34.8 1.16 30 12 .4 30 6.9 .23 30 27.9 .93 30 33 1.1 30 400 400 1 Total: 1144.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411510 Min 01411510 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1948 of 6486
Name
KAMLA DEVI Rate Amount Qty 85.52 85.52 1 41.06 41.06 1 400 400 1 16.65 1.11 15 27.9 .93 30 400 400 1 Total: 971.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411519 Min 01411519 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 1949 of 6486
Name
SHAMBHU LAL MEHTA Rate Amount Qty 185.7 6.19 30 60.9 2.03 30 192.3 6.41 30 11.4 .38 30 400 400 1 Total: 850.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411520 Min 01411520 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1950 of 6486
Name
SUMAN BALA MEHTA Rate Amount Qty 27.9 .93 30 34.8 1.16 30 9.6 .64 15 400 400 1 66 1.1 60 7.5 .25 30 47.4 .79 60 400 400 1 Total: 993.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411523 Min 01411523 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 3 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 15-FEB-19 PILOCARPINE NITRATE,2%,EYE DROP,5ML PACK 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 1951 of 6486
Name
BASUMITA DUTTA Rate Amount Qty 41.06 41.06 1 32.4 1.08 30 85.52 171.04 2 371.4 6.19 60 54.46 54.46 1 400 400 1 Total: 1070.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411524 Min 01411524 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 15-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 15-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1952 of 6486
Name
ALOK DUTTA Rate Amount Qty 6.4 .64 10 3.7 .37 10 17.6 17.6 1 6.82 6.82 1 85.52 171.04 2 26.7 .89 30 32.4 1.08 30 185.7 6.19 30 400 400 1 Total: 850.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411535 Min 01411535 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 1953 of 6486
HARISH CHANDRA VARSHNEY Rate Amount Qty 6.4 .64 10 1.85 .37 5 15.73 15.73 1 26.6 2.66 10 400 400 1 66 1.1 60 12 .4 30 21.3 .71 30 17.8 .89 20 400 400 1 Total: 967.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411540 Min 01411540 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 1954 of 6486
Name
SAROJ SHINGOTE Rate Amount Qty 18.6 .62 30 26.7 .89 30 7.5 .25 30 185.7 6.19 30 21.3 .71 30 27.9 .93 30 36.3 1.21 30 6.9 .23 30 32.4 1.08 30 400 400 1 Total: 763.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411542 Min 01411542 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 1955 of 6486
Name
VEENA JAIN Rate Amount Qty 20.06 20.06 1 7.5 .25 30 60.9 2.03 30 72.6 1.21 60 13.8 .23 60 55.8 .93 60 400 400 1 Total: 630.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411543 Min 01411543 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 GUM ASTRINGENT PAINT 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 1956 of 6486
Name
M R DEWANGAN Rate Amount Qty 78 1.3 60 21.3 .71 30 6.9 .23 30 55.2 .92 60 54 .6 90 27.9 .93 30 400 400 1 31.54 31.54 1 400 400 1 Total: 1074.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411557 Min 01411557 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 BISOPROLOL FUMARATE,5MG,,TABLET 08-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1957 of 6486
Name
N G SHRIVASTAVA Qty Rate Amount 30 .93 27.9 30 2.55 76.5 30 .27 8.1 1 400 400 Total: 512.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411559 Min 01411559 Appmt Dt Slno Description 12-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 12-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1958 of 6486
Name
R K P SINHA Qty Rate Amount 15 .25 3.75 15 1.16 17.4 15 .23 3.45 1 400 400 Total: 424.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411560 Min 01411560 Appmt Dt Slno Description 12-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1959 of 6486
Name
VEENA SINHA Qty Rate Amount 30 .23 6.9 1 400 400 406.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411564 Min 01411564 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 1960 of 6486
Name
RAM LAL SONI Rate Amount Qty 1.48 .37 4 21.3 .71 30 27.9 .93 30 54 .6 90 10.8 .36 30 400 400 1 Total: 515.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411567 Min 01411567 Slno Description Appmt Dt DEXTROSE,25%,100ML,POLY PKT,INJECTION 1 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 5 07-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 6 07-FEB-19 ECG 7 07-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 8 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 11 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 07-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 13 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 07-FEB-19 OBSERVATION IN CASUALTY 16 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 19 16-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 20 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 21 16-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 22 16-FEB-19 ECG 23 16-FEB-19 OBSERVATION IN CASUALTY 24 16-FEB-19 X - RAY - SINGLE VIEW 25 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 16-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 29 16-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 30 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 16-FEB-19
Page 1961 of 6486
Name
VIJAYA LAXMI TIWARI Rate Amount Qty 19.1 19.1 1 21.3 .71 30 10.08 1.12 9 5.34 .89 6 2.8 .7 4 17.37 17.37 1 900 450 2 9.81 9.81 1 29.7 .99 30 55.8 .93 60 72.6 1.21 60 32.4 1.08 30 11.89 11.89 1 19.8 .66 30 34.8 1.16 30 420 420 1 24.52 24.52 1 400 400 1 600 600 1 5.41 5.41 1 24.52 24.52 1 35.52 35.52 1 450 450 1 420 420 1 550 550 1 400 400 1 3.84 .64 6 2.5 .25 10 3.8 .38 10 9.81 9.81 1 66.2 6.62 10 8.9 .89 10 Total: 4667.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411571 Min 01411571 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1962 of 6486
Name
B M CHANPURIA Rate Amount Qty 7.5 .25 30 55.8 .93 60 2.4 .16 15 64.8 1.08 60 26.7 .89 30 400 400 1 Total: 557.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411584 Min 01411584 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1963 of 6486
Name
R N SHARMA Rate Amount Qty 29.7 .99 30 16.2 .27 60 55.8 .93 60 117 1.3 90 72 .6 120 32.4 .36 90 21.3 .71 30 400 400 1 Total: 744.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411585 Min 01411585 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1964 of 6486
Name
RAJ SHARMA Rate Amount Qty 47.4 .79 60 7.8 .26 30 32.4 1.08 30 66 1.1 60 34.8 1.16 30 400 400 1 Total: 588.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411592 Min 01411592 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 X - RAY - TWO VIEWS 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 05-FEB-19 U S - ( SMALL PARTS SUCH AS ORBIT,SCROTU 6 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19
Page 1965 of 6486
Name
KHEMLAL SAHU Rate Amount Qty 13.7 1.37 10 860 860 1 400 400 1 8.9 .89 10 123.8 6.19 20 1850 1850 1 400 400 1 Total: 3656.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411593 Min 01411593 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 1966 of 6486
Name
NUTAN SAHU Rate Amount Qty 14.85 .99 15 3.75 .25 15 54 .6 90 55.8 .93 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 565.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411602 Min 01411602 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 1967 of 6486
Name
I M JAIN Rate Amount Qty 51 1.7 30 26.7 .89 30 400 400 1 Total: 477.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411603 Min 01411603 Appmt Dt Slno Description 02-FEB-19 1 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1968 of 6486
Name
LATA JAIN Qty 1 1
Rate Amount 13.49 13.49 400 400 413.49 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411606 Min 01411606 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 15-FEB-19 URIC ACID (UA /URATES /UR) 4 15-FEB-19 CREATININE /CRT 5 15-FEB-19 UREA (BUN /UR) 6 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 1969 of 6486
Name
HARBHAHAN SINGH ANAND Rate Amount Qty 275 275 1 550 550 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 34.8 1.16 30 11.4 .38 30 39 1.3 30 12 .4 30 18 .6 30 167.4 5.58 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 3068.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411607 Min 01411607 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19
Page 1970 of 6486
Name
JAGJIT KAUR ANAND Rate Amount Qty 21.3 .71 30 11.4 .38 30 14.85 .99 15 27.9 .93 30 4.45 .89 5 66.2 6.62 10 400 400 1 27.9 .93 30 14.85 .99 15 21.3 .71 30 26.7 .89 30 3.7 .37 10 400 400 1 Total: 1040.55
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411614 Min 01411614 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 7 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 15-FEB-19 OBSERVATION IN CASUALTY 10 15-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 15-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 12 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19
Page 1971 of 6486
VISHNU KANT SHUKLA Rate Amount Qty 2.22 .37 6 21.28 2.66 8 17.4 1.16 15 12 .4 30 55.8 .93 60 400 400 1 600 600 1 .89 .89 1 .37 .37 1 420 420 1 15.73 15.73 1 70.2 2.34 30 1.85 .37 5 9 .9 10 400 400 1 Total: 2026.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411615 Min 01411615 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1972 of 6486
Name
GAYTRI DEVI SHUKLA Rate Amount Qty 12 .4 30 34.8 1.16 30 23.7 .79 30 78 1.3 60 400 400 1 Total: 548.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411618 Min 01411618 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 09-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 5 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 25-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 14 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 17 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 18 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 19 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 26-FEB-19 URIC ACID (UA /URATES /UR) 24 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 25 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 26 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27 26-FEB-19 UREA (BUN /UR) 28 26-FEB-19
Page 1973 of 6486
Name
GORAKH NATH SINGH Rate Amount Qty 210 2.1 100 12 .6 20 18.6 .93 20 7.65 .51 15 128.1 4.27 30 14.2 .71 20 8 .4 20 21.6 1.08 20 66.2 6.62 10 35.6 .89 40 400 400 1 26.7 .89 30 18 .6 30 252 2.1 120 27.9 .93 30 12 .4 30 11.4 .38 30 15.3 .51 30 4.27 192.15 45 34.8 1.16 30 32.4 1.08 30 400 400 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 Total: 3994.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411619 Min 01411619 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 SOLIFENACIN,5MG,,TABLET 6 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 1974 of 6486
Name
ASHA DEVI Rate Amount Qty 17.4 1.16 15 16.2 .27 60 55.8 .93 60 400 400 1 53.4 .89 60 806.4 13.44 60 43.96 131.88 3 400 400 1 Total: 1881.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411623 Min 01411623 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 1975 of 6486
Name
SUGIA DEVI Rate Amount Qty 66 1.1 60 5.21 5.21 1 12 .4 30 17.4 1.16 15 400 400 1 66 1.1 60 12 .4 30 8.1 .27 30 7.5 .25 30 27.9 .93 30 400 400 1 Total: 1022.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411625 Min 01411625 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1976 of 6486
Name
DHARMA DEVI Rate Amount Qty 7.8 .26 30 32.4 1.08 30 13.95 .93 15 66 1.1 60 34.8 1.16 30 26.7 .89 30 6.9 .23 30 400 400 1 Total: 588.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411634 Min 01411634 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 04-FEB-19 ENTACAVIR 0.5MG,,TABLET 7 04-FEB-19 HAEMOGLOBIN / (HB %) 8 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 04-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 13 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1977 of 6486
Name
N N KUNDU Rate Amount Qty 9.3 .62 15 400 400 1 7.65 .51 15 83.7 5.58 15 21.3 .71 30 27.9 .93 30 673.5 22.45 30 130 130 1 550 550 1 1300 1300 1 275 275 1 275 275 1 86.4 1.44 60 185.7 6.19 30 19.2 .64 30 400 400 1 Total: 4444.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411635 Min 01411635 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 27-FEB-19 CREATININE /CRT 3 27-FEB-19 UREA (BUN /UR) 4 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 27-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 27-FEB-19
Page 1978 of 6486
Name
TANDRA KUNDU Qty 1 1 1 1 1 1 1
Rate Amount 275 275 1300 1300 275 275 275 275 1300 1300 400 400 275 275 Total: 4100
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411636 Min 01411636 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1979 of 6486
Name
NANHE LAL SONI Qty Rate Amount 10 .89 8.9 1 400 400 408.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411638 Min 01411638 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 11 26-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 12 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 1980 of 6486
Name
MARIAMMA ABRAHAM Rate Amount Qty 27.9 .93 30 12 .4 30 78 2.6 30 2.4 .16 15 26.7 .89 30 7.5 .25 30 36.3 1.21 30 34.8 1.16 30 400 400 1 7.4 .37 20 25.62 12.81 2 13.43 13.43 1 9.86 9.86 1 400 400 1 Total: 1081.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411640 Min 01411640 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 09-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 23-FEB-19 RIFAXIMIN 200 MG,,TABLET 8 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 23-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19
Page 1981 of 6486
Name
B C DEWAN Rate Amount Qty 12.6 .42 30 123.53 123.53 1 21.3 .71 30 15 .25 60 400 400 1 1750 1750 1 400 400 1 93.3 9.33 10 20.06 20.06 1 61.4 6.14 10 8.9 .89 10 Total: 2906.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411641 Min 01411641 Slno Description Appmt Dt C T HEAD PLAIN 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 13-FEB-19 UREA (BUN /UR) 13 13-FEB-19 CREATININE /CRT 14 13-FEB-19
Page 1982 of 6486
Name
ABHA DEWAN Rate Amount Qty 5250 5250 1 400 400 1 21.3 .71 30 7.65 .51 15 6.9 .23 30 27.9 .93 30 18 .6 30 5.4 .36 15 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 Total: 8537.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411643 Min 01411643 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1983 of 6486
Name
HANSI RANI GUHA Rate Amount Qty 21.3 .71 30 55.8 .93 60 8.9 .89 10 17.4 .58 30 36 .6 60 10.8 .36 30 400 400 1 Total: 550.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411647 Min 01411647 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 26-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1984 of 6486
Name
SUNITA NASHINE Rate Amount Qty 6.9 .23 30 36 .6 60 55.8 .93 60 10.8 .36 30 15.3 .51 30 76.5 2.55 30 21.3 .71 30 400 400 1 Total: 622.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411650 Min 01411650 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 25-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 1985 of 6486
Name
MOHAN LAL SHARMA Rate Amount Qty 7.3 .73 10 9.6 .64 15 11.2 1.12 10 55.2 1.84 30 8.9 .89 10 400 400 1 7.68 .64 12 44.16 1.84 24 4.8 .6 8 400 400 1 40.58 20.29 2 148.9 74.45 2 400 400 1 Total: 1538.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411654 Min 01411654 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 1986 of 6486
Name
GAYATRI MUKHERJEE Rate Amount Qty 13.35 .89 15 32.4 1.08 30 34.8 1.16 30 8.1 .27 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 574.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411664 Min 01411664 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1987 of 6486
Name
P K DEY Rate Amount Qty 27.9 .93 30 17.4 .58 30 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 539.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411665 Min 01411665 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 1988 of 6486
Name
ARATI DEY Rate Amount Qty 6.4 .64 10 23.1 .77 30 41.85 .93 45 66 1.1 60 32.4 1.08 30 15.3 .51 30 7.5 .25 30 2.4 .16 15 21.3 .71 30 400 400 1 Total: 616.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411672 Min 01411672 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 05-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 22-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 12 22-FEB-19
Page 1989 of 6486
Name
P D JAGYASI Rate Amount Qty 5.55 .37 15 19.72 9.86 2 41.06 41.06 1 13.48 3.37 4 400 400 1 32.4 1.08 30 105.9 3.53 30 41.85 .93 45 4.08 .51 8 400 400 1 400 400 1 550 550 1 Total: 2014.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411674 Min 01411674 Appmt Dt Slno Description 28-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1990 of 6486
Name
ASHOK KUMAR Qty Rate Amount 30 .25 7.5 30 .27 8.1 45 .6 27 1 400 400 Total: 442.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411677 Min 01411677 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1991 of 6486
Name
N A RATNAVALLY Rate Amount Qty 21.3 .71 30 117 1.3 90 36 .6 60 27.9 .93 30 17.4 .58 30 7.5 .25 30 400 400 1 Total: 627.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411681 Min 01411681 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 1992 of 6486
Name
BHUNESHWAR PRASAD NAYAK Rate Amount Qty 60.9 2.03 30 54 .6 90 27.9 .93 30 3.7 .37 10 21.3 .71 30 8.1 .27 30 45.44 45.44 1 400 400 1 Total: 621.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411695 Min 01411695 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1993 of 6486
Name
R T RAJDHAR Rate Amount Qty 6.4 .64 10 1.85 .37 5 400 400 1 Total: 408.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411696 Min 01411696 Slno Description Appmt Dt UREA (BUN /UR) 1 05-FEB-19 CREATININE /CRT 2 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 1994 of 6486
Name
REKHA RAJDHAR Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 550 550 1 275 275 1 27.9 .93 30 66 1.1 60 29.7 .99 30 7.5 .25 30 6.4 .64 10 400 400 1 Total: 3887.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411697 Min 01411697 Appmt Dt Slno Description 13-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 13-FEB-19 2 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13-FEB-19 3 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1995 of 6486
Name
PAUHARI SHARAN Qty Rate Amount 30 .58 17.4 60 .9 54 90 .18 16.2 1 400 400 Total: 487.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411698 Min 01411698 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 16 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 1996 of 6486
Name
SAVITRI DEVI Rate Amount Qty 9.9 .66 15 20.84 5.21 4 15 .25 60 21.3 .71 30 400 400 1 8.9 .89 10 13.7 1.37 10 400 400 1 12.8 .64 20 400 400 1 22.2 .37 60 27.9 .93 30 78 1.3 60 36 .6 60 10.8 .36 30 71 .71 100 7.5 .25 30 400 400 1 Total: 1955.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411704 Min 01411704 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 8 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 13 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 15 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 16 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 18 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 19 26-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 20 26-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 1997 of 6486
Name
S Z KAROTKAR Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 1.48 .37 4 12 .4 30 16.2 .27 60 400 400 1 17.37 17.37 1 7.4 .37 20 400 400 1 20.29 20.29 1 21.12 3.52 6 18.03 18.03 1 2.28 .38 6 2.46 .41 6 6.82 6.82 1 400 400 1 36.06 18.03 2 13.64 6.82 2 2.97 .99 3 24.45 24.45 1 400 400 1 Total: 2455.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411706 Min 01411706 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 21-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 X - RAY - TWO VIEWS 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19
Page 1998 of 6486
Name
R P SAHARAN Rate Amount Qty 185.7 6.19 30 47.1 3.14 15 13.35 .89 15 860 860 1 400 400 1 Total: 1506.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411713 Min 01411713 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1999 of 6486
Name
SAKHA RAM DEWANGAN Rate Amount Qty 18 .6 30 15.6 .26 60 33 1.1 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 2.4 .16 15 400 400 1 Total: 548.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411714 Min 01411714 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 2000 of 6486
Name
DEEPAK DEWANGAN Rate Amount Qty 1.85 .37 5 3.84 .64 6 12 .4 30 34.8 1.16 30 400 400 1 Total: 452.49
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411723 Min 01411723 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 5 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2001 of 6486
P G KHOBRAGADE Rate Amount Qty 3.8 .38 10 15.73 15.73 1 1.85 .37 5 6.4 .64 10 20.25 20.25 1 3.8 .38 10 2.5 .25 10 400 400 1 Total: 454.33
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411724 Min 01411724 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 11 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 13-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 13 13-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 17 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 18 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 26-FEB-19 X - RAY - TWO VIEWS 23 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 26-FEB-19
Page 2002 of 6486
SHASHIKLA KHOBRAGADE Rate Amount Qty 69.6 1.16 60 33 1.1 30 13.95 .93 15 32.4 1.08 30 400 400 1 3.84 .64 6 26.6 2.66 10 15.73 15.73 1 400 400 1 5.55 .37 15 35.2 17.6 2 87.92 43.96 2 82.76 165.52 2 6.82 6.82 1 6.4 .64 10 400 400 1 9 .9 10 7.7 .77 10 400 400 1 12.8 .64 20 17.8 .89 20 5 .25 20 860 860 1 400 400 1 Total: 3414.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411725 Min 01411725 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 2003 of 6486
Name
SANTOSH JAIN Rate Amount Qty 8.1 .27 30 21.3 .71 30 33 1.1 30 55.8 .93 60 18.6 .62 30 8.1 .27 30 400 400 1 Total: 544.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411738 Min 01411738 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 21-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 2004 of 6486
Name
D R DEWANGAN Rate Amount Qty 192.3 6.41 30 31.61 31.61 1 60.9 2.03 30 400 400 1 54 .6 90 34.8 1.16 30 12 .4 30 66 1.1 60 10.8 .36 30 167.4 5.58 30 400 400 1 Total: 1429.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411739 Min 01411739 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 2005 of 6486
Name
MEENA DEWANGAN Rate Amount Qty 9 .3 30 55.8 .93 60 400 400 1 Total: 464.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411743 Min 01411743 Appmt Dt Slno Description 19-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 19-FEB-19 2 SERUM TOTAL PSA (CHEMILUMINESCNCE) 19-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19-FEB-19 4 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE
Page 2006 of 6486
Name
SHARAD CHANDRA AGRAWAL Qty Rate Amount 1 400 400 1 1610 1610 30 2.03 60.9 30 6.41 192.3 Total: 2263.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411747 Min 01411747 Slno Description Appmt Dt CREATININE /CRT 1 14-FEB-19 UREA (BUN /UR) 2 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 9 14-FEB-19 CHOLESTEROL (CHOL) 10 14-FEB-19 TRIGLYCERIDES (TGL) 11 14-FEB-19
Page 2007 of 6486
Name
N K DEWAL Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 60.9 2.03 30 27.9 .93 30 550 550 1 275 275 1 275 275 1 Total: 3238.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411748 Min 01411748 Slno Description Appmt Dt CREATININE /CRT 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 UREA (BUN /UR) 3 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2008 of 6486
Name
SHARAYU DEWAL Rate Amount Qty 275 275 1 400 400 1 275 275 1 550 550 1 32.4 1.08 30 8.4 .42 20 27.9 .93 30 21.3 .71 30 12 .4 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 2036.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411755 Min 01411755 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 10 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 27-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 13 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 14 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 2009 of 6486
GAJADHAR SINGH RAJPOOT Rate Amount Qty 21.3 .71 30 47.4 .79 60 34.8 1.16 30 32.4 1.08 30 31.2 1.04 30 117 1.3 90 167.4 5.58 30 12 .4 30 400 400 1 24.45 24.45 1 50.14 25.07 2 148.9 74.45 2 6.42 2.14 3 19.77 19.77 1 44.16 1.84 24 400 400 1 Total: 1557.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411756 Min 01411756 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 27-FEB-19 CREATININE /CRT 11 27-FEB-19 UREA (BUN /UR) 12 27-FEB-19 URIC ACID (UA /URATES /UR) 13 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 27-FEB-19
Page 2010 of 6486
Name
SUREKHA RAJPOOT Rate Amount Qty 8.1 .27 30 11.25 .75 15 11.1 .37 30 63.22 31.61 2 21.3 .71 30 25.62 12.81 2 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3615.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411759 Min 01411759 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2011 of 6486
Name
VATSALA CHAVRE Rate Amount Qty 8.1 .27 30 55.8 .93 60 7.5 .25 30 32.4 1.08 30 21.3 .71 30 66 1.1 60 400 400 1 Total: 591.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411765 Min 01411765 Slno Description Appmt Dt CARBIMAZOLE,5MG,BTL PACK,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 2012 of 6486
Name
R N MEHTA Rate Amount Qty 189.6 1.58 120 30 .25 120 400 400 1 Total: 619.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411769 Min 01411769 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 2013 of 6486
Name
KESHRI KANT MANDHRE Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 8.1 .27 30 12 .4 30 400 400 1 Total: 514
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411770 Min 01411770 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 22-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2014 of 6486
Name
KAVITA MANDHRE Rate Amount Qty 18 .6 30 7.5 .25 30 10.8 .36 30 13.35 .89 15 34.8 1.16 30 117 1.3 90 400 400 1 6.82 6.82 1 18.21 18.21 1 400 400 1 Total: 1026.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411773 Min 01411773 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 URIC ACID (UA /URATES /UR) 6 04-FEB-19 CREATININE /CRT 7 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 04-FEB-19 BLOOD FOR TSH 10 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 04-FEB-19 ECG 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 2015 of 6486
Name
RAMA RAMAN SHRIVASTAVA Rate Amount Qty 1300 1300 1 34.8 1.16 30 33 1.1 30 12 .4 30 26.7 .89 30 275 275 1 275 275 1 275 275 1 275 275 1 800 800 1 400 400 1 450 450 1 400 400 1 4.8 .16 30 400 400 1 Total: 4961.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411774 Min 01411774 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ECG 7 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 11-FEB-19 GUM ANALGESIC GEL 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 2016 of 6486
Name
SHASHI SHRIVASTAVA Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 38.25 2.55 15 27.9 .93 30 450 450 1 1300 1300 1 21.3 .71 30 7.5 .25 30 28.69 28.69 1 400 400 1 14.85 .99 15 400 400 1 Total: 3913.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411775 Min 01411775 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 09-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 2017 of 6486
Name
KRISHNA RAO MOHITE Rate Amount Qty 34.8 1.16 30 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 20.06 20.06 1 6.9 .23 30 400 400 1 Total: 742.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411786 Min 01411786 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 PRAZOSIN,2.5MG,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 2018 of 6486
Name
YOGENDRA SINGH SAHU Rate Amount Qty 55.8 .93 60 78 1.3 60 17.4 1.16 15 12 .4 30 400 400 1 Total: 563.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411787 Min 01411787 Slno Description Appmt Dt TRIGLYCERIDES (TGL) 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 06-FEB-19 PRAZOSIN,2.5MG,TABLET 9 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 10 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 06-FEB-19
Page 2019 of 6486
Name
CHANDRIKA DEVI SAHU Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 55.8 .93 60 16.2 .36 45 167.4 5.58 30 72 .6 120 39 1.3 30 22.2 .37 60 211.8 3.53 60 7.92 .99 8 17.4 1.16 15 195 1.3 150 400 400 1 Total: 2304.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411788 Min 01411788 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2020 of 6486
Name
DILIP CHAND TALMALE Rate Amount Qty 66.2 6.62 10 1.85 .37 5 400 400 1 31.61 31.61 1 11.1 .37 30 25.62 12.81 2 400 400 1 Total: 936.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411793 Min 01411793 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2021 of 6486
Name
BHABATOSH CHANDRA DAS Rate Amount Qty 27.9 .93 30 8.1 .27 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411805 Min 01411805 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 SOLIFENACIN,5MG,,TABLET 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2022 of 6486
Name
SUNDERLAL SONI Rate Amount Qty 10.35 .23 45 403.2 13.44 30 60.9 2.03 30 192.3 6.41 30 4.8 .16 30 12 .4 30 400 400 1 Total: 1083.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411806 Min 01411806 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2023 of 6486
Name
RATNA DEVI SONI Rate Amount Qty 35.2 3.52 10 400 400 1 2.22 .37 6 18 .9 20 5.4 .18 30 8.9 .89 10 400 400 1 Total: 869.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411829 Min 01411829 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2024 of 6486
Name
DHIRENDER RAI Rate Amount Qty 7.65 .51 15 10.8 .36 30 36 .6 60 55.8 .93 60 2.22 .37 6 34.8 1.16 30 6.9 .23 30 32.4 1.08 30 15.96 2.66 6 400 400 1 Total: 602.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411837 Min 01411837 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 2025 of 6486
Name
FAKIR RAM THAKUR Rate Amount Qty 10.8 .36 30 16.2 .27 60 23.7 .79 30 41.06 41.06 1 21.28 2.66 8 54 .6 90 400 400 1 17.8 .89 20 62.8 3.14 20 400 400 1 Total: 1047.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411838 Min 01411838 Appmt Dt Slno Description 13-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 13-FEB-19 3 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2026 of 6486
Name
NATHU RAM VISHWAKARMA Qty Rate Amount 18 1.84 33.12 6 .64 3.84 6 1.12 6.72 1 400 400 Total: 443.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411839 Min 01411839 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 PRAZOSIN,2.5MG,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2027 of 6486
Name
MANORAMA DEVI VISHWAKARMA Rate Amount Qty 17.4 .58 30 21.3 .71 30 39 1.3 30 55.8 .93 60 36 .6 60 31.2 1.04 30 400 400 1 Total: 600.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411846 Min 01411846 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 2028 of 6486
Name
B H S PRASAD Rate Amount Qty 40.12 20.06 2 53.4 .89 60 400 400 1 Total: 493.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411849 Min 01411849 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 12-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 2029 of 6486
Name
OMKAR DAS UKE Rate Amount Qty 19.8 .66 30 19.72 9.86 2 16.85 3.37 5 7.4 .37 20 57.84 115.68 2 400 400 1 167.4 5.58 30 72 .6 120 13.95 .93 15 66 1.1 60 32.4 1.08 30 18 .3 60 34.8 1.16 30 3.75 .25 15 21.6 .36 60 12 .4 30 400 400 1 Total: 1421.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411851 Min 01411851 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 2 DRESSING SIMPLE 12-FEB-19 3 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2030 of 6486
Name
AFZAL HUSSAIN SIDDIQUI Qty Rate Amount 1 400 400 5 300 1500 1 41.06 41.06 1 400 400 Total: 2341.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411852 Min 01411852 Appmt Dt Slno Description 12-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2031 of 6486
Name
SURIYA SIDDQUI Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411862 Min 01411862 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 CREATININE /CRT 4 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 05-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 10 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 16-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 18 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 19 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 20 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 2032 of 6486
Name
A C KATAKWAR Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 13.7 1.37 10 8.9 .89 10 5 .25 20 26.96 3.37 8 63.58 63.58 1 18 .6 30 8.1 .27 30 5.4 .36 15 23.7 .79 30 400 400 1 39 2.6 15 400 400 1 123.53 247.06 2 23.7 .79 30 11.4 .38 30 16.2 .27 60 16.2 .36 45 54 .6 90 400 400 1 Total: 4305.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411863 Min 01411863 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19 ASO 18 25-FEB-19 CRP 19 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 25-FEB-19 RA FACTOR /RH FACTOR 21 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 23 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 24 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 25 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 26 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 28-FEB-19
Page 2033 of 6486
Name
MEENAKASHI KATAKWAR Rate Amount Qty 860 860 1 400 400 1 275 275 1 400 400 1 1300 1300 1 275 275 1 10.8 .36 30 36 .6 60 17.4 1.16 15 31.95 .71 45 32.4 1.08 30 400 400 1 5 .25 20 12.6 .63 20 8.9 .89 10 13.7 1.37 10 400 400 1 600 600 1 600 600 1 400 400 1 600 600 1 21.3 .71 30 32.4 1.08 30 36 .6 60 10.8 .36 30 24.8 .62 40 400 400 1 Total: 7204.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411867 Min 01411867 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2034 of 6486
Name
SHASHI KALA TIWARI Rate Amount Qty 13.7 1.37 10 8.9 .89 10 400 400 1 Total: 422.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411875 Min 01411875 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 06-FEB-19 URIC ACID (UA /URATES /UR) 3 06-FEB-19 CREATININE /CRT 4 06-FEB-19 UREA (BUN /UR) 5 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 19 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 19-FEB-19
Page 2035 of 6486
P K MUKHERJEE Rate Amount Qty 1300 1300 1 21.3 .71 30 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 37.8 .63 60 27.9 .93 30 12.6 .42 30 550 550 1 5.21 5.21 1 400 400 1 25.07 25.07 1 400 400 1 3.8 .38 10 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 Total: 4579.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411876 Min 01411876 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 06-FEB-19 URIC ACID (UA /URATES /UR) 3 06-FEB-19 CREATININE /CRT 4 06-FEB-19 UREA (BUN /UR) 5 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 06-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 13 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 17 06-FEB-19
Page 2036 of 6486
Name
BASANTI MUKHERJEE Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 27.9 .93 30 18.9 .63 30 14.85 .99 15 26.7 .89 30 22.5 .75 30 2.4 .16 15 5.55 .37 15 7.5 .25 30 21.3 .71 30 Total: 3772.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411879 Min 01411879 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 2037 of 6486
Name
T L SINGORE Rate Amount Qty 82.76 165.52 2 17.8 .89 20 62.8 3.14 20 40.12 20.06 2 247.6 6.19 40 23.7 .79 30 7.8 .26 30 34.8 1.16 30 66 1.1 60 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1319.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411893 Min 01411893 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2038 of 6486
Name
DEEPAK KHANNA Rate Amount Qty 55.8 .93 60 36 .6 60 17.4 .58 30 12 .4 30 21.3 .71 30 400 400 1 Total: 542.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411902 Min 01411902 Appmt Dt Slno Description 15-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2039 of 6486
Name
V S N MURTHY Qty Rate Amount 21 .25 5.25 21 6.19 129.99 21 .64 13.44 1 400 400 Total: 548.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411903 Min 01411903 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 2040 of 6486
Name
V RUKMINI DEVI Rate Amount Qty 17.6 17.6 1 13.35 .89 15 7.5 .25 30 185.7 6.19 30 7.4 .37 20 9.6 .64 15 400 400 1 36 .6 60 55.8 .93 60 400 400 1 Total: 1132.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411905 Min 01411905 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 22-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2041 of 6486
Name
SHOBHA SARAF Qty Rate Amount 30 .71 21.3 30 1.1 33 30 .27 8.1 1 400 400 Total: 462.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411910 Min 01411910 Slno Description Appmt Dt LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 7 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 18-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 13 18-FEB-19 X - RAY - SINGLE VIEW 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 18-FEB-19 C T ABDOMEN 16 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 17 21-FEB-19 URIC ACID (UA /URATES /UR) 18 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 21-FEB-19 CREATININE /CRT 23 21-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 24 21-FEB-19
Page 2042 of 6486
Name
TARA SHARMA Rate Amount Qty 17.37 17.37 1 400 400 1 15.6 1.04 15 9 .9 10 10.95 .73 15 8.9 .89 10 139.8 9.32 15 66.2 6.62 10 16.5 1.1 15 400 400 1 400 400 1 1.5 .25 6 157.8 15.78 10 550 550 1 400 400 1 9000 9000 1 550 550 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 15218.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411912 Min 01411912 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 2043 of 6486
Name
RAJSHWARI DEVI Rate Amount Qty 12.6 .42 30 26.7 .89 30 21.3 .71 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 47.4 1.58 30 400 400 1 Total: 625.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411924 Min 01411924 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 2044 of 6486
Name
G BALAKRISHNA PILLAI Rate Amount Qty 7.4 .37 20 35.2 17.6 2 400 400 1 167.4 5.58 30 12 .4 30 33 1.1 30 34.8 1.16 30 7.8 .26 30 26.7 .89 30 18 .6 30 400 400 1 26.7 .89 30 16.2 .18 90 54 .9 60 400 400 1 Total: 1639.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411925 Min 01411925 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 2045 of 6486
Name
K SARASWATHI AMMA Rate Amount Qty 27.9 .62 45 21.3 .71 30 13.95 .93 15 8.1 .27 30 400 400 1 Total: 471.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411928 Min 01411928 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 2046 of 6486
Name
K E CHERIAN Rate Amount Qty 8.1 .27 30 12 .4 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 400 400 1 Total: 476.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411929 Min 01411929 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 27-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 2047 of 6486
Name
SARAMMA CHERIAN Rate Amount Qty 2.5 .25 10 55.8 .93 60 26.7 .89 30 355.5 3.95 90 10.65 .71 15 29.7 .99 30 36 .6 60 400 400 1 Total: 916.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411932 Min 01411932 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 PRAZOSIN,2.5MG,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 2048 of 6486
Name
SOSAMMA ALOSHIUS Rate Amount Qty 26.7 .89 30 34.8 1.16 30 32.4 .36 90 55.8 .93 60 7.5 .25 30 156 1.3 120 72 .6 120 167.4 5.58 30 400 400 1 Total: 952.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411934 Min 01411934 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2049 of 6486
Name
SURENDRA KUMAR SRIVASTAVA Rate Amount Qty 7.5 .25 30 2.4 .16 15 32.4 1.08 30 21.3 .71 30 27.9 .93 30 10.8 .36 30 400 400 1 Total: 502.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411935 Min 01411935 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2050 of 6486
Name
LALITA SRIVASTAVA Rate Amount Qty 12 .4 30 7.5 .25 30 13.7 1.37 10 21.3 .71 30 27.9 .93 30 18.6 .62 30 400 400 1 6.4 .64 10 55.2 1.84 30 400 400 1 Total: 962.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411937 Min 01411937 Appmt Dt Slno Description 21-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 2 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2051 of 6486
Name
ANUSUYA MESHRAM Qty Rate Amount 40 6.19 247.6 20 1.37 27.4 20 .89 17.8 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411939 Min 01411939 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 2052 of 6486
Name
SANTHA NAIR Rate Amount Qty 27.9 .93 30 18.9 .63 30 72.6 1.21 60 21.3 .71 30 400 400 1 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411940 Min 01411940 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 2053 of 6486
Name
SANTOSH KATHURIA Rate Amount Qty 55.8 .93 60 123.53 123.53 1 76.5 2.55 30 36 .6 60 21.3 .71 30 7.5 .25 30 31.2 1.04 30 9.86 9.86 1 400 400 1 4.45 .89 5 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 Total: 1174.11
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411941 Min 01411941 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 2054 of 6486
V N KATHURIA Rate Amount Qty 60.9 2.03 30 12 .4 30 118.5 3.95 30 25.07 25.07 1 15.6 .26 60 167.4 5.58 30 21.6 .36 60 32.4 1.08 30 27.9 .93 30 36 .6 60 21.3 .71 30 400 400 1 Total: 938.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411950 Min 01411950 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 2055 of 6486
Name
S N SONI Rate Amount Qty 12.15 12.15 1 54 .9 60 400 400 1 21.3 .71 30 43.2 1.44 30 76.5 2.55 30 12 .4 30 43.2 1.44 30 11.85 .79 15 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1727.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411952 Min 01411952 Appmt Dt Slno Description 19-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 19-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2056 of 6486
Name
RAJESWARI Qty Rate Amount 30 .79 23.7 30 .71 21.3 30 .71 21.3 1 400 400 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411955 Min 01411955 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2057 of 6486
Name
C I THOMAS Rate Amount Qty 55.8 .93 60 167.4 5.58 30 10.65 .71 15 23.1 .77 30 3.75 .25 15 36 .6 60 21.6 .36 60 12 .4 30 400 400 1 Total: 730.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411956 Min 01411956 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 2058 of 6486
Name
MARIAMMA THOMAS Rate Amount Qty 10.65 .71 15 76.5 2.55 30 55.8 .93 60 14.85 .99 15 6.9 .23 30 400 400 1 16.2 .18 90 54 .9 60 400 400 1 Total: 1034.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411959 Min 01411959 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2059 of 6486
Name
G L AGRAWAL Rate Amount Qty 9.86 9.86 1 7.5 .25 30 27.9 .93 30 18 .6 30 9 .3 30 5.7 .38 15 400 400 1 Total: 477.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411962 Min 01411962 Appmt Dt Slno Description 12-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12-FEB-19 2 GLIPIZIDE,STRIP PKT,5MG,TABLET 12-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2060 of 6486
Name
ANNAMMA MATHEW Qty Rate Amount 30 .27 8.1 30 .4 12 15 .25 3.75 1 400 400 Total: 423.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411963 Min 01411963 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 2061 of 6486
Name
P S D PILLAI Rate Amount Qty 36 .6 60 2.5 .25 10 105.9 3.53 30 12 .4 30 17.4 1.16 15 21.3 .71 30 15.6 1.04 15 16.2 .27 60 55.8 .93 60 400 400 1 Total: 682.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411965 Min 01411965 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 05-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 5 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 10 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 2062 of 6486
Name
PADMA JOSHI Rate Amount Qty 5.74 .41 14 92.68 6.62 14 7.5 .25 30 15.3 .51 30 4.27 192.15 45 43.96 43.96 1 12.46 .89 14 13.95 .93 15 32.4 1.08 30 46.8 .78 60 19.8 .66 30 400 400 1 Total: 882.74
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411967 Min 01411967 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 07-FEB-19 BRIMONIDINE TARTRATE,0.15% 2 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2063 of 6486
RAMASHANKAR SINGH Rate Amount Qty 60.87 20.29 3 74.45 223.35 3 50.14 25.07 2 400 400 1 11.1 .37 30 25.62 12.81 2 400 400 1 Total: 1171.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411968 Min 01411968 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2064 of 6486
Name
SHANTI SINGH Rate Amount Qty 7.5 .25 30 105.9 3.53 30 55.8 .93 60 53.4 .89 60 34.8 1.16 30 6 .4 15 12.15 .27 45 400 400 1 Total: 675.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411972 Min 01411972 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 28-FEB-19 IVABRADINE,5MG,,TABLET 8 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 2065 of 6486
Name
BANDANA SEN Rate Amount Qty 15.3 .51 30 15.3 .34 45 16.2 1.08 15 13.95 .93 15 27.9 .93 30 43.2 1.44 30 42.6 .71 60 9.95 149.25 15 34.8 1.16 30 400 400 1 Total: 758.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411982 Min 01411982 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 2066 of 6486
Name
SAMUEL THOMAS Rate Amount Qty 2.5 .25 10 105.9 3.53 30 15.6 1.04 15 32.4 1.08 30 34.8 1.16 30 12 .4 30 30.6 .34 90 55.8 .93 60 400 400 1 Total: 689.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411983 Min 01411983 Appmt Dt Slno Description 13-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 13-FEB-19 2 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 13-FEB-19 3 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2067 of 6486
Name
THANKAMMA Qty 2 2 2 1
Rate Amount 20.29 40.58 25.69 51.38 156.51 313.02 400 400 Total: 804.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411984 Min 01411984 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 08-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 15-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 12 15-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 13 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 15-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 16 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 17 15-FEB-19 CREATININE /CRT 18 15-FEB-19 UREA (BUN /UR) 19 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 2068 of 6486
Name
P S SODHI Rate Amount Qty 185.7 6.19 30 13.7 1.37 10 150.9 5.03 30 156.6 1.74 90 400 400 1 55.8 .93 60 48 .4 120 69.6 1.16 60 64.8 1.08 60 400 400 1 55.2 1.84 30 41.06 41.06 1 26.96 3.37 8 7.4 .37 20 7.6 .38 20 41.06 41.06 1 19.72 9.86 2 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 313.2 1.74 180 400 400 1 Total: 3957.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411985 Min 01411985 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 6 15-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 15-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 15-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 15-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 13 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 2069 of 6486
Name
KAMALJIT SODHI Rate Amount Qty 54 .9 60 26.7 .89 30 12.15 12.15 1 156.6 1.74 90 400 400 1 25.69 25.69 1 11.25 .75 15 7.4 .37 20 12.81 12.81 1 45.44 45.44 1 31.61 31.61 1 400 400 1 313.2 1.74 180 108 .9 120 53.4 .89 60 400 400 1 Total: 2058.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411993 Min 01411993 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2070 of 6486
Name
REKHA KIROLIKAR Rate Amount Qty 7.5 .25 30 21.3 .71 30 26.7 .89 30 55.8 .93 60 400 400 1 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412001 Min 01412001 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 2071 of 6486
S K MUKHERJEE Rate Amount Qty 13.49 13.49 1 25.07 25.07 1 400 400 1 27.9 .93 30 400 400 1 50.14 25.07 2 400 400 1 Total: 1316.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412004 Min 01412004 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 2072 of 6486
Name
ROSE VARGHESE Rate Amount Qty 12 .4 30 39 1.3 30 18 .6 30 17.4 1.16 15 25.2 .42 60 55.8 .93 60 66 1.1 60 400 400 1 Total: 633.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412005 Min 01412005 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 21-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 2073 of 6486
Name
C E PHILIP Rate Amount Qty 7.5 .25 30 27 .9 30 88.2 1.47 60 55.8 .93 60 14.85 .99 15 400 400 1 Total: 593.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412012 Min 01412012 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 2074 of 6486
Name
D R MALHOTRA Rate Amount Qty 27.6 .92 30 32.4 1.08 30 12 .4 30 33 1.1 30 15.6 1.04 15 21.3 .71 30 43.96 43.96 1 36 .6 60 11.85 .79 15 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 894.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412017 Min 01412017 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2075 of 6486
Name
BHUDEB ROY Rate Amount Qty 11.4 .38 30 60.9 2.03 30 26.7 .89 30 34.8 1.16 30 12 .4 30 72.6 1.21 60 27.9 .93 30 400 400 1 Total: 646.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412018 Min 01412018 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 04-FEB-19 PRAZOSIN,2.5MG,TABLET 7 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 2076 of 6486
Name
CHHABI RAY Rate Amount Qty 32.4 1.08 30 7.5 .25 30 26.7 .89 30 11.4 .38 30 4.8 .16 30 34.8 1.16 30 39 1.3 30 72.6 1.21 60 27.9 .93 30 400 400 1 Total: 657.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412023 Min 01412023 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2077 of 6486
Name
C V CHACKO Rate Amount Qty 110.4 .92 120 12 .4 30 21.3 .71 30 47.4 .79 60 36 .6 60 400 400 1 5.34 .89 6 6.57 .73 9 3.84 .64 6 400 400 1 Total: 1042.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412024 Min 01412024 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2078 of 6486
Name
AMMUKUTTY CHACKO Rate Amount Qty 29.7 .99 30 21.3 .71 30 32.4 1.08 30 8.1 .27 30 30.6 .34 90 55.8 .93 60 12 .4 30 400 400 1 Total: 589.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412030 Min 01412030 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 4 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 2079 of 6486
Name
SUREKHA NIMBALKAR Rate Amount Qty 47.4 .79 60 55.8 .93 60 32.4 .36 90 12.3 .41 30 15.6 1.04 15 400 400 1 Total: 563.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412037 Min 01412037 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2080 of 6486
Name
T A MARY KUTTY Rate Amount Qty 4.45 .89 5 6.7 .67 10 7.4 .37 20 17.37 17.37 1 25.62 12.81 2 400 400 1 Total: 461.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412043 Min 01412043 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 21-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2081 of 6486
Name
ALEYAMMA EAPEN Rate Amount Qty 54 .9 60 26.7 .89 30 100.71 100.71 1 59.4 .66 90 104.4 1.74 60 400 400 1 8.1 .27 30 400 400 1 Total: 1153.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412045 Min 01412045 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2082 of 6486
Name
AVINASH KAUR Rate Amount Qty 55.8 .93 60 8.1 .27 30 29.7 .99 30 32.4 1.08 30 1.6 .16 10 400 400 1 Total: 527.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412058 Min 01412058 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 2083 of 6486
Name
B B DAS Rate Amount Qty 39 1.3 30 55.8 .93 60 14.85 .99 15 6.4 .64 10 18.9 .63 30 9 .6 15 34.8 1.16 30 400 400 1 Total: 578.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412061 Min 01412061 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2084 of 6486
Name
K S DESHMUKH Rate Amount Qty 7.5 .25 30 21.3 .71 30 167.4 5.58 30 36 .6 60 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 654.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412062 Min 01412062 Slno Description Appmt Dt DIAGNOSTIC UGI ENDOSCOPY 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 2085 of 6486
Name
REKHA DEVI DESHMUKH Rate Amount Qty 2110 2110 1 400 400 1 66 1.1 60 13.35 .89 15 15 .25 60 47.85 3.19 15 13.7 1.37 10 16.8 1.12 15 40.12 20.06 2 400 400 1 Total: 3122.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412064 Min 01412064 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 16-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 5 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 20-FEB-19 INDOOR DEPARTMENTAL CONSULTATION (PER DA 7 20-FEB-19 OBSERVATION IN CASUALTY 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 2086 of 6486
Name
SATYAVATI KAINTH Rate Amount Qty 2.67 .89 3 33.12 1.84 18 5.76 .64 9 400 400 1 6.67 6.67 1 43.96 43.96 1 600 600 1 420 420 1 400 400 1 Total: 1912.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412065 Min 01412065 Slno Description Appmt Dt DRESSING SIMPLE 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 2087 of 6486
Name
RAJ KARAN SINGH Rate Amount Qty 600 300 2 400 400 1 1.85 .37 5 35.2 17.6 2 11.1 .37 30 400 400 1 Total: 1448.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412066 Min 01412066 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 SOLIFENACIN,5MG,,TABLET 4 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 2088 of 6486
Name
SAVITRI SINGH Rate Amount Qty 13.35 .89 15 20.06 20.06 1 400 400 1 806.4 13.44 60 4.8 .16 30 400 400 1 Total: 1644.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412067 Min 01412067 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 13-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 2089 of 6486
Name
S C BANERJEE Rate Amount Qty 17.4 .58 30 6.15 .41 15 7.5 .25 30 17.37 17.37 1 72 .6 120 167.4 5.58 30 21.3 .71 30 43.2 .36 120 117 1.3 90 8.1 .27 30 400 400 1 Total: 877.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412068 Min 01412068 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 2090 of 6486
Name
JHARNA BANERJEE Rate Amount Qty 7.5 .25 30 27.9 .93 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412076 Min 01412076 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2091 of 6486
Name
SUMITA DUTTA Rate Amount Qty 55.8 .93 60 66 1.1 60 73.8 .82 90 9 .3 30 21.3 .71 30 311.4 5.19 60 400 400 1 Total: 937.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412077 Min 01412077 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2092 of 6486
Name
VALSAMMA VASUKUTTY Rate Amount Qty 167.4 5.58 30 13.35 .89 15 4.8 .16 30 7.5 .25 30 7.8 .26 30 21.3 .71 30 23.7 .79 30 32.4 1.08 30 400 400 1 Total: 678.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412078 Min 01412078 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 2093 of 6486
Name
RAMESH CHANDRA TRIPATHI Rate Amount Qty 16.2 .27 60 76.5 2.55 30 2.4 .16 15 21.3 .71 30 400 400 1 Total: 516.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412079 Min 01412079 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 18-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 13 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 18 18-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 19 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 20 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 23 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 24 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 25 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 18-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 27 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 28 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 30 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 22-FEB-19
Page 2094 of 6486
Name
SHEELA TRIPATHI Rate Amount Qty 167.4 5.58 30 12 .4 30 26.7 .89 30 7.8 .26 30 7.5 .25 30 21.3 .71 30 27.9 .93 30 12 .4 30 400 400 1 10.5 .7 15 400 400 1 39.72 6.62 6 22 4.4 5 3.7 .37 10 3.2 .64 5 16.2 1.08 15 17.4 1.16 15 3.9 .26 15 3.75 .25 15 6 .4 15 83.7 5.58 15 9 .6 15 13.95 .93 15 5.7 .38 15 26.48 6.62 4 400 400 1 13.2 4.4 3 132.4 6.62 20 35.6 .89 40 12.15 12.15 1 2.56 .64 4 400 400 1 Total: 2343.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412081 Min 01412081 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2095 of 6486
Name
SOSAMMA KOSHY Rate Amount Qty 15 .25 60 191.4 3.19 60 400 400 1 Total: 606.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412084 Min 01412084 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 2096 of 6486
Name
G P KHANDUJA Rate Amount Qty 23.7 .79 30 167.4 5.58 30 18 .6 30 21.3 .71 30 400 400 1 Total: 630.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412089 Min 01412089 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 HB,TLC,DLC 7 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 18-FEB-19 CREATININE /CRT 10 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 14 18-FEB-19 PLATELET COUNT 15 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 16 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 20 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 21-FEB-19
Page 2097 of 6486
Name
AWADH NARAYAN YADAV Rate Amount Qty 30.45 2.03 15 17.4 1.16 15 4.05 .27 15 52.95 3.53 15 38.25 2.55 15 400 400 1 300 300 1 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 330 330 1 330 330 1 105.9 3.53 30 8.1 .27 30 60.9 2.03 30 34.8 1.16 30 76.5 2.55 30 400 400 1 Total: 5264.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412093 Min 01412093 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2098 of 6486
Name
AMBIKA SINGH Rate Amount Qty 9 .3 30 32.4 1.08 30 13.95 .93 15 21.3 .71 30 72 .6 120 76.5 2.55 30 10.8 .36 30 78 1.3 60 60.9 2.03 30 192.3 6.41 30 27.9 .93 30 400 400 1 Total: 995.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412094 Min 01412094 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 13-FEB-19 CREATININE /CRT 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 13-FEB-19 PLATELET COUNT 9 13-FEB-19 HB,TLC,DLC 10 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 13 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 14 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 2099 of 6486
Name
SUDAMA DEVI SINGH Rate Amount Qty 54 .9 60 1300 1300 1 550 550 1 275 275 1 26.7 .89 30 34.8 .58 60 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 400 400 1 118.5 3.95 30 11.85 .79 15 32.4 1.08 30 21.3 .71 30 15.6 1.04 15 400 400 1 61.8 4.12 15 400 400 1 Total: 5281.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412095 Min 01412095 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 2100 of 6486
Name
K K DAS Rate Amount Qty 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 593.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412096 Min 01412096 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19
Page 2101 of 6486
Name
DEEPALI DAS Rate Amount Qty 6.4 .64 10 8.9 .89 10 58.38 2.78 21 6.19 129.99 21 400 400 1 8.1 .27 30 27.9 .93 30 167.4 5.58 30 72 .6 120 21.3 .71 30 21.6 .36 60 400 400 1 Total: 1321.97
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412097 Min 01412097 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 09-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 14 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 15 09-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 16 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21 15-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 22 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 15-FEB-19
Page 2102 of 6486
G ISHWARI Rate Amount Qty 10.95 .73 15 13.35 .89 15 6.15 .41 15 400 400 1 13.35 .89 15 20.84 5.21 4 7.5 .25 30 10.95 .73 15 6.15 .41 15 400 400 1 8.9 .89 10 3.2 .64 5 66.2 6.62 10 43.55 8.71 5 3.5 .7 5 20.06 20.06 1 400 400 1 1.85 .37 5 6.4 .64 10 3.5 .25 14 3.8 .38 10 15.73 15.73 1 400 400 1 Total: 1865.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412100 Min 01412100 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 5 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 2103 of 6486
Name
AKLIMUN NISHA Rate Amount Qty 18.9 .63 30 13.35 .89 15 7.65 .51 15 78 1.3 60 157.8 2.63 60 11.4 .38 30 12 .4 30 167.4 5.58 30 36 .6 60 72.6 1.21 60 55.8 .93 60 16.2 .27 60 34.8 1.16 30 400 400 1 Total: 1081.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412108 Min 01412108 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2104 of 6486
Name
K P BIKAI Rate Amount Qty 189 2.1 90 15 .25 60 400 400 1 Total: 604
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412114 Min 01412114 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 2105 of 6486
Name
K P GULHANE Rate Amount Qty 19.2 .64 30 185.7 6.19 30 22.8 .38 60 26.7 .89 30 400 400 1 Total: 654.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412133 Min 01412133 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 2106 of 6486
Name
SHANTI DEVI SHARMA Rate Amount Qty 20.06 20.06 1 55.8 .93 60 13.35 .89 15 29.7 .99 30 8.1 .27 30 38.25 2.55 15 55.2 .92 60 167.4 5.58 30 400 400 1 Total: 787.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412136 Min 01412136 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 7 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 2107 of 6486
Name
SHEO PRAKASH MISHRA Rate Amount Qty 26.7 .89 30 7.8 .26 30 59.4 .66 90 54 .9 60 104.4 1.74 60 400 400 1 43.2 1.44 30 15.3 .51 30 23.7 .79 30 400 400 1 15 .25 60 12.3 .41 30 400 400 1 7.5 .25 30 9.6 .64 15 185.7 6.19 30 400 400 1 Total: 2164.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412137 Min 01412137 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 01-FEB-19 UREA (BUN /UR) 11 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 12 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 20 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 27-FEB-19
Page 2108 of 6486
GAYATRI MISHRA Rate Amount Qty 12.3 .41 30 40.12 20.06 2 14.85 .99 15 7.5 .25 30 26.7 .89 30 11.4 .38 30 32.4 1.08 30 400 400 1 275 275 1 275 275 1 275 275 1 70.2 .78 90 55.8 .93 60 34.8 1.16 30 36 .6 60 50.14 25.07 2 400 400 1 6.4 .64 10 7.5 .25 30 185.7 6.19 30 400 400 1 Total: 2616.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412139 Min 01412139 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 2109 of 6486
Name
VIJAY LAXMI AGARWAL Rate Amount Qty 22.2 .37 60 14.85 .99 15 13.8 .23 60 27.9 .93 30 54 .6 90 10.8 .36 30 400 400 1 Total: 543.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412142 Min 01412142 Slno Description Appmt Dt SERUM PROTIEN ELECTROPHORESIS 1 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 14-FEB-19 CREATININE /CRT 4 14-FEB-19 UREA (BUN /UR) 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 16-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 12 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 18 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 16-FEB-19
Page 2110 of 6486
Name
P TULSIRAM Rate Amount Qty 900 900 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 70.2 .78 90 43.96 43.96 1 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 55.8 .93 60 9 .3 30 400 400 1 Total: 5183.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412143 Min 01412143 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 14-FEB-19 UREA (BUN /UR) 4 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 14-FEB-19 URIC ACID (UA /URATES /UR) 7 14-FEB-19 CREATININE /CRT 8 14-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 9 16-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 10 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 16-FEB-19
Page 2111 of 6486
Name
P LAXMI Rate Amount Qty 550 550 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 123.53 247.06 2 82.76 248.28 3 26.7 .89 30 34.8 1.16 30 7.65 .51 15 27.9 .93 30 167.4 5.58 30 18 .6 30 400 400 1 Total: 4802.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412144 Min 01412144 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2112 of 6486
Name
MADAN LAL SETHI Rate Amount Qty 13.95 .93 15 368.4 6.14 60 5.21 5.21 1 7.5 .25 30 400 400 1 Total: 795.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412145 Min 01412145 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 2113 of 6486
Name
SARLA SETHI Rate Amount Qty 313.2 1.74 180 32.4 .18 180 108 .9 120 53.4 .89 60 400 400 1 26.55 26.55 1 400 400 1 Total: 1333.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412146 Min 01412146 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2114 of 6486
Name
NARENDRA KUMAR DUBEY Rate Amount Qty 7.8 .26 30 32.4 1.08 30 8.1 .27 30 23.7 .79 30 21.3 .71 30 400 400 1 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412147 Min 01412147 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 06-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 20-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2115 of 6486
Name
RAJNI DUBEY Rate Amount Qty 1.48 .37 4 3.08 .77 4 1.52 .38 4 400 400 1 8.4 .42 20 150.9 5.03 30 400 400 1 Total: 965.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412148 Min 01412148 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 2116 of 6486
Name
NOHAR PRASAD Rate Amount Qty 44.16 1.84 24 6.16 .77 8 7.68 .64 12 400 400 1 15.6 .26 60 400 400 1 Total: 873.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412160 Min 01412160 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 2117 of 6486
Name
M K PHILIP Rate Amount Qty 18 .6 30 7.5 .25 30 26.7 .89 30 23.7 .79 30 21.6 .36 60 78 1.3 60 400 400 1 Total: 575.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412162 Min 01412162 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 15-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 2118 of 6486
Name
A K P PANICKER Rate Amount Qty 54 .9 60 59.4 .66 90 156.6 1.74 90 31.2 1.04 30 13.95 .93 15 60.9 2.03 30 21.3 .71 30 78 1.3 60 32.4 1.08 30 400 400 1 Total: 907.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412163 Min 01412163 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 15-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19 X - RAY - SINGLE VIEW 12 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19
Page 2119 of 6486
Name
CHANDRIKA Rate Amount Qty 3.75 .25 15 400 400 1 25.62 12.81 2 57.84 115.68 2 21.3 .71 30 33 1.1 30 26.7 .89 30 12 .4 30 10.65 .71 15 185.7 6.19 30 400 400 1 550 550 1 1750 1750 1 400 400 1 Total: 3934.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412164 Min 01412164 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 16-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 2120 of 6486
Name
RAMWATI GUPTA Rate Amount Qty 26.7 .89 30 21.3 .71 30 12 .4 30 20.84 5.21 4 31.61 31.61 1 6.4 .64 10 400 400 1 Total: 518.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412170 Min 01412170 Slno Description Appmt Dt DRY REAGENT BASED,GLUCOMETER TEST STRIPS 1 17-FEB-19 URINE ACETONE 2 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 17-FEB-19 OBSERVATION IN CASUALTY 4 17-FEB-19 ECG 5 17-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 17-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 17-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 22-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19 ECG 17 26-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 18 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 26-FEB-19 OBSERVATION IN CASUALTY 21 26-FEB-19
Page 2121 of 6486
Name
A SRAVANIAH Rate Amount Qty 9.62 9.62 1 165 165 1 .89 .89 1 420 420 1 450 450 1 1.9 .38 5 1.25 .25 5 400 400 1 40.12 20.06 2 123.53 247.06 2 34.8 1.16 30 167.4 5.58 30 36 .6 60 66 1.1 60 27.9 .93 30 400 400 1 450 450 1 9.62 9.62 1 .93 .93 1 .16 .16 1 420 420 1 Total: 3348.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412171 Min 01412171 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 2122 of 6486
Name
A MALLESWARI Rate Amount Qty 40.12 20.06 2 2.4 .16 15 14.85 .99 15 27.9 .93 30 33 1.1 30 34.8 1.16 30 400 400 1 Total: 553.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412179 Min 01412179 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2123 of 6486
Name
Y KUNJELY Rate Amount Qty 12 .4 30 21.3 .71 30 9 .6 15 3.9 .26 15 66 1.1 60 118.5 3.95 30 400 400 1 Total: 630.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412180 Min 01412180 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 2124 of 6486
Name
PURNIMA BANERJEE Rate Amount Qty 18.6 .62 30 7.5 .25 30 10.8 .36 30 167.4 5.58 30 12 .4 30 36 .6 60 117 1.3 90 27.9 .93 30 21.3 .71 30 400 400 1 Total: 818.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412196 Min 01412196 Appmt Dt Slno Description 13-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 25-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 25-FEB-19 4 SERUM TOTAL PSA (CHEMILUMINESCNCE)
Page 2125 of 6486
Name
G S THAKUR Qty 1 1 1 1
Rate Amount 6.82 6.82 400 400 400 400 1610 1610 Total: 2416.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412197 Min 01412197 Appmt Dt Slno Description 04-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 2 BUDESONIDE,200MCG,CAPSULE 04-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2126 of 6486
Name
T K VASUKUTTY Qty Rate Amount 15 .89 13.35 60 1.74 104.4 15 2.6 39 1 400 400 Total: 556.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412198 Min 01412198 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 2127 of 6486
Name
RAMANI VASUKUTTY Rate Amount Qty 17.8 .89 20 25.6 .64 40 400 400 1 Total: 443.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412205 Min 01412205 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 2128 of 6486
Name
SMRITI NAG Rate Amount Qty 72.6 1.21 60 55.8 .93 60 16.2 .27 60 2.4 .16 15 15.6 .26 60 12 .4 30 18.6 .62 30 400 400 1 Total: 593.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412212 Min 01412212 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 2129 of 6486
Name
K K SONDHI Rate Amount Qty 11.4 .38 30 371.4 6.19 60 12 .4 30 21.6 .36 60 21.3 .71 30 42.6 .71 60 76.5 2.55 30 400 400 1 Total: 956.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412213 Min 01412213 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2130 of 6486
Name
V SONDHI Rate Amount Qty 26 2.6 10 9.86 9.86 1 11.4 .38 30 33 1.1 30 27.9 .93 30 2.5 .25 10 400 400 1 Total: 510.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412221 Min 01412221 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 C T HEAD PLAIN 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19
Page 2131 of 6486
Name
RAJINDER KAUR CHAWLA Rate Amount Qty 32.4 1.08 30 27.9 .93 30 9 .3 30 550 550 1 275 275 1 2.4 .16 15 5250 5250 1 400 400 1 26.7 .89 30 21.3 .71 30 275 275 1 Total: 6869.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412225 Min 01412225 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 9 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 14-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 11 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 2132 of 6486
Name
SIYA DEVI SHRMA Rate Amount Qty 26.7 .89 30 12.81 12.81 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 21.3 .71 30 31.2 1.04 30 55.8 .93 60 30.6 .34 90 7.4 .37 20 37.04 37.04 1 8.1 .27 30 6.4 .64 10 7.5 .25 30 400 400 1 Total: 724.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412232 Min 01412232 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 21-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 4 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 2133 of 6486
Name
A L DUTTA Rate Amount Qty 55.5 1.85 30 15.6 1.04 15 192.3 6.41 30 28.08 3.51 8 39.6 2.64 15 400 400 1 Total: 731.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412233 Min 01412233 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 01-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 01-FEB-19 CREAM,ACICLOVIR,5%,5GM/TUBE 7 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 01-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 21-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19
Page 2134 of 6486
Name
ILA DUTTA Rate Amount Qty 12.46 .89 14 4.1 .41 10 41.06 41.06 1 17.37 17.37 1 7.5 .25 30 4.97 .71 7 35.63 35.63 1 8.96 .64 14 12.75 446.25 35 400 400 1 15.3 .51 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 3.75 .25 15 27.9 .93 30 15.6 .26 60 66 1.1 60 157.8 2.63 60 400 400 1 Total: 1743.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412241 Min 01412241 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 3 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 26-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 2135 of 6486
Name
RITA CHAKRAVORTY Rate Amount Qty 1750 1750 1 400 400 1 61.65 1.37 45 54 .9 60 15.3 .51 30 11.1 .37 30 400 400 1 Total: 2692.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412247 Min 01412247 Appmt Dt Slno Description 26-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 26-FEB-19 3 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2136 of 6486
Name
LAXMI TIWARI Qty Rate Amount 30 .71 21.3 15 .79 11.85 60 .37 22.2 1 400 400 Total: 455.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412253 Min 01412253 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 09-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 3 09-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 14-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 8 14-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 9 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 10 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2137 of 6486
Name
S K BEHERA Rate Amount Qty 7.5 .25 30 21.3 .71 30 82.76 165.52 2 43.96 43.96 1 6.4 .64 10 400 400 1 11.2 1.12 10 7 .7 10 21.8 2.18 10 93.3 9.33 10 21.3 .71 30 400 400 1 Total: 1199.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412254 Min 01412254 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2138 of 6486
Name
SANDHYA BEHERA Rate Amount Qty 35.2 3.52 10 69.6 1.16 60 27.9 .93 30 6.4 .64 10 400 400 1 Total: 539.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412264 Min 01412264 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 12-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 14-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 15 14-FEB-19 ECG 16 14-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 17 14-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 18 14-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 19 14-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 20 14-FEB-19 CONSULTATION IN HEALTH CENTRE 21 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 14-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 23 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 26 16-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 27 16-FEB-19 COMPLETE HAEMOGRAM 28 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 30 16-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 31 16-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 32 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 33 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 34 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 35 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 37 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 38 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 39 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 40 26-FEB-19
Page 2139 of 6486
Name
CHANDRADEO PRASAD Rate Amount Qty 13.35 .89 15 47.1 3.14 15 400 400 1 26.7 .89 30 37.04 37.04 1 19.72 9.86 2 5.55 .37 15 17.6 17.6 1 192.3 6.41 30 60.9 2.03 30 32.4 1.08 30 21.3 .71 30 400 400 1 7 .7 10 9.81 9.81 1 450 450 1 23.39 23.39 1 22.71 22.71 1 .7 .7 1 24.52 24.52 1 400 400 1 8.9 .89 10 34.84 8.71 4 3.75 .25 15 400 400 1 275 275 1 1300 1300 1 750 750 1 400 400 1 275 275 1 275 275 1 1300 1300 1 26.7 .89 30 16.2 .18 90 100.71 100.71 1 400 400 1 13.7 1.37 10 2.5 .25 10 4.2 .42 10 400 400 1 Total: 8198.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412265 Min 01412265 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 2140 of 6486
Name
KAUSILIYA DEVI Rate Amount Qty 1.85 .37 5 2.28 .38 6 54 .6 90 21.6 .36 60 7.5 .25 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 36.3 1.21 30 29.7 .99 30 400 400 1 7.5 .25 30 185.7 6.19 30 9.6 .64 15 400 400 1 Total: 1265.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412269 Min 01412269 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 27-FEB-19 PRAZOSIN,2.5MG,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 27-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 6 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 2141 of 6486
Name
JAYA GHOSAL Rate Amount Qty 33 1.1 30 12 .4 30 39 1.3 30 15 .25 60 20.84 5.21 4 34.5 1.15 30 12.8 .64 20 26.7 .89 30 55.8 .93 60 400 400 1 Total: 649.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412270 Min 01412270 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 2142 of 6486
Name
HARIHAR ACHARI Rate Amount Qty 11.4 .38 30 26.7 .89 30 32.4 1.08 30 7.5 .25 30 10.8 .36 30 18 .6 30 118.5 3.95 30 12 .4 30 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 674.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412278 Min 01412278 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 13 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19
Page 2143 of 6486
Name
P MALLIKARJUN RAO Rate Amount Qty 21.3 .71 30 12 .4 30 16.2 .27 60 66 1.1 60 55.8 .93 60 400 400 1 12 .4 30 7.5 .25 30 6.82 6.82 1 27.9 .93 30 17.4 1.16 15 36 .6 60 27.6 .92 30 167.4 5.58 30 400 400 1 Total: 1273.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412281 Min 01412281 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 PRAZOSIN,2.5MG,TABLET 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 2144 of 6486
Name
V M MAMMEN Rate Amount Qty 54 .6 90 26.7 .89 30 55.8 .93 60 7.5 .25 30 7.5 .25 30 39 1.3 30 32.4 1.08 30 30.6 .34 90 400 400 1 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412282 Min 01412282 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 08-FEB-19 PRAZOSIN,2.5MG,TABLET 9 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 11 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 2145 of 6486
Name
K P CHAKRABORTY Rate Amount Qty 15.3 .51 30 192.3 6.41 30 6.4 .64 10 25.69 25.69 1 60.9 2.03 30 18.9 .63 30 21.3 .71 30 211.8 3.53 60 78 1.3 60 55.8 .93 60 36.3 1.21 30 32.4 1.08 30 400 400 1 Total: 1155.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412287 Min 01412287 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 06-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 5 06-FEB-19 PRAZOSIN,2.5MG,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 2146 of 6486
Name
AMARJEET KAUR Rate Amount Qty 17.4 1.16 15 66 1.1 60 32.4 1.08 30 6.16 .77 8 13.84 1.73 8 78 1.3 60 55.8 .93 60 400 400 1 Total: 669.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412294 Min 01412294 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CREATININE /CRT 6 05-FEB-19 UREA (BUN /UR) 7 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 11 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 08-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 16 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19
Page 2147 of 6486
Name
P S RAMASWAMY Rate Amount Qty 27.9 .93 30 550 550 1 10.65 .71 15 26.7 .89 30 21.3 .71 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 26.96 3.37 8 7.4 .37 20 41.06 41.06 1 19.72 9.86 2 400 400 1 13.49 13.49 1 3.7 .37 10 400 400 1 Total: 3048.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412295 Min 01412295 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 LORNOXICAM 8 MG,STRIP PACK,,TABLET 05-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2148 of 6486
Name
K S THANGAM Qty Rate Amount 20 .89 17.8 20 1.37 27.4 40 6.19 247.6 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412304 Min 01412304 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 PRAZOSIN,2.5MG,TABLET 9 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19
Page 2149 of 6486
Name
K S SARASAMMA Rate Amount Qty 36 .6 60 10.8 .36 30 7.8 .26 30 14.85 .99 15 4.8 .16 30 34.8 1.16 30 76.5 2.55 30 55.8 .93 60 156 1.3 120 39 1.3 30 400 400 1 Total: 836.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412305 Min 01412305 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2150 of 6486
Name
R K PILLAI Rate Amount Qty 21.3 .71 30 32.4 1.08 30 54 .6 90 60.9 2.03 30 10.8 .36 30 2.4 .16 15 26.7 .89 30 400 400 1 Total: 608.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412308 Min 01412308 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 2151 of 6486
Name
S D DIWAN Rate Amount Qty 30.6 .34 90 21.3 .71 30 23.7 .79 30 12 .4 30 32.4 1.08 30 66 1.1 60 400 400 1 Total: 586
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412309 Min 01412309 Appmt Dt Slno Description 05-FEB-19 1 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2152 of 6486
Name
AHILYA DIWAN Qty Rate Amount 30 5.37 161.1 1 400 400 561.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412312 Min 01412312 Appmt Dt Slno Description 25-FEB-19 1 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2153 of 6486
Name
LALITA RAMACHANDRAN Qty Rate Amount 1 37.04 37.04 1 400 400 437.04 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412318 Min 01412318 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 2154 of 6486
Name
G SATYAVATI Rate Amount Qty 12 .4 30 21.3 .71 30 27.9 .93 30 66 1.1 60 400 400 1 Total: 527.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412319 Min 01412319 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2155 of 6486
Name
ABDUL LATIF Rate Amount Qty 27.9 .93 30 20.06 20.06 1 6.4 .64 10 32.4 1.08 30 12 .4 30 10.8 .36 30 34.8 1.16 30 400 400 1 Total: 544.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412321 Min 01412321 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 2156 of 6486
Name
K SADHAN Rate Amount Qty 78 1.3 60 36 .6 60 21.6 .36 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 564.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412322 Min 01412322 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 17-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 17-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 17-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 17-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 RIFAXIMIN 200 MG,,TABLET 8 17-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 17-FEB-19
Page 2157 of 6486
Name
R MANI Rate Amount Qty 8 .4 20 23.2 1.16 20 5.2 .26 20 44 1.1 40 37.2 .93 40 17.42 8.71 2 8.9 .89 10 9.33 139.95 15 35.2 3.52 10 400 400 1 Total: 719.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412330 Min 01412330 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 URINE ROUTINE AND MICROSCOPIC 5 04-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 6 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 04-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 12 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 04-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 15 04-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 16 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 18 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 04-FEB-19 CREATININE /CRT 20 04-FEB-19 UREA (BUN /UR) 21 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 22 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 13-FEB-19 X - RAY - TWO VIEWS 24 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 13-FEB-19
Page 2158 of 6486
Name
T C ABRAHAM Rate Amount Qty 4.5 .3 15 1750 1750 1 43.2 1.44 30 400 400 1 380 380 1 550 550 1 550 550 1 31.2 1.04 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 79.2 2.64 30 37.8 .63 60 12.3 .41 30 311.4 5.19 60 256.2 4.27 60 43.96 43.96 1 25.2 .42 60 66 1.1 60 275 275 1 275 275 1 1750 1750 1 400 400 1 860 860 1 400 400 1 Total: 8580.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412331 Min 01412331 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 04-FEB-19 UREA (BUN /UR) 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 URIC ACID (UA /URATES /UR) 13 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 18 04-FEB-19 X - RAY - SINGLE VIEW 19 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 20-FEB-19
Page 2159 of 6486
Name
ANCHILA ABRAHAM Rate Amount Qty 18 .6 30 13.95 .93 15 211.8 3.53 60 7.5 .25 30 12.3 .41 30 2.4 .16 15 20.84 5.21 4 25.2 .42 60 46.2 .77 60 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 275 275 1 9 .3 30 550 550 1 400 400 1 Total: 4942.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412335 Min 01412335 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 2160 of 6486
Name
RAM NIHOR Rate Amount Qty 17.4 1.16 15 55.8 .93 60 66 1.1 60 8.1 .27 30 4.8 .16 30 26.7 .89 30 4.1 .41 10 400 400 1 94.8 1.58 60 400 400 1 5.76 .64 9 33.12 1.84 18 400 400 1 6.4 .64 10 6.23 .89 7 400 400 1 Total: 1929.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412336 Min 01412336 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 14-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 2161 of 6486
Name
SHIVWATI Rate Amount Qty 8.1 .27 30 55.8 .93 60 54 .6 90 12 .4 30 17.4 1.16 15 32.4 .36 90 4.95 .99 5 400 400 1 78 1.3 60 41.1 1.37 30 400 400 1 Total: 1103.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412338 Min 01412338 Appmt Dt Slno Description 01-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2162 of 6486
Name
OMVATI MISHRA Qty Rate Amount 30 .71 21.3 30 .93 27.9 30 .23 6.9 1 400 400 Total: 456.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412343 Min 01412343 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2163 of 6486
Name
DEEPA SEN Rate Amount Qty 5.4 .18 30 1.6 .16 10 6.9 .23 30 7.92 .99 8 55.8 .93 60 400 400 1 Total: 477.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412345 Min 01412345 Appmt Dt Slno Description 07-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 07-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 07-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2164 of 6486
Name
K P G PANICKER Qty Rate Amount 30 .3 9 30 .6 18 15 .25 3.75 1 400 400 Total: 430.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412346 Min 01412346 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 SOLIFENACIN,5MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 2165 of 6486
Name
P S PARVATI AMMA Rate Amount Qty 27 .9 30 400 400 1 27.9 .93 30 34.8 1.16 30 26.7 .89 30 2.4 .16 15 7.5 .25 30 36 .6 60 806.4 13.44 60 400 400 1 Total: 1768.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412349 Min 01412349 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 01-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 01-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 11 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 28-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 14 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 15 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 16 28-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 2166 of 6486
Name
RAMESHWAR PRASAD MISHRA Rate Amount Qty 15.3 .51 30 256.2 4.27 60 26.7 .89 30 21.3 .71 30 2.4 .16 15 184.2 6.14 30 400 400 1 17.6 4.4 4 3.56 .89 4 400 400 1 98.21 4.27 23 26.7 .89 30 21.3 .71 30 15.3 .51 30 123.53 123.53 1 2.4 .16 15 184.2 6.14 30 400 400 1 Total: 2198.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412350 Min 01412350 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 09-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 2167 of 6486
Name
PRABHA MISHRA Rate Amount Qty 38.4 .64 60 26.7 .89 30 371.4 6.19 60 26.7 .89 30 12.6 .42 30 156.6 1.74 90 39.6 .66 60 400 400 1 Total: 1072
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412352 Min 01412352 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 9 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 2168 of 6486
Name
SOSAMMA JOHN Rate Amount Qty 9 .3 30 167.4 5.58 30 117 1.3 90 55.8 .93 60 15.6 .26 60 32.4 1.08 30 21.3 .71 30 156.6 1.74 90 100.71 100.71 1 185.7 6.19 30 400 400 1 Total: 1261.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412353 Min 01412353 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 11 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 2169 of 6486
Name
MARIAMMA THOMAS Rate Amount Qty 5.75 .25 23 1.75 .25 7 34.8 1.16 30 27.9 .93 30 18 .6 30 400 400 1 31.61 31.61 1 11.1 .37 30 25.62 12.81 2 4.45 .89 5 4.1 .41 10 36.8 1.84 20 400 400 1 Total: 1001.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412355 Min 01412355 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 2170 of 6486
Name
M K PITAMBARAN Rate Amount Qty 17.8 .89 20 1.85 .37 5 20.06 20.06 1 66.2 6.62 10 400 400 1 Total: 505.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412357 Min 01412357 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 2171 of 6486
Name
GRACY JOHN Rate Amount Qty 21.3 .71 30 21.3 .71 30 55.2 .92 60 55.8 .93 60 39 1.3 30 36 .6 60 20.06 20.06 1 400 400 1 39.06 .93 42 14.91 .71 21 26.88 .64 42 24.36 1.16 21 54.6 1.3 42 25.2 .6 42 38.64 .92 42 35.2 3.52 10 400 400 1 Total: 1307.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412360 Min 01412360 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 11-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 6 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 11-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 9 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 11-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 2172 of 6486
Name
SHAIL KUMARI ARNOLD Rate Amount Qty 83.4 2.78 30 8.1 .27 30 4.8 .16 30 38.76 3.23 12 21.3 .71 30 51.38 25.69 2 11.4 .38 30 7.5 .25 30 40.58 20.29 2 12 .4 30 156.51 313.02 2 400 400 1 Total: 992.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412361 Min 01412361 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 08-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 15 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 16 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 08-FEB-19
Page 2173 of 6486
Name
R RAMAKRISHNA RAO Rate Amount Qty 72.6 1.21 60 55.8 .93 60 14.85 .99 15 12 .4 30 17.4 1.16 15 9.9 .66 15 87.92 43.96 2 22.2 .37 60 400 400 1 21.3 .71 30 9.9 .66 15 87.92 43.96 2 29.7 .99 30 55.8 .93 60 72.6 1.21 60 22.2 .37 60 12 .4 30 400 400 1 Total: 1404.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412362 Min 01412362 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19
Page 2174 of 6486
Name
R SOWBHAGYAM Rate Amount Qty 8.1 .27 30 66 1.1 60 14.85 .99 15 36 .6 60 7.5 .25 30 55.8 .93 60 400 400 1 2.4 .16 15 7.5 .25 30 27 .9 30 36 .6 60 14.85 .99 15 66 1.1 60 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1205.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412366 Min 01412366 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2175 of 6486
Name
V V POHEKAR Rate Amount Qty 21.3 .71 30 26.7 .89 30 6.9 .23 30 20.06 20.06 1 32.4 1.08 30 400 400 1 Total: 507.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412369 Min 01412369 Appmt Dt Slno Description 20-FEB-19 1 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 20-FEB-19 2 CEFEXIME,STRIP PKT,200MG,TABLET 20-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2176 of 6486
Name
MEENA SAHARIYA Qty Rate Amount 15 .73 10.95 10 6.62 66.2 10 .89 8.9 1 400 400 Total: 486.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412374 Min 01412374 Appmt Dt Slno Description 21-FEB-19 1 OINTMENT,LIDOCAINE,3%,15GM 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2177 of 6486
Name
P K PURUSHOTHAMAN Qty Rate Amount 2 82.76 165.52 1 400 400 565.52 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412375 Min 01412375 Appmt Dt Slno Description 21-FEB-19 1 INHALANT,STRIP PACK,CAPSULE 21-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2178 of 6486
Name
V K NALINAKSHY Qty Rate Amount 30 1.7 51 6 .37 2.22 10 3.52 35.2 1 400 400 Total: 488.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412377 Min 01412377 Slno Description Appmt Dt ECG 1 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 2 17-FEB-19 SYRINGE,DISPOSABLE,2ML 3 17-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 17-FEB-19 ONDANSETRON,2MG/ML,INJECTION 5 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 17-FEB-19 OBSERVATION IN CASUALTY 7 17-FEB-19
Page 2179 of 6486
Name
SMRITI SEENGAI Qty 1 1 2 1 1 1 1
Rate Amount 450 450 9.62 9.62 3.68 1.84 100 100 7.52 7.52 24.52 24.52 420 420 Total: 1015.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412379 Min 01412379 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 2180 of 6486
Name
DOTTY MANUEL Rate Amount Qty 55.8 .93 60 16.2 .27 60 18.6 .62 30 167.4 5.58 30 34.8 1.16 30 12 .4 30 54 .6 90 400 400 1 Total: 758.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412382 Min 01412382 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 08-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 2181 of 6486
M P SANGWANI Rate Amount Qty 25.07 25.07 1 41.06 41.06 1 371.4 6.19 60 26.7 .89 30 4.8 .16 30 21.3 .71 30 66 1.1 60 13.8 .23 60 55.8 .93 60 32.4 1.08 30 30.6 .34 90 400 400 1 Total: 1088.93
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412383 Min 01412383 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 08-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 7 08-FEB-19 SOLIFENACIN,5MG,,TABLET 8 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 2182 of 6486
SMITA SANGWAI Rate Amount Qty 16.2 .18 90 60.9 2.03 30 25.07 25.07 1 371.4 6.19 60 18 .6 30 26.7 .89 30 211.8 7.06 30 403.2 13.44 30 8.1 .27 30 7.5 .25 30 54 .9 60 94.2 3.14 30 400 400 1 Total: 1697.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412385 Min 01412385 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 07-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 8 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 07-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 2183 of 6486
Name
R S NAIR Rate Amount Qty 15.3 .51 30 16.5 1.1 15 32.4 1.08 30 20.84 5.21 4 27.9 .93 30 192.3 6.41 30 123.53 123.53 1 4.27 192.15 45 15.6 1.04 15 11.85 .79 15 21.3 .71 30 82.76 82.76 1 400 400 1 Total: 1152.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412391 Min 01412391 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2184 of 6486
Name
KUMUDAMMA J Rate Amount Qty 6.3 .42 15 13.35 .89 15 66 1.1 60 8.1 .27 30 34.8 1.16 30 400 400 1 Total: 528.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412397 Min 01412397 Appmt Dt Slno Description 23-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 23-FEB-19 3 TENELIGLIPTIN,20MG,,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2185 of 6486
Name
R M RAWALA Qty Rate Amount 30 .71 21.3 90 .36 32.4 30 5.58 167.4 1 400 400 Total: 621.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412398 Min 01412398 Appmt Dt Slno Description 23-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 23-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 23-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2186 of 6486
Name
ANURADHA RAWALA Qty Rate Amount 15 .16 2.4 60 1.1 66 60 .79 47.4 1 400 400 Total: 515.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412404 Min 01412404 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 07-FEB-19 ABC TEST HIV 4 07-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 2187 of 6486
Name
ANNAPURNA MAZUMDAR Rate Amount Qty 400 400 1 275 275 1 275 275 1 1250 1250 1 1000 1000 1 34.8 1.16 30 12 .4 30 16.5 1.1 15 55.8 .93 60 400 400 1 Total: 3719.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412405 Min 01412405 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2188 of 6486
Name
RAMA SEN Rate Amount Qty 7.5 .25 30 21.3 .71 30 8.1 .27 30 76.5 2.55 30 20.06 20.06 1 400 400 1 Total: 533.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412408 Min 01412408 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 05-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 05-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 15 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 05-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 17 05-FEB-19 URINE ROUTINE AND MICROSCOPIC 18 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 05-FEB-19
Page 2189 of 6486
Name
CHAYA RANI DAS SHARMA Rate Amount Qty 66 1.1 60 21.3 .71 30 18.9 .63 30 7.5 .25 30 26.7 .89 30 2.4 .16 15 8.58 180.18 21 55.8 .93 60 66 1.1 60 21.3 .71 30 18.9 .63 30 7.5 .25 30 26.7 .89 30 2.4 .16 15 8.58 180.18 21 400 400 1 650 650 1 15580 380 41 55.8 .93 60 Total: 17387.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412412 Min 01412412 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 11-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 IVABRADINE,5MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 2190 of 6486
Name
LEELA RAO Rate Amount Qty 21.3 .71 30 43.2 1.44 30 31.2 1.04 30 12 .4 30 30.6 .34 90 4.8 .16 30 53.4 .89 60 597 9.95 60 400 400 1 Total: 1193.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412421 Min 01412421 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 2191 of 6486
Name
R C KHOSLA Rate Amount Qty 26.7 .89 30 59.4 .66 90 54 .9 60 156.6 1.74 90 400 400 1 Total: 696.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412435 Min 01412435 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 09-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 09-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 4 09-FEB-19 UREA (BUN /UR) 5 09-FEB-19 CREATININE /CRT 6 09-FEB-19 C T ABDOMEN AND PELVIS 7 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 16 18-FEB-19 COMPLETE HAEMOGRAM 17 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 18 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 20-FEB-19 SICKLING TEST 20 20-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 21 20-FEB-19 CREATININE /CRT 22 20-FEB-19 SERUM AMYLASE (AMYL) 23 20-FEB-19 COMPLETE HAEMOGRAM 24 20-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 25 20-FEB-19 ABC TEST HIV 26 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 20-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 28 20-FEB-19 X - RAY - SINGLE VIEW 29 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 30 20-FEB-19 UREA (BUN /UR) 31 20-FEB-19 PROTHROMBIN TIME (PT) 32 20-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 33 20-FEB-19
Page 2192 of 6486
Name
VIMLA AGARWAL Rate Amount Qty 63.22 31.61 2 38.43 12.81 3 11.25 .75 15 85.52 85.52 1 275 275 1 275 275 1 12000 12000 1 400 400 1 11.1 .37 30 7.5 .25 30 7.5 .25 30 36 .6 60 400 400 1 275 275 1 275 275 1 1300 1300 1 750 750 1 9 .3 30 550 550 1 165 165 1 275 275 1 275 275 1 550 550 1 750 750 1 1000 1000 1 1250 1250 1 400 400 1 7.8 .26 30 550 550 1 275 275 1 275 275 1 330 330 1 330 330 1 Total: 23202.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412438 Min 01412438 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 X - RAY - TWO VIEWS 5 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 07-FEB-19
Page 2193 of 6486
Name
MAYA RAM SAHU Rate Amount Qty 8.4 .42 20 7.5 .25 30 13.7 1.37 10 185.7 6.19 30 860 860 1 400 400 1 Total: 1475.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412439 Min 01412439 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2194 of 6486
Name
HEERA DEVI Rate Amount Qty 20.55 1.37 15 400 400 1 7.68 .64 12 44.16 1.84 24 4.8 .6 8 400 400 1 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 1333.83
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412440 Min 01412440 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 23-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 23-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19
Page 2195 of 6486
MADHU RAJ ALLEPPA Rate Amount Qty 27.6 .92 30 54 .6 90 8.1 .27 30 26.7 .89 30 7.5 .25 30 167.4 5.58 30 423.6 7.06 60 3.7 .37 10 31.46 15.73 2 400 400 1 156.51 156.51 1 148.9 74.45 2 94.42 188.84 2 400 400 1 Total: 2044.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412441 Min 01412441 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 2196 of 6486
Name
RUBY ALLEPPA Rate Amount Qty 167.4 5.58 30 11.4 .38 30 55.8 .93 60 72 .6 120 27.9 .62 45 21.3 .71 30 21.3 .71 30 400 400 1 Total: 777.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412442 Min 01412442 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 02-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 2197 of 6486
RADHESHYAM PATEL Rate Amount Qty 25.07 25.07 1 85.52 85.52 1 11.1 .37 30 25.62 12.81 2 400 400 1 Total: 547.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412443 Min 01412443 Name Appmt Dt Slno Description 02-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2198 of 6486
SOHGIL BAI Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412455 Min 01412455 Appmt Dt Slno Description 05-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 05-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2199 of 6486
Name
MALLIKA BRAHMA Qty Rate Amount 20 1.37 27.4 40 6.19 247.6 20 .89 17.8 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412460 Min 01412460 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 8 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 2200 of 6486
Name
PRAKASH CHAND BINAYAKE Rate Amount Qty 21.3 .71 30 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 22.2 .37 60 400 400 1 26.7 .89 30 59.4 .66 90 104.4 1.74 60 7.5 .25 30 3.84 .16 24 .96 .16 6 400 400 1 Total: 1327.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412461 Min 01412461 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2201 of 6486
Name
KIRAN JAIN Rate Amount Qty 29.7 .99 30 55.8 .93 60 66 1.1 60 26.98 .71 38 26.7 .89 30 21.3 .71 30 400 400 1 Total: 626.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412462 Min 01412462 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 21-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 2202 of 6486
Name
RANJIT SINGH Qty 2 1 1
Rate Amount 123.53 247.06 123.53 123.53 400 400 Total: 770.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412463 Min 01412463 Appmt Dt Slno Description 21-FEB-19 1 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2203 of 6486
Name
SURENDER KAUR Qty 3 1
Rate Amount 123.53 370.59 400 400 770.59 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412468 Min 01412468 Appmt Dt Slno Description 16-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 2 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2204 of 6486
Name
RAM DAS PATIL Qty Rate Amount 20 .89 17.8 30 1.3 39 30 .25 7.5 1 400 400 Total: 464.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412469 Min 01412469 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 2205 of 6486
Name
NANDA PATIL Rate Amount Qty 26.7 .89 30 167.4 5.58 30 7.5 .25 30 27.6 .92 30 55.8 .93 60 18.6 .62 30 400 400 1 Total: 703.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412471 Min 01412471 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 28-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 2206 of 6486
Name
INDIRA CHANDRAWANSHI Rate Amount Qty 21.3 .71 30 94.8 1.58 60 400 400 1 Total: 516.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412475 Min 01412475 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2207 of 6486
Name
SANDHYA MALHOTRA Rate Amount Qty 55.8 .93 60 7.5 .25 30 66 1.1 60 8.1 .27 30 185.7 6.19 30 400 400 1 Total: 723.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412480 Min 01412480 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 25-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 2208 of 6486
Name
SHANTI DEVI TANDA Rate Amount Qty 18.6 .62 30 27.9 .93 30 100.71 100.71 1 26.7 .89 30 400 400 1 8.71 8.71 1 4.62 .77 6 10.08 1.12 9 21.12 3.52 6 6.82 6.82 1 1.92 .64 3 400 400 1 Total: 1027.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412481 Min 01412481 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 02-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 02-FEB-19 PRAZOSIN,2.5MG,TABLET 7 02-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 12 04-FEB-19 PRAZOSIN,2.5MG,TABLET 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19
Page 2209 of 6486
Name
RAM MURTY TANDA Rate Amount Qty 32.4 1.08 30 22.2 .37 60 60.9 2.03 30 15.6 .26 60 11.4 .38 30 211.8 3.53 60 117 1.3 90 15.6 1.04 15 46.2 .77 60 9.28 1.16 8 400 400 1 27.9 .93 30 117 1.3 90 400 400 1 Total: 1487.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412484 Min 01412484 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2210 of 6486
Name
S K SAPRE Rate Amount Qty 27.9 .93 30 66 1.1 60 21.3 .71 30 7.5 .25 30 26.7 .89 30 8.1 .27 30 400 400 1 Total: 557.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412488 Min 01412488 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2211 of 6486
Name
GEETA UPADHYAY Rate Amount Qty 21.3 .71 30 18 .6 30 14.85 .99 15 3.75 .25 15 400 400 1 Total: 457.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412489 Min 01412489 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2212 of 6486
Name
N P UPADHYAY Rate Amount Qty 60.9 2.03 30 7.5 .25 30 36 .6 60 32.4 1.08 30 41.85 .93 45 21.3 .71 30 32.4 .36 90 400 400 1 Total: 632.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412506 Min 01412506 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 13-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 2213 of 6486
Name
AHILYA BELCHANDAN Rate Amount Qty 26.55 26.55 1 12.6 .42 30 400 400 1 36 .6 60 7.5 .25 30 21.3 .71 30 10.8 .36 30 400 400 1 6.4 .64 10 3.7 .37 10 66.2 6.62 10 8.9 .89 10 400 400 1 Total: 1399.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412507 Min 01412507 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 19-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2214 of 6486
L K BELCHANDAN Rate Amount Qty 23.7 .79 30 26.7 .89 30 21.3 .71 30 7.5 .25 30 400 400 1 7.5 .25 30 6.4 .64 10 48.22 48.22 1 400 400 1 Total: 941.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412510 Min 01412510 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 2215 of 6486
Name
ASHOK KUMAR Rate Amount Qty 34.8 1.16 30 2.4 .16 15 12 .4 30 33 1.1 30 8.1 .27 30 400 400 1 26.7 .89 30 123.53 370.59 3 400 400 1 Total: 1287.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412514 Min 01412514 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 2216 of 6486
Name
D SUNDERMURTY Rate Amount Qty 167.4 5.58 30 7.5 .25 30 21.3 .71 30 7.5 .25 30 21.3 .71 30 2.4 .16 15 27.6 .92 30 8.1 .27 30 47.4 .79 60 29.7 .99 30 400 400 1 Total: 740.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412519 Min 01412519 Appmt Dt Slno Description 16-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 16-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2217 of 6486
Name
TRILOKI NATH TIWARI Qty Rate Amount 30 .71 21.3 30 .62 18.6 30 .4 12 1 400 400 Total: 451.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412520 Min 01412520 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 2218 of 6486
Name
SHANTI DEVI TIWARI Rate Amount Qty 11.4 .38 30 18.9 .63 30 34.8 1.16 30 12 .4 30 334.8 5.58 60 36 .6 60 117 1.3 90 55.8 .93 60 400 400 1 Total: 1020.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412525 Min 01412525 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2219 of 6486
Name
ANTARA DUTTA Rate Amount Qty 34.8 1.16 30 13.35 .89 15 55.8 .93 60 8.1 .27 30 7.5 .25 30 18 .6 30 9 .3 30 400 400 1 Total: 546.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412526 Min 01412526 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2220 of 6486
Name
DR.AMITABH DUTTA Rate Amount Qty 27.9 .93 30 18 .6 30 60.9 2.03 30 4.8 .16 30 21.3 .71 30 7.7 .77 10 400 400 1 Total: 540.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412539 Min 01412539 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 2 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 01-FEB-19 COMPLETE HAEMOGRAM 4 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 01-FEB-19 CREATININE /CRT 7 01-FEB-19 UREA (BUN /UR) 8 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 10 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 11 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 14 12-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 15 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 18 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 22-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 20 22-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 21 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 26-FEB-19
Page 2221 of 6486
Name
SALOMI GEORGE Qty 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 400 400 275 275 4790 4790 750 750 550 550 275 275 275 275 275 275 400 400 4790 4790 4790 4790 400 400 400 400 4790 4790 4790 4790 400 400 400 400 4790 4790 400 400 4790 4790 4790 4790 400 400 Total: 43920
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412542 Min 01412542 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 2222 of 6486
Name
P.S. MOHAN RAO Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 17 1.7 10 400 400 1 27.9 .93 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 1300.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412543 Min 01412543 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 2223 of 6486
Name
RAVEL Rate Amount Qty 55.8 .93 60 21.3 .71 30 16.5 1.1 15 9.9 .66 15 18.6 .62 30 400 400 1 4.45 .89 5 400 400 1 Total: 926.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412550 Min 01412550 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 2224 of 6486
Name
GUPTA PK Rate Amount Qty 18.9 .63 30 60.9 2.03 30 8.1 .27 30 27.9 .93 30 6.4 .64 10 13.35 .89 15 21.3 .71 30 192.3 6.41 30 400 400 1 Total: 749.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412551 Min 01412551 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2225 of 6486
Name
SMT CHANDANA GUPTA Rate Amount Qty 20.06 20.06 1 41.85 .93 45 33 1.1 30 19.8 .66 30 26.7 .89 30 400 400 1 Total: 541.41
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412552 Min 01412552 Slno Description Appmt Dt GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 1 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 X - RAY - TWO VIEWS 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 2226 of 6486
JD DAMMANI Rate Amount Qty 19.77 19.77 1 25.07 25.07 1 12.8 .64 20 400 400 1 400 400 1 1720 860 2 9.6 .64 15 21.3 .71 30 21.6 .36 60 27.9 .93 30 400 400 1 Total: 3058.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412553 Min 01412553 Appmt Dt Slno Description 18-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2227 of 6486
Name
VEENA DAMMANI Qty 2 1
Rate Amount 25.69 51.38 400 400 451.38 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412558 Min 01412558 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 SOLIFENACIN,5MG,,TABLET 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 BUDESONIDE,200MCG,CAPSULE 12 08-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 13 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 15 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 26-FEB-19 UREA (BUN /UR) 18 26-FEB-19 CREATININE /CRT 19 26-FEB-19 URIC ACID (UA /URATES /UR) 20 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 21 26-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 22 26-FEB-19 URINE ROUTINE AND MICROSCOPIC 23 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 24 26-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 25 26-FEB-19
Page 2228 of 6486
Name
R KRISHNA RAO Rate Amount Qty 66 1.1 60 9 .3 30 36 .6 60 43.2 1.44 30 12 .4 30 403.2 13.44 30 26.7 .89 30 34.8 1.16 30 60.9 2.03 30 15.6 .26 60 400 400 1 52.2 1.74 30 69.05 69.05 1 400 400 1 245.6 6.14 40 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1750 1750 1 650 650 1 380 380 1 1300 1300 1 275 275 1 Total: 7729.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412559 Min 01412559 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2229 of 6486
Name
B D VISHWAKARMA Rate Amount Qty 17.4 1.16 15 27.9 .93 30 32.4 1.08 30 33 1.1 30 3.75 .25 15 400 400 1 Total: 514.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412565 Min 01412565 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2230 of 6486
Name
SAMPAT THAKRE Rate Amount Qty 21.6 .36 60 27.9 .93 30 26.7 .89 30 60.9 2.03 30 34.8 1.16 30 12 .4 30 78 1.3 60 54 .6 90 400 400 1 Total: 715.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412566 Min 01412566 Appmt Dt Slno Description 20-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2231 of 6486
Name
TRIVENI THAKRE Qty Rate Amount 30 .27 8.1 30 .6 18 30 .93 27.9 1 400 400 Total: 454
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412567 Min 01412567 Appmt Dt Slno Description 06-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 06-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 06-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2232 of 6486
Name
JAGDEO PRASAD SAHU Qty Rate Amount 6 .89 5.34 10 .64 6.4 6 2.6 15.6 1 400 400 Total: 427.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412568 Min 01412568 Appmt Dt Slno Description 15-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2233 of 6486
SHYAM BAI SAHU Qty Rate Amount 1 25.07 25.07 30 2.03 60.9 30 .89 26.7 1 400 400 Total: 512.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412571 Min 01412571 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2234 of 6486
Name
SEELA DUTTA Rate Amount Qty 12 .4 30 55.8 .93 60 43.96 43.96 1 7.5 .25 30 7.65 .51 15 21.3 .71 30 400 400 1 Total: 548.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412577 Min 01412577 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 2235 of 6486
Name
SAJAN BAI Rate Amount Qty 14.6 .73 20 7.5 .25 30 17.75 .71 25 21.6 .36 60 72.6 1.21 60 36 .6 60 78 1.3 60 34.8 1.16 30 400 400 1 Total: 682.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412578 Min 01412578 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2236 of 6486
Name
SHIV NATH SHRIVAS Rate Amount Qty 10.8 .36 30 36 .6 60 3.84 .64 6 7.5 .25 30 8.1 .27 30 400 400 1 Total: 466.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412580 Min 01412580 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 22-FEB-19 COMPLETE HAEMOGRAM 13 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 22-FEB-19 UREA (BUN /UR) 16 22-FEB-19 CREATININE /CRT 17 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 18 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 22-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 21 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 24 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 25-FEB-19
Page 2237 of 6486
Name
BP KANOJE Rate Amount Qty 12 .4 30 66 1.1 60 55.8 .93 60 19.8 .66 30 18 .6 30 167.4 5.58 30 10.65 .71 15 400 400 1 13.7 1.37 10 8.9 .89 10 550 550 1 1300 1300 1 9000 750 12 275 275 1 275 275 1 275 275 1 275 275 1 185.7 6.19 30 400 400 1 400 400 1 41.06 41.06 1 9.6 .64 15 4.45 .89 5 66.2 6.62 10 400 400 1 Total: 14229.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412581 Min 01412581 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2238 of 6486
Name
SARALA KANOJE Rate Amount Qty 7.5 .25 30 27.9 .93 30 8.1 .27 30 400 400 1 6.19 129.99 21 5.25 .25 21 6.4 .64 10 400 400 1 Total: 985.14
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412585 Min 01412585 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 07-FEB-19 UREA (BUN /UR) 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 URIC ACID (UA /URATES /UR) 6 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 2239 of 6486
DHANGOURI RATHOR Rate Amount Qty 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 550 550 1 25.07 25.07 1 275 275 1 9 .6 15 7.5 .25 30 400 400 1 Total: 4066.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412586 Min 01412586 Appmt Dt Slno Description 12-FEB-19 1 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2240 of 6486
Name
KANAI LAL SI Qty Rate Amount 30 6.41 192.3 30 2.03 60.9 30 1.1 33 1 400 400 Total: 686.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412587 Min 01412587 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 2241 of 6486
Name
SANDHYA RANI SI Rate Amount Qty 6.9 .23 30 21.3 .71 30 400 400 1 Total: 428.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412598 Min 01412598 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2242 of 6486
Name
RAM MURTI MISHRA Rate Amount Qty 12 .4 30 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 693.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412601 Min 01412601 Slno Description Appmt Dt PROTHROMBIN TIME (PT) 1 11-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 11-FEB-19
Page 2243 of 6486
Name
JAI PRAKASH SHUKLA Rate Amount Qty 330 330 1 330 330 1 400 400 1 1.85 .37 5 17 1.7 10 Total: 1078.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412604 Min 01412604 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 2244 of 6486
Name
P. SUSHEELA Rate Amount Qty 31.2 1.04 30 55.8 .93 60 8.1 .27 30 7.5 .25 30 400 400 1 Total: 502.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412609 Min 01412609 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2245 of 6486
Name
SARALA BALA BOSE Rate Amount Qty 275 275 1 275 275 1 39 1.3 30 55.8 .93 60 41.4 .92 45 167.4 5.58 30 76.5 2.55 30 21.3 .71 30 400 400 1 Total: 1351.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412610 Min 01412610 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 05-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 15 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 16 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 20-FEB-19 ACENOCOUMAROL,2MG,,TABLET 18 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 20-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 2246 of 6486
Name
DHARAM DAS MODI Rate Amount Qty 41.06 41.06 1 25.62 12.81 2 7.7 .77 10 6.7 .67 10 35.2 3.52 10 3.7 .37 10 400 400 1 41.06 41.06 1 11.1 .37 30 25.62 12.81 2 400 400 1 34.8 1.16 30 10.8 .36 30 36 .6 60 23.7 .79 30 76.5 2.55 30 12 .4 30 6.75 101.25 15 400 400 1 63.58 63.58 1 400 400 1 Total: 2156.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412611 Min 01412611 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 06-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 2247 of 6486
Name
SHANTI DEVI Rate Amount Qty 95.7 3.19 30 7.5 .25 30 27.9 .93 30 33 1.1 30 400 400 1 Total: 564.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412615 Min 01412615 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2248 of 6486
Name
USHA SANGIA Rate Amount Qty 54 .6 90 21.6 .36 60 7.5 .25 30 21.3 .71 30 55.8 .93 60 29.7 .99 30 167.4 5.58 30 400 400 1 Total: 757.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412625 Min 01412625 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 10-FEB-19 FAMOTIDINE,STRIP PKT,20MG,TABLET 2 10-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 10-FEB-19 OBSERVATION IN CASUALTY 4 10-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 10 11-FEB-19
Page 2249 of 6486
Name
BC CHAKRAVORTY Rate Amount Qty .64 .64 1 .25 .25 1 600 600 1 420 420 1 34.8 1.16 30 60.9 2.03 30 87.92 43.96 2 26.7 .89 30 32.4 1.08 30 61.8 4.12 15 Total: 1325.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412626 Min 01412626 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 2250 of 6486
Name
BHARTI CHAKRAVORTY Rate Amount Qty 17.8 .89 20 21.3 .71 30 167.4 5.58 30 55.8 .93 60 18 .6 30 400 400 1 55.2 1.84 30 9.6 .64 15 6 .6 10 400 400 1 2.4 .6 4 22.08 1.84 12 3.84 .64 6 400 400 1 Total: 1579.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412627 Min 01412627 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 2251 of 6486
Name
C S VERMA Rate Amount Qty 40.12 20.06 2 29.7 .99 30 21.3 .71 30 18 .6 30 26.7 .89 30 18.6 .62 30 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 642.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412631 Min 01412631 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2252 of 6486
Name
S.K.INGLE Rate Amount Qty 34.8 1.16 30 7.5 .25 30 36 .6 60 12 .4 30 47.4 .79 60 72.6 1.21 60 16.2 .27 60 7.65 .51 15 400 400 1 Total: 634.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412633 Min 01412633 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 08-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19
Page 2253 of 6486
YADAV SP Rate Amount Qty 15.73 15.73 1 100.71 100.71 1 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 15.6 .26 60 400 400 1 Total: 660.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412638 Min 01412638 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 11 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19
Page 2254 of 6486
Name
RAJIM BAI Rate Amount Qty 36 .6 60 117 1.3 90 6.9 .23 30 18.6 .62 30 33 1.1 30 12 .4 30 34.8 1.16 30 400 400 1 36 .6 60 117 1.3 90 18.6 .62 30 33 1.1 30 8.1 .27 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 1317.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412639 Min 01412639 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 12-FEB-19 BRIMONIDINE TARTRATE,0.15% 3 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 2255 of 6486
B L NASHINE Rate Amount Qty 41.85 .93 45 7.65 .51 15 74.45 74.45 1 25.07 25.07 1 400 400 1 Total: 549.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412640 Min 01412640 Appmt Dt Slno Description 12-FEB-19 1 VITAMIN A CHEWABLE,50000IU,,TABLET 12-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2256 of 6486
Name
RUKHMANI NASHINE Qty Rate Amount 30 .75 22.5 30 .38 11.4 30 .25 7.5 1 400 400 Total: 441.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412641 Min 01412641 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2257 of 6486
B.B. UNNITHAN Rate Amount Qty 48.22 48.22 1 54 .6 90 21.3 .71 30 27.9 .93 30 1.25 .25 5 4.5 .9 5 4.45 .89 5 66.2 6.62 10 10.8 .36 30 400 400 1 Total: 638.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412651 Min 01412651 Slno Description Appmt Dt GUM ANALGESIC GEL 1 01-FEB-19 GUM ASTRINGENT PAINT 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 02-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 02-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 14 20-FEB-19 GUM ASTRINGENT PAINT 15 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 20-FEB-19
Page 2258 of 6486
Name
PURANIK LAL Rate Amount Qty 28.69 28.69 1 31.54 31.54 1 400 400 1 26.7 .89 30 59.4 .66 90 156.6 1.74 90 7.5 .25 30 16.2 .18 90 400 400 1 66.2 6.62 10 24.92 .89 28 23.45 .67 35 400 400 1 20.25 20.25 1 31.54 31.54 1 400 400 1 Total: 2092.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412652 Min 01412652 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 01-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2259 of 6486
Name
CHANDRAKANTA Rate Amount Qty 57.84 57.84 1 85.52 85.52 1 7.4 .37 20 400 400 1 7.5 .25 30 11.85 .79 15 21.3 .71 30 400 400 1 Total: 991.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412653 Min 01412653 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 2260 of 6486
Name
KHILAWAN DHAR DIWAN Rate Amount Qty 34.8 1.16 30 78 .78 100 27.9 .93 30 16.2 .27 60 400 400 1 Total: 556.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412655 Min 01412655 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 21-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 2261 of 6486
Name
SUMAN SHUKLA Rate Amount Qty 16.2 .27 60 400 400 1 55.2 1.84 30 3.8 .38 10 6.4 .64 10 41.06 41.06 1 4.45 .89 5 400 400 1 Total: 927.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412658 Min 01412658 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 11-FEB-19 3 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2262 of 6486
Name
MAYA NATH RAI Qty Rate Amount 60 .93 55.8 30 1.1 33 30 .58 17.4 1 400 400 Total: 506.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412659 Min 01412659 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2263 of 6486
Name
BINDA RAI Rate Amount Qty 12 .4 30 20.06 20.06 1 1.6 .16 10 118.5 3.95 30 27.9 .93 30 27.9 .93 30 20.84 5.21 4 400 400 1 Total: 628.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412663 Min 01412663 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 02-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 UREA (BUN /UR) 7 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 04-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 13 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 13-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 15 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 22-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 21 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 22 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 2264 of 6486
Name
TULA RAM Rate Amount Qty 400 400 1 380 380 1 1610 1610 1 400 400 1 .8 .16 5 60.9 2.03 30 275 275 1 550 550 1 46.2 .77 60 33.6 1.12 30 44 4.4 10 275 275 1 1750 1750 1 400 400 1 1750 1750 1 87.92 43.96 2 39.18 19.59 2 400 400 1 8.9 .89 10 34.8 1.16 30 20.06 20.06 1 11.4 .38 30 117 1.3 90 400 400 1 Total: 9094.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412665 Min 01412665 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2265 of 6486
Name
CHANDRAMA RAI Rate Amount Qty 14.85 .99 15 12 .4 30 34.8 1.16 30 66 1.1 60 55.8 .93 60 7.5 .25 30 400 400 1 Total: 590.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412669 Min 01412669 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2266 of 6486
Name
D.R.DHOTE Rate Amount Qty 47.4 .79 60 16.2 .27 60 32.4 1.08 30 3.75 .25 15 400 400 1 Total: 499.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412670 Min 01412670 Slno Description Appmt Dt WARFARIN SODIUM,STRIP PKT,5MG,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 2267 of 6486
Name
URMILA BAI Rate Amount Qty 43 2.15 20 23.7 .79 30 26.7 .89 30 32.4 1.08 30 31.2 1.04 30 7.7 .77 10 1.85 .37 5 6.4 .64 10 36.8 1.84 20 400 400 1 Total: 609.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412675 Min 01412675 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2268 of 6486
Name
NARAYAN APPU Rate Amount Qty 36 .6 60 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 14.85 .99 15 400 400 1 Total: 573.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412677 Min 01412677 Appmt Dt Slno Description 04-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2269 of 6486
Name
T. KESHAV RAO Qty Rate Amount 30 .27 8.1 30 .93 27.9 60 1.1 66 1 400 400 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412678 Min 01412678 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2270 of 6486
Name
T. LAXMI KANTA Rate Amount Qty 6.9 .23 30 21.3 .71 30 36 .6 60 9 .3 30 55.8 .93 60 400 400 1 Total: 529
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412679 Min 01412679 Slno Description Appmt Dt IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 1 15-FEB-19 SYRINGE,DISPOSABLE,2ML 2 15-FEB-19 OBSERVATION IN CASUALTY 3 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 15-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 15-FEB-19 URINE ACETONE 6 15-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 7 15-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 15-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 9 15-FEB-19 ECG 10 15-FEB-19 RIFAXIMIN 200 MG,,TABLET 11 16-FEB-19 RACECADOTRIL,100MG,CAPSULE 12 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 16-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 21 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 23 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 25-FEB-19
Page 2271 of 6486
Name
MANGAL SINGH Rate Amount Qty 9.81 9.81 1 7.36 1.84 4 420 420 1 24.52 24.52 1 9.62 9.62 1 165 165 1 11.89 11.89 1 7.52 7.52 1 23.39 23.39 1 450 450 1 93.3 9.33 10 59.7 5.97 10 8.9 .89 10 16.8 1.12 15 35.2 3.52 10 400 400 1 8.1 .27 30 55.8 .93 60 12 .4 30 7.5 .25 30 76.5 2.55 30 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 2396.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412683 Min 01412683 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 19-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 12 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 2272 of 6486
Name
SUBHASH CHANDRA MISHRA Rate Amount Qty 10.8 .36 30 6.9 .23 30 36 .6 60 27.9 .93 30 60.9 2.03 30 6.4 .64 10 185.7 6.19 30 7.5 .25 30 17.37 17.37 1 400 400 1 247.6 6.19 40 62.8 3.14 20 17.8 .89 20 400 400 1 Total: 1487.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412684 Min 01412684 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 21-FEB-19 CREATININE /CRT 14 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 2273 of 6486
Name
SHANTI MISHRA Rate Amount Qty 15.4 .77 20 36 .6 60 34.8 1.16 30 32.4 1.08 30 30.6 .34 90 12 .4 30 400 400 1 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 400 400 1 36 .6 60 1300 1300 1 275 275 1 275 275 1 33 1.1 30 15.6 .26 60 34.8 1.16 30 12 .4 30 400 400 1 275 275 1 26.7 .89 30 400 400 1 Total: 4337.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412686 Min 01412686 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 2274 of 6486
Name
DIDAR SINGH Rate Amount Qty 78 1.3 60 27.9 .93 30 18 .6 30 4.5 .3 15 400 400 1 Total: 528.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412687 Min 01412687 Appmt Dt Slno Description 06-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 06-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2275 of 6486
Name
PRAKASH KAUR Qty Rate Amount 30 .4 12 30 1.16 34.8 30 .62 18.6 1 400 400 Total: 465.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412688 Min 01412688 Appmt Dt Slno Description 11-FEB-19 1 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 11-FEB-19 3 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2276 of 6486
Name
S.T.ANANDAVALLY Qty Rate Amount 10 3.52 35.2 10 .64 6.4 1 13.49 13.49 1 400 400 Total: 455.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412690 Min 01412690 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 2277 of 6486
Name
URVASHI GUPTA Rate Amount Qty 27.9 .93 30 36 .6 60 21.3 .71 30 7.5 .25 30 400 400 1 7.5 .25 30 21.3 .71 30 27.9 .93 30 36 .6 60 400 400 1 Total: 985.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412692 Min 01412692 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2278 of 6486
Name
SMT.MALTI TAMBEKAR Qty Rate Amount 30 .93 27.9 15 1.16 17.4 15 .62 9.3 1 400 400 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412699 Min 01412699 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2279 of 6486
TARA DEVI SONI Rate Amount Qty 25.07 25.07 1 12.81 12.81 1 7.4 .37 20 13.43 13.43 1 400 400 1 Total: 458.71
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412702 Min 01412702 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 5 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19 X - RAY - TWO VIEWS 9 12-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 19-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 11 19-FEB-19 UREA (BUN /UR) 12 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 19-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 14 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 19-FEB-19 C T NECK 16 19-FEB-19 CREATININE /CRT 17 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19 25-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 20 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 21 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 24 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 25-FEB-19
Page 2280 of 6486
J.K. SHRIVASTAVA Rate Amount Qty 26.7 .89 30 71 .71 100 25.07 25.07 1 7.4 .37 20 82.76 82.76 1 31.46 15.73 2 400 400 1 400 400 1 860 860 1 1300 1300 1 17.6 17.6 1 275 275 1 275 275 1 19.59 19.59 1 400 400 1 6000 6000 1 275 275 1 275 275 1 25.07 25.07 1 26.55 26.55 1 70.2 2.34 30 7.5 .25 30 7.4 .37 20 21.3 .71 30 26.7 .89 30 400 400 1 Total: 11326.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412703 Min 01412703 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 GUM ANALGESIC GEL 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2281 of 6486
Name
E.J. SHRIVASTAVA Rate Amount Qty 55.8 .93 60 66 1.1 60 60.9 2.03 30 26.7 .89 30 2.4 .16 15 5.55 .37 15 400 400 1 28.69 28.69 1 400 400 1 Total: 1046.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412706 Min 01412706 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2282 of 6486
Name
H P TALUKDAR Rate Amount Qty 2.4 .16 15 78 1.3 60 21.3 .71 30 4.5 .3 15 27.9 .93 30 12.3 .41 30 400 400 1 Total: 546.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412707 Min 01412707 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 07-FEB-19 SOLIFENACIN,5MG,,TABLET 8 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 2283 of 6486
Name
MUKTI TALUKDAR Rate Amount Qty 72 .6 120 10.8 .36 30 117 1.3 90 167.4 5.58 30 32.4 1.08 30 43.96 43.96 1 20.84 5.21 4 403.2 13.44 30 21.3 .71 30 42.6 .71 60 2.4 .16 15 400 400 1 Total: 1333.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412712 Min 01412712 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2284 of 6486
Name
R B SHRIVASTAVA Rate Amount Qty 20.84 5.21 4 27.9 .93 30 167.4 5.58 30 72 .6 120 21.6 .36 60 41.85 .93 45 400 400 1 Total: 751.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412713 Min 01412713 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2285 of 6486
Name
USHA SHRIVASTAVA Rate Amount Qty 26.7 .89 30 1.6 .16 10 55.8 .93 60 29.7 .99 30 400 400 1 Total: 513.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412714 Min 01412714 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 2286 of 6486
Name
C K ROY Rate Amount Qty 9 .3 30 36 .6 60 21.3 .71 30 12 .4 30 55.8 .93 60 7.8 .26 30 123.6 4.12 30 400 400 1 Total: 665.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412715 Min 01412715 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2287 of 6486
Name
JAYASHRI ROY Rate Amount Qty 72.6 1.21 60 55.8 .93 60 16.2 .27 60 54 .6 90 14.85 .99 15 400 400 1 Total: 613.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412722 Min 01412722 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 11 13-FEB-19 X - RAY - SINGLE VIEW 12 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 16 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 2288 of 6486
Name
R NAKULUDU Rate Amount Qty 34.8 1.16 30 46.2 .77 60 15.6 .26 60 12 .4 30 31.2 1.04 30 400 400 1 400 400 1 11.1 .37 30 54 .9 60 26.7 .89 30 12.15 12.15 1 550 550 1 34.8 1.16 30 27 .9 30 12 .4 30 31.2 1.04 30 12 .4 30 400 400 1 Total: 2110.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412723 Min 01412723 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 25-FEB-19 PRAZOSIN,2.5MG,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 2289 of 6486
R. KAMESHWARI Rate Amount Qty 22.2 .37 60 78 1.3 60 12 .4 30 21.3 .71 30 19.72 9.86 2 96.44 48.22 2 27.9 .93 30 26.7 .89 30 400 400 1 Total: 704.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412727 Min 01412727 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 2290 of 6486
Name
K M PHILLIP Rate Amount Qty 7.5 .25 30 32.4 1.08 30 55.8 .93 60 36 .6 60 27.6 .92 30 167.4 5.58 30 29.7 .99 30 11.1 .37 30 400 400 1 Total: 767.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412730 Min 01412730 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 2291 of 6486
Name
P C SARKAR Rate Amount Qty 104.4 1.74 60 2.4 .16 15 12 .4 30 7.65 .51 15 21.3 .71 30 27.9 .93 30 12.15 12.15 1 7.5 .25 30 26.7 .89 30 400 400 1 Total: 622
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412732 Min 01412732 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 2292 of 6486
Name
S KUNDU Rate Amount Qty 34.8 1.16 30 400 400 1 20.06 20.06 1 8.9 .89 10 400 400 1 Total: 863.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412733 Min 01412733 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19
Page 2293 of 6486
Name
AMITA RANI KUNDU Rate Amount Qty 10.65 .71 15 21.3 .71 30 29.7 .99 30 66 1.1 60 95.7 3.19 30 22.2 .37 60 55.8 .93 60 400 400 1 8.1 .27 30 18 .6 30 21.3 .71 30 1.48 .37 4 Total: 750.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412740 Min 01412740 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2294 of 6486
Name
ARTI RANI SHEEL Rate Amount Qty 55.8 .93 60 66 1.1 60 6.9 .23 30 21.3 .71 30 3.75 .25 15 8.9 .89 10 400 400 1 Total: 562.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412741 Min 01412741 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2295 of 6486
Name
SEFALI RANI DUTTA Rate Amount Qty 167.4 5.58 30 20.06 20.06 1 7.8 .26 30 21.3 .71 30 55.8 .93 60 36 .6 60 43.2 .36 120 400 400 1 Total: 751.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412743 Min 01412743 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 3 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2296 of 6486
Name
RC BATGHARE Rate Amount Qty 26.96 3.37 8 7.4 .37 20 26.86 13.43 2 19.72 9.86 2 400 400 1 Total: 480.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412744 Min 01412744 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 25-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2297 of 6486
Name
KUSUM BATGHARE Qty Rate Amount 30 .93 27.9 60 1.1 66 30 .27 8.1 1 400 400 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412745 Min 01412745 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 2298 of 6486
Name
G.P.PATHAK Rate Amount Qty 60.9 2.03 30 33 1.1 30 36 .6 60 27.9 .93 30 10.65 .71 15 12 .4 30 400 400 1 12.81 12.81 1 5.55 .37 15 400 400 1 Total: 998.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412746 Min 01412746 Slno Description Appmt Dt ECHO CARDIOGRAPHY WITHOUT FILM 1 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 16-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 2299 of 6486
Name
KAMALA PATHAK Rate Amount Qty 2370 2370 1 400 400 1 1.7 .34 5 64.8 1.08 60 8.1 .27 30 69.6 1.16 60 18.6 .62 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 3536.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412749 Min 01412749 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 08-FEB-19 PRAZOSIN,2.5MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 19-FEB-19 PRAZOSIN,2.5MG,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 2300 of 6486
Name
LAKHAN LAL Rate Amount Qty 55.8 .93 60 14.85 .99 15 211.8 3.53 60 78 1.3 60 400 400 1 29.7 .99 30 317.7 3.53 90 78 1.3 60 55.8 .93 60 400 400 1 Total: 1641.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412754 Min 01412754 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2301 of 6486
Name
KHATBOON NISHA Rate Amount Qty 10.8 .36 30 36 .6 60 8.1 .27 30 7.5 .25 30 21.3 .71 30 20.84 5.21 4 26.7 .89 30 400 400 1 Total: 531.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412755 Min 01412755 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 23-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 2302 of 6486
Name
NAIMUL HAQUE Rate Amount Qty 11.1 .37 30 35.2 17.6 2 26.7 .89 30 55.8 .93 60 21.3 .71 30 32.4 1.08 30 29.7 .99 30 23.7 .79 30 400 400 1 Total: 635.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412756 Min 01412756 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 2303 of 6486
Name
AMRUN NISHA Rate Amount Qty 7.5 .25 30 21.3 .71 30 36 .6 60 8.1 .27 30 55.8 .93 60 6.4 .64 10 400 400 1 Total: 535.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412757 Min 01412757 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 09-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 5 09-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 2304 of 6486
Name
M R CHOWDHARY Rate Amount Qty 26.7 .89 30 7.8 .26 30 400 400 1 5.21 5.21 1 8.2 .41 20 48.76 12.19 4 400 400 1 12.6 .42 30 27.9 .93 30 33 1.1 30 12 .4 30 21.3 .71 30 17.4 .58 30 400 400 1 Total: 1420.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412760 Min 01412760 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 2305 of 6486
Name
K KARUNAKARAN Rate Amount Qty 275 275 1 400 400 1 275 275 1 1300 1300 1 21.3 .71 30 66 1.1 60 8.1 .27 30 400 400 1 Total: 2745.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412761 Min 01412761 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 2306 of 6486
Name
T.P.MANI Rate Amount Qty 34.8 1.16 30 7.5 .25 30 6.9 .23 30 36 .6 60 400 400 1 Total: 485.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412767 Min 01412767 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 2307 of 6486
Name
D. N.TIWARI Rate Amount Qty 7.5 .25 30 12 .4 30 17.4 1.16 15 14.85 .99 15 6.9 .23 30 33 1.1 30 400 400 1 Total: 491.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412768 Min 01412768 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 2308 of 6486
Name
SHAKUNTALA TIWARI Rate Amount Qty 167.4 5.58 30 55.8 .93 60 16.2 .27 60 21.3 .71 30 27.9 .93 30 7.5 .25 30 17.4 .58 30 36 .6 60 18 .3 60 400 400 1 Total: 767.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412771 Min 01412771 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2309 of 6486
Name
MAMTA BAI Rate Amount Qty 1.85 .37 5 3.84 .64 6 55.8 .93 60 21.3 .71 30 12 .4 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 530.19
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412773 Min 01412773 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 25-FEB-19 PRAZOSIN,2.5MG,TABLET 15 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 2310 of 6486
ACHAMMA NINAN Rate Amount Qty 29.7 .99 30 7.5 .25 30 21.3 .71 30 55.8 .93 60 22.2 .37 60 78 1.3 60 72 .6 120 32.4 .36 90 400 400 1 19.72 9.86 2 21.3 .71 30 96.44 48.22 2 27.9 .93 30 22.2 .37 60 78 1.3 60 26.7 .89 30 12 .4 30 400 400 1 Total: 1423.16
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412777 Min 01412777 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 08-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 08-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 08-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 2311 of 6486
VANDANA V.GADGE Rate Amount Qty 1.85 .37 5 15.73 15.73 1 26.96 3.37 8 13.43 13.43 1 63.58 63.58 1 1.6 .16 10 6.4 .64 10 11.1 .37 30 27.9 .93 30 14.85 .99 15 36 .6 60 18.6 .62 30 400 400 1 Total: 638
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412778 Min 01412778 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2312 of 6486
Name
KRISHNA KUMAR PANDEY Rate Amount Qty 36 .6 60 21.6 .36 60 400 400 1 Total: 457.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412779 Min 01412779 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 25-FEB-19 COMPLETE HAEMOGRAM 11 25-FEB-19
Page 2313 of 6486
Name
SMT.BASANTI DEVI Rate Amount Qty 12.15 12.15 1 24.92 .89 28 25.2 .9 28 66.2 6.62 10 400 400 1 27.9 .62 45 17.4 1.16 15 118.5 3.95 30 400 400 1 400 400 1 750 750 1 Total: 2242.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412780 Min 01412780 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 28-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 28-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 2314 of 6486
Name
T.V.PAPPY Rate Amount Qty 400 400 1 40.12 20.06 2 100.71 201.42 2 27 .9 30 100.71 100.71 1 13.35 .89 15 21.3 .71 30 36 .6 60 8.1 .27 30 16.2 .18 90 400 400 1 Total: 1264.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412785 Min 01412785 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 10-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 2 10-FEB-19 ECG 3 10-FEB-19 OBSERVATION IN CASUALTY 4 10-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 5 10-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 OBSERVATION IN CASUALTY 13 26-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 14 26-FEB-19 PHENYTOIN,50MG/ML,2ML AMP,INJECTION 15 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 2315 of 6486
Name
ASHA DEVI Rate Amount Qty 550 550 1 8.64 8.64 1 450 450 1 420 420 1 3.66 3.66 1 3.6 .6 6 66 1.1 60 12 .4 30 32.4 1.08 30 17.4 1.16 15 3.84 .64 6 400 400 1 420 420 1 24.52 24.52 1 8.1 8.1 1 .27 .27 1 .16 .16 1 16.2 .27 60 400 400 1 Total: 2836.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412789 Min 01412789 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 2316 of 6486
Name
R.N.CHAKRABORTY Rate Amount Qty 55.8 .93 60 16.2 .27 60 34.8 1.16 30 32.4 1.08 30 400 400 1 100.71 100.71 1 54 .9 60 26.7 .89 30 400 400 1 Total: 1120.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412795 Min 01412795 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 14-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2317 of 6486
Name
M.K. OMANA Rate Amount Qty 21.3 .71 30 15 .25 60 400 400 1 17.8 .89 20 27.4 1.37 20 100.6 5.03 20 20.84 5.21 4 400 400 1 Total: 1002.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412803 Min 01412803 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 2318 of 6486
Name
URMILA SINHA Rate Amount Qty 12 .4 30 7.5 .25 30 33 1.1 30 21.3 .71 30 32.4 1.08 30 105.9 3.53 30 16.2 .27 60 400 400 1 Total: 628.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412808 Min 01412808 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2319 of 6486
Name
GEORGE MADHUKAR WILLIAM Rate Amount Qty 7.5 .25 30 25.62 12.81 2 400 400 1 21.12 3.52 6 1.11 .37 3 400 400 1 Total: 855.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412809 Min 01412809 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19
Page 2320 of 6486
Name
SULOCHANA WILLIAM Rate Amount Qty 33 1.1 30 55.2 1.84 30 12.8 .64 20 3.7 .37 10 14.85 .99 15 27.9 .93 30 21.3 .71 30 18.9 .63 30 39 1.3 30 18 .6 30 167.4 5.58 30 400 400 1 Total: 812.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412813 Min 01412813 Appmt Dt Slno Description 26-FEB-19 1 BRIMONIDINE TARTRATE,0.15% 26-FEB-19 2 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 26-FEB-19 3 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2321 of 6486
BAIJNATH PRASAD Qty Rate Amount 2 74.45 148.9 2 25.07 50.14 2 20.29 40.58 1 400 400 Total: 639.62
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412814 Min 01412814 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 7 28-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 2322 of 6486
SHANTI DEVI Rate Amount Qty 50.14 25.07 2 400 400 1 7.98 .38 21 14.08 3.52 4 2.46 .41 6 20.29 20.29 1 6.82 6.82 1 13.49 13.49 1 400 400 1 Total: 915.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412816 Min 01412816 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 2323 of 6486
Name
KALA BATI Rate Amount Qty 9 .6 15 27.9 .93 30 400 400 1 Total: 436.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412817 Min 01412817 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2324 of 6486
Name
SMT LILLY KUTTY Rate Amount Qty 104.4 1.74 60 7.5 .25 30 21.6 .18 120 54 .9 60 400 400 1 34.8 1.16 30 21.3 .71 30 400 400 1 Total: 1043.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412822 Min 01412822 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 20-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 9 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 20 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 21 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 23 27-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 24 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 25 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 27 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 27-FEB-19
Page 2325 of 6486
Name
P N BOSE Rate Amount Qty 21.3 .71 30 9 .3 30 36 .6 60 78 1.3 60 12 .4 30 27.9 .93 30 6.9 .23 30 12 .4 30 150.9 5.03 30 60.9 2.03 30 54 .9 60 26.7 .89 30 3.2 .16 20 18.9 .63 30 400 400 1 36 .6 60 78 1.3 60 12 .4 30 27.9 .93 30 9 .3 30 6.9 .23 30 21.3 .71 30 20.84 5.21 4 150.9 5.03 30 185.7 6.19 30 60.9 2.03 30 54 .9 60 400 400 1 Total: 1981.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412830 Min 01412830 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 2326 of 6486
Name
H B PATEL Rate Amount Qty 16.2 .27 60 66 1.1 60 400 400 1 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412831 Min 01412831 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 2327 of 6486
Name
SUSHILABEN H. PATEL Rate Amount Qty 167.4 5.58 30 400 400 1 334.8 5.58 60 27.9 .93 30 118.5 3.95 30 72 .6 120 32.4 .36 90 21.3 .71 30 400 400 1 Total: 1574.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412832 Min 01412832 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 2328 of 6486
Name
A.K. ROY CHOUDHURY Rate Amount Qty 18.9 .63 30 32.4 1.08 30 21.3 .71 30 15.6 .26 60 31.2 1.04 30 36.3 1.21 30 36 .6 60 400 400 1 Total: 591.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412835 Min 01412835 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 12-FEB-19 GUM ANALGESIC GEL 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 2329 of 6486
Name
ASHA CHAWLA Rate Amount Qty 20.1 .67 30 28.69 28.69 1 400 400 1 Total: 448.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412836 Min 01412836 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2330 of 6486
Name
KUNJ KUNJAMMA Rate Amount Qty 13.95 .93 15 21.3 .71 30 400 400 1 Total: 435.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412837 Min 01412837 Slno Description Appmt Dt WARFARIN SODIUM,STRIP PKT,5MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 12-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 4 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 12-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 6 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 12-FEB-19 X - RAY - SINGLE VIEW 10 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 12-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 12 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 12-FEB-19 COMPLETE HAEMOGRAM 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 16 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 23-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 18 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 23-FEB-19 COMPLETE HAEMOGRAM 21 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 23-FEB-19
Page 2331 of 6486
Name
RUGMINIAMMA Rate Amount Qty 64.5 2.15 30 400 400 1 13.4 .67 20 67.6 3.38 20 6.4 .64 10 2.6 .26 10 66.2 6.62 10 4 .4 10 400 400 1 550 550 1 11.6 1.16 10 21.8 2.18 10 2.5 .25 10 750 750 1 400 400 1 11.4 .38 30 26.7 .89 30 405.6 3.38 120 40.2 .67 60 400 400 1 750 750 1 7.5 .25 30 Total: 4402
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412839 Min 01412839 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 09-FEB-19 UREA (BUN /UR) 15 11-FEB-19 URIC ACID (UA /URATES /UR) 16 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 11-FEB-19 COMPLETE HAEMOGRAM 18 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 11-FEB-19 CREATININE /CRT 22 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 24 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 26 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 27 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 28 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 29 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 30 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 31 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 33 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 34 28-FEB-19
Page 2332 of 6486
Name
R SARASWATHI Rate Amount Qty 167.4 5.58 30 1.85 .37 5 72 .6 120 32.4 1.08 30 2.28 .38 6 48 .4 120 29.7 .99 30 21.3 .71 30 3.84 .64 6 55.8 .93 60 400 400 1 6.4 .64 10 1.85 .37 5 400 400 1 275 275 1 275 275 1 1300 1300 1 750 750 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 167.4 5.58 30 48 .4 120 72 .6 120 117 1.3 90 21.3 .71 30 29.7 .99 30 26.7 .89 30 32.4 1.08 30 55.8 .93 60 Total: 6588.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412848 Min 01412848 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 2333 of 6486
Name
M.K. KAMALAKSHY Rate Amount Qty 72.6 1.21 60 34.8 1.16 30 55.8 .93 60 12.6 .42 30 32.4 1.08 30 12 .4 30 7.5 .25 30 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412851 Min 01412851 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2334 of 6486
Name
V.T. CHERIYAN Rate Amount Qty 39 1.3 30 211.8 3.53 60 27.9 .93 30 167.4 5.58 30 10.8 .36 30 6.72 1.12 6 21.3 .71 30 400 400 1 Total: 884.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412852 Min 01412852 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2335 of 6486
Name
MOLLY CHERIYAN Rate Amount Qty 21.3 .71 30 27.9 .93 30 36 .6 60 6.4 .64 10 15 .25 60 8.1 .27 30 27.6 .92 30 400 400 1 Total: 542.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412853 Min 01412853 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2336 of 6486
Name
THOMAS J MANNANAL Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 211.8 3.53 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 932.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412885 Min 01412885 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 13-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 2337 of 6486
Name
LEELA DHACHOLIA Rate Amount Qty 55.8 .93 60 12 .4 30 15 .25 60 95.7 3.19 30 400 400 1 Total: 578.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412886 Min 01412886 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 20-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2338 of 6486
Name
N A RAMKRISHNAN Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 76.5 2.55 30 2.4 .16 15 22.2 .37 60 55.8 .93 60 400 400 1 4.48 .64 7 26.55 26.55 1 400 400 1 Total: 1083.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412887 Min 01412887 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 12-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2339 of 6486
Name
C.R. THANKAMANI Rate Amount Qty 27.9 .93 30 39 1.3 30 42.6 .71 60 7.5 .25 30 6.9 .23 30 36 .6 60 34.8 1.16 30 400 400 1 Total: 594.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412890 Min 01412890 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 2340 of 6486
Name
LENI JOHN Rate Amount Qty 39 1.3 30 55.8 .93 60 16.2 .27 60 29.7 .99 30 76.5 2.55 30 13.35 .89 15 21.3 .71 30 36 .6 60 7.5 .25 30 17.4 .58 30 400 400 1 Total: 712.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412902 Min 01412902 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2341 of 6486
Name
MD. RAHMATULLAH ANSARI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412903 Min 01412903 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 2342 of 6486
Name
KR RAVINDRANATAN Rate Amount Qty 60.9 2.03 30 123.53 123.53 1 105.9 3.53 30 7.5 .25 30 31.2 1.04 30 12 .4 30 21.3 .71 30 10.8 .36 30 36 .6 60 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 897.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412904 Min 01412904 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2343 of 6486
Name
SUSHILA RAVINDRA Rate Amount Qty 16.2 .27 60 55.8 .93 60 7.5 .25 30 20.84 5.21 4 12.8 .64 20 400 400 1 Total: 513.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412915 Min 01412915 Slno Description Appmt Dt TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 1 04-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 08-FEB-19 UREA (BUN /UR) 7 08-FEB-19 CREATININE /CRT 8 08-FEB-19 URIC ACID (UA /URATES /UR) 9 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 08-FEB-19 COMPLETE HAEMOGRAM 12 08-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15 13-FEB-19 MOXONIDIN 0.2MG,,TABLET 16 13-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 13-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 23 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 24 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 26 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 27 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 28 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 29 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 30 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 22-FEB-19
Page 2344 of 6486
Name
BODHAN SINGH Rate Amount Qty 24.45 24.45 1 13.49 13.49 1 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 400 400 1 750 750 1 11.4 .38 30 10.65 .71 15 21.3 .71 30 211.8 3.53 60 31.2 1.04 30 60.9 2.03 30 32.4 1.08 30 118.5 3.95 30 400 400 1 17.8 .89 20 40.6 2.03 20 7.6 .38 20 14.2 .71 20 21.6 1.08 20 14.2 .71 20 141.2 3.53 40 20.8 1.04 20 5.1 .51 10 66.2 6.62 10 400 400 1 Total: 6460.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412916 Min 01412916 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 2345 of 6486
Name
PREM LATA SINGH Rate Amount Qty 60.9 2.03 30 26.7 .89 30 10.8 .36 30 36 .6 60 21.3 .71 30 33 1.1 30 8.1 .27 30 78 1.3 60 11.4 .38 30 167.4 5.58 30 400 400 1 Total: 853.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412922 Min 01412922 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 SUTURE REMOVAL 2 07-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 3 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 08-FEB-19 URIC ACID (UA /URATES /UR) 5 08-FEB-19 CREATININE /CRT 6 08-FEB-19 UREA (BUN /UR) 7 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19
Page 2346 of 6486
Name
MANSA RAM SAHU Rate Amount Qty 400 400 1 490 490 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 36 .6 60 400 400 1 Total: 4126
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412929 Min 01412929 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 2347 of 6486
Name
P V HANUMANTHA RAO Rate Amount Qty 8.9 .89 10 12.6 .42 30 15 .25 60 26 2.6 10 33 1.1 30 14.85 .99 15 400 400 1 Total: 510.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412930 Min 01412930 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2348 of 6486
Name
P. SAVITRI Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 55.8 .93 60 7.5 .25 30 211.8 3.53 60 400 400 1 Total: 724.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412931 Min 01412931 Slno Description Appmt Dt IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 1 17-FEB-19 OBSERVATION IN CASUALTY 2 17-FEB-19 ECG 3 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 17-FEB-19 DEXTROSE,25%,100ML,POLY PKT,INJECTION 5 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 2349 of 6486
Name
RAM BHAU BAND Rate Amount Qty 9.81 9.81 1 420 420 1 450 450 1 9.62 9.62 1 19.1 19.1 1 24.52 24.52 1 5.34 .89 6 10.08 1.12 9 21.12 3.52 6 6.9 .23 30 27.9 .93 30 400 400 1 Total: 1404.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412937 Min 01412937 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2350 of 6486
Name
RAJA RAM CHANDRAKAR Rate Amount Qty 185.7 6.19 30 21.6 .36 60 36 .6 60 26 2.6 10 400 400 1 Total: 669.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412951 Min 01412951 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 9 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 2351 of 6486
Name
S R KATE Rate Amount Qty 15.96 2.66 6 3.84 .64 6 38.25 2.55 15 8.1 .27 30 27.9 .93 30 4.8 .16 30 1.48 .37 4 400 400 1 15 .25 60 15 .25 60 21.3 .71 30 400 400 1 Total: 951.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412952 Min 01412952 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 28-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 10 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 13 28-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 2352 of 6486
Name
MALA Rate Amount Qty 10.8 .36 30 36 .6 60 167.4 5.58 30 7.5 .25 30 33 1.1 30 39 1.3 30 2.4 .16 15 400 400 1 7.6 .38 20 25.84 3.23 8 21.3 .71 30 7.5 .25 30 17.37 17.37 1 10.05 .67 15 13.35 .89 15 400 400 1 Total: 1199.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412959 Min 01412959 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 2353 of 6486
Name
NASIB KAUR Rate Amount Qty 185.7 6.19 30 2.4 .16 15 40.12 20.06 2 20.84 5.21 4 26.7 .89 30 26 2.6 10 21.3 .71 30 27.9 .93 30 7.5 .25 30 42.6 .71 60 27.9 .93 30 32.4 1.08 30 400 400 1 Total: 861.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412962 Min 01412962 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2354 of 6486
Name
K. NAGMANI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412964 Min 01412964 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2355 of 6486
Name
K. RAMA BAI Rate Amount Qty 12.8 .64 20 40.12 20.06 2 17.8 .89 20 247.6 6.19 40 400 400 1 34.8 1.16 30 18.9 .63 30 6.9 .23 30 55.8 .93 60 36 .6 60 16.2 .36 45 400 400 1 Total: 1286.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412982 Min 01412982 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 02-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 10 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 04-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 16 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 19 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 23 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 24 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 25 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 11-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 27 23-FEB-19 ECG 28 23-FEB-19 OXYGEN THERAPY 29 23-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 30 23-FEB-19 OBSERVATION IN CASUALTY 31 23-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 32 24-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 33 24-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 34 24-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 35 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 24-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 37 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 24-FEB-19
Page 2356 of 6486
Name
MALLESH Rate Amount Qty 26.6 2.66 10 1.85 .37 5 8.1 .18 45 12.15 12.15 1 7.8 .26 30 32.4 1.08 30 192.3 6.41 30 7.5 .25 30 66 1.1 60 161.1 5.37 30 23.7 .79 30 60.9 2.03 30 400 400 1 185.7 6.19 30 19.2 .64 30 21 .7 30 7.5 .25 30 400 400 1 5.2 1.04 5 66.2 6.62 10 1.85 .37 5 4.45 .89 5 1.3 .26 5 3.95 .79 5 5.4 1.08 5 400 400 1 9.62 9.62 1 450 450 1 300 300 1 5.21 5.21 1 420 420 1 20.8 1.04 20 28.4 .71 40 21.6 1.08 20 23.2 1.16 20 35.6 .89 40 1.6 .16 10 400 400 1 Total: 3838.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412983 Min 01412983 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19
Page 2357 of 6486
SAROJINI Rate Amount Qty 21.3 .71 30 6.4 .64 10 36 .6 60 8.1 .27 30 55.8 .93 60 400 400 1 26.7 .89 30 50.14 25.07 2 7.5 .25 30 185.7 6.19 30 19.2 .64 30 400 400 1 Total: 1216.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412987 Min 01412987 Appmt Dt Slno Description 22-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 25-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 25-FEB-19 4 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 2358 of 6486
Name
ALLAGAMBA Qty Rate Amount 30 .27 8.1 1 400 400 1 400 400 1 1750 1750 Total: 2558.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412990 Min 01412990 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19
Page 2359 of 6486
Name
KUSUMLATA Rate Amount Qty 17.4 .58 30 7.65 .51 15 11.4 .38 30 7.5 .25 30 21.3 .71 30 6.4 .64 10 12 .4 30 15.6 .26 60 27.9 .93 30 21.6 .36 60 32.4 1.08 30 400 400 1 Total: 581.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412991 Min 01412991 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 CREATININE /CRT 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 21-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 21-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 21-FEB-19
Page 2360 of 6486
Name
P M BABY Rate Amount Qty 16.2 .27 60 400 400 1 275 275 1 55.8 .93 60 7.5 .25 30 21.3 .71 30 60.9 2.03 30 87.92 43.96 2 8.9 .89 10 16.2 .27 60 55.8 .93 60 21.3 .71 30 60.9 2.03 30 87.92 43.96 2 21.3 .71 30 8.9 .89 10 Total: 1205.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413000 Min 01413000 Slno Description Appmt Dt TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 2361 of 6486
Name
CHARUSHEELA KUMAR Rate Amount Qty 159.6 1.33 120 15 .25 60 400 400 1 Total: 574.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413002 Min 01413002 Name Appmt Dt Slno Description 19-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2362 of 6486
MANNU LAL DESHMUKH Qty Rate Amount 1 25.07 25.07 1 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413003 Min 01413003 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 DRESSING SIMPLE 6 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 16-FEB-19 DRESSING SIMPLE 19 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 19-FEB-19
Page 2363 of 6486
Name
SMT.UMA DEVI Rate Amount Qty 10.95 .73 15 4.1 .41 10 4.45 .89 5 400 400 1 400 400 1 1500 300 5 6.4 .64 10 17.8 .89 20 247.6 6.19 40 27.4 1.37 20 34.8 1.16 30 32.4 1.08 30 12 .4 30 27.9 .93 30 8.1 .27 30 66 1.1 60 14.85 .99 15 400 400 1 300 300 1 400 400 1 Total: 3914.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413015 Min 01413015 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 2364 of 6486
Name
S C PARSAI Rate Amount Qty 9 .3 30 26.7 .89 30 27.9 .93 30 167.4 5.58 30 43.96 43.96 1 60.9 2.03 30 29.7 .99 30 7.5 .25 30 400 400 1 Total: 773.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413024 Min 01413024 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 2365 of 6486
Name
BANSIDHAR RAI Qty 1 2 1
Rate Amount 100.71 100.71 24.3 12.15 400 400 Total: 525.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413029 Min 01413029 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 2366 of 6486
Name
GOMTI DEVI Rate Amount Qty 55.8 .93 60 26.7 .89 30 8.1 .27 30 12 .4 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 556.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413032 Min 01413032 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 2367 of 6486
SHARDA PRASAD PATKAR Rate Amount Qty 13.7 1.37 10 3.2 .64 5 1.85 .37 5 15.73 15.73 1 17.4 1.16 15 60.9 2.03 30 12 .4 30 33 1.1 30 15.6 1.04 15 8.1 .27 30 27.9 .93 30 247.6 6.19 40 400 400 1 Total: 856.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413034 Min 01413034 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 SOLIFENACIN,5MG,,TABLET 8 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2368 of 6486
Name
VENKATAMMA Rate Amount Qty 55.8 .93 60 8.1 .27 30 2.5 .25 10 21.3 .71 30 7.5 .25 30 400 400 1 53.4 .89 60 806.4 13.44 60 43.96 131.88 3 400 400 1 Total: 1886.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413036 Min 01413036 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2369 of 6486
Name
V. JANAKI Rate Amount Qty 32.4 1.08 30 36 .6 60 20.06 20.06 1 17.4 .58 30 400 400 1 20.84 5.21 4 400 400 1 Total: 926.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413040 Min 01413040 Slno Description Appmt Dt CREATININE /CRT 1 21-FEB-19 ECG 2 21-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 3 21-FEB-19 OBSERVATION IN CASUALTY 4 21-FEB-19 T M T (TREAD MILL EXERCISE TEST) 5 21-FEB-19 PLATELET COUNT 6 21-FEB-19 HB,TLC,DLC 7 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 21-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 17 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 2370 of 6486
Name
LAXMI KANTA Rate Amount Qty 275 275 1 450 450 1 100 100 1 420 420 1 3430 3430 1 330 330 1 300 300 1 1300 1300 1 600 600 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 27.9 .93 30 33 1.1 30 6.4 .64 10 3.8 .38 10 8.9 .89 10 3.7 .37 10 66.2 6.62 10 400 400 1 Total: 8731.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413042 Min 01413042 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 27-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 27-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2371 of 6486
Name
SATYABHAMA SAHU Rate Amount Qty 15.6 .26 60 86.4 1.44 60 31.2 1.04 30 34.8 1.16 30 32.4 1.08 30 42.6 .71 60 400 400 1 Total: 643
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413044 Min 01413044 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2372 of 6486
Name
MANDAKINI BHOLE Rate Amount Qty 78 1.3 60 34.8 1.16 30 55.8 .93 60 54 .6 90 21.3 .71 30 400 400 1 Total: 643.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413050 Min 01413050 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 18-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 2373 of 6486
Name
SUSHILA MOHITE Rate Amount Qty 6.4 .64 10 2.5 .25 10 35.2 3.52 10 189 2.1 90 55.8 .93 60 66 1.1 60 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 808.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413051 Min 01413051 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 2374 of 6486
Name
VASANT MOHITE Rate Amount Qty 7.8 .26 30 55.8 .93 60 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 529.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413055 Min 01413055 Slno Description Appmt Dt DRESSING SIMPLE 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19 DRESSING SIMPLE 18 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 27-FEB-19
Page 2375 of 6486
SULAIMAN Rate Amount Qty 3000 300 10 400 400 1 41.06 41.06 1 400 400 1 11.4 .38 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 7.8 .26 30 15.3 .51 30 10.8 .18 60 400 400 1 3.75 .25 15 34.84 .67 52 25.07 25.07 1 13.35 .89 15 400 400 1 3000 300 10 400 400 1 Total: 8242.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413058 Min 01413058 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 INHALANT,STRIP PACK,CAPSULE 12 14-FEB-19 INHALANT,STRIP PACK,CAPSULE 13 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 2376 of 6486
Name
ASHA GEORKAR Rate Amount Qty 12.46 .89 14 6.4 .64 10 62.8 3.14 20 16.8 .42 40 17.8 .89 20 18.76 .67 28 3.78 .18 21 12.6 .9 14 400 400 1 40.12 20.06 2 1.85 .37 5 1.7 1.7 1 23.8 1.7 14 8.9 .89 10 400 400 1 Total: 1027.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413061 Min 01413061 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2377 of 6486
Name
PRAHARAJU JANAKI Rate Amount Qty 66 1.1 60 1.48 .37 4 21.3 .71 30 8.1 .27 30 55.8 .93 60 15.96 2.66 6 400 400 1 Total: 568.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413067 Min 01413067 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2378 of 6486
MOOL CHNAD JAIN Rate Amount Qty 1.9 .38 5 1.85 .37 5 6.4 .64 10 15.73 15.73 1 400 400 1 Total: 425.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413068 Min 01413068 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2379 of 6486
Name
SHARDA JAIN Rate Amount Qty 18.9 .63 30 46.2 .77 60 17.4 1.16 15 211.8 3.53 60 72.6 1.21 60 400 400 1 Total: 766.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413074 Min 01413074 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 2380 of 6486
Name
LALITA TIWARI Rate Amount Qty 3.37 3.37 1 35.2 3.52 10 4.45 .89 5 16.8 1.12 15 400 400 1 Total: 459.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413092 Min 01413092 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2381 of 6486
KASTURA BAI Rate Amount Qty 8.9 .89 10 3.7 .37 10 33 1.1 30 48.22 48.22 1 400 400 1 Total: 493.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413100 Min 01413100 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 28-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2382 of 6486
Name
L. P. PAUL Qty Rate Amount 30 1.16 34.8 30 1.1 33 60 .93 55.8 1 400 400 Total: 523.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413102 Min 01413102 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 2383 of 6486
Name
K VEERA LAXMI Rate Amount Qty 27.9 .93 30 12 .4 30 8.1 .27 30 21.3 .71 30 9 .3 30 400 400 1 Total: 478.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413128 Min 01413128 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 2384 of 6486
Name
AVINASH CHUGH Rate Amount Qty 4.8 .16 30 76.5 2.55 30 8.1 .27 30 54 .9 60 7.8 .26 30 7.5 .25 30 22.8 .38 60 26.7 .89 30 400 400 1 Total: 608.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413131 Min 01413131 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 5 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2385 of 6486
Name
S B DEY Rate Amount Qty 6.9 .23 30 21.3 .71 30 12 .4 30 34.8 1.16 30 123.6 4.12 30 105.9 3.53 30 55.8 .93 60 2.4 .16 15 400 400 1 Total: 762.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413135 Min 01413135 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 2386 of 6486
Name
D S SINGANJUDE Rate Amount Qty 36 .6 60 12 .4 30 167.4 5.58 30 10.8 .36 30 400 400 1 Total: 626.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413136 Min 01413136 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 14-FEB-19 PRAZOSIN,2.5MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2387 of 6486
Name
VEENA SINGANJUDE Rate Amount Qty 211.8 3.53 60 18.9 .63 30 32.4 1.08 30 22.2 .37 60 7.92 .99 8 72.6 1.21 60 117 1.3 90 400 400 1 Total: 882.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413152 Min 01413152 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 26-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 26-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 2388 of 6486
D.V. PRABHAVATI Rate Amount Qty 48.22 48.22 1 20.84 5.21 4 41.06 41.06 1 37.04 37.04 1 19.2 .64 30 185.7 6.19 30 7.5 .25 30 36 .6 60 400 400 1 Total: 795.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413154 Min 01413154 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2389 of 6486
Name
BAL KRISHAN BHANDARI Rate Amount Qty 55.8 .93 60 16.2 .27 60 14.85 .99 15 7.5 .25 30 21.3 .71 30 36 .6 60 21.6 .36 60 400 400 1 Total: 573.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413156 Min 01413156 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 2390 of 6486
Name
M. SARALA Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413160 Min 01413160 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 20-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 3 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 2391 of 6486
Name
HORILAL TAMRAKAR Rate Amount Qty 33.12 1.84 18 10.08 1.12 9 280 280 1 400 400 1 5.76 .64 9 3.84 .64 6 6.72 1.12 6 22.08 1.84 12 400 400 1 5.76 .64 9 33.12 1.84 18 3.6 .6 6 400 400 1 Total: 1604.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413162 Min 01413162 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 2392 of 6486
Name
D.M.RAO Rate Amount Qty 2.52 .42 6 6.4 .64 10 3.7 .37 10 8.9 .89 10 66.2 6.62 10 400 400 1 Total: 487.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413166 Min 01413166 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 8 16-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 9 16-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 10 16-FEB-19 ESCITALOPRAM,10MG,,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 2393 of 6486
Name
SAKHA RAM DEWANGAN Rate Amount Qty 9 .3 30 34.8 1.16 30 10.4 1.04 10 18.9 .63 30 32.4 1.08 30 13.95 .93 15 400 400 1 79.2 2.64 30 73.5 2.45 30 24.6 .82 30 55.5 1.85 30 400 400 1 Total: 1152.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413168 Min 01413168 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 2394 of 6486
Name
ALEXIA LAKRA Rate Amount Qty 23.7 .79 30 27.6 .92 30 400 400 1 Total: 451.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413169 Min 01413169 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 14-FEB-19 CREATININE /CRT 5 14-FEB-19 UREA (BUN /UR) 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19
Page 2395 of 6486
Name
AUGUSTINE LAKRA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 7.5 .25 30 34.8 1.16 30 33 1.1 30 32.4 1.08 30 36 .6 60 10.8 .36 30 400 400 1 Total: 3354.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413172 Min 01413172 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 2396 of 6486
Name
FAKIR RAM Rate Amount Qty 33 1.1 30 32.4 1.08 30 21.3 .71 30 20.06 20.06 1 6.4 .64 10 60.9 2.03 30 400 400 1 Total: 574.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413173 Min 01413173 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2397 of 6486
Name
DASODA BAI Rate Amount Qty 1.85 .37 5 12.15 12.15 1 27.9 .93 30 7.5 .25 30 26.7 .89 30 66.2 6.62 10 9 .9 10 400 400 1 Total: 551.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413187 Min 01413187 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 20-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2398 of 6486
Name
DR. P.S.A. SARMA Rate Amount Qty 12.8 .64 20 72 .6 120 36 .3 120 43.2 .36 120 94.8 1.58 60 111.6 .93 120 94.8 .79 120 69.6 1.16 60 15 .25 60 400 400 1 Total: 949.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413188 Min 01413188 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 20-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2399 of 6486
Name
DR.JANAKI RADHAKRISHNAN Rate Amount Qty 69.6 1.16 60 12.8 .64 20 35.2 3.52 10 94.8 1.58 60 15 .25 60 400 400 1 Total: 627.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413197 Min 01413197 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 2400 of 6486
Name
RAMESHWAR PRASAD DUBEY Rate Amount Qty 13.35 .89 15 36 .6 60 41.1 1.37 30 7.5 .25 30 400 400 1 Total: 497.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413198 Min 01413198 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 22-FEB-19 X - RAY - TWO VIEWS 3 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 2401 of 6486
Name
SUDHA KHANDELWAL Rate Amount Qty 1.85 .37 5 400 400 1 860 860 1 2.28 .38 6 3.84 .64 6 27.9 .93 30 21.3 .71 30 167.4 5.58 30 27 .6 45 400 400 1 185.7 6.19 30 20.84 5.21 4 400 400 1 Total: 2518.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413200 Min 01413200 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2402 of 6486
Name
JASBIR KAUR BHATIA Rate Amount Qty 18 .3 60 15.96 2.66 6 2.4 .16 15 7.5 .25 30 21.3 .71 30 3.84 .64 6 1.48 .37 4 11.85 .79 15 400 400 1 Total: 482.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413203 Min 01413203 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 12 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19
Page 2403 of 6486
Name
ASHOK KUMAR MESHRAM Rate Amount Qty 12 .4 30 15.6 .26 60 36 .6 60 6.9 .23 30 26.7 .89 30 55.8 .93 60 2.4 .16 15 21.3 .71 30 32.4 1.08 30 12 .4 30 400 400 1 13.49 13.49 1 8.9 .89 10 6.4 .64 10 35.2 3.52 10 400 400 1 Total: 1085.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413211 Min 01413211 Appmt Dt Slno Description 07-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 07-FEB-19 2 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 07-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2404 of 6486
Name
Y GOPALKRISHNA Qty Rate Amount 10 1.37 13.7 5 18.41 92.05 10 .89 8.9 1 400 400 Total: 514.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413221 Min 01413221 Appmt Dt Slno Description 04-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2405 of 6486
Name
CHAMPA DEVI Qty 1 1
Rate Amount 6.82 6.82 400 400 406.82 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413222 Min 01413222 Appmt Dt Slno Description 07-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 07-FEB-19 2 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 07-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2406 of 6486
Name
VIJAY KUMAR KALRA Qty Rate Amount 30 .36 10.8 60 1.3 78 30 .71 21.3 1 400 400 Total: 510.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413224 Min 01413224 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 2407 of 6486
Name
S.K.DIXIT Rate Amount Qty 27.9 .93 30 117 1.3 90 12 .4 30 72 .6 120 21.3 .71 30 18.6 .62 30 5.21 5.21 1 400 400 1 Total: 674.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413225 Min 01413225 Appmt Dt Slno Description 19-FEB-19 1 BUDESONIDE,200MCG,CAPSULE 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2408 of 6486
Name
JYOTI DIXIT Qty Rate Amount 60 1.74 104.4 1 400 400 504.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413226 Min 01413226 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 28-FEB-19
Page 2409 of 6486
Name
PRABHAKAR SINGH SORI Rate Amount Qty 378 2.1 180 400 400 1 15 .25 60 64.8 1.08 60 42.6 .71 60 79.2 .66 120 22.8 .38 60 Total: 1002.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413227 Min 01413227 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 PRAZOSIN,2.5MG,TABLET 6 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 2410 of 6486
Name
AHILYA SORI Rate Amount Qty 36 .6 60 34.8 1.16 30 9 .3 30 19.8 .66 30 12 .4 30 39 1.3 30 72.6 1.21 60 29.7 .99 30 55.8 .93 60 118.5 3.95 30 400 400 1 Total: 827.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413228 Min 01413228 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2411 of 6486
Name
RAM KUMAR DEWANGAN Rate Amount Qty 12 .4 30 17.4 1.16 15 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 710.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413229 Min 01413229 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 2412 of 6486
Name
SHYAM BAI Rate Amount Qty 78 1.3 60 36 .6 60 7.8 .26 30 7.5 .25 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 608.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413231 Min 01413231 Appmt Dt Slno Description 07-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 07-FEB-19 2 TABLET/CAPSULE FLUCONAZOLE, 150MG 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2413 of 6486
Name
CHANDRAKANTA YADAV Qty Rate Amount 2 9.86 19.72 8 3.37 26.96 30 .37 11.1 1 400 400 Total: 457.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413236 Min 01413236 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 2414 of 6486
Name
KALLI VENKATESHWARA RAO Rate Amount Qty 8.1 .27 30 33 1.1 30 12 .4 30 32.4 1.08 30 55.8 .93 60 21.3 .71 30 72 .6 120 32.4 .36 90 167.4 5.58 30 400 400 1 Total: 834.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413237 Min 01413237 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 2415 of 6486
Name
KALLI MADHUBALA Rate Amount Qty 21.3 .71 30 18.6 .62 30 36 .6 60 55.8 .93 60 12.6 .42 30 17.4 .58 30 400 400 1 Total: 561.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413240 Min 01413240 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2416 of 6486
Name
KIRAN KAPOOR Rate Amount Qty 18.9 .63 30 27.9 .93 30 8.1 .27 30 12 .4 30 400 400 1 Total: 466.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413241 Min 01413241 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 15-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 2 15-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2417 of 6486
Name
REWA KAPOOR Rate Amount Qty 185.7 6.19 30 83.4 2.78 30 95.7 3.19 30 66 1.1 60 400 400 1 Total: 830.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413244 Min 01413244 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 2418 of 6486
Name
K P RAGHUNANDAN Rate Amount Qty 1.6 .16 10 55.8 .93 60 22.2 .37 60 167.4 5.58 30 36 .6 60 34.8 1.16 30 76.5 2.55 30 12 .4 30 13.35 .89 15 400 400 1 Total: 819.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413248 Min 01413248 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 COMPLETE HAEMOGRAM 10 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 18-FEB-19 UREA (BUN /UR) 12 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 18-FEB-19 CREATININE /CRT 14 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 23-FEB-19 URIC ACID (UA /URATES /UR) 20 23-FEB-19 UREA (BUN /UR) 21 23-FEB-19 CREATININE /CRT 22 23-FEB-19
Page 2419 of 6486
Name
A. CHATURVEDI Rate Amount Qty 55.2 .92 60 69.6 1.16 60 167.4 5.58 30 36.3 1.21 30 60.9 2.03 30 192.3 6.41 30 400 400 1 275 275 1 400 400 1 750 750 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 Total: 7406.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413249 Min 01413249 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 09-FEB-19 GUM ASTRINGENT PAINT 6 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 7 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 2420 of 6486
MAMTA CHATURVEDI Rate Amount Qty 3.7 .37 10 19.8 .66 30 18.9 .63 30 33 1.1 30 27.9 .62 45 31.54 31.54 1 7 .7 10 7.4 .37 20 12.8 .64 20 21.3 .71 30 25.07 100.28 4 400 400 1 Total: 683.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413251 Min 01413251 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 PRAZOSIN,2.5MG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2421 of 6486
Name
SARASWATI SAHU Rate Amount Qty 11.1 .37 30 21.3 .71 30 29.7 .99 30 78 1.3 60 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 628.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413256 Min 01413256 Appmt Dt Slno Description 26-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 26-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2422 of 6486
Name
C.L. SWARNKAR Qty Rate Amount 60 .6 36 30 .23 6.9 30 .93 27.9 1 400 400 Total: 470.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413272 Min 01413272 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 23-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 23-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 28-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 2423 of 6486
Name
VISHNU RAM Rate Amount Qty 400 400 1 380 380 1 7.4 .37 20 12.81 12.81 1 54 .9 60 16.2 .18 90 3.7 .37 10 12.15 12.15 1 26.7 .89 30 400 400 1 Total: 1312.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413273 Min 01413273 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 PRAZOSIN,2.5MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 28-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 15 28-FEB-19 BUDESONIDE,200MCG,CAPSULE 16 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 17 28-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 18 28-FEB-19 X - RAY - SINGLE VIEW 19 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 2424 of 6486
Name
SHANTI BAI Rate Amount Qty 14.85 .99 15 34.8 1.16 30 156 1.3 120 55.8 .93 60 117 1.3 90 36 .6 60 400 400 1 .48 .16 3 20.06 20.06 1 6.4 .64 10 400 400 1 12.15 12.15 1 13.35 .89 15 5.55 .37 15 59.4 .66 90 104.4 1.74 60 54 .9 60 69.05 69.05 1 550 550 1 400 400 1 400 400 1 Total: 2909.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413290 Min 01413290 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2425 of 6486
Name
PARVATI Rate Amount Qty 36 .6 60 39 1.3 30 400 400 1 Total: 475
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413297 Min 01413297 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 19-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 10 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 19-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 19-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 13 19-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 14 19-FEB-19 POTASSIUM CHLORIDE LIQUID,200ML, 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 2426 of 6486
Name
MAHESH RAM Rate Amount Qty 8.1 .18 45 32.83 .67 49 27 .9 30 400 400 1 33.5 .67 50 26.7 .89 30 27 .9 30 8.1 .18 45 156.6 1.74 90 39.6 .66 60 66.2 6.62 10 148.9 74.45 2 29.96 2.14 14 283.26 94.42 3 91.96 45.98 2 400 400 1 Total: 1779.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413298 Min 01413298 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 16-FEB-19 X - RAY - TWO VIEWS 2 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 16-FEB-19 SUTURE REMOVAL 4 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 19-FEB-19 SOLIFENACIN,5MG,,TABLET 6 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 2427 of 6486
Name
KAMALA VERMA Rate Amount Qty 400 400 1 860 860 1 400 400 1 490 490 1 37.8 .63 60 403.2 13.44 30 60.9 2.03 30 400 400 1 Total: 3051.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413299 Min 01413299 Slno Description Appmt Dt PLATELET COUNT 1 07-FEB-19 PARASITES (MP /MF) 2 07-FEB-19 HB,TLC,DLC 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 17 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 11-FEB-19
Page 2428 of 6486
Name
THAKUR P.M. Rate Amount Qty 330 330 1 165 165 1 300 300 1 400 400 1 1.48 .37 4 15.96 2.66 6 3.84 .64 6 400 400 1 36 .6 60 8.1 .27 30 60.9 2.03 30 32.4 1.08 30 1.48 .37 4 27.9 .93 30 34.8 1.16 30 33 1.1 30 10.64 2.66 4 400 400 1 Total: 2261.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413300 Min 01413300 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2429 of 6486
Name
ABHA THAKUR Rate Amount Qty 27.75 1.85 15 400 400 1 13.7 1.37 10 7.5 .25 30 185.7 6.19 30 400 400 1 Total: 1034.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413301 Min 01413301 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 2430 of 6486
Name
P.K. SHARMA Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 467.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413302 Min 01413302 Appmt Dt Slno Description 08-FEB-19 1 BLOOD FOR T-3,T-4,TSH 08-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 08-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 08-FEB-19 4 CONSULTATION IN OPD IN JLN H AND RC
Page 2431 of 6486
Name
KRISHNA KUMAR VERMA Qty Rate Amount 1 2400 2400 1 275 275 1 275 275 1 400 400 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413303 Min 01413303 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 16-FEB-19 URIC ACID (UA /URATES /UR) 12 16-FEB-19 CREATININE /CRT 13 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 15 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 16-FEB-19
Page 2432 of 6486
Name
MATHURA VERMA Rate Amount Qty 275 275 1 7.5 .25 30 26.7 .89 30 33 1.1 30 34.8 1.16 30 12 .4 30 156 1.3 120 72 .6 120 32.4 .36 90 167.4 5.58 30 1300 1300 1 275 275 1 275 275 1 275 275 1 11.4 .38 30 400 400 1 Total: 3353.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413306 Min 01413306 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 2433 of 6486
Name
B.L. SHRIVASTAVA Rate Amount Qty 72 .6 120 29.7 .99 30 55.8 .93 60 24 .4 60 7.5 .25 30 21.3 .71 30 78 1.3 60 18.9 .63 30 7.5 .25 30 36 .6 60 21.3 .71 30 18.9 .63 30 400 400 1 Total: 790.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413307 Min 01413307 Appmt Dt Slno Description 05-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 3 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2434 of 6486
Name
NIRMALA SHRIVASTAVA Qty Rate Amount 60 .93 55.8 30 .71 21.3 60 .6 36 1 400 400 Total: 513.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413313 Min 01413313 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2435 of 6486
Name
R.K. SHARMA Rate Amount Qty 23.7 .79 30 20.06 20.06 1 12 .4 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 484.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413315 Min 01413315 Appmt Dt Slno Description 19-FEB-19 1 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2436 of 6486
Name
SATISH KUMAR CHOUBEY Qty Rate Amount 15 1.12 16.8 10 .89 8.9 10 3.52 35.2 1 400 400 Total: 460.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413316 Min 01413316 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 13-FEB-19 COMPLETE HAEMOGRAM 2 13-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 8 19-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 12 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 2437 of 6486
Name
KANTI CHOUBEY Rate Amount Qty 1750 1750 1 750 750 1 1300 1300 1 275 275 1 400 400 1 1300 1300 1 400 400 1 2110 2110 1 2.34 196.56 84 35.6 .89 40 31.36 1.12 28 184.2 6.14 30 21.3 .71 30 400 400 1 Total: 9154.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413322 Min 01413322 Appmt Dt Slno Description 01-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 01-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 01-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2438 of 6486
Name
RAMKUNWAR Qty Rate Amount 30 1.1 33 4 .37 1.48 30 .71 21.3 1 400 400 Total: 455.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413324 Min 01413324 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 20-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2439 of 6486
Name
KUSUMLATA VAIDYA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 26 2.6 10 7.1 .71 10 8.9 .89 10 400 400 1 Total: 635.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413325 Min 01413325 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 2440 of 6486
LAHARAM VERMA Rate Amount Qty 13.49 13.49 1 1.85 .37 5 25.07 25.07 1 400 400 1 185.7 6.19 30 17.4 .58 30 400 400 1 Total: 1043.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413326 Min 01413326 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 25-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2441 of 6486
Name
NESHWARI VERMA Rate Amount Qty 185.7 6.19 30 26 2.6 10 17.4 .58 30 21.3 .71 30 41.85 .93 45 8.1 .27 30 400 400 1 26.7 .89 30 38.76 3.23 12 400 400 1 Total: 1165.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413349 Min 01413349 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2442 of 6486
Name
NEELAM KUMAR DHIR Rate Amount Qty 21.3 .71 30 27.9 .93 30 72.6 1.21 60 6.82 6.82 1 18.9 .63 30 7.5 .25 30 400 400 1 Total: 555.02
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413350 Min 01413350 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 05-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 2443 of 6486
DARSHNA DHIR Rate Amount Qty 35.2 3.52 10 48.22 48.22 1 2.5 .25 10 400 400 1 13.35 .89 15 7.5 .25 30 12.6 .42 30 20.84 5.21 4 400 400 1 Total: 940.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413353 Min 01413353 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 04-FEB-19 UREA (BUN /UR) 12 04-FEB-19 CREATININE /CRT 13 04-FEB-19
Page 2444 of 6486
Name
S. APPA RAO Rate Amount Qty 9 .3 30 550 550 1 275 275 1 118.5 3.95 30 21.3 .71 30 36 .6 60 117 1.3 90 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3926.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413354 Min 01413354 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 2445 of 6486
Name
S.V. LAKSHMI Rate Amount Qty 26.7 .89 30 27.9 .93 30 400 400 1 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413366 Min 01413366 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2446 of 6486
Name
BALDEO SINGH Rate Amount Qty 2.4 .16 15 15.6 .26 60 118.5 3.95 30 23.1 .77 30 32.4 1.08 30 12 .4 30 7.5 .25 30 400 400 1 Total: 611.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413370 Min 01413370 Appmt Dt Slno Description 22-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 22-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2447 of 6486
Name
S.K. DATTA GUPTA Qty Rate Amount 30 1.21 36.3 30 1.08 32.4 30 1.16 34.8 1 400 400 Total: 503.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413371 Min 01413371 Appmt Dt Slno Description 22-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 22-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2448 of 6486
Name
RITA DATTA GUPTA Qty Rate Amount 15 .99 14.85 30 .71 21.3 60 1.1 66 1 400 400 Total: 502.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413372 Min 01413372 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 7 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2449 of 6486
BHUWAN LAL VERMA Rate Amount Qty 55.8 .93 60 30.6 .34 90 36 .6 60 32.4 1.08 30 16.2 .27 60 400 400 1 156.51 313.02 2 50.14 25.07 2 400 400 1 Total: 1334.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413373 Min 01413373 Slno Description Appmt Dt ECG 1 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 15-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 3 15-FEB-19 OBSERVATION IN CASUALTY 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 16-FEB-19 X - RAY - SINGLE VIEW 7 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 2450 of 6486
Name
BASANTI DEVI VERMA Rate Amount Qty 450 450 1 .37 .37 1 100 100 1 420 420 1 .89 .89 1 400 400 1 550 550 1 12.15 12.15 1 4.45 .89 5 9 .9 10 66.2 6.62 10 9 .9 10 3.7 .37 10 400 400 1 Total: 2425.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413374 Min 01413374 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2451 of 6486
Name
V.N. DWIVEDI Rate Amount Qty 7.5 .25 30 43.2 1.44 30 32.4 1.08 30 8.1 .27 30 21.3 .71 30 38.25 2.55 15 400 400 1 Total: 550.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413375 Min 01413375 Appmt Dt Slno Description 26-FEB-19 1 PRAZOSIN,2.5MG,TABLET 26-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2452 of 6486
Name
TARA DWIVEDI Qty Rate Amount 60 1.3 78 30 .25 7.5 60 .93 55.8 1 400 400 Total: 541.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413380 Min 01413380 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2453 of 6486
Name
K. SUBBA RAO Rate Amount Qty 54 .6 90 32.4 1.08 30 34.8 1.16 30 33 1.1 30 23.7 .79 30 78 1.3 60 15.6 .26 60 400 400 1 Total: 671.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413381 Min 01413381 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 2454 of 6486
Name
K. SIVA KUMARI Rate Amount Qty 6.23 .89 7 18.2 2.6 7 400 400 1 12 .4 30 33 1.1 30 400 400 1 Total: 869.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413383 Min 01413383 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 04-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 2455 of 6486
Name
T.R.KOSARIA Rate Amount Qty 29.7 .99 30 27.9 .93 30 78 1.3 60 82.76 165.52 2 19.72 9.86 2 59.4 .66 90 26.7 .89 30 104.4 1.74 60 7.5 .25 30 400 400 1 Total: 918.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413384 Min 01413384 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 04-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2456 of 6486
Name
HEERA KOSARIA Rate Amount Qty 166.8 2.78 60 12 .4 30 5.7 .38 15 7.5 .25 30 26.7 .89 30 18.6 .62 30 31.99 3838.8 120 400 400 1 Total: 4476.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413385 Min 01413385 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2457 of 6486
Name
KAPOOR SINGH Rate Amount Qty 21.3 .71 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 36 .6 60 21.6 .36 60 400 400 1 Total: 550.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413386 Min 01413386 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 2458 of 6486
Name
BALJEET KAUR Rate Amount Qty 47.4 .79 60 6.9 .23 30 400 400 1 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413392 Min 01413392 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 01-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 02-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 12 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 23-FEB-19 PRAZOSIN,2.5MG,TABLET 18 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 2459 of 6486
Name
SHRIRAM SARWA Rate Amount Qty 95.7 3.19 30 17.25 1.15 15 41.1 1.37 30 26.7 .89 30 192.3 6.41 30 60.9 2.03 30 400 400 1 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 400 400 1 22.2 .37 60 36 .6 60 34.8 1.16 30 12 .4 30 66 1.1 60 29.7 .99 30 39 1.3 30 55.8 .93 60 400 400 1 Total: 1983.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413393 Min 01413393 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 2460 of 6486
Name
SMT.KAUSHILYA DEVI Rate Amount Qty 36 .6 60 55.8 .93 60 8.1 .27 30 76.5 2.55 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 623.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413396 Min 01413396 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 2461 of 6486
Name
DR. S.K. SARKAR Rate Amount Qty 105.9 3.53 30 7.5 .25 30 60.9 2.03 30 36 .6 60 29.7 .99 30 13.8 .23 60 8.1 .27 30 55.8 .93 60 400 400 1 Total: 717.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413397 Min 01413397 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 09-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2462 of 6486
Name
ANJALI SARKAR Rate Amount Qty 37.8 .63 60 43.2 1.44 30 400 400 1 Total: 481
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413398 Min 01413398 Appmt Dt Slno Description 16-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2463 of 6486
Name
SHIV DAYAL SINHA Qty 1 1
Rate Amount 25.69 25.69 400 400 425.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413399 Min 01413399 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 02-FEB-19 ESCITALOPRAM,10MG,,TABLET 8 16-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 9 16-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 10 16-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 11 16-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 2464 of 6486
Name
SHANTI DEVI SINHA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 17.8 .89 20 27.4 1.37 20 275 275 1 275 275 1 400 400 1 83.25 1.85 45 79.2 2.64 30 15.3 .51 30 24.6 .82 30 123.3 1.37 90 400 400 1 7.5 .25 30 13.35 .89 15 39 2.6 15 185.7 6.19 30 400 400 1 Total: 2559.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413400 Min 01413400 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2465 of 6486
Name
VISHNU PRASAD OJHA Rate Amount Qty 55.8 .93 60 6.82 6.82 1 60.9 2.03 30 6.9 .23 30 400 400 1 Total: 530.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413401 Min 01413401 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 22-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 2466 of 6486
Name
TARA OJHA Rate Amount Qty 54 .9 60 26.7 .89 30 12.8 .64 20 12.15 12.15 1 104.4 1.74 60 59.4 .66 90 20.1 .67 30 400 400 1 7.4 .37 20 12.81 12.81 1 400 400 1 Total: 1109.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413402 Min 01413402 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 3 14-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 2467 of 6486
Name
G.S. DESHMUKH Rate Amount Qty 60.9 2.03 30 78 2.6 30 59.4 .99 60 191.4 3.19 60 60.18 20.06 3 192.3 6.41 30 400 400 1 26.7 .89 30 400 400 1 Total: 1468.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413413 Min 01413413 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2468 of 6486
Name
RAMESH CHANDRA GUPTA Rate Amount Qty 36 .6 60 334.8 5.58 60 8.1 .27 30 55.8 .93 60 400 400 1 Total: 834.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413414 Min 01413414 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2469 of 6486
Name
VIDYA DEVI GUPTA Rate Amount Qty 31.2 1.04 30 19.8 .66 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 572.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413417 Min 01413417 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2470 of 6486
Name
M.P. VISHWAKARMA Rate Amount Qty 55.2 1.84 30 17.8 .89 20 247.6 6.19 40 13.7 1.37 10 4.1 .41 10 6.4 .64 10 400 400 1 Total: 744.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413418 Min 01413418 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2471 of 6486
Name
CHAMPA DEVI VISHWAKARMA Rate Amount Qty 33 1.1 30 9.28 1.16 8 7.5 .25 30 2.4 .16 15 400 400 1 Total: 452.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413419 Min 01413419 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 PRAZOSIN,2.5MG,TABLET 5 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 2472 of 6486
Name
DAMODAR THAKUR Rate Amount Qty 36 .6 60 8.9 .89 10 21.3 .71 30 21.3 .71 30 156 1.3 120 32.4 1.08 30 14.85 .99 15 55.8 .93 60 22.2 .37 60 400 400 1 Total: 768.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413420 Min 01413420 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2473 of 6486
Name
BUDHANTIN THAKUR Qty Rate Amount 30 .93 27.9 60 .37 22.2 30 .71 21.3 1 400 400 Total: 471.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413421 Min 01413421 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 15-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 15-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 15 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 16 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 2474 of 6486
Name
SMT VIMLA KAPOOR Rate Amount Qty 21.3 .71 30 30.6 .51 60 43.2 1.44 30 32.4 1.08 30 34.8 1.16 30 247.06 123.53 2 26.7 .89 30 400 400 1 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 33 1.1 30 15.3 .51 30 7.5 .25 30 236.7 2.63 90 7.8 .26 30 72 .6 120 400 400 1 Total: 1702.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413440 Min 01413440 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2475 of 6486
Name
SHAIN KUMARI Rate Amount Qty 54 .6 90 34.8 1.16 30 33 1.1 30 6 .4 15 10.8 .36 30 78 1.3 60 12 .4 30 400 400 1 Total: 628.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413448 Min 01413448 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 GUM ASTRINGENT PAINT 3 08-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 2476 of 6486
Name
SANYUKTA MISHRA Rate Amount Qty 6.4 .64 10 400 400 1 31.54 31.54 1 20.25 20.25 1 400 400 1 22.8 .38 60 400 400 1 5.21 5.21 1 20.06 20.06 1 1.48 .37 4 26.7 .89 30 21.3 .71 30 33 1.1 30 400 400 1 Total: 1788.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413449 Min 01413449 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 2477 of 6486
Name
SHRIRAM KULKARNI Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413450 Min 01413450 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 09-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 09-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 2478 of 6486
Name
SANGITA KULKARNI Rate Amount Qty 59.4 .66 90 156.6 1.74 90 54 .9 60 12.15 12.15 1 26.7 .89 30 4.8 .6 8 7.68 .64 12 44.16 1.84 24 12.15 12.15 1 400 400 1 3.6 .6 6 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 1233.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413453 Min 01413453 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 2479 of 6486
Name
GEORGE VICTOR LOUISE Rate Amount Qty 7.5 .25 30 236.7 2.63 90 32.4 1.08 30 33 1.1 30 34.8 1.16 30 26.7 .89 30 15.3 .51 30 7.8 .26 30 72 .6 120 400 400 1 Total: 866.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413454 Min 01413454 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 4 02-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 5 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 2480 of 6486
NIRMALA GEORGE LOUISE Rate Amount Qty 12 .4 30 25.07 25.07 1 36 .6 60 85.8 8.58 10 137.3 13.73 10 8.1 .27 30 21.6 .36 60 400 400 1 Total: 725.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413456 Min 01413456 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2481 of 6486
Name
V.K.AGRAWAL Rate Amount Qty 66 1.1 60 60.9 2.03 30 12 .4 30 8.1 .27 30 400 400 1 7.4 .37 20 12.81 12.81 1 400 400 1 Total: 967.21
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413457 Min 01413457 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 25-FEB-19
Page 2482 of 6486
PUSHPA AGRAWAL Rate Amount Qty 17 1.7 10 15.73 15.73 1 400 400 1 371.4 6.19 60 17 1.7 10 17.8 .89 20 7.4 .37 20 41.85 .93 45 12.8 .64 20 400 400 1 400 400 1 1300 1300 1 Total: 3000.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413458 Min 01413458 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2483 of 6486
Name
YOUSUF GHORI Rate Amount Qty 21.3 .71 30 24 .4 60 39 1.3 30 55.8 .93 60 13.8 .23 60 29.7 .99 30 33 1.1 30 72 .6 120 400 400 1 Total: 688.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413460 Min 01413460 Appmt Dt Slno Description 08-FEB-19 1 SUTURE REMOVAL 08-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 2484 of 6486
Name
ANUSHILA GUHA NEOGI Qty Rate Amount 1 490 490 1 400 400 890 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413463 Min 01413463 Appmt Dt Slno Description 11-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2485 of 6486
Name
P.K.GUPTA Qty Rate Amount 6 .37 2.22 45 .62 27.9 30 .93 27.9 1 400 400 Total: 458.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413464 Min 01413464 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 11-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 6 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 7 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 2486 of 6486
Name
ABHA GUPTA Rate Amount Qty 33.12 1.84 18 5.76 .64 9 12.81 12.81 1 3.7 .37 10 19.72 9.86 2 63.58 63.58 1 26.96 3.37 8 27.9 .62 45 400 400 1 55.2 1.84 30 6.4 .64 10 20.06 20.06 1 400 400 1 Total: 1075.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413469 Min 01413469 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 2487 of 6486
Name
P.R.SHRIVASTAVA Rate Amount Qty 27.9 .93 30 3.84 .64 6 400 400 1 Total: 431.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413470 Min 01413470 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 2488 of 6486
Name
SANDHYA SHRIVASTAVA Rate Amount Qty 55.8 .93 60 21.3 .71 30 32.4 1.08 30 7.5 .25 30 10.08 1.12 9 22.2 .37 60 400 400 1 Total: 549.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413471 Min 01413471 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 2489 of 6486
Name
G.C.PANDEY Rate Amount Qty 12.3 .41 30 20.06 20.06 1 26.7 .89 30 4.8 .16 30 6.9 .23 30 55.8 .93 60 400 400 1 35.2 3.52 10 16.8 1.12 15 400 400 1 Total: 978.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413473 Min 01413473 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2490 of 6486
Name
SURYAKANT MEHAR Rate Amount Qty 34.8 1.16 30 7.5 .25 30 15.3 .51 30 66 1.1 60 8.1 .27 30 12 .4 30 27.9 .93 30 15.6 .26 60 400 400 1 Total: 587.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413474 Min 01413474 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 8 12-FEB-19 CREATININE /CRT 9 12-FEB-19 URIC ACID (UA /URATES /UR) 10 12-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 12-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 12-FEB-19
Page 2491 of 6486
Name
USHA MEHAR Rate Amount Qty 275 275 1 7.5 .25 30 21.3 .71 30 12 .4 30 27.9 .93 30 18 .6 30 10.8 .36 30 22.05 1.47 15 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 275 275 1 Total: 3469.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413477 Min 01413477 Appmt Dt Slno Description 08-FEB-19 1 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2492 of 6486
Name
MAHESH SINGH Qty 1 1
Rate Amount 123.53 123.53 400 400 523.53 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413478 Min 01413478 Slno Description Appmt Dt UREA (BUN /UR) 1 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2493 of 6486
Name
SAROJ CHAUHAN Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 167.4 5.58 30 27.9 .93 30 36 .6 60 21.3 .71 30 400 400 1 Total: 1904.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413481 Min 01413481 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 01-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 01-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 2494 of 6486
TAJ MOHD MANSURI Rate Amount Qty 19.72 9.86 2 25.07 100.28 4 11.1 .37 30 26.96 3.37 8 74.08 37.04 2 81.16 20.29 4 400 400 1 Total: 713.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413486 Min 01413486 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 08-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 7 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 08-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 2495 of 6486
Name
MRS.NEETA SHUKLA Rate Amount Qty 104.4 1.74 60 8.1 .27 30 18.6 .62 30 27.9 .93 30 26.7 .89 30 83.4 2.78 30 77.52 3.23 24 27.9 .93 30 17.4 .58 30 100.71 100.71 1 26.7 .89 30 400 400 1 Total: 919.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413487 Min 01413487 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2496 of 6486
Name
KEWAL KUMAR BHALLA Rate Amount Qty 27.9 .93 30 32.4 1.08 30 26.7 .89 30 7.8 .26 30 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413505 Min 01413505 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2497 of 6486
Name
VIRENDRA KUMAR Rate Amount Qty 36 .6 60 34.8 1.16 30 12 .4 30 29.7 .99 30 55.8 .93 60 167.4 5.58 30 400 400 1 Total: 735.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413506 Min 01413506 Slno Description Appmt Dt TABLET PYRIDOSTIGMINE 60 MG 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 18-FEB-19 MYCOPHENOLATE MOFETIL,500MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 2498 of 6486
Name
LOHKU RAM DHIMAN Rate Amount Qty 387 4.3 90 21.3 .71 30 18.9 .63 30 22.96 1377.6 60 400 400 1 Total: 2204.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413516 Min 01413516 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 14 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 2499 of 6486
Name
INDERJIT SINGH TUTEJA Rate Amount Qty 12.15 12.15 1 21.6 .18 120 54 .9 60 400 400 1 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 185.7 6.19 30 13.7 1.37 10 400 400 1 1.92 .16 12 55.8 .93 60 32.4 1.08 30 11.4 .38 30 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 1933.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413518 Min 01413518 Appmt Dt Slno Description 14-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 14-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2500 of 6486
Name
AMBIKA SHARAN Qty Rate Amount 30 .4 12 30 .71 21.3 15 .79 11.85 1 400 400 Total: 445.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413520 Min 01413520 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19
Page 2501 of 6486
Name
S.K.GHOSH Rate Amount Qty 8.1 .27 30 33 1.1 30 47.4 .79 60 36 .6 60 20.06 20.06 1 26.7 .89 30 17.4 .58 30 12 .4 30 17.4 1.16 15 2.4 .16 15 7.5 .25 30 400 400 1 185.7 6.19 30 6.23 .89 7 20.55 1.37 15 400 400 1 Total: 1240.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413525 Min 01413525 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 13-FEB-19 X - RAY - TWO VIEWS 8 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2502 of 6486
Name
SATYA BHAMA Rate Amount Qty 20.84 5.21 4 6.4 .64 10 11.4 .38 30 18.9 .63 30 6.23 .89 7 400 400 1 400 400 1 860 860 1 26.7 .89 30 400 400 1 Total: 2150.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413528 Min 01413528 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 18-FEB-19 COLONOSCOPY DIAGNOSTIC 4 18-FEB-19 PROTHROMBIN TIME (PT) 5 19-FEB-19 PLATELET COUNT 6 19-FEB-19 HB,TLC,DLC 7 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 2503 of 6486
Name
RAJENDRA PRASAD SONI Rate Amount Qty 4.95 .99 5 400 400 1 400 400 1 3230 3230 1 330 330 1 330 330 1 300 300 1 400 400 1 21.3 .71 30 7.5 .25 30 23.7 .79 30 400 400 1 66.2 6.62 10 123.53 123.53 1 4.45 .89 5 2.66 .38 7 400 400 1 Total: 6444.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413529 Min 01413529 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 7 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 28-FEB-19
Page 2504 of 6486
Name
VINDESHWARI SONI Rate Amount Qty 6.32 .79 8 3.75 .25 15 21.3 .71 30 36 .6 60 167.4 5.58 30 400 400 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 4184.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413530 Min 01413530 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 2505 of 6486
Name
SUNIL BAND Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413533 Min 01413533 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 25-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 25-FEB-19 X - RAY - SINGLE VIEW 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 2506 of 6486
Name
TIJ DESHMUKH Rate Amount Qty 66.2 6.62 10 1.85 .37 5 4.45 .89 5 12.15 12.15 1 400 400 1 4.45 .89 5 9 .9 10 12.15 12.15 1 70.2 2.34 30 400 400 1 550 550 1 400 400 1 Total: 1930.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413534 Min 01413534 Appmt Dt Slno Description 04-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 04-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 04-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2507 of 6486
Name
C.V.RAO Qty Rate Amount 30 1.84 55.2 10 .64 6.4 10 .77 7.7 1 400 400 Total: 469.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413546 Min 01413546 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 02-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 2508 of 6486
Name
RAM ASHRAY RAM Rate Amount Qty 13.95 .93 15 26.7 .89 30 20.06 20.06 1 7.65 .51 15 18.9 .63 30 400 400 1 Total: 487.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413550 Min 01413550 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 19-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2509 of 6486
Name
RAJESH KUMAR SHUKLA Rate Amount Qty 12 .4 30 72 .6 120 32.4 1.08 30 21.3 .71 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 790.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413551 Min 01413551 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 28-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 2510 of 6486
Name
REKHA RANI SHUKLA Rate Amount Qty 21.3 .71 30 31.2 1.04 30 32.4 1.08 30 21.3 .71 30 5.7 .38 15 211.8 3.53 60 400 400 1 32.4 1.08 30 317.7 3.53 90 31.2 1.04 30 400 400 1 Total: 1505
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413554 Min 01413554 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2511 of 6486
Name
S.K. AGRAWAL Rate Amount Qty 21.3 .71 30 27.9 .93 30 14.85 .99 15 66 1.1 60 12 .4 30 400 400 1 Total: 542.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413559 Min 01413559 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2512 of 6486
Name
SUSHILA HANSIA Rate Amount Qty 55.8 .93 60 16.2 .27 60 21.3 .71 30 4.8 .16 30 20.06 20.06 1 43.96 43.96 1 400 400 1 Total: 562.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413569 Min 01413569 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 24-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 2 24-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 3 24-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 4 24-FEB-19 ECG 5 24-FEB-19 X - RAY - SINGLE VIEW 6 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 24-FEB-19
Page 2513 of 6486
Name
PAWAN KUMAR GARG Rate Amount Qty 420 420 1 5.77 5.77 1 6.67 6.67 1 600 600 1 450 450 1 550 550 1 .89 .89 1 Total: 2033.33
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413581 Min 01413581 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2514 of 6486
MANJULA TAMGADGE Rate Amount Qty 100.71 100.71 1 15.73 15.73 1 11.1 .37 30 54 .9 60 400 400 1 Total: 581.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413582 Min 01413582 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 SILDENAFIL,25 MG,,TABLET 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 08-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 10 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 2515 of 6486
Name
ANJANA LUCAS Rate Amount Qty 36 .6 60 158.4 2.64 60 78 1.3 60 21.3 .71 30 2.4 .16 15 7.5 .25 30 55.8 .93 60 31.2 1.04 30 66 1.1 60 61.8 4.12 15 12 .4 30 400 400 1 Total: 930.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413583 Min 01413583 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19
Page 2516 of 6486
Name
ANIL LUCAS Rate Amount Qty 12 .4 30 23.7 .79 30 15.6 .26 60 72.6 1.21 60 34.8 1.16 30 26.7 .89 30 400 400 1 32.4 1.08 30 34.8 1.16 30 18.9 .63 30 211.8 3.53 60 26.7 .89 30 4.8 .16 30 43.2 .36 120 334.8 5.58 60 117 1.3 90 55.8 .93 60 400 400 1 Total: 1865.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413588 Min 01413588 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2517 of 6486
Name
V K SINGH Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 12 .4 30 7.8 .26 30 34.8 1.16 30 32.4 1.08 30 36.3 1.21 30 400 400 1 Total: 776.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413596 Min 01413596 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 2518 of 6486
Name
G.R. DESHMUKH Rate Amount Qty 23.7 .79 30 167.4 5.58 30 10.8 .36 30 7.5 .25 30 400 400 1 Total: 609.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413598 Min 01413598 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 21-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 2519 of 6486
Name
G.D. SHARMA Rate Amount Qty 6.23 .89 7 1.75 .25 7 43.33 6.19 7 9.59 1.37 7 400 400 1 47.4 .79 60 118.5 3.95 30 12 .4 30 15.6 .26 60 21.3 .71 30 400 400 1 Total: 1075.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413599 Min 01413599 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 2520 of 6486
Name
SHEELA SHARMA Rate Amount Qty 13.7 1.37 10 18.9 .63 30 7.5 .25 30 185.7 6.19 30 400 400 1 1.52 .38 4 2.56 .64 4 1.48 .37 4 400 400 1 13.7 1.37 10 185.7 6.19 30 7.5 .25 30 18.9 .63 30 400 400 1 Total: 1657.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413600 Min 01413600 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 23-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 23-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 23-FEB-19 URIC ACID (UA /URATES /UR) 5 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 23-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 23-FEB-19 COMPLETE HAEMOGRAM 11 23-FEB-19
Page 2521 of 6486
Name
D.K.MAITRA Rate Amount Qty 18 .6 30 4.8 .16 30 25.62 12.81 2 74.08 37.04 2 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 1300 1300 1 750 750 1 Total: 4697.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413601 Min 01413601 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 23-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 2522 of 6486
Name
SHRILEKHA MAITRA Rate Amount Qty 36 .6 60 4.8 .16 30 211.8 3.53 60 71 .71 100 400 400 1 Total: 723.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413602 Min 01413602 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 14-FEB-19 PRAZOSIN,2.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 COMPLETE HAEMOGRAM 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 25-FEB-19 CREATININE /CRT 10 25-FEB-19 URIC ACID (UA /URATES /UR) 11 25-FEB-19
Page 2523 of 6486
Name
S.P. VISHWAKARMA Rate Amount Qty 211.8 3.53 60 1.6 .16 10 13.8 .23 60 22.2 .37 60 234 1.3 180 400 400 1 750 750 1 400 400 1 550 550 1 275 275 1 275 275 1 Total: 3133.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413604 Min 01413604 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2524 of 6486
Name
SHASHI BALA LAL Rate Amount Qty 39 1.3 30 36 .6 60 55.8 .93 60 12 .4 30 33 1.1 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 618.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413606 Min 01413606 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 14-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2525 of 6486
Name
B.S. THAKUR Rate Amount Qty 7.5 .25 30 12 .4 30 86.4 1.44 60 26.7 .89 30 400 400 1 11.4 .38 30 45.44 45.44 1 400 400 1 Total: 989.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413607 Min 01413607 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 2526 of 6486
Name
KAUSHILYA Rate Amount Qty 55.8 .93 60 6.9 .23 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413608 Min 01413608 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 2 01-FEB-19 HB,TLC,DLC 3 01-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 4 01-FEB-19 PLATELET COUNT 5 01-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 6 01-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 7 01-FEB-19 UREA (BUN /UR) 8 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 01-FEB-19 SERUM COPPER (CU++) 10 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 11 01-FEB-19 ALKALINE PHOSPHATASE (ALP) 12 01-FEB-19 CREATININE /CRT 13 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 14 03-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 15 03-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 16 03-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 03-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 03-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 03-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 20 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 03-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 23 09-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 24 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 25 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 26 09-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 27 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 28 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 09-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 30 13-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 31 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 32 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 33 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 34 13-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 35 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 36 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 37 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 13-FEB-19
Page 2527 of 6486
Name
B VASUDEVA RAO Rate Amount Qty 400 400 1 4790 4790 1 300 300 1 330 330 1 330 330 1 275 275 1 275 275 1 275 275 1 550 550 1 500 500 1 275 275 1 275 275 1 275 275 1 10.2 .34 30 15.6 1.04 15 15.4 .77 20 10.8 1.08 10 3.8 .38 10 7.1 .71 10 7.1 .71 10 400 400 1 14.2 .71 20 21.6 1.08 20 14.2 .71 20 8 .4 20 10.4 .26 40 41.6 1.04 40 20.4 .51 40 400 400 1 31.2 1.04 30 7.8 .26 30 6 .4 15 16.2 1.08 15 10.65 .71 15 10.65 .71 15 5.7 .38 15 15.3 .51 30 400 400 1 Total: 10353.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413609 Min 01413609 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 2528 of 6486
Name
B. KALAVATI Rate Amount Qty 6.4 .64 10 1.85 .37 5 26.6 2.66 10 7.7 .77 10 400 400 1 10.65 .71 15 117 1.3 90 72 .6 120 110.4 .92 120 55.8 .93 60 400 400 1 Total: 1208.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413610 Min 01413610 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 2529 of 6486
Name
KRISHNA KUMAR SAHU Rate Amount Qty 4.8 .16 30 43.96 43.96 1 7.5 .25 30 34.8 1.16 30 12 .4 30 33 1.1 30 11.1 .37 30 55.8 .93 60 400 400 1 Total: 602.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413611 Min 01413611 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 2530 of 6486
Name
VASUDHA SAHU Rate Amount Qty 27.9 .93 30 7.5 .25 30 21.3 .71 30 2.4 .16 15 400 400 1 Total: 459.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413628 Min 01413628 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2531 of 6486
Name
O P GUPTA Rate Amount Qty 1.85 .37 5 3.84 .64 6 27.9 .93 30 3.75 .25 15 400 400 1 Total: 437.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413629 Min 01413629 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 4 08-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2532 of 6486
Name
ASHA GUPTA Rate Amount Qty 27.9 .62 45 400 400 1 7.5 .25 30 4.15 186.75 45 177.9 5.93 30 400 400 1 Total: 1200.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413633 Min 01413633 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 2533 of 6486
Name
KANAK KATRE Rate Amount Qty 9.6 .64 15 20.55 1.37 15 11.4 .38 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 475.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413634 Min 01413634 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2534 of 6486
Name
SHALINI HIZKIAL Rate Amount Qty 18 .6 30 7.5 .25 30 55.8 .93 60 11.4 .38 30 8.9 .89 10 9 .3 30 43.96 43.96 1 400 400 1 Total: 554.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413635 Min 01413635 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 12-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2535 of 6486
Name
N.K. HIZKIAL Rate Amount Qty 26.7 .89 30 192.3 6.41 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 60.9 2.03 30 400 400 1 Total: 766.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413636 Min 01413636 Appmt Dt Slno Description 05-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 3 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2536 of 6486
DILIP KUMAR DAS Qty 5 5 1 1
Rate Amount .64 3.2 .37 1.85 15.73 15.73 400 400 Total: 420.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413637 Min 01413637 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 2537 of 6486
Name
SHIBANI DAS Rate Amount Qty 27.9 .93 30 21.3 .71 30 18.6 .62 30 37.2 .62 60 400 400 1 Total: 505
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413640 Min 01413640 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 26-FEB-19 PRAZOSIN,2.5MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 2538 of 6486
Name
MULCHAND Rate Amount Qty 211.8 3.53 60 32.4 1.08 30 60.9 2.03 30 21.3 .71 30 117 1.3 90 78 1.3 60 27.9 .93 30 36 .6 60 10.8 .36 30 400 400 1 Total: 996.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413641 Min 01413641 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 PRAZOSIN,2.5MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2539 of 6486
SHASHIKALA Rate Amount Qty 25.07 25.07 1 400 400 1 18 .6 30 118.5 3.95 30 317.7 3.53 90 55.8 .93 60 78 1.3 60 400 400 1 Total: 1413.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413646 Min 01413646 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2540 of 6486
Name
SHASHI BALA LEE Rate Amount Qty 27.9 .93 30 21.3 .71 30 185.7 6.19 30 18.9 .63 30 18.6 .62 30 20.84 5.21 4 400 400 1 Total: 693.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413655 Min 01413655 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 IVABRADINE,5MG,,TABLET 9 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19
Page 2541 of 6486
Name
KESHAV LAXMAN JOSHI Rate Amount Qty 60.9 2.03 30 22.2 .37 60 33 1.1 30 18.9 .63 30 192.3 6.41 30 18 .6 30 14.85 .99 15 55.8 .93 60 597 9.95 60 12 .4 30 21.3 .71 30 400 400 1 Total: 1446.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413656 Min 01413656 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 4 22-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 22-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2542 of 6486
Name
MALTI JOSHI Rate Amount Qty 21.3 .71 30 24.38 12.19 2 26.7 .89 30 196.2 3.27 60 83.4 2.78 30 64.6 3.23 20 4.56 .38 12 400 400 1 Total: 821.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413657 Min 01413657 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2543 of 6486
Name
D.N.CHATE Rate Amount Qty 6.4 .64 10 1.85 .37 5 26.6 2.66 10 400 400 1 1.85 .37 5 400 400 1 Total: 836.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413658 Min 01413658 Slno Description Appmt Dt ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 1 15-FEB-19 CHOLESTEROL (CHOL) 2 15-FEB-19 TRIGLYCERIDES (TGL) 3 15-FEB-19 PLATELET COUNT 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 15-FEB-19 ESR 7 15-FEB-19 HB,TLC,DLC 8 15-FEB-19 CREATININE /CRT 9 15-FEB-19
Page 2544 of 6486
Name
ASHA CHATE Qty 1 1 1 1 1 1 1 1 1
Rate Amount 275 275 275 275 275 275 330 330 400 400 275 275 165 165 300 300 275 275 Total: 2570
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413667 Min 01413667 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2545 of 6486
Name
GURUCHARAN SINGH Qty Rate Amount 40 .89 35.6 40 6.19 247.6 20 .64 12.8 1 400 400 Total: 696
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413675 Min 01413675 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 2546 of 6486
Name
E. RAMALAKSHMI REDDY Rate Amount Qty 55.8 .93 60 60.9 2.03 30 7.5 .25 30 55.2 .92 60 8.1 .27 30 66 1.1 60 400 400 1 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413676 Min 01413676 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2547 of 6486
Name
E USHA REDDY Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413677 Min 01413677 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 2548 of 6486
Name
DHRUBA MAJUMDAR Rate Amount Qty 20.84 5.21 4 7.5 .25 30 9.6 .64 15 400 400 1 13.35 .89 15 12 .4 30 21.3 .71 30 27.9 .93 30 400 400 1 Total: 912.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413678 Min 01413678 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 UREA (BUN /UR) 7 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 19-FEB-19
Page 2549 of 6486
Name
JAISHREE MAJUMDAR Rate Amount Qty 4.1 .41 10 8.9 .89 10 63.8 3.19 20 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 1701.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413680 Min 01413680 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 08-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 14-FEB-19 UREA (BUN /UR) 12 14-FEB-19 CREATININE /CRT 13 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 14-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 14-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 18 14-FEB-19 HB,TLC,DLC 19 14-FEB-19 PLATELET COUNT 20 14-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 21 14-FEB-19 DRESSING SIMPLE 22 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 24 18-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 25 18-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 26 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 28 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 29 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 30 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 31 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 32 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 33 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 34 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 35 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 36 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 37 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 38 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 39 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 40 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 41 25-FEB-19 PROTHROMBIN TIME (PT) 42 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 43 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 44 25-FEB-19
Page 2550 of 6486
Name
CHANPURIA ML Rate Amount Qty 26 2.6 10 19.72 9.86 2 57.84 115.68 2 11.4 .38 30 55.2 .92 60 18.9 .63 30 400 400 1 27.9 .93 30 78 1.3 60 27.9 .93 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 1750 1750 1 165 165 1 300 300 1 330 330 1 330 330 1 1500 300 5 400 400 1 66.2 6.62 10 139.8 9.32 15 10.95 .73 15 6.4 .64 10 12.81 12.81 1 17.4 .58 30 18.9 .63 30 26.7 .89 30 2.37 .79 3 27.9 .93 30 .4 .4 1 1.08 1.08 1 117 1.3 90 55.2 .92 60 400 400 1 400 400 1 7.3 .73 10 6.4 .64 10 330 330 1 66.2 6.62 10 400 400 1 Total: 9718.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413681 Min 01413681 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 08-FEB-19 BLOOD FOR T-3,T-4,TSH 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19
Page 2551 of 6486
Name
SMT. LAXMI CHANPURIA Rate Amount Qty 20.84 5.21 4 185.7 6.19 30 11.4 .38 30 7.5 .25 30 18.9 .63 30 34.8 1.16 30 21.3 .71 30 78 2.6 30 400 400 1 2400 2400 1 400 400 1 Total: 3578.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413684 Min 01413684 Slno Description Appmt Dt CLOZAPINE,100MG,TABLET 1 07-FEB-19 AMISULPRIDE, 100MG,,TABLET 2 07-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 UREA (BUN /UR) 17 25-FEB-19 CREATININE /CRT 18 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 25-FEB-19
Page 2552 of 6486
Name
CHANDA JAIN Rate Amount Qty 161.1 5.37 30 469.2 7.82 60 15.3 .51 30 400 400 1 7.5 .25 30 34.8 1.16 30 12 .4 30 8.1 .27 30 117 1.3 90 167.4 5.58 30 72 .6 120 18.6 .62 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 4683
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413685 Min 01413685 Appmt Dt Slno Description 25-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2553 of 6486
Name
VIJAY KUMAR JAIN Qty Rate Amount 15 .64 9.6 1 400 400 409.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413686 Min 01413686 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2554 of 6486
Name
CHETANLAL Rate Amount Qty 26.7 .89 30 36 .6 60 12 .4 30 23.7 .79 30 8.1 .27 30 400 400 1 Total: 506.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413687 Min 01413687 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 08-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 2555 of 6486
Name
KAUSHALYA BAI Rate Amount Qty 7.5 .25 30 2.22 .37 6 15.6 .26 60 23.1 .77 30 34.8 1.16 30 12 .4 30 18 .6 30 15.96 2.66 6 400 400 1 Total: 529.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413688 Min 01413688 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 06-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 06-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 2556 of 6486
Name
DASGUPTA UR Rate Amount Qty 17.4 .58 30 21.3 .71 30 27.9 .93 30 26.7 .89 30 54 .9 60 100.71 100.71 1 123.53 123.53 1 400 400 1 Total: 771.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413689 Min 01413689 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 UREA (BUN /UR) 3 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 4 04-FEB-19 URIC ACID (UA /URATES /UR) 5 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 04-FEB-19 CREATININE /CRT 10 04-FEB-19
Page 2557 of 6486
Name
SUMITA DASGUPTA Rate Amount Qty 275 275 1 275 275 1 275 275 1 1750 1750 1 275 275 1 550 550 1 1300 1300 1 400 400 1 400 400 1 275 275 1 Total: 5775
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413692 Min 01413692 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 10 27-FEB-19 ECG 11 27-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 12 27-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 13 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 14 27-FEB-19 OBSERVATION IN CASUALTY 15 27-FEB-19
Page 2558 of 6486
Name
KAUSHALYA SAHU Rate Amount Qty 32.4 1.08 30 2.4 .16 15 34.8 1.16 30 72.6 1.21 60 36 .6 60 236.7 2.63 90 3.84 .64 6 12 .4 30 400 400 1 9.62 9.62 1 450 450 1 5.41 5.41 1 24.52 24.52 1 7.52 7.52 1 420 420 1 Total: 1747.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413693 Min 01413693 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 26-FEB-19 UREA (BUN /UR) 13 26-FEB-19 CREATININE /CRT 14 26-FEB-19 URIC ACID (UA /URATES /UR) 15 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 26-FEB-19
Page 2559 of 6486
Name
SUBHASH KUMAR TINGURIA Rate Amount Qty 156.6 1.74 90 400 400 1 32.4 1.08 30 7.65 .51 15 55.8 .93 60 118.5 3.95 30 21.3 .71 30 400 400 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 Total: 4817.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413694 Min 01413694 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 25-FEB-19 CREATININE /CRT 2 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 8 27-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 9 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 2560 of 6486
Name
DEEPLATA TINGURIA Rate Amount Qty 13.7 1.37 10 275 275 1 550 550 1 400 400 1 275 275 1 275 275 1 1300 1300 1 12.3 .41 30 368.4 6.14 60 33 1.1 30 6.9 .23 30 55.8 .93 60 21.3 .71 30 12 .4 30 26.7 .89 30 7.92 .99 8 400 400 1 Total: 4033.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413695 Min 01413695 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 25-FEB-19 URIC ACID (UA /URATES /UR) 2 25-FEB-19 CREATININE /CRT 3 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19
Page 2561 of 6486
Name
KEWAL SINGH BORKER Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 76.5 2.55 30 55.8 .93 60 Total: 2953.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413696 Min 01413696 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 20-FEB-19 BLOOD FOR T-3,T-4,TSH 2 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 20-FEB-19
Page 2562 of 6486
Name
KUSUM BAI BORKER Rate Amount Qty 22.2 .37 60 2400 2400 1 400 400 1 33 1.1 30 4.2 .42 10 Total: 2859.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413697 Min 01413697 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2563 of 6486
Name
BENEDICT MINJ Rate Amount Qty 60.9 2.03 30 72 .6 120 78 1.3 60 21.6 .36 60 18.9 .63 30 21.3 .71 30 400 400 1 Total: 672.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413698 Min 01413698 Appmt Dt Slno Description 05-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2564 of 6486
Name
URSULA MINJ Qty Rate Amount 30 .71 21.3 15 .99 14.85 30 .27 8.1 1 400 400 Total: 444.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413699 Min 01413699 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 2565 of 6486
Name
MUNILAL PRASAD Rate Amount Qty 66 1.1 60 12 .4 30 54 .6 90 22.2 .37 60 17.4 1.16 15 47.4 .79 60 21.6 .36 60 400 400 1 Total: 640.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413701 Min 01413701 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 2566 of 6486
Name
R.CHANDRAWANSHI Rate Amount Qty 7.5 .25 30 167.4 5.58 30 21.6 .36 60 36 .6 60 39 1.3 30 27.9 .93 30 18.9 .63 30 17.4 1.16 15 12 .4 30 15.3 .51 30 400 400 1 Total: 763
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413702 Min 01413702 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 13 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 23 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 19-FEB-19
Page 2567 of 6486
Name
RAM KUMARI BAI CHANDRAWANSHI Rate Amount Qty 12.46 .89 14 25.5 1.7 15 2.66 .38 7 12.46 .89 14 49.28 3.52 14 2.59 .37 7 3.8 .38 10 12.46 .89 14 2.59 .37 7 49.28 3.52 14 400 400 1 7.5 .25 30 22.2 .37 60 66 1.1 60 17.4 1.16 15 400 400 1 2.5 .25 10 8.9 .89 10 3.7 .37 10 35.2 3.52 10 400 400 1 5.55 .37 15 51 1.7 30 400 400 1 Total: 1993.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413703 Min 01413703 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2568 of 6486
RAMESH BARMATE Rate Amount Qty 12 .4 30 34.8 1.16 30 66 1.1 60 6.9 .23 30 55.8 .93 60 1.85 .37 5 15.73 15.73 1 400 400 1 Total: 593.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413704 Min 01413704 Appmt Dt Slno Description 15-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 15-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 15-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15-FEB-19 4 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU
Page 2569 of 6486
Name
YAMUNA BARMATE Qty Rate Amount 30 .6 18 15 1.16 17.4 1 275 275 1 275 275 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413711 Min 01413711 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 2570 of 6486
SHANTI BAJPAI Rate Amount Qty 12 .4 30 15.6 .26 60 34.8 1.16 30 18.6 .62 30 400 400 1 9 .9 10 15.73 15.73 1 3.7 .37 10 400 400 1 Total: 909.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413712 Min 01413712 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2571 of 6486
Name
M.L. BAJPAI Rate Amount Qty 10.8 .36 30 8.1 .27 30 60.9 2.03 30 12 .4 30 9 .3 30 36 .6 60 27.9 .93 30 7.5 .25 30 400 400 1 Total: 572.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413716 Min 01413716 Slno Description Appmt Dt CALCIUM (CA) 1 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 01-FEB-19 CREATININE /CRT 3 01-FEB-19 UREA (BUN /UR) 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 6 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 7 01-FEB-19 COMPLETE HAEMOGRAM 8 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 9 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 11 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 08-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 14 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 15-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 17 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 19 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 22-FEB-19 BLOOD FOR T-3,T-4,TSH 21 22-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 22 22-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 23 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 26-FEB-19
Page 2572 of 6486
Name
CHANDRA SHEKHAR UPLOPWAR Rate Amount Qty 275 275 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 4790 4790 1 750 750 1 275 275 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 2400 2400 1 4790 4790 1 4790 4790 1 400 400 1 Total: 46595
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413732 Min 01413732 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2573 of 6486
Name
SMT.KAMLA Rate Amount Qty 10.8 .36 30 54 .6 90 55.8 .93 60 8.1 .27 30 21.3 .71 30 17.4 .58 30 13.35 .89 15 400 400 1 Total: 580.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413735 Min 01413735 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 2574 of 6486
Name
DEEPAK KUMAR SAXENA Rate Amount Qty 60.9 2.03 30 87.92 43.96 2 400 400 1 72 .6 120 13.95 .93 15 400 400 1 Total: 1034.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413736 Min 01413736 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 08-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 09-FEB-19
Page 2575 of 6486
Name
YASHODHARA SAXENA Rate Amount Qty 371.4 6.19 60 26.7 .89 30 19.2 .64 30 400 400 1 123.53 247.06 2 12.15 12.15 1 100.71 100.71 1 104.4 1.74 60 54 .9 60 40.12 20.06 2 400 400 1 123.53 123.53 1 4.8 .16 30 12 .4 30 21.3 .71 30 41.85 .93 45 400 400 1 Total: 2379.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413754 Min 01413754 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 13-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 13-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 8 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 9 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 13-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 11 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 2576 of 6486
Name
SUDHA SHUKLA Rate Amount Qty 20.06 20.06 1 4.8 .16 30 66 1.1 60 34.8 1.16 30 400 400 1 7.4 .37 20 31.61 31.61 1 100.6 5.03 20 17.6 17.6 1 27.4 1.37 20 10 .25 40 17.8 .89 20 400 400 1 37.04 37.04 1 400 400 1 Total: 1575.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413762 Min 01413762 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 26-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 10 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 12 26-FEB-19 OBSERVATION IN CASUALTY 13 26-FEB-19 ECG 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 18 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 2577 of 6486
Name
SMT KULJIT KAUR Rate Amount Qty 12 .4 30 21.3 .71 30 33 1.1 30 27.9 .93 30 8.1 .27 30 4.8 .16 30 400 400 1 185.7 6.19 30 13.7 1.37 10 600 600 1 .64 .64 1 9.62 9.62 1 420 420 1 450 450 1 400 400 1 12 .4 30 21.3 .71 30 36.3 1.21 30 27.9 .93 30 4.8 .16 30 400 400 1 Total: 3089.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413768 Min 01413768 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 06-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 07-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 8 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 2578 of 6486
Name
ANAND LAL KANOGIYA Rate Amount Qty 5.76 .64 9 4.62 .77 6 10.08 1.12 9 33.12 1.84 18 400 400 1 275 275 1 400 400 1 1170 1170 1 275 275 1 21.3 .71 30 7.44 .93 8 18 .6 30 18.9 .63 30 400 400 1 Total: 3039.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413769 Min 01413769 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 2579 of 6486
Name
TARA DEVI KANOGIYA Rate Amount Qty 13.95 .93 15 34.8 1.16 30 400 400 1 Total: 448.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413772 Min 01413772 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 18-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 2580 of 6486
Name
KALYAN SINGH Rate Amount Qty 21.3 .71 30 60.9 2.03 30 11.4 .38 30 46.8 .78 60 12 .4 30 400 400 1 Total: 552.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413773 Min 01413773 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 2581 of 6486
Name
ANJANI BAI Rate Amount Qty 6.9 .23 30 27.9 .93 30 12.8 .64 20 26.7 .89 30 20.84 5.21 4 400 400 1 Total: 495.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413781 Min 01413781 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19
Page 2582 of 6486
Name
MOHD SAFDAR KHAN Rate Amount Qty 32.4 1.08 30 60.9 2.03 30 43.2 1.44 30 66 1.1 60 17.4 1.16 15 10.8 .36 30 31.2 1.04 30 55.8 .93 60 167.4 5.58 30 54 .6 90 400 400 1 39 2.6 15 43.96 131.88 3 66 1.1 60 21.3 .71 30 32.4 1.08 30 31.2 1.04 30 55.8 .93 60 167.4 5.58 30 54 .6 90 10.8 .36 30 400 400 1 Total: 1948.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413795 Min 01413795 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2583 of 6486
Name
HARI DAS SONPIPRE Rate Amount Qty 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 908.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413796 Min 01413796 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 2584 of 6486
Name
TARA SONPIPRE Rate Amount Qty 76.5 2.55 30 39 1.3 30 36 .6 60 21.3 .71 30 9 .3 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 645.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413797 Min 01413797 Appmt Dt Slno Description 25-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 2 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 25-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2585 of 6486
Name
RAYEES AHMED RIZVI Qty Rate Amount 30 .89 26.7 15 .66 9.9 30 .99 29.7 1 400 400 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413799 Min 01413799 Appmt Dt Slno Description 20-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 20-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2586 of 6486
Name
K LAVANYA Qty Rate Amount 30 .6 18 30 .62 18.6 30 .71 21.3 1 400 400 Total: 457.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413802 Min 01413802 Appmt Dt Slno Description 05-FEB-19 1 DEXKETOPROFEN,25MG,TAB STRIP PACK 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 DIACERIN,STRIP PKT,50MG,CAPSULE 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2587 of 6486
Name
RADHE SHYAM SHARMA Qty Rate Amount 20 3.14 62.8 20 .89 17.8 20 5.03 100.6 1 400 400 Total: 581.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413803 Min 01413803 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 COMPLETE HAEMOGRAM 2 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2588 of 6486
Name
SAROJ SHARMA Rate Amount Qty 400 400 1 750 750 1 55.8 .93 60 7.5 .25 30 400 400 1 Total: 1613.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413816 Min 01413816 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 02-FEB-19 SOLIFENACIN,5MG,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 2589 of 6486
Name
SURENDRA KUMAR Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 23.1 .77 30 403.2 13.44 30 400 400 1 Total: 1079.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413817 Min 01413817 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 2590 of 6486
Name
SMT.LATA BAI NAWGHARE Rate Amount Qty 26.7 .89 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 21.3 .71 30 36 .6 60 12 .4 30 25.2 .42 60 400 400 1 Total: 577.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413820 Min 01413820 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19
Page 2591 of 6486
Name
KUL BHUSHAN GOSAIN Rate Amount Qty 27.9 .93 30 7.5 .25 30 72 .6 120 167.4 5.58 30 12 .4 30 11.4 .38 30 21.6 .36 60 12.15 12.15 1 26.7 .89 30 20.1 .67 30 54 .9 60 400 400 1 Total: 832.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413829 Min 01413829 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 13-FEB-19
Page 2592 of 6486
Name
RAMRISHI AGRAWAL Rate Amount Qty 275 275 1 275 275 1 400 400 1 Total: 950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413836 Min 01413836 Appmt Dt Slno Description 27-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 27-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 27-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2593 of 6486
Name
RN NAOKARKAR Qty Rate Amount 60 .93 55.8 30 .23 6.9 15 .99 14.85 1 400 400 Total: 477.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413837 Min 01413837 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2594 of 6486
Name
SMT.ANJIRA NAOKARKAR Rate Amount Qty 368.4 6.14 60 66 1.1 60 8.1 .27 30 29.7 .99 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 949.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413840 Min 01413840 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 08-FEB-19 SOLIFENACIN,5MG,,TABLET 3 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 2595 of 6486
Name
GOVIND BOPCHE Rate Amount Qty 20.06 20.06 1 18.9 .63 30 403.2 13.44 30 60.9 2.03 30 26.7 .89 30 12 .4 30 21.3 .71 30 66 1.1 60 27.9 .93 30 16.2 .27 60 400 400 1 Total: 1073.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413841 Min 01413841 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 2596 of 6486
Name
REKHA BOPCHE Rate Amount Qty 26.7 .89 30 7.5 .25 30 33 1.1 30 7.8 .26 30 18 .6 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 9 .3 30 400 400 1 Total: 581.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413847 Min 01413847 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 25-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 25-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 25-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 13 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 16 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 17 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 2597 of 6486
RAMLA L PATRE Rate Amount Qty 92.85 6.19 15 41.06 41.06 1 43.96 43.96 1 82.76 82.76 1 13.35 .89 15 9.6 .64 15 9.59 1.37 7 60.9 2.03 30 19.59 19.59 1 400 400 1 26.96 3.37 8 7.4 .37 20 12.81 12.81 1 6.82 6.82 1 36 .6 60 23.7 .79 30 25.07 25.07 1 8.9 .89 10 7.5 .25 30 400 400 1 Total: 1328.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413876 Min 01413876 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 2598 of 6486
Name
BHAGWAN LAL Rate Amount Qty 6.4 .64 10 1.85 .37 5 400 400 1 Total: 408.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413888 Min 01413888 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 2599 of 6486
Name
SAHU SL Rate Amount Qty 12 .4 30 72 .6 120 34.8 1.16 30 118.5 3.95 30 55.8 .93 60 14.85 .99 15 400 400 1 26.6 2.66 10 4.45 .89 5 9 .9 10 1.85 .37 5 400 400 1 Total: 1149.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413889 Min 01413889 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 2600 of 6486
Name
SMT.REWATI SAHU Rate Amount Qty 2.28 .38 6 1.85 .37 5 39 1.3 30 167.4 5.58 30 72 .6 120 8.1 .27 30 55.8 .93 60 21.3 .71 30 48 .4 120 400 400 1 Total: 815.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413894 Min 01413894 Appmt Dt Slno Description 06-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2601 of 6486
Name
LALIT KUMAR SABOO Qty Rate Amount 15 1.16 17.4 1 400 400 417.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413895 Min 01413895 Slno Description Appmt Dt CREATININE /CRT 1 25-FEB-19 UREA (BUN /UR) 2 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 25-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 4 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 MAMOGRAPHY 6 25-FEB-19
Page 2602 of 6486
Name
HEMLATA SABOO Qty 1 1 1 1 1 1
Rate Amount 275 275 275 275 400 400 9000 9000 400 400 2000 2000 Total: 12350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413896 Min 01413896 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 16-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 22-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 2603 of 6486
Name
C K ISSAC Rate Amount Qty 30.15 .67 45 26.7 .89 30 156.6 1.74 90 79.2 .66 120 54 .9 60 400 400 1 26.7 .89 30 15.3 .34 45 8.1 .27 30 34.8 1.16 30 12 .4 30 96.75 2.15 45 400 400 1 311.4 5.19 60 400 400 1 Total: 2051.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413897 Min 01413897 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2604 of 6486
Name
SHERLY ISSAC Rate Amount Qty 17.4 1.16 15 20.84 5.21 4 33 1.1 30 12 .4 30 400 400 1 Total: 483.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413902 Min 01413902 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 2605 of 6486
Name
K SEEMA RAO Rate Amount Qty 13.7 1.37 10 185.7 6.19 30 400 400 1 Total: 599.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413909 Min 01413909 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 16-FEB-19 UREA (BUN /UR) 12 16-FEB-19 CREATININE /CRT 13 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 16-FEB-19 BLOOD FOR T-3,T-4,TSH 16 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 16-FEB-19 URIC ACID (UA /URATES /UR) 18 16-FEB-19
Page 2606 of 6486
Name
GOPAL PRASAD SHARMA Rate Amount Qty 8.1 .27 30 46.8 .78 60 7.5 .25 30 11.4 .38 30 26.7 .89 30 55.8 .93 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 2400 2400 1 275 275 1 275 275 1 Total: 6110.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413910 Min 01413910 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 2607 of 6486
Name
PRATIBHA SHARMA Rate Amount Qty 72.6 1.21 60 21.3 .71 30 55.8 .93 60 54 .6 90 32.4 .36 90 400 400 1 Total: 636.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413913 Min 01413913 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 2608 of 6486
SMT.MEENA SAHU Qty 1 1 1
Rate Amount 6.82 6.82 25.07 25.07 400 400 Total: 431.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413918 Min 01413918 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 18-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 18-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 2609 of 6486
Name
MADHAV RAO MESHRAM Rate Amount Qty 20.06 20.06 1 7.5 .25 30 23.8 1.7 14 400 400 1 7.5 .25 30 17 1.7 10 22.5 .75 30 400 400 1 Total: 898.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413919 Min 01413919 Appmt Dt Slno Description 19-FEB-19 1 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2610 of 6486
Name
BHAVANA MESHRAM Qty Rate Amount 2 13.49 26.98 1 400 400 426.98 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413922 Min 01413922 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 19-FEB-19 ABC TEST HIV 10 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 13 19-FEB-19 COMPLETE HAEMOGRAM 14 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 20-FEB-19 TABLET PYRIDOSTIGMINE 60 MG 16 23-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 17 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 20 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 21 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 24 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 23-FEB-19
Page 2611 of 6486
SUNITA C.K. SAMUEL Rate Amount Qty 26.6 2.66 10 3.7 .37 10 31.46 15.73 2 12.8 .64 20 15.4 .77 20 400 400 1 1300 1300 1 25.07 25.07 1 275 275 1 1250 1250 1 275 275 1 400 400 1 1000 1000 1 750 750 1 400 400 1 193.5 4.3 45 10.42 5.21 2 26.7 .89 30 21.3 .71 30 9 .3 30 33 1.1 30 8.1 .27 30 117 1.3 90 167.4 5.58 30 400 400 1 Total: 7151.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413923 Min 01413923 Appmt Dt Slno Description 23-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2612 of 6486
Name
RK SAMUEL Qty Rate Amount 60 .89 53.4 1 400 400 453.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413924 Min 01413924 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 2613 of 6486
Name
PANDEY SK Rate Amount Qty 12 .4 30 7.5 .25 30 10.8 .36 30 54 .6 90 55.8 .93 60 400 400 1 Total: 540.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413930 Min 01413930 Appmt Dt Slno Description 21-FEB-19 1 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2614 of 6486
Name
BAHAL SINGH DESHMUKH Qty Rate Amount 90 1.3 117 30 .71 21.3 120 .6 72 1 400 400 Total: 610.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413931 Min 01413931 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 2615 of 6486
Name
KAMLA DESHMUKH Rate Amount Qty 22.2 .37 60 14.85 .99 15 400 400 1 Total: 437.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413934 Min 01413934 Appmt Dt Slno Description 23-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23-FEB-19 2 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 23-FEB-19 3 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2616 of 6486
Name
OM PRAKASH AGRAWAL Qty Rate Amount 30 .25 7.5 1 100.71 100.71 1 45.44 45.44 1 400 400 Total: 553.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413935 Min 01413935 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 20-FEB-19 MAMOGRAPHY 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 2617 of 6486
Name
KANTA AGRAWAL Rate Amount Qty 185.7 6.19 30 13.7 1.37 10 20.84 5.21 4 7.5 .25 30 400 400 1 400 400 1 2000 2000 1 26.7 .89 30 54 .9 60 400 400 1 Total: 3508.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413946 Min 01413946 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 2618 of 6486
Name
HARISH KUMAR NAIYAR Rate Amount Qty 36 .6 60 167.4 5.58 30 78 1.3 60 21.3 .71 30 10.8 .36 30 400 400 1 Total: 713.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413947 Min 01413947 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 25-FEB-19 IVABRADINE,5MG,,TABLET 8 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 2619 of 6486
PREMLATA NAIYAR Rate Amount Qty 8.1 .18 45 27 .9 30 5.55 .37 15 15.73 15.73 1 400 400 1 26.7 .89 30 18.6 .62 30 597 9.95 60 34.8 1.16 30 12 .4 30 31.2 1.04 30 118.5 3.95 30 55.8 .93 60 36 .6 60 10.8 .36 30 400 400 1 Total: 1797.78
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413953 Min 01413953 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2620 of 6486
TEJ SINGH SAHU Rate Amount Qty 25.07 25.07 1 25.07 25.07 1 39 1.3 30 7.5 .25 30 400 400 1 Total: 496.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413954 Min 01413954 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2621 of 6486
Name
SHEETALA SAHU Rate Amount Qty 13.08 2.18 6 8.9 .89 10 7.5 .25 30 8.1 .27 30 55.8 .93 60 18 .6 30 400 400 1 Total: 511.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413960 Min 01413960 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 04-FEB-19 PRAZOSIN,2.5MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2622 of 6486
Name
NIRMALA SHAW Rate Amount Qty 55.8 .93 60 55.8 .93 60 29.7 .99 30 156 1.3 120 34.8 1.16 30 400 400 1 Total: 732.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413965 Min 01413965 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2623 of 6486
Name
PREM SHANKAR SHUKLA Qty Rate Amount 30 1.16 34.8 30 .23 6.9 15 .89 13.35 1 400 400 Total: 455.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413966 Min 01413966 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 14-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 18-FEB-19 URINE ROUTINE AND MICROSCOPIC 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 18-FEB-19 PARASITES (MP /MF) 15 18-FEB-19 HB,TLC,DLC 16 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 19 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 2624 of 6486
Name
SMT.KRISHNA DEVI SHUKLA Rate Amount Qty 32.4 1.08 30 17.4 1.16 15 32.4 .36 90 72 .6 120 167.4 5.58 30 7.7 .77 10 1.25 .25 5 6.4 .64 10 17.3 1.73 10 400 400 1 275 275 1 380 380 1 400 400 1 275 275 1 165 165 1 300 300 1 6.4 .64 10 46.5 .93 50 3.8 .38 10 2.5 .25 10 400 400 1 Total: 3008.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413969 Min 01413969 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 08-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 2 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 2625 of 6486
HIMMAT LAL PARMAR Rate Amount Qty 1.84 103.04 56 19.77 19.77 1 25.07 25.07 1 8.9 .89 10 400 400 1 Total: 556.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413970 Min 01413970 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 18-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 4 18-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 2626 of 6486
Name
KAMLA PARMAR Rate Amount Qty 7.4 .37 20 36 .6 60 11.25 .75 15 66.92 33.46 2 13.43 13.43 1 400 400 1 Total: 535
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413977 Min 01413977 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2627 of 6486
Name
MOKA SHEIKH SAHIB Rate Amount Qty 21.3 .71 30 167.4 5.58 30 7.5 .25 30 27.9 .93 30 53.4 .89 60 400 400 1 Total: 677.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413978 Min 01413978 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2628 of 6486
SMT. SHAHNAZ BEGAM Rate Amount Qty 15.73 15.73 1 12.6 .9 14 400 400 1 43.2 1.44 30 32.4 1.08 30 21.3 .71 30 33 1.1 30 23.7 .79 30 400 400 1 Total: 981.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413979 Min 01413979 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 2629 of 6486
Name
SAHA UDAYAN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413982 Min 01413982 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 15 13-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19
Page 2630 of 6486
BABULAL SUHAGPURE Rate Amount Qty 275 275 1 275 275 1 7.5 .25 30 34.8 1.16 30 6.4 .64 10 8.1 .27 30 15.73 15.73 1 1.85 .37 5 12 .4 30 66 1.1 60 400 400 1 3.7 .37 10 18 .9 20 5.4 .18 30 70.2 2.34 30 48.22 48.22 1 400 400 1 Total: 1647.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413984 Min 01413984 Slno Description Appmt Dt OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 1 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 27-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 5 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19
Page 2631 of 6486
Name
S. PRAKASH Rate Amount Qty 26.86 13.43 2 400 400 1 60.9 2.03 30 400 400 1 1610 1610 1 400 400 1 400 400 1 Total: 3297.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413985 Min 01413985 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 2 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 4 19-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 5 19-FEB-19 ECG 6 19-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 7 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 18 27-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 19 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 27-FEB-19
Page 2632 of 6486
Name
K B ANITHA Rate Amount Qty 420 420 1 9.81 9.81 1 24.52 24.52 1 11.89 11.89 1 25.54 25.54 1 450 450 1 100 100 1 10.08 1.12 9 2.67 .89 3 3.84 .64 6 .74 .37 2 400 400 1 66.2 6.62 10 4.45 .89 5 1.25 .25 5 9 .9 10 400 400 1 104.4 1.74 60 19.8 .66 30 400 400 1 Total: 2464.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413987 Min 01413987 Appmt Dt Slno Description 25-FEB-19 1 PREDNISOLONE,5MG,STRIP PACK,,TABLET 25-FEB-19 2 METHOTREXATE,STRIP PKT,2.5MG,TABLET 25-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2633 of 6486
Name
JYOTI PURANG Qty Rate Amount 30 .67 20.1 12 3.23 38.76 30 .38 11.4 1 400 400 Total: 470.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413996 Min 01413996 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 2634 of 6486
Name
AJEETSINGH Rate Amount Qty 17.4 1.16 15 12 .4 30 55.8 .93 60 23.7 .79 30 7.8 .26 30 32.4 1.08 30 400 400 1 21.3 .71 30 7.8 .26 30 12 .4 30 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 1078.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413997 Min 01413997 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 2635 of 6486
Name
MRIDULA Rate Amount Qty 18.17 .79 23 5.53 .79 7 400 400 1 11.85 .79 15 400 400 1 Total: 835.55
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414000 Min 01414000 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 06-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 14-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 8 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2636 of 6486
HM JHA Rate Amount Qty 11.1 .37 30 45.44 45.44 1 17.37 17.37 1 400 400 1 104.4 1.74 60 12.15 12.15 1 15.73 15.73 1 39.6 .66 60 26.7 .89 30 400 400 1 Total: 1072.49
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414001 Min 01414001 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2637 of 6486
MADHU JHA Rate Amount Qty 16.81 16.81 1 25.07 25.07 1 400 400 1 66 1.1 60 3.84 .64 6 8.1 .27 30 27.9 .93 30 400 400 1 Total: 947.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414002 Min 01414002 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 26-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 8 26-FEB-19
Page 2638 of 6486
Name
MISHRA SK Rate Amount Qty 20.84 5.21 4 192.3 6.41 30 60.9 2.03 30 27.9 .93 30 400 400 1 1750 1750 1 400 400 1 1610 1610 1 Total: 4461.94
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414006 Min 01414006 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 08-FEB-19 URIC ACID (UA /URATES /UR) 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 08-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 15-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 9 15-FEB-19 UREA (BUN /UR) 10 15-FEB-19 CREATININE /CRT 11 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 15-FEB-19 COST OF CONTRAST FOR MRI PER VIAL 13 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 16 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 19 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 2639 of 6486
DEOMAN PRASAD SHARMA Rate Amount Qty 26 2.6 10 8.9 .89 10 8.4 .42 20 275 275 1 400 400 1 63.8 3.19 20 8.82 .42 21 8.96 .64 14 9000 9000 1 275 275 1 275 275 1 400 400 1 2640 2640 1 50.14 25.07 2 400 400 1 63.8 3.19 20 26 2.6 10 8.9 .89 10 8.4 .42 20 400 400 1 12.81 12.81 1 400 400 1 Total: 14759.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414010 Min 01414010 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 04-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 04-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2640 of 6486
Name
JAIN BN Rate Amount Qty 25.62 12.81 2 7.6 .38 20 32.3 3.23 10 12 .4 30 33 1.1 30 6.9 .23 30 90.88 45.44 2 400 400 1 Total: 608.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414012 Min 01414012 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 2641 of 6486
Name
PARAMESWARA KAIMAL V K Rate Amount Qty 12 .4 30 27.9 .93 30 34.8 1.16 30 12 .4 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 549.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414023 Min 01414023 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 16-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 2 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2642 of 6486
GOVERDHAN LAL MESHRAM Rate Amount Qty 15.73 15.73 1 17.3 1.73 10 8.1 .27 30 23.7 .79 30 3.84 .64 6 400 400 1 Total: 468.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414024 Min 01414024 Appmt Dt Slno Description 16-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 3 VITAMIN E,STRIP PKT,200MG,CAPSULE 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2643 of 6486
Name
MALTI MESHRAM Qty Rate Amount 30 .71 21.3 60 .27 16.2 30 1.58 47.4 1 400 400 Total: 484.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414025 Min 01414025 Appmt Dt Slno Description 05-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2644 of 6486
Name
PS GAVEL Qty Rate Amount 30 1.1 33 30 .71 21.3 30 .4 12 1 400 400 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414026 Min 01414026 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2645 of 6486
Name
NIRMALA GAVEL Rate Amount Qty 17.4 .58 30 8.1 .27 30 400 400 1 Total: 425.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414036 Min 01414036 Appmt Dt Slno Description 12-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 12-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 12-FEB-19 4 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK,
Page 2646 of 6486
Name
L S KANWAR Qty Rate Amount 1 400 400 60 .93 55.8 30 1.16 34.8 30 .25 7.5 Total: 498.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414037 Min 01414037 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19
Page 2647 of 6486
Name
CHAIN KUNWAR KANWAR Rate Amount Qty 27.9 .93 30 400 400 1 7.5 .25 30 76.5 2.55 30 54 .6 90 10.8 .36 30 Total: 576.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414038 Min 01414038 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 17 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 19 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 11-FEB-19
Page 2648 of 6486
Name
BALA RAM Rate Amount Qty 4.8 .16 30 32.4 1.08 30 33 1.1 30 16.2 .27 60 55.8 .93 60 36 .6 60 12.3 .41 30 26.7 .89 30 7.5 .25 30 34.8 1.16 30 400 400 1 15.95 3.19 5 185.7 6.19 30 26 2.6 10 20.84 5.21 4 400 400 1 19.72 9.86 2 7.4 .37 20 16.85 3.37 5 400 400 1 Total: 1751.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414039 Min 01414039 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2649 of 6486
Name
SHANTI BAI Rate Amount Qty 20.84 5.21 4 39 2.6 15 400 400 1 Total: 459.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414045 Min 01414045 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2650 of 6486
Name
SANT RAM CHANDRAKAR Rate Amount Qty 13.35 .89 15 60.9 2.03 30 192.3 6.41 30 34.8 1.16 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 737.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414046 Min 01414046 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2651 of 6486
Name
KUMARI CHANDRAKAR Rate Amount Qty 27.9 .93 30 7.8 .26 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414049 Min 01414049 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 2652 of 6486
KP SAHU Rate Amount Qty 22.8 .38 60 12 .4 30 7.5 .25 30 6.4 .64 10 16.2 .27 60 26.6 2.66 10 23.7 .79 30 15.73 15.73 1 400 400 1 Total: 530.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414050 Min 01414050 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 09-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2653 of 6486
Name
RUKHMANI SAHU Rate Amount Qty 79.2 2.64 30 83.25 1.85 45 400 400 1 Total: 562.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414051 Min 01414051 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 7 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 12-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 12 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 26-FEB-19 CREATININE /CRT 14 26-FEB-19 UREA (BUN /UR) 15 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 26-FEB-19
Page 2654 of 6486
Name
MARTINLUTHER BAHADUR Rate Amount Qty 62.4 1.04 60 69.6 1.16 60 12 .4 30 32.4 1.08 30 33 1.1 30 18 .6 30 2370 2370 1 400 400 1 9 .3 30 26.7 .89 30 11.85 .79 15 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 Total: 7694.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414053 Min 01414053 Appmt Dt Slno Description 06-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 3 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2655 of 6486
MARY MARISTELLA TIRKEY Qty Rate Amount 30 .25 7.5 30 .27 8.1 1 15.73 15.73 1 400 400 Total: 431.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414060 Min 01414060 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 03-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 03-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 03-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 03-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 ECG 11 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 09-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 13 09-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 14 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 09-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 16 09-FEB-19 OBSERVATION IN CASUALTY 17 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 13-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 20 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 24 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 26 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 27 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 28 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 29 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 30 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 22-FEB-19
Page 2656 of 6486
Name
YADAV NAND KISHORE Rate Amount Qty 27.9 .93 30 8.1 .27 30 14.85 .99 15 17.8 .89 20 .48 .16 3 400 400 1 14.2 .71 20 17.8 .89 20 55.8 .93 60 400 400 1 450 450 1 16.5 1.1 15 600 600 1 5.21 5.21 1 .16 .16 1 9.62 9.62 1 420 420 1 400 400 1 18.6 .93 20 1.3 .26 5 10.65 .71 15 400 400 1 275 275 1 275 275 1 400 400 1 1.6 .16 10 21.3 .71 30 55.8 .93 60 16.2 .27 60 29.7 .99 30 400 400 1 Total: 4763.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414061 Min 01414061 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 2657 of 6486
Name
PRABHAWATI YADAV Rate Amount Qty 8.9 .89 10 26 2.6 10 39 1.3 30 7.5 .25 30 9 .3 30 13.95 .93 15 400 400 1 Total: 504.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414065 Min 01414065 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 02-FEB-19 PROMETHAZINE HCL,10MG,STRIP PACK.,TABLET 5 02-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19
Page 2658 of 6486
Name
RINA DUTTA Rate Amount Qty 10.08 1.12 9 17.8 .89 20 7.4 .37 20 9.3 .62 15 4.8 .48 10 7 .7 10 39.72 6.62 6 400 400 1 9.3 .62 15 167.4 5.58 30 72 .6 120 17.4 .58 30 400 400 1 Total: 1162.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414077 Min 01414077 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2659 of 6486
Name
SMT.ANITA CHOUHAN Rate Amount Qty 32.4 1.08 30 237 3.95 60 55.8 .93 60 2.32 1.16 2 32.48 1.16 28 29.7 .99 30 400 400 1 Total: 789.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414078 Min 01414078 Appmt Dt Slno Description 13-FEB-19 1 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 13-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 2660 of 6486
Name
R B RAGHUWANSHI Qty Rate Amount 1 1170 1170 1 400 400 1570 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414084 Min 01414084 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2661 of 6486
Name
M AJAY KUMAR NAIDU Rate Amount Qty 9 .3 30 18 .6 30 13.95 .93 15 2.4 .16 15 400 400 1 Total: 443.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414086 Min 01414086 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 2662 of 6486
M SAH Rate Amount Qty 55.8 .93 60 78 1.3 60 27.6 .92 30 36 .6 60 22.2 .37 60 60.9 2.03 30 21.3 .71 30 72.6 1.21 60 400 400 1 25.07 25.07 1 400 400 1 Total: 1199.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414087 Min 01414087 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 26-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 2663 of 6486
Name
BRIJ KUMARI Rate Amount Qty 29.7 .99 30 18.6 .62 30 12 .4 30 21.3 .71 30 55.8 .93 60 400 400 1 27.4 1.37 20 17.8 .89 20 123.8 6.19 20 100.6 5.03 20 400 400 1 Total: 1207
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414089 Min 01414089 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 2664 of 6486
Name
SHASHI KANTA Rate Amount Qty 27.9 .93 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 36 .6 60 7.5 .25 30 2.4 .16 15 26.7 .89 30 18.6 .62 30 33 1.1 30 400 400 1 Total: 631.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414092 Min 01414092 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2665 of 6486
Name
ANIL KUMAR BANJARA Rate Amount Qty 41.85 .93 45 18 .6 30 28.08 2.34 12 7.5 .25 30 2.22 .37 6 400 400 1 Total: 497.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414101 Min 01414101 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2666 of 6486
Name
M M TUMBDE Rate Amount Qty 21.3 .71 30 10.8 .36 30 39.72 6.62 6 16.8 1.12 15 7.5 .25 30 39 1.3 30 36 .6 60 400 400 1 Total: 571.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414102 Min 01414102 Slno Description Appmt Dt JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 4 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 21-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 2667 of 6486
Name
JAGPAL SINGH Rate Amount Qty 39.18 19.59 2 400 400 1 3.2 .64 5 6.99 2.33 3 1.85 .37 5 8.9 .89 10 400 400 1 1.85 .37 5 35.2 3.52 10 13.49 13.49 1 400 400 1 15.6 .26 60 27.9 .93 30 7.5 .25 30 60.9 2.03 30 34.8 1.16 30 33 1.1 30 12 .4 30 192.3 6.41 30 400 400 1 1.85 .37 5 35.2 3.52 10 400 400 1 Total: 2531.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414103 Min 01414103 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 2668 of 6486
Name
BIMLA DEVI Qty 6 3 1 1 1
Rate Amount 3.84 .64 2.67 .89 400 400 41.06 41.06 400 400 Total: 847.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414112 Min 01414112 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 7 21-FEB-19 ECG 8 21-FEB-19 OBSERVATION IN CASUALTY 9 21-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 10 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19
Page 2669 of 6486
Name
BABOOLAL KHOBRAGADE Rate Amount Qty 33 1.1 30 55.8 .93 60 18 .6 30 21.3 .71 30 32.4 1.08 30 400 400 1 600 600 1 450 450 1 420 420 1 100 100 1 3.3 .66 5 8.9 .89 10 3.3 .66 5 8.9 .89 10 400 400 1 Total: 2554.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414115 Min 01414115 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 23-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 10 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 23-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 12 23-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 13 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 2670 of 6486
MONIKA DEY Rate Amount Qty 13.35 .89 15 12.8 .64 20 39 2.6 15 26.7 .89 30 27.9 .93 30 400 400 1 7.3 .73 10 11.2 1.12 10 55.2 1.84 30 36.42 18.21 2 9.6 .64 15 40.5 20.25 2 6 .6 10 50.14 25.07 2 400 400 1 Total: 1136.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414118 Min 01414118 Slno Description Appmt Dt SERTRALINE,100MG,STRIP PACK.,TABLET 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 SOLIFENACIN,5MG,,TABLET 3 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 2671 of 6486
Name
DANI RAM DEWANGAN Rate Amount Qty 106.8 3.56 30 60.9 2.03 30 403.2 13.44 30 11.4 .38 30 27.9 .93 30 7.5 .25 30 400 400 1 1.48 .37 4 5.12 .64 8 6.16 .77 8 400 400 1 Total: 1430.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414119 Min 01414119 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 DILTIAZEM 90 MG XL/XR,,TABLET 04-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2672 of 6486
Name
SHEELA DEWANGAN Qty Rate Amount 30 1.1 33 30 3.95 118.5 30 .71 21.3 1 400 400 Total: 572.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414121 Min 01414121 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 URIC ACID (UA /URATES /UR) 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 CREATININE /CRT 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 04-FEB-19 PRAZOSIN,2.5MG,TABLET 15 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 16 04-FEB-19
Page 2673 of 6486
Name
SK DAS Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 43.96 43.96 1 12 .4 30 21.3 .71 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 78 1.3 60 211.8 3.53 60 Total: 4070.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414125 Min 01414125 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 09-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2674 of 6486
Name
RAMAKANT DUKARE Rate Amount Qty 12.3 .41 30 20.06 20.06 1 400 400 1 Total: 432.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414127 Min 01414127 Slno Description Appmt Dt PLATELET COUNT 1 05-FEB-19 HB,TLC,DLC 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 SERUM CREATININE KINASE - TOTAL (CK -T / 4 05-FEB-19 ESR 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 CREATININE /CRT 7 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 COMPLETE HAEMOGRAM 16 28-FEB-19
Page 2675 of 6486
Name
B N GHOSH Rate Amount Qty 330 330 1 300 300 1 400 400 1 550 550 1 165 165 1 275 275 1 275 275 1 550 550 1 55.8 .93 60 400 400 1 19.8 .66 30 11.4 .38 30 7.5 .25 30 55.8 .93 60 400 400 1 750 750 1 Total: 4545.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414128 Min 01414128 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 05-FEB-19 CREATININE /CRT 17 05-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 18 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 06-FEB-19 TIBOLONE,STRIP PKT,2.5MG,TABLET 20 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 06-FEB-19
Page 2676 of 6486
Name
CHAINA RANI GHOSH Rate Amount Qty 66 1.1 60 78 1.3 60 7.5 .25 30 17.4 1.16 15 12 .4 30 27.9 .93 30 400 400 1 78 1.3 60 27.9 .93 30 21.3 .71 30 12 .4 30 33 1.1 30 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 22.5 .75 30 7.5 .25 30 15.48 433.44 28 400 400 1 Total: 4169.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414146 Min 01414146 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 2677 of 6486
Name
SHAKIL AHMED Rate Amount Qty 36 .6 60 7.5 .25 30 12 .4 30 21.3 .71 30 13.95 .93 15 400 400 1 Total: 490.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414147 Min 01414147 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 27-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2678 of 6486
Name
RAZIA BEGUM Rate Amount Qty 54 .6 90 7.5 .25 30 55.8 .93 60 39 1.3 30 21.3 .71 30 88.2 1.47 60 400 400 1 Total: 665.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414148 Min 01414148 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2679 of 6486
Name
VEERENDRA KUMAR Rate Amount Qty 15 .25 60 21.3 .71 30 400 400 1 36 .6 60 21.6 .36 60 76.5 2.55 30 27.9 .93 30 167.4 5.58 30 17.4 1.16 15 400 400 1 Total: 1183.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414149 Min 01414149 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 2680 of 6486
ASHA BAI Rate Amount Qty 15.73 15.73 1 16.2 .18 90 54 .9 60 26.7 .89 30 7.5 .25 30 17.4 .58 30 400 400 1 Total: 537.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414151 Min 01414151 Slno Description Appmt Dt VERAPAMIL HCL,STRIP PKT,40MG,TABLET 1 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 2681 of 6486
Name
SANTIAGO MICHAEL Rate Amount Qty 73.8 .82 90 23.7 .79 30 400 400 1 Total: 497.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414160 Min 01414160 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 2682 of 6486
Name
P VELAYUTHAM Rate Amount Qty 34.8 1.16 30 18 .6 30 23.7 .79 30 36.3 1.21 30 400 400 1 Total: 512.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414162 Min 01414162 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 14-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 19-FEB-19 BRIMONIDINE TARTRATE,0.15% 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 2683 of 6486
Name
TIKAM RAM YADAV Rate Amount Qty 16.2 .27 60 55.8 .93 60 14.85 .99 15 400 400 1 6.4 .64 10 3.7 .37 10 26.55 26.55 1 400 400 1 3.2 .64 5 2.59 .37 7 74.45 74.45 1 400 400 1 Total: 1403.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414166 Min 01414166 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2684 of 6486
Name
JAJURLEY NP Rate Amount Qty 36 .6 60 21.3 .71 30 47.4 .79 60 16.2 .27 60 400 400 1 Total: 520.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414167 Min 01414167 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 08-FEB-19
Page 2685 of 6486
Name
USHA JAJURLEY Rate Amount Qty 21.3 .71 30 55.8 .93 60 400 400 1 8.1 .27 30 55.8 .93 60 11.4 .38 30 Total: 552.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414169 Min 01414169 Slno Description Appmt Dt U S ABDOMEN + THORAX 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 HB,TLC,DLC 7 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 25-FEB-19 UREA (BUN /UR) 9 25-FEB-19 CREATININE /CRT 10 25-FEB-19 X - RAY - SINGLE VIEW 11 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 14 25-FEB-19 PLATELET COUNT 15 25-FEB-19 ABC TEST HIV 16 25-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 17 25-FEB-19 PROTHROMBIN TIME (PT) 18 25-FEB-19
Page 2686 of 6486
Name
K SURYA PRASAD RAO Rate Amount Qty 1750 1750 1 400 400 1 6.9 .23 30 32.4 1.08 30 11.4 .38 30 400 400 1 300 300 1 550 550 1 275 275 1 275 275 1 550 550 1 275 275 1 400 400 1 1000 1000 1 330 330 1 1250 1250 1 330 330 1 330 330 1 Total: 8465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414170 Min 01414170 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 20-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2687 of 6486
Name
K PADMAVATI Rate Amount Qty 72 .6 120 39 1.3 30 73.8 .82 90 27.9 .93 30 12 .4 30 21.3 .71 30 400 400 1 Total: 646
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414173 Min 01414173 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 2688 of 6486
Name
HEMANT RAO SATKAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 18 .6 30 55.2 .92 60 21.3 .71 30 3.75 .25 15 400 400 1 Total: 562.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414178 Min 01414178 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2689 of 6486
Name
SMT. LAXMI MAHARANA Rate Amount Qty 6.7 .67 10 8.9 .89 10 18 .9 20 7.5 .25 30 12 .4 30 8.1 .27 30 66 1.1 60 400 400 1 Total: 527.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414179 Min 01414179 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2690 of 6486
Name
TIWARI NP Rate Amount Qty 27.9 .93 30 70.2 .78 90 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 540.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414181 Min 01414181 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 05-FEB-19 DRESSING SIMPLE 11 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 05-FEB-19
Page 2691 of 6486
PC WAGHE Rate Amount Qty 3.7 .37 10 5.4 .18 30 15.73 15.73 1 66.2 6.62 10 8.9 .89 10 400 400 1 5.34 .89 6 9.6 .64 15 66.2 6.62 10 10.95 .73 15 1500 300 5 400 400 1 Total: 2492.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414185 Min 01414185 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 17-FEB-19 OBSERVATION IN CASUALTY 10 17-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 17-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 17-FEB-19
Page 2692 of 6486
Name
AEJAZUDDIN Rate Amount Qty 55.8 .93 60 7.8 .26 30 66 1.1 60 26.7 .89 30 12 .4 30 34.8 1.16 30 400 400 1 .93 .93 1 600 600 1 420 420 1 10.95 .73 15 4.45 .89 5 13.7 1.37 10 400 400 1 Total: 2053.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414186 Min 01414186 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2693 of 6486
Name
SHAHNAZ BANO Rate Amount Qty 4.45 .89 5 4.1 .41 10 55.2 1.84 30 400 400 1 3.6 .6 6 5.76 .64 9 400 400 1 Total: 873.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414194 Min 01414194 Slno Description Appmt Dt LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 23-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 2694 of 6486
Name
MADHURI THAKUR Rate Amount Qty 17.37 17.37 1 9.6 .64 15 6 .6 10 55.2 1.84 30 11.1 .37 30 400 400 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 400 400 1 Total: 955.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414199 Min 01414199 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2695 of 6486
Name
GEETA TRIPATHI Rate Amount Qty 4.1 .41 10 18 .6 30 6.9 .23 30 55.8 .93 60 7.5 .25 30 400 400 1 Total: 492.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414203 Min 01414203 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2696 of 6486
Name
ANUSAIYA BAI Rate Amount Qty 16.2 .18 90 17.4 .58 30 54 .9 60 54 .6 90 26.7 .89 30 4.8 .16 30 94.8 1.58 60 400 400 1 Total: 667.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414217 Min 01414217 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 2697 of 6486
Name
HK SHUKLA Rate Amount Qty 6.9 .23 30 34.8 1.16 30 36 .6 60 12 .4 30 301.8 5.03 60 400 400 1 Total: 791.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414218 Min 01414218 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 28-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 20 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 2698 of 6486
Name
MAYARAM NETAM Rate Amount Qty 12 .4 30 36 .6 60 27.9 .93 30 33 1.1 30 10.8 .36 30 26.7 .89 30 8.2 .41 20 17.4 1.16 15 400 400 1 1.48 .37 4 8.9 .89 10 21.3 .71 30 4 .4 10 8 .4 20 33 1.1 30 27.9 .93 30 36 .6 60 10.8 .36 30 2.5 .25 10 31.4 3.14 10 8.9 .89 10 400 400 1 Total: 1166.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414219 Min 01414219 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 2699 of 6486
Name
GHURUVA NETAM Rate Amount Qty 66 1.1 60 55.8 .93 60 400 400 1 Total: 521.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414222 Min 01414222 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 2700 of 6486
Name
JIWAN BAKARAM PATIL Rate Amount Qty 29.7 .99 30 33 1.1 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 569.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414223 Min 01414223 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 2701 of 6486
Name
YAMUNA PATIL Rate Amount Qty 27.9 .93 30 8.1 .27 30 155.7 5.19 30 34.8 1.16 30 7.5 .25 30 18.6 .62 30 400 400 1 Total: 652.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414225 Min 01414225 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 2702 of 6486
Name
LATA ROY Rate Amount Qty 13.7 1.37 10 7.5 .25 30 400 400 1 Total: 421.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414228 Min 01414228 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 2703 of 6486
Name
ANAND RAO GID Rate Amount Qty 7.5 .25 30 76.5 2.55 30 27.9 .93 30 400 400 1 1.48 .37 4 3.84 .64 6 39.72 6.62 6 400 400 1 33.58 33.58 1 400 400 1 60.9 2.03 30 6.4 .64 10 400 400 1 Total: 1857.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414229 Min 01414229 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 28-FEB-19 COMPLETE HAEMOGRAM 10 28-FEB-19 X - RAY - TWO VIEWS 11 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 28-FEB-19 UREA (BUN /UR) 15 28-FEB-19 URIC ACID (UA /URATES /UR) 16 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 18 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 28-FEB-19
Page 2704 of 6486
Name
GEETA BAI GID Rate Amount Qty 17.4 .58 30 27.9 .93 30 400 400 1 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 12.8 .64 20 1300 1300 1 750 750 1 1720 860 2 400 400 1 27.9 .93 30 275 275 1 275 275 1 275 275 1 7.92 .99 8 185.7 6.19 30 275 275 1 Total: 6357.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414230 Min 01414230 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2705 of 6486
Name
RAJ KUMARI TIWARI Rate Amount Qty 117 1.3 90 82.76 165.52 2 87.92 43.96 2 11.4 .38 30 12 .4 30 29.7 .99 30 55.8 .93 60 36 .6 60 9 .3 30 400 400 1 Total: 924.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414232 Min 01414232 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 12-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2706 of 6486
Name
BALESWAR DUBE Rate Amount Qty 21.3 .71 30 4.27 192.15 45 311.4 5.19 60 18 .6 30 13.95 .93 15 35.6 .89 40 400 400 1 Total: 992.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414236 Min 01414236 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2707 of 6486
Name
OMBA BAI MAHOBIA Rate Amount Qty 1.85 .37 5 6.4 .64 10 400 400 1 Total: 408.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414240 Min 01414240 Appmt Dt Slno Description 28-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 28-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 28-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2708 of 6486
Name
ROOP KUMARI Qty Rate Amount 2 9.86 19.72 20 .37 7.4 8 3.37 26.96 1 400 400 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414257 Min 01414257 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 09-FEB-19 INHALANT,STRIP PACK,CAPSULE 20 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 23 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 26 20-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 27 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 28 20-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 29 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 20-FEB-19
Page 2709 of 6486
Name
CHHABI LAL SAHU Rate Amount Qty 5.21 5.21 1 16.2 .27 60 55.8 .93 60 36 .6 60 33 1.1 30 18 .3 60 21.3 .71 30 32.4 1.08 30 15.6 .26 60 400 400 1 13.7 1.37 10 7.5 .25 30 19.2 .64 30 26.7 .89 30 22.8 .38 60 400 400 1 7.5 .25 30 55.8 .93 60 400 400 1 23.8 1.7 14 2.59 .37 7 8.9 .89 10 35.2 3.52 10 400 400 1 26.7 .89 30 20.1 .67 30 21.6 .18 120 54 .9 60 100.71 100.71 1 400 400 1 Total: 2680.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414258 Min 01414258 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 11 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 07-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 13 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 09-FEB-19
Page 2710 of 6486
Name
RUKMANI DEVI Rate Amount Qty 6.4 .64 10 55.8 .93 60 66 1.1 60 36 .6 60 21.3 .71 30 12 .4 30 26.7 .89 30 7.5 .25 30 1.85 .37 5 400 400 1 27.9 .93 30 26 2.6 10 150.9 5.03 30 26.7 .89 30 19.2 .64 30 400 400 1 7.5 .25 30 55.8 .93 60 400 400 1 Total: 1747.55
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414259 Min 01414259 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2711 of 6486
JETHURAM Rate Amount Qty 46.8 .78 60 252 2.1 120 12.8 .64 20 50.14 25.07 2 400 400 1 Total: 761.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414260 Min 01414260 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 ABC TEST HIV 2 21-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 3 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 21-FEB-19
Page 2712 of 6486
Name
KUNJU BAI Qty 1 1 1 1 1
Rate Amount 400 400 1250 1250 1000 1000 275 275 275 275 Total: 3200
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414261 Min 01414261 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 2713 of 6486
Name
A L YADAV Rate Amount Qty 1.85 .37 5 6.4 .64 10 35.2 3.52 10 400 400 1 66 1.1 60 8.9 .89 10 21.3 .71 30 36 .6 60 60.9 2.03 30 23.7 .79 30 400 400 1 Total: 1060.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414262 Min 01414262 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 2714 of 6486
Name
SMT. SHYAMA BAI YADAV Rate Amount Qty 6.23 .89 7 76.5 2.55 30 400 400 1 Total: 482.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414264 Min 01414264 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 2715 of 6486
Name
T SHASHIDHARAN Rate Amount Qty 27.9 .93 30 18 .6 30 29.7 .99 30 34.8 1.16 30 400 400 1 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414265 Min 01414265 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 2716 of 6486
Name
N SHASHIDHARAN Rate Amount Qty 26.7 .89 30 31.2 1.04 30 27.9 .93 30 21.6 .36 60 72 .6 120 167.4 5.58 30 7.5 .25 30 400 400 1 Total: 754.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414268 Min 01414268 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2717 of 6486
Name
K N SHANMUGHAN Rate Amount Qty 123.53 247.06 2 34.8 1.16 30 15.6 .26 60 16.2 .27 60 32.4 1.08 30 23.7 .79 30 55.8 .93 60 400 400 1 Total: 825.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414275 Min 01414275 Slno Description Appmt Dt QUETIAPINE FUMARATE,200MG,TABLET 1 09-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 2718 of 6486
Name
HEMLATA PILLAY Rate Amount Qty 88.35 5.89 15 55.5 1.85 30 400 400 1 18 .6 30 21.3 .71 30 20.84 5.21 4 167.4 5.58 30 21.3 .71 30 32.4 1.08 30 33 1.1 30 400 400 1 Total: 1258.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414280 Min 01414280 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 09-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 2719 of 6486
Name
ANITA BIJORIA Rate Amount Qty 12 .4 30 34.8 1.16 30 18 .6 30 27.9 .93 30 76.5 2.55 30 400 400 1 12.8 .64 20 57.84 231.36 4 17.8 .89 20 400 400 1 26.7 .89 30 82.12 41.06 2 400 400 1 Total: 1739.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414293 Min 01414293 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 2720 of 6486
Name
SINGH OP Rate Amount Qty 7.8 .26 30 12 .4 30 117 1.3 90 10.8 .36 30 9 .3 30 17.4 .58 30 23.7 .79 30 66 1.1 60 34.8 1.16 30 400 400 1 Total: 698.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414294 Min 01414294 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 2721 of 6486
Name
MIRA SINGH Rate Amount Qty 21.6 .18 120 54 .9 60 17.4 .58 30 100.71 100.71 1 400 400 1 Total: 593.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414296 Min 01414296 Appmt Dt Slno Description 26-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 26-FEB-19 2 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 26-FEB-19 3 RIFAXIMIN 200 MG,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2722 of 6486
Name
KUSHAL CHAND Qty Rate Amount 3 2.6 7.8 10 1.12 11.2 10 9.33 93.3 1 400 400 Total: 512.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414304 Min 01414304 Slno Description Appmt Dt UREA (BUN /UR) 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 ECG 3 04-FEB-19 PROTHROMBIN TIME (PT) 4 04-FEB-19 PLATELET COUNT 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 04-FEB-19 ABC TEST HIV 7 04-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 8 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 04-FEB-19 X - RAY - SINGLE VIEW 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 13 04-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 14 04-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 15 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 04-FEB-19 HB,TLC,DLC 17 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 27-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 20 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 27-FEB-19
Page 2723 of 6486
Name
AMITA MUKHERJEE Rate Amount Qty 275 275 1 400 400 1 450 450 1 330 330 1 330 330 1 400 400 1 1250 1250 1 1000 1000 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 300 300 1 8.9 .89 10 66.2 6.62 10 141.2 7.06 20 6.4 .64 10 400 400 1 Total: 8107.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414311 Min 01414311 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 09-FEB-19
Page 2724 of 6486
Name
RAVINDRA KUMAR PANDE Rate Amount Qty 167.4 5.58 30 36 .6 60 78 1.3 60 21.6 .36 60 2.22 .37 6 32.4 1.08 30 21.3 .71 30 13.35 .89 15 400 400 1 13.35 .89 15 167.4 5.58 30 32.4 1.08 30 36 .6 60 78 1.3 60 21.6 .36 60 21.3 .71 30 400 400 1 Total: 1542.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414312 Min 01414312 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 17 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 18-FEB-19
Page 2725 of 6486
Name
SMT.ANITA PANDEY Rate Amount Qty 55.8 .93 60 21.3 .71 30 36 .6 60 43.2 .36 120 117 1.3 90 14.85 .99 15 167.4 5.58 30 400 400 1 36 .6 60 167.4 5.58 30 43.2 .36 120 117 1.3 90 21.3 .71 30 55.8 .93 60 14.85 .99 15 400 400 1 13.7 1.37 10 8.9 .89 10 371.4 6.19 60 400 400 1 Total: 2505.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414318 Min 01414318 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 URIC ACID (UA /URATES /UR) 8 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 28-FEB-19
Page 2726 of 6486
Name
SHEELA Rate Amount Qty 17.4 .58 30 14.85 .99 15 33 1.1 30 78 1.3 60 55.8 .93 60 21.3 .71 30 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 400 400 1 550 550 1 Total: 3695.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414323 Min 01414323 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 16-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 2727 of 6486
PANGA PETER PREMNATH Rate Amount Qty 26.7 .89 30 12.15 12.15 1 15.73 15.73 1 27 .9 30 400 400 1 Total: 481.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414324 Min 01414324 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 16-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 2728 of 6486
Name
P. SANDHAYA RANI Rate Amount Qty 39.6 .66 60 104.4 1.74 60 10.8 .18 60 26.7 .89 30 400 400 1 Total: 581.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414331 Min 01414331 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2729 of 6486
Name
SAPAN KUMAR GHOSH Rate Amount Qty 21.3 .71 30 12 .4 30 54 .6 90 55.2 .92 60 55.8 .93 60 6.9 .23 30 400 400 1 Total: 605.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414332 Min 01414332 Appmt Dt Slno Description 14-FEB-19 1 FLUOXETINE HCL,20MG,CAPSULE/TABLET. 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2730 of 6486
Name
CHHAYA GHOSH Qty Rate Amount 60 3.32 199.2 1 400 400 599.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414333 Min 01414333 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2731 of 6486
Name
MAHESH CHATURVEDI Rate Amount Qty 12 .4 30 21.3 .71 30 72.6 1.21 60 1.6 .16 10 8.9 .89 10 400 400 1 Total: 516.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414334 Min 01414334 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2732 of 6486
Name
KUSUM CHATURVEDI Rate Amount Qty 16.85 3.37 5 19.72 9.86 2 57.84 57.84 1 7.4 .37 20 400 400 1 Total: 501.81
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414335 Min 01414335 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 14-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 17 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 21 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 23 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 24 19-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 25 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 26 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 28 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 30 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 32 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 33 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 34 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 28-FEB-19
Page 2733 of 6486
RAM PRASAD MISHRA Rate Amount Qty 4.62 .77 6 5.76 .64 9 33.12 1.84 18 400 400 1 7.5 .25 30 14.85 .99 15 8.1 .27 30 4.45 .89 5 33.12 1.84 18 5.76 .64 9 400 400 1 25.07 25.07 1 6.82 6.82 1 44.16 1.84 24 1.25 .25 5 400 400 1 10.95 .73 15 3.7 .37 10 66.2 6.62 10 26.7 .89 30 20.06 20.06 1 7.5 .25 30 14.85 .99 15 8.1 .27 30 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 10.65 .71 15 400 400 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 400 400 1 Total: 5969.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414336 Min 01414336 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 15-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 19-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 23 19-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 24 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 25 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 26 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 28 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 29 21-FEB-19 RACECADOTRIL,100MG,CAPSULE 30 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 31 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 32 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 33 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 34 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 36 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 37 24-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 38 24-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 39 24-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 40 24-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 41 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 42 24-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 43 24-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 44 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 45 24-FEB-19
Page 2734 of 6486
Name
SHANTI MISHRA Rate Amount Qty 8.1 .27 30 76.5 2.55 30 55.8 .93 60 10.8 .36 30 54 .6 90 17.4 1.16 15 7.5 .25 30 15.4 .77 20 1.85 .37 5 3.84 .64 6 400 400 1 8.1 .27 30 76.5 2.55 30 16.8 1.12 15 10.8 .36 30 54 .6 90 21.3 .71 30 7.5 .25 30 55.8 .93 60 400 400 1 8.9 .89 10 7.4 .37 20 153.8 7.69 20 35.2 17.6 2 35.2 3.52 10 16.8 1.12 15 400 400 1 7.5 .25 30 83.97 9.33 9 53.73 5.97 9 17.8 .89 20 26 2.6 10 63.8 3.19 20 1.6 .16 10 400 400 1 54 .6 90 55.8 .93 60 8.1 .27 30 34.8 1.16 30 32.4 1.08 30 95.7 3.19 30 26.7 .89 30 18 .3 60 7.5 .25 30 400 400 1 Total: 3346.69
OPD Mediclaim Bill for the month of February-2019
Page 2735 of 6486
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414337 Min 01414337 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 15-FEB-19 DRESSING SIMPLE 13 15-FEB-19
Page 2736 of 6486
Name
J K SINGH Rate Amount Qty 36 .6 60 21.6 .36 60 192.3 6.41 30 39 1.3 30 18.6 .62 30 60.9 2.03 30 400 400 1 3.8 .38 10 21.12 3.52 6 3.84 .64 6 400 400 1 400 400 1 600 300 2 Total: 2197.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414338 Min 01414338 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 8 08-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 2737 of 6486
Name
KETKI SINGH Rate Amount Qty 55.8 .93 60 22.2 .37 60 33 1.1 30 8.7 .58 15 3.75 .25 15 21.3 .71 30 400 400 1 48.76 12.19 4 48.76 12.19 4 400 400 1 Total: 1042.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414343 Min 01414343 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2738 of 6486
Name
RADHAKRISHNA SINGH Qty Rate Amount 30 .27 8.1 30 .93 27.9 30 .71 21.3 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414344 Min 01414344 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 2739 of 6486
Name
CHANDO DEVI Rate Amount Qty 27.9 .93 30 27 .9 30 26.7 .89 30 34.8 1.16 30 32.4 1.08 30 21.3 .71 30 15.3 .51 30 400 400 1 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414347 Min 01414347 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2740 of 6486
Name
RAJESH CHANDRA TULI Rate Amount Qty 55.2 1.84 30 6.4 .64 10 4.45 .89 5 4.1 .41 10 400 400 1 Total: 470.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414349 Min 01414349 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 14-FEB-19 3 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2741 of 6486
Name
SK SHARMA Qty Rate Amount 60 .93 55.8 30 6.41 192.3 1 12.81 12.81 1 400 400 Total: 660.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414351 Min 01414351 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2742 of 6486
Name
SOLOMAN SIMON Rate Amount Qty 2.4 .16 15 39 1.3 30 32.4 1.08 30 55.8 .93 60 34.8 1.16 30 3.75 .25 15 8.1 .27 30 36 .6 60 400 400 1 Total: 612.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414354 Min 01414354 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 2743 of 6486
Name
T.P.BANCHHOR Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 21.3 .71 30 26.7 .89 30 7.5 .25 30 12.6 .42 30 16.2 .27 60 400 400 1 Total: 2734.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414355 Min 01414355 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 2744 of 6486
Name
CHAMPA DEVI BANCHHOR Rate Amount Qty 55.8 .93 60 66 1.1 60 34.8 1.16 30 32.4 1.08 30 400 400 1 14.85 .99 15 3.75 .25 15 400 400 1 Total: 1007.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414356 Min 01414356 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2745 of 6486
Name
RAMBACHAN SINGH Rate Amount Qty 36 .6 60 27.6 .92 30 78 1.3 60 21.3 .71 30 7.5 .25 30 8.1 .27 30 400 400 1 Total: 578.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414357 Min 01414357 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 26-FEB-19 URIC ACID (UA /URATES /UR) 4 26-FEB-19 UREA (BUN /UR) 5 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 26-FEB-19 CREATININE /CRT 10 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 15 27-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 16 27-FEB-19 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 17 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 27-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 19 27-FEB-19 X - RAY - SINGLE VIEW 20 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 27-FEB-19
Page 2746 of 6486
Name
SHARDA DEVI Rate Amount Qty 750 750 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 275 275 1 1.85 .37 5 9 .9 10 4.45 .89 5 26.7 .89 30 20.84 5.21 4 12.15 12.15 1 196.2 3.27 60 6.08 .38 16 38.76 3.23 12 550 550 1 400 400 1 400 400 1 Total: 6062.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414361 Min 01414361 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2747 of 6486
Name
CHETAN JOSHI Rate Amount Qty 27.9 .93 30 100.71 100.71 1 54 .9 60 24 .4 60 18 .6 30 26.7 .89 30 34.8 1.16 30 76.5 2.55 30 64.8 1.08 60 400 400 1 Total: 827.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414366 Min 01414366 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 UREA (BUN /UR) 7 07-FEB-19 CREATININE /CRT 8 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 07-FEB-19
Page 2748 of 6486
Name
K.S.MADAVE Rate Amount Qty 6.9 .23 30 66 1.1 60 30.6 .34 90 12 .4 30 32.4 1.08 30 10.8 .36 30 275 275 1 275 275 1 275 275 1 275 275 1 1.6 .16 10 400 400 1 Total: 1660.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414379 Min 01414379 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2749 of 6486
Name
KIRAN SINGH Rate Amount Qty 12 .4 30 34.8 1.16 30 27.6 .92 30 27.9 .93 30 36 .6 60 78 1.3 60 400 400 1 Total: 616.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414384 Min 01414384 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 2750 of 6486
Name
MALTI PATEL Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414385 Min 01414385 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2751 of 6486
Name
SUBHASH CHANDRA Rate Amount Qty 7.5 .25 30 8.9 .89 10 34.8 1.16 30 12 .4 30 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 507.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414386 Min 01414386 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2752 of 6486
Name
BEENA BAI Rate Amount Qty 26.7 .89 30 27.9 .93 30 7.5 .25 30 117 1.3 90 167.4 5.58 30 90 .6 150 43.2 .36 120 400 400 1 Total: 879.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414397 Min 01414397 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 2753 of 6486
Name
SHAILENDRA KUMAR SONI Rate Amount Qty 34.8 1.16 30 2.4 .16 15 23.1 .77 30 12 .4 30 400 400 1 Total: 472.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414398 Min 01414398 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2754 of 6486
Name
SAHODRA BAI SONI Rate Amount Qty 55.8 .93 60 16.2 .27 60 2.4 .16 15 23.1 .77 30 36 .6 60 400 400 1 Total: 533.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414403 Min 01414403 Slno Description Appmt Dt C T HEAD PLAIN 1 06-FEB-19 X - RAY - SINGLE VIEW 2 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 06-FEB-19 URIC ACID (UA /URATES /UR) 5 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 06-FEB-19 UREA (BUN /UR) 7 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 06-FEB-19 COMPLETE HAEMOGRAM 10 06-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 11 06-FEB-19 CREATININE /CRT 12 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 17 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 07-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 21 07-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 22 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 23 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 24 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 25 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 27 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 28 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 29 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 30 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 13-FEB-19
Page 2755 of 6486
A K CHATTERJEE Rate Amount Qty 5250 5250 1 550 550 1 1300 1300 1 550 550 1 275 275 1 400 400 1 275 275 1 275 275 1 275 275 1 750 750 1 650 650 1 275 275 1 47.4 .79 60 66 1.1 60 12.15 12.15 1 38.4 .64 60 20.84 5.21 4 26.7 .89 30 192.3 6.41 30 60.9 2.03 30 34.5 1.15 30 12.3 .41 30 29.7 .99 30 21.3 .71 30 13.8 .23 60 400 400 1 5.4 .18 30 18 .9 20 15.73 15.73 1 70.2 2.34 30 400 400 1 Total: 12310.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414405 Min 01414405 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2756 of 6486
Name
BHAGWANI RAM Rate Amount Qty 12 .4 30 1.48 .37 4 23.1 .77 30 34.8 1.16 30 72 .6 120 400 400 1 Total: 543.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414408 Min 01414408 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 22-FEB-19 X - RAY - SINGLE VIEW 9 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 2757 of 6486
Name
LAXMI DEVI SAHU Rate Amount Qty 275 275 1 400 400 1 26.7 .89 30 18 .6 30 275 275 1 10.8 .36 30 55.8 .93 60 275 275 1 550 550 1 2.59 .37 7 3.78 .18 21 5.32 .38 14 9.38 .67 14 6.23 .89 7 400 400 1 Total: 2313.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414413 Min 01414413 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 2758 of 6486
Name
JIBAN KUMAR ADHIKARY Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 23.7 .79 30 7.8 .26 30 1.48 .37 4 15.96 2.66 6 18 .6 30 12 .4 30 400 400 1 Total: 586.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414414 Min 01414414 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 20-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 6 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 20-FEB-19
Page 2759 of 6486
Name
REKHA ADHIKARY Rate Amount Qty 55.8 .93 60 7 .7 10 26.7 .89 30 400 400 1 1300 1300 1 275 275 1 1750 1750 1 275 275 1 400 400 1 Total: 4489.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414419 Min 01414419 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 2760 of 6486
Name
ROY DK Rate Amount Qty 38.25 2.55 15 27.9 .93 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 17.8 .89 20 400 400 1 Total: 563.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414420 Min 01414420 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2761 of 6486
Name
MITA ROY Rate Amount Qty 17.4 1.16 15 66 1.1 60 400 400 1 Total: 483.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414424 Min 01414424 Appmt Dt Slno Description 05-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 3 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2762 of 6486
Name
HARJINDER KAUR Qty Rate Amount 5 .37 1.85 10 .64 6.4 10 2.66 26.6 1 400 400 Total: 434.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414425 Min 01414425 Slno Description Appmt Dt ECG 1 08-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 2 08-FEB-19 OBSERVATION IN CASUALTY 3 08-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 08-FEB-19 CIPROFLOXACIN,200MG/100ML,INJECTION 7 08-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 2763 of 6486
Name
SHOBHA PRASAD DUBEY Rate Amount Qty 450 450 1 22.71 22.71 1 420 420 1 9.81 9.81 1 .89 .89 1 11.89 11.89 1 16.1 16.1 1 26.13 8.71 3 3.84 .64 6 2.67 .89 3 14.08 3.52 4 6.72 1.12 6 400 400 1 1.64 .41 4 3.84 .64 6 400 400 1 27.9 .93 30 60.9 2.03 30 400 400 1 Total: 2279.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414426 Min 01414426 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 2764 of 6486
Name
TIJMAT DEVI Qty 6 4 1
Rate Amount 6.72 1.12 14.08 3.52 400 400 Total: 420.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414436 Min 01414436 Appmt Dt Slno Description 20-FEB-19 1 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 20-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20-FEB-19 4 CREATININE /CRT
Page 2765 of 6486
Name
ASHOK KUMAR SHARMA Qty Rate Amount 1 275 275 1 400 400 1 275 275 1 275 275 Total: 1225
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414438 Min 01414438 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 PRAZOSIN,2.5MG,TABLET 2 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 2766 of 6486
Name
SHANKAR RAO KEDEKAR Rate Amount Qty 17.4 1.16 15 39 1.3 30 118.5 3.95 30 36 .6 60 55.8 .93 60 400 400 1 Total: 666.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414439 Min 01414439 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2767 of 6486
Name
USHA KEDEKAR Rate Amount Qty 18 .6 30 6.9 .23 30 400 400 1 Total: 424.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414442 Min 01414442 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 7 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 09-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 15 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 21 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 11-FEB-19
Page 2768 of 6486
Name
SANTOSH SINGH Rate Amount Qty 32.4 1.08 30 12 .4 30 192.3 6.41 30 34.8 1.16 30 46.2 .77 60 400 400 1 58 29 2 104.4 1.74 60 59.4 .66 90 54 .9 60 400 400 1 275 275 1 275 275 1 1300 1300 1 36 .6 60 32.4 1.08 30 34.8 1.16 30 192.3 6.41 30 27.9 .93 30 12 .4 30 60.9 2.03 30 400 400 1 Total: 4039.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414443 Min 01414443 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 09-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 16 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 21 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 11-FEB-19
Page 2769 of 6486
Name
SMT.KALPANA Rate Amount Qty 78 1.3 60 18 .3 60 26.7 .89 30 32.4 1.08 30 21.3 .71 30 55.8 .93 60 72 .6 120 1.6 .16 10 400 400 1 1300 1300 1 275 275 1 400 400 1 275 275 1 12.3 .41 30 26.7 .89 30 20.84 5.21 4 72 .6 120 21.3 .71 30 32.4 1.08 30 55.8 .93 60 18 .3 60 78 1.3 60 400 400 1 Total: 3693.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414445 Min 01414445 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2770 of 6486
Name
ADLINA NICHOLS Rate Amount Qty 21.3 .71 30 66 1.1 60 55.8 .93 60 36 .6 60 43.2 .36 120 32.4 1.08 30 400 400 1 Total: 654.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414447 Min 01414447 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 02-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 14 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 09-FEB-19
Page 2771 of 6486
Name
KOKILA PRASAD Rate Amount Qty 26.7 .89 30 9 .3 30 36 .6 60 33 1.1 30 43.2 1.44 30 15.3 .51 30 12 .4 30 32.4 1.08 30 7.8 .26 30 21.3 .71 30 400 400 1 9.86 9.86 1 7.4 .37 20 35.2 17.6 2 400 400 1 Total: 1089.16
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414452 Min 01414452 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 7 14-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 8 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2772 of 6486
PARMESHWAR MAHATO Rate Amount Qty 26.6 2.66 10 2.5 .25 10 400 400 1 35.2 3.52 10 2.22 .37 6 400 400 1 48.22 48.22 1 70.2 2.34 30 18 .9 20 5.4 .18 30 3.7 .37 10 400 400 1 Total: 1412.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414453 Min 01414453 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 2773 of 6486
Name
BINDA MAHATO Rate Amount Qty 167.4 5.58 30 18 .6 30 7.5 .25 30 6.4 .64 10 1.85 .37 5 27.9 .93 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 658.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414456 Min 01414456 Appmt Dt Slno Description 04-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 04-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 04-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2774 of 6486
Name
BHALLA VK Qty Rate Amount 15 .23 3.45 120 .62 74.4 4 5.21 20.84 1 400 400 Total: 498.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414459 Min 01414459 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 22-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 22-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 22-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 22-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2775 of 6486
Name
RADHA YADAV Rate Amount Qty 7.6 .38 20 85.52 85.52 1 11.25 .75 15 38.76 3.23 12 31.61 31.61 1 12.81 12.81 1 167.4 5.58 30 72 .6 120 10.8 .36 30 400 400 1 Total: 837.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414460 Min 01414460 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 2776 of 6486
Name
ANJAN LAL CHANDRAKAR Rate Amount Qty 7.92 .99 8 8.1 .27 30 8.9 .89 10 55.8 .93 60 400 400 1 Total: 480.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414462 Min 01414462 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2777 of 6486
Name
RAMKRIPAL SAHU Rate Amount Qty 12 .4 30 21.3 .71 30 32.4 1.08 30 400 400 1 57.84 57.84 1 3.7 .37 10 400 400 1 Total: 927.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414463 Min 01414463 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 2778 of 6486
Name
VIDYA SAHU Rate Amount Qty 31.2 1.04 30 34.8 1.16 30 15.6 .26 60 36 .6 60 23.7 .79 30 24 .4 60 64.8 1.08 60 43.2 1.44 30 400 400 1 Total: 673.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414469 Min 01414469 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 2779 of 6486
Name
DALJEET RANDHAWA Rate Amount Qty 6.4 .64 10 371.4 6.19 60 400 400 1 Total: 777.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414471 Min 01414471 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2780 of 6486
Name
VEENA AGRAWAL Rate Amount Qty 185.7 6.19 30 39 1.3 30 9 .6 15 21.3 .71 30 20.84 5.21 4 8.9 .89 10 400 400 1 Total: 684.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414476 Min 01414476 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2781 of 6486
Name
UMA SHANKER DIXIT Rate Amount Qty 72 .6 120 10.8 .36 30 7.5 .25 30 21.3 .71 30 12 .4 30 400 400 1 Total: 523.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414477 Min 01414477 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 UREA (BUN /UR) 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 02-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 02-FEB-19 BLOOD FOR T-3,T-4,TSH 13 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 02-FEB-19 CREATININE /CRT 15 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 16 09-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 17 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 18 09-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 19 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 09-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 22 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 23 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 25 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 26 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 27 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 29 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 30 19-FEB-19 STOOL FOR OCCULT BLOOD 31 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 32 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 33 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 34 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 35 19-FEB-19
Page 2782 of 6486
Name
NEERAJ DIXIT Rate Amount Qty 400 400 1 275 275 1 55.8 .93 60 29.7 .99 30 6.9 .23 30 36 .6 60 21.3 .71 30 7.5 .25 30 8.9 .89 10 275 275 1 275 275 1 1300 1300 1 2400 2400 1 550 550 1 275 275 1 12.6 .42 30 7.5 .25 30 5.7 .38 15 11.25 .75 15 3.75 .25 15 400 400 1 11.25 .75 15 70.6 3.53 20 .8 .16 5 43.96 43.96 1 9.2 .92 10 23.2 1.16 20 400 400 1 275 275 1 275 275 1 165 165 1 12.6 .42 30 3.75 .25 15 7.5 .25 30 5.7 .38 15 Total: 7660.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414482 Min 01414482 Appmt Dt Slno Description 20-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2783 of 6486
Name
SHASHIKANT DESHMUKH Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414483 Min 01414483 Appmt Dt Slno Description 20-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2784 of 6486
Name
ALKA DESHMUKH Qty Rate Amount 30 .71 21.3 30 .93 27.9 60 1.1 66 1 400 400 Total: 515.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414486 Min 01414486 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2785 of 6486
Name
CHANDRAKAR CL Rate Amount Qty 36.3 1.21 30 1.6 .16 10 47.4 .79 60 22.2 .37 60 54 .6 90 400 400 1 Total: 561.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414487 Min 01414487 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 07-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2786 of 6486
Name
SMT. KALENDRI DEVI CHANDRAKAR Rate Amount Qty 27.9 .93 30 54 .6 90 27.9 .93 30 11.4 .38 30 8.9 .89 10 400 400 1 Total: 530.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414490 Min 01414490 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2787 of 6486
Name
JAGESHWAR PRASAD NIRMALKAR Rate Amount Qty 6.9 .23 30 9 .3 30 54 .6 90 7.5 .25 30 21.3 .71 30 12 .4 30 400 400 1 Total: 510.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414491 Min 01414491 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 PARASITES (MP /MF) 9 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 06-FEB-19 COMPLETE HAEMOGRAM 11 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 17-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 17-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 17-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 17-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 17-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 21 19-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 22 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 25 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 26 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 19-FEB-19
Page 2788 of 6486
MEDINI NIRMALKAR Rate Amount Qty 26.6 2.66 10 25.5 1.7 15 1.85 .37 5 7.7 .77 10 15.73 15.73 1 2.5 .25 10 6.4 .64 10 400 400 1 165 165 1 400 400 1 750 750 1 66 1.1 60 55.8 .93 60 18 .6 30 8.1 .27 30 12 .4 30 21.3 .71 30 13.35 .89 15 6.4 .64 10 400 400 1 40.12 20.06 2 48.22 48.22 1 2.59 .37 7 12.46 .89 14 6.4 .64 10 25.5 1.7 15 400 400 1 Total: 2937.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414492 Min 01414492 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 2789 of 6486
Name
VISHNU Rate Amount Qty 66 1.1 60 14.85 .99 15 55.8 .93 60 53.4 .89 60 60.9 2.03 30 12 .4 30 21.3 .71 30 400 400 1 211.8 3.53 60 400 400 1 Total: 1296.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414496 Min 01414496 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 5 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 6 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 2790 of 6486
SHRIVASTAVA AK Rate Amount Qty 3.7 .37 10 15.73 15.73 1 400 400 1 44.16 1.84 24 6.42 2.14 3 24.45 24.45 1 19.77 19.77 1 400 400 1 Total: 914.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414497 Min 01414497 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 2791 of 6486
MRIDULA SHRIVASTAVA Rate Amount Qty 25.07 25.07 1 400 400 1 6.82 6.82 1 25.07 25.07 1 400 400 1 Total: 856.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414504 Min 01414504 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2792 of 6486
Name
RAMKUMAR DILLIWAR Rate Amount Qty 117 1.3 90 21.3 .71 30 32.4 1.08 30 72.6 1.21 60 7.5 .25 30 55.8 .93 60 400 400 1 Total: 706.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414505 Min 01414505 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 2793 of 6486
Name
JAMWANTI DILLIWAR Rate Amount Qty 7.5 .25 30 23.7 .79 30 400 400 1 Total: 431.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414511 Min 01414511 Appmt Dt Slno Description 07-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2794 of 6486
Name
KUSHMAVATI VINDEKAR Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414513 Min 01414513 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 2795 of 6486
Name
MRS. R THANKACHAN Rate Amount Qty 7.5 .25 30 36 .6 60 185.7 6.19 30 26.7 .89 30 150.9 5.03 30 31.2 1.04 30 7.5 .25 30 31.95 .71 45 400 400 1 Total: 877.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414514 Min 01414514 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19
Page 2796 of 6486
Name
MD THANKACHAN Rate Amount Qty 3.7 .37 10 6.82 6.82 1 6.4 .64 10 26.7 .89 30 8.1 .27 30 21.6 .36 60 36 .6 60 39 1.3 30 7.5 .25 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 605.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414516 Min 01414516 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 2797 of 6486
Name
LEELA BAI Rate Amount Qty 247.6 6.19 40 14 .7 20 27.4 1.37 20 400 400 1 17.8 .89 20 123.8 6.19 20 247.6 6.19 40 27.4 1.37 20 400 400 1 Total: 1505.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414517 Min 01414517 Appmt Dt Slno Description 22-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2798 of 6486
Name
PIJUSH KANTI KAR Qty Rate Amount 30 .25 7.5 60 .27 16.2 30 .89 26.7 1 400 400 Total: 450.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414518 Min 01414518 Appmt Dt Slno Description 22-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2799 of 6486
Name
PURNIMA KAR Qty Rate Amount 30 .89 26.7 30 .93 27.9 30 .25 7.5 1 400 400 Total: 462.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414521 Min 01414521 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 13-FEB-19 PRAZOSIN,2.5MG,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19 CHOLESTEROL (CHOL) 16 26-FEB-19 TRIGLYCERIDES (TGL) 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 21 26-FEB-19
Page 2800 of 6486
Name
MANRAKHAN LAL SAHU Rate Amount Qty 400 400 1 275 275 1 275 275 1 6.16 .77 8 3.28 .41 8 8.96 1.12 8 44.16 1.84 24 6.4 .64 10 400 400 1 20.06 20.06 1 2.4 .16 15 7.65 .51 15 33 1.1 30 78 1.3 60 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 Total: 4760.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414522 Min 01414522 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 26-FEB-19 CREATININE /CRT 7 26-FEB-19 UREA (BUN /UR) 8 26-FEB-19 URIC ACID (UA /URATES /UR) 9 26-FEB-19 CHOLESTEROL (CHOL) 10 26-FEB-19 TRIGLYCERIDES (TGL) 11 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19
Page 2801 of 6486
Name
PARWATI DEVI SAHU Rate Amount Qty 19.8 .66 30 275 275 1 21.3 .71 30 36 .6 60 7.5 .25 30 29.7 .99 30 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 275 275 1 55.8 .93 60 Total: 4345.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414527 Min 01414527 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 12-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 2802 of 6486
Name
RK NARULA Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 21.3 .71 30 19.8 .66 30 49.2 .82 60 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1796.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414528 Min 01414528 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 CULTURE AND SENSITIVITY SWAB - PUS/EAR 2 02-FEB-19 DRESSING SIMPLE 3 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 6 04-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 14 12-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 15 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 17 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19 SUTURE REMOVAL 20 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 16-FEB-19
Page 2803 of 6486
Name
SMT ANITA NARULA Rate Amount Qty 400 400 1 650 650 1 2100 300 7 9.6 .64 15 7.7 .77 10 93.2 9.32 10 157.8 15.78 10 400 400 1 6.4 .64 10 20.06 20.06 1 13.35 .89 15 34.8 1.16 30 12 .4 30 31.95 .71 45 118.5 3.95 30 29.7 .99 30 47.4 .79 60 72 .6 120 400 400 1 490 490 1 400 400 1 Total: 5494.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414539 Min 01414539 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 2804 of 6486
Name
B ANANTHARAMAN Rate Amount Qty 40.12 20.06 2 7.68 .64 12 400 400 1 6.4 .64 10 55.2 1.84 30 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 1346.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414540 Min 01414540 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 2805 of 6486
Name
A SARASWATI Rate Amount Qty 2.4 .16 15 26.7 .89 30 72 .6 120 117 1.3 90 21.3 .71 30 123.53 247.06 2 33 1.1 30 13.95 .93 15 12 .4 30 167.4 5.58 30 400 400 1 Total: 1112.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414542 Min 01414542 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 11 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19 UREA (BUN /UR) 14 22-FEB-19 CREATININE /CRT 15 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 22-FEB-19
Page 2806 of 6486
Name
LATA VERMA Rate Amount Qty 2.7 .27 10 400 400 1 15.6 .26 60 55.8 .93 60 54 .6 90 167.4 5.58 30 8.1 .27 30 31.2 1.04 30 12 .4 30 21.3 .71 30 76.5 2.55 30 2.4 .16 15 400 400 1 275 275 1 275 275 1 550 550 1 400 400 1 275 275 1 275 275 1 Total: 3297
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414544 Min 01414544 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 16-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 2807 of 6486
Name
VATSALA BAGEKAR Rate Amount Qty 2.4 .16 15 18 .6 30 7.8 .26 30 39 1.3 30 27.9 .93 30 27.9 .93 30 33 1.1 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 602.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414545 Min 01414545 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 2808 of 6486
Name
PANNALAL SHARMA Rate Amount Qty 7.5 .25 30 60.9 2.03 30 21.3 .71 30 26.7 .89 30 33 1.1 30 32.4 1.08 30 192.3 6.41 30 60.9 2.03 30 192.3 6.41 30 400 400 1 26.7 .89 30 184.2 6.14 30 400 400 1 Total: 1638.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414548 Min 01414548 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2809 of 6486
Name
BHAGIRATHI Rate Amount Qty 8.1 .27 30 9 .3 30 54 .6 90 10.08 1.12 9 2.67 .89 3 23.7 .79 30 400 400 1 Total: 507.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414556 Min 01414556 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2810 of 6486
Name
L D MARKANDE Rate Amount Qty 17.4 .58 30 33 1.1 30 27.9 .93 30 15.4 .77 20 400 400 1 Total: 493.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414558 Min 01414558 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 04-FEB-19 COMPLETE HAEMOGRAM 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19
Page 2811 of 6486
Name
PUSHU SINGH BAGHEL Rate Amount Qty 11.4 .38 30 7.5 .25 30 55.8 .93 60 750 750 1 400 400 1 20.84 5.21 4 Total: 1245.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414564 Min 01414564 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 2812 of 6486
Name
HARISH KUMAR GROVER Rate Amount Qty 34.8 1.16 30 21.6 .36 60 117 1.3 90 55.8 .93 60 8.1 .27 30 66 1.1 60 12 .4 30 72 .6 120 400 400 1 55.8 .93 60 8.1 .27 30 72 .6 120 12 .4 30 66 1.1 60 34.8 1.16 30 117 1.3 90 21.6 .36 60 400 400 1 Total: 1574.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414565 Min 01414565 Appmt Dt Slno Description 02-FEB-19 1 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2813 of 6486
Name
SHOBHANA GROVER Qty Rate Amount 1 17.37 17.37 1 400 400 417.37 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414566 Min 01414566 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2814 of 6486
Name
RAMKHILAWAN ANANT Rate Amount Qty 10.8 .36 30 29.7 .99 30 36 .6 60 55.8 .93 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 569.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414575 Min 01414575 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2815 of 6486
Name
BISHRAM SAHU Rate Amount Qty 36 .6 60 3.75 .25 15 17.4 1.16 15 55.8 .93 60 29.7 .99 30 400 400 1 Total: 542.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414577 Min 01414577 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2816 of 6486
Name
VIJAY KUMAR SINGHAI Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 21.3 .71 30 8.1 .27 30 400 400 1 Total: 1082.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414578 Min 01414578 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2817 of 6486
Name
SHASHI SINGHAI Rate Amount Qty 18.9 .63 30 27.9 .93 30 12.6 .42 30 13.35 .89 15 6.9 .23 30 400 400 1 Total: 479.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414579 Min 01414579 Appmt Dt Slno Description 26-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2818 of 6486
Name
PARMANAND SAO Qty Rate Amount 30 .71 21.3 30 1.1 33 30 .4 12 1 400 400 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414581 Min 01414581 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 2819 of 6486
Name
DR SUMANT GUPTA Rate Amount Qty 26.6 2.66 10 1.85 .37 5 4.45 .89 5 400 400 1 21.3 .71 30 10.8 .36 30 36 .6 60 33 1.1 30 400 400 1 Total: 934
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414582 Min 01414582 Slno Description Appmt Dt UREA (BUN /UR) 1 07-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 2 07-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 3 07-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 16 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 19 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 22 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 23 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 24 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 25 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 19-FEB-19
Page 2820 of 6486
Name
RAGINI GUPTA Rate Amount Qty 275 275 1 550 550 1 1050 1050 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 34.8 1.16 30 66 1.1 60 14.85 .99 15 55.8 .93 60 167.4 5.58 30 32.4 1.08 30 4.8 .16 30 123.53 247.06 2 27.9 .62 45 400 400 1 31.2 1.04 30 72 .6 120 7.5 .25 30 6.9 .23 30 33 1.1 30 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 5067.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414583 Min 01414583 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 MOXONIDIN 0.2MG,,TABLET 08-FEB-19 3 PRAZOSIN,2.5MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2821 of 6486
Name
R S SAHU Qty Rate Amount 60 .93 55.8 30 3.53 105.9 60 1.3 78 1 400 400 Total: 639.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414584 Min 01414584 Appmt Dt Slno Description 27-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 27-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27-FEB-19 4 UREA (BUN /UR)
Page 2822 of 6486
Name
KAMLA SAHU Qty 1 1 1 1
Rate Amount 400 400 275 275 275 275 275 275 Total: 1225
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414587 Min 01414587 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 20-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2823 of 6486
Name
BHUPATRAM SONWANI Rate Amount Qty 3.75 .25 15 55.8 .93 60 29.7 .99 30 13.8 .23 60 36 .6 60 78 1.3 60 24 .4 60 400 400 1 Total: 641.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414596 Min 01414596 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 PROTHROMBIN TIME (PT) 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 CREATININE /CRT 9 22-FEB-19 UREA (BUN /UR) 10 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 22-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 12 22-FEB-19
Page 2824 of 6486
Name
VK PAL Rate Amount Qty 400 400 1 330 330 1 7.5 .25 30 34.8 1.16 30 8.1 .27 30 11.4 .38 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 3469.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414597 Min 01414597 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 17-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 4 17-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 17-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 17-FEB-19
Page 2825 of 6486
Name
GEETA PAL Qty 1 1 1 1 6 6 6 1
Rate Amount 420 420 .66 .66 .16 .16 600 600 1.5 .25 2.52 .42 5.34 .89 400 400 Total: 1430.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414605 Min 01414605 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 21 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 22 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 23 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 26 26-FEB-19 KETOTIFEN,1MG,TABLET 27 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 26-FEB-19
Page 2826 of 6486
Name
SHAKUNTALA SUKHLAL INDURKAR Rate Amount Qty 32.4 1.08 30 55.8 .93 60 7.8 .26 30 7.5 .25 30 76.5 2.55 30 46.2 .77 60 23.7 .79 30 21.3 .71 30 400 400 1 4.45 .89 5 4.5 .9 5 26.6 2.66 10 400 400 1 1.6 .16 10 3.7 .37 10 3.8 .38 10 66.2 6.62 10 1.85 .37 5 4.45 .89 5 6.4 .64 10 12.15 12.15 1 27.4 1.37 20 123.8 6.19 20 17.8 .89 20 400 400 1 12.15 12.15 1 22.8 1.52 15 400 400 1 Total: 2210.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414606 Min 01414606 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 05-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 5 05-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 6 05-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 7 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 05-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 05-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 05-FEB-19 SOLIFENACIN,5MG,,TABLET 13 05-FEB-19 CREATININE /CRT 14 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 18 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 19 19-FEB-19 CALCIUM (CA) 20 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 21 19-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 22 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 24 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 25 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 19-FEB-19
Page 2827 of 6486
Name
SUKHLAL A INDURKAR Rate Amount Qty 87.92 43.96 2 400 400 1 192.3 6.41 30 60.9 2.03 30 1750 1750 1 1610 1610 1 2110 2110 1 400 400 1 2.34 196.56 84 122.8 6.14 20 35.6 .89 40 47.04 1.12 42 403.2 13.44 30 275 275 1 247.6 6.19 40 52 2.6 20 7.5 .25 30 4.2 .42 10 5 .25 20 275 275 1 550 550 1 1300 1300 1 17.8 .89 20 275 275 1 275 275 1 400 400 1 Total: 11100.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414607 Min 01414607 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2828 of 6486
Name
GUHARI RAM Rate Amount Qty 7.5 .25 30 55.8 .93 60 78 1.3 60 72 .6 120 43.2 .36 120 400 400 1 Total: 656.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414610 Min 01414610 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2829 of 6486
Name
URMILA PRASAD Rate Amount Qty 6.16 .77 8 5.84 .73 8 7.68 .64 12 44.16 1.84 24 13.7 1.37 10 400 400 1 Total: 477.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414611 Min 01414611 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2830 of 6486
Name
TULSIRAM BANDEY Rate Amount Qty 66 1.1 60 13.35 .89 15 60.9 2.03 30 34.8 1.16 30 12 .4 30 23.7 .79 30 6.9 .23 30 400 400 1 Total: 617.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414612 Min 01414612 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2831 of 6486
Name
SURAJ BANDEY Rate Amount Qty 6.9 .23 30 27.9 .93 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414613 Min 01414613 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 2832 of 6486
Name
PRASAD RS Rate Amount Qty 27.9 .93 30 60.9 2.03 30 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414633 Min 01414633 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 12-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 11 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 12-FEB-19
Page 2833 of 6486
Name
JYOTSANA CLAUDIUS Rate Amount Qty 400 400 1 34.8 1.16 30 1.23 .41 3 1.23 .41 3 53.4 .89 60 30.6 .34 90 237 3.95 60 55.8 .93 60 64.8 1.08 60 24 .4 60 85.2 .71 120 21.6 .36 60 36 .6 60 30 .25 120 Total: 1075.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414648 Min 01414648 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 10 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 13 27-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 2834 of 6486
Name
A R KHAN Rate Amount Qty 12 .4 30 34.8 1.16 30 27.9 .93 30 117 1.3 90 167.4 5.58 30 32.4 1.08 30 7.5 .25 30 72 .6 120 400 400 1 20.22 3.37 6 11.1 .37 30 29.58 9.86 3 25.62 12.81 2 63.22 31.61 2 400 400 1 Total: 1420.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414649 Min 01414649 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2835 of 6486
Name
K BALASUNDARAM Rate Amount Qty 7.5 .25 30 8.1 .27 30 36 .6 60 21.3 .71 30 26.7 .89 30 400 400 1 Total: 499.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414650 Min 01414650 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 2836 of 6486
Name
HEMA Rate Amount Qty 27.9 .93 30 6.9 .23 30 14.85 .99 15 34.8 1.16 30 36 .6 60 12 .4 30 400 400 1 Total: 532.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414651 Min 01414651 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2837 of 6486
Name
AMAL KRISHNA CHANDA Rate Amount Qty 26.7 .89 30 7.5 .25 30 36 .6 60 21.3 .71 30 23.7 .79 30 55.8 .93 60 400 400 1 Total: 571
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414657 Min 01414657 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 2838 of 6486
Name
SUBHASH BABU Rate Amount Qty 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 468.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414658 Min 01414658 Slno Description Appmt Dt T M T (TREAD MILL EXERCISE TEST) 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19
Page 2839 of 6486
Name
SMT.SUDHA Rate Amount Qty 3430 3430 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 8.1 .27 30 7.5 .25 30 33 1.1 30 55.8 .93 60 Total: 4511.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414659 Min 01414659 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 28-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 7 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 9 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 2840 of 6486
Name
RK DAS Rate Amount Qty 12 .4 30 34.8 1.16 30 55.8 .93 60 16.2 .27 60 400 400 1 14.2 .71 20 245.6 6.14 40 17.8 .89 20 5 .25 20 16 .4 40 37.2 .93 40 5.4 .27 20 10.4 1.04 10 400 400 1 Total: 1270.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414660 Min 01414660 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2841 of 6486
Name
PANKAJINI DAS Rate Amount Qty 32.4 1.08 30 27.9 .93 30 34.8 1.16 30 17.4 .58 30 185.7 6.19 30 400 400 1 Total: 698.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414661 Min 01414661 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 13-FEB-19 COMPLETE HAEMOGRAM 7 13-FEB-19
Page 2842 of 6486
Name
SATYAPAL SINGH Rate Amount Qty 2.22 .37 6 35.1 2.34 15 2.56 .64 4 21.3 .71 30 400 400 1 400 400 1 750 750 1 Total: 1611.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414669 Min 01414669 Appmt Dt Slno Description 11-FEB-19 1 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2843 of 6486
Name
M. P. SHARMA Qty Rate Amount 30 6.41 192.3 1 400 400 592.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414670 Min 01414670 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 27-FEB-19 URIC ACID (UA /URATES /UR) 7 27-FEB-19 UREA (BUN /UR) 8 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 27-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 16 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 27-FEB-19
Page 2844 of 6486
Name
ROM NATH DESHMUKH Rate Amount Qty 211.8 3.53 60 66 1.1 60 55.8 .93 60 32.4 1.08 30 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 6.4 .64 10 66.2 6.62 10 4.8 .16 30 26.7 .89 30 21.3 .71 30 7.65 .51 15 8.1 .27 30 Total: 3307.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414671 Min 01414671 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2845 of 6486
Name
SHARDA BAI Rate Amount Qty 21.3 .71 30 15.3 .51 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 481
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414672 Min 01414672 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 U S ABDOMEN + THORAX 7 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 21-FEB-19
Page 2846 of 6486
Name
SATISH KUMAR SAHANI Rate Amount Qty 192.3 6.41 30 55.8 .93 60 14.85 .99 15 191.4 3.19 60 42.6 .71 60 400 400 1 1750 1750 1 400 400 1 Total: 3046.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414673 Min 01414673 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 2847 of 6486
Name
SMT.SUMAN SAHANI Rate Amount Qty 13.7 1.37 10 8.9 .89 10 400 400 1 21.3 .71 30 400 400 1 Total: 843.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414683 Min 01414683 Appmt Dt Slno Description 05-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 05-FEB-19 2 GLICLAZIDE MR,30 MG,,TABLET 05-FEB-19 3 TENELIGLIPTIN,20MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2848 of 6486
Name
PRABHAKAR Qty Rate Amount 60 .6 36 30 .92 27.6 60 5.58 334.8 1 400 400 Total: 798.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414684 Min 01414684 Slno Description Appmt Dt METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 1 22-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 2849 of 6486
Name
GOVIND RAM Rate Amount Qty 2.6 .26 10 1.3 .26 5 16.2 .27 60 11.4 .38 30 12 .4 30 21.3 .71 30 26.7 .89 30 76.5 2.55 30 400 400 1 Total: 568
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414685 Min 01414685 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 2850 of 6486
KUSUM Rate Amount Qty 39 2.6 15 185.7 6.19 30 15.73 15.73 1 20.84 5.21 4 53.4 .89 60 20.06 20.06 1 12.15 12.15 1 400 400 1 Total: 746.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414690 Min 01414690 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 2851 of 6486
Name
RADHE SHYAM SHARMA Rate Amount Qty 7.5 .25 30 20.55 1.37 15 400 400 1 Total: 428.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414695 Min 01414695 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 2852 of 6486
Name
LAXMAN RAM Rate Amount Qty 11.1 .37 30 104.4 1.74 60 400 400 1 55.8 .93 60 76.5 2.55 30 21.3 .71 30 26.7 .89 30 2.4 .16 15 7.5 .25 30 36 .6 60 400 400 1 21.3 .71 30 26.7 .89 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1842.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414696 Min 01414696 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 ESCITALOPRAM,10MG,,TABLET 6 19-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 26-FEB-19 UREA (BUN /UR) 11 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 26-FEB-19 CREATININE /CRT 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19
Page 2853 of 6486
Name
ASHA DEVI Rate Amount Qty 33 1.1 30 40.12 20.06 2 13.35 .89 15 7.8 .26 30 400 400 1 27.75 1.85 15 41.1 2.74 15 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3763.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414705 Min 01414705 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2854 of 6486
Name
RAJBAL SINGH Rate Amount Qty 7.5 .25 30 21.3 .71 30 18 .6 30 27.9 .93 30 400 400 1 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414706 Min 01414706 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 11-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 2855 of 6486
Name
KAMLESH Rate Amount Qty 148.9 74.45 2 40.58 20.29 2 400 400 1 18 .6 30 21.3 .71 30 32.4 1.08 30 12.6 .42 30 27.9 .93 30 400 400 1 Total: 1101.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414718 Min 01414718 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2856 of 6486
Name
SHIBANI BISWAS Qty Rate Amount 30 .93 27.9 30 .71 21.3 30 1.1 33 1 400 400 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414719 Min 01414719 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 2857 of 6486
Name
OM PRAKASH Rate Amount Qty 12 .4 30 21.3 .71 30 10.8 .36 30 55.8 .93 60 15.6 .26 60 39 1.3 30 36 .6 60 400 400 1 Total: 590.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414720 Min 01414720 Appmt Dt Slno Description 14-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2858 of 6486
Name
KUSUM AWASTHI Qty 4 1
Rate Amount 5.21 20.84 400 400 420.84 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414721 Min 01414721 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 2859 of 6486
Name
RAMJI PRAJAPATI Rate Amount Qty 17.4 .58 30 23.7 .79 30 55.8 .93 60 22.2 .37 60 400 400 1 Total: 519.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414723 Min 01414723 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2860 of 6486
Name
NEETA JAIN Rate Amount Qty 167.4 5.58 30 18 .6 30 21.3 .71 30 185.7 6.19 30 20.84 5.21 4 27.9 .93 30 8.1 .27 30 400 400 1 Total: 849.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414740 Min 01414740 Appmt Dt Slno Description 25-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 3 BACLOFEN,STRIP PKT,10MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2861 of 6486
Name
RAM PRATAP CHANDRAKAR Qty Rate Amount 10 1.37 13.7 10 .89 8.9 10 3.19 31.9 1 400 400 Total: 454.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414741 Min 01414741 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 2862 of 6486
Name
OMAN CHANDRAKAR Rate Amount Qty 7.5 .25 30 21.3 .71 30 12 .4 30 9 .6 15 400 400 1 Total: 449.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414742 Min 01414742 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 2863 of 6486
Name
Y. P. AGGARWAL Rate Amount Qty 55.2 1.84 30 6.4 .64 10 400 400 1 Total: 461.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414743 Min 01414743 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 08-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 3 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 08-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 18-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 8 18-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 9 18-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 10 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 2864 of 6486
Name
PRITI AGGARWAL Rate Amount Qty 63.58 63.58 1 51.38 25.69 2 37.04 37.04 1 20.22 3.37 6 40.58 20.29 2 400 400 1 185.7 6.19 30 18 .6 30 40.58 20.29 2 51.38 25.69 2 26 2.6 10 400 400 1 Total: 1334.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414744 Min 01414744 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 13-FEB-19 SOLIFENACIN,5MG,,TABLET 2 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 15-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 9 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 14 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 15 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19
Page 2865 of 6486
Name
RAMESH KUMAR SETH Rate Amount Qty 60.9 2.03 30 403.2 13.44 30 192.3 6.41 30 400 400 1 11.4 .38 30 7.5 .25 30 1.85 .37 5 6.4 .64 10 78 .78 100 31.95 .71 45 14.85 .99 15 55.8 .93 60 8.1 .27 30 192.3 6.41 30 9.9 .66 15 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 1956.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414753 Min 01414753 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 2866 of 6486
Name
BASANTLAL BODALKAR Rate Amount Qty 7.5 .25 30 66 1.1 60 6.9 .23 30 12 .4 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 546.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414754 Min 01414754 Appmt Dt Slno Description 04-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2867 of 6486
Name
MAYA DEVI BODALKAR Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414759 Min 01414759 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 02-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 22-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 14 22-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 15 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 19 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 22 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 23-FEB-19
Page 2868 of 6486
CIBA SHARMA Rate Amount Qty 54 .9 60 15.73 15.73 1 16.2 .18 90 11.1 .37 30 12.15 12.15 1 17.4 .58 30 26.7 .89 30 7.5 .25 30 400 400 1 25.07 25.07 1 19.2 .64 30 7.5 .25 30 185.7 6.19 30 13.48 3.37 4 63.58 63.58 1 9.86 9.86 1 400 400 1 26.7 .89 30 12.15 12.15 1 7.5 .25 30 54 .9 60 16.2 .18 90 400 400 1 Total: 1801.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414761 Min 01414761 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2869 of 6486
Name
SHAKUNTALA CHOURE Rate Amount Qty 21.3 .71 30 6.9 .23 30 27.9 .93 30 18 .6 30 167.4 5.58 30 400 400 1 Total: 641.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414764 Min 01414764 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2870 of 6486
Name
KRISHNA SHARMA Rate Amount Qty 21.6 .36 60 27 .9 30 66 1.1 60 7.5 .25 30 32.4 1.08 30 15.3 .51 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 619
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414778 Min 01414778 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2871 of 6486
Name
SABA PARVEEN Rate Amount Qty 167.4 5.58 30 1.6 .16 10 32.4 .36 90 72 .6 120 7.5 .25 30 13.95 .93 15 21.3 .71 30 400 400 1 Total: 716.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414779 Min 01414779 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 10-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 16 23-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 17 23-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 18 23-FEB-19 SODIUM VALPROATE,500MG,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 2872 of 6486
Name
P V DESHPANDE Rate Amount Qty 66.2 6.62 10 400 400 1 66.2 6.62 10 400 400 1 57 .38 150 54 .9 60 5.55 .37 15 42.6 .71 60 60.9 2.03 30 12 .4 30 7.5 .25 30 27.9 .93 30 400 400 1 66.2 6.62 10 400 400 1 79.2 2.64 30 176.7 5.89 30 15.3 .51 30 351 3.9 90 400 400 1 Total: 3088.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414787 Min 01414787 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 25-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 7 25-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 8 25-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2873 of 6486
Name
GURUBACHAN KAUR Rate Amount Qty 10.8 .36 30 36 .6 60 33 1.1 30 400 400 1 27.4 1.37 20 185.7 6.19 30 25.84 3.23 8 166.8 2.78 60 21.3 .71 30 400 400 1 Total: 1306.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414790 Min 01414790 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2874 of 6486
Name
ABDUL NAWAB KHAN Rate Amount Qty 12.15 12.15 1 100.71 100.71 1 26.7 .89 30 16.2 .18 90 54 .9 60 400 400 1 Total: 609.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414797 Min 01414797 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 2875 of 6486
Name
CHANDA CHHABRA Rate Amount Qty 7.5 .25 30 18.9 .63 30 185.7 6.19 30 13.7 1.37 10 400 400 1 18 .6 30 33 1.1 30 12 .4 30 27.9 .93 30 34.8 1.16 30 400 400 1 21.3 .71 30 10.42 5.21 2 400 400 1 Total: 1583.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414806 Min 01414806 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 08-FEB-19 TRANEXAMIC ACID,500 MG,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 2876 of 6486
Name
JL LAHARE Qty 1 6 1
Rate Amount 43.96 43.96 77.7 12.95 400 400 Total: 521.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414807 Min 01414807 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 22-FEB-19 GUM ASTRINGENT PAINT 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2877 of 6486
Name
SATRUPA BAI Rate Amount Qty 2.22 .37 6 2.5 .25 10 3.84 .64 6 15.96 2.66 6 400 400 1 55.2 1.84 30 16.8 1.12 15 31.54 31.54 1 9.6 .64 15 400 400 1 Total: 937.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414813 Min 01414813 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 11-FEB-19 UREA (BUN /UR) 4 11-FEB-19 CREATININE /CRT 5 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 HB,TLC,DLC 9 11-FEB-19 PLATELET COUNT 10 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 11-FEB-19
Page 2878 of 6486
Name
MONIKA CHAKRAVORTY Rate Amount Qty 41.85 .93 45 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 17.8 .89 20 21.3 .71 30 300 300 1 330 330 1 275 275 1 Total: 3510.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414814 Min 01414814 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 01-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 01-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 2879 of 6486
Name
G P SHROTI Rate Amount Qty 45.44 45.44 1 31.61 31.61 1 9.86 9.86 1 63.58 63.58 1 400 400 1 3.75 .25 15 78 1.3 60 34.8 1.16 30 13.95 .93 15 10.8 .36 30 12 .4 30 54 .6 90 400 400 1 Total: 1157.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414815 Min 01414815 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 2880 of 6486
Name
ANITA SHROTI Rate Amount Qty 6.4 .64 10 24.76 6.19 4 8.9 .89 10 400 400 1 76.5 2.55 30 17.4 1.16 15 10.8 .36 30 36 .6 60 66 1.1 60 32.4 1.08 30 400 400 1 6.4 .64 10 400 400 1 Total: 1485.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414820 Min 01414820 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 2881 of 6486
Name
VIKASH ROY Rate Amount Qty 32.4 1.08 30 33 1.1 30 27.9 .93 30 60.9 2.03 30 34.8 1.16 30 26.7 .89 30 9.9 .66 15 400 400 1 Total: 625.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414821 Min 01414821 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2882 of 6486
Name
PRATIMA ROY Rate Amount Qty 21.3 .71 30 18.6 .62 30 9.9 .66 15 7.5 .25 30 18.9 .63 30 400 400 1 Total: 476.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414822 Min 01414822 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 2883 of 6486
Name
RAM SUNDER SAHU Rate Amount Qty 26.7 .89 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 36 .6 60 10.8 .36 30 167.4 5.58 30 7.5 .25 30 400 400 1 Total: 757.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414823 Min 01414823 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2884 of 6486
Name
UMRAVATI BAI SAHU Rate Amount Qty 7.5 .25 30 21.3 .71 30 21.3 .71 30 117 1.3 90 400 400 1 Total: 567.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414827 Min 01414827 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 2885 of 6486
Name
PAKLI BAI Rate Amount Qty 47.4 .79 60 15.3 .51 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414836 Min 01414836 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2886 of 6486
Name
ANUGRAH MASIH Rate Amount Qty 17.4 1.16 15 55.8 .93 60 167.4 5.58 30 18 .6 30 9 .3 30 18.6 .62 30 55.8 .93 60 400 400 1 Total: 742
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414837 Min 01414837 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2887 of 6486
Name
SHANTIEL MASIH Rate Amount Qty 66 1.1 60 27.9 .93 30 12 .4 30 11.4 .38 30 60.9 2.03 30 10.65 .71 15 192.3 6.41 30 400 400 1 Total: 781.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414846 Min 01414846 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 2888 of 6486
Name
ANILA WATE Rate Amount Qty 66 1.1 60 3.7 .37 10 9 .3 30 11.4 .38 30 27.9 .93 30 32.4 1.08 30 400 400 1 Total: 550.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414851 Min 01414851 Appmt Dt Slno Description 25-FEB-19 1 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2889 of 6486
Name
VEENA DUBEY Qty 1 1
Rate Amount 26.55 26.55 400 400 426.55 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414852 Min 01414852 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 OBSERVATION IN CASUALTY 7 09-FEB-19 ECG 8 09-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 9 09-FEB-19 X - RAY - SINGLE VIEW 10 09-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 13 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 2890 of 6486
Name
RAMBALI PANDEY Rate Amount Qty 4.45 .89 5 9 .9 10 1.85 .37 5 6.4 .64 10 35.2 3.52 10 1.85 .37 5 420 420 1 450 450 1 45.44 45.44 1 550 550 1 100 100 1 400 400 1 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 Total: 2445.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414854 Min 01414854 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 2891 of 6486
Name
INDRAMAN SINGH SAHU Rate Amount Qty 24 .4 60 37.8 .63 60 78 1.3 60 38.25 2.55 15 31.2 1.04 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 683.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414860 Min 01414860 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 14-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2892 of 6486
Name
HARISH KUMAR DEWANGAN Rate Amount Qty 13.7 1.37 10 47.4 .79 60 21.3 .71 30 16.2 .36 45 8.1 .27 30 8.9 .89 10 400 400 1 7.5 .25 30 26 2.6 10 400 400 1 Total: 949.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414865 Min 01414865 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2893 of 6486
SURESH RAM Rate Amount Qty 3.8 .38 10 15.73 15.73 1 1.85 .37 5 6.4 .64 10 400 400 1 Total: 427.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414866 Min 01414866 Slno Description Appmt Dt SPOT URINE PCR (PROTEIN CREATININE RATIO 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 2894 of 6486
Name
ASHA BAI Rate Amount Qty 550 550 1 400 400 1 27.4 1.37 20 14.6 .73 20 17.8 .89 20 123.8 6.19 20 400 400 1 17.8 .89 20 123.8 6.19 20 14.6 .73 20 27.4 1.37 20 400 400 1 Total: 2117.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414867 Min 01414867 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 2895 of 6486
Name
R SARKAR Rate Amount Qty 21.3 .71 30 8.1 .27 30 27.9 .93 30 43.2 .36 120 54 .6 90 117 1.3 90 400 400 1 Total: 671.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414868 Min 01414868 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2896 of 6486
Name
GEETA RANI SARKAR Rate Amount Qty 27.9 .93 30 18 .6 30 400 400 1 Total: 445.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414871 Min 01414871 Appmt Dt Slno Description 11-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2897 of 6486
Name
SK DAS Qty Rate Amount 30 .6 18 30 .79 23.7 30 .71 21.3 1 400 400 Total: 463
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414872 Min 01414872 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 2898 of 6486
Name
KALYANI DAS Rate Amount Qty 39 1.3 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 72 .6 120 66 1.1 60 14.85 .99 15 17.4 .58 30 400 400 1 Total: 718.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414874 Min 01414874 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 09-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 17-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 17-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 12 17-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 13 17-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 15 17-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 17-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 17-FEB-19 OBSERVATION IN CASUALTY 18 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 21 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 17-FEB-19
Page 2899 of 6486
Name
BIMLA DEVI Rate Amount Qty 7.8 .26 30 18.9 .63 30 23.7 .79 30 21.3 .71 30 26.7 .89 30 21.3 .71 30 12 .4 30 400 400 1 9.6 .64 15 8.9 .89 10 16.8 1.12 15 82.76 82.76 1 19.59 19.59 1 1.9 .38 5 600 600 1 10.95 .73 15 43.96 43.96 1 420 420 1 .89 .89 1 .64 .64 1 .16 .16 1 400 400 1 Total: 2147.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414886 Min 01414886 Appmt Dt Slno Description 22-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22-FEB-19 2 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 22-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2900 of 6486
Name
KHEM CHAND GIRIYA Qty Rate Amount 30 .89 26.7 30 .93 27.9 60 .25 15 1 400 400 Total: 469.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414893 Min 01414893 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19
Page 2901 of 6486
Name
JAISHRI BHAKRE Qty 1 1 1
Rate Amount 275 275 275 275 400 400 Total: 950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414896 Min 01414896 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 2902 of 6486
Name
ALPANA BHATTACHARYA Rate Amount Qty 7.5 .25 30 26.7 .89 30 33 1.1 30 105.9 3.53 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 55.2 .92 60 400 400 1 Total: 707.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414899 Min 01414899 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2903 of 6486
Name
SUNITA DESHMUKH Rate Amount Qty 8.1 .27 30 27 .3 90 36 .6 60 117 1.3 90 21.3 .71 30 55.8 .93 60 167.4 5.58 30 400 400 1 Total: 832.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414901 Min 01414901 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2904 of 6486
Name
RAKESH KUMAR BEHAL Rate Amount Qty 34.8 1.16 30 31.2 1.04 30 47.4 .79 60 8.9 .89 10 7.5 .25 30 6.9 .23 30 400 400 1 Total: 536.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414902 Min 01414902 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2905 of 6486
Name
MUKESH BEHAL Rate Amount Qty 13.95 .93 15 17.4 .58 30 21.3 .71 30 36 .6 60 9 .3 30 400 400 1 Total: 497.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414904 Min 01414904 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2906 of 6486
Name
AMULYA KUMAR BAUL Rate Amount Qty 55.8 .93 60 39 1.3 30 9 .3 30 36 .6 60 12 .4 30 400 400 1 Total: 551.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414906 Min 01414906 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 9 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 TICAGRELOR 90MG ,TABLET 13 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 17 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 2907 of 6486
Name
ASHOK KUMAR Rate Amount Qty 35.6 .89 40 5.2 .26 20 18.6 .93 20 23.2 1.16 20 21.6 1.08 20 8 .4 20 18.4 .92 20 400 400 1 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 400 400 1 30.77 1846.2 60 33 1.1 30 12 .4 30 20.4 .34 60 157.8 2.63 60 27.9 .93 30 400 400 1 Total: 3481.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414907 Min 01414907 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 25-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 3 25-FEB-19 CLOMIPRAMINE,25MG,TABLET 4 25-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2908 of 6486
Name
ASHA DEVI BORIKAR Rate Amount Qty 25.62 12.81 2 7.4 .37 20 90.88 45.44 2 64.2 2.14 30 79.2 2.64 30 18.45 .41 45 400 400 1 Total: 685.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414908 Min 01414908 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 PRAZOSIN,2.5MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19
Page 2909 of 6486
Name
P.K. KHANRA Rate Amount Qty 6.9 .23 30 21.3 .71 30 12 .4 30 72.6 1.21 60 78 1.3 60 55.8 .93 60 400 400 1 185.7 6.19 30 18.9 .63 30 400 400 1 7.5 .25 30 123.53 370.59 3 26.7 .89 30 12.3 .41 30 400 400 1 Total: 2068.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414909 Min 01414909 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 2910 of 6486
Name
RENU KHANRA Rate Amount Qty 21.3 .71 30 66 1.1 60 27.9 .93 30 14.85 .99 15 43.96 43.96 1 12 .4 30 73.8 .82 90 400 400 1 7.5 .25 30 13.35 .89 15 39 2.6 15 400 400 1 Total: 1119.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414912 Min 01414912 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 2911 of 6486
Name
A R SAHU Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 21.3 .71 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 796.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414913 Min 01414913 Slno Description Appmt Dt SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 1 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 2912 of 6486
SAKUNTALA DEVI Rate Amount Qty 29 29 1 25.07 25.07 1 400 400 1 33 1.1 30 18 .6 30 20.4 .34 60 34.8 1.16 30 47.4 .79 60 32.4 1.08 30 12 .4 30 2.4 .16 15 400 400 1 Total: 1054.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414918 Min 01414918 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 2913 of 6486
Name
KANTI LAL DAS Rate Amount Qty 8.1 .27 30 21.3 .71 30 18 .6 30 27.9 .93 30 400 400 1 Total: 475.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414922 Min 01414922 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 04-FEB-19 URIC ACID (UA /URATES /UR) 10 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 06-FEB-19
Page 2914 of 6486
Name
K PADMAVATI Rate Amount Qty 17.6 17.6 1 3.7 .37 10 19.18 1.37 14 6.23 .89 7 5.11 .73 7 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 19.2 .64 30 19.2 .64 30 400 400 1 Total: 2115.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414941 Min 01414941 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2915 of 6486
Name
PREMA RAJENDRAN Rate Amount Qty 21.3 .71 30 54 .6 90 16.2 .27 60 10.8 .36 30 400 400 1 Total: 502.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414943 Min 01414943 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 2916 of 6486
Name
BHARTI Rate Amount Qty 10.8 .36 30 34.8 1.16 30 36 .6 60 105.9 3.53 30 118.5 3.95 30 400 400 1 3.7 .37 10 45.44 45.44 1 400 400 1 Total: 1155.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414953 Min 01414953 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 04-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 6 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 2917 of 6486
Name
S P PATEL Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 11.85 .79 15 66 1.1 60 11.4 .38 30 35.1 .78 45 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 844.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414954 Min 01414954 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 2918 of 6486
Name
USHA PATEL Rate Amount Qty 13.35 .89 15 21.3 .71 30 6.9 .23 30 18 .6 30 400 400 1 Total: 459.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414955 Min 01414955 Name Appmt Dt Slno Description 27-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2919 of 6486
DUKHIT RAM Qty 2 1
Rate Amount 25.07 50.14 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414956 Min 01414956 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 2920 of 6486
Name
GORAN BAI Rate Amount Qty 1.85 .37 5 6.4 .64 10 26.7 .89 30 21.3 .71 30 32.4 1.08 30 7.65 .51 15 2.5 .25 10 15.6 .26 60 27.9 .93 30 26 2.6 10 400 400 1 Total: 568.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414963 Min 01414963 Appmt Dt Slno Description 18-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 18-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2921 of 6486
Name
SATRAM SINGH Qty Rate Amount 60 .6 36 30 1.08 32.4 30 1.16 34.8 1 400 400 Total: 503.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414969 Min 01414969 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 04-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 2922 of 6486
Name
RAJKUMAR SAHU Rate Amount Qty 19.72 9.86 2 57.84 115.68 2 400 400 1 12.15 12.15 1 54 .9 60 400 400 1 21.3 .71 30 55.8 .93 60 29.7 .99 30 400 400 1 Total: 1508.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414970 Min 01414970 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 2 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 04-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 15-FEB-19
Page 2923 of 6486
Name
KAMALA SAHU Qty 1 1 1 1 1 1
Rate Amount 400 400 550 550 17.6 17.6 13.43 13.43 275 275 275 275 Total: 1531.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414971 Min 01414971 Appmt Dt Slno Description 21-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 21-FEB-19 2 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 21-FEB-19 3 TORSEMIDE,STRIP PKT,10MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2924 of 6486
Name
ISHWAR LAL Qty Rate Amount 30 1.1 33 30 1.44 43.2 30 1.04 31.2 1 400 400 Total: 507.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414975 Min 01414975 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2925 of 6486
Name
GAYANEVIA BUX Rate Amount Qty 275 275 1 275 275 1 27.9 .93 30 39 1.3 30 5.7 .38 15 72 .6 120 400 400 1 Total: 1094.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414976 Min 01414976 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19
Page 2926 of 6486
Name
BODHAN SINGH SAHU Rate Amount Qty 22.2 .37 60 10.8 .36 30 36 .6 60 21.3 .71 30 167.4 5.58 30 72.6 1.21 60 29.7 .99 30 55.8 .93 60 400 400 1 43.96 43.96 1 192.3 6.41 30 60.9 2.03 30 13.95 .93 15 400 400 1 Total: 1526.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414977 Min 01414977 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 2927 of 6486
Name
BISAHIN BAI Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 167.4 5.58 30 18 .6 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 699.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414988 Min 01414988 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 2928 of 6486
Name
INDRAWATI SINGH Rate Amount Qty 17.4 1.16 15 21.6 .36 60 54 .6 90 22.2 .37 60 27.9 .93 30 7.5 .25 30 400 400 1 Total: 550.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414990 Min 01414990 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 2929 of 6486
Name
RAJESHWAR RAO Rate Amount Qty 72 .6 120 27.9 .93 30 7.5 .25 30 20.06 20.06 1 6.9 .23 30 400 400 1 Total: 534.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414994 Min 01414994 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2930 of 6486
Name
BHAWANI SHANKAR PAL Rate Amount Qty 8.9 .89 10 20.06 20.06 1 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 473.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414995 Min 01414995 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 2931 of 6486
Name
SUJEETA PAL Rate Amount Qty 54 .9 60 7.4 .37 20 13.43 13.43 1 12.8 .64 20 26.7 .89 30 12.15 12.15 1 7.5 .25 30 16.2 .18 90 400 400 1 27.9 .93 30 5.21 5.21 1 13.95 .93 15 7.5 .25 30 400 400 1 Total: 1004.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415001 Min 01415001 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 2932 of 6486
Name
SUDERSHAN R NANOO Rate Amount Qty 12 .4 30 8.4 .42 20 34.8 1.16 30 36 .6 60 55.8 .93 60 21.6 .36 60 76.5 2.55 30 8.1 .27 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415002 Min 01415002 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2933 of 6486
Name
ASHA Rate Amount Qty 13.95 .93 15 8.1 .27 30 156.6 1.74 90 100.71 100.71 1 400 400 1 Total: 679.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415003 Min 01415003 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 2934 of 6486
Name
BHINSU RAM Rate Amount Qty 76.5 2.55 30 8.1 .27 30 23.7 .79 30 1.48 .37 4 400 400 1 Total: 509.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415004 Min 01415004 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 2935 of 6486
Name
PHOOLMANI BAI Rate Amount Qty 29.7 .99 30 4.1 .41 10 55.8 .93 60 22.2 .37 60 400 400 1 Total: 511.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415007 Min 01415007 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 11-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 2936 of 6486
Name
MANOHARAN Rate Amount Qty 77.52 3.23 24 9.88 .38 26 83.4 2.78 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 647.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415008 Min 01415008 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 SOLIFENACIN,5MG,,TABLET 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 2937 of 6486
Name
M. HANSA Rate Amount Qty 54 .6 90 403.2 13.44 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 925.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415009 Min 01415009 Appmt Dt Slno Description 01-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2938 of 6486
Name
TIJAU RAM KHARE Qty Rate Amount 30 .71 21.3 30 .27 8.1 30 .93 27.9 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415010 Min 01415010 Appmt Dt Slno Description 01-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 01-FEB-19 2 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 01-FEB-19 3 TORSEMIDE,STRIP PKT,10MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2939 of 6486
Name
KOSAM BAI Qty Rate Amount 60 1.1 66 60 .37 22.2 15 1.04 15.6 1 400 400 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415018 Min 01415018 Slno Description Appmt Dt GLUCOSE RANDOM (RBG /RSG /GLU-R) 1 21-FEB-19 UREA (BUN /UR) 2 21-FEB-19 CREATININE /CRT 3 21-FEB-19 ABC TEST HIV 4 21-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 21-FEB-19 HB,TLC,DLC 6 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 21-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 8 21-FEB-19 PLATELET COUNT 9 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 21-FEB-19
Page 2940 of 6486
Name
MANORAMA Rate Amount Qty 275 275 1 275 275 1 275 275 1 1250 1250 1 1000 1000 1 300 300 1 400 400 1 41.06 41.06 1 330 330 1 33.12 1.84 18 3.84 .64 6 Total: 4183.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415021 Min 01415021 Appmt Dt Slno Description 05-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2941 of 6486
Name
AWASTHI VK Qty Rate Amount 30 .71 21.3 60 .93 55.8 30 .4 12 1 400 400 Total: 489.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415023 Min 01415023 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 2942 of 6486
Name
JAGMOHANLAL CHANDRAKAR Rate Amount Qty 27.9 .93 30 38.25 2.55 15 400 400 1 Total: 466.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415025 Min 01415025 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 23-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 18 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 23-FEB-19 CREATININE /CRT 20 23-FEB-19 UREA (BUN /UR) 21 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 24 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 25 23-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 26 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 27 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 28 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 26-FEB-19
Page 2943 of 6486
Name
RAM SHARAN AGRAWAL Rate Amount Qty 47.4 .79 60 192.3 6.41 30 60.9 2.03 30 18.9 .63 30 36 .6 60 400 400 1 5.25 .25 21 6.19 129.99 21 13.7 1.37 10 400 400 1 8.9 .89 10 26 2.6 10 400 400 1 1300 1300 1 275 275 1 54 .6 90 7.4 .37 20 90.88 45.44 2 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 18.9 .63 30 60.9 2.03 30 192.3 6.41 30 47.4 .79 60 55.2 1.84 30 400 400 1 Total: 6016.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415026 Min 01415026 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 15-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2944 of 6486
Name
JAISHREE AGARWAL Rate Amount Qty 860 860 1 35.2 17.6 2 400 400 1 26.86 13.43 2 3.75 .25 15 9.59 1.37 7 92.85 6.19 15 12.6 .42 30 19.2 .64 30 400 400 1 Total: 1860.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415035 Min 01415035 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2945 of 6486
Name
RADHAKRISHNA PILLAI Rate Amount Qty 167.4 5.58 30 36 .6 60 21.3 .71 30 13.5 .3 45 26.7 .89 30 400 400 1 Total: 664.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415037 Min 01415037 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 INHALANT,STRIP PACK,CAPSULE 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2946 of 6486
Name
DHARAM DAS Rate Amount Qty 60.9 2.03 30 33 1.1 30 29.7 .99 30 55.8 .93 60 400 400 1 2.5 .25 10 17 1.7 10 17.8 .89 20 6.99 2.33 3 400 400 1 Total: 1023.69
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415038 Min 01415038 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 16-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 16-FEB-19 X - RAY - SINGLE VIEW 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 2947 of 6486
FULAN BAI Rate Amount Qty 5.4 .18 30 185.7 6.19 30 20.55 1.37 15 15.73 15.73 1 3.7 .37 10 18 .9 20 400 400 1 5.4 .18 30 400 400 1 3.7 .37 10 15.73 15.73 1 550 550 1 400 400 1 10.8 .18 60 10.05 .67 15 400 400 1 Total: 2444.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415039 Min 01415039 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2948 of 6486
Name
DEWANGAN UC Rate Amount Qty 38.43 12.81 3 7.5 .25 30 7.4 .37 20 31.61 31.61 1 41.06 41.06 1 400 400 1 Total: 526
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415041 Min 01415041 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 12-FEB-19 CREATININE /CRT 3 12-FEB-19 TRIGLYCERIDES (TGL) 4 12-FEB-19 CHOLESTEROL (CHOL) 5 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 2949 of 6486
Name
DEENA NATH SINGH Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 156 1.3 120 400 400 1 192.3 6.41 30 32.4 .36 90 72 .6 120 17.4 1.16 15 60.9 2.03 30 400 400 1 Total: 2706
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415052 Min 01415052 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 15-FEB-19 BLOOD FOR T-3,T-4,TSH 2 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19 CREATININE /CRT 6 19-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 19-FEB-19 UREA (BUN /UR) 8 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 19-FEB-19 MAMOGRAPHY 15 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 18 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 19 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 21 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 2950 of 6486
SHASHI KANTA SHRIVASTAVA Rate Amount Qty 25.07 25.07 1 2400 2400 1 275 275 1 275 275 1 400 400 1 275 275 1 1750 1750 1 275 275 1 275 275 1 275 275 1 400 400 1 .8 .16 5 20.06 20.06 1 8.9 .89 10 2000 2000 1 400 400 1 1750 1750 1 23.7 .79 30 18.9 .63 30 72 .6 120 55.2 .92 60 8.1 .27 30 12 .4 30 400 400 1 Total: 11394.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415056 Min 01415056 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2951 of 6486
Name
RADHA CHOUDHARY Rate Amount Qty 34.8 1.16 30 36 .6 60 6.9 .23 30 55.8 .93 60 400 400 1 Total: 533.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415061 Min 01415061 Slno Description Appmt Dt CARBAMAZEPINE,STRIP PKT,200MG,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 15-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 23-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 2952 of 6486
Name
B L CHANDRAKAR Rate Amount Qty 88.2 1.47 60 400 400 1 26.7 .89 30 21.6 .18 120 12.15 12.15 1 20.1 .67 30 400 400 1 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 Total: 1390.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415062 Min 01415062 Slno Description Appmt Dt ECG 1 16-FEB-19 SYRINGE,DISPOSABLE,2ML 2 16-FEB-19 ONDANSETRON,2MG/ML,INJECTION 3 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 16-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 16-FEB-19 OBSERVATION IN CASUALTY 6 16-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 7 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 17-FEB-19
Page 2953 of 6486
Name
UMA DEVI Rate Amount Qty 450 450 1 3.68 1.84 2 7.52 7.52 1 24.52 24.52 1 9.62 9.62 1 420 420 1 17.42 8.71 2 8.9 .89 10 400 400 1 Total: 1341.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415063 Min 01415063 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 19-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 19-FEB-19 3 IVABRADINE,5MG,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2954 of 6486
Name
SHYAM KISHOR GUPTA Qty Rate Amount 60 1.16 69.6 30 .4 12 60 9.95 597 1 400 400 Total: 1078.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415064 Min 01415064 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 2955 of 6486
Name
SADHNA GUPTA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 33.12 1.84 18 3.84 .64 6 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 2723.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415067 Min 01415067 Slno Description Appmt Dt TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 1 01-FEB-19 BRIMONIDINE TARTRATE,0.15% 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 2956 of 6486
Name
BAIJU SAO Rate Amount Qty 156.51 156.51 1 148.9 74.45 2 23.7 .79 30 40.58 20.29 2 76.5 2.55 30 29.7 .99 30 400 400 1 Total: 875.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415069 Min 01415069 Appmt Dt Slno Description 09-FEB-19 1 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2957 of 6486
Name
ASHA RAM Qty 1 1
Rate Amount 19.77 19.77 400 400 419.77 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415070 Min 01415070 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2958 of 6486
Name
KUNTI BAI Rate Amount Qty 1.48 .37 4 3.84 .64 6 37.44 2.34 16 13.95 .93 15 400 400 1 1.85 .37 5 3.75 .25 15 400 400 1 Total: 862.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415074 Min 01415074 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 09-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 10 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 23-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 14 23-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 2959 of 6486
Name
ANITA KARDEKAR Rate Amount Qty 21.3 .71 30 72 .6 120 117 1.3 90 21.6 .36 60 1.6 .16 10 13.95 .93 15 167.4 5.58 30 400 400 1 400 400 1 650 650 1 17.8 .89 20 14.6 .73 20 8.2 .41 20 85.8 8.58 10 288 9.6 30 400 400 1 Total: 2679.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415077 Min 01415077 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 2960 of 6486
Name
RAM SWAROOP KHANNA Rate Amount Qty 29.7 .99 30 21.3 .71 30 7.5 .25 30 10.8 .36 30 36 .6 60 167.4 5.58 30 34.8 1.16 30 76.5 2.55 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 847.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415079 Min 01415079 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 2961 of 6486
Name
RANENDRA NARAYAN RAY Rate Amount Qty 2.22 .37 6 23.7 .79 30 400 400 1 Total: 425.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415083 Min 01415083 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 14-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 16 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 19-FEB-19
Page 2962 of 6486
Name
TOP RAM SAHU Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 29.7 .99 30 21.3 .71 30 16.2 .27 60 15.6 .26 60 55.8 .93 60 400 400 1 33.12 1.84 18 3.6 .6 6 5.76 .64 9 400 400 1 33.12 1.84 18 5.76 .64 9 3.6 .6 6 400 400 1 Total: 1489.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415084 Min 01415084 Slno Description Appmt Dt CREATININE /CRT 1 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 14-FEB-19 UREA (BUN /UR) 5 14-FEB-19
Page 2963 of 6486
Name
RAHI BAI Qty 1 1 1 1 1
Rate Amount 275 275 275 275 275 275 400 400 275 275 Total: 1500
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415086 Min 01415086 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 2964 of 6486
Name
P MOHAN RAO Rate Amount Qty 8.1 .27 30 21.6 .36 60 72 .6 120 27.9 .93 30 21.3 .71 30 12 .4 30 400 400 1 Total: 562.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415087 Min 01415087 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2965 of 6486
Name
JAYALAXMI Rate Amount Qty 167.4 5.58 30 3.75 .25 15 10.8 .36 30 54 .6 90 400 400 1 Total: 635.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415096 Min 01415096 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 2966 of 6486
Name
SHRIVASTAVA AK Rate Amount Qty 6.9 .23 30 47.4 .79 60 69.6 1.16 60 24 .4 60 72.6 1.21 60 26.7 .89 30 36 .6 60 400 400 1 Total: 683.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415097 Min 01415097 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 13-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2967 of 6486
Name
VIJAYLAXMI SHRIVASTAVA Rate Amount Qty 2.5 .25 10 7.5 .25 30 27.9 .93 30 9.3 .62 15 34.8 1.16 30 32.4 1.08 30 21.3 .71 30 400 400 1 41.1 2.74 15 400 400 1 Total: 976.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415098 Min 01415098 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 2968 of 6486
Name
TAPAN KUMAR CHAKRABORTY Rate Amount Qty 8.1 .27 30 38.25 2.55 15 400 400 1 Total: 446.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415100 Min 01415100 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 3 09-FEB-19 BRIMONIDINE TARTRATE,0.15% 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 26-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 13 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 2969 of 6486
Name
DILIP KUMAR ROY Rate Amount Qty 40.58 20.29 2 21.3 .71 30 156.51 313.02 2 148.9 74.45 2 21.6 .36 60 12 .4 30 36 .6 60 167.4 5.58 30 27.9 .93 30 72.6 1.21 60 400 400 1 148.9 74.45 2 156.51 156.51 1 40.58 20.29 2 400 400 1 Total: 2007.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415101 Min 01415101 Appmt Dt Slno Description 08-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2970 of 6486
Name
FALGUNI ROY Qty Rate Amount 60 .71 42.6 1 400 400 442.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415106 Min 01415106 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 2971 of 6486
Name
AHMAD RAZA KHAN Rate Amount Qty 27.9 .93 30 21.3 .71 30 26.7 .89 30 117 1.3 90 54 .6 90 43.2 .36 120 7.5 .25 30 400 400 1 Total: 697.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415107 Min 01415107 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2972 of 6486
Name
SHAMA KHANAM Rate Amount Qty 26.7 .89 30 7.5 .25 30 36 .6 60 21.6 .36 60 55.8 .93 60 400 400 1 Total: 547.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415108 Min 01415108 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 19-FEB-19
Page 2973 of 6486
Name
GP HALDKAR Rate Amount Qty 32.4 1.08 30 7.5 .25 30 237 3.95 60 15.6 .26 60 12 .4 30 34.8 1.16 30 60.9 2.03 30 26.7 .89 30 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 3076.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415109 Min 01415109 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 19-FEB-19
Page 2974 of 6486
Name
FAGGI BAI HALDKAR Rate Amount Qty 21.3 .71 30 400 400 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 2671.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415110 Min 01415110 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2975 of 6486
Name
D C PARSAI Rate Amount Qty 38.25 2.55 15 7.5 .25 30 60.9 2.03 30 8.1 .27 30 400 400 1 Total: 514.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415112 Min 01415112 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2976 of 6486
Name
RAMKUMAR KESARWANI Rate Amount Qty 55.2 1.84 30 4.62 .77 6 3.84 .64 6 400 400 1 27 .6 45 400 400 1 Total: 890.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415118 Min 01415118 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 06-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 2977 of 6486
Name
RAZAK Rate Amount Qty 275 275 1 275 275 1 6.16 .77 8 3.28 .41 8 211.8 3.53 60 18 .6 30 10.8 .36 30 27.9 .93 30 400 400 1 Total: 1227.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415119 Min 01415119 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 06-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 2978 of 6486
Name
MARIAM Rate Amount Qty 17.4 1.16 15 6.4 .64 10 33 1.1 30 15.3 .51 30 32.4 1.08 30 43.2 1.44 30 12 .4 30 400 400 1 Total: 559.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415130 Min 01415130 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 16-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 16-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2979 of 6486
Name
NAND KUMAR DEWANGAN Rate Amount Qty 60.9 2.03 30 12 .4 30 12.3 .41 30 39.6 .66 60 17.4 1.16 15 400 400 1 Total: 542.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415136 Min 01415136 Appmt Dt Slno Description 12-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 12-FEB-19 3 DILTIAZEM 90 MG XL/XR,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2980 of 6486
Name
DAMAN SINGH VIDYARTHI Qty Rate Amount 30 .71 21.3 30 .4 12 30 3.95 118.5 1 400 400 Total: 551.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415138 Min 01415138 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 16-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 5 16-FEB-19 CREATININE /CRT 6 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 16-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 8 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 16-FEB-19
Page 2981 of 6486
Name
PRAKASH KUMAR DEWANGAN Rate Amount Qty 14.85 .99 15 55.8 .93 60 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 29.7 .99 30 55.8 .93 60 Total: 3356.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415139 Min 01415139 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 16-FEB-19 CREATININE /CRT 12 16-FEB-19
Page 2982 of 6486
Name
KRISHNA BAI DEWANGAN Rate Amount Qty 36 .6 60 9 .3 30 3.84 .64 6 400 400 1 1300 1300 1 400 400 1 275 275 1 275 275 1 21.3 .71 30 9 .3 30 36 .6 60 275 275 1 Total: 3040.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415142 Min 01415142 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 13 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14 07-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 15 07-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 16 07-FEB-19 URIC ACID (UA /URATES /UR) 17 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 18 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 20 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 22 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 20-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 26 28-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 27 28-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 28 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 28-FEB-19
Page 2983 of 6486
Name
ATIBAL PATEL Rate Amount Qty 1300 1300 1 25.69 25.69 1 275 275 1 1300 1300 1 27.9 .93 30 27.6 .92 30 39 1.3 30 21.3 .71 30 38.25 2.55 15 26.7 .89 30 275 275 1 400 400 1 1500 1500 1 18.62 2.66 7 94.42 94.42 1 156.51 156.51 1 275 275 1 27.6 .92 30 27.9 .93 30 39 1.3 30 21.3 .71 30 76.5 2.55 30 26.7 .89 30 7.5 .25 30 400 400 1 25.69 25.69 1 94.42 188.84 2 156.51 156.51 1 400 400 1 Total: 7198.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415143 Min 01415143 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 07-FEB-19 URIC ACID (UA /URATES /UR) 18 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 26 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 27 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 29 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 20-FEB-19
Page 2984 of 6486
Name
GENDAWATI PATEL Rate Amount Qty 26.7 .89 30 275 275 1 1300 1300 1 1300 1300 1 1500 1500 1 21.3 .71 30 12 .4 30 16.2 .27 60 29.7 .99 30 76.5 2.55 30 55.8 .93 60 167.4 5.58 30 78 1.3 60 400 400 1 275 275 1 21.6 .36 60 54 .6 90 275 275 1 167.4 5.58 30 55.8 .93 60 21.6 .36 60 54 .6 90 78 1.3 60 26.7 .89 30 21.3 .71 30 76.5 2.55 30 29.7 .99 30 16.2 .27 60 12 .4 30 400 400 1 Total: 6843.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415144 Min 01415144 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11-FEB-19 3 GLICLAZIDE MR,30 MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2985 of 6486
Name
DHAL SINGH VERMA Qty Rate Amount 15 .93 13.95 30 .25 7.5 30 .92 27.6 1 400 400 Total: 449.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415145 Min 01415145 Appmt Dt Slno Description 11-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2986 of 6486
Name
MAMTA DEVI VERMA Qty Rate Amount 60 .6 36 1 400 400 436 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415149 Min 01415149 Appmt Dt Slno Description 25-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2987 of 6486
Name
SMT.USHA TALWAR Qty Rate Amount 1 9.86 9.86 1 400 400 409.86 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415152 Min 01415152 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2988 of 6486
Name
BHAGWAT PRASAD SHARMA Rate Amount Qty 6.9 .23 30 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 688
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415153 Min 01415153 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2989 of 6486
Name
AHILYA SHARMA Rate Amount Qty 36 .6 60 10.8 .36 30 27.9 .93 30 6.9 .23 30 20.84 5.21 4 12 .4 30 400 400 1 Total: 514.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415154 Min 01415154 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2990 of 6486
Name
CHANDRA KANT JOSHI Rate Amount Qty 21.3 .71 30 117 1.3 90 72 .6 120 32.4 .36 90 60.9 2.03 30 400 400 1 Total: 703.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415155 Min 01415155 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2991 of 6486
JAISHRI JOSHI Rate Amount Qty 13.49 13.49 1 25.07 25.07 1 400 400 1 7.5 .25 30 32.4 1.08 30 34.8 1.16 30 27.9 .62 45 33 1.1 30 8.1 .27 30 400 400 1 Total: 982.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415159 Min 01415159 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 2992 of 6486
Name
SHANTI DEVI Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415165 Min 01415165 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2993 of 6486
Name
DR A R KHAPARDE Rate Amount Qty 66 1.1 60 1.6 .16 10 167.4 5.58 30 39 1.3 30 16.2 .27 60 55.8 .93 60 36 .6 60 400 400 1 Total: 782
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415166 Min 01415166 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 2994 of 6486
Name
SHAKUNTALA KHAPARDE Rate Amount Qty 8.1 .27 30 27.9 .93 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415171 Min 01415171 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 12 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 16 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 19 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21 20-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 22 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 20-FEB-19
Page 2995 of 6486
Name
M K MANDHRE Rate Amount Qty 32.4 1.08 30 60.9 2.03 30 7.4 .37 20 17.4 1.16 15 35.2 17.6 2 12 .4 30 23.1 .77 30 66 1.1 60 27.9 .93 30 29.7 .99 30 400 400 1 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 17.37 17.37 1 7.4 .37 20 400 400 1 11.25 .75 15 7.4 .37 20 5.7 .38 15 35.2 17.6 2 3.75 .25 15 400 400 1 Total: 2021.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415172 Min 01415172 Appmt Dt Slno Description 15-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 15-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 3 TORSEMIDE,STRIP PKT,10MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2996 of 6486
Name
SHOBHANA Qty Rate Amount 30 .4 12 30 .93 27.9 30 1.04 31.2 1 400 400 Total: 471.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415180 Min 01415180 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 18-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 2997 of 6486
Name
KL VISHWAKARMA Rate Amount Qty 36 .6 60 12 .4 30 18.6 .62 30 17.4 1.16 15 192.3 6.41 30 60.9 2.03 30 38.25 2.55 15 400 400 1 27.9 .93 30 9.6 .64 15 255 12.75 20 400 400 1 Total: 1467.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415181 Min 01415181 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2998 of 6486
Name
CHHAYA VISHWAKARMA Rate Amount Qty 21.12 3.52 6 33 1.1 30 17.4 1.16 15 8.1 .27 30 10.08 1.12 9 400 400 1 Total: 489.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415190 Min 01415190 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 12-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 2999 of 6486
Name
YATNA HIRADHAR Rate Amount Qty 275 275 1 275 275 1 400 400 1 1300 1300 1 18.9 .63 30 6.82 6.82 1 8.9 .89 10 185.7 6.19 30 21.3 .71 30 7.65 .51 15 55.8 .93 60 21.3 .71 30 400 400 1 Total: 2976.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415191 Min 01415191 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 3000 of 6486
Name
SK HIRADHAR Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 400 400 1 21.6 .36 60 54 .6 90 12 .4 30 33.48 1.08 31 47.4 .79 60 8.9 .89 10 7.5 .25 30 21.3 .71 30 400 400 1 Total: 2856.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415200 Min 01415200 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3001 of 6486
Name
AMBADAS HADOLE Rate Amount Qty 21.6 .36 60 26.7 .89 30 60.9 2.03 30 54 .6 90 400 400 1 Total: 563.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415202 Min 01415202 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 22-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3002 of 6486
Name
SUBHASH CHANDRA BHAWANKAR Rate Amount Qty 82.12 41.06 2 82.76 165.52 2 12 .4 30 66 1.1 60 7.5 .25 30 21.3 .71 30 2.4 .16 15 6.9 .23 30 400 400 1 Total: 763.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415203 Min 01415203 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 04-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3003 of 6486
Name
SINDHU BAWANKAR Rate Amount Qty 12.15 12.15 1 69.05 69.05 1 26.7 .89 30 54 .9 60 104.4 1.74 60 400 400 1 27.9 .93 30 5.21 5.21 1 400 400 1 Total: 1099.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415204 Min 01415204 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 7 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 13 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 17 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 20 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 15-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 22 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 18-FEB-19
Page 3004 of 6486
Name
OM PRAKASH SHUKLA Rate Amount Qty 4.8 .16 30 60.9 2.03 30 7.5 .25 30 18.9 .63 30 12 .4 30 55.8 .93 60 33.3 1.11 30 22.2 .37 60 36 .6 60 9 .3 30 400 400 1 60.9 2.03 30 9.86 9.86 1 10.8 .36 30 4.8 .16 30 36 .6 60 22.2 .37 60 55.8 .93 60 12 .4 30 18.9 .63 30 400 400 1 1750 1750 1 400 400 1 Total: 3441.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415205 Min 01415205 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3005 of 6486
Name
MILURAM SAHU Rate Amount Qty 54 .9 60 12.15 12.15 1 26.7 .89 30 20.1 .67 30 400 400 1 Total: 512.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415206 Min 01415206 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 3006 of 6486
Name
LILA BAI SAHU Rate Amount Qty 20.1 .67 30 54 .9 60 12.15 12.15 1 26.7 .89 30 7.8 .26 30 79.2 .66 120 7.5 .25 30 12.8 .64 20 156.6 1.74 90 400 400 1 Total: 776.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415209 Min 01415209 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 3007 of 6486
Name
AJAY KUMAR BHADRA Rate Amount Qty 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 82.76 165.52 2 400 400 1 Total: 1062.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415210 Min 01415210 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 3008 of 6486
Name
LIPIKA BHADRA Rate Amount Qty 12 .4 30 21.3 .71 30 31.2 1.04 30 66 1.1 60 26.7 .89 30 18.6 .62 30 55.8 .93 60 400 400 1 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415225 Min 01415225 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 3009 of 6486
Name
BHARAT LAL CHANDRAKAR Rate Amount Qty 9.6 .64 15 3.75 .25 15 400 400 1 33.12 1.84 18 3.6 .6 6 5.76 .64 9 400 400 1 Total: 855.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415226 Min 01415226 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3010 of 6486
Name
AMBIKA BAI Rate Amount Qty 8.1 .27 30 55.8 .93 60 7.5 .25 30 95.7 3.19 30 14.85 .99 15 400 400 1 Total: 581.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415227 Min 01415227 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 13-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 13-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3011 of 6486
Name
BHAGWAT DAS KHUTEL Rate Amount Qty 20.06 20.06 1 184.2 6.14 30 123.53 247.06 2 26.7 .89 30 400 400 1 Total: 878.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415229 Min 01415229 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3012 of 6486
Name
JAIN NK Rate Amount Qty 17.4 .58 30 11.1 .37 30 27.9 .93 30 38.25 2.55 15 400 400 1 Total: 494.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415230 Min 01415230 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3013 of 6486
Name
KIRAN JAIN Rate Amount Qty 26.7 .89 30 17.4 .58 30 7.5 .25 30 167.4 5.58 30 36 .6 60 400 400 1 Total: 655
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415233 Min 01415233 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 11-FEB-19 PRAZOSIN,2.5MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 3014 of 6486
Name
RAJ KUMAR SAO Rate Amount Qty 57.84 57.84 1 5.55 .37 15 400 400 1 10.65 .71 15 1.48 .37 4 12 .4 30 72.6 1.21 60 156 1.3 120 55.8 .93 60 157.8 2.63 60 400 400 1 Total: 1329.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415234 Min 01415234 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 09-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 3015 of 6486
Name
SMT.DEVSHREE SAO Rate Amount Qty 7.4 .37 20 19.72 9.86 2 20.22 3.37 6 400 400 1 21.6 .36 60 39 1.3 30 72 .6 120 27.9 .93 30 9.45 .63 15 21.3 .71 30 400 400 1 Total: 1038.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415237 Min 01415237 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 3016 of 6486
Name
RAMESH KUMAR DEWANGAN Rate Amount Qty 7.5 .25 30 21.3 .71 30 36 .6 60 9 .3 30 18.6 .62 30 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1145.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415239 Min 01415239 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 3017 of 6486
Name
RATANLAL TANDEY Rate Amount Qty 72.6 1.21 60 29.7 .99 30 3.75 .25 15 192.3 6.41 30 55.8 .93 60 22.2 .37 60 60.9 2.03 30 34.8 1.16 30 400 400 1 Total: 872.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415240 Min 01415240 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 3018 of 6486
Name
URMILA TANDEY Rate Amount Qty 2.22 .37 6 26.6 2.66 10 400 400 1 Total: 428.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415249 Min 01415249 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 19-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 7 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 8 19-FEB-19 GAMMA BENZENE HEXACHLORIDE,1%,LOTION, 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 3019 of 6486
Name
B.K. SHUKLA Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 36 .6 60 27.9 .93 30 9 .3 30 26.96 3.37 8 19.72 9.86 2 103.68 103.68 1 7.4 .37 20 400 400 1 Total: 1283.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415250 Min 01415250 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 GAMMA BENZENE HEXACHLORIDE,1%,LOTION, 7 19-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 3020 of 6486
Name
CHANDRAKALA Rate Amount Qty 27.9 .93 30 26.7 .89 30 54 .9 60 12 .4 30 76.5 2.55 30 400 400 1 103.68 103.68 1 26.96 3.37 8 19.72 9.86 2 7.4 .37 20 400 400 1 Total: 1154.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415251 Min 01415251 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 14-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19 URIC ACID (UA /URATES /UR) 16 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 21-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 19 21-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 20 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 22 21-FEB-19
Page 3021 of 6486
Name
KULBIR SINGH Rate Amount Qty 78 1.3 60 72 .6 120 34.8 1.16 30 23.7 .79 30 5.21 5.21 1 7.5 .25 30 400 400 1 78 1.3 60 98.28 2.34 42 7.5 .25 30 5.21 5.21 1 23.7 .79 30 34.8 1.16 30 72 .6 120 400 400 1 275 275 1 275 275 1 275 275 1 1050 1050 1 550 550 1 400 400 1 1300 1300 1 Total: 5465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415252 Min 01415252 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 21-FEB-19 BLOOD FOR T-3,T-4,TSH 15 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 21-FEB-19 COMPLETE HAEMOGRAM 17 21-FEB-19 URIC ACID (UA /URATES /UR) 18 21-FEB-19
Page 3022 of 6486
Name
INDERJEET KAUR Rate Amount Qty 2.22 .37 6 12.15 12.15 1 18.6 .62 30 14.85 .99 15 23.7 .79 30 6.4 .64 10 400 400 1 35.2 3.52 10 6.4 .64 10 1.85 .37 5 400 400 1 1300 1300 1 275 275 1 275 275 1 2400 2400 1 400 400 1 750 750 1 275 275 1 Total: 6596.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415253 Min 01415253 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 6 07-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3023 of 6486
Name
DR(MRS) M SIKRORIA Rate Amount Qty 19.72 9.86 2 55.8 .93 60 12 .4 30 20.84 5.21 4 29.7 .99 30 88 4.4 20 21.8 2.18 10 400 400 1 Total: 647.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415254 Min 01415254 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3024 of 6486
Name
DR S C SIKRORIA Rate Amount Qty 55.8 .93 60 12 .4 30 29.7 .99 30 19.72 9.86 2 34.8 1.16 30 35.2 17.6 2 4.8 .16 30 400 400 1 Total: 592.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415255 Min 01415255 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3025 of 6486
Name
F XESS Rate Amount Qty 42.6 .71 60 37.8 .63 60 9.6 .64 15 15 .25 60 23.1 .77 30 400 400 1 Total: 528.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415256 Min 01415256 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3026 of 6486
Name
SERAPHINUS XESS Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415257 Min 01415257 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 18-FEB-19 UREA (BUN /UR) 9 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19
Page 3027 of 6486
Name
NIRMAL KUMAR SARKAR Rate Amount Qty 10.8 .36 30 72 .6 120 117 1.3 90 27.9 .93 30 12 .4 30 550 550 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 Total: 3314.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415258 Min 01415258 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 04-FEB-19 CREATININE /CRT 8 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 04-FEB-19
Page 3028 of 6486
Name
ANIMA SARKAR Rate Amount Qty 34.8 1.16 30 76.5 2.55 30 12 .4 30 53.4 .89 60 400 400 1 275 275 1 275 275 1 275 275 1 9 .3 30 54 .6 90 55.8 .93 60 8.1 .27 30 15.6 1.04 15 32.4 1.08 30 Total: 1576.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415262 Min 01415262 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 06-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 07-FEB-19 PRAZOSIN,2.5MG,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 07-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 07-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 14 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19
Page 3029 of 6486
Name
PARBHAWATI Rate Amount Qty 750 750 1 400 400 1 32.1 2.14 15 153 2.55 60 55.8 .93 60 33.3 .37 90 156 1.3 120 21.3 .71 30 32.4 1.08 30 27.9 .93 30 5.21 5.21 1 4.8 .16 30 30.15 .67 45 83.4 2.78 30 21.3 .71 30 400 400 1 Total: 2206.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415265 Min 01415265 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 3030 of 6486
Name
LALIT KUMAR DANIEL Rate Amount Qty 27.9 .93 30 21.3 .71 30 36 .6 60 9 .3 30 400 400 1 Total: 494.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415266 Min 01415266 Appmt Dt Slno Description 04-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 2 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 04-FEB-19 3 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3031 of 6486
Name
SMT. RAJNI DANIEL Qty Rate Amount 30 .25 7.5 90 2.1 189 100 .78 78 1 400 400 Total: 674.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415267 Min 01415267 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 04-FEB-19 3 ABDOMEN/PELVIS COLOUR DOPPLER 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3032 of 6486
Name
DIPTI MITRA Qty Rate Amount 1 400 400 30 .62 18.6 1 2640 2640 1 400 400 Total: 3458.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415270 Min 01415270 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 18-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 8 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 3033 of 6486
Name
KAMAL KUMAR Rate Amount Qty 8.9 .89 10 2.5 .25 10 6.9 .23 30 400 400 1 400 400 1 275 275 1 275 275 1 17.37 17.37 1 7.4 .37 20 400 400 1 Total: 1793.07
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415271 Min 01415271 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 2 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 11 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 3034 of 6486
MANGTIN BAI Rate Amount Qty 34.8 1.16 30 19.77 19.77 1 25.07 25.07 1 30.6 .34 90 32.4 1.08 30 66 1.1 60 400 400 1 33 1.1 30 32.4 1.08 30 11.85 .79 15 22.1 .34 65 8.5 .34 25 24 .4 60 34.8 1.16 30 34.8 1.16 30 400 400 1 Total: 1210.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415276 Min 01415276 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 17-FEB-19 INHALANT,STRIP PACK,CAPSULE 7 17-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 3035 of 6486
Name
PREETI LAKHANPAL Rate Amount Qty 33 1.1 30 1.6 .16 10 13.8 .23 60 400 400 1 3.7 .37 10 8.9 .89 10 8.5 1.7 5 35.2 3.52 10 6.4 .64 10 400 400 1 1.85 .37 5 2.28 .38 6 400 400 1 Total: 1315.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415277 Min 01415277 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3036 of 6486
Name
A.K.LAKHANPAL Rate Amount Qty 4.8 .16 30 78 1.3 60 36 .6 60 21.6 .36 60 12 .4 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 601.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415278 Min 01415278 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 2 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 07-FEB-19 PRAZOSIN,2.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 13 15-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19
Page 3037 of 6486
Name
GAURISHANKAR SINGH Rate Amount Qty 17.4 1.16 15 78.9 15.78 5 15.6 1.04 15 3.9 .26 15 10.95 .73 15 19.5 1.3 15 400 400 1 6.82 6.82 1 400 400 1 16.2 .27 60 211.8 3.53 60 69.6 1.16 60 123.53 123.53 1 6.82 6.82 1 21.3 .71 30 400 400 1 Total: 1802.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415282 Min 01415282 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 3038 of 6486
Name
B.L.CHOUKSE Qty 1 5 1
Rate Amount 26.55 26.55 1.85 .37 400 400 Total: 428.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415289 Min 01415289 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 07-FEB-19
Page 3039 of 6486
GANESH RAM Rate Amount Qty 3.7 .37 10 6.4 .64 10 15.73 15.73 1 27 .6 45 60.9 2.03 30 7.5 .25 30 26.6 2.66 10 400 400 1 46.8 2.34 20 Total: 594.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415290 Min 01415290 Appmt Dt Slno Description 19-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3040 of 6486
Name
ANNAMMA DANIEL Qty Rate Amount 30 .16 4.8 1 400 400 404.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415296 Min 01415296 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 3041 of 6486
Name
KL CHANDRAKAR Rate Amount Qty 7.5 .25 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 486.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415300 Min 01415300 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 3042 of 6486
Name
PRABHAKAR GODBOLE Rate Amount Qty 33 1.1 30 14.85 .99 15 8.1 .27 30 27.9 .93 30 400 400 1 Total: 483.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415301 Min 01415301 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3043 of 6486
Name
VINA GODBOLE Rate Amount Qty 36 .6 60 21.3 .71 30 14.85 .99 15 10.65 .71 15 39 1.3 30 27.9 .93 30 400 400 1 Total: 549.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415303 Min 01415303 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3044 of 6486
Name
MANJULA THAKUR Rate Amount Qty 36 .6 60 27.9 .93 30 18.6 .62 30 21.3 .71 30 167.4 5.58 30 43.2 .36 120 400 400 1 Total: 714.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415305 Min 01415305 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 3045 of 6486
Name
KAWAL PATI DEVI Rate Amount Qty 26.7 .89 30 18.6 .62 30 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415312 Min 01415312 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 25-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3046 of 6486
Name
B.NAGBHUSHAN Rate Amount Qty 153 2.55 60 40.12 20.06 2 15 .25 60 47.4 .79 60 2.4 .16 15 400 400 1 Total: 657.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415313 Min 01415313 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 25-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3047 of 6486
Name
B. PRABHAWATI Rate Amount Qty 153 2.55 60 4.8 .16 30 47.4 .79 60 15 .25 60 7.5 .25 30 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415322 Min 01415322 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 GUM ANALGESIC GEL 5 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 3048 of 6486
Name
SMT. CHANDANA SENGUPTA Rate Amount Qty 26.7 .89 30 371.4 6.19 60 7.5 .25 30 12.8 .64 20 57.38 28.69 2 40.12 20.06 2 27.9 .93 30 29.7 .99 30 33 1.1 30 400 400 1 Total: 1006.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415325 Min 01415325 Appmt Dt Slno Description 28-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3049 of 6486
Name
LOKESHWARI CHANDRAKAR Qty Rate Amount 1 6.82 6.82 1 400 400 406.82 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415326 Min 01415326 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3050 of 6486
Name
J P AGRAWAL Rate Amount Qty 7.5 .25 30 23.7 .79 30 17.4 1.16 15 12 .4 30 21.6 .36 60 72 .6 120 400 400 1 Total: 554.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415327 Min 01415327 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3051 of 6486
Name
GITARANI Rate Amount Qty 21.3 .71 30 13.95 .93 15 78 1.3 60 167.4 5.58 30 54 .6 90 32.4 .36 90 400 400 1 Total: 767.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415330 Min 01415330 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3052 of 6486
Name
DHRUW SL Rate Amount Qty 72 .6 120 7.5 .25 30 21.6 .36 60 13.95 .93 15 400 400 1 Total: 515.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415331 Min 01415331 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3053 of 6486
Name
USHA KIRAN DHRUW Rate Amount Qty 9 .3 30 54 .6 90 10.8 .36 30 21.3 .71 30 23.1 .77 30 12 .4 30 55.8 .93 60 400 400 1 Total: 586
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415340 Min 01415340 Appmt Dt Slno Description 12-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3054 of 6486
Name
B K BHOI Qty Rate Amount 60 .27 16.2 1 400 400 416.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415342 Min 01415342 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3055 of 6486
Name
QURESHA BANO Rate Amount Qty 7.5 .25 30 54 .6 90 7.5 .25 30 10.8 .36 30 13.95 .93 15 167.4 5.58 30 400 400 1 Total: 661.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415344 Min 01415344 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 3056 of 6486
Name
SUNITA JHARIYA Rate Amount Qty 0 .27 0 55.8 .93 60 72.6 1.21 60 31.2 1.04 30 21.3 .71 30 20.06 20.06 1 7.5 .25 30 400 400 1 Total: 608.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415345 Min 01415345 Appmt Dt Slno Description 08-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 08-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 08-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3057 of 6486
Name
SENGUPTA D Qty Rate Amount 15 .27 4.05 15 1.1 16.5 30 .93 27.9 1 400 400 Total: 448.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415347 Min 01415347 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3058 of 6486
Name
RN CHAKRABARTY Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 86.4 1.44 60 7.65 .51 15 34.8 1.16 30 12 .4 30 23.7 .79 30 400 400 1 Total: 817.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415348 Min 01415348 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 3059 of 6486
Name
USHA CHAKRABARTY Rate Amount Qty 16.8 1.12 15 35.2 3.52 10 18.6 .93 20 8.9 .89 10 2.4 .16 15 26.86 13.43 2 10.95 .73 15 21.3 .71 30 400 400 1 Total: 541.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415349 Min 01415349 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 13 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 3060 of 6486
Name
PREMLAL KHOBRAGADE Rate Amount Qty 1.6 .16 10 14.8 .37 40 37.2 .93 40 44 1.1 40 3.78 .42 9 23.2 1.16 20 9.9 .99 10 8 .4 20 400 400 1 22.2 .37 60 27.9 .93 30 66 1.1 60 12.6 .42 30 12 .4 30 14.85 .99 15 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 1135.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415359 Min 01415359 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3061 of 6486
Name
LALITA PEETHAMBARAN Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 167.4 5.58 30 36 .6 60 55.8 .93 60 66 1.1 60 29.7 .99 30 400 400 1 Total: 822.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415366 Min 01415366 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 3062 of 6486
MOHD HAMIDULLAH Rate Amount Qty 15.73 15.73 1 39.6 .66 60 156.6 1.74 90 12.15 12.15 1 400 400 1 60.9 2.03 30 21.3 .71 30 26.7 .89 30 192.3 6.41 30 400 400 1 Total: 1325.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415367 Min 01415367 Slno Description Appmt Dt LEVETIRACETAM,500MG STRIP PACK,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 19-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 19-FEB-19 BLOOD FOR TSH 11 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 19-FEB-19
Page 3063 of 6486
Name
RUKHSAR FATIMA SIDDIQUI Rate Amount Qty 311.4 5.19 60 13.95 .93 15 27.9 .62 45 21.3 .71 30 12 .4 30 26.7 .89 30 400 400 1 3.7 .37 10 400 400 1 90.88 45.44 2 800 800 1 11.4 .38 30 Total: 2119.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415368 Min 01415368 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 3064 of 6486
Name
SHAMSHER MOHD. Rate Amount Qty 6.9 .23 30 27.9 .93 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415369 Min 01415369 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 02-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 3065 of 6486
Name
SHAFIYA BANO Rate Amount Qty 8.1 .27 30 36 .6 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415372 Min 01415372 Appmt Dt Slno Description 19-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 19-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 19-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3066 of 6486
Name
KISHOR CHAND CHAWADA Qty Rate Amount 30 .4 12 60 .79 47.4 30 .71 21.3 1 400 400 Total: 480.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415382 Min 01415382 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 3067 of 6486
Name
KAMAL NARAYAN KANOJE Rate Amount Qty 55.8 .93 60 21.3 .71 30 32.4 1.08 30 29.7 .99 30 189 2.1 90 26.7 .89 30 11.4 .38 30 400 400 1 Total: 766.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415383 Min 01415383 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 15-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 15-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3068 of 6486
Name
REKHA KANOJE Rate Amount Qty 55.2 1.84 30 11.2 1.12 10 9.6 .64 15 7.3 .73 10 6 .6 10 400 400 1 Total: 489.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415386 Min 01415386 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 ECG 2 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 PRAZOSIN,2.5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3069 of 6486
Name
RM DESHPANDE Rate Amount Qty 400 400 1 450 450 1 6.4 .64 10 31.2 1.04 30 211.8 3.53 60 55.8 .93 60 117 1.3 90 400 400 1 Total: 1672.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415387 Min 01415387 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 ECG 2 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3070 of 6486
Name
RASHMI RAMESH DESHPANDE Rate Amount Qty 400 400 1 450 450 1 18.9 .63 30 21.3 .71 30 32.4 1.08 30 33 1.1 30 400 400 1 Total: 1355.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415391 Min 01415391 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 3071 of 6486
Name
DINESH PANDEY Rate Amount Qty 47.4 .79 60 34.8 1.16 30 72 .6 120 4.08 .51 8 26.7 .89 30 21.6 .36 60 12 .4 30 9 .3 30 400 400 1 Total: 627.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415392 Min 01415392 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 14-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 4 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 20-FEB-19 PRAZOSIN,2.5MG,TABLET 10 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 3072 of 6486
Name
RAMAWATI DEVI Rate Amount Qty 11.1 .37 30 247.6 6.19 40 25.62 12.81 2 90.88 45.44 2 27.4 1.37 20 17.8 .89 20 400 400 1 7.5 .25 30 7.65 .51 15 117 1.3 90 23.7 .79 30 16.2 .27 60 400 400 1 Total: 1392.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415393 Min 01415393 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19
Page 3073 of 6486
Name
MADHU SUDHAN SEN Rate Amount Qty 400 400 1 15 .25 60 21.6 .36 60 72 .6 120 13.8 .23 60 94.8 .79 120 34.8 1.16 30 Total: 652
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415395 Min 01415395 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 19-FEB-19 PRAZOSIN,2.5MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 3074 of 6486
Name
KR SAHU Rate Amount Qty 60.9 2.03 30 7.5 .25 30 167.4 5.58 30 32.4 .36 90 21.3 .71 30 27.9 .93 30 31.2 1.04 30 355.5 3.95 90 78 1.3 60 400 400 1 Total: 1182.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415399 Min 01415399 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3075 of 6486
Name
LALU RAM Rate Amount Qty 167.4 5.58 30 21.3 .71 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 649.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415400 Min 01415400 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 3076 of 6486
Name
AHILYA BAI Rate Amount Qty 21.6 .36 60 8.1 .27 30 66 1.1 60 39 1.3 30 21.3 .71 30 13.35 .89 15 72 .6 120 55.8 .93 60 400 400 1 Total: 697.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415402 Min 01415402 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 3077 of 6486
Name
ANIL KUMAR PANDE Rate Amount Qty 34.8 1.16 30 8.1 .27 30 12 .4 30 33 1.1 30 400 400 1 Total: 487.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415403 Min 01415403 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 U S ABDOMEN + THORAX 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 13 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 14 19-FEB-19 ABC TEST HIV 15 27-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 16 27-FEB-19 X - RAY - SINGLE VIEW 17 27-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 18 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 19 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 20 27-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 21 27-FEB-19 PROCESSING CHARGE 22 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 27-FEB-19 COMPLETE HAEMOGRAM 24 27-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 25 27-FEB-19 PROTHROMBIN TIME (PT) 26 27-FEB-19
Page 3078 of 6486
Name
ALKA PANDE Rate Amount Qty 27.9 .62 45 7.5 .25 30 34.8 1.16 30 36 .6 60 9 .3 30 400 400 1 21.3 .71 30 18.6 .62 30 9 .3 30 36 .6 60 1750 1750 1 400 400 1 368.4 6.14 60 123.53 123.53 1 1250 1250 1 275 275 1 550 550 1 1000 1000 1 1300 1300 1 550 550 1 275 275 1 280 280 1 400 400 1 750 750 1 330 330 1 330 330 1 Total: 10532.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415406 Min 01415406 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3079 of 6486
Name
NAGENDRA SINGH Rate Amount Qty 72 .6 120 32.4 .36 90 21.3 .71 30 27.9 .93 30 3.75 .25 15 400 400 1 Total: 557.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415408 Min 01415408 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 IVABRADINE,5MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 3080 of 6486
Name
BALARAM SAHA Rate Amount Qty 21.3 .71 30 14.85 .99 15 55.8 .93 60 8.1 .27 30 597 9.95 60 400 400 1 Total: 1097.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415409 Min 01415409 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 02-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 9 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19
Page 3081 of 6486
Name
AJANTA SAHA Rate Amount Qty 14.85 .99 15 27.9 .93 30 66.2 6.62 10 17.4 .58 30 10.05 .67 15 400 400 1 10.05 .67 15 14.85 .99 15 83.4 2.78 30 27.9 .93 30 400 400 1 Total: 1072.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415411 Min 01415411 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3082 of 6486
Name
A.K.JANARDHANAN ACHARY Rate Amount Qty 8.1 .27 30 12 .4 30 21.3 .71 30 27.9 .93 30 400 400 1 Total: 469.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415414 Min 01415414 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 13-FEB-19 CREATININE /CRT 10 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 13-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 18-FEB-19 ECG 16 18-FEB-19
Page 3083 of 6486
Name
SG PATTALWAR Rate Amount Qty 118.5 3.95 30 10.8 .36 30 18 .6 30 117 1.3 90 32.4 1.08 30 21.3 .71 30 12 .4 30 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 1610 1610 1 400 400 1 450 450 1 Total: 5715
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415415 Min 01415415 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 UREA (BUN /UR) 8 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 13-FEB-19 CREATININE /CRT 12 13-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 13 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 18-FEB-19 COST OF CONTRAST FOR MRI PER VIAL 15 23-FEB-19
Page 3084 of 6486
Name
NILIMA PATTALWAR Rate Amount Qty 105.9 3.53 30 78 1.3 60 21.3 .71 30 18 .6 30 27.6 .92 30 55.8 .93 60 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 9000 9000 1 400 400 1 2640 2640 1 Total: 14246.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415420 Min 01415420 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 3085 of 6486
Name
JAYA CHAKRAVORTY Rate Amount Qty 33 1.1 30 17.4 1.16 15 36 .6 60 10.8 .36 30 27.9 .93 30 167.4 5.58 30 400 400 1 Total: 692.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415421 Min 01415421 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 6 01-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 7 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 3086 of 6486
Name
Dr G N CHANDWANI Rate Amount Qty 4.8 .16 30 21.6 .36 60 36 .6 60 55.8 .93 60 16.2 .27 60 82.2 1.37 60 23.7 .79 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 893.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415423 Min 01415423 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 3087 of 6486
Name
KUNWAR SINGH Rate Amount Qty 55.8 .93 60 10.65 .71 15 7.5 .25 30 30.6 .34 90 21.3 .71 30 12 .4 30 32.4 1.08 30 66 1.1 60 400 400 1 Total: 636.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415424 Min 01415424 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 20-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 3 21-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 8 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 11 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 3088 of 6486
KEJA BAI Rate Amount Qty 50.14 25.07 2 400 400 1 85.52 85.52 1 17.6 17.6 1 11.1 .37 30 7.5 .25 30 21.3 .71 30 22.05 1.47 15 26 2.6 10 26.7 .89 30 17.37 17.37 1 33 1.1 30 54 .6 90 185.7 6.19 30 400 400 1 Total: 1357.98
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415425 Min 01415425 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3089 of 6486
S R DUBE Rate Amount Qty 100.71 100.71 1 11.1 .37 30 156.6 1.74 90 400 400 1 50.14 25.07 2 400 400 1 Total: 1118.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415427 Min 01415427 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 04-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 PRAZOSIN,2.5MG,TABLET 17 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 22 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 24 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 28-FEB-19
Page 3090 of 6486
Name
UDAIVIR SINGH Rate Amount Qty 21.12 3.52 6 3.84 .64 6 6.72 1.12 6 4.62 .77 6 400 400 1 12.15 12.15 1 11.1 .37 30 7.5 .25 30 104.4 1.74 60 59.4 .66 90 400 400 1 9.9 .66 15 15 .25 60 21.3 .71 30 191.4 3.19 60 400 400 1 78 1.3 60 4.1 .41 10 26.7 .89 30 7.5 .25 30 400 400 1 247.6 6.19 40 17.8 .89 20 27.4 1.37 20 400 400 1 Total: 2877.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415428 Min 01415428 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 5 05-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 07-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 14 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 3091 of 6486
Name
PARVATI DEVI Rate Amount Qty 11.1 .37 30 24.3 12.15 2 7.5 .25 30 400 400 1 46.8 .78 60 47.4 .79 60 400 400 1 10.08 1.12 9 5.7 .38 15 21.12 3.52 6 400 400 1 17.8 .89 20 247.6 6.19 40 14.6 .73 20 12.8 .64 20 400 400 1 Total: 2066.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415430 Min 01415430 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 3092 of 6486
KHOMIN BAI Rate Amount Qty 50.14 25.07 2 400 400 1 6.9 .23 30 7.5 .25 30 9 .3 30 18.6 .62 30 12 .4 30 42.6 .71 60 36 .6 60 400 400 1 Total: 982.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415431 Min 01415431 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 3093 of 6486
Name
SHANKAR R Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 27.9 .93 30 400 400 1 Total: 1081.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415433 Min 01415433 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 3094 of 6486
Name
UDAI RAM Rate Amount Qty 39 1.3 30 21.3 .71 30 55.8 .93 60 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 556
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415434 Min 01415434 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3095 of 6486
Name
SMT.PADMA BAI SAHU Rate Amount Qty 66 1.1 60 30.6 .34 90 12 .4 30 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 36 .6 60 400 400 1 Total: 639.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415439 Min 01415439 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3096 of 6486
Name
CHATURVEDI GYAN Rate Amount Qty 24 .4 60 34.8 1.16 30 42.6 .71 60 9 .3 30 18 .6 30 400 400 1 Total: 528.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415440 Min 01415440 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 16-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 10 18-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 15 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 18-FEB-19
Page 3097 of 6486
MADHUBALA CHATURVEDI Rate Amount Qty 10.8 .36 30 21.3 .71 30 27.9 .93 30 12 .4 30 50.14 25.07 2 40.58 20.29 2 54 .6 90 94.42 188.84 2 400 400 1 18.21 18.21 1 40.58 20.29 2 12 .4 30 36 .6 60 5.4 .36 15 27.9 .93 30 50.14 25.07 2 400 400 1 Total: 1395.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415443 Min 01415443 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3098 of 6486
Name
RAMCHARAN RAJAK Rate Amount Qty 8.9 .89 10 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 1.48 .37 4 400 400 1 Total: 505.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415449 Min 01415449 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3099 of 6486
Name
TIWARI HK Rate Amount Qty 16.2 .27 60 36.3 1.21 30 400 400 1 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415457 Min 01415457 Appmt Dt Slno Description 04-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3100 of 6486
Name
BISHESAR RAM SINHA Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415458 Min 01415458 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3101 of 6486
KIRTI BAI Rate Amount Qty 27.9 .93 30 22.2 .37 60 1.85 .37 5 211.8 3.53 60 14.85 .99 15 1.6 .16 10 15.73 15.73 1 400 400 1 Total: 695.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415459 Min 01415459 Slno Description Appmt Dt CREATININE /CRT 1 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 3102 of 6486
Name
ROOPCHAND Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 21.3 .71 30 400 400 1 Total: 2946.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415460 Min 01415460 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 09-FEB-19 CREATININE /CRT 8 09-FEB-19 UREA (BUN /UR) 9 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 09-FEB-19
Page 3103 of 6486
Name
ASHA DEVI Rate Amount Qty 1.48 .37 4 3.84 .64 6 39.72 6.62 6 31.2 1.04 30 55.8 .93 60 400 400 1 8.1 .27 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 34.8 1.16 30 33 1.1 30 8.1 .27 30 34.8 1.16 30 33 1.1 30 1300 1300 1 8.1 .27 30 Total: 3491.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415463 Min 01415463 Appmt Dt Slno Description 26-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3104 of 6486
Name
MAHALAXMI Qty Rate Amount 60 .6 36 1 400 400 436 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415465 Min 01415465 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 7 14-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 3105 of 6486
Name
SHIV PRASAD Rate Amount Qty 7.5 .25 30 53.4 .89 60 191.4 3.19 60 42.6 .71 60 19.8 .66 30 400 400 1 16.81 16.81 1 33.58 33.58 1 400 400 1 Total: 1165.09
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415467 Min 01415467 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 16-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 3106 of 6486
RADHIKA PRASAD YADAV Rate Amount Qty 26.6 2.66 10 33 1.1 30 12 .4 30 32.4 1.08 30 21.3 .71 30 15.73 15.73 1 6.4 .64 10 1.85 .37 5 400 400 1 9 .9 10 3.2 .64 5 1.85 .37 5 400 400 1 Total: 963.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415468 Min 01415468 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 22-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 22-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 3107 of 6486
Name
SHANTI YADAV Rate Amount Qty 36.8 1.84 20 6.23 .89 7 400 400 1 9 .9 10 7.7 .77 10 1.85 .37 5 26.6 2.66 10 400 400 1 Total: 888.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415471 Min 01415471 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3108 of 6486
Name
ASHA DIXIT Rate Amount Qty 185.7 6.19 30 18.9 .63 30 7.5 .25 30 27.9 .93 30 54 .6 90 13.35 .89 15 167.4 5.58 30 400 400 1 Total: 874.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415478 Min 01415478 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 06-FEB-19 UREA (BUN /UR) 7 06-FEB-19 CREATININE /CRT 8 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 06-FEB-19
Page 3109 of 6486
Name
G RAJADHAS Rate Amount Qty 650 650 1 400 400 1 8.9 .89 10 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3858.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415482 Min 01415482 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3110 of 6486
Name
PANDEY VK Rate Amount Qty 7.5 .25 30 42.6 .71 60 55.8 .93 60 14.16 1.18 12 29.7 .99 30 10.65 .71 15 32.4 1.08 30 400 400 1 Total: 592.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415485 Min 01415485 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3111 of 6486
Name
ARUN KUMAR GAWARE Rate Amount Qty 18.9 .63 30 27.9 .93 30 15.3 .51 30 15.6 .26 60 12 .4 30 60.9 2.03 30 400 400 1 Total: 550.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415488 Min 01415488 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 3112 of 6486
Name
MATHUR PRADEEP Rate Amount Qty 117 1.3 90 55.8 .93 60 72 .6 120 60.9 2.03 30 7.8 .26 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 775
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415489 Min 01415489 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 3113 of 6486
Name
VIBHA MATHUR Rate Amount Qty 21.3 .71 30 27.9 .93 30 117 1.3 90 72 .6 120 167.4 5.58 30 26.7 .89 30 400 400 1 334.8 5.58 60 26.7 .89 30 21.3 .71 30 27.9 .93 30 117 1.3 90 108 .6 180 400 400 1 Total: 1868
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415490 Min 01415490 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19
Page 3114 of 6486
Name
RONIAL LAL Rate Amount Qty 94.8 .79 120 21.3 .71 30 44.4 .37 120 400 400 1 132 1.1 120 Total: 692.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415492 Min 01415492 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 3115 of 6486
Name
RAMJI RAI SHARMA Rate Amount Qty 1.6 .16 10 41.06 41.06 1 26.7 .89 30 5.7 .38 15 17.4 1.16 15 21.6 .36 60 7.5 .25 30 36 .6 60 36.3 1.21 30 8.1 .27 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 687.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415493 Min 01415493 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 3116 of 6486
Name
SAVITRI DEVI Rate Amount Qty 32.4 .36 90 78 1.3 60 72 .6 120 167.4 5.58 30 400 400 1 Total: 749.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415498 Min 01415498 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 3117 of 6486
Name
BALARAM SAHU Rate Amount Qty 7.5 .25 30 72 .6 120 10.8 .36 30 5.21 5.21 1 400 400 1 Total: 495.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415499 Min 01415499 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 3118 of 6486
Name
URMILA BAI Rate Amount Qty 5.21 5.21 1 34.8 1.16 30 22.05 1.47 15 156 1.3 120 54 .6 90 10.8 .36 30 7.5 .25 30 400 400 1 Total: 690.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415504 Min 01415504 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3119 of 6486
Name
ASHA ARORA Rate Amount Qty 30.6 .34 90 108.9 1.21 90 26.7 .89 30 12 .4 30 32.4 1.08 30 7.5 .25 30 3.7 .37 10 400 400 1 Total: 621.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415505 Min 01415505 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 28-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 8 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3120 of 6486
Name
RITA GIRDHAR Rate Amount Qty 21.6 .36 60 12 .4 30 54 .6 90 185.7 6.19 30 13.95 .93 15 400 400 1 26.6 2.66 10 31.14 5.19 6 6.4 .64 10 400 400 1 Total: 1151.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415506 Min 01415506 Appmt Dt Slno Description 18-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 18-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3121 of 6486
Name
V.K.GIRDHAR Qty Rate Amount 60 .37 22.2 30 .4 12 45 .93 41.85 1 400 400 Total: 476.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415507 Min 01415507 Appmt Dt Slno Description 25-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 25-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3122 of 6486
Name
KUNJ BIHARI SAHU Qty Rate Amount 10 1.37 13.7 21 .38 7.98 21 6.19 129.99 1 400 400 Total: 551.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415508 Min 01415508 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3123 of 6486
Name
JAMUNA DEVI SAHU Rate Amount Qty 8.1 .27 30 21.3 .71 30 55.8 .93 60 12 .4 30 36 .6 60 9 .3 30 10.8 .36 30 400 400 1 Total: 553
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415509 Min 01415509 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 3124 of 6486
Name
PARAS RAM Rate Amount Qty 21.06 2.34 9 1.11 .37 3 400 400 1 14.04 2.34 6 1.11 .37 3 400 400 1 15.6 .26 60 12 .4 30 21.3 .71 30 8.9 .89 10 2.4 .16 15 36 .6 60 33 1.1 30 400 400 1 Total: 1366.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415510 Min 01415510 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 3125 of 6486
Name
KAMLA SINHA Rate Amount Qty 18 .6 30 32.4 1.08 30 12 .4 30 76.5 2.55 30 26.7 .89 30 40.12 20.06 2 400 400 1 Total: 605.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415518 Min 01415518 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 05-FEB-19 GUM ASTRINGENT PAINT 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3126 of 6486
Name
RENUKA RAJIV VAIDYA Rate Amount Qty 6.4 .64 10 8.1 .27 30 29.7 .99 30 26.7 .89 30 185.7 6.19 30 13.48 3.37 4 31.54 31.54 1 400 400 1 Total: 701.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415520 Min 01415520 Appmt Dt Slno Description 05-FEB-19 1 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3127 of 6486
Name
SHANTILATA MOHANTY Qty Rate Amount 1 100.71 100.71 1 400 400 500.71 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415527 Min 01415527 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 25-FEB-19 HB,TLC,DLC 10 25-FEB-19 PLATELET COUNT 11 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 25-FEB-19 UREA (BUN /UR) 16 25-FEB-19 CREATININE /CRT 17 25-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 18 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 3128 of 6486
Name
ALOK KUMAR MOJUMDAR Rate Amount Qty 40.58 20.29 2 400 400 1 60.9 2.03 30 400 400 1 2.59 .37 7 5.32 .38 14 400 400 1 1300 1300 1 550 550 1 300 300 1 330 330 1 2.4 .16 15 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 60.9 2.03 30 400 400 1 Total: 7052.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415528 Min 01415528 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 3129 of 6486
Name
NANDITA MOJUMDAR Rate Amount Qty 27.9 .93 30 21.3 .71 30 78 1.3 60 36 .6 60 9 .3 30 400 400 1 Total: 572.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415533 Min 01415533 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 SOLIFENACIN,5MG,,TABLET 6 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3130 of 6486
Name
RAMMURTI Rate Amount Qty 3.84 .64 6 23.7 .79 30 6.9 .23 30 60.9 2.03 30 15.96 2.66 6 403.2 13.44 30 1.48 .37 4 400 400 1 Total: 915.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415534 Min 01415534 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 3131 of 6486
Name
PRABHAWATI DEVI Rate Amount Qty 12 .4 30 21.6 .36 60 39 1.3 30 36 .6 60 55.8 .93 60 14.85 .99 15 33 1.1 30 21.3 .71 30 400 400 1 Total: 633.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415540 Min 01415540 Appmt Dt Slno Description 20-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3132 of 6486
Name
LAKHAN LAL Qty Rate Amount 30 .99 29.7 30 .79 23.7 60 .93 55.8 1 400 400 Total: 509.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415548 Min 01415548 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 28-FEB-19 DRESSING SIMPLE 9 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 28-FEB-19
Page 3133 of 6486
Name
MANIK DAS Rate Amount Qty 32.4 1.08 30 12 .4 30 8.1 .27 30 27.9 .93 30 4.8 .16 30 21.3 .71 30 400 400 1 400 400 1 900 300 3 39.72 6.62 6 5.76 .64 9 Total: 1851.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415556 Min 01415556 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3134 of 6486
Name
RAMESH CHAND DEKATE Rate Amount Qty 78 1.3 60 21.6 .36 60 18 .6 30 3.75 .25 15 12 .4 30 18.9 .63 30 400 400 1 Total: 552.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415560 Min 01415560 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 18-FEB-19 URIC ACID (UA /URATES /UR) 3 18-FEB-19 UREA (BUN /UR) 4 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 18-FEB-19
Page 3135 of 6486
Name
LAKSHMAN SINGH Qty 1 1 1 1 1 1
Rate Amount 400 400 1300 1300 275 275 275 275 275 275 275 275 Total: 2800
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415561 Min 01415561 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 19-FEB-19 CREATININE /CRT 4 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 3136 of 6486
Name
UMARAWATI SINGH Rate Amount Qty 55.8 .93 60 7.5 .25 30 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 17.8 .89 20 8.4 .42 20 21.3 .71 30 400 400 1 Total: 3035.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415569 Min 01415569 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 3137 of 6486
Name
SUBERNA MANJORI NANDA Rate Amount Qty 6.4 .64 10 371.4 6.19 60 400 400 1 Total: 777.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415570 Min 01415570 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 UREA (BUN /UR) 4 19-FEB-19 CREATININE /CRT 5 19-FEB-19 URIC ACID (UA /URATES /UR) 6 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 19-FEB-19 CALCIUM (CA) 8 19-FEB-19
Page 3138 of 6486
Name
ANIL SHANTIAL ISAAC Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415576 Min 01415576 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 3139 of 6486
Name
SUNILA MAYA PRADEEP SINGH Rate Amount Qty 27.9 .93 30 6.4 .64 10 20.06 20.06 1 26.7 .89 30 191.4 3.19 60 33 1.1 30 400 400 1 Total: 705.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415577 Min 01415577 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 3140 of 6486
Name
PRADEEP KUMAR SINGH Rate Amount Qty 33 1.1 30 55.8 .93 60 7.5 .25 30 20.06 20.06 1 400 400 1 Total: 516.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415580 Min 01415580 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 3141 of 6486
Name
S SILARE Rate Amount Qty 3.84 .64 6 1.85 .37 5 27.9 .93 30 36.3 1.21 30 13.35 .89 15 400 400 1 Total: 483.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415581 Min 01415581 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 UREA (BUN /UR) 8 05-FEB-19 CREATININE /CRT 9 05-FEB-19 URIC ACID (UA /URATES /UR) 10 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19
Page 3142 of 6486
Name
S R SILARE Rate Amount Qty 5.4 .18 30 3.7 .37 10 8.9 .89 10 12.15 12.15 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 26.6 2.66 10 72 .6 120 117 1.3 90 10.8 .36 30 27.9 .93 30 12 .4 30 21.3 .71 30 400 400 1 Total: 2492.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415582 Min 01415582 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 3143 of 6486
Name
DEEPA TIWARI Rate Amount Qty 10.8 .36 30 18 .6 30 5.8 1.16 5 9.3 .93 10 2.7 .27 10 4 .4 10 2.5 .25 10 8.9 .89 10 400 400 1 Total: 462
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415583 Min 01415583 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3144 of 6486
Name
ANIL KUMAR TIWARI Rate Amount Qty 18 .6 30 12 .4 30 17.4 1.16 15 8.1 .27 30 72.6 1.21 60 400 400 1 Total: 528.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415585 Min 01415585 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 PRAZOSIN,2.5MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3145 of 6486
Name
RAJKUMARI Rate Amount Qty 21.3 .71 30 36 .6 60 21.6 .36 60 72.6 1.21 60 55.8 .93 60 78 1.3 60 400 400 1 Total: 685.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415586 Min 01415586 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 23-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 3146 of 6486
Name
GITA GOKHALE Rate Amount Qty 13.35 .89 15 55.8 .93 60 400 400 1 104.4 1.74 60 54 .9 60 39.6 .66 60 400 400 1 Total: 1067.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415593 Min 01415593 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 11-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 15-FEB-19 PRAZOSIN,2.5MG,TABLET 13 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 3147 of 6486
Name
BH V RAMA MURTHY Rate Amount Qty 11.4 .38 30 17.4 .58 30 78 .78 100 47.4 .79 60 54 .6 90 400 400 1 54 .6 90 4.8 .16 30 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 39 1.3 30 156 1.3 120 29.7 .99 30 55.8 .93 60 7.5 .25 30 400 400 1 Total: 1450.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415594 Min 01415594 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3148 of 6486
Name
BH V RAMANA MURTHY Rate Amount Qty 27.9 .93 30 8.1 .27 30 76.5 2.55 30 7.5 .25 30 400 400 1 Total: 520
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415597 Min 01415597 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 3149 of 6486
Name
NEETA NAGESH Rate Amount Qty 66 1.1 60 12.6 .42 30 55.8 .93 60 3.84 .64 6 400 400 1 12.6 .42 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 1072.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415600 Min 01415600 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 22-FEB-19 X - RAY - TWO VIEWS 11 22-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 22-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 14 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 16 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 3150 of 6486
NAMDEO MASKI Rate Amount Qty 1.85 .37 5 6.4 .64 10 26.6 2.66 10 400 400 1 55.8 .93 60 60.9 2.03 30 192.3 6.41 30 7.7 .77 10 400 400 1 400 400 1 860 860 1 44.66 3.19 14 18.2 2.6 7 58.77 19.59 3 75.21 25.07 3 20.84 5.21 4 9.9 .66 15 400 400 1 Total: 3039.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415601 Min 01415601 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 26-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 8 26-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 9 26-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 26-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 11 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 3151 of 6486
Name
VENU TAI ALIAS AINU MASKI Rate Amount Qty 54 .9 60 16.2 .18 90 6.4 .64 10 1.85 .37 5 26.6 2.66 10 400 400 1 54 .9 60 69.05 69.05 1 22 4.4 5 156.6 1.74 90 39.6 .66 60 92.68 6.62 14 400 400 1 Total: 1338.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415603 Min 01415603 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 01-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 3 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3152 of 6486
Name
SMT.SHOBHA BAJPAI Rate Amount Qty 420 420 1 600 600 1 8.64 8.64 1 4.1 .41 10 8.9 .89 10 400 400 1 Total: 1441.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415610 Min 01415610 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3153 of 6486
Name
Dr SURESH V KULKARNI Rate Amount Qty 34.8 1.16 30 12 .4 30 96.75 2.15 45 27.9 .93 30 400 400 1 Total: 571.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415612 Min 01415612 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 27-FEB-19 URIC ACID (UA /URATES /UR) 3 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 27-FEB-19
Page 3154 of 6486
Name
DIGENDRA KUMAR Rate Amount Qty 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 2.4 .16 15 34.8 1.16 30 12 .4 30 13.8 .23 60 14.85 .99 15 55.8 .93 60 117 1.3 90 36 .6 60 Total: 2811.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415613 Min 01415613 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 28-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 7 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3155 of 6486
Name
LAXMI DEVI Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 2.4 .16 15 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 12 .4 30 157.8 2.63 60 400 400 1 Total: 720.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415619 Min 01415619 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 3156 of 6486
Name
ALAKH RAM THAKUR Rate Amount Qty 100.71 100.71 1 54 .9 60 12.15 12.15 1 400 400 1 18.9 .63 30 7.5 .25 30 14.85 .99 15 55.8 .93 60 9 .6 15 12 .4 30 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 1169.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415620 Min 01415620 Appmt Dt Slno Description 27-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3157 of 6486
Name
JOHATRI BAI Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415621 Min 01415621 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3158 of 6486
Name
AK MULCHANDANI Rate Amount Qty 32.4 1.08 30 18.9 .63 30 33 1.1 30 27.9 .93 30 21.3 .71 30 72 .6 120 4.5 .3 15 400 400 1 Total: 610
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415622 Min 01415622 Appmt Dt Slno Description 08-FEB-19 1 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 08-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 3 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3159 of 6486
Name
KANCHAN MULCHANDANI Qty Rate Amount 1 12.15 12.15 30 .89 26.7 60 .9 54 1 400 400 Total: 492.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415623 Min 01415623 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 18 15-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 19 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 15-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 21 22-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 22 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 25 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 26 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 27 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 28 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 26-FEB-19
Page 3160 of 6486
Name
PK VERMA Rate Amount Qty 27.4 1.37 20 87.92 43.96 2 247.6 6.19 40 17.8 .89 20 127.6 3.19 40 400 400 1 27.9 .93 30 6.9 .23 30 21.3 .71 30 192.3 6.41 30 60.9 2.03 30 12 .4 30 76.5 2.55 30 78 1.3 60 36 .6 60 21.6 .36 60 400 400 1 51.38 25.69 2 156.51 313.02 2 400 400 1 21.45 21.45 1 6.82 6.82 1 400 400 1 17.8 .89 20 43.96 43.96 1 127.6 3.19 40 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 3898.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415624 Min 01415624 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 8 27-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 27-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 3161 of 6486
Name
SUSHILA VERMA Rate Amount Qty 16.2 .27 60 14.85 .99 15 32.4 1.08 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 400 400 1 39.6 .66 60 12.15 12.15 1 104.4 1.74 60 400 400 1 Total: 1076.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415625 Min 01415625 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 08-FEB-19 TAB,TRIMETHOPRIM80MG+SULPHAMETHOXAZ400MG 3 08-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 3162 of 6486
USHA DUBEY Rate Amount Qty 38.76 3.23 12 76.5 2.55 30 4.14 .69 6 83.4 2.78 30 2.22 .37 6 21.3 .71 30 27.9 .93 30 3.84 .64 6 400 400 1 Total: 658.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415626 Min 01415626 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3163 of 6486
Name
V K DUBEY Rate Amount Qty 16.85 3.37 5 7.4 .37 20 9.86 9.86 1 400 400 1 21.3 .71 30 27.9 .93 30 105.9 3.53 30 400 400 1 Total: 989.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415629 Min 01415629 Appmt Dt Slno Description 05-FEB-19 1 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 05-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 05-FEB-19 3 TRIGLYCERIDES (TGL) 05-FEB-19 4 CHOLESTEROL (CHOL)
Page 3164 of 6486
Name
RAMA NANDA SHARMA Qty Rate Amount 1 275 275 1 275 275 1 275 275 1 275 275 Total: 1100
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415630 Min 01415630 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 UREA (BUN /UR) 3 16-FEB-19 CREATININE /CRT 4 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 16-FEB-19 BLOOD FOR T-3,T-4,TSH 8 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 16-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 10 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 23-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 3165 of 6486
Name
NIRMALA RANI SHARMA Rate Amount Qty 2.56 .64 4 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 2400 2400 1 275 275 1 35.2 17.6 2 7.4 .37 20 17.37 17.37 1 400 400 1 12 .4 30 34.8 1.16 30 400 400 1 Total: 6509.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415632 Min 01415632 Appmt Dt Slno Description 09-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 09-FEB-19 2 X - RAY - TWO VIEWS
Page 3166 of 6486
Name
RAMGAM JAIN Qty 1 1
Rate Amount 400 400 860 860 1260 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415633 Min 01415633 Appmt Dt Slno Description 01-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 01-FEB-19 2 T M T (TREAD MILL EXERCISE TEST)
Page 3167 of 6486
Name
CS SHARMA Qty 1 1
Rate Amount 400 400 3430 3430 3830 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415634 Min 01415634 Appmt Dt Slno Description 01-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3168 of 6486
Name
ALKA SHARMA Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415637 Min 01415637 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 3169 of 6486
Name
NAGENDRA NATH SHUKLA Rate Amount Qty 8.9 .89 10 6.4 .64 10 35.2 3.52 10 3.7 .37 10 400 400 1 Total: 454.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415638 Min 01415638 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 09-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 2 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 5 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 28-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 9 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 28-FEB-19 ECG 11 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 12 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 28-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 14 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 15 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 16 28-FEB-19 OBSERVATION IN CASUALTY 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 3170 of 6486
MUNNI KUMARI SHUKLA Rate Amount Qty 420 420 1 100 100 1 5.4 .18 30 3.7 .37 10 48.22 48.22 1 18 .9 20 400 400 1 24.52 24.52 1 10.14 3.38 3 6.4 .64 10 450 450 1 12.15 12.15 1 3.8 .38 10 9.62 9.62 1 48.22 48.22 1 20.06 20.06 1 420 420 1 400 400 1 Total: 2400.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415643 Min 01415643 Slno Description Appmt Dt HYPERTONIC SALINE EYE DROPS, 5% W/V, 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19
Page 3171 of 6486
RAMLU Rate Amount Qty 33.58 33.58 1 400 400 1 12 .4 30 32.4 1.08 30 15.73 15.73 1 27.9 .93 30 18 .4 45 66 1.1 60 34.8 1.16 30 18.9 .63 30 400 400 1 Total: 1059.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415644 Min 01415644 Appmt Dt Slno Description 06-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 2 DILTIAZEM 90 MG XL/XR,,TABLET 06-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3172 of 6486
Name
AMMALU Qty Rate Amount 30 .93 27.9 30 3.95 118.5 30 .71 21.3 1 400 400 Total: 567.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415656 Min 01415656 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 3173 of 6486
Name
RAJ KISHORI SINGH Rate Amount Qty 78 1.3 60 400 400 1 31.61 31.61 1 25.62 12.81 2 11.1 .37 30 11.25 .75 15 400 400 1 Total: 957.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415658 Min 01415658 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 28-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3174 of 6486
Name
MANJULA MAHAJAN Rate Amount Qty 178 .89 200 25.6 .64 40 25.2 .63 40 100.6 5.03 20 400 400 1 Total: 729.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415661 Min 01415661 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3175 of 6486
Name
DURGA SHANKER MUKHOPADHYAY Rate Amount Qty 17.4 .58 30 5.55 .37 15 2.4 .16 15 400 400 1 5.55 .37 15 2.4 .16 15 400 400 1 Total: 833.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415662 Min 01415662 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 3176 of 6486
Name
NIMU MUKHOPADHYAY Rate Amount Qty 17.4 .58 30 6.4 .64 10 66 1.1 60 27.9 .93 30 400 400 1 48.76 12.19 4 27.9 .93 30 13.35 .89 15 66 1.1 60 6.4 .64 10 10.42 5.21 2 400 400 1 Total: 1090.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415663 Min 01415663 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3177 of 6486
Name
DR LC GIRIYA Rate Amount Qty 21.3 .71 30 66 1.1 60 36 .6 60 117 1.3 90 10.8 .36 30 55.8 .93 60 12 .4 30 400 400 1 Total: 718.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415673 Min 01415673 Slno Description Appmt Dt RUPATADINE 10 MG STRIP PACK,,TABLET 1 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 5 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 15-FEB-19 CREATININE /CRT 17 15-FEB-19 UREA (BUN /UR) 18 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 20 15-FEB-19 C T SMALL PARTS /HR 21 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 22-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 26 22-FEB-19 COMPLETE HAEMOGRAM 27 22-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 28 22-FEB-19 DIETHYL CARBAMAZINE CITRATE,100MG,TABLET 29 25-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 30 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 25-FEB-19
Page 3178 of 6486
SHIV BAHADUR SINGH Rate Amount Qty 57.4 5.74 10 34 1.7 20 8.9 .89 10 400 400 1 157.8 2.63 60 15.6 .26 60 12 .4 30 6.8 .34 20 32.4 1.08 30 60.9 2.03 30 23.7 .79 30 33 1.1 30 34.8 1.16 30 400 400 1 3.7 .37 10 400 400 1 275 275 1 275 275 1 6.23 .89 7 17 1.7 10 6000 6000 1 6.4 .64 10 1.85 .37 5 2.5 .25 10 400 400 1 48.22 48.22 1 750 750 1 130.42 130.42 1 80.01 1.27 63 4.66 2.33 2 400 400 1 Total: 10078.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415674 Min 01415674 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 25-FEB-19 CALCIUM (CA) 2 25-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 3 25-FEB-19 ALKALINE PHOSPHATASE (ALP) 4 25-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 5 25-FEB-19 TRIGLYCERIDES (TGL) 6 25-FEB-19 CHOLESTEROL (CHOL) 7 25-FEB-19 UREA (BUN /UR) 8 25-FEB-19 CREATININE /CRT 9 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 25-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 14 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 15 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 25-FEB-19
Page 3179 of 6486
Name
SHAKUNTALA SINGH Rate Amount Qty 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1050 1050 1 400 400 1 8.12 .58 14 6.9 .23 30 7.5 .25 30 55.8 .93 60 54 .6 90 10.8 .36 30 Total: 4893.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415678 Min 01415678 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 3180 of 6486
Name
VARDHAN KUMAR Rate Amount Qty 10.8 .36 30 12 .4 30 27.9 .93 30 2.4 .16 15 23.1 .77 30 21.3 .71 30 18 .6 30 12.3 .41 30 400 400 1 Total: 527.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415680 Min 01415680 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 UREA (BUN /UR) 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19
Page 3181 of 6486
Name
SUKHDEV SINGH Qty 1 1 1 1 1
Rate Amount 275 275 275 275 275 275 275 275 400 400 Total: 1500
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415685 Min 01415685 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 07-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 07-FEB-19 URIC ACID (UA /URATES /UR) 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3182 of 6486
P SNEH LATA Rate Amount Qty 17.8 .89 20 6.82 6.82 1 100.6 5.03 20 275 275 1 25.2 .63 40 25.07 25.07 1 550 550 1 25.6 .64 40 1300 1300 1 400 400 1 275 275 1 25.07 25.07 1 400 400 1 Total: 3426.16
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415686 Min 01415686 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 01-FEB-19 PRAZOSIN,2.5MG,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 14 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 16-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 17 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 3183 of 6486
RAM KUMAR SINGH Rate Amount Qty 123.53 123.53 1 192.3 6.41 30 60.9 2.03 30 29.7 .99 30 76.5 2.55 30 22.2 .37 60 156 1.3 120 55.8 .93 60 400 400 1 55.8 .93 60 14.85 .99 15 8.1 .27 30 400 400 1 15.73 15.73 1 1.85 .37 5 400 400 1 5.32 .38 14 6.3 .9 7 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 3078.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415688 Min 01415688 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3184 of 6486
Name
SC PAL Rate Amount Qty 23.7 .79 30 9.9 .66 15 12.8 .64 20 26.7 .89 30 27.4 1.37 20 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 582.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415689 Min 01415689 Slno Description Appmt Dt RIFAXIMIN 200 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3185 of 6486
Name
MALANCHA PAL Rate Amount Qty 186.6 9.33 20 10.8 .36 30 36 .6 60 55.8 .93 60 21.3 .71 30 15.6 .26 60 400 400 1 Total: 726.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415693 Min 01415693 Appmt Dt Slno Description 27-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 27-FEB-19 2 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 27-FEB-19 3 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3186 of 6486
Name
KALAWATI SONKAR Qty Rate Amount 5 .37 1.85 10 3.52 35.2 6 .73 4.38 1 400 400 Total: 441.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415696 Min 01415696 Appmt Dt Slno Description 19-FEB-19 1 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3187 of 6486
Name
SHASHIBALA AHUJA Qty Rate Amount 1 20.06 20.06 1 400 400 420.06 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415699 Min 01415699 Appmt Dt Slno Description 26-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3188 of 6486
Name
ATMA RAM SAHU Qty Rate Amount 60 .79 47.4 1 400 400 447.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415707 Min 01415707 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 3189 of 6486
Name
ASHOK KUMAR KHARALKAR Rate Amount Qty 43.2 .36 120 87.92 43.96 2 7.5 .25 30 167.4 5.58 30 12 .4 30 34.8 1.16 30 54 .6 90 400 400 1 Total: 806.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415708 Min 01415708 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 3190 of 6486
Name
KUSUM KHARALKAR Rate Amount Qty 11.4 .38 30 26.7 .89 30 2.4 .16 15 27.9 .93 30 54 .6 90 10.8 .36 30 7.5 .25 30 400 400 1 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415714 Min 01415714 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3191 of 6486
Name
INDIRA GOPI Rate Amount Qty 8.1 .27 30 7.5 .25 30 21.3 .71 30 21.6 .36 60 36 .6 60 78 1.3 60 27.9 .93 30 400 400 1 Total: 600.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415715 Min 01415715 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 3192 of 6486
Name
MM GOPI Rate Amount Qty 26.7 .89 30 34.8 1.16 30 47.4 .79 60 8.1 .27 30 27.6 .92 30 36 .6 60 30.6 .34 90 32.4 1.08 30 400 400 1 Total: 643.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415722 Min 01415722 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 01-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 9 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 13 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 15 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 21 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 24 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 26 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 29 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 31 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 32 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 33 18-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 34 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 18-FEB-19
Page 3193 of 6486
RAM NARESH SINGH Rate Amount Qty 3.84 .64 6 1.48 .37 4 12.15 12.15 1 66.2 6.62 10 18 .9 20 3.7 .37 10 6.7 .67 10 12.15 12.15 1 33.46 33.46 1 21.12 3.52 6 400 400 1 16.56 1.84 9 12.15 12.15 1 12.46 .89 14 23.45 .67 35 25.2 .9 28 3.56 .89 4 3.84 .64 6 400 400 1 2.22 .37 6 31.46 15.73 2 19.2 .64 30 8.9 .89 10 66.2 6.62 10 400 400 1 36.3 1.21 30 26.7 .89 30 7.5 .25 30 8.1 .27 30 400 400 1 25.2 .9 28 2.59 .37 7 7.56 .18 42 15.73 15.73 1 400 400 1 Total: 2533.68
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415723 Min 01415723 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 06-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 5 06-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 18-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3194 of 6486
SUBHADRA SINGH Rate Amount Qty 17.4 .58 30 26.7 .89 30 54 .9 60 16.2 .18 90 30.8 4.4 7 12.15 12.15 1 400 400 1 6.4 .64 10 12.46 .89 14 23.45 .67 35 31.46 15.73 2 400 400 1 Total: 1031.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415724 Min 01415724 Appmt Dt Slno Description 18-FEB-19 1 THALIDOMIDE,STRIP PKT,100MG,CAPSULE 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 26-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3195 of 6486
Name
SURESH JHA Qty Rate Amount 10 20.73 207.3 1 400 400 30 6.19 185.7 1 400 400 Total: 1193
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415725 Min 01415725 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 CREATININE /CRT 6 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 11-FEB-19 POTASSIUM (K+) 9 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 11-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 12 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 11-FEB-19 ECG 14 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 14-FEB-19 PRAZOSIN,2.5MG,TABLET 16 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 17 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 14-FEB-19 PRAZOSIN,2.5MG,TABLET 19 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 14-FEB-19 PRAZOSIN,2.5MG,TABLET 21 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 22 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 24 18-FEB-19
Page 3196 of 6486
Name
POONAM JHA Rate Amount Qty 21.3 .71 30 36 .6 60 21.6 .36 60 27.9 .93 30 400 400 1 275 275 1 1300 1300 1 400 400 1 275 275 1 400 400 1 275 275 1 550 550 1 275 275 1 450 450 1 83.7 5.58 15 26 1.3 20 .37 .37 1 27.9 .93 30 19.5 1.3 15 400 400 1 19.5 1.3 15 7.92 .99 8 275 275 1 275 275 1 Total: 5841.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415727 Min 01415727 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3197 of 6486
Name
FULESHAR BAI Rate Amount Qty 22.2 .37 60 18 .6 30 55.8 .93 60 5.21 5.21 1 7.65 .51 15 7.5 .25 30 8.7 .58 15 400 400 1 Total: 525.06
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415732 Min 01415732 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 3198 of 6486
DR SM BADOLE Rate Amount Qty 50.14 25.07 2 10.42 5.21 2 6.4 .64 10 7.3 .73 10 55.2 1.84 30 400 400 1 Total: 529.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415735 Min 01415735 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 3199 of 6486
Name
BHUWANLAL SAHU Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 36 .6 60 76.5 2.55 30 21.6 .36 60 7.65 .51 15 11.4 .38 30 12 .4 30 400 400 1 Total: 986.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415736 Min 01415736 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 3200 of 6486
Name
HULSI DEVI SAHU Rate Amount Qty 27.9 .93 30 3.84 .64 6 36.3 1.21 30 17 1.7 10 29.7 .99 30 8.9 .89 10 2.28 .38 6 1.85 .37 5 12 .4 30 400 400 1 Total: 539.77
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415737 Min 01415737 Appmt Dt Slno Description 14-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 14-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3201 of 6486
HARADHAN DAS Qty Rate Amount 10 2.66 26.6 1 15.73 15.73 10 .77 7.7 1 400 400 Total: 450.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415738 Min 01415738 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 28-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 12 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 16 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 17 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 3202 of 6486
RINA DAS Rate Amount Qty 15.73 15.73 1 9 .9 10 26.6 2.66 10 9.6 .64 15 1.85 .37 5 400 400 1 15.4 .77 20 15.73 15.73 1 18 .9 20 400 400 1 .8 .16 5 1.3 .26 5 6.4 .64 10 7.5 .25 30 17.8 .89 20 20.06 20.06 1 48.22 48.22 1 66.2 6.62 10 400 400 1 Total: 1480.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415739 Min 01415739 Appmt Dt Slno Description 01-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 01-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3203 of 6486
Name
HUMANLAL CHANDRAKAR Qty Rate Amount 30 .3 9 30 .6 18 30 .25 7.5 1 400 400 Total: 434.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415740 Min 01415740 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 3204 of 6486
BIMLA BAI Rate Amount Qty 15.73 15.73 1 8.1 .27 30 400 400 1 26.6 2.66 10 6.4 .64 10 1.85 .37 5 15.73 15.73 1 400 400 1 Total: 874.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415741 Min 01415741 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 3205 of 6486
Name
NARESH KUMAR SHARMA Rate Amount Qty 21.3 .71 30 32.4 1.08 30 55.2 .92 60 26.7 .89 30 192.3 6.41 30 4.8 .16 30 21.6 .36 60 55.8 .93 60 211.8 3.53 60 72.6 1.21 60 400 400 1 Total: 1094.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415742 Min 01415742 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 25-FEB-19 X - RAY - TWO VIEWS 2 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 25-FEB-19 CREATININE /CRT 5 25-FEB-19 UREA (BUN /UR) 6 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19
Page 3206 of 6486
Name
PUSHP LATA SHARMA Rate Amount Qty 275 275 1 860 860 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 4210
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415745 Min 01415745 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 3207 of 6486
Name
AVTAR SINGH Rate Amount Qty 32.4 1.08 30 8.1 .27 30 66 1.1 60 55.8 .93 60 72 .6 120 14.85 .99 15 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 837.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415748 Min 01415748 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 3208 of 6486
Name
RS SHRIVASTAVA Rate Amount Qty 32.4 1.08 30 76.5 2.55 30 69.6 1.16 60 12 .4 30 400 400 1 Total: 590.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415749 Min 01415749 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 3209 of 6486
Name
SHASHI SHRIVASTAVA Rate Amount Qty 9.9 .66 15 3.75 .25 15 21.3 .71 30 36 .6 60 21.3 .71 30 400 400 1 Total: 492.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415754 Min 01415754 Appmt Dt Slno Description 11-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3210 of 6486
Name
NISHA YADU Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415756 Min 01415756 Appmt Dt Slno Description 08-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 2 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 08-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3211 of 6486
Name
HEM KUMARI SAHU Qty Rate Amount 6 .64 3.84 10 .58 5.8 10 6.19 61.9 1 400 400 Total: 471.54
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415758 Min 01415758 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 3212 of 6486
TIWARI SN Rate Amount Qty 15.73 15.73 1 19.61 .37 53 7.7 .77 10 9 .9 10 400 400 1 21.3 .71 30 12 .4 30 76.5 2.55 30 27.9 .93 30 32.4 1.08 30 7.65 .51 15 400 400 1 Total: 1029.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415759 Min 01415759 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 15-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19
Page 3213 of 6486
Name
ARCHANA TIWARI Rate Amount Qty 26.7 .89 30 27.9 .93 30 8.1 .27 30 33 1.1 30 2.4 .16 15 2.22 .37 6 7.5 .25 30 27.9 .93 30 400 400 1 1.85 .37 5 17 1.7 10 32.61 32.61 1 400 400 1 Total: 987.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415760 Min 01415760 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 19-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 2 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 19-FEB-19 ONDANSETRON,2MG/ML,INJECTION 4 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 19-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 20-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 3214 of 6486
Name
MUKHU RAM Qty 1 1 1 1 1 1 3 6 9 6 1
Rate Amount 420 420 35.52 35.52 24.52 24.52 7.52 7.52 11.89 11.89 9.81 9.81 2.1 .7 5.34 .89 3.78 .42 1.5 .25 400 400 Total: 921.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415764 Min 01415764 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 ESCITALOPRAM,10MG,,TABLET 9 21-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 10 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 3215 of 6486
Name
JITENDER KUMAR BAKHSHI Rate Amount Qty 72 .6 120 78 1.3 60 55.8 .93 60 13.8 .23 60 12 .4 30 21.3 .71 30 26.7 .89 30 7.5 .25 30 111 1.85 60 176.7 5.89 30 21.6 .36 60 400 400 1 Total: 996.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415767 Min 01415767 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 14-FEB-19 X - RAY - TWO VIEWS 7 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 14-FEB-19
Page 3216 of 6486
Name
MEETA GUHA Rate Amount Qty 35.2 3.52 10 8.9 .89 10 16.8 1.12 15 400 400 1 123.8 6.19 20 13.7 1.37 10 860 860 1 400 400 1 Total: 1858.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415770 Min 01415770 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3217 of 6486
Name
YANLAL JARKEY Rate Amount Qty 167.4 5.58 30 72 .6 120 3.2 .16 20 32.4 1.08 30 21.3 .71 30 16.2 .27 60 400 400 1 Total: 712.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415772 Min 01415772 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 3218 of 6486
Name
MANAS KUMAR SENGUPTA Rate Amount Qty 21.3 .71 30 7.5 .25 30 12 .4 30 26.7 .89 30 72.6 1.21 60 27.9 .93 30 72 .6 120 167.4 5.58 30 400 400 1 Total: 807.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415773 Min 01415773 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 3219 of 6486
Name
GAYATRI SENGUPTA Rate Amount Qty 54 .6 90 27.9 .93 30 14.85 .99 15 39 1.3 30 66 1.1 60 10.8 .36 30 26.7 .89 30 21.3 .71 30 400 400 1 Total: 660.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415778 Min 01415778 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 PRAZOSIN,2.5MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 19-FEB-19 PRAZOSIN,2.5MG,TABLET 14 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 19 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 19-FEB-19
Page 3220 of 6486
Name
GANESH LAL Rate Amount Qty 9.28 1.16 8 4.05 .27 15 27.9 .93 30 6 .4 15 83.7 5.58 15 18 .6 30 5.4 .36 15 39 1.3 30 400 400 1 275 275 1 275 275 1 12 .4 30 55.8 .93 60 78 1.3 60 21.3 .71 30 6.9 .23 30 167.4 5.58 30 39 1.3 30 9 .3 30 36 .6 60 400 400 1 Total: 1968.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415779 Min 01415779 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3221 of 6486
Name
RANI Qty Rate Amount 30 .23 6.9 30 .71 21.3 60 .93 55.8 1 400 400 Total: 484
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415786 Min 01415786 Appmt Dt Slno Description 01-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 01-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3222 of 6486
Name
GEETA SINGH Qty Rate Amount 60 .6 36 15 1.16 17.4 15 .25 3.75 1 400 400 Total: 457.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415788 Min 01415788 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 3223 of 6486
Name
KAKOLI THAKUR Rate Amount Qty 55.8 .93 60 2.4 .16 15 22.2 .37 60 72.6 1.21 60 185.7 6.19 30 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 767.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415791 Min 01415791 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 3224 of 6486
Name
SAMSUL SHAH Rate Amount Qty 3.7 .37 10 3.8 .38 10 17 1.7 10 400 400 1 18.9 .63 30 21.3 .71 30 4.2 .42 10 6.9 .23 30 33 1.1 30 400 400 1 Total: 908.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415792 Min 01415792 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 3225 of 6486
Name
MANJU SHAH Rate Amount Qty 4.8 .6 8 44.16 1.84 24 7.68 .64 12 26.7 .89 30 6.9 .23 30 33 1.1 30 6 .4 15 400 400 1 Total: 529.24
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415793 Min 01415793 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 15 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 11-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 21 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 11-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 24 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 25 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 26 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 26-FEB-19
Page 3226 of 6486
RAM NARAYAN SINHA Rate Amount Qty 18 .6 30 2.4 .16 15 55.8 .93 60 33 1.1 30 6.9 .23 30 400 400 1 12 .4 30 15.73 15.73 1 15.96 2.66 6 18.9 .63 30 14.85 .99 15 33 1.1 30 400 400 1 12.3 .41 30 7.56 .18 42 25.2 .9 28 400 400 1 14.85 .99 15 12 .4 30 33 1.1 30 12.3 .41 30 6.4 .64 10 400 400 1 16.2 .18 90 54 .9 60 66.2 6.62 10 26.7 .89 30 400 400 1 Total: 2513.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415794 Min 01415794 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 22-FEB-19 X - RAY - TWO VIEWS 2 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 28-FEB-19 X - RAY - SINGLE VIEW 11 28-FEB-19
Page 3227 of 6486
Name
SATYABHAMA SINHA Rate Amount Qty 400 400 1 860 860 1 7.8 2.6 3 2.67 .89 3 3.84 .64 6 8.96 .64 14 7.3 .73 10 6.23 .89 7 400 400 1 6.4 .64 10 550 550 1 Total: 2253.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415795 Min 01415795 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 06-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 5 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 06-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 9 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19
Page 3228 of 6486
Name
RABINDRA NATH BISWAS Rate Amount Qty 12 .4 30 36 .6 60 10.8 .36 30 27.9 .62 45 73.8 .82 90 7.5 .25 30 34.8 1.16 30 31.2 1.04 30 43.2 1.44 30 26.7 .89 30 400 400 1 Total: 703.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415796 Min 01415796 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19
Page 3229 of 6486
Name
MALINA RANI BISWAS Rate Amount Qty 117 1.3 90 167.4 5.58 30 55.8 .93 60 33.3 .37 90 32.4 1.08 30 72 .6 120 44.1 1.47 30 7.5 .25 30 13.35 .89 15 21.3 .71 30 21.6 .36 60 400 400 1 Total: 985.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415803 Min 01415803 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 09-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 09-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 3230 of 6486
B B MAHAPATRA Rate Amount Qty 1.8 .18 10 54 .9 60 31.46 15.73 2 39.6 .66 60 26.7 .89 30 104.4 1.74 60 400 400 1 Total: 657.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415807 Min 01415807 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3231 of 6486
Name
DHIRATI BAI SAHU Rate Amount Qty 40.12 20.06 2 29.7 .99 30 66 1.1 60 12 .4 30 6.9 .23 30 55.8 .93 60 601.8 20.06 30 400 400 1 Total: 1212.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415808 Min 01415808 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 3232 of 6486
Name
R S SINGH Rate Amount Qty 27.9 .93 30 36 .6 60 43.2 .36 120 3.75 .25 15 29.7 .99 30 400 400 1 Total: 540.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415809 Min 01415809 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 3233 of 6486
Name
MEENA SINGH Rate Amount Qty 20.84 5.21 4 66 1.1 60 8.1 .27 30 27.9 .93 30 400 400 1 Total: 522.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415820 Min 01415820 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3234 of 6486
Name
DILIP BALKRISHNA SARWATE Rate Amount Qty 20.06 20.06 1 400 400 1 1.48 .37 4 12 .4 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 869.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415821 Min 01415821 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19
Page 3235 of 6486
Name
RAJANI SARWATE Rate Amount Qty 72 .6 120 167.4 5.58 30 27.9 .93 30 21.3 .71 30 12 .4 30 33 1.1 30 21.6 .36 60 72 .6 120 167.4 5.58 30 27.9 .93 30 21.3 .71 30 12 .4 30 33 1.1 30 21.6 .36 60 400 400 1 Total: 1110.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415837 Min 01415837 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 3 25-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 4 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3236 of 6486
K K MASIH Rate Amount Qty 3.7 .37 10 50.14 25.07 2 96.44 48.22 2 6.99 2.33 3 20.84 5.21 4 7.5 .25 30 400 400 1 Total: 585.61
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415850 Min 01415850 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 4 02-FEB-19 UREA (BUN /UR) 5 02-FEB-19 URIC ACID (UA /URATES /UR) 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19 URINE ROUTINE AND MICROSCOPIC 8 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 02-FEB-19 URIC ACID (UA /URATES /UR) 11 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 25-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 3237 of 6486
MADHU SUDAN SHORIE Rate Amount Qty 275 275 1 275 275 1 400 400 1 650 650 1 275 275 1 275 275 1 275 275 1 380 380 1 1300 1300 1 550 550 1 275 275 1 60.9 2.03 30 192.3 6.41 30 400 400 1 25.07 25.07 1 19.77 19.77 1 400 400 1 Total: 6028.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415851 Min 01415851 Slno Description Appmt Dt RISPERIDONE,STRIP PKT,2MG,TABLET 1 02-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 2 02-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 3 02-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 02-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 3238 of 6486
Name
SUNITI SHORIE Rate Amount Qty 41.1 1.37 30 15.3 .51 30 2.45 110.25 45 79.2 2.64 30 6.6 .66 10 400 400 1 Total: 652.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415855 Min 01415855 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 3239 of 6486
Name
ANASTUS TOPPO Rate Amount Qty 55.8 .93 60 9 .3 30 7.5 .25 30 88.2 1.47 60 400 400 1 Total: 560.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415861 Min 01415861 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 8 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 28-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 3240 of 6486
Name
KESHAR LAL Rate Amount Qty 87.92 43.96 2 .89 .89 1 400 400 1 6.9 .23 30 31.2 1.04 30 47.4 .79 60 400 400 1 10.89 .99 11 43.96 131.88 3 18.81 .99 19 400 400 1 Total: 1535.89
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415862 Min 01415862 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 3241 of 6486
KAUSHILYA BAI Rate Amount Qty 34.8 1.16 30 12 .4 30 54 .6 90 6 .4 15 76.5 2.55 30 15.73 15.73 1 7.5 .25 30 26.7 .89 30 12.15 12.15 1 16.2 .18 90 400 400 1 Total: 661.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415865 Min 01415865 Appmt Dt Slno Description 13-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3242 of 6486
Name
BANSHI LAL GURUPANCHAYAN Qty Rate Amount 15 .25 3.75 1 400 400 403.75 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415866 Min 01415866 Slno Description Appmt Dt NORMAL SALINE GLASS BOTTLE 500ML, 1 08-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 2 08-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 08-FEB-19 ONDANSETRON,2MG/ML,INJECTION 4 08-FEB-19 ECG 5 08-FEB-19 OBSERVATION IN CASUALTY 6 08-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 7 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 09-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 15 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 17 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 11-FEB-19
Page 3243 of 6486
SHARDA Rate Amount Qty 35.52 35.52 1 9.81 9.81 1 24.52 24.52 1 7.52 7.52 1 450 450 1 420 420 1 7 .7 10 66.2 6.62 10 6.4 .64 10 4.45 .89 5 1.85 .37 5 15.73 15.73 1 400 400 1 22 1.1 20 55.8 .93 60 11.4 .38 30 5.21 5.21 1 400 400 1 Total: 1943.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415879 Min 01415879 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 MOXONIDIN 0.2MG,,TABLET 18-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3244 of 6486
Name
BINA CHOUDHURY Qty Rate Amount 30 .93 27.9 30 3.53 105.9 30 .27 8.1 1 400 400 Total: 541.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415880 Min 01415880 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 05-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 05-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 INHALANT,STRIP PACK,CAPSULE 14 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 16 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 3245 of 6486
Name
DR. S. CHOWDHURY Rate Amount Qty 16.8 1.12 15 35.2 3.52 10 400 400 1 11.25 .75 15 31.61 31.61 1 17.6 17.6 1 13.43 13.43 1 400 400 1 18.9 .63 30 27.9 .93 30 16.2 .27 60 211.8 3.53 60 400 400 1 25.5 1.7 15 8.9 .89 10 66.2 6.62 10 3.7 .37 10 400 400 1 Total: 2104.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415885 Min 01415885 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 02-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 UREA (BUN /UR) 5 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 04-FEB-19
Page 3246 of 6486
Name
GIRJESH KUMAR NEMA Rate Amount Qty 1300 1300 1 1750 1750 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 12 .4 30 26.7 .89 30 8.1 .27 30 27.9 .93 30 21.3 .71 30 18.9 .63 30 400 400 1 Total: 5614.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415886 Min 01415886 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 UREA (BUN /UR) 4 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19
Page 3247 of 6486
Name
KUSUMLATA NEMA Rate Amount Qty 275 275 1 275 275 1 400 400 1 275 275 1 1300 1300 1 550 550 1 275 275 1 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415888 Min 01415888 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 3248 of 6486
Name
VIMAL KUMAR DUBEY Rate Amount Qty 33 1.1 30 60.9 2.03 30 4.05 .27 15 400 400 1 4.05 .27 15 33 1.1 30 60.9 2.03 30 400 400 1 Total: 995.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415894 Min 01415894 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 07-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 07-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 3249 of 6486
Name
KULDEEPAK Rate Amount Qty 12.15 12.15 1 156.6 1.74 90 59.4 .66 90 5.55 .37 15 400 400 1 18.2 2.6 7 6.23 .89 7 400 400 1 Total: 1058.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415898 Min 01415898 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3250 of 6486
Name
JOGINDER SINGH Rate Amount Qty 37.8 .63 60 12 .4 30 32.4 1.08 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 544.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415902 Min 01415902 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 3251 of 6486
Name
GULAMA RAM SAHU Rate Amount Qty 7.65 .51 15 16.2 .27 60 27.9 .93 30 76.5 2.55 30 12 .4 30 400 400 1 12.46 .89 14 19.18 1.37 14 10.22 .73 14 400 400 1 13.7 1.37 10 400 400 1 Total: 1395.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415904 Min 01415904 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 11-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 9 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 3252 of 6486
Name
J R SHARMA Rate Amount Qty 33 1.1 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 400 400 1 400 400 1 1750 1750 1 43.96 43.96 1 1610 1610 1 400 400 1 192.3 6.41 30 60.9 2.03 30 87.92 43.96 2 400 400 1 Total: 5449.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415905 Min 01415905 Appmt Dt Slno Description 04-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 04-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3253 of 6486
Name
MADHU SHARMA Qty Rate Amount 60 .93 55.8 30 .6 18 15 1.16 17.4 1 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415906 Min 01415906 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 22-FEB-19 PRAZOSIN,2.5MG,TABLET 3 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3254 of 6486
Name
NIRMALA DEVI SINHA Rate Amount Qty 55.8 .93 60 21.3 .71 30 156 1.3 120 317.7 3.53 90 72.6 1.21 60 7.5 .25 30 400 400 1 Total: 1030.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415907 Min 01415907 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3255 of 6486
Name
RK SINHA Rate Amount Qty 12 .4 30 27.9 .93 30 78 1.3 60 21.3 .71 30 33 1.1 30 400 400 1 Total: 572.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415910 Min 01415910 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3256 of 6486
Name
NAKUL KUMAR YADAV Rate Amount Qty 36 .6 60 55.8 .93 60 16.2 .27 60 72.6 1.21 60 12 .4 30 21.3 .71 30 400 400 1 Total: 613.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415912 Min 01415912 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3257 of 6486
Name
G P MISHRA Rate Amount Qty 27.9 .93 30 18 .6 30 34.8 1.16 30 12 .4 30 7.8 .26 30 400 400 1 Total: 500.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415913 Min 01415913 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 X - RAY - TWO VIEWS 2 02-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 02-FEB-19
Page 3258 of 6486
Name
MANJULA MISHRA Rate Amount Qty 400 400 1 860 860 1 14 .7 20 17.8 .89 20 27.4 1.37 20 Total: 1319.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415919 Min 01415919 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 20-FEB-19 X - RAY - SINGLE VIEW 2 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 20-FEB-19
Page 3259 of 6486
Name
I S NATH Qty 1 1 1
Rate Amount 1750 1750 550 550 400 400 Total: 2700
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415926 Min 01415926 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3260 of 6486
Name
SATI RANI HALDER Rate Amount Qty 36 .6 60 26.7 .89 30 54 .9 60 12.15 12.15 1 27.9 .93 30 4.05 .27 15 29.7 .99 30 400 400 1 Total: 590.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415927 Min 01415927 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3261 of 6486
NAINAMMA Rate Amount Qty 70.2 2.34 30 10.65 .71 15 31.46 15.73 2 3.7 .37 10 18 .9 20 5.4 .18 30 15 .25 60 400 400 1 Total: 554.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415928 Min 01415928 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3262 of 6486
Name
NANDU DAS DEHARIYA Rate Amount Qty 22.2 .37 60 60.9 2.03 30 192.3 6.41 30 8.9 .89 10 76.5 2.55 30 55.8 .93 60 400 400 1 Total: 816.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415930 Min 01415930 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 3263 of 6486
Name
VINAYAK RAO CHAURE Rate Amount Qty 22.8 .38 60 15 .25 60 15.4 .77 20 400 400 1 2.5 .25 10 4.1 .41 10 55.2 1.84 30 400 400 1 8.1 .27 30 400 400 1 1.85 .37 5 400 400 1 Total: 1724.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415931 Min 01415931 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 3264 of 6486
Name
SUNITA CHAURE Rate Amount Qty 54 .9 60 27.9 .93 30 12.15 12.15 1 6.9 .23 30 26.7 .89 30 12.8 .64 20 400 400 1 Total: 540.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415932 Min 01415932 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3265 of 6486
Name
GOVIND PRASAD SHARMA Rate Amount Qty 17.4 1.16 15 18 .6 30 12 .4 30 400 400 1 27.9 .93 30 400 400 1 Total: 875.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415933 Min 01415933 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3266 of 6486
Name
RAJMANI SHARMA Qty Rate Amount 15 1.16 17.4 1 400 400 30 .93 27.9 1 400 400 Total: 845.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415934 Min 01415934 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3267 of 6486
Name
TILAK DHAR DUBEY Rate Amount Qty 3.75 .25 15 4.2 .42 10 400 400 1 2.5 .25 10 8.4 .42 20 400 400 1 6.3 .42 15 400 400 1 Total: 1225.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415935 Min 01415935 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 21-FEB-19 CREATININE /CRT 3 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 3268 of 6486
Name
SMT.JYOTI DUBEY Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 76.5 2.55 30 11.1 .37 30 55.8 .93 60 167.4 5.58 30 21.3 .71 30 29.7 .99 30 55.2 .92 60 72 .6 120 400 400 1 Total: 3414
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415940 Min 01415940 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 3269 of 6486
Name
RAKESH DAS Rate Amount Qty 32.4 1.08 30 117 1.3 90 21.6 .36 60 54 .6 90 16.2 .27 60 13.35 .89 15 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 745.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415943 Min 01415943 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 3270 of 6486
Name
KV JAYALAXMI PRASAD Rate Amount Qty 26.7 .89 30 66 1.1 60 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 553
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415944 Min 01415944 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 3271 of 6486
Name
KV PRASAD RAO Rate Amount Qty 34.8 1.16 30 29.7 .99 30 12 .4 30 26.7 .89 30 11.4 .38 30 37.8 .63 60 72 .6 120 32.4 .36 90 55.8 .93 60 3.7 .37 10 400 400 1 Total: 716.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415947 Min 01415947 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 09-FEB-19
Page 3272 of 6486
Name
S S THAKUR Rate Amount Qty 36 .6 60 69.6 1.16 60 400 400 1 Total: 505.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415948 Min 01415948 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 09-FEB-19
Page 3273 of 6486
Name
SMT.KAMALA THAKUR Rate Amount Qty 400 400 1 24 .4 60 31.2 .26 120 55.8 .93 60 132 1.1 120 64.8 1.08 60 Total: 707.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415951 Min 01415951 Slno Description Appmt Dt LORAZEPAM,2MG,STRIP PACK.,TABLET 1 12-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 3274 of 6486
Name
VK MALHOTRA Rate Amount Qty 41.1 2.74 15 55.5 1.85 30 400 400 1 Total: 496.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415955 Min 01415955 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 ECG 7 17-FEB-19 OBSERVATION IN CASUALTY 8 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 10 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 17-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 23-FEB-19 C T HEAD PLAIN 16 23-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 23-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 20 23-FEB-19
Page 3275 of 6486
Name
P GYANMANI Rate Amount Qty 76.5 2.55 30 60.9 2.03 30 6.9 .23 30 55.8 .93 60 29.7 .99 30 400 400 1 450 450 1 420 420 1 .16 .16 1 9.62 9.62 1 .89 .89 1 8.1 .27 30 8.9 .89 10 20.06 20.06 1 400 400 1 5250 5250 1 1750 1750 1 3.2 .64 5 .8 .16 5 5 .25 20 Total: 8956.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415956 Min 01415956 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 3276 of 6486
Name
ANNAMMA Rate Amount Qty 34.8 1.16 30 21.3 .71 30 29.7 .99 30 55.8 .93 60 18 .6 30 400 400 1 Total: 559.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415958 Min 01415958 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3277 of 6486
AMAR BAI SAHU Rate Amount Qty 25.07 25.07 1 27.9 .93 30 21.3 .71 30 6.82 6.82 1 36 .6 60 21.6 .36 60 400 400 1 Total: 538.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415959 Min 01415959 Appmt Dt Slno Description 07-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 07-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3278 of 6486
Name
S.L.PAWAR Qty Rate Amount 30 1.1 33 30 1.16 34.8 30 .4 12 1 400 400 Total: 479.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415960 Min 01415960 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 3279 of 6486
Name
HEMLATA PAWAR Rate Amount Qty 21.3 .71 30 10.8 .36 30 72 .6 120 167.4 5.58 30 11.4 .38 30 12 .4 30 27.9 .93 30 27.9 .93 30 400 400 1 Total: 750.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415977 Min 01415977 Appmt Dt Slno Description 27-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3280 of 6486
Name
QASIDA BANO Qty Rate Amount 10 .64 6.4 1 400 400 406.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415979 Min 01415979 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3281 of 6486
Name
ZAHIRA KHAN Rate Amount Qty 54 .6 90 21.6 .36 60 21.3 .71 30 78 1.3 60 167.4 5.58 30 23.7 .79 30 400 400 1 Total: 766
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415982 Min 01415982 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 3282 of 6486
Name
VINITA SAMUEL Rate Amount Qty 66 1.1 60 21.3 .71 30 4.8 .16 30 26.7 .89 30 3.75 .25 15 6.4 .64 10 55.8 .93 60 400 400 1 Total: 584.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415984 Min 01415984 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 27-FEB-19 CREATININE /CRT 5 27-FEB-19 UREA (BUN /UR) 6 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 27-FEB-19 PLATELET COUNT 9 27-FEB-19 ESR 10 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 HB,TLC,DLC 13 27-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 27-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 16 27-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 17 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 27-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 19 27-FEB-19
Page 3283 of 6486
Name
KAMLA CHANDRAKAR Rate Amount Qty 275 275 1 1300 1300 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 165 165 1 18.9 .63 30 400 400 1 300 300 1 10.05 .67 15 7.5 .25 30 21.3 .71 30 77.52 3.23 24 4.56 .38 12 166.8 2.78 60 Total: 6026.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415987 Min 01415987 Appmt Dt Slno Description 01-FEB-19 1 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3284 of 6486
Name
F.K. TIWARI Qty 1 1
Rate Amount 43.96 43.96 400 400 443.96 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415988 Min 01415988 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 20-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 3285 of 6486
Name
SITA TIWARI Rate Amount Qty 83.4 2.78 30 10.05 .67 15 7.6 .38 20 25.84 3.23 8 20.84 5.21 4 400 400 1 Total: 547.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415989 Min 01415989 Slno Description Appmt Dt CREATININE /CRT 1 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 21-FEB-19 URINE ROUTINE AND MICROSCOPIC 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19 PRAZOSIN,2.5MG,TABLET 6 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 21-FEB-19
Page 3286 of 6486
Name
S K GUPTA Rate Amount Qty 275 275 1 275 275 1 275 275 1 380 380 1 400 400 1 39 1.3 30 550 550 1 47.4 .79 60 8.1 .27 30 31.2 1.04 30 1300 1300 1 35.2 3.52 10 Total: 3615.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415990 Min 01415990 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 3287 of 6486
Name
SUSHMA GUPTA Rate Amount Qty 34.8 1.16 30 14.85 .99 15 400 400 1 Total: 449.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415991 Min 01415991 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 3288 of 6486
Name
BL JAMBHURKAR Rate Amount Qty 36 .6 60 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 9 .3 30 117 1.3 90 400 400 1 Total: 843.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415992 Min 01415992 Appmt Dt Slno Description 06-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 06-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3289 of 6486
Name
SMT.SUCHITA JAMBHURKAR Qty Rate Amount 15 .6 9 15 .93 13.95 1 5.21 5.21 1 400 400 Total: 428.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415993 Min 01415993 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3290 of 6486
Name
BINDU LAL SAHU Rate Amount Qty 26 2.6 10 8.9 .89 10 400 400 1 7.5 .25 30 36 .6 60 118.5 3.95 30 55.8 .93 60 105.9 3.53 30 400 400 1 Total: 1158.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415994 Min 01415994 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 3291 of 6486
Name
SUREKHA SAHU Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 55.8 .93 60 36 .6 60 2.4 .16 15 400 400 1 Total: 601.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416001 Min 01416001 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 3 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 15-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 15-FEB-19 PLATELET COUNT 7 15-FEB-19 PROTHROMBIN TIME (PT) 8 15-FEB-19 HB,TLC,DLC 9 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 15-FEB-19
Page 3292 of 6486
Name
GOVIND DAS Rate Amount Qty 7.5 .25 30 400 400 1 1500 1500 1 550 550 1 1300 1300 1 275 275 1 330 330 1 330 330 1 300 300 1 400 400 1 Total: 5392.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416002 Min 01416002 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 15-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19
Page 3293 of 6486
Name
MITHALESH DAS Qty 1 1 1 1 1
Rate Amount 275 275 1300 1300 1300 1300 275 275 400 400 Total: 3550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416006 Min 01416006 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 8 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3294 of 6486
Name
RANJIT KUMAR GHATAK Rate Amount Qty 20.84 5.21 4 27.4 1.37 20 13.8 .23 60 12 .4 30 21.3 .71 30 66 1.1 60 47.4 .79 60 24 .6 40 12.6 .63 20 17.8 .89 20 400 400 1 Total: 663.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416010 Min 01416010 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 3295 of 6486
Name
TAPAN KUMAR DAS Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416011 Min 01416011 Appmt Dt Slno Description 01-FEB-19 1 SUTURE REMOVAL 01-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 3296 of 6486
Name
SMT.BARUNA DAS Qty 1 1
Rate Amount 490 490 400 400 890 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416012 Min 01416012 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 PRAZOSIN,2.5MG,TABLET 5 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 3297 of 6486
Name
PRASAD TCS Rate Amount Qty 20.84 5.21 4 21.3 .71 30 18.9 .63 30 34.8 1.16 30 78 1.3 60 27.9 .62 45 11.1 .37 30 55.8 .93 60 83.7 5.58 15 117 1.3 90 54 .6 90 400 400 1 Total: 923.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416014 Min 01416014 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3298 of 6486
Name
YUGAL KISHORE SINGH Rate Amount Qty 34.8 1.16 30 12 .4 30 78 1.3 60 54 .6 90 55.8 .93 60 29.7 .99 30 22.2 .37 60 400 400 1 Total: 686.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416015 Min 01416015 Appmt Dt Slno Description 13-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 13-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3299 of 6486
Name
PHOOLJHARI DEVI Qty Rate Amount 60 .93 55.8 30 .4 12 30 1.16 34.8 1 400 400 Total: 502.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416016 Min 01416016 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 3300 of 6486
Name
N K KHURANA Rate Amount Qty 9 .6 15 4.5 .3 15 1.6 .16 10 26.7 .89 30 12 .4 30 5.21 5.21 1 192.3 6.41 30 34.8 1.16 30 66 1.1 60 60.9 2.03 30 400 400 1 Total: 813.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416020 Min 01416020 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 07-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 07-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 16 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 18 25-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 19 25-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 20 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 25-FEB-19
Page 3301 of 6486
Name
VIRENDRA NATH DIXIT Rate Amount Qty 46.8 .78 60 4.27 192.15 45 53.4 .89 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 18.6 .62 30 7.5 .25 30 7.65 .51 15 17.7 1.18 15 400 400 1 18.6 .62 30 12 .4 30 32.4 1.08 30 21.3 .71 30 4.27 192.15 45 7.5 .25 30 7.65 .51 15 17.7 1.18 15 46.8 .78 60 400 400 1 Total: 1579.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416021 Min 01416021 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 16-FEB-19 PRAZOSIN,2.5MG,TABLET 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3302 of 6486
Name
RAMAKANTI DIXIT Rate Amount Qty 24 .4 60 32.4 1.08 30 78 1.3 60 34.8 1.16 30 153 2.55 60 400 400 1 Total: 722.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416024 Min 01416024 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 28-FEB-19 UREA (BUN /UR) 7 28-FEB-19 CREATININE /CRT 8 28-FEB-19 URIC ACID (UA /URATES /UR) 9 28-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 28-FEB-19
Page 3303 of 6486
Name
MARY MINJ Rate Amount Qty 17.4 1.16 15 211.8 3.53 60 18.9 .63 30 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1300 1300 1 550 550 1 400 400 1 27.9 .93 30 27.9 .93 30 275 275 1 Total: 5628.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416027 Min 01416027 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 17 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 20 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 28-FEB-19
Page 3304 of 6486
Name
RATAN LAL TAMRAKAR Rate Amount Qty 29.7 .99 30 7.5 .25 30 66 1.1 60 16.2 .27 60 55.8 .93 60 9 .3 30 36 .6 60 400 400 1 275 275 1 275 275 1 7.5 .25 30 29.7 .99 30 66 1.1 60 16.2 .27 60 55.8 .93 60 36 .6 60 9 .3 30 211.8 3.53 60 400 400 1 1050 1050 1 400 400 1 Total: 3452.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416028 Min 01416028 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 20-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 28-FEB-19
Page 3305 of 6486
Name
DURGA DEVI Rate Amount Qty 27.6 .92 30 72 .6 120 39 1.3 30 27.9 .93 30 32.4 1.08 30 7.5 .25 30 400 400 1 1.11 .37 3 15.96 2.66 6 3.84 .64 6 275 275 1 275 275 1 72 .6 120 39 1.3 30 27.9 .93 30 32.4 1.08 30 7.5 .25 30 27.6 .92 30 400 400 1 275 275 1 275 275 1 400 400 1 Total: 2733.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416031 Min 01416031 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 09-FEB-19
Page 3306 of 6486
Name
KEJU SINGH THAKUR Rate Amount Qty 400 400 1 108 .6 180 43.2 .36 120 7.5 .25 30 7.4 .37 20 39.44 9.86 4 Total: 605.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416035 Min 01416035 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 05-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3307 of 6486
Name
UMA MAHESHWAR Rate Amount Qty 7.4 .37 20 8.9 .89 10 6.7 .67 10 90.88 45.44 2 400 400 1 55.8 .93 60 16.2 .27 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 1014.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416036 Min 01416036 Appmt Dt Slno Description 16-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3308 of 6486
Name
SITARATNAM Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416048 Min 01416048 Appmt Dt Slno Description 19-FEB-19 1 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 19-FEB-19 2 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 19-FEB-19 3 BUDESONIDE,200MCG,CAPSULE 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3309 of 6486
Name
REKHA Qty Rate Amount 1 100.71 100.71 60 .9 54 60 1.74 104.4 1 400 400 Total: 659.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416051 Min 01416051 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 14-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3310 of 6486
Name
MOOLCHAND JAIN Qty Rate Amount 60 .93 55.8 30 .4 12 30 1.1 33 1 400 400 Total: 500.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416052 Min 01416052 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 16-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 3311 of 6486
Name
SANGEETA JAIN Rate Amount Qty 16.8 1.12 15 7.7 .77 10 400 400 1 Total: 424.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416053 Min 01416053 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3312 of 6486
Name
GANESH RAM RATRE Rate Amount Qty 21.3 .71 30 27.9 .93 30 39.45 2.63 15 12 .4 30 36 .6 60 9 .3 30 400 400 1 Total: 545.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416054 Min 01416054 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 3313 of 6486
Name
SURJOTIN BAI Rate Amount Qty 27.9 .93 30 36.3 1.21 30 400 400 1 Total: 464.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416055 Min 01416055 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 01-FEB-19 PRAZOSIN,2.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 3314 of 6486
Name
CHHATRAM SAHU Rate Amount Qty 11.1 .37 30 156 1.3 120 55.8 .93 60 317.7 3.53 90 12 .4 30 76.5 2.55 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1682.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416056 Min 01416056 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3315 of 6486
Name
PANCHO BAI Rate Amount Qty 6.9 .23 30 39 1.3 30 27.9 .93 30 36 .6 60 17.4 1.16 15 400 400 1 Total: 527.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416064 Min 01416064 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3316 of 6486
Name
BASANTI GHOSAL Qty 5 7 7 4 1
Rate Amount 6.85 1.37 4.48 .64 6.23 .89 73.64 18.41 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416067 Min 01416067 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 11-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 3317 of 6486
Name
SURESH KUMAR KHOBRAGADE Rate Amount Qty 42.6 .71 60 11.85 .79 15 86.4 1.44 60 7.65 .51 15 30.6 .34 90 400 400 1 Total: 579.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416068 Min 01416068 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 3318 of 6486
Name
REKHA KHOBRAGADE Rate Amount Qty 275 275 1 275 275 1 400 400 1 9 .3 30 400 400 1 32.4 1.08 30 33 1.1 30 26.7 .89 30 36 .6 60 7.5 .25 30 34.8 1.16 30 167.4 5.58 30 27.9 .93 30 400 400 1 Total: 2124.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416073 Min 01416073 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 23-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 3319 of 6486
Name
SHAKUNTALA BAI Rate Amount Qty 66 1.1 60 13.95 .93 15 34.8 1.16 30 37.04 37.04 1 400 400 1 Total: 551.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416075 Min 01416075 Appmt Dt Slno Description 02-FEB-19 1 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 02-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 02-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 02-FEB-19 4 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI
Page 3320 of 6486
Name
BIR SINGH Qty 1 1 1 1
Rate Amount 275 275 275 275 400 400 1000 1000 Total: 1950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416076 Min 01416076 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 27-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 3321 of 6486
Name
NINDER KAUR Rate Amount Qty 13.7 1.37 10 8.9 .89 10 61.9 6.19 10 20.06 20.06 1 .8 .16 5 400 400 1 92.85 6.19 15 20.55 1.37 15 5.28 .66 8 26.7 .89 30 3.75 .25 15 400 400 1 Total: 1054.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416081 Min 01416081 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 PRAZOSIN,2.5MG,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 3322 of 6486
Name
CHETAN LAL SAHU Rate Amount Qty 82.76 165.52 2 400 400 1 78 1.3 60 21.3 .71 30 39 1.3 30 36 .6 60 8.1 .27 30 10.8 .36 30 400 400 1 Total: 1158.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416082 Min 01416082 Appmt Dt Slno Description 11-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 11-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3323 of 6486
Name
SARASWATI Qty Rate Amount 15 .58 8.7 30 .79 23.7 30 .4 12 1 400 400 Total: 444.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416083 Min 01416083 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 3324 of 6486
Name
CHANDRA DEO Rate Amount Qty 18 .9 20 3.7 .37 10 400 400 1 Total: 421.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416084 Min 01416084 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 11-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 11-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 13-FEB-19 X - RAY - SINGLE VIEW 14 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 16 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 17 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 20 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 23 16-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 24 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 26 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 27 16-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 28 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 29 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 31 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 32 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 33 26-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 34 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 35 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 26-FEB-19
Page 3325 of 6486
PARBATI DEVI Rate Amount Qty 16.85 3.37 5 7.4 .37 20 25.07 25.07 1 9.86 9.86 1 41.06 41.06 1 6.82 6.82 1 400 400 1 400 400 1 9 .9 10 4.45 .89 5 2.7 .18 15 1.85 .37 5 15.73 15.73 1 550 550 1 17.4 1.16 15 18.6 .62 30 76.5 2.55 30 27.9 .93 30 334.8 5.58 60 195 1.3 150 72 .6 120 21.6 .36 60 12.15 12.15 1 3.9 .26 15 13.35 .89 15 3.7 .37 10 27 .9 30 16.81 16.81 1 6.82 6.82 1 400 400 1 12.15 12.15 1 66.2 6.62 10 9 .9 10 13.4 .67 20 7.4 .37 20 400 400 1 Total: 3246.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416086 Min 01416086 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3326 of 6486
Name
S P SHRIVASTAVA Rate Amount Qty 87.92 43.96 2 20.1 .67 30 53.4 .89 60 92.1 6.14 15 7.5 .25 30 13.35 .89 15 16.2 .18 90 400 400 1 Total: 690.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416097 Min 01416097 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 3327 of 6486
Name
KRISHNA KUMAR Rate Amount Qty 12 .4 30 72.6 1.21 60 16.2 .27 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 568
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416107 Min 01416107 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 27-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3328 of 6486
Name
B L NANDANWAR Rate Amount Qty 1.48 .37 4 1.52 .38 4 9.86 9.86 1 11.1 .37 30 9.86 9.86 1 26.96 3.37 8 400 400 1 Total: 460.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416131 Min 01416131 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 3329 of 6486
Name
SUDAMA DAMAHE Rate Amount Qty 55.8 .93 60 400 400 1 21.3 .71 30 66 1.1 60 12 .4 30 12 .4 30 21.3 .71 30 12 .4 30 21.3 .71 30 400 400 1 Total: 1021.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416132 Min 01416132 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3330 of 6486
Name
PREMIYA BAI DAMAHE Rate Amount Qty 34.8 1.16 30 8.9 .89 10 12 .4 30 36 .6 60 42.6 .71 60 400 400 1 Total: 534.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416133 Min 01416133 Appmt Dt Slno Description 04-FEB-19 1 MOXONIDIN 0.2MG,,TABLET 04-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3331 of 6486
Name
BALMUKUND SINGH Qty Rate Amount 90 3.53 317.7 30 .25 7.5 30 .38 11.4 1 400 400 Total: 736.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416135 Min 01416135 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3332 of 6486
Name
GULAICHA DEVI Rate Amount Qty 275 275 1 275 275 1 36 .6 60 10.8 .36 30 400 400 1 Total: 996.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416137 Min 01416137 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3333 of 6486
Name
SHOBHA BALASUBRAMANIAM Rate Amount Qty 26.7 .89 30 21.3 .71 30 47.4 .79 60 36 .6 60 400 400 1 Total: 531.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416141 Min 01416141 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3334 of 6486
Name
ASHA RAM WAHANE Rate Amount Qty 400 400 1 275 275 1 275 275 1 21.3 .71 30 36 .6 60 9 .3 30 400 400 1 Total: 1416.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416144 Min 01416144 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 04-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 13 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 14 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 15 04-FEB-19
Page 3335 of 6486
RAJESHWARI PARGANIHA Rate Amount Qty 9.3 .62 15 47.19 15.73 3 7.4 .37 20 66.2 6.62 10 6.4 .64 10 20.84 5.21 4 9.9 .66 15 400 400 1 55.8 .93 60 13.8 .23 60 17.4 1.16 15 12 .4 30 126 2.1 60 17.4 .58 30 38.25 2.55 15 Total: 847.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416149 Min 01416149 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3336 of 6486
Name
A P MISHRA Rate Amount Qty 12 .4 30 26.7 .89 30 30.45 2.03 15 66 1.1 60 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 602.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416153 Min 01416153 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3337 of 6486
Name
SOMAYAJULA SANKARA RAO Rate Amount Qty 60.9 2.03 30 55.8 .93 60 400 400 1 6.4 .64 10 20.25 20.25 1 400 400 1 Total: 943.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416154 Min 01416154 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 5 01-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 14-FEB-19 GUM ASTRINGENT PAINT 13 14-FEB-19 AMISULPRIDE, 100MG,,TABLET 14 14-FEB-19 SODIUM VALPROATE,500MG,TABLET 15 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 14-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19
Page 3338 of 6486
S.V. JAYA LAKSHMI Rate Amount Qty 10.65 .71 15 7.7 .77 10 35.2 3.52 10 6.4 .64 10 33.73 33.73 1 63.58 63.58 1 7.5 .25 30 31.61 31.61 1 400 400 1 13.7 1.37 10 8.9 .89 10 185.7 6.19 30 63.08 31.54 2 117.3 7.82 15 234 3.9 60 50.14 25.07 2 6.82 6.82 1 400 400 1 Total: 1676.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416160 Min 01416160 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 6 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 3339 of 6486
Name
SAVITRI SINGH Rate Amount Qty 36 .6 60 27.9 .93 30 33 1.1 30 18.9 .63 30 2.4 .16 15 17.37 17.37 1 117 1.3 90 167.4 5.58 30 7.5 .25 30 1.48 .37 4 400 400 1 Total: 828.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416161 Min 01416161 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 4 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3340 of 6486
Name
N K GUPTA Rate Amount Qty 32.4 1.08 30 33 1.1 30 60.9 2.03 30 39.54 19.77 2 51.38 25.69 2 21.6 .36 60 36 .6 60 117 1.3 90 21.3 .71 30 400 400 1 Total: 813.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416165 Min 01416165 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 3341 of 6486
Name
S MAJU Rate Amount Qty 26.7 .89 30 118.5 3.95 30 7.5 .25 30 15.3 .51 30 60.9 2.03 30 54 .9 60 16.2 .18 90 55.8 .93 60 31.2 1.04 30 400 400 1 Total: 786.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416167 Min 01416167 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 09-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 3342 of 6486
Name
RAJESH KUMAR PUROHIT Rate Amount Qty 16.85 3.37 5 13.43 13.43 1 19.72 9.86 2 7.4 .37 20 400 400 1 21.3 .71 30 12 .4 30 9.3 .62 15 8.1 .27 30 55.8 .93 60 1.6 .16 10 29.7 .99 30 400 400 1 Total: 995.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416173 Min 01416173 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3343 of 6486
Name
ASHWANI KUMAR Rate Amount Qty 34.8 1.16 30 23.1 .77 30 32.4 1.08 30 54 .6 90 55.8 .93 60 8.1 .27 30 400 400 1 Total: 608.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416174 Min 01416174 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3344 of 6486
Name
SUNITA Rate Amount Qty 15.6 1.04 15 10.8 .36 30 54 .6 90 34.8 1.16 30 55.8 .93 60 1.85 .37 5 3.84 .64 6 400 400 1 Total: 576.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416179 Min 01416179 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 18-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 13 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 3345 of 6486
Name
VASANT RAO Rate Amount Qty 10.8 .36 30 9 .3 30 1.48 .37 4 3.84 .64 6 15.96 2.66 6 11.85 .79 15 34.8 1.16 30 72 .6 120 400 400 1 15.33 .73 21 3.5 .25 14 19.72 9.86 2 26.96 3.37 8 7.4 .37 20 400 400 1 Total: 1032.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416186 Min 01416186 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3346 of 6486
Name
SURESH PATIL Rate Amount Qty 7.5 .25 30 26.7 .89 30 12 .4 30 34.8 1.16 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 684.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416187 Min 01416187 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 PRAZOSIN,2.5MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 3347 of 6486
Name
SWETA PATIL Rate Amount Qty 31.61 31.61 1 11.1 .37 30 25.62 12.81 2 400 400 1 34.8 1.16 30 78 1.3 60 55.8 .93 60 32.4 1.08 30 371.4 6.19 60 2.4 .16 15 400 400 1 Total: 1443.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416190 Min 01416190 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3348 of 6486
Name
ASIT KUMAR PURKAIT Rate Amount Qty 18 .6 30 12 .4 30 21.3 .71 30 11.85 .79 15 7.5 .25 30 43.96 43.96 1 400 400 1 Total: 514.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416191 Min 01416191 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 3349 of 6486
Name
VANDANA PURKAIT Rate Amount Qty 55.8 .93 60 66 1.1 60 13.35 .89 15 20.06 20.06 1 400 400 1 Total: 555.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416194 Min 01416194 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3350 of 6486
Name
MOHD.NAJIB KHAN Rate Amount Qty 36 .4 90 17.4 .58 30 26.7 .89 30 2.4 .16 15 47.4 .79 60 34.8 1.16 30 54 .6 90 400 400 1 Total: 618.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416195 Min 01416195 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 3351 of 6486
Name
HASINA BEGAM Rate Amount Qty 26.7 .89 30 20.06 20.06 1 34.8 1.16 30 24 .4 60 54 .6 90 400 400 1 Total: 559.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416196 Min 01416196 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3352 of 6486
Name
VIJAY KUMAR THAKUR Rate Amount Qty 35.2 17.6 2 11.1 .37 30 400 400 1 Total: 446.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416197 Min 01416197 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 3353 of 6486
Name
DROPADI THAKUR Rate Amount Qty 23.7 .79 30 12.8 .64 20 21.3 .71 30 54 .6 90 400 400 1 Total: 511.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416202 Min 01416202 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3354 of 6486
Name
AWADHESH KUMAR TIWARI Rate Amount Qty 32.4 .36 90 72 .6 120 55.8 .93 60 21.3 .71 30 400 400 1 Total: 581.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416203 Min 01416203 Slno Description Appmt Dt CREATININE /CRT 1 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 25-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 6 25-FEB-19 URIC ACID (UA /URATES /UR) 7 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 25-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 16 25-FEB-19 ONDANSETRON,2MG/ML,INJECTION 17 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 18 25-FEB-19 OBSERVATION IN CASUALTY 19 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 26-FEB-19 FNAC /FNAB (FNAC+REPORTING) 21 26-FEB-19
Page 3355 of 6486
Name
SMT.KAMINI TIWARI Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 275 275 1 275 275 1 66 1.1 60 55.8 .93 60 2.8 .7 4 7.5 .25 30 26.7 .89 30 34.8 1.16 30 8.1 .27 30 29.7 .99 30 5.21 5.21 1 7.52 7.52 1 24.52 24.52 1 420 420 1 400 400 1 1000 1000 1 Total: 5163.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416204 Min 01416204 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3356 of 6486
Name
NIRMALA GAJBHIYE Rate Amount Qty 17.4 1.16 15 7.5 .25 30 17.4 .58 30 36 .6 60 66 1.1 60 400 400 1 Total: 544.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416205 Min 01416205 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 HYDROXYUREA,500MG,STRIP PACK,,CAPSULE 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 7 26-FEB-19 SODIUM VALPROATE,500MG,TABLET 8 26-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 9 26-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3357 of 6486
Name
YUVRAJ GAJBHIYE Rate Amount Qty 4.1 .41 10 7.5 .25 30 142.2 4.74 30 26.7 .89 30 11.4 .38 30 400 400 1 39.6 2.64 15 117 3.9 30 88.35 5.89 15 88.2 1.47 60 400 400 1 Total: 1325.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416214 Min 01416214 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 01-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 01-FEB-19 OBSERVATION IN CASUALTY 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 01-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 9 01-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 10 01-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 11 01-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 12 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 01-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 01-FEB-19 RACECADOTRIL,100MG,CAPSULE 15 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 09-FEB-19 MOXONIDIN 0.2MG,,TABLET 20 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 09-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 22 09-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 23 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 24 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 25 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 09-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 27 10-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 28 10-FEB-19 ONDANSETRON,2MG/ML,INJECTION 29 10-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 30 10-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 31 10-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 32 10-FEB-19 ECG 33 10-FEB-19 OBSERVATION IN CASUALTY 34 10-FEB-19
Page 3358 of 6486
Name
RANNO BAI Rate Amount Qty 167.4 5.58 30 21.3 .71 30 27.9 .93 30 24.52 24.52 1 11.89 11.89 1 420 420 1 36 .6 60 7.52 7.52 1 9.62 9.62 1 9.81 9.81 1 34.84 8.71 4 6.54 2.18 3 8.9 .89 10 4.2 .7 6 11.94 5.97 2 21.12 3.52 6 10.08 1.12 9 400 400 1 2.4 .16 15 105.9 3.53 30 21.3 .71 30 17.42 8.71 2 10.08 1.12 9 21.12 3.52 6 55.8 .93 60 400 400 1 5.41 5.41 1 3.52 3.52 1 7.52 7.52 1 11.89 11.89 1 24.52 24.52 1 9.62 9.62 1 450 450 1 420 420 1 Total: 2800.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416216 Min 01416216 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3359 of 6486
Name
SHOBHAWATI YADAV Rate Amount Qty 35.2 17.6 2 7.4 .37 20 400 400 1 35.2 17.6 2 7.4 .37 20 400 400 1 Total: 885.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416219 Min 01416219 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3360 of 6486
Name
RAGHU VIR SINGH SURYAVANSHI Rate Amount Qty 13.35 .89 15 87.92 43.96 2 400 400 1 Total: 501.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416221 Min 01416221 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 3361 of 6486
Name
PUSHPA SAHU Rate Amount Qty 8.1 .27 30 27.9 .93 30 167.4 5.58 30 36 .6 60 21.3 .71 30 400 400 1 Total: 660.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416222 Min 01416222 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3362 of 6486
Name
BHAGAWATI PRASAD SAHU Rate Amount Qty 21.3 .71 30 36 .6 60 27.9 .93 30 43.96 43.96 1 400 400 1 Total: 529.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416223 Min 01416223 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 3363 of 6486
Name
RAJKUMAR SAXENA Rate Amount Qty 19.8 .66 30 104.4 1.74 60 400 400 1 Total: 524.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416228 Min 01416228 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 3364 of 6486
Name
SUDHIR RANJAN SARKAR Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 16.2 .27 60 72.6 1.21 60 167.4 5.58 30 27.9 .93 30 400 400 1 Total: 733.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416229 Min 01416229 Appmt Dt Slno Description 27-FEB-19 1 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 27-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27-FEB-19 4 CONSULTATION IN OPD IN JLN H AND RC
Page 3365 of 6486
Name
AMRITA SARKAR Qty 1 1 1 1
Rate Amount 1300 1300 275 275 275 275 400 400 Total: 2250
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416232 Min 01416232 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 3366 of 6486
Name
PANNA LAL SARKAR Rate Amount Qty 8.1 .27 30 13.95 .93 15 400 400 1 Total: 422.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416236 Min 01416236 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 15-FEB-19 CREATININE /CRT 8 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 15-FEB-19
Page 3367 of 6486
Name
DIGAMBER PATIL Rate Amount Qty 400 400 1 27.9 .93 30 36 .6 60 167.4 5.58 30 10.65 .71 15 275 275 1 275 275 1 275 275 1 32.4 .36 90 Total: 1499.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416237 Min 01416237 Appmt Dt Slno Description 21-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 21-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3368 of 6486
Name
SHUBHANGINI PATIL Qty Rate Amount 15 .79 11.85 30 .71 21.3 30 .63 18.9 1 400 400 Total: 452.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416240 Min 01416240 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 7 26-FEB-19 ECG 8 26-FEB-19 OBSERVATION IN CASUALTY 9 26-FEB-19
Page 3369 of 6486
Name
RAGHUVEER PRASAD JHARIA Rate Amount Qty 12.81 12.81 1 16.2 .27 60 400 400 1 .89 .89 1 600 600 1 .37 .37 1 9.62 9.62 1 450 450 1 420 420 1 Total: 1909.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416242 Min 01416242 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 PRAZOSIN,2.5MG,TABLET 2 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 3370 of 6486
Name
H.K.DESHMUKH Rate Amount Qty 55.8 .93 60 117 1.3 90 4.8 .16 30 21.3 .71 30 33 1.1 30 400 400 1 Total: 631.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416243 Min 01416243 Appmt Dt Slno Description 12-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 12-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 3 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3371 of 6486
Name
KALPANA DESHMUKH Qty Rate Amount 30 1.21 36.3 15 .71 10.65 15 .66 9.9 1 400 400 Total: 456.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416247 Min 01416247 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 3372 of 6486
Name
MANJURANI KUNDU Rate Amount Qty 16.2 .27 60 27.9 .93 30 21.3 .71 30 9 .3 30 18 .6 30 400 400 1 Total: 492.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416248 Min 01416248 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 3373 of 6486
Name
RAGHVENDRA SINGH Rate Amount Qty 78 1.3 60 15.96 2.66 6 1.48 .37 4 26.7 .89 30 27.9 .93 30 12 .4 30 32.4 1.08 30 167.4 5.58 30 36 .6 60 9 .3 30 10.8 .36 30 400 400 1 Total: 817.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416249 Min 01416249 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3374 of 6486
Name
NIRMALA SINGH Rate Amount Qty 8.7 .58 15 12 .4 30 18.6 .62 30 117 1.3 90 36 .6 60 13.95 .93 15 21.3 .71 30 400 400 1 Total: 627.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416250 Min 01416250 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3375 of 6486
Name
MD KALAM Rate Amount Qty 22.2 .37 60 55.8 .93 60 7.5 .25 30 6.4 .64 10 400 400 1 Total: 491.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416251 Min 01416251 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 07-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3376 of 6486
Name
RAJJAB BE BANO Rate Amount Qty 3.75 .25 15 2.4 .16 15 55.8 .93 60 400 400 1 7.4 .37 20 19.72 9.86 2 317.9 63.58 5 400 400 1 Total: 1206.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416252 Min 01416252 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 3377 of 6486
Name
JIWAN DAS Rate Amount Qty 7.5 .25 30 7.65 .51 15 36 .6 60 21.6 .36 60 8.1 .27 30 400 400 1 Total: 480.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416253 Min 01416253 Appmt Dt Slno Description 21-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 21-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 21-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3378 of 6486
Name
DHARAMWATI Qty Rate Amount 15 .6 9 30 .79 23.7 30 .38 11.4 1 400 400 Total: 444.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416273 Min 01416273 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 11 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 25-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 3379 of 6486
Name
ANJULA BHARGAVA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 21.3 .71 30 23.7 .79 30 2.4 .16 15 400 400 1 27.9 .93 30 18.6 .62 30 400 400 1 4.1 .41 10 46.8 2.34 20 11.4 .38 30 20.25 20.25 1 2.5 .25 10 11.2 1.12 10 400 400 1 Total: 1583.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416286 Min 01416286 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 3380 of 6486
Name
S C SARKAR Rate Amount Qty 21.3 .71 30 10.8 .36 30 72 .6 120 66 1.1 60 400 400 1 33.12 1.84 18 3.56 .89 4 5.76 .64 9 400 400 1 22.08 1.84 12 3.84 .64 6 1.78 .89 2 400 400 1 Total: 1440.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416287 Min 01416287 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3381 of 6486
Name
TULSI RANI SARKAR Rate Amount Qty 76.5 2.55 30 5.21 5.21 1 41.85 .93 45 21.3 .71 30 400 400 1 Total: 544.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416288 Min 01416288 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 28-FEB-19 URIC ACID (UA /URATES /UR) 12 28-FEB-19 UREA (BUN /UR) 13 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 28-FEB-19
Page 3382 of 6486
Name
A KAMESHWAR RAO Rate Amount Qty 8.1 .27 30 21.3 .71 30 32.4 1.08 30 117 1.3 90 24 .4 60 27.9 .93 30 12 .4 30 3.75 .25 15 167.4 5.58 30 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3613.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416289 Min 01416289 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 16 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 22 25-FEB-19 UREA (BUN /UR) 23 25-FEB-19 URIC ACID (UA /URATES /UR) 24 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 26 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 27 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 30 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 31 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 32 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 33 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 34 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 35 27-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 36 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 37 27-FEB-19
Page 3383 of 6486
A. AMANA Rate Amount Qty 11.4 .38 30 4.8 .16 30 1.5 .25 6 3.84 .64 6 8.1 .27 30 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 167.4 5.58 30 36 .6 60 26.7 .89 30 7.5 .25 30 400 400 1 24.3 12.15 2 54 .9 60 16.2 .18 90 7.5 .25 30 400 400 1 400 400 1 275 275 1 275 275 1 25.07 25.07 1 275 275 1 275 275 1 400 400 1 4.8 .16 30 11.4 .38 30 7.5 .25 30 53.4 .89 60 36 .6 60 167.4 5.58 30 34.8 1.16 30 32.4 1.08 30 27.9 .93 30 8.1 .27 30 7.5 .25 30 400 400 1 Total: 3980.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416290 Min 01416290 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 3384 of 6486
Name
VIJAY KUMAR GURALWAR Rate Amount Qty 21.6 .36 60 16.2 .27 60 55.8 .93 60 39 1.3 30 72 .6 120 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1257.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416291 Min 01416291 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 23-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 3385 of 6486
Name
VARSHA GURALWAR Rate Amount Qty 167.4 5.58 30 6.4 .64 10 21.3 .71 30 32.4 1.08 30 55.8 .93 60 36 .6 60 400 400 1 2.5 .25 10 8.9 .89 10 26 2.6 10 400 400 1 Total: 1156.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416292 Min 01416292 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 3386 of 6486
Name
GOPAL RAM DWIVEDI Rate Amount Qty 2.4 .16 15 12 .4 30 72 .6 120 78 1.3 60 13.95 .93 15 72.6 1.21 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 756.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416294 Min 01416294 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 14-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3387 of 6486
Name
PREM SINGH VERMA Rate Amount Qty 16.2 .27 60 72.6 1.21 60 27.9 .93 30 21.3 .71 30 12 .4 30 167.4 5.58 30 16.65 1.11 15 400 400 1 Total: 734.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416295 Min 01416295 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 14-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3388 of 6486
Name
INDIRA VERMA Rate Amount Qty 55.8 .93 60 153 2.55 60 18.6 .62 30 15.3 .51 30 43.2 1.44 30 7.5 .25 30 400 400 1 Total: 693.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416296 Min 01416296 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3389 of 6486
Name
RATNAKAR MANKAR Rate Amount Qty 1.85 .37 5 400 400 1 29.7 .99 30 66 1.1 60 55.8 .93 60 12 .4 30 21.3 .71 30 400 400 1 Total: 986.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416297 Min 01416297 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 12-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 12-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 4 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 12-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 12 19-FEB-19
Page 3390 of 6486
Name
MANDA MANKAR Rate Amount Qty 650 650 1 380 380 1 400 400 1 31.99 2879.1 90 20.1 .67 30 85.8 8.58 10 6.4 .64 10 26.13 8.71 3 27.9 .93 30 .25 .25 1 400 400 1 650 650 1 Total: 5525.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416306 Min 01416306 Appmt Dt Slno Description 04-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3391 of 6486
Name
T.K. JOSEPH Qty Rate Amount 30 1.16 34.8 60 .93 55.8 30 .27 8.1 1 400 400 Total: 498.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416307 Min 01416307 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3392 of 6486
Name
JOLLY JOSEPH Rate Amount Qty 27.9 .93 30 21.3 .71 30 21.3 .71 30 400 400 1 4.45 .89 5 6.4 .64 10 4.1 .41 10 400 400 1 Total: 885.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416308 Min 01416308 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 KETOTIFEN,1MG,TABLET 4 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 11 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 17 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 20 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 25-FEB-19
Page 3393 of 6486
Name
SHALIK RAM KANDE Rate Amount Qty 550 550 1 400 400 1 27 .9 30 22.8 1.52 15 12.15 12.15 1 8.1 .18 45 16.75 .67 25 66.2 6.62 10 400 400 1 15.6 1.04 15 12.15 12.15 1 192.3 6.41 30 16.2 .27 60 21.3 .71 30 12 .4 30 55.8 .93 60 72.6 1.21 60 60.9 2.03 30 400 400 1 12.15 12.15 1 400 400 1 Total: 2774
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416309 Min 01416309 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 3394 of 6486
Name
SMT.PRAJAVATI KANDE Rate Amount Qty 10.8 .36 30 54 .6 90 29.7 .99 30 21.3 .71 30 167.4 5.58 30 55.8 .93 60 36.3 1.21 30 400 400 1 Total: 775.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416310 Min 01416310 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 3395 of 6486
Name
SHANKAR LAL KESHARWANI Rate Amount Qty 29.7 .99 30 6.9 .23 30 21.3 .71 30 18 .6 30 66 1.1 60 5.21 5.21 1 74.4 .62 120 55.8 .93 60 400 400 1 Total: 677.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416311 Min 01416311 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 01-FEB-19 PRAZOSIN,2.5MG,TABLET 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 25-FEB-19 PRAZOSIN,2.5MG,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 17 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 3396 of 6486
Name
SAVITRI DEVI Rate Amount Qty 23.1 .77 30 21.6 .36 60 54 .6 90 27.9 .93 30 78 1.3 60 72.6 1.21 60 78 1.3 60 17.4 1.16 15 7.5 .25 30 400 400 1 21.6 .36 60 78 1.3 60 27.9 .93 30 78 1.3 60 7.5 .25 30 21.3 .71 30 72.6 1.21 60 54 .6 90 400 400 1 Total: 1541
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416313 Min 01416313 Slno Description Appmt Dt LORAZEPAM,2MG,STRIP PACK.,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 05-FEB-19 PRAZOSIN,2.5MG,TABLET 10 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 13-FEB-19 PRAZOSIN,2.5MG,TABLET 17 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 13-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19
Page 3397 of 6486
Name
R.S.THAKUR Rate Amount Qty 82.2 2.74 30 400 400 1 29.7 .99 30 33 1.1 30 12 .4 30 21.3 .71 30 55.8 .93 60 21.12 3.52 6 78 1.3 60 156 1.3 120 1.5 .25 6 4.62 .77 6 400 400 1 12 .4 30 21.3 .71 30 78 1.3 60 156 1.3 120 29.7 .99 30 33 1.1 30 55.8 .93 60 82.2 2.74 30 400 400 1 Total: 2163.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416314 Min 01416314 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 23-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 23-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 3398 of 6486
Name
P.S.V. SATYANARAYAN Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 126 2.1 60 78 .78 100 18.6 .62 30 27.9 .93 30 27 .6 45 400 400 1 Total: 930.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416315 Min 01416315 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 11-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3399 of 6486
Name
P.LAXMI Rate Amount Qty 95.7 3.19 30 34.5 1.15 30 400 400 1 10.8 .36 30 72 .6 120 34.8 1.16 30 400 400 1 Total: 1047.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416320 Min 01416320 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 TETANUS IMMUNOGLOBULIN 9 28-FEB-19 OBSERVATION IN CASUALTY 10 28-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 11 28-FEB-19 DRESSING SIMPLE 12 28-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 13 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 3400 of 6486
Name
SADASHIV DWIVEDI Rate Amount Qty 41.85 .93 45 9 .3 30 36 .6 60 39 1.3 30 21.3 .71 30 12 .4 30 400 400 1 2.67 .89 3 1.37 1.37 1 420 420 1 5.85 5.85 1 300 300 1 1200 600 2 3.84 .64 6 400 400 1 Total: 2892.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416322 Min 01416322 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3401 of 6486
Name
MUNENDRA KUMAR JAIN Rate Amount Qty 13.35 .89 15 21.3 .71 30 55.2 .92 60 33 1.1 30 55.8 .93 60 90 .6 150 7.5 .25 30 9.3 .62 15 400 400 1 Total: 685.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416323 Min 01416323 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3402 of 6486
Name
SUNITA JAIN Rate Amount Qty 7.5 .25 30 21.3 .71 30 36 .6 60 41.85 .93 45 8.9 .89 10 400 400 1 Total: 515.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416324 Min 01416324 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 04-FEB-19 SOLIFENACIN,5MG,,TABLET 2 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 13 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19
Page 3403 of 6486
Name
CAPT. JODHA SINGH Rate Amount Qty 11.4 .38 30 403.2 13.44 30 60.9 2.03 30 18.9 .63 30 12 .4 30 8.1 .27 30 27.9 .93 30 400 400 1 371.4 6.19 60 25.2 .42 60 26.7 .89 30 21.9 .73 30 191.4 3.19 60 19.2 .64 30 400 400 1 Total: 1998.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416325 Min 01416325 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 SOLIFENACIN,5MG,,TABLET 4 19-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 5 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 3404 of 6486
Name
SHANTI SINGH Rate Amount Qty 7.5 .25 30 21.3 .71 30 55.8 .93 60 403.2 13.44 30 10.65 .71 15 60.9 2.03 30 400 400 1 Total: 959.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416326 Min 01416326 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 3405 of 6486
Name
ARVIND KUMAR PATIL Rate Amount Qty 32.4 1.08 30 36 .6 60 21.3 .71 30 16.2 .27 60 9 .3 30 400 400 1 2.59 .37 7 12.15 12.15 1 5.7 .38 15 12.6 .9 14 8.96 .64 14 400 400 1 Total: 956.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416327 Min 01416327 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 3406 of 6486
Name
ANJALI PATIL Rate Amount Qty 55.8 .93 60 33 1.1 30 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416330 Min 01416330 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3407 of 6486
Name
K K N SINGH Qty Rate Amount 30 .23 6.9 30 .71 21.3 15 .93 13.95 1 400 400 Total: 442.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416332 Min 01416332 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 3408 of 6486
Name
FIRATRAM SINHA Rate Amount Qty 15.3 .51 30 55.8 .93 60 6.9 .23 30 14.85 .99 15 36 .6 60 400 400 1 11.1 .37 30 26.7 .89 30 12.15 12.15 1 20.1 .67 30 54 .9 60 400 400 1 Total: 1052.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416333 Min 01416333 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ESCITALOPRAM,10MG,,TABLET 5 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3409 of 6486
Name
RANI BAI SINHA Rate Amount Qty 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 27.75 1.85 15 9.9 .66 15 400 400 1 Total: 845.62
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416334 Min 01416334 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 15-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 4 15-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 3410 of 6486
KUNJ BIHARI KURREY Rate Amount Qty 15 .25 60 400 400 1 26.96 3.37 8 63.58 63.58 1 25.07 25.07 1 400 400 1 47.4 .79 60 1.85 .37 5 66.2 6.62 10 2.7 .18 15 400 400 1 Total: 1448.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416335 Min 01416335 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 2 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 12 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 25-FEB-19 CREATININE /CRT 21 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 25-FEB-19
Page 3411 of 6486
Name
FULBAI KURREY Rate Amount Qty 87.92 43.96 2 39.18 19.59 2 27.4 1.37 20 6.4 .64 10 37.8 .63 60 3.56 .89 4 400 400 1 12 .4 30 27 .9 30 55.8 .93 60 5.4 .18 30 31.2 1.04 30 6.4 .64 10 8.9 .89 10 18 .6 30 21.3 .71 30 15.6 .26 60 7.65 .51 15 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 2436.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416347 Min 01416347 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 3412 of 6486
Name
PREM NARAYAN SINGH Rate Amount Qty 32.4 1.08 30 315 2.1 150 400 400 1 Total: 747.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416353 Min 01416353 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 7 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 19-FEB-19 UREA (BUN /UR) 9 19-FEB-19 CREATININE /CRT 10 19-FEB-19 URIC ACID (UA /URATES /UR) 11 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 17 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 3413 of 6486
Name
JITENDRA SINGH Rate Amount Qty 2.59 .37 7 400 400 1 1300 1300 1 60.9 2.03 30 32.4 1.08 30 21.3 .71 30 150.9 5.03 30 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 7.5 .25 30 400 400 1 275 275 1 19.2 .64 30 33.12 1.84 18 2.67 .89 3 3.84 .64 6 6.72 1.12 6 400 400 1 Total: 4766.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416361 Min 01416361 Slno Description Appmt Dt NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 1 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 3414 of 6486
Name
MP SINGH Rate Amount Qty 157.8 2.63 60 11.85 .79 15 33 1.1 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 714.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416362 Min 01416362 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 3415 of 6486
Name
REETA SINGH Rate Amount Qty 14.85 .99 15 21.3 .71 30 1.85 .37 5 3.84 .64 6 3.75 .25 15 32.4 1.08 30 12 .4 30 55.8 .93 60 36 .6 60 400 400 1 Total: 581.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416364 Min 01416364 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19
Page 3416 of 6486
Name
R.B. GARDIA Rate Amount Qty 8.1 .27 30 9 .3 30 27.9 .93 30 54 .6 90 32.4 1.08 30 17.4 1.16 15 0 .89 0 16.91 .89 19 7.5 .25 30 400 400 1 21.3 .71 30 9 .3 30 54 .6 90 27.9 .93 30 8.1 .27 30 32.4 1.08 30 400 400 1 Total: 1125.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416366 Min 01416366 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 3417 of 6486
Name
MANJUSHA AGRAWAL Rate Amount Qty 66 1.1 60 7.5 .25 30 400 400 1 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416368 Min 01416368 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3418 of 6486
Name
S N RAJPUT Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416372 Min 01416372 Appmt Dt Slno Description 11-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 11-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11-FEB-19 4 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK,
Page 3419 of 6486
Name
PARWATI Qty Rate Amount 1 400 400 30 .79 23.7 30 .27 8.1 30 .25 7.5 Total: 439.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416375 Min 01416375 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 11-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3420 of 6486
Name
JS DUA Qty Rate Amount 45 .93 41.85 30 .4 12 30 .71 21.3 1 400 400 Total: 475.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416376 Min 01416376 Appmt Dt Slno Description 19-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 19-FEB-19 2 GRANULE,VITAMIN D-3,1GM/PKT 19-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3421 of 6486
Name
RAJRANI DUA Qty Rate Amount 15 .6 9 1 5.21 5.21 30 .25 7.5 1 400 400 Total: 421.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416377 Min 01416377 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3422 of 6486
Name
EMILIANA EKKA Rate Amount Qty 10.65 .71 15 18 .6 30 55.8 .93 60 211.8 3.53 60 18.6 .62 30 400 400 1 Total: 714.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416378 Min 01416378 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3423 of 6486
Name
M EKKA Rate Amount Qty 117 1.3 90 55.8 .93 60 18.9 .63 30 317.7 3.53 90 3.96 .99 4 400 400 1 Total: 913.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416379 Min 01416379 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3424 of 6486
Name
PRAKASH DOGRA Rate Amount Qty 63.22 31.61 2 25.62 12.81 2 7.5 .25 30 9 .3 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 554.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416380 Min 01416380 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 3425 of 6486
Name
J S DOGRA Rate Amount Qty 18 .6 30 7.5 .25 30 400 400 1 Total: 425.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416381 Min 01416381 Appmt Dt Slno Description 07-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 07-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3426 of 6486
Name
S K PALI Qty Rate Amount 30 1.1 33 15 .79 11.85 30 .4 12 1 400 400 Total: 456.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416387 Min 01416387 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 3427 of 6486
Name
SALIN SHAJAN Rate Amount Qty 12 .4 30 21.6 .36 60 36 .6 60 29.7 .99 30 26.7 .89 30 400 400 1 Total: 526
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416391 Min 01416391 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 28-FEB-19 PRAZOSIN,2.5MG,TABLET 6 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 3428 of 6486
SYED USMAN ALI Rate Amount Qty 6.82 6.82 1 25.07 25.07 1 400 400 1 16.2 .27 60 14.85 .99 15 156 1.3 120 47.4 .79 60 400 400 1 Total: 1066.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416395 Min 01416395 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 X - RAY - SINGLE VIEW 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 X - RAY - TWO VIEWS 7 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 19-FEB-19
Page 3429 of 6486
Name
TARACHAND GADPAYALE Rate Amount Qty 14.6 .73 20 8.9 .89 10 27.4 1.37 20 550 550 1 400 400 1 400 400 1 860 860 1 27.4 1.37 20 Total: 2288.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416397 Min 01416397 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 3430 of 6486
Name
BALBIR SINGH Rate Amount Qty 3.7 .37 10 7.5 .25 30 34.8 1.16 30 12 .4 30 27.9 .93 30 10.8 .36 30 36 .6 60 400 400 1 Total: 532.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416400 Min 01416400 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 3431 of 6486
Name
SON SINGH Rate Amount Qty 8.9 .89 10 20.06 20.06 1 16.8 1.12 15 400 400 1 2.5 .25 10 8.9 .89 10 400 400 1 Total: 857.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416402 Min 01416402 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3432 of 6486
Name
HARMINDER SINGH PURI Rate Amount Qty 4.5 .3 15 36 .6 60 33 1.1 30 17.4 1.16 15 27.9 .93 30 7.5 .25 30 400 400 1 Total: 526.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416403 Min 01416403 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 3433 of 6486
Name
SARABJEET KAUR PURI Rate Amount Qty 17.4 1.16 15 33 1.1 30 167.4 5.58 30 117 1.3 90 23.7 .79 30 72 .6 120 21.6 .36 60 12 .4 30 400 400 1 Total: 864.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416408 Min 01416408 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 17 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 18 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 07-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 20 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 07-FEB-19 URIC ACID (UA /URATES /UR) 25 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 26 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 30 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 31 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 33 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 35 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 36 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 37 21-FEB-19
Page 3434 of 6486
Name
SARVAN SINGH Rate Amount Qty 7.92 .99 8 41.85 .93 45 400 400 1 32.4 .36 90 8.1 .27 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 2.4 .16 15 87.92 43.96 2 72 .6 120 117 1.3 90 167.4 5.58 30 33 1.1 30 55.8 .93 60 400 400 1 26.96 3.37 8 87.92 43.96 2 26.7 .89 30 63.58 63.58 1 123.8 6.19 20 17.8 .89 20 12.8 .64 20 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 6.23 .89 7 10.22 .73 14 9.59 1.37 7 26.7 .89 30 87.92 43.96 2 400 400 1 3.96 .99 4 21.39 .93 23 400 400 1 Total: 4455.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416426 Min 01416426 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 3435 of 6486
Name
RAVINDRANATH DEBNATH Rate Amount Qty 23.7 .79 30 8.1 .27 30 21.3 .71 30 7.65 .51 15 400 400 1 Total: 460.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416433 Min 01416433 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3436 of 6486
Name
PRAKASH CHANDRA JHA Rate Amount Qty 1.48 .37 4 27.9 .93 30 21.3 .71 30 8.1 .27 30 400 400 1 Total: 458.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416435 Min 01416435 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 9 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 3437 of 6486
Name
KRIPA RAM UYKE Rate Amount Qty 24.2 1.21 20 26.7 .89 30 14.07 .67 21 15.8 .79 20 3.8 .38 10 54 .9 60 12.15 12.15 1 400 400 1 53.4 3.56 15 47.4 .79 60 8.1 .27 30 72.6 1.21 60 400 400 1 Total: 1132.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416436 Min 01416436 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 04-FEB-19 3 CARBIMAZOLE,5MG,BTL PACK,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3438 of 6486
Name
NIRMALA UYKE Qty Rate Amount 60 1.1 66 60 .79 47.4 100 1.58 158 1 400 400 Total: 671.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416437 Min 01416437 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 02-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 07-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 26-FEB-19 PRAZOSIN,2.5MG,TABLET 13 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 26-FEB-19 INHALANT,STRIP PACK,CAPSULE 16 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 18 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 3439 of 6486
Name
MADAN GOPAL MANDAL Rate Amount Qty 26.7 .89 30 104.4 1.74 60 100.71 100.71 1 400 400 1 3.7 .37 10 25.5 1.7 15 20.06 20.06 1 8.9 .89 10 26.6 2.66 10 130.42 130.42 1 400 400 1 12 .4 30 78 1.3 60 8.1 .27 30 55.8 .93 60 17 1.7 10 66.2 6.62 10 20.06 20.06 1 5.55 .37 15 26.7 .89 30 400 400 1 Total: 1936.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416438 Min 01416438 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 02-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 02-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 18 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 13-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 21 26-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 22 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 3440 of 6486
TRIPTI RANI MANDAL Rate Amount Qty 13.7 1.37 10 185.7 6.19 30 7.5 .25 30 400 400 1 26.7 .89 30 12.15 12.15 1 100.71 100.71 1 104.4 1.74 60 54 .9 60 400 400 1 39 1.3 30 43.96 43.96 1 34.8 1.16 30 12 .4 30 16.2 .27 60 43.2 .36 120 36 .6 60 167.4 5.58 30 27.9 .93 30 400 400 1 25.07 25.07 1 156.51 313.02 2 40.58 20.29 2 400 400 1 Total: 2903.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416443 Min 01416443 Slno Description Appmt Dt TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 1 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 3 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 15-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 10 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 23-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 15 23-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 16 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 23-FEB-19 ONDANSETRON,2MG/ML,INJECTION 18 23-FEB-19 OBSERVATION IN CASUALTY 19 23-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 20 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 23-FEB-19
Page 3441 of 6486
Name
HARISHCHAND Rate Amount Qty 24.45 24.45 1 44.16 1.84 24 6.42 2.14 3 19.77 19.77 1 400 400 1 400 400 1 275 275 1 3.75 .25 15 400 400 1 2110 2110 1 3.84 .64 6 5.34 .89 6 10.08 1.12 9 21.12 3.52 6 9.81 9.81 1 35.52 35.52 1 24.52 24.52 1 7.52 7.52 1 420 420 1 11.89 11.89 1 400 400 1 Total: 4633.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416444 Min 01416444 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3442 of 6486
Name
YASHODA BAI Rate Amount Qty 24.6 .82 30 21.3 .71 30 400 400 1 39 1.3 30 23.7 .79 30 36 .6 60 400 400 1 Total: 944.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416451 Min 01416451 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 05-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 2 05-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 3 05-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3443 of 6486
Name
A K CHOPDAR Qty 2 2 1 2 1
Rate Amount 148.9 74.45 156.51 313.02 25.69 25.69 40.58 20.29 400 400 Total: 928.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416452 Min 01416452 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3444 of 6486
Name
SANDHYA CHOPDAR Rate Amount Qty 8.9 .89 10 7.5 .25 30 55.8 .93 60 8.1 .27 30 21.3 .71 30 36 .6 60 400 400 1 Total: 537.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416453 Min 01416453 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 3445 of 6486
Name
JAGJIWAN Rate Amount Qty 54 .9 60 26.7 .89 30 400 400 1 Total: 480.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416457 Min 01416457 Appmt Dt Slno Description 07-FEB-19 1 CREAM,BETAMETHASONE VALERATE,0.10% 07-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3446 of 6486
Name
HEMANT DUA Qty Rate Amount 1 17.6 17.6 30 .37 11.1 8 3.37 26.96 1 400 400 Total: 455.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416458 Min 01416458 Appmt Dt Slno Description 21-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 21-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3447 of 6486
Name
RAJENDRA KUMAR GUPTA Qty Rate Amount 60 .64 38.4 30 6.19 185.7 30 .64 19.2 1 400 400 Total: 643.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416468 Min 01416468 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 3448 of 6486
Name
DAVID YONA Rate Amount Qty 21.3 .71 30 60.9 2.03 30 66 1.1 60 400 400 1 467.1 5.19 90 2.5 .25 10 6.4 .64 10 8.9 .89 10 24.3 12.15 2 3.7 .37 10 66.2 6.62 10 400 400 1 Total: 1527.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416469 Min 01416469 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 3449 of 6486
Name
SMT.C.D.YONA Rate Amount Qty 21.6 .36 60 40.12 20.06 2 39 1.3 30 12 .4 30 36 .6 60 53.4 .89 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 630.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416470 Min 01416470 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 3450 of 6486
Name
ANJU DHRUWAY Rate Amount Qty 118.5 3.95 30 29.7 .99 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 597.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416473 Min 01416473 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 11-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 3451 of 6486
Name
MANOHAR LAL TAMRAKAR Rate Amount Qty 6.23 .89 7 18.2 2.6 7 5.03 226.35 45 400 400 1 20.06 20.06 1 13.35 .89 15 2.22 .37 6 6.4 .64 10 400 400 1 Total: 1092.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416474 Min 01416474 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19
Page 3452 of 6486
Name
PUSHPA TAMRAKAR Rate Amount Qty 26.7 .89 30 2.22 .37 6 3.84 .64 6 12 .4 30 33 1.1 30 29.7 .99 30 33.3 .37 90 55.8 .93 60 18 .6 30 34.8 1.16 30 35.2 3.52 10 20.06 20.06 1 400 400 1 Total: 704.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416479 Min 01416479 Slno Description Appmt Dt PLATELET COUNT 1 02-FEB-19 HB,TLC,DLC 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 INHALANT,STRIP PACK,CAPSULE 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3453 of 6486
Name
AK DAVE Qty 1 1 1 6 5 1
Rate Amount 330 330 300 300 400 400 10.2 1.7 1.85 .37 400 400 Total: 1442.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416480 Min 01416480 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 3454 of 6486
Name
SUSHMA DAVE Rate Amount Qty 39.72 6.62 6 6.4 .64 10 400 400 1 Total: 446.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416481 Min 01416481 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 02-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 02-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 3455 of 6486
Name
PRAHLAD Rate Amount Qty 34.8 1.16 30 12 .4 30 24 .4 60 105.9 3.53 30 55.8 .93 60 22.2 .37 60 400 400 1 Total: 654.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416488 Min 01416488 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 3456 of 6486
Name
SHAMIM AKHTAR Rate Amount Qty 55.8 .93 60 423.6 7.06 60 8.1 .27 30 7.8 .26 30 21.3 .71 30 36 .6 60 12 .4 30 400 400 1 Total: 964.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416491 Min 01416491 Appmt Dt Slno Description 08-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 08-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 08-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3457 of 6486
Name
K L AWADHIYA Qty Rate Amount 30 1.08 32.4 30 .25 7.5 30 .71 21.3 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416495 Min 01416495 Appmt Dt Slno Description 19-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3458 of 6486
Name
B K DUBEY Qty Rate Amount 45 .62 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416497 Min 01416497 Slno Description Appmt Dt ECG 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 01-FEB-19 ABC TEST HIV 5 01-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 6 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 07-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 14 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 17 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 18 20-FEB-19 ONDANSETRON,2MG/ML,INJECTION 19 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 20 20-FEB-19 OBSERVATION IN CASUALTY 21 20-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 22 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 23 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 24 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 25 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 26 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 27 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 28 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 29 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 30 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 31 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 32 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 33 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 34 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 35 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 37 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 38 22-FEB-19 SOLIFENACIN,5MG,,TABLET 39 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 40 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 41 24-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 42 24-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 43 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 44 24-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 45 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 46 24-FEB-19
Page 3459 of 6486
DEO PRASAD SAHU Qty 1 1 1 1 1 1 30 15 2 15 30 15 1 15 15 1 1 1 1 1 1 1 6 9 10 30 60 6 30 30 60 30 60 45 30 1 30 30 30 1 1 21 4 4 4 1
Rate Amount 450 450 400 400 275 275 275 275 1250 1250 1000 1000 185.7 6.19 20.55 1.37 87.92 43.96 92.1 6.14 26.7 .89 13.35 .89 400 400 92.1 6.14 13.35 .89 400 400 9.81 9.81 3.52 3.52 7.52 7.52 24.52 24.52 420 420 11.89 11.89 21.12 3.52 10.08 1.12 11.2 1.12 167.4 5.58 55.8 .93 55.98 9.33 7.8 .26 39 1.3 36 .6 32.4 1.08 42.6 .71 31.95 .71 29.7 .99 400 400 60.9 2.03 192.3 6.41 403.2 13.44 400 400 25.07 25.07 7.98 .38 1.64 .41 3.56 .89 14.08 3.52 400 400
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416497 Appmt Dt Slno Description
Min 01416497
Page 3460 of 6486
Name
DEO PRASAD SAHU Qty Rate Amount Total: 7908.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416499 Min 01416499 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 3461 of 6486
Name
P C WARKAR Rate Amount Qty 55.8 .93 60 36 .6 60 21.6 .36 60 21.3 .71 30 400 400 1 Total: 534.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416500 Min 01416500 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 23-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 3462 of 6486
Name
SHARDA P WARKAR Rate Amount Qty .8 .16 5 4.2 .7 6 400 400 1 Total: 405
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416501 Min 01416501 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 3463 of 6486
Name
R.N.PURKAIT Rate Amount Qty 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 36 .6 60 2.4 .16 15 26.7 .89 30 21.3 .71 30 8.1 .27 30 167.4 5.58 30 21.6 .36 60 400 400 1 Total: 1104.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416502 Min 01416502 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3464 of 6486
Name
NUPUR PURKAIT Rate Amount Qty 1.25 .25 5 4.45 .89 5 66.2 6.62 10 9 .9 10 400 400 1 8.9 .89 10 18 .9 20 400 400 1 Total: 907.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416503 Min 01416503 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19
Page 3465 of 6486
Name
RATHINDRA NATH CHOWDHURY Rate Amount Qty 54 .6 90 167.4 5.58 30 21.3 .71 30 60.9 2.03 30 21.6 .36 60 13.95 .93 15 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1392.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416504 Min 01416504 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 19-FEB-19
Page 3466 of 6486
Name
SMT.RUMA CHOUDHARY Rate Amount Qty 7.8 .26 30 26.7 .89 30 33 1.1 30 400 400 1 400 400 1 1750 1750 1 Total: 2617.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416505 Min 01416505 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 14-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 10 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 13 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 15 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 25-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 17 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 23 25-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 24 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 25 25-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 26 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 25-FEB-19
Page 3467 of 6486
Name
DEBAL CHAKRABORTY Rate Amount Qty 10.8 .36 30 27.9 .93 30 192.3 6.41 30 60.9 2.03 30 43.96 43.96 1 4.8 .16 30 18 .6 30 39 1.3 30 12 .4 30 123.6 4.12 30 21.3 .71 30 400 400 1 18 .6 30 60.9 2.03 30 192.3 6.41 30 27.9 .93 30 123.6 4.12 30 11.1 .37 30 21.3 .71 30 12 .4 30 39 1.3 30 10.8 .36 30 43.96 43.96 1 63.22 31.61 2 4.8 .16 30 57.84 115.68 2 400 400 1 Total: 2099.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416506 Min 01416506 Appmt Dt Slno Description 14-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 14-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3468 of 6486
Name
SMT.SOMA CHAKRABORTY Qty Rate Amount 60 1.21 72.6 30 .27 8.1 15 .16 2.4 1 400 400 Total: 483.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416509 Min 01416509 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 3469 of 6486
Name
DILIP MUKTIBODH Rate Amount Qty 8.1 .27 30 27.9 .93 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416510 Min 01416510 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 3470 of 6486
Name
DIPTI MUKTIBODH Rate Amount Qty 14.85 .99 15 12 .4 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 512.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416512 Min 01416512 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 3471 of 6486
Name
CHAPALA BISWAS Rate Amount Qty 66 1.1 60 8.1 .27 30 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416513 Min 01416513 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 11-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 3472 of 6486
Name
DR. A K BANERJEE Rate Amount Qty 63.58 63.58 1 66.2 6.62 10 13.48 3.37 4 9.86 9.86 1 3.7 .37 10 400 400 1 139.8 9.32 15 2.56 .64 4 400 400 1 Total: 1099.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416521 Min 01416521 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 14-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 URIC ACID (UA /URATES /UR) 13 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 15-FEB-19 UREA (BUN /UR) 17 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 15-FEB-19
Page 3473 of 6486
ASHA RAM SOM Rate Amount Qty 6.4 .64 10 54 .9 60 12.15 12.15 1 16.2 .18 90 70.2 2.34 30 104.4 1.74 60 59.4 .66 90 400 400 1 6.82 6.82 1 25.07 25.07 1 18.21 18.21 1 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3972.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416524 Min 01416524 Appmt Dt Slno Description 01-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 3 GLICLAZIDE MR,30 MG,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3474 of 6486
Name
SMT.LALITA TIWARI Qty Rate Amount 30 .25 7.5 60 .6 36 60 .92 55.2 1 400 400 Total: 498.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416529 Min 01416529 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 3475 of 6486
ARUN KUMAR KHADE Rate Amount Qty 15.73 15.73 1 26.6 2.66 10 9.28 1.16 8 33 1.1 30 27.9 .93 30 3.84 .64 6 400 400 1 Total: 516.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416530 Min 01416530 Slno Description Appmt Dt TRIGLYCERIDES (TGL) 1 01-FEB-19 UREA (BUN /UR) 2 01-FEB-19 CHOLESTEROL (CHOL) 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3476 of 6486
Name
SANGEETA KHADE Rate Amount Qty 275 275 1 275 275 1 275 275 1 37.8 .63 60 27.84 1.16 24 27.9 .93 30 400 400 1 Total: 1318.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416534 Min 01416534 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3477 of 6486
Name
SARASWATI BAI CHANDRAKAR Rate Amount Qty 13.95 .93 15 118.5 3.95 30 400 400 1 Total: 532.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416553 Min 01416553 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 21-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 21-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 3478 of 6486
Name
DEVANAND TAMRAKAR Rate Amount Qty 26.7 .89 30 21.3 .71 30 18.9 .63 30 29.7 .99 30 66 1.1 60 55.8 .93 60 4.8 .16 30 27.9 .93 30 15.96 2.66 6 3.84 .64 6 1.48 .37 4 8.1 .27 30 400 400 1 Total: 680.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416554 Min 01416554 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 06-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 06-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 3479 of 6486
Name
KAUSHILYA DEVI TAMRAKAR Rate Amount Qty 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 11.25 .75 15 400 400 1 42.12 2.34 18 3.84 .64 6 1.85 .37 5 400 400 1 Total: 927.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416557 Min 01416557 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3480 of 6486
Name
VIVEK YESHWANT BHAGWAT Rate Amount Qty 33 1.1 30 12 .4 30 34.8 1.16 30 32.4 1.08 30 400 400 1 25.2 .42 60 4.8 .16 30 400 400 1 Total: 942.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416558 Min 01416558 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3481 of 6486
Name
REKHA V. BHAGWAT Rate Amount Qty 7.5 .25 30 17.4 1.16 15 36 .6 60 39 1.3 30 400 400 1 Total: 499.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416559 Min 01416559 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3482 of 6486
Name
PRADIP KUMAR BOSE Rate Amount Qty 21.3 .71 30 9.3 .62 15 7.5 .25 30 5.21 5.21 1 55.8 .93 60 38.25 2.55 15 18.9 .63 30 400 400 1 Total: 556.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416560 Min 01416560 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3483 of 6486
Name
PURNA BOSE Rate Amount Qty 9.3 .62 15 7.5 .25 30 21.3 .71 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416565 Min 01416565 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 21-FEB-19 UREA (BUN /UR) 6 21-FEB-19 URIC ACID (UA /URATES /UR) 7 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 21-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 9 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 14 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 21-FEB-19 UREA (BUN /UR) 16 21-FEB-19
Page 3484 of 6486
Name
MAMTA TIWARI Rate Amount Qty 21.3 .71 30 6.9 .23 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 1000 1000 1 72.6 1.21 60 29.7 .99 30 55.8 .93 60 36 .6 60 9 .3 30 167.4 5.58 30 275 275 1 Total: 4473.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416568 Min 01416568 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 11-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 9 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 3485 of 6486
Name
TATA RAO Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 11.4 .38 30 23.4 .78 30 8.1 .27 30 400 400 1 11.25 .75 15 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 400 400 1 Total: 972.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416569 Min 01416569 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 11-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 7 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 11-FEB-19 URIC ACID (UA /URATES /UR) 13 11-FEB-19 CREATININE /CRT 14 11-FEB-19 UREA (BUN /UR) 15 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 3486 of 6486
Name
T. SITA DEVI Rate Amount Qty 36 .6 60 32.4 1.08 30 27.9 .93 30 400 400 1 36 .6 60 32.4 1.08 30 31.4 3.14 10 185.7 6.19 30 275 275 1 275 275 1 27.9 .93 30 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 3.84 .64 6 400 400 1 Total: 4288.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416572 Min 01416572 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 21-FEB-19
Page 3487 of 6486
Name
MOTILAL THAKUR Rate Amount Qty 54 .6 90 55.8 .93 60 12 .4 30 32.4 1.08 30 36.3 1.21 30 275 275 1 7.5 .25 30 400 400 1 275 275 1 Total: 1148
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416573 Min 01416573 Appmt Dt Slno Description 27-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3488 of 6486
Name
HEENA THAKUR Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416582 Min 01416582 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3489 of 6486
Name
S PURUSHOTTAM Rate Amount Qty 275 275 1 275 275 1 17.4 1.16 15 55.8 .93 60 105.9 3.53 30 18 .6 30 400 400 1 Total: 1147.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416583 Min 01416583 Slno Description Appmt Dt UREA (BUN /UR) 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 CREATININE /CRT 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3490 of 6486
Name
S RANGAMMA Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 9 .3 30 39 1.3 30 54 .6 90 400 400 1 Total: 1602
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416587 Min 01416587 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3491 of 6486
Name
SHINDU Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416588 Min 01416588 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 3492 of 6486
Name
DEOCHANDRA VERMA Rate Amount Qty 11.1 .37 30 7.5 .25 30 21.3 .71 30 27.9 .93 30 17.6 17.6 1 54 .6 90 21.6 .36 60 117 1.3 90 400 400 1 Total: 678
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416590 Min 01416590 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3493 of 6486
Name
GURDEEP SINGH Rate Amount Qty 36 .6 60 10.8 .36 30 69.6 1.16 60 72.6 1.21 60 12 .4 30 32.4 1.08 30 9.3 .93 10 400 400 1 Total: 642.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416591 Min 01416591 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3494 of 6486
Name
SWARN KAUR Rate Amount Qty 21.3 .71 30 20.06 20.06 1 11.4 .38 30 21.6 .36 60 36 .6 60 400 400 1 Total: 510.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416593 Min 01416593 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 3495 of 6486
Name
LIKHAN LAL SAHU Rate Amount Qty 20.84 5.21 4 22.8 .38 60 15 .25 60 9.9 .66 15 400 400 1 Total: 468.54
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416598 Min 01416598 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 06-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 9 13-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 10 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 13-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 14 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19
Page 3496 of 6486
SUSHILA DEVI Rate Amount Qty 7.5 .25 30 8.9 .89 10 4.1 .41 10 18 .6 30 9 .3 30 34.8 1.16 30 73.8 .82 90 400 400 1 9.86 9.86 1 16.85 3.37 5 7.5 .25 30 63.58 63.58 1 400 400 1 15.73 15.73 1 3.8 .38 10 1.85 .37 5 26.6 2.66 10 400 400 1 Total: 1501.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416601 Min 01416601 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 3497 of 6486
Name
SUDHA SHASTRI Rate Amount Qty 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416602 Min 01416602 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 3498 of 6486
Name
CHANDRA SHEKHAR SHASTRY Rate Amount Qty 55.8 .93 60 6.9 .23 30 108 .6 180 21.3 .71 30 37.8 .36 105 400 400 1 Total: 629.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416603 Min 01416603 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3499 of 6486
Name
HEMKARAN GURUPANCH Rate Amount Qty 21.3 .71 30 38.25 2.55 15 12 .4 30 7.5 .25 30 6.9 .23 30 36 .6 60 400 400 1 Total: 521.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416604 Min 01416604 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3500 of 6486
Name
SMT.KUNJ BATI Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 32.4 1.08 30 72.6 1.21 60 55.8 .93 60 22.2 .37 60 21.3 .71 30 400 400 1 Total: 2454.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416607 Min 01416607 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 22 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 24 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 25 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 27 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 26-FEB-19
Page 3501 of 6486
RAJ KUMAR Rate Amount Qty 14.08 3.52 4 3.08 .77 4 .82 .41 2 7.98 .38 21 25.07 25.07 1 400 400 1 10.8 .36 30 72 .6 120 55.8 .93 60 32.4 1.08 30 54 .9 60 54 .9 60 26.7 .89 30 3.7 .37 10 12.15 12.15 1 400 400 1 32.4 1.08 30 27.9 .93 30 26.7 .89 30 29.7 .99 30 8.1 .27 30 34.8 1.16 30 55.8 .93 60 117 1.3 90 72 .6 120 60.9 2.03 30 66 1.1 60 400 400 1 Total: 2103.88
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416608 Min 01416608 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 10 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 3502 of 6486
RASHMI Rate Amount Qty 48.22 48.22 1 7.5 .25 30 4.8 .16 30 12 .4 30 71 .71 100 26.7 .89 30 55.8 .93 60 34.8 1.16 30 27.9 .93 30 88.2 1.47 60 78 1.3 60 72 .6 120 167.4 5.58 30 400 400 1 Total: 1094.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416610 Min 01416610 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 X - RAY - SINGLE VIEW 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19
Page 3503 of 6486
Name
MOHD.YUNUS Rate Amount Qty 400 400 1 550 550 1 6.4 .64 10 Total: 956.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416611 Min 01416611 Appmt Dt Slno Description 07-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 07-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3504 of 6486
Name
SHARADA KISHORE CHITTAWAR Qty Rate Amount 20 .89 17.8 40 .63 25.2 20 1.37 27.4 1 400 400 Total: 470.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416616 Min 01416616 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 PRAZOSIN,2.5MG,TABLET 2 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 3505 of 6486
Name
GURDIP KAUR BHATIA Rate Amount Qty 21.6 .36 60 39 1.3 30 117 1.3 90 167.4 5.58 30 27.9 .93 30 66 1.1 60 72 .6 120 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 1005.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416619 Min 01416619 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 13-FEB-19 ONDANSETRON,2MG/ML,INJECTION 2 13-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 3 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 13-FEB-19 ECG 5 13-FEB-19 OBSERVATION IN CASUALTY 6 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 27-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 27-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 16 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 27-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 18 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 27-FEB-19
Page 3506 of 6486
Name
RAMKER YADAV Rate Amount Qty 3.52 3.52 1 7.52 7.52 1 5.41 5.41 1 9.62 9.62 1 450 450 1 420 420 1 24.52 24.52 1 21.3 .71 30 66 1.1 60 36 .6 60 167.4 5.58 30 123.53 123.53 1 32.4 1.08 30 3.5 .25 14 12.46 .89 14 7.06 197.68 28 92.68 6.62 14 21.8 2.18 10 400 400 1 Total: 2095.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416620 Min 01416620 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 3507 of 6486
Name
SMT.RAJ KUMARI YADAV Rate Amount Qty 40.12 20.06 2 26.7 .89 30 7.5 .25 30 34.8 1.16 30 55.2 .92 60 36 .6 60 167.4 5.58 30 32.4 1.08 30 39 1.3 30 400 400 1 Total: 839.12
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416627 Min 01416627 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 ECG 2 02-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 09-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 7 09-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 8 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 12 12-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 12-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 15 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 20 19-FEB-19 BRIMONIDINE TARTRATE,0.15% 21 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 23 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 25 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 26 25-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 27 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 28 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 29 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 25-FEB-19
Page 3508 of 6486
CHANDRA DEV Rate Amount Qty 400 400 1 450 450 1 21.45 21.45 1 400 400 1 2.46 .41 6 14.08 3.52 4 20.29 20.29 1 18.03 18.03 1 7.98 .38 21 6.82 6.82 1 400 400 1 36.06 18.03 2 13.64 6.82 2 35.2 3.52 10 24.45 24.45 1 16.8 1.12 15 11.2 1.12 10 87.92 43.96 2 400 400 1 24.45 24.45 1 148.9 74.45 2 4.45 .89 5 4.1 .41 10 400 400 1 9.86 9.86 1 13.48 3.37 4 24.45 24.45 1 25.07 25.07 1 6.82 6.82 1 400 400 1 Total: 3427.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416628 Min 01416628 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 3509 of 6486
Name
GEETA DEVI Rate Amount Qty 12.81 12.81 1 3.7 .37 10 400 400 1 1.85 .37 5 21.3 .71 30 23.7 .79 30 18 .6 30 7.5 .25 30 400 400 1 Total: 888.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416633 Min 01416633 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 3510 of 6486
Name
ARJUN SINGH Rate Amount Qty 9 .3 30 54 .6 90 167.4 5.58 30 21.3 .71 30 60.9 2.03 30 26.7 .89 30 7.5 .25 30 34.8 1.16 30 12 .4 30 400 400 1 14.85 .99 15 21.3 .71 30 167.4 5.58 30 10.8 .36 30 7.5 .25 30 54 .6 90 400 400 1 Total: 1469.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416635 Min 01416635 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TICAGRELOR 90MG ,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 3511 of 6486
Name
A BALCHANDRA RAO Rate Amount Qty 18.9 .63 30 27.9 .93 30 12 .4 30 69.6 1.16 60 400 400 1 30.77 1846.2 60 400 400 1 Total: 2774.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416639 Min 01416639 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 3512 of 6486
BACHCHIDEVI Rate Amount Qty 35.6 .89 40 35.6 .89 40 27.4 1.37 20 25.2 .63 40 27.4 1.37 20 25.2 .63 40 400 400 1 25.07 25.07 1 400 400 1 Total: 1001.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416648 Min 01416648 Appmt Dt Slno Description 26-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 26-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3513 of 6486
Name
UTTAM LAL Qty Rate Amount 15 .99 14.85 30 .25 7.5 60 .6 36 1 400 400 Total: 458.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416649 Min 01416649 Slno Description Appmt Dt IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 1 09-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 2 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 ECG 5 09-FEB-19 OBSERVATION IN CASUALTY 6 09-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 7 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 27-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 3514 of 6486
Name
SHYAM BAI Rate Amount Qty 9.81 9.81 1 9.62 9.62 1 21.12 3.52 6 .89 .89 1 450 450 1 420 420 1 22.71 22.71 1 6.4 .64 10 400 400 1 3.04 .38 8 3.84 .64 6 1.48 .37 4 400 400 1 54 .9 60 16.2 .18 90 400 400 1 Total: 2219.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416652 Min 01416652 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3515 of 6486
Name
RAM KISAN BANCHHOR Rate Amount Qty 36 .6 60 76.5 2.55 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 10.8 .36 30 400 400 1 Total: 598
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416658 Min 01416658 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 20-FEB-19 PRAZOSIN,2.5MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3516 of 6486
Name
YADO RAO SONTEKE Rate Amount Qty 32.4 1.08 30 12 .4 30 21.3 .71 30 55.8 .93 60 317.7 3.53 90 117 1.3 90 400 400 1 Total: 956.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416659 Min 01416659 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 PRAZOSIN,2.5MG,TABLET 6 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 3517 of 6486
Name
PUSTKALA SONTEKE Rate Amount Qty 12 .4 30 9.3 .62 15 21.3 .71 30 7.92 .99 8 55.8 .93 60 78 1.3 60 317.7 3.53 90 400 400 1 Total: 902.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416660 Min 01416660 Appmt Dt Slno Description 16-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3518 of 6486
Name
MOHD TANVIR AHMED Qty Rate Amount 45 .93 41.85 1 400 400 441.85 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416661 Min 01416661 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3519 of 6486
Name
SHAHANA PERVEEN Qty Rate Amount 30 .27 8.1 30 .99 29.7 60 .93 55.8 1 400 400 Total: 493.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416664 Min 01416664 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 3520 of 6486
Name
CHOWARAM SAHU Rate Amount Qty 36.3 1.21 30 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 7.8 .26 30 55.8 .93 60 22.2 .37 60 400 400 1 Total: 854.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416666 Min 01416666 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3521 of 6486
ISRAIEL Rate Amount Qty 25.07 25.07 1 400 400 1 122.8 6.14 20 66.2 6.62 10 26.7 .89 30 11.2 1.12 10 400 400 1 Total: 1051.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416667 Min 01416667 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 9 09-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 10 09-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 11 09-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 14 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 09-FEB-19
Page 3522 of 6486
Name
NAJBUN NISHA Rate Amount Qty 55.8 .93 60 211.8 3.53 60 36 .6 60 21.6 .36 60 167.4 5.58 30 117 1.3 90 5.7 .38 15 400 400 1 19.72 9.86 2 25.69 25.69 1 82.76 165.52 2 87.92 43.96 2 11.1 .37 30 26.96 3.37 8 400 400 1 Total: 1752.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416671 Min 01416671 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3523 of 6486
Name
RAJDEVI MIRJE Rate Amount Qty 18.9 .63 30 117 1.3 90 54 .6 90 167.4 5.58 30 400 400 1 Total: 757.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416673 Min 01416673 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 09-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 09-FEB-19 ECG 3 09-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 09-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19
Page 3524 of 6486
Name
SMT. NAGRATHNA RAO Rate Amount Qty 420 420 1 600 600 1 450 450 1 9.62 9.62 1 .89 .89 1 .64 .64 1 380 380 1 400 400 1 Total: 2261.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416674 Min 01416674 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 05-FEB-19
Page 3525 of 6486
Name
MOHAN LAL Rate Amount Qty 6.9 .23 30 9 .3 30 400 400 1 275 275 1 72 .6 120 21.3 .71 30 27.9 .93 30 167.4 5.58 30 117 1.3 90 275 275 1 Total: 1371.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416677 Min 01416677 Slno Description Appmt Dt JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3526 of 6486
Name
ABHILASHA BAI Rate Amount Qty 19.59 19.59 1 400 400 1 27.9 .93 30 18 .6 30 34.8 1.16 30 400 400 1 Total: 900.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416681 Min 01416681 Appmt Dt Slno Description 06-FEB-19 1 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3527 of 6486
Name
SHANTI RANJAN SARKAR Qty Rate Amount 1 26.55 26.55 1 400 400 426.55 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416682 Min 01416682 Appmt Dt Slno Description 05-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 05-FEB-19 2 BISOPROLOL FUMARATE,5MG,,TABLET 05-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 05-FEB-19 4 BLOOD FOR TSH
Page 3528 of 6486
Name
MANISHA SARKAR Qty Rate Amount 30 .23 6.9 30 2.55 76.5 1 400 400 1 800 800 Total: 1283.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416684 Min 01416684 Appmt Dt Slno Description 07-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 2 BUDESONIDE,200MCG,CAPSULE 07-FEB-19 3 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3529 of 6486
Name
SHASHI PRABHA YADAV Qty Rate Amount 30 .89 26.7 60 1.74 104.4 1 100.71 100.71 1 400 400 Total: 631.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416688 Min 01416688 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3530 of 6486
Name
D P KUSHWAHA Rate Amount Qty 32.4 .36 90 12 .4 30 66 1.1 60 27.9 .93 30 34.8 1.16 30 36 .6 60 117 1.3 90 400 400 1 Total: 726.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416689 Min 01416689 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 PRAZOSIN,2.5MG,TABLET 2 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 01-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3531 of 6486
Name
BACHCHI KUSHWAHA Rate Amount Qty 55.8 .93 60 39 1.3 30 37.8 .63 60 83.4 2.78 30 400 400 1 Total: 616
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416691 Min 01416691 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 12-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 9 12-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 12-FEB-19
Page 3532 of 6486
Name
CHURAMANI Rate Amount Qty 26.55 26.55 1 1300 1300 1 275 275 1 275 275 1 400 400 1 55.8 .93 60 400 400 1 275 275 1 330 330 1 165 165 1 400 400 1 275 275 1 Total: 4177.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416692 Min 01416692 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 11-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 13 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 11-FEB-19
Page 3533 of 6486
Name
RAM CHANDRA DEB Rate Amount Qty 185.7 6.19 30 9.6 .64 15 400 400 1 8.1 .27 30 1.48 .37 4 15.96 2.66 6 21.6 .36 60 72 .6 120 167.4 5.58 30 72.6 1.21 60 55.8 .93 60 7.65 .51 15 23.1 .77 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 1494.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416693 Min 01416693 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 U S CRANIUM / THYROID /BREAST/JOINTS 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 19-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 15 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 3534 of 6486
Name
JAWARANI DEB Rate Amount Qty 92.05 18.41 5 6.23 .89 7 4.48 .64 7 9.59 1.37 7 400 400 1 3.84 .64 6 1.85 .37 5 2.28 .38 6 400 400 1 1850 1850 1 400 400 1 18.6 .62 30 7.5 .25 30 31.95 .71 45 19.8 .66 30 27.9 .93 30 400 400 1 Total: 3676.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416698 Min 01416698 Appmt Dt Slno Description 28-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3535 of 6486
Name
Y CHANDRAKALA RAO Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416701 Min 01416701 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 3536 of 6486
Name
DHRUW PRASAD SAHU Rate Amount Qty 21.6 .36 60 36 .6 60 400 400 1 Total: 457.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416713 Min 01416713 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 DRESSING SIMPLE 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 21-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 5 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 3537 of 6486
VIJAY KUMAR SAHGAL Rate Amount Qty 400 400 1 600 300 2 3.7 .37 10 3.8 .38 10 96.44 48.22 2 6.4 .64 10 4.1 .41 10 55.2 1.84 30 400 400 1 .48 .16 3 7.6 .38 20 2.5 .25 10 400 400 1 Total: 1980.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416719 Min 01416719 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 PRAZOSIN,2.5MG,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 3538 of 6486
Name
M VENKAT RAO Rate Amount Qty 167.4 5.58 30 16.2 .27 60 78 1.3 60 117 1.3 90 82.8 .92 90 18 .6 30 60.9 2.03 30 192.3 6.41 30 7.5 .25 30 400 400 1 Total: 1140.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416720 Min 01416720 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3539 of 6486
Name
M KRISHNA KUMARI Rate Amount Qty 167.4 5.58 30 3.75 .25 15 36 .6 60 34.8 1.16 30 6.9 .23 30 27.9 .93 30 18 .3 60 400 400 1 Total: 694.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416723 Min 01416723 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 DEXTROSE,25%,100ML,POLY PKT,INJECTION 7 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 9 19-FEB-19 OBSERVATION IN CASUALTY 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 18 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 26-FEB-19
Page 3540 of 6486
Name
BHATIA NS Rate Amount Qty 60.9 2.03 30 11.04 1.84 6 1.64 .41 4 1.78 .89 2 192.3 6.41 30 400 400 1 19.1 19.1 1 24.52 24.52 1 9.81 9.81 1 420 420 1 26.7 .89 30 96.15 6.41 15 10.65 .71 15 6.9 .23 30 18 .6 30 83.7 5.58 15 400 400 1 275 275 1 400 400 1 275 275 1 Total: 2733.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416724 Min 01416724 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 3541 of 6486
Name
HARPAL KAUR BHATIA Rate Amount Qty 11.1 .37 30 44.1 1.47 30 400 400 1 Total: 455.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416725 Min 01416725 Appmt Dt Slno Description 21-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 21-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3542 of 6486
Name
RAJENDRA PRASAD SINGH Qty Rate Amount 30 6.19 185.7 30 .63 18.9 15 1.37 20.55 1 400 400 Total: 625.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416726 Min 01416726 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 3543 of 6486
Name
USHA DEVI Rate Amount Qty 3.84 .64 6 21.3 .71 30 12 .4 30 18 .6 30 6.9 .23 30 55.8 .93 60 400 400 1 Total: 517.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416729 Min 01416729 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3544 of 6486
Name
CHANDRA BHAN SAHU Rate Amount Qty 36 .6 60 167.4 5.58 30 10.8 .36 30 7.5 .25 30 400 400 1 Total: 621.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416730 Min 01416730 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 3545 of 6486
Name
BHEMIN SAHU Rate Amount Qty 23.8 1.7 14 8.96 .64 14 2.59 .37 7 400 400 1 17.4 1.16 15 12 .4 30 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 904.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416748 Min 01416748 Appmt Dt Slno Description 19-FEB-19 1 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3546 of 6486
Name
NISHA AWASTHI Qty Rate Amount 30 5.37 161.1 1 400 400 561.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416754 Min 01416754 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3547 of 6486
Name
SUHASINI RAJ Rate Amount Qty 21.6 .36 60 54 .6 90 27.9 .93 30 12 .4 30 17.4 1.16 15 2.28 .38 6 1.85 .37 5 400 400 1 Total: 537.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416755 Min 01416755 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 26-FEB-19
Page 3548 of 6486
Name
MERIKH SINGH Rate Amount Qty 9.6 .64 15 55.2 1.84 30 6 .6 10 400 400 1 400 400 1 275 275 1 275 275 1 Total: 1420.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416764 Min 01416764 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 3549 of 6486
Name
ANITA DAS Rate Amount Qty 33 1.1 30 78 1.3 60 55.8 .93 60 26.7 .89 30 21.3 .71 30 400 400 1 Total: 614.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416765 Min 01416765 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 20-FEB-19 CREATININE /CRT 11 20-FEB-19 URIC ACID (UA /URATES /UR) 12 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 20-FEB-19 UREA (BUN /UR) 15 20-FEB-19
Page 3550 of 6486
V K DAS Rate Amount Qty 48.22 48.22 1 18.9 .63 30 60.9 2.03 30 21.3 .71 30 27.9 .93 30 66.2 6.62 10 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 550 550 1 400 400 1 275 275 1 Total: 4268.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416777 Min 01416777 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 2 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 28-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 8 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3551 of 6486
Name
RAMJI SONI Rate Amount Qty 12 .4 30 19.59 19.59 1 87.92 43.96 2 60.9 2.03 30 15.6 .26 60 55.8 .93 60 66 1.1 60 82.76 165.52 2 34.8 1.16 30 2.4 .16 15 14.85 .99 15 192.3 6.41 30 400 400 1 Total: 1127.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416779 Min 01416779 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 11-FEB-19 BLOOD FOR T-3,T-4,TSH 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19
Page 3552 of 6486
Name
PINKY JABBAL Qty 1 1 1
Rate Amount 1750 1750 2400 2400 400 400 Total: 4550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416780 Min 01416780 Appmt Dt Slno Description 11-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3553 of 6486
Name
DS JABBAL Qty Rate Amount 60 2.03 121.8 1 400 400 521.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416781 Min 01416781 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 3554 of 6486
Name
VIJAYA LAXMI PILLAI Rate Amount Qty 72.6 1.21 60 22.2 .37 60 21.3 .71 30 7.5 .25 30 17.4 .58 30 400 400 1 Total: 541
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416782 Min 01416782 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 LENALIDOMIDE,10MG,TABLET/,CAPSULE 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19
Page 3555 of 6486
Name
M.GURUNATH PILLAI Rate Amount Qty 2.4 .16 15 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 55.8 .93 60 76.5 2.55 30 54 .6 90 15.3 .51 30 32.4 .36 90 12 .4 30 400 400 1 4960 99.2 50 400 400 1 Total: 6103.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416785 Min 01416785 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 20-FEB-19 X - RAY - TWO VIEWS 6 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 7 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 20-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 9 20-FEB-19 URIC ACID (UA /URATES /UR) 10 20-FEB-19 UREA (BUN /UR) 11 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 20-FEB-19 RA FACTOR /RH FACTOR 14 20-FEB-19 CRP 15 20-FEB-19 COMPLETE HAEMOGRAM 16 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 20-FEB-19 ECG 18 20-FEB-19
Page 3556 of 6486
Name
RADHA RANI SINHA Rate Amount Qty 19.2 .64 30 11.4 .38 30 185.7 6.19 30 400 400 1 400 400 1 860 860 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 600 600 1 600 600 1 750 750 1 400 400 1 450 450 1 Total: 8651.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416789 Min 01416789 Appmt Dt Slno Description 14-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 2 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 14-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3557 of 6486
Name
M PARAYE Qty Rate Amount 60 .6 36 30 .3 9 30 .25 7.5 1 400 400 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416790 Min 01416790 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3558 of 6486
Name
KALPANA PARAYE Qty Rate Amount 15 1.16 17.4 1 400 400 417.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416793 Min 01416793 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19
Page 3559 of 6486
Name
MUKHTAR SINGH Rate Amount Qty 21.12 3.52 6 1.48 .37 4 3.84 .64 6 400 400 1 12 .4 30 15.6 .26 60 72.6 1.21 60 21.3 .71 30 54 .6 90 32.4 1.08 30 15.3 .51 30 26.7 .89 30 8.1 .27 30 6.82 6.82 1 10.8 .36 30 400 400 1 Total: 1102.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416797 Min 01416797 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 08-FEB-19 COMPLETE HAEMOGRAM 5 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 08-FEB-19 U S ABDOMEN + THORAX 7 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 9 08-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 10 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 08-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 12 08-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 13 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 3560 of 6486
Name
GIRISH KUMAR CHOURASIA Rate Amount Qty 1300 1300 1 1300 1300 1 275 275 1 275 275 1 750 750 1 400 400 1 1750 1750 1 11.2 1.12 10 9.33 130.62 14 6.99 2.33 3 2.59 .37 7 3.9 .26 15 3.9 .26 15 26.7 .89 30 5.55 .37 15 400 400 1 Total: 6641.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416798 Min 01416798 Appmt Dt Slno Description 08-FEB-19 1 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 08-FEB-19 2 RIFAXIMIN 200 MG,,TABLET 08-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3561 of 6486
Name
USHA KIRAN CHOURASIA Qty Rate Amount 10 1.12 11.2 21 9.33 195.93 20 .89 17.8 1 400 400 Total: 624.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416799 Min 01416799 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3562 of 6486
Name
DILIP SARKAR Rate Amount Qty 34.8 1.16 30 7.5 .25 30 13.35 .89 15 10.8 .36 30 36 .6 60 47.4 .79 60 6.9 .23 30 400 400 1 Total: 556.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416801 Min 01416801 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3563 of 6486
Name
VIJAY KUMAR SHARMA Rate Amount Qty 7.4 .37 20 25.62 12.81 2 400 400 1 Total: 433.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416802 Min 01416802 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 16-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 9 16-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 18 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 19 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 21-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 21 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 23 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 25-FEB-19 DRESSING SIMPLE 27 25-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 28 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 29 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 30 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 25-FEB-19
Page 3564 of 6486
Name
SMT.VIJAY KANTA SHARMA Rate Amount Qty 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 5 .25 20 123.8 6.19 20 13.7 1.37 10 6.4 .64 10 41.06 41.06 1 7.6 .38 20 55.2 1.84 30 400 400 1 6.82 6.82 1 4.1 .41 10 8.9 .89 10 73.6 1.84 40 400 400 1 6.57 .73 9 1.14 .38 3 5.76 .64 9 83.88 9.32 9 2.67 .89 3 39.72 6.62 6 400 400 1 400 400 1 4.45 .89 5 300 300 1 139.8 9.32 15 10.95 .73 15 9.6 .64 15 99.3 6.62 15 400 400 1 Total: 3504.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416803 Min 01416803 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 3565 of 6486
Name
GITA RAM Rate Amount Qty 117 1.3 90 15.3 .51 30 7.5 .25 30 72 .6 120 16.2 .27 60 55.8 .93 60 32.4 .36 90 400 400 1 Total: 716.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416804 Min 01416804 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3566 of 6486
Name
RAMOTIN BAI Rate Amount Qty 54 .6 90 10.8 .36 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 493.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416805 Min 01416805 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 C T HEAD PLAIN 9 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 21-FEB-19
Page 3567 of 6486
Name
KAILASH PRASAD Rate Amount Qty 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 76.5 2.55 30 17.4 .58 30 7.5 .25 30 78 .78 100 400 400 1 5250 5250 1 400 400 1 Total: 6324.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416806 Min 01416806 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3568 of 6486
Name
SMT.SHANTI DEVI Rate Amount Qty 7.8 .26 30 7.5 .25 30 18.9 .63 30 36 .6 60 27.9 .93 30 400 400 1 Total: 498.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416808 Min 01416808 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 3569 of 6486
Name
SUNITA BAI Rate Amount Qty 54 .6 90 21.3 .71 30 6.4 .64 10 33 1.1 30 27.9 .93 30 5.21 5.21 1 7.65 .51 15 8.1 .27 30 400 400 1 Total: 563.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416816 Min 01416816 Appmt Dt Slno Description 05-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 20-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3570 of 6486
Name
ABHA SHUKLA Qty Rate Amount 10 .64 6.4 1 400 400 15 .64 9.6 1 400 400 Total: 816
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416818 Min 01416818 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3571 of 6486
Name
SMT.PADMA SAHU Rate Amount Qty 1.85 .37 5 3.84 .64 6 5.4 .9 6 42.12 2.34 18 400 400 1 55.8 .93 60 400 400 1 Total: 909.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416819 Min 01416819 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 3572 of 6486
Name
ASHOK KUMAR DIXIT Rate Amount Qty 15.96 2.66 6 192.3 6.41 30 60.9 2.03 30 27.9 .93 30 18.9 .63 30 53.4 .89 60 14.85 .99 15 3.84 .64 6 1.48 .37 4 400 400 1 21.3 .71 30 18 .6 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 1264.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416820 Min 01416820 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19 X - RAY - TWO VIEWS 15 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 25-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 23 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 24 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 25 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 26 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 27 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 28 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 29 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 30 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 31 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 32 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 27-FEB-19
Page 3573 of 6486
Name
NEELIMA DIXIT Rate Amount Qty 73.64 18.41 4 6.23 .89 7 9.59 1.37 7 4.48 .64 7 400 400 1 6.23 .89 7 1.75 .25 7 18.2 2.6 7 400 400 1 8.9 .89 10 26 2.6 10 5 .25 20 15.95 3.19 5 400 400 1 860 860 1 400 400 1 26 2.6 10 26.7 .89 30 12.8 .64 20 2.4 .16 15 7.5 .25 30 21.3 .71 30 14.85 .99 15 66 1.1 60 55.8 .93 60 78 1.3 60 9 .3 30 18 .6 30 167.4 5.58 30 3.7 .37 10 5 .25 20 8.4 .42 20 400 400 1 Total: 3558.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416821 Min 01416821 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 3574 of 6486
Name
TUKA RAM KANNOJE Rate Amount Qty 12 .4 30 29.7 .99 30 16.2 .27 60 66 1.1 60 18.9 .63 30 55.8 .93 60 400 400 1 Total: 598.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416822 Min 01416822 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3575 of 6486
Name
SUSHILA DEVI Rate Amount Qty 14.85 .99 15 47.4 .79 60 17.4 1.16 15 78 1.3 60 54 .6 90 21.6 .36 60 167.4 5.58 30 400 400 1 Total: 800.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416827 Min 01416827 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 3576 of 6486
Name
GOVIND LAL DEWANGAN Rate Amount Qty 7.5 .25 30 12.3 .41 30 9 .3 30 400 400 1 17 1.7 10 8.9 .89 10 1.85 .37 5 400 400 1 Total: 856.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416828 Min 01416828 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 UREA (BUN /UR) 3 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 26-FEB-19 CREATININE /CRT 6 26-FEB-19 URIC ACID (UA /URATES /UR) 7 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 26-FEB-19
Page 3577 of 6486
Name
SARITA DEWANGAN Rate Amount Qty 275 275 1 275 275 1 275 275 1 7.4 .37 20 17.6 17.6 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 Total: 3650
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416831 Min 01416831 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 3578 of 6486
Name
REENA SHRIVASTAVA Rate Amount Qty 100.71 100.71 1 26.7 .89 30 54 .9 60 12.15 12.15 1 16.2 .18 90 400 400 1 Total: 609.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416833 Min 01416833 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 3579 of 6486
Name
TIWARI PK Rate Amount Qty 6.9 .23 30 27.9 .93 30 400 400 1 5.55 .37 15 41.06 41.06 1 12.81 12.81 1 400 400 1 27.9 .93 30 6.9 .23 30 400 400 1 Total: 1329.02
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416836 Min 01416836 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 3580 of 6486
AMIT KUMAR CHATTERJI Rate Amount Qty 41.06 41.06 1 123.53 247.06 2 31.46 15.73 2 40.12 20.06 2 55.8 .93 60 60.9 2.03 30 42.6 .71 60 24 .4 60 16.2 .27 60 29.7 .99 30 66 1.1 60 37.8 .63 60 400 400 1 Total: 1092.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416837 Min 01416837 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 08-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 2 08-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 3 08-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 4 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 11-FEB-19 U S - ( SMALL PARTS SUCH AS ORBIT,SCROTU 17 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 18 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19 13-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 20 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19
Page 3581 of 6486
Name
KRISHNA CHATTERJEE Rate Amount Qty 11.4 .38 30 28.69 28.69 1 33.46 33.46 1 90.88 45.44 2 51.38 25.69 2 123.53 247.06 2 40.12 20.06 2 55.8 .93 60 74.4 .62 120 13.8 .23 60 400 400 1 400 400 1 3.8 .38 10 35.2 3.52 10 6.4 .64 10 7.3 .73 10 1850 1850 1 66.2 6.62 10 16.8 1.12 15 7.3 .73 10 6.4 .64 10 400 400 1 Total: 3846.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416838 Min 01416838 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 05-FEB-19 CREATININE /CRT 12 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 16 05-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 17 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 28-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 21 28-FEB-19
Page 3582 of 6486
Name
SANTOSH CHANDRA SAHA Rate Amount Qty 32.4 1.08 30 12 .4 30 55.8 .93 60 34.8 1.16 30 60.9 2.03 30 192.3 6.41 30 8.1 .27 30 36.3 1.21 30 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 1610 1610 1 400 400 1 192.3 6.41 30 60.9 2.03 30 1750 1750 1 Total: 9220.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416844 Min 01416844 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 28-FEB-19 PRAZOSIN,2.5MG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 3583 of 6486
Name
CHANDRAHAS WASNIK Rate Amount Qty 8.1 .27 30 72.6 1.21 60 12 .4 30 32.4 1.08 30 55.8 .93 60 18 .6 30 34.8 1.16 30 78 1.3 60 400 400 1 Total: 711.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416845 Min 01416845 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 3584 of 6486
Name
JYOTI WASNIK Rate Amount Qty 167.4 5.58 30 13.95 .93 15 36 .6 60 10.8 .36 30 21.3 .71 30 400 400 1 Total: 649.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416847 Min 01416847 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3585 of 6486
Name
SUSHEEL KUMAR PATEL Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 66 1.1 60 32.4 1.08 30 21.3 .71 30 16.2 .27 60 400 400 1 Total: 1189.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416848 Min 01416848 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 3586 of 6486
Name
MIRA BAI PATEL Rate Amount Qty 26.7 .89 30 185.7 6.19 30 11.1 .37 30 13.7 1.37 10 400 400 1 Total: 637.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416851 Min 01416851 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 3587 of 6486
Name
ABDUL GAFFAR KHAN Rate Amount Qty 55.8 .93 60 26.7 .89 30 400 400 1 36.3 1.21 30 8.1 .27 30 400 400 1 Total: 926.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416852 Min 01416852 Appmt Dt Slno Description 23-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 23-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 23-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3588 of 6486
Name
HASINA BEGAM Qty Rate Amount 60 .93 55.8 30 .27 8.1 30 1.21 36.3 1 400 400 Total: 500.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416855 Min 01416855 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 3589 of 6486
Name
DR. DK SEN Rate Amount Qty 13.7 1.37 10 185.7 6.19 30 400 400 1 21.3 .71 30 12 .4 30 33 1.1 30 400 400 1 Total: 1065.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416856 Min 01416856 Appmt Dt Slno Description 25-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3590 of 6486
Name
SAVITA SEN Qty Rate Amount 10 .25 2.5 10 .89 8.9 10 1.37 13.7 1 400 400 Total: 425.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416858 Min 01416858 Appmt Dt Slno Description 11-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3591 of 6486
Name
ACHLA TIWARI Qty Rate Amount 14 1.37 19.18 1 400 400 419.18 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416863 Min 01416863 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3592 of 6486
Name
VINDESHWARI DIWAKIRTI Rate Amount Qty 21.3 .71 30 55.8 .93 60 74.4 .62 120 400 400 1 15 .25 60 21.3 .71 30 4.8 .16 30 400 400 1 Total: 992.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416864 Min 01416864 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 3593 of 6486
Name
MRIDUL KANT DIWAKIRTI Rate Amount Qty 100.71 100.71 1 76.5 2.55 30 34.8 1.16 30 36 .6 60 9 .3 30 12 .4 30 54 .9 60 30.15 .67 45 26.7 .89 30 400 400 1 Total: 779.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416870 Min 01416870 Slno Description Appmt Dt MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 3594 of 6486
Name
MANJU GAUTAM Rate Amount Qty 8.18 1472.4 180 185.7 6.19 30 400 400 1 Total: 2058.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416871 Min 01416871 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 26-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 2 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 3595 of 6486
Name
ROOP SINGH DEWANGAN Rate Amount Qty 1.85 .37 5 8.18 1472.4 180 9.6 .64 15 6 .6 10 400 400 1 Total: 1889.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416872 Min 01416872 Appmt Dt Slno Description 26-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 26-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3596 of 6486
Name
SHAKUNTALA DEWANGAN Qty Rate Amount 5 .37 1.85 5 .89 4.45 15 .64 9.6 1 400 400 Total: 415.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416874 Min 01416874 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 3597 of 6486
Name
ANUSUIYA MISHRA Rate Amount Qty 72 .6 120 167.4 5.58 30 12 .4 30 17.4 1.16 15 18 .3 60 17.4 .58 30 400 400 1 Total: 704.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416877 Min 01416877 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 01-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3598 of 6486
Name
GHOSH INDRAJIT Qty Rate Amount 45 .93 41.85 30 1.16 34.8 30 1.08 32.4 1 400 400 Total: 509.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416878 Min 01416878 Appmt Dt Slno Description 01-FEB-19 1 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3599 of 6486
Name
ELORA GHOSH Qty Rate Amount 60 6.14 368.4 1 400 400 768.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416881 Min 01416881 Appmt Dt Slno Description 05-FEB-19 1 CREAM,BETAMETHASONE VALERATE,0.10% 05-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 3 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3600 of 6486
Name
SIMANCHAL RATH Qty Rate Amount 2 17.6 35.2 10 .37 3.7 1 17.37 17.37 1 400 400 Total: 456.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416883 Min 01416883 Slno Description Appmt Dt LITHIUM (LI+) ASSAY 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 CREATININE /CRT 3 07-FEB-19 SUTURE REMOVAL 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 18-FEB-19
Page 3601 of 6486
Name
AAZI ANSARI Rate Amount Qty 250 250 1 400 400 1 275 275 1 490 490 1 400 400 1 49.28 3.52 14 Total: 1864.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416892 Min 01416892 Appmt Dt Slno Description 18-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3602 of 6486
Name
PRITI VADHER Qty Rate Amount 30 1.1 33 30 1.08 32.4 30 .71 21.3 1 400 400 Total: 486.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416893 Min 01416893 Appmt Dt Slno Description 25-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3603 of 6486
Name
MANOHER FULZELE Qty Rate Amount 60 .23 13.8 1 400 400 413.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416895 Min 01416895 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 3604 of 6486
Name
MANGLOO RAM BAGHEL Rate Amount Qty 192.3 6.41 30 34.8 1.16 30 60.9 2.03 30 18 .6 30 27.6 .92 30 27.9 .93 30 400 400 1 Total: 761.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416896 Min 01416896 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 3605 of 6486
Name
SHASHI BAI Rate Amount Qty 7.5 .25 30 1.85 .37 5 21.3 .71 30 118.5 3.95 30 27.9 .93 30 211.8 3.53 60 400 400 1 5.34 .89 6 3.75 .25 15 5.34 .89 6 3.75 .25 15 400 400 1 Total: 1207.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416899 Min 01416899 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3606 of 6486
Name
MANGTU RAM Rate Amount Qty 36 .6 60 21.3 .71 30 400 400 1 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416900 Min 01416900 Slno Description Appmt Dt TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3607 of 6486
Name
SMT.CHANDRAWALI Rate Amount Qty 159.6 1.33 120 400 400 1 72 .6 120 21.3 .71 30 23.7 .79 30 8.1 .27 30 167.4 5.58 30 117 1.3 90 27.4 1.37 20 43.2 .36 120 8.9 .89 10 400 400 1 Total: 1448.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416912 Min 01416912 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19
Page 3608 of 6486
Name
SMT. NAMITA NAYAK Rate Amount Qty 132 1.1 120 400 400 1 27.9 .62 45 9.3 .62 15 16.2 .27 60 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416918 Min 01416918 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 8 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 3609 of 6486
Name
SMT. SUDHABALA Rate Amount Qty 72 .6 120 10.8 .36 30 7.5 .25 30 38.25 2.55 15 34.8 1.16 30 12 .4 30 400 400 1 26.55 26.55 1 1.85 .37 5 26.7 .89 30 7.5 .25 30 18.9 .63 30 19.2 .64 30 400 400 1 Total: 1076.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416926 Min 01416926 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3610 of 6486
Name
SHANKAR RAO Rate Amount Qty 78 1.3 60 55.8 .93 60 211.8 3.53 60 60.9 2.03 30 17.4 1.16 15 1.85 .37 5 400 400 1 Total: 825.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416927 Min 01416927 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3611 of 6486
Name
LALITA BAI Rate Amount Qty 118.5 3.95 30 117 1.3 90 167.4 5.58 30 317.7 3.53 90 13.95 .93 15 18.9 .63 30 36 .6 60 400 400 1 Total: 1189.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416928 Min 01416928 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 06-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 3612 of 6486
BHAIYA RAM Rate Amount Qty 15.73 15.73 1 100.6 5.03 20 36 .6 60 23.7 .79 30 1.85 .37 5 7.5 .25 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 3.84 .64 6 1.11 .37 3 400 400 1 Total: 1568.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416931 Min 01416931 Slno Description Appmt Dt TETANUS TOXOID,0.5ML,INJECTION 1 08-FEB-19 OBSERVATION IN CASUALTY 2 08-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 3 08-FEB-19 DRESSING SIMPLE 4 08-FEB-19 X - RAY - SINGLE VIEW 5 08-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 08-FEB-19 OBSERVATION IN CASUALTY 7 08-FEB-19 TETANUS IMMUNOGLOBULIN 8 08-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 9 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 08-FEB-19 X - RAY - TWO VIEWS 11 08-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 12 08-FEB-19 OBSERVATION IN CASUALTY 13 08-FEB-19 DICLOFENAC SODIUM SR,100MG,TABLET 14 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 08-FEB-19 X - RAY - SINGLE VIEW 16 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 23 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 26 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 27 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 28 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 26-FEB-19
Page 3613 of 6486
LATIKA RANI SONA Rate Amount Qty 8.64 8.64 1 420 420 1 5.77 5.77 1 300 300 1 550 550 1 600 600 1 420 420 1 1.37 1.37 1 5.77 5.77 1 15.73 15.73 1 860 860 1 600 600 1 420 420 1 .82 .41 2 .89 .89 1 550 550 1 400 400 1 2.5 .25 10 3.6 .36 10 35.2 3.52 10 8.9 .89 10 24 .6 40 14.6 .73 20 12.8 .64 20 400 400 1 29.2 .73 40 20.84 5.21 4 7.6 .38 20 400 400 1 Total: 6118.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416932 Min 01416932 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 3614 of 6486
Name
ANIL KUMAR SONI Rate Amount Qty 12 .4 30 10.8 .36 30 33 1.1 30 31.2 1.04 30 7.5 .25 30 34.8 1.16 30 400 400 1 Total: 529.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416934 Min 01416934 Appmt Dt Slno Description 21-FEB-19 1 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 21-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 3 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3615 of 6486
Name
TASUVAR HUSSAIN Qty Rate Amount 2 12.81 25.62 20 .37 7.4 1 13.43 13.43 1 400 400 Total: 446.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416935 Min 01416935 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 21-FEB-19 CREATININE /CRT 3 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 25-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 3616 of 6486
Name
SHAKEELA Rate Amount Qty 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 78 1.3 60 15.6 1.04 15 9 .3 30 36 .6 60 21.6 1.44 15 7.44 .93 8 12 .4 30 21.3 .71 30 32.4 1.08 30 66 1.1 60 400 400 1 Total: 4049.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416938 Min 01416938 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 04-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 4 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 3617 of 6486
RANJIT SINGH Rate Amount Qty 1.85 .37 5 2.7 .18 15 66.2 6.62 10 48.22 48.22 1 9 .9 10 400 400 1 Total: 527.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416940 Min 01416940 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 27-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3618 of 6486
Name
GIRIRAJ BHANDARI Rate Amount Qty 12.46 .89 14 3.5 .25 14 17.37 17.37 1 41.06 41.06 1 8.96 .64 14 357 12.75 28 400 400 1 Total: 840.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416943 Min 01416943 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 3619 of 6486
Name
RAM BAI Rate Amount Qty 17.6 17.6 1 7.5 .25 30 32.4 1.08 30 7.8 .26 30 66 1.1 60 400 400 1 Total: 531.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416950 Min 01416950 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 12-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 3620 of 6486
Name
M.VISWESWARA RAO PATNAIK Rate Amount Qty 24.6 .82 30 79.2 2.64 30 400 400 1 29.7 .99 30 8.1 .27 30 78 1.3 60 36 .6 60 34.8 1.16 30 33 1.1 30 400 400 1 Total: 1123.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416951 Min 01416951 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 3621 of 6486
Name
M.SATYAVATI Rate Amount Qty 27.9 .93 30 1.85 .37 5 6.4 .64 10 7.5 .25 30 29.7 .99 30 36 .6 60 39 1.3 30 13.95 .93 15 21.3 .71 30 400 400 1 Total: 583.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416954 Min 01416954 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 3622 of 6486
Name
ARUNA MISHRA Rate Amount Qty 8.9 .89 10 51.38 25.69 2 8.1 .27 30 32.4 1.08 30 34.8 1.16 30 55.8 .93 60 400 400 1 60.9 2.03 30 192.3 6.41 30 21.3 .71 30 26.7 .89 30 400 400 1 Total: 1292.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416975 Min 01416975 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 3623 of 6486
Name
YUGAL KISHORE SHARMA Rate Amount Qty 403.2 13.44 30 60.9 2.03 30 400 400 1 Total: 864.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416977 Min 01416977 Slno Description Appmt Dt IVABRADINE,5MG,,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 3624 of 6486
Name
ANTHONY C. MICHEAL Rate Amount Qty 298.5 9.95 30 18 .6 30 69.6 1.16 60 47.4 .79 60 400 400 1 Total: 833.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416978 Min 01416978 Appmt Dt Slno Description 18-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 18-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3625 of 6486
Name
INDRANI Qty Rate Amount 15 2.55 38.25 15 .71 10.65 30 .27 8.1 1 400 400 Total: 457
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416979 Min 01416979 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 28-FEB-19 UREA (BUN /UR) 17 28-FEB-19 CREATININE /CRT 18 28-FEB-19
Page 3626 of 6486
Name
YOGESHWAR NARAYAN CHANDRAKARQty Rate Amount 26 2.6 10 185.7 6.19 30 400 400 1 13.35 .89 15 21.3 .71 30 18.9 .63 30 8.1 .27 30 55.8 .93 60 167.4 5.58 30 48 .4 120 54 .6 90 275 275 1 275 275 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 Total: 4348.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416983 Min 01416983 Appmt Dt Slno Description 14-FEB-19 1 VITAMIN A CHEWABLE,50000IU,,TABLET 14-FEB-19 2 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 14-FEB-19 3 GEL,BENZYL PEROXIDE 5% W/W 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3627 of 6486
Name
D R SARAF Qty Rate Amount 15 .75 11.25 1 33.46 33.46 2 33.73 67.46 1 400 400 Total: 512.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416984 Min 01416984 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 05-FEB-19 MAMOGRAPHY 2 05-FEB-19 PLATELET COUNT 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 6 05-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 05-FEB-19 U S CRANIUM / THYROID /BREAST/JOINTS 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19
Page 3628 of 6486
Name
NILIMA SARAF Rate Amount Qty 750 750 1 2000 2000 1 330 330 1 27.9 .93 30 1300 1300 1 1500 1500 1 1750 1750 1 1850 1850 1 400 400 1 Total: 9907.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416985 Min 01416985 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 PRAZOSIN,2.5MG,TABLET 2 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 3629 of 6486
Name
U.P.DUBEY Rate Amount Qty 41.85 .93 45 39 1.3 30 117 1.3 90 32.4 .36 90 167.4 5.58 30 72 .6 120 400 400 1 Total: 869.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416987 Min 01416987 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3630 of 6486
Name
R K DANIEL Rate Amount Qty 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 490.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416988 Min 01416988 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3631 of 6486
Name
A DANIELRAJ Rate Amount Qty 27 .36 75 8.1 .27 30 400 400 1 Total: 435.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416990 Min 01416990 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 16-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 3632 of 6486
Name
SMT. RUKHSANA AKHTAR Rate Amount Qty 17.8 .89 20 6.4 .64 10 16.2 .27 60 7 .7 10 400 400 1 Total: 447.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416991 Min 01416991 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 3633 of 6486
Name
SU PRABHAKAR RAO Rate Amount Qty 55.8 .93 60 33 1.1 30 34.8 1.16 30 7.5 .25 30 12 .4 30 78 1.3 60 10.8 .36 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 835.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416992 Min 01416992 Appmt Dt Slno Description 21-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3634 of 6486
Name
S.V. RAJAKUMARI Qty Rate Amount 20 1.37 27.4 10 .89 8.9 30 .93 27.9 1 400 400 Total: 464.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416999 Min 01416999 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3635 of 6486
Name
M P SOMAN Rate Amount Qty 167.4 5.58 30 3.75 .25 15 54 .6 90 9 .3 30 400 400 1 Total: 634.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417000 Min 01417000 Appmt Dt Slno Description 13-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3636 of 6486
Name
KANAKLATA Qty Rate Amount 15 .71 10.65 30 .99 29.7 30 .93 27.9 1 400 400 Total: 468.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417024 Min 01417024 Appmt Dt Slno Description 05-FEB-19 1 BUDESONIDE,200MCG,CAPSULE 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3637 of 6486
M D SAHU Qty Rate Amount 60 1.74 104.4 30 .89 26.7 1 15.73 15.73 1 400 400 Total: 546.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417025 Min 01417025 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 01-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 12 01-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 13 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 01-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 15 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 18 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 21 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 16-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 23 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 16-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 25 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 16-FEB-19
Page 3638 of 6486
Name
MUKTA DEVI Rate Amount Qty 18 .6 30 6.4 .64 10 7.5 .25 30 11.4 .38 30 20.1 .67 30 3.45 .23 15 17.4 1.16 15 27 .9 30 16.2 1.08 15 26.7 .89 30 12.75 .51 25 30.8 4.4 7 9.9 .99 10 400 400 1 157.8 15.78 10 4.45 .89 5 400 400 1 6.9 .23 30 4.8 .16 30 92.68 6.62 14 34.8 1.16 30 32.4 1.08 30 62.4 1.04 60 26.7 .89 30 30.8 4.4 7 400 400 1 Total: 1861.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417031 Min 01417031 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3639 of 6486
Name
URMILA DEVI Rate Amount Qty 55.2 .92 60 36 .6 60 18.6 .62 30 12 .4 30 66 1.1 60 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 678.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417038 Min 01417038 Appmt Dt Slno Description 19-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 19-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 19-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3640 of 6486
Name
LAMBA IS Qty Rate Amount 60 .37 22.2 30 .4 12 30 .71 21.3 1 400 400 Total: 455.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417039 Min 01417039 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 23-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 4 23-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 3641 of 6486
Name
SMT.SEEMA LAMBA Rate Amount Qty 21.3 .71 30 400 400 1 104.4 1.74 60 69.05 69.05 1 39.6 .66 60 400 400 1 Total: 1034.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417040 Min 01417040 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 GUM ANALGESIC GEL 4 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 12 12-FEB-19 GUM ANALGESIC GEL 13 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 16-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 16-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 21 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 24 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 26 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 27 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 28 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 29 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 30 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 32 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 28-FEB-19
Page 3642 of 6486
Name
P K NANGIA Rate Amount Qty 117 1.3 90 37.8 .42 90 6.4 .64 10 28.69 28.69 1 12 .4 30 3.75 .25 15 36 .6 60 21.3 .71 30 13.95 .93 15 400 400 1 2.5 .25 10 4.1 .41 10 28.69 28.69 1 35.2 3.52 10 6.4 .64 10 400 400 1 2.5 .25 10 4.1 .41 10 6.4 .64 10 35.2 3.52 10 20.25 20.25 1 400 400 1 3.75 .25 15 5.7 .38 15 400 400 1 117 1.3 90 12 .4 30 36 .6 60 13.95 .93 15 37.8 .42 90 6.4 .64 10 21.3 .71 30 400 400 1 Total: 2676.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417041 Min 01417041 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 3643 of 6486
Name
SHANTI NANGIA Rate Amount Qty 13.7 1.37 10 11.4 .38 30 185.7 6.19 30 400 400 1 9.9 .66 15 52.65 3.51 15 400 400 1 Total: 1073.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417046 Min 01417046 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 12-FEB-19
Page 3644 of 6486
Name
BHAGWAN SHARMA Rate Amount Qty 400 400 1 24 .4 60 64.8 1.08 60 94.8 .79 120 25.3 1.1 23 32.4 .27 120 34.8 1.16 30 108 .6 180 36 .3 120 1.85 .37 5 400 400 1 33.12 1.84 18 400 400 1 21.12 3.52 6 1.92 .64 3 Total: 1678.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417047 Min 01417047 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 28-FEB-19
Page 3645 of 6486
Name
KRISHANA SHARMA Rate Amount Qty 400 400 1 400 400 1 3.84 .64 6 28.16 3.52 8 56.16 2.34 24 15.96 2.66 6 2.56 .64 4 12.15 12.15 1 400 400 1 Total: 1318.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417048 Min 01417048 Appmt Dt Slno Description 05-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 05-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3646 of 6486
Name
PANKAJ PATHAK Qty Rate Amount 30 .25 7.5 30 .63 18.9 60 .93 55.8 1 400 400 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417049 Min 01417049 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 06-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 06-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 3647 of 6486
Name
SHOBHANA PATHAK Rate Amount Qty 46.5 .62 75 36.3 1.21 30 22.2 .37 60 17.37 17.37 1 34.8 1.16 30 55.8 .93 60 7.5 .25 30 47.4 1.58 30 400 400 1 Total: 667.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417052 Min 01417052 Appmt Dt Slno Description 20-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3648 of 6486
Name
BISWANATH Qty Rate Amount 15 .89 13.35 30 .27 8.1 60 1.1 66 1 400 400 Total: 487.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417057 Min 01417057 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 3 26-FEB-19 OBSERVATION IN CASUALTY 4 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3649 of 6486
Name
SANTOSH RANI Rate Amount Qty 600 600 1 4.45 .89 5 5.77 5.77 1 420 420 1 .16 .16 1 15.95 3.19 5 13.7 1.37 10 400 400 1 Total: 1460.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417058 Min 01417058 Appmt Dt Slno Description 22-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3650 of 6486
Name
MOHD. ZAHIR Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417064 Min 01417064 Appmt Dt Slno Description 05-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 BACLOFEN,STRIP PKT,10MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3651 of 6486
Name
GOPAL RAM KASHYAP Qty Rate Amount 5 2.6 13 5 .89 4.45 5 3.19 15.95 1 400 400 Total: 433.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417065 Min 01417065 Slno Description Appmt Dt MRI PER REGION (COST OF CONTRAST EXTRA) 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 3652 of 6486
Name
MISHRI BAI Rate Amount Qty 9000 9000 1 400 400 1 32.4 1.08 30 21.3 .71 30 66 1.1 60 6.9 .23 30 400 400 1 26 2.6 10 7.5 .25 30 8.9 .89 10 400 400 1 Total: 10369
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417069 Min 01417069 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 18-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 7 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 18-FEB-19 GUM ASTRINGENT PAINT 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 28-FEB-19 GUM ASTRINGENT PAINT 18 28-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 19 28-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 20 28-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 21 28-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 3653 of 6486
Name
LAXMI BEHERA Rate Amount Qty 20.06 20.06 1 12.81 12.81 1 31.61 31.61 1 11.1 .37 30 12.8 .64 20 26.7 .89 30 82.76 165.52 2 7.5 .25 30 185.7 6.19 30 26 2.6 10 7.5 .25 30 20.06 20.06 1 17.8 .89 20 31.54 31.54 1 400 400 1 6.4 .64 10 26 2.6 10 31.54 31.54 1 12.81 12.81 1 57.84 57.84 1 5.2 .26 20 4.66 2.33 2 400 400 1 Total: 1521.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417071 Min 01417071 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 3654 of 6486
Name
RAM KALO DEVI Rate Amount Qty 55.8 .93 60 317.7 3.53 90 12 .4 30 7.8 .26 30 7.92 .99 8 400 400 1 Total: 801.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417072 Min 01417072 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 3655 of 6486
Name
BHEEKHAM LAL BHUARY Rate Amount Qty 21.3 .71 30 400 400 1 185.7 6.19 30 39 2.6 15 20.84 5.21 4 400 400 1 Total: 1066.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417074 Min 01417074 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 3656 of 6486
Name
VIJAY LAXMI THAKUR Rate Amount Qty 2.4 .16 15 55.8 .93 60 36.3 1.21 30 16.2 .27 60 400 400 1 Total: 510.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417076 Min 01417076 Slno Description Appmt Dt ALBENDAZOLE,STRIP PKT,400MG,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 02-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 3657 of 6486
SHASHIKANT PATHAK Rate Amount Qty 6.99 2.33 3 18 .6 30 50.14 25.07 2 20.06 20.06 1 6.4 .64 10 400 400 1 5.12 .64 8 3.04 .38 8 1.48 .37 4 400 400 1 5.12 .64 8 1.48 .37 4 3.04 .38 8 400 400 1 Total: 1320.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417077 Min 01417077 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 GUM ANALGESIC GEL 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3658 of 6486
Name
KRIPA RAM SAHU Rate Amount Qty 4.45 .89 5 6.4 .64 10 400 400 1 28.69 28.69 1 2.5 .25 10 400 400 1 26.7 .89 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 1322.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417078 Min 01417078 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 18 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 19 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 20 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 3659 of 6486
JAMA BAI Rate Amount Qty 1.75 .25 7 12.46 .89 14 400 400 1 400 400 1 275 275 1 275 275 1 1.8 .36 5 1.25 .25 5 8.9 .89 10 400 400 1 25.07 25.07 1 13.35 .89 15 3.75 .25 15 400 400 1 13.35 .89 15 7.5 .25 30 400 400 1 55.2 .92 60 36 .6 60 78 1.3 60 7.5 .25 30 400 400 1 Total: 3215.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417079 Min 01417079 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 3660 of 6486
Name
NADIKATLA SHESHI BHUSHON RAO Rate Amount Qty 60.9 2.03 30 13.35 .89 15 55.8 .93 60 16.2 .27 60 400 400 1 2.22 .37 6 35.2 3.52 10 3.84 .64 6 400 400 1 Total: 987.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417080 Min 01417080 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3661 of 6486
Name
N.SHARDA Rate Amount Qty 7.5 .25 30 20.84 5.21 4 400 400 1 7.6 .38 20 400 400 1 Total: 835.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417081 Min 01417081 Appmt Dt Slno Description 07-FEB-19 1 NITRAZEPAM,10MG,TABLE,STRIP PACK. 07-FEB-19 2 QUETIAPINE FUMARATE,200MG,TABLET 07-FEB-19 3 SODIUM VALPROATE,500MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3662 of 6486
Name
D YELUKAR Qty Rate Amount 15 2.64 39.6 60 5.89 353.4 60 3.9 234 1 400 400 Total: 1027
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417089 Min 01417089 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 3663 of 6486
Name
HUPENDRA KUMAR VERMA Rate Amount Qty 54 .6 90 27.9 .93 30 22.2 .37 60 72.6 1.21 60 34.8 1.16 30 400 400 1 Total: 611.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417090 Min 01417090 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 CREATININE /CRT 2 26-FEB-19 UREA (BUN /UR) 3 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 26-FEB-19 PLATELET COUNT 6 26-FEB-19 HB,TLC,DLC 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 27-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 3664 of 6486
Name
USHA VERMA Rate Amount Qty 5 .25 20 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 1300 1300 1 7.35 1.47 5 400 400 1 31.9 3.19 10 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 4296.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417091 Min 01417091 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 3665 of 6486
Name
JASBIR SINGH DHILLON Rate Amount Qty 3.7 .37 10 35.2 17.6 2 400 400 1 Total: 438.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417095 Min 01417095 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 3666 of 6486
Name
TAPRAM VERMA Rate Amount Qty 11.4 .38 30 26.7 .89 30 14.85 .99 15 18.9 .63 30 21.3 .71 30 27.9 .93 30 23.7 .79 30 12 .4 30 400 400 1 Total: 556.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417097 Min 01417097 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 3667 of 6486
Name
UMED RAM SAHU Rate Amount Qty 6.9 .23 30 23.7 .79 30 400 400 1 Total: 430.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417098 Min 01417098 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 3668 of 6486
Name
TRIVENI BAI SAHU Rate Amount Qty 10.65 .71 15 66 1.1 60 16.2 .27 60 18 .6 30 15.4 .77 20 400 400 1 Total: 526.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417104 Min 01417104 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3669 of 6486
Name
MANJU ASHKANAJ LALL Rate Amount Qty 8.1 .27 30 18.6 .62 30 10.05 .67 15 6.4 .64 10 48.76 12.19 4 7.5 .25 30 5.21 5.21 1 400 400 1 Total: 504.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417107 Min 01417107 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 26-FEB-19 UREA (BUN /UR) 9 26-FEB-19 CREATININE /CRT 10 26-FEB-19 URIC ACID (UA /URATES /UR) 11 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 26-FEB-19
Page 3670 of 6486
Name
ANGAD DAS BAIRAGI Rate Amount Qty 275 275 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 66 1.1 60 400 400 1 4.8 .16 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 10.8 .36 30 36 .6 60 39 1.3 30 8.1 .27 30 Total: 2418.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417113 Min 01417113 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3671 of 6486
Name
N L SHRIVASTAVA Rate Amount Qty 21.3 .71 30 55.8 .93 60 6.9 .23 30 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 523.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417114 Min 01417114 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 18-FEB-19
Page 3672 of 6486
Name
INDU SHRIVASTAVA Rate Amount Qty 3.75 .25 15 27.9 .93 30 21.3 .71 30 18.6 .62 30 400 400 1 1750 1750 1 400 400 1 Total: 2621.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417115 Min 01417115 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 18-FEB-19 URIC ACID (UA /URATES /UR) 2 18-FEB-19 UREA (BUN /UR) 3 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 3673 of 6486
Name
PITAMBER LAL CHANDRAKAR Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 21.3 .71 30 26.7 .89 30 66 1.1 60 27.9 .93 30 72 .6 120 32.4 .36 90 7.5 .25 30 400 400 1 Total: 3453.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417116 Min 01417116 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 3674 of 6486
Name
DROPATI BAI CHANDRAKAR Rate Amount Qty 34.8 1.16 30 9 .3 30 10.35 .23 45 72 .6 120 400 400 1 8.1 .27 30 8.9 .89 10 34.8 1.16 30 72 .6 120 9 .3 30 6.9 .23 30 400 400 1 Total: 1065.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417118 Min 01417118 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 23-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 3675 of 6486
Name
CHAMPA DESHMUKH Rate Amount Qty 66 1.1 60 47.4 .79 60 55.8 .93 60 400 400 1 7.5 .25 30 20.84 5.21 4 2.5 .25 10 18 .6 30 26 2.6 10 8.9 .89 10 400 400 1 Total: 1052.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417121 Min 01417121 Slno Description Appmt Dt DIGOXIN,STRIP PKT,0.25MG,TABLET 1 01-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 3676 of 6486
Name
KULWANT SINGH Rate Amount Qty 25.96 1.18 22 96.75 2.15 45 23.7 .79 30 30.6 .51 60 66 1.1 60 43.2 1.44 30 400 400 1 Total: 686.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417122 Min 01417122 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3677 of 6486
Name
BALVINDER KAOR Rate Amount Qty 34.8 1.16 30 27.9 .93 30 167.4 5.58 30 72 .6 120 32.4 .36 90 9 .3 30 400 400 1 Total: 743.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417125 Min 01417125 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 3678 of 6486
Name
RAM SINGH CHANDEL Rate Amount Qty 7.5 .25 30 9.9 .66 15 27.9 .93 30 8.1 .27 30 18.15 1.21 15 400 400 1 Total: 471.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417126 Min 01417126 Appmt Dt Slno Description 27-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 27-FEB-19 2 AZATHIOPRINE,STRIP PKT,50MG,TABLET 27-FEB-19 3 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3679 of 6486
Name
LEELA SINGH Qty Rate Amount 30 .38 11.4 30 3.38 101.4 60 8.18 490.8 1 400 400 Total: 1003.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417129 Min 01417129 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19
Page 3680 of 6486
Name
MURLIDHAR SAGAR Rate Amount Qty 400 400 1 34.8 1.16 30 94.8 .79 120 64.8 1.08 60 24 .4 60 Total: 618.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417151 Min 01417151 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3681 of 6486
Name
RATAN CHANDRA SARKAR Rate Amount Qty 41.85 .93 45 8.1 .27 30 7.5 .25 30 18.9 .63 30 400 400 1 Total: 476.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417152 Min 01417152 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 3682 of 6486
Name
MANO KHUSHI SARKAR Rate Amount Qty 185.7 6.19 30 18.9 .63 30 55.8 .93 60 31.2 1.04 30 7.5 .25 30 400 400 1 Total: 699.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417163 Min 01417163 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19
Page 3683 of 6486
Name
DANDA SAHU Rate Amount Qty 27.9 .93 30 18 .6 30 10.8 .36 30 6.9 .23 30 60.9 2.03 30 7.5 .25 30 400 400 1 18 .6 30 27.9 .93 30 6.9 .23 30 60.9 2.03 30 7.5 .25 30 10.8 .36 30 400 400 1 Total: 1064
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417168 Min 01417168 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 PRAZOSIN,2.5MG,TABLET 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 16-FEB-19 CREATININE /CRT 15 16-FEB-19 UREA (BUN /UR) 16 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 18 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 24 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 25 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 26 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 27 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 29 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 30 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 31 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 32 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 33 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 34 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 35 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 22-FEB-19
Page 3684 of 6486
Name
MUMTAZ BAGUM Rate Amount Qty 76.5 2.55 30 54 .6 90 21.3 .71 30 21.6 .36 60 16.2 .27 60 39 1.3 30 29.7 .99 30 55.8 .93 60 167.4 5.58 30 117 1.3 90 400 400 1 275 275 1 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 76.5 2.55 30 21.3 .71 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 117 1.3 90 167.4 5.58 30 72 .6 120 43.2 .36 120 76.5 2.55 30 21.3 .71 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 117 1.3 90 167.4 5.58 30 72 .6 120 43.2 .36 120 400 400 1 Total: 5396.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417169 Min 01417169 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 3685 of 6486
Name
MOHD MUSLIM ANSARI Rate Amount Qty 23.7 .79 30 36 .6 60 55.2 .92 60 34.8 1.16 30 3.75 .25 15 400 400 1 54 .9 60 26.7 .89 30 100.71 100.71 1 400 400 1 Total: 1134.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417194 Min 01417194 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 3686 of 6486
Name
SARITA ANAND Rate Amount Qty 36 .6 60 18.9 .63 30 400 400 1 Total: 454.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417195 Min 01417195 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 09-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 4 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 3687 of 6486
Name
S D S ANAND Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 189 2.1 90 8.1 .27 30 400 400 1 Total: 676.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417196 Min 01417196 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 07-FEB-19 UREA (BUN /UR) 13 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 07-FEB-19 CREATININE /CRT 16 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 07-FEB-19 24 HR URINARY ALBUMIN (24 HR UR ALB) 18 14-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 19 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 24 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 25 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 27 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 21-FEB-19
Page 3688 of 6486
Name
PK KHATTAR Rate Amount Qty 54 .9 60 156.6 1.74 90 29.7 .99 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 55.8 .93 60 117 1.3 90 54 .6 90 400 400 1 275 275 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 1300 1300 1 500 500 1 1610 1610 1 400 400 1 36 .6 60 78 1.3 60 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 60.9 2.03 30 29.7 .99 30 400 400 1 Total: 7582.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417201 Min 01417201 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 3689 of 6486
Name
JAYANTI LAL CHAUHAN Rate Amount Qty 7.5 .25 30 12 .4 30 36.3 1.21 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 34.8 1.16 30 400 400 1 36.3 1.21 30 55.8 .93 60 34.8 1.16 30 7.5 .25 30 16.2 .27 60 29.7 .99 30 12 .4 30 400 400 1 Total: 1184.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417203 Min 01417203 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 12-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 3690 of 6486
Name
TEKCHAND SAHU Rate Amount Qty 400 400 1 275 275 1 275 275 1 18 .6 30 7.5 .25 30 21.3 .71 30 32.4 .36 90 400 400 1 26.7 .89 30 185.7 6.19 30 94.2 3.14 30 400 400 1 Total: 2135.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417204 Min 01417204 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 3691 of 6486
Name
SANT MADHURI SAHU Rate Amount Qty 275 275 1 275 275 1 400 400 1 32.4 1.08 30 66 1.1 60 400 400 1 Total: 1448.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417205 Min 01417205 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3692 of 6486
Name
K S SAHU Rate Amount Qty 6.9 .23 30 7.7 .77 10 400 400 1 Total: 414.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417206 Min 01417206 Appmt Dt Slno Description 23-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3693 of 6486
Name
HEERA SAHU Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417207 Min 01417207 Appmt Dt Slno Description 07-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 07-FEB-19 2 TABLET/CAPSULE FLUCONAZOLE, 150MG 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3694 of 6486
Name
NANHEMIYAN Qty Rate Amount 3 9.86 29.58 8 3.37 26.96 30 .37 11.1 1 400 400 Total: 467.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417208 Min 01417208 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 21-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 21-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 4 21-FEB-19 ECG 5 21-FEB-19 OBSERVATION IN CASUALTY 6 21-FEB-19 OBSERVATION IN CASUALTY 7 23-FEB-19 SYRINGE,DISPOSABLE,2ML 8 23-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 9 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 10 23-FEB-19 ECG 11 23-FEB-19 X - RAY - SINGLE VIEW 12 23-FEB-19
Page 3695 of 6486
Name
RAJIYA BEGUM Qty 1 1 1 1 1 1 1 2 1 1 1 1
Rate Amount .16 .16 3.19 3.19 600 600 5.77 5.77 450 450 420 420 420 420 3.68 1.84 5.77 5.77 9.62 9.62 450 450 550 550 Total: 2918.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417211 Min 01417211 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 3696 of 6486
Name
REWA RAM SAHU Rate Amount Qty 8.1 .27 30 21.3 .71 30 400 400 1 Total: 429.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417212 Min 01417212 Appmt Dt Slno Description 28-FEB-19 1 ESCITALOPRAM,10MG,,TABLET 28-FEB-19 2 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 28-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3697 of 6486
Name
KUMARI BAI Qty Rate Amount 20 1.85 37 10 .16 1.6 30 1.1 33 1 400 400 Total: 471.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417213 Min 01417213 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 18-FEB-19 PRAZOSIN,2.5MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3698 of 6486
Name
DEEPAK KUMAR DESHPANDE Rate Amount Qty 117 1.3 90 54 .6 90 9 .3 30 32.4 .36 90 2.4 .16 15 34.8 1.16 30 32.4 1.08 30 47.4 .79 60 55.8 .93 60 12 .4 30 78 1.3 60 400 400 1 Total: 875.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417214 Min 01417214 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 18-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 3699 of 6486
Name
SMT.SANDHYA DESHPANDE Rate Amount Qty 13.95 .93 15 2.4 .16 15 71 .71 100 10.8 .36 30 400 400 1 Total: 498.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417219 Min 01417219 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3700 of 6486
Name
CHHABRA VS Rate Amount Qty 34.8 1.16 30 33 1.1 30 8.9 .89 10 12 .4 30 43.96 43.96 1 1.6 .16 10 400 400 1 Total: 534.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417220 Min 01417220 Appmt Dt Slno Description 07-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 2 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3701 of 6486
Name
SHANTI CHHABRA Qty Rate Amount 6 .64 3.84 30 .58 17.4 5 .37 1.85 1 400 400 Total: 423.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417224 Min 01417224 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 3702 of 6486
Name
SHASHIKALA DUBEY Rate Amount Qty 7.5 .25 30 66.2 6.62 10 1.85 .37 5 6.4 .64 10 55.8 .93 60 66 1.1 60 12 .4 30 185.7 6.19 30 400 400 1 12.15 12.15 1 4.45 .89 5 2.7 .18 15 400 400 1 Total: 1220.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417225 Min 01417225 Appmt Dt Slno Description 21-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3703 of 6486
Name
B.DASU Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417228 Min 01417228 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3704 of 6486
Name
SANT KUMARI SAHU Rate Amount Qty 167.4 5.58 30 93.3 9.33 10 21.3 .71 30 36 .6 60 9 .3 30 2.33 2.33 1 26.7 .89 30 400 400 1 Total: 756.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417231 Min 01417231 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 25-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 3705 of 6486
Name
MOTI LAL RAJPAL Qty 2 2 1
Rate Amount 148.9 74.45 40.58 20.29 400 400 Total: 589.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417232 Min 01417232 Slno Description Appmt Dt OLOPATADINE,0.1%,EYE DROP,5ML PACK 1 25-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 25-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 3706 of 6486
Name
NEELAM RAJPAL Qty 2 1 1 2 1
Rate Amount 36.42 18.21 82.76 82.76 43.96 43.96 51.38 25.69 400 400 Total: 614.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417233 Min 01417233 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 28-FEB-19 CREATININE /CRT 12 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 28-FEB-19
Page 3707 of 6486
Name
THAKUR MR Rate Amount Qty 7.5 .25 30 6.9 .23 30 12 .4 30 34.8 1.16 30 400 400 1 275 275 1 7.5 .25 30 34.8 1.16 30 12 .4 30 6.9 .23 30 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 3047.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417234 Min 01417234 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 3708 of 6486
Name
NIRMALA THAKUR Rate Amount Qty 21.6 .36 60 36 .6 60 78 1.3 60 21.3 .71 30 400 400 1 Total: 556.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417238 Min 01417238 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 5 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3709 of 6486
Name
CHANDRAKALA SINHA Rate Amount Qty 45.44 45.44 1 7.4 .37 20 12.81 12.81 1 400 400 1 45.44 45.44 1 12.81 12.81 1 11.1 .37 30 400 400 1 36 .6 60 33 1.1 30 8.1 .27 30 167.4 5.58 30 400 400 1 Total: 1579.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417241 Min 01417241 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 3710 of 6486
Name
CHANDRA SHEKHAR Rate Amount Qty 12 .4 30 23.7 .79 30 27.9 .93 30 2.4 .16 15 18 .6 30 18.9 .63 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 556.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417242 Min 01417242 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3711 of 6486
Name
LALTA Rate Amount Qty 27.4 1.37 20 20.1 .67 30 26.7 .89 30 8.1 .27 30 55.8 .93 60 21.3 .71 30 7.5 .25 30 400 400 1 Total: 566.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417247 Min 01417247 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 02-FEB-19 UREA (BUN /UR) 10 02-FEB-19 X - RAY - SINGLE VIEW 11 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 02-FEB-19 CREATININE /CRT 14 02-FEB-19
Page 3712 of 6486
Name
MADAN SINGH TURUKCANE Rate Amount Qty 55.8 .93 60 400 400 1 275 275 1 275 275 1 21.3 .71 30 12 .4 30 7.5 .25 30 36 .6 60 9 .3 30 275 275 1 550 550 1 29.7 .99 30 8.1 .27 30 275 275 1 Total: 2229.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417248 Min 01417248 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 02-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 11 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 02-FEB-19
Page 3713 of 6486
SHISHUKALA TURUKCANE Rate Amount Qty 550 550 1 400 400 1 137.3 13.73 10 36 .6 60 21.6 .36 60 55.8 .93 60 14.85 .99 15 7.5 .25 30 21.3 .71 30 78 1.3 60 48.22 48.22 1 3.7 .37 10 6.4 .64 10 Total: 1380.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417249 Min 01417249 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 3714 of 6486
Name
SATYENDRA KUMAR SINHA Rate Amount Qty 36 .6 60 55.8 .93 60 400 400 1 Total: 491.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417250 Min 01417250 Appmt Dt Slno Description 12-FEB-19 1 X - RAY - TWO VIEWS 12-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 26-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3715 of 6486
Name
ANITA SINHA Qty Rate Amount 1 860 860 1 400 400 15 .64 9.6 1 400 400 Total: 1669.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417255 Min 01417255 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 7 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 12 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 3716 of 6486
Name
N APPARAO Rate Amount Qty 275 275 1 275 275 1 12 .4 30 32.4 1.08 30 34.8 1.16 30 55.8 .93 60 21.6 1.44 15 15.6 1.04 15 18 .6 30 167.4 5.58 30 10.8 .36 30 10.65 .71 15 15.6 .26 60 400 400 1 Total: 1344.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417257 Min 01417257 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 3717 of 6486
Name
ARJUN SHARMA Rate Amount Qty 275 275 1 275 275 1 39 1.3 30 12.15 .27 45 47.4 .79 60 36 .6 60 12 .4 30 34.8 1.16 30 400 400 1 Total: 1131.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417258 Min 01417258 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3718 of 6486
Name
SHIV PYARI Rate Amount Qty 3.84 .64 6 4.62 .77 6 6.72 1.12 6 33.12 1.84 18 400 400 1 12 .4 30 32.4 1.08 30 33 1.1 30 34.8 1.16 30 27 .6 45 26.7 .89 30 400 400 1 Total: 1014.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417259 Min 01417259 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3719 of 6486
Name
N C AGRAWAL Rate Amount Qty 22.2 .37 60 60.9 2.03 30 192.3 6.41 30 29.7 .99 30 400 400 1 Total: 705.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417260 Min 01417260 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 13-FEB-19 CREATININE /CRT 3 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 13-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 13-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 28-FEB-19 COMPLETE HAEMOGRAM 10 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19
Page 3720 of 6486
Name
PUSHPA AGRAWAL Rate Amount Qty 750 750 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1750 1750 1 380 380 1 400 400 1 400 400 1 750 750 1 11.4 .38 30 7.5 .25 30 Total: 6573.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417268 Min 01417268 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 2 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 16-FEB-19
Page 3721 of 6486
Name
BHAGIRATHI VERMA Rate Amount Qty 60.9 2.03 30 1610 1610 1 400 400 1 Total: 2070.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417269 Min 01417269 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 13-FEB-19 UREA (BUN /UR) 4 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 13-FEB-19 URIC ACID (UA /URATES /UR) 6 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 13-FEB-19
Page 3722 of 6486
Name
SATRUPA VERMA Rate Amount Qty 21.3 .71 30 26.7 .89 30 11.4 .38 30 275 275 1 275 275 1 275 275 1 275 275 1 40.12 20.06 2 400 400 1 1300 1300 1 Total: 2899.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417274 Min 01417274 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3723 of 6486
Name
GANESH PRASAD SONI Rate Amount Qty 54 .6 90 34.8 1.16 30 32.4 1.08 30 8.1 .27 30 27.9 .93 30 3.75 .25 15 400 400 1 Total: 560.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417275 Min 01417275 Appmt Dt Slno Description 20-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3724 of 6486
Name
SUSHILA DEVI SONI Qty Rate Amount 30 .71 21.3 120 .6 72 60 .36 21.6 1 400 400 Total: 514.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417278 Min 01417278 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 07-FEB-19 SILDENAFIL,25 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 SILDENAFIL,25 MG,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 3725 of 6486
Name
KUZHIPATRA ITTY JOHN Rate Amount Qty 55.8 .93 60 27.9 .93 30 7.6 .38 20 52.8 2.64 20 400 400 1 52.8 2.64 20 400 400 1 Total: 996.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417279 Min 01417279 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 07-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 2 07-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 18-FEB-19 COMPLETE HAEMOGRAM 6 18-FEB-19 CRP 7 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 18-FEB-19
Page 3726 of 6486
Name
SMT.BINU JOHN Rate Amount Qty 20.84 5.21 4 83.4 2.78 30 51.68 3.23 16 400 400 1 1300 1300 1 750 750 1 600 600 1 400 400 1 Total: 3605.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417282 Min 01417282 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 16-FEB-19
Page 3727 of 6486
Name
JAGDISH KUMAR Rate Amount Qty 12 .4 30 32.4 .36 90 72 .6 120 21.3 .71 30 117 1.3 90 400 400 1 275 275 1 275 275 1 400 400 1 Total: 1604.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417286 Min 01417286 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3728 of 6486
Name
JODHARAM Rate Amount Qty 7.5 .25 30 21.3 .71 30 167.4 5.58 30 72 .6 120 32.4 .36 90 18.9 .63 30 400 400 1 Total: 719.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417287 Min 01417287 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 3729 of 6486
Name
RUKHMANI BAI Rate Amount Qty 7.5 .25 30 21.3 .71 30 78 1.3 60 54 .6 90 21.6 .36 60 400 400 1 Total: 582.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417292 Min 01417292 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 4 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3730 of 6486
JHALA RAM CHANDRAKAR Rate Amount Qty 8.1 .27 30 23.7 .79 30 400 400 1 18.21 18.21 1 25.07 25.07 1 2.22 .37 6 400 400 1 23.7 .79 30 .96 .16 6 8.1 .27 30 400 400 1 Total: 1310.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417300 Min 01417300 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 01-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 8 04-FEB-19
Page 3731 of 6486
Name
BHIM SEN SINGH Rate Amount Qty 118.5 3.95 30 92.1 6.14 15 55.8 .93 60 192.3 6.41 30 7.5 .25 30 400 400 1 400 400 1 2110 2110 1 Total: 3376.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417302 Min 01417302 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 3732 of 6486
Name
KAUSHLIYA BAI Rate Amount Qty 34.8 1.16 30 27.6 .92 30 18 .6 30 400 400 1 27.9 .93 30 275 275 1 275 275 1 21.3 .71 30 20.84 5.21 4 27.9 .93 30 29.7 .99 30 400 400 1 Total: 1558.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417303 Min 01417303 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 3733 of 6486
Name
GOPAL SINGH Rate Amount Qty 21.6 .36 60 13.35 .89 15 34.8 1.16 30 43.96 43.96 1 32.4 1.08 30 39 1.3 30 167.4 5.58 30 72 .6 120 66 1.1 60 400 400 1 Total: 890.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417307 Min 01417307 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 9 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 19 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 25-FEB-19
Page 3734 of 6486
Name
GHANSHYAM PRASAD SHARMA Rate Amount Qty 21.3 .71 30 12 .4 30 23.1 .77 30 31.2 1.04 30 6.4 .64 10 21.6 .36 60 36 .6 60 55.8 .93 60 118.5 3.95 30 7.65 .51 15 32.4 1.08 30 400 400 1 27.9 .93 30 8.1 .27 30 400 400 1 4.45 .89 5 6.4 .64 10 4.1 .41 10 55.2 1.84 30 400 400 1 Total: 1672.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417308 Min 01417308 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 09-FEB-19 ESCITALOPRAM,10MG,,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19
Page 3735 of 6486
Name
URMILA SHARMA Rate Amount Qty 6.9 .23 30 32.4 1.08 30 18.9 .63 30 8.9 .89 10 20.06 20.06 1 21.3 .71 30 33 1.1 30 400 400 1 19.8 .66 30 111 1.85 60 400 400 1 Total: 1072.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417314 Min 01417314 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3736 of 6486
Name
SHIBANI MADHU Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417321 Min 01417321 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3737 of 6486
Name
BASANT KUMAR UIKE Rate Amount Qty 32.4 .36 90 72 .6 120 117 1.3 90 7.5 .25 30 400 400 1 Total: 628.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417322 Min 01417322 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 05-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 12-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 11 14-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 3738 of 6486
VENU UIKE Rate Amount Qty 21.3 .71 30 15 .25 60 25.07 25.07 1 73.5 2.45 30 400 400 1 26 2.6 10 7.7 .77 10 61.9 6.19 10 .48 .16 3 400 400 1 31.4 3.14 10 63.8 3.19 20 5 .25 20 8.9 .89 10 400 400 1 Total: 1540.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417325 Min 01417325 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 05-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3739 of 6486
MANGAL RAM SAHU Rate Amount Qty 6.82 6.82 1 1610 1610 1 400 400 1 25.07 25.07 1 400 400 1 50.14 25.07 2 400 400 1 Total: 2892.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417326 Min 01417326 Appmt Dt Slno Description 05-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 3 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3740 of 6486
RAMSHEELA BAI Qty Rate Amount 3 .37 1.11 1 15.73 15.73 10 2.66 26.6 1 400 400 Total: 443.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417327 Min 01417327 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 3741 of 6486
BALDEO RAM Rate Amount Qty 54 .6 90 21.6 .36 60 17.4 1.16 15 6.4 .64 10 1.85 .37 5 15.73 15.73 1 400 400 1 Total: 516.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417332 Min 01417332 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 3742 of 6486
Name
JAGESHWAR P PANDEY Rate Amount Qty 23.7 .79 30 167.4 5.58 30 60.9 2.03 30 18 .6 30 192.3 6.41 30 21.3 .71 30 400 400 1 Total: 883.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417333 Min 01417333 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3743 of 6486
Name
SMT.URMILA PANDEY Rate Amount Qty 76.5 2.55 30 21.3 .71 30 55.8 .93 60 14.85 .99 15 400 400 1 Total: 568.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417335 Min 01417335 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3744 of 6486
Name
SHAMBANI S. PRAKASH Rate Amount Qty 7.5 .25 30 12 .4 30 36 .6 60 34.8 1.16 30 400 400 1 Total: 490.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417336 Min 01417336 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3745 of 6486
Name
S PRAKASH Rate Amount Qty 4.8 .16 30 7.5 .25 30 12 .4 30 27 .36 75 72 .6 120 27.9 .93 30 15.3 .51 30 400 400 1 Total: 566.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417340 Min 01417340 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 PRAZOSIN,2.5MG,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3746 of 6486
Name
SMT.SUMAN TAMRAKAR Rate Amount Qty 7.5 .25 30 39 1.3 30 55.8 .93 60 66 1.1 60 22.2 .37 60 400 400 1 Total: 590.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417343 Min 01417343 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 3747 of 6486
Name
SHAKTI KUMAR Rate Amount Qty 34.8 1.16 30 14.85 .99 15 32.4 1.08 30 7.5 .25 30 55.8 .93 60 8.1 .27 30 72 .6 120 10.8 .36 30 400 400 1 Total: 636.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417344 Min 01417344 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 3748 of 6486
Name
SAROJ RANI SHARMA Rate Amount Qty 13.8 .23 60 1.85 .37 5 11.4 .38 30 55.8 .93 60 72 .6 120 21.6 .36 60 334.8 5.58 60 400 400 1 Total: 911.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417345 Min 01417345 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 3749 of 6486
Name
KESHAW PRASAD SAHOO Rate Amount Qty 16.2 .27 60 36 .6 60 400 400 1 Total: 452.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417346 Min 01417346 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 3750 of 6486
Name
SMT. HIRA BAI SAHOO Rate Amount Qty 66 1.1 60 8.1 .27 30 7.5 .25 30 20.84 5.21 4 55.8 .93 60 400 400 1 Total: 558.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417349 Min 01417349 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 3751 of 6486
Name
SUBHASH KUMAR BHIWAGADE Rate Amount Qty 12 .4 30 32.4 1.08 30 69.6 1.16 60 27.9 .93 30 7.5 .25 30 6.9 .23 30 400 400 1 200.6 20.06 10 9.6 .64 15 55.2 1.84 30 400 400 1 Total: 1221.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417350 Min 01417350 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 04-FEB-19 MAMOGRAPHY 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3752 of 6486
Name
BEENA BHIWAGADE Rate Amount Qty 400 400 1 1750 1750 1 2000 2000 1 400 400 1 8.1 .27 30 21.3 .71 30 400 400 1 Total: 4979.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417359 Min 01417359 Slno Description Appmt Dt CREATININE /CRT 1 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 19-FEB-19 URIC ACID (UA /URATES /UR) 7 19-FEB-19
Page 3753 of 6486
Name
RASHID KHAN Qty 1 1 1 1 1 1 1
Rate Amount 275 275 550 550 400 400 275 275 275 275 1300 1300 275 275 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417360 Min 01417360 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 18-FEB-19 GUM ASTRINGENT PAINT 5 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 18-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 22-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 14 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 22-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19
Page 3754 of 6486
Name
RAHISHA BEGUM Rate Amount Qty 63.58 63.58 1 26.96 3.37 8 400 400 1 46.8 2.34 20 31.54 31.54 1 4.1 .41 10 6.4 .64 10 3.8 .38 10 400 400 1 12.8 .64 20 5.21 5.21 1 4.8 .16 30 11.4 .38 30 27.9 .93 30 371.4 6.19 60 53.4 .89 60 166.8 2.78 60 400 400 1 Total: 2036.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417366 Min 01417366 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3755 of 6486
Name
ANADI RANJAN PAUL Rate Amount Qty 21.6 .36 60 7.5 .25 30 14.85 .99 15 117 1.3 90 72 .6 120 22.2 .37 60 400 400 1 Total: 655.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417370 Min 01417370 Slno Description Appmt Dt CARBAMAZEPINE,STRIP PKT,200MG,TABLET 1 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19
Page 3756 of 6486
Name
KEWAL KRISHNA KUMAR GUPTA Rate Amount Qty 88.2 1.47 60 31.2 1.04 30 43.2 1.44 30 16.2 .27 60 12 .4 30 55.8 .93 60 72.6 1.21 60 32.4 1.08 30 4.8 .16 30 23.1 .77 30 21.6 .36 60 36 .6 60 400 400 1 Total: 837.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417371 Min 01417371 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 3757 of 6486
Name
LALITA GUPTA Rate Amount Qty 23.1 .77 30 55.8 .93 60 400 400 1 Total: 478.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417373 Min 01417373 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 GUM ANALGESIC GEL 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 8 19-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 3758 of 6486
Name
MILAPA BAI Rate Amount Qty 21.3 .71 30 36 .6 60 39 1.3 30 10.8 .36 30 400 400 1 57.38 28.69 2 400 400 1 24.6 .82 30 12.3 .41 30 400 400 1 Total: 1401.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417374 Min 01417374 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3759 of 6486
Name
SR MAJHI Rate Amount Qty 32.4 .36 90 36 .6 60 117 1.3 90 27.9 .93 30 21.3 .71 30 21.3 .71 30 400 400 1 Total: 655.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417375 Min 01417375 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 21-FEB-19 PRAZOSIN,2.5MG,TABLET 12 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19
Page 3760 of 6486
Name
DR(MRS) JYOTEE NARULA Rate Amount Qty 66.2 6.62 10 20.84 5.21 4 185.7 6.19 30 21.3 .71 30 3.7 .37 10 6.4 .64 10 400 400 1 2.4 .16 15 55.8 .93 60 72.6 1.21 60 8.1 .27 30 39 1.3 30 34.8 1.16 30 32.4 1.08 30 26.7 .89 30 400 400 1 Total: 1375.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417376 Min 01417376 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 3761 of 6486
Name
SANDEEP NARULA Rate Amount Qty 26.7 .89 30 55.8 .93 60 54 .6 90 7.5 .25 30 9 .3 30 400 400 1 Total: 553
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417379 Min 01417379 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 26-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3762 of 6486
Name
CHOWA RAM Rate Amount Qty 78 1.3 60 34.8 1.16 30 30.6 .34 90 33 1.1 30 12 .4 30 32.4 1.08 30 400 400 1 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 Total: 1042.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417380 Min 01417380 Appmt Dt Slno Description 26-FEB-19 1 ISOSORBIDE DINITRATE,10MG,TABLET 26-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 26-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3763 of 6486
Name
DAYA BAI Qty Rate Amount 45 .34 15.3 30 1.16 34.8 30 .4 12 1 400 400 Total: 462.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417381 Min 01417381 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 3764 of 6486
SK PRADHAN Rate Amount Qty 50.14 25.07 2 167.4 5.58 30 18.9 .63 30 12 .4 30 21.3 .71 30 55.8 .93 60 54 .6 90 400 400 1 Total: 779.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417386 Min 01417386 Appmt Dt Slno Description 27-FEB-19 1 CEFEXIME,STRIP PKT,200MG,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3765 of 6486
Name
VEENA SHRIVASTAVA Qty Rate Amount 4 6.62 26.48 1 400 400 426.48 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417389 Min 01417389 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 3766 of 6486
Name
KHUMAN SINGH GAYAKWAR Rate Amount Qty 36 .6 60 21.3 .71 30 47.4 .79 60 12 .4 30 400 400 1 26.6 2.66 10 1.85 .37 5 3.84 .64 6 400 400 1 Total: 948.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417390 Min 01417390 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 3767 of 6486
Name
GAJRA BAI Rate Amount Qty 27.9 .93 30 6.9 .23 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417394 Min 01417394 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 05-FEB-19
Page 3768 of 6486
Name
PRADIP KUMAR DEY Rate Amount Qty 400 400 1 72 .6 120 48 .4 120 Total: 520
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417395 Min 01417395 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 BLOOD FOR T-3,T-4,TSH 9 13-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 13-FEB-19 COMPLETE HAEMOGRAM 11 13-FEB-19
Page 3769 of 6486
Name
KAVITA DEY Rate Amount Qty 400 400 1 145.2 1.21 120 69.6 1.16 60 24 .4 60 53.4 .89 60 82.8 .92 90 72 .6 120 400 400 1 2400 2400 1 1300 1300 1 750 750 1 Total: 5697
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417396 Min 01417396 Slno Description Appmt Dt PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 1 01-FEB-19 CREATININE /CRT 2 01-FEB-19 COMPLETE HAEMOGRAM 3 01-FEB-19 UREA (BUN /UR) 4 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 01-FEB-19 CALCIUM (CA) 6 01-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 9 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 05-FEB-19 SEVELAMER ,800 MG,,TABLET 12 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 13 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 15 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 19 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 20 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 12-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 22 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 25 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 26 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 26-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 30 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 27-FEB-19
Page 3770 of 6486
Name
ANUKUL JOSEPH Rate Amount Qty 275 275 1 275 275 1 750 750 1 275 275 1 550 550 1 275 275 1 275 275 1 400 400 1 4790 4790 1 23.1 .77 30 62.4 1.04 60 501.9 16.73 30 4790 4790 1 400 400 1 18.9 .63 30 21.3 .71 30 32.4 1.08 30 12 .4 30 30.6 .51 60 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 2.3 .23 10 400 400 1 Total: 40109.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417403 Min 01417403 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3771 of 6486
Name
SMT.GAURI BAI Rate Amount Qty 39 1.3 30 7.5 .25 30 21.6 .36 60 36 .6 60 400 400 1 Total: 504.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417405 Min 01417405 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 3772 of 6486
Name
SMT SHASHIKALA SINGH Rate Amount Qty 8.1 .27 30 9.3 .62 15 55.8 .93 60 78 1.3 60 400 400 1 Total: 551.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417408 Min 01417408 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 23-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 20 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 21 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 22 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 24 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 25 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 23-FEB-19
Page 3773 of 6486
Name
JHAMMAN RAM Rate Amount Qty 21.3 .71 30 12 .4 30 18 .6 30 14.85 .99 15 27.9 .93 30 17.4 .58 30 7.5 .25 30 26.7 .89 30 18.9 .63 30 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 34.8 1.16 30 78 .78 100 33 1.1 30 14.85 .99 15 55.8 .93 60 22.2 .37 60 18.9 .63 30 400 400 1 Total: 4422.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417409 Min 01417409 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 3774 of 6486
Name
GUNIT BAI Rate Amount Qty 32.4 1.08 30 21.3 .71 30 12 .4 30 36.3 1.21 30 27.9 .93 30 6.9 .23 30 2.4 .16 15 15.6 .26 60 26.7 .89 30 400 400 1 Total: 581.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417410 Min 01417410 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19
Page 3775 of 6486
ASHOK KUMAR DAUDIYA Rate Amount Qty 15.73 15.73 1 5.34 .89 6 9.6 .64 15 10.95 .73 15 66.2 6.62 10 400 400 1 5.21 5.21 1 72.6 1.21 60 55.8 .93 60 16.2 .27 60 400 400 1 60.18 20.06 3 26.7 .89 30 26.7 .89 30 60.18 20.06 3 400 400 1 Total: 1631.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417411 Min 01417411 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 3776 of 6486
Name
MALATI DEVI Rate Amount Qty 1.6 .16 10 6.4 .64 10 33 1.1 30 400 400 1 8.4 .42 20 400 400 1 Total: 849.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417413 Min 01417413 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 3777 of 6486
Name
MOHANLAL RAGHUWANSHI Rate Amount Qty 27.9 .93 30 8.1 .27 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417418 Min 01417418 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 LORNOXICAM 8 MG,STRIP PACK,,TABLET 18-FEB-19 3 BACLOFEN,STRIP PKT,10MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3778 of 6486
Name
DR. N K BAJPAI Qty Rate Amount 20 .89 17.8 20 1.37 27.4 20 3.19 63.8 1 400 400 Total: 509
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417429 Min 01417429 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 3779 of 6486
Name
GORE LAL RATHORE Rate Amount Qty 8.1 .27 30 55.8 .93 60 17.4 1.16 15 36 .6 60 39 1.3 30 400 400 1 Total: 556.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417430 Min 01417430 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 14-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 10 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 3780 of 6486
SHAKUNTALA RATHORE Rate Amount Qty 26.6 2.66 10 6.4 .64 10 12.6 .9 14 15.73 15.73 1 400 400 1 25.07 25.07 1 400 400 1 7.6 .38 20 12.15 12.15 1 17.3 1.73 10 18 .9 20 400 400 1 117 1.3 90 27.9 .93 30 21.3 .71 30 1.48 .37 4 10.8 .36 30 72 .6 120 400 400 1 Total: 1991.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417433 Min 01417433 Slno Description Appmt Dt SUTURE REMOVAL 1 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 15-FEB-19 DRESSING SIMPLE 7 15-FEB-19
Page 3781 of 6486
Name
KUNJ LAL SAHU Rate Amount Qty 490 490 1 41.06 41.06 1 13.35 .89 15 9.6 .64 15 400 400 1 400 400 1 600 300 2 Total: 1954.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417436 Min 01417436 Appmt Dt Slno Description 15-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3782 of 6486
Name
MANIRAM Qty Rate Amount 30 .27 8.1 30 .99 29.7 60 .93 55.8 1 400 400 Total: 493.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417437 Min 01417437 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3783 of 6486
Name
NANI BAI Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417438 Min 01417438 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 3784 of 6486
Name
AHUTI SAHU Rate Amount Qty 185.7 6.19 30 20.84 5.21 4 26 2.6 10 400 400 1 21.3 .71 30 12 .4 30 32.4 1.08 30 55.8 .93 60 26.7 .89 30 400 400 1 Total: 1180.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417441 Min 01417441 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19 CREATININE /CRT 6 21-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 7 21-FEB-19 UREA (BUN /UR) 8 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 21-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 10 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 3785 of 6486
Name
SANTAN LAL Rate Amount Qty 3.2 .64 5 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 650 650 1 275 275 1 35.2 3.52 10 85.8 8.58 10 4.45 .89 5 60.9 2.03 30 192.3 6.41 30 400 400 1 78 1.3 60 7.5 .25 30 21.3 .71 30 54 .6 90 21.6 .36 60 400 400 1 Total: 3914.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417442 Min 01417442 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 UREA (BUN /UR) 5 21-FEB-19 CREATININE /CRT 6 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 3786 of 6486
Name
LAXMIN BAI Rate Amount Qty 6.4 .64 10 7.5 .25 30 185.7 6.19 30 400 400 1 275 275 1 275 275 1 1300 1300 1 55.8 .93 60 7.65 .51 15 6.9 .23 30 7.5 .25 30 21.3 .71 30 400 400 1 275 275 1 275 275 1 1.48 .37 4 3.04 .38 8 400 400 1 Total: 3903.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417452 Min 01417452 Name Appmt Dt Slno Description 19-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3787 of 6486
BETSHEBA DANIEL Qty Rate Amount 2 25.07 50.14 1 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417461 Min 01417461 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 3788 of 6486
Name
UMESH KUMAR TIWARI Rate Amount Qty 6.82 6.82 1 72 .6 120 10.8 .36 30 7.5 .25 30 27.9 .93 30 17.4 1.16 15 400 400 1 7.5 .25 30 21.6 .36 60 72 .6 120 27.9 .93 30 21.3 .71 30 400 400 1 Total: 1092.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417462 Min 01417462 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 27-FEB-19
Page 3789 of 6486
Name
PRAMILA TIWARI Rate Amount Qty 36 .6 60 12 .4 30 9.86 9.86 1 17.4 1.16 15 27.9 .93 30 32.4 1.08 30 1.6 .16 10 21.6 .36 60 33 1.1 30 400 400 1 21.6 .36 60 36 .6 60 12 .4 30 33 1.1 30 21.3 .71 30 27.9 .93 30 32.4 1.08 30 1.6 .16 10 400 400 1 Total: 1177.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417463 Min 01417463 Appmt Dt Slno Description 13-FEB-19 1 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3790 of 6486
Name
G S RAO Qty Rate Amount 60 1.3 78 30 .27 8.1 30 .93 27.9 1 400 400 Total: 514
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417464 Min 01417464 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 6 13-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 3791 of 6486
Name
SUNITA G RAO Rate Amount Qty 167.4 5.58 30 39 1.3 30 21.3 .71 30 72 .6 120 7.5 .25 30 57.84 57.84 1 24 .4 60 13.95 .93 15 400 400 1 Total: 802.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417465 Min 01417465 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3792 of 6486
Name
S K NAPHADE Rate Amount Qty 21.6 .36 60 54 .6 90 167.4 5.58 30 17.4 1.16 15 12 .4 30 15.96 2.66 6 3.84 .64 6 1.48 .37 4 55.8 .93 60 400 400 1 Total: 749.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417467 Min 01417467 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 3793 of 6486
Name
ALKA SHARMA Rate Amount Qty 76.5 2.55 30 27.9 .93 30 39 1.3 30 18.9 .63 30 25.2 .42 60 15 .25 60 34.8 1.16 30 32.4 1.08 30 36 .6 60 400 400 1 Total: 705.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417475 Min 01417475 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 SOLUTION,SALBUTAMOL RESPIRATORY,5MG/ML 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 11-FEB-19
Page 3794 of 6486
Name
CHANDRABHAN VERMA Rate Amount Qty 13.8 .23 60 3.7 .37 10 12.15 12.15 1 42.12 2.34 18 20.06 20.06 1 400 400 1 10.8 .36 30 27 .6 45 66 1.1 60 8.71 8.71 1 55.8 .93 60 21.3 .71 30 7.65 .51 15 54 .9 60 26.7 .89 30 Total: 769.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417479 Min 01417479 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 18-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 3795 of 6486
Name
MADDU NEELAVENI RAJULU Rate Amount Qty 185.7 6.19 30 8.9 .89 10 27.4 1.37 20 92.05 18.41 5 400 400 1 Total: 714.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417481 Min 01417481 Appmt Dt Slno Description 11-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3796 of 6486
Name
R.GIRIJA Qty Rate Amount 20 .89 17.8 1 400 400 417.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417482 Min 01417482 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 11-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 2 11-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 3797 of 6486
Name
A P MISHRA Rate Amount Qty 5.7 .38 15 78.9 2.63 30 4.1 .41 10 9.6 .64 15 73.6 1.84 40 35.2 3.52 10 60.9 2.03 30 15.3 .34 45 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 400 400 1 32.4 1.08 30 34.8 1.16 30 60.9 2.03 30 27.9 .93 30 40.8 .34 120 400 400 1 Total: 1375.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417483 Min 01417483 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 GRANULE,VITAMIN D-3,1GM/PKT 11-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3798 of 6486
Name
SMT MANJU MISHRA Qty Rate Amount 30 .93 27.9 4 5.21 20.84 60 .62 37.2 1 400 400 Total: 485.94
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417486 Min 01417486 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 26-FEB-19 PRAZOSIN,2.5MG,TABLET 13 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 18 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 19 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 26-FEB-19
Page 3799 of 6486
J P AGRAWAL Rate Amount Qty 8.9 .89 10 10.95 .73 15 20.06 20.06 1 1610 1610 1 3.2 .64 5 26.6 2.66 10 1.85 .37 5 400 400 1 6.4 .64 10 1.85 .37 5 192.3 6.41 30 60.9 2.03 30 78 1.3 60 8.1 .27 30 14.85 .99 15 32.4 1.08 30 7.5 .25 30 76.5 2.55 30 48.22 48.22 1 400 400 1 Total: 3008.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417487 Min 01417487 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 3800 of 6486
PREMLATA AGRAWAL Rate Amount Qty 14.85 .99 15 48.22 48.22 1 12 .4 30 18.6 .62 30 55.8 .93 60 211.8 3.53 60 13.35 .89 15 34.8 1.16 30 400 400 1 Total: 809.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417489 Min 01417489 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 19-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 2 19-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 5 21-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 21-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 23-FEB-19 GUM ANALGESIC GEL 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 3801 of 6486
Name
MUKUL RANI KARMAKAR Rate Amount Qty 40.12 20.06 2 21.8 2.18 10 51.48 8.58 6 400 400 1 650 650 1 10.95 .73 15 8.9 .89 10 400 400 1 6.4 .64 10 380 380 1 66.2 6.62 10 2.96 .37 8 3.8 .38 10 28.69 28.69 1 400 400 1 Total: 2471.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417490 Min 01417490 Slno Description Appmt Dt OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 8 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 3802 of 6486
Name
HARA RANJAN KARMAKAR Rate Amount Qty 32.61 32.61 1 1.85 .37 5 400 400 1 23.2 1.16 20 17.8 .89 20 40.6 2.03 20 3.7 .37 10 32.61 32.61 1 5.4 .27 20 12.6 .63 20 400 400 1 Total: 970.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417492 Min 01417492 Appmt Dt Slno Description 15-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 15-FEB-19 2 GLIPIZIDE,STRIP PKT,5MG,TABLET 15-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3803 of 6486
Name
ANITA AGRAWAL Qty Rate Amount 90 .6 54 15 .4 6 30 .25 7.5 1 400 400 Total: 467.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417494 Min 01417494 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3804 of 6486
Name
MADHUMITA CHAKRABARTY Rate Amount Qty 20.84 5.21 4 34.8 1.16 30 27.9 .93 30 6.4 .64 10 400 400 1 Total: 489.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417495 Min 01417495 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 9 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19
Page 3805 of 6486
Name
RAJENDRA PRASAD SINGH Rate Amount Qty 8.1 .27 30 18 .6 30 8.7 .58 15 21.3 .71 30 5.21 5.21 1 55.8 .93 60 400 400 1 3.7 .37 10 100.71 100.71 1 104.4 1.74 60 54 .9 60 400 400 1 13.7 1.37 10 8.9 .89 10 400 400 1 Total: 1602.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417497 Min 01417497 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3806 of 6486
Name
SARASWATHI C NAIR Rate Amount Qty 8.9 .89 10 17.6 17.6 1 5.55 .37 15 13.7 1.37 10 400 400 1 Total: 445.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417498 Min 01417498 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 3807 of 6486
Name
K MANI NAIR Rate Amount Qty 167.4 5.58 30 2.4 .16 15 26.7 .89 30 27.9 .93 30 72.6 1.21 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 18 .6 30 400 400 1 Total: 794.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417499 Min 01417499 Appmt Dt Slno Description 27-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 27-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 27-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3808 of 6486
Name
BHISHAM SINGH Qty Rate Amount 30 .3 9 60 .6 36 60 .27 16.2 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417501 Min 01417501 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 3809 of 6486
Name
SHIVPRASAD GHOSH Rate Amount Qty 1.85 .37 5 12.15 12.15 1 26.6 2.66 10 9 .9 10 7.7 .77 10 400 400 1 7.5 .25 30 34.8 1.16 30 39 1.3 30 18 .6 30 10.8 .36 30 400 400 1 Total: 967.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417505 Min 01417505 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 DESVENLAFAXINE,50MG,ER,,TABLET 2 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3810 of 6486
Name
RADHE SHYAM DEBNATH Rate Amount Qty 36 .6 60 89.1 8.91 10 192.3 6.41 30 12 .4 30 33 1.1 30 400 400 1 Total: 762.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417506 Min 01417506 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3811 of 6486
Name
ALO RANI DEBNATH Rate Amount Qty 8.9 .89 10 5.21 5.21 1 10.8 .36 30 36 .6 60 27.9 .93 30 12 .4 30 400 400 1 Total: 500.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417511 Min 01417511 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 05-FEB-19 C T HEAD PLAIN 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 URIC ACID (UA /URATES /UR) 4 05-FEB-19 CREATININE /CRT 5 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 BLOOD FOR T-3,T-4,TSH 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 MAMOGRAPHY 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 3812 of 6486
Name
SHANTI KSHATRI Rate Amount Qty 1300 1300 1 5250 5250 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 2400 2400 1 400 400 1 27.9 .93 30 26.7 .89 30 2000 2000 1 400 400 1 21.3 .71 30 27.9 .93 30 26.7 .89 30 400 400 1 Total: 14680.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417513 Min 01417513 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3813 of 6486
Name
MEMIN MAHADEVA Rate Amount Qty 27.9 .93 30 42.6 .71 60 8.1 .27 30 17.4 1.16 15 16.2 .36 45 36 .6 60 7.5 .25 30 400 400 1 Total: 555.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417517 Min 01417517 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 3814 of 6486
Name
R. S. SHARMA Rate Amount Qty 9 .3 30 400 400 1 21.6 .36 60 55.8 .93 60 16.2 .27 60 167.4 5.58 30 72 .6 120 400 400 1 161.1 5.37 30 400 400 1 Total: 1703.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417520 Min 01417520 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 28-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3815 of 6486
Name
SUSHILA Rate Amount Qty 1.48 .37 4 5.12 .64 8 3.04 .38 8 400 400 1 21.3 .71 30 41.85 .93 45 16.2 .27 60 29.7 .99 30 17.4 .58 30 400 400 1 Total: 936.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417524 Min 01417524 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 3816 of 6486
Name
PUSPLATA BAI Rate Amount Qty 18.6 .62 30 14.85 .99 15 21.3 .71 30 167.4 5.58 30 7.5 .25 30 27.9 .93 30 21.6 .36 60 72 .6 120 156 1.3 120 400 400 1 9 .3 30 400 400 1 Total: 1316.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417525 Min 01417525 Slno Description Appmt Dt RACECADOTRIL,100MG,CAPSULE 1 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 14-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3817 of 6486
Name
MOHD RAJJAK Qty 9 9 6 4 6 1
Rate Amount 53.73 5.97 83.97 9.33 21.12 3.52 34.84 8.71 5.34 .89 400 400 Total: 599
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417532 Min 01417532 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19
Page 3818 of 6486
Name
K R CHANDRAKAR Qty 1 1 1
Rate Amount 275 275 400 400 275 275 Total: 950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417533 Min 01417533 Appmt Dt Slno Description 08-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 08-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 08-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3819 of 6486
Name
DULARI CHANDRAKAR Qty Rate Amount 15 1.16 17.4 30 .6 18 5 .64 3.2 1 400 400 Total: 438.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417536 Min 01417536 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 08-FEB-19 PRAZOSIN,2.5MG,TABLET 5 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 23-FEB-19 PRAZOSIN,2.5MG,TABLET 9 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 23-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 15 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 23-FEB-19
Page 3820 of 6486
Name
JAGDISH CHANDRA MANDAL Rate Amount Qty 26.7 .89 30 5.68 .71 8 9.45 .63 15 11.1 .37 30 78 1.3 60 59.25 3.95 15 400 400 1 32.4 1.08 30 156 1.3 120 21.3 .71 30 31.2 1.04 30 7.8 .26 30 2.55 .51 5 16.2 .27 60 18.9 .63 30 21.3 .71 30 400 400 1 Total: 1297.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417538 Min 01417538 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 25-FEB-19 PRAZOSIN,2.5MG,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3821 of 6486
Name
KALLU Rate Amount Qty 32.4 1.08 30 78 1.3 60 55.8 .93 60 31.2 1.04 30 26.7 .89 30 400 400 1 Total: 624.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417539 Min 01417539 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 PRAZOSIN,2.5MG,TABLET 11 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 3822 of 6486
Name
CHANDA BAI Rate Amount Qty 21.3 .71 30 167.4 5.58 30 36 .6 60 7.5 .25 30 6.4 .64 10 400 400 1 26.7 .89 30 18.9 .63 30 31.2 1.04 30 55.8 .93 60 156 1.3 120 6.4 .64 10 76.5 2.55 30 3.7 .37 10 400 400 1 Total: 1413.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417544 Min 01417544 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 3823 of 6486
Name
ANWAR HUSSAIN Rate Amount Qty 78 1.3 60 21.6 .36 60 72 .6 120 7.5 .25 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 2.4 .16 15 26.7 .89 30 400 400 1 Total: 709.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417550 Min 01417550 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 11-FEB-19 ECG 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 11-FEB-19 OBSERVATION IN CASUALTY 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 11-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 11 11-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 12 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 3824 of 6486
Name
MAKSOOD ALI Rate Amount Qty 53.4 .89 60 15 .25 60 4.8 .16 30 400 400 1 9.62 9.62 1 450 450 1 .89 .89 1 .64 .64 1 420 420 1 5.34 .89 6 17.42 8.71 2 1.5 .25 6 3.84 .64 6 400 400 1 21.3 .71 30 55.8 .93 60 400 400 1 Total: 2259.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417551 Min 01417551 Appmt Dt Slno Description 27-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 27-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 27-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3825 of 6486
Name
NURJAHAN KHATOON Qty Rate Amount 30 .79 23.7 30 .71 21.3 60 .42 25.2 1 400 400 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417552 Min 01417552 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 3826 of 6486
Name
MARIANUS LAKRA Rate Amount Qty 10.65 .71 15 7.5 .25 30 167.4 5.58 30 39 1.3 30 18 .6 30 400 400 1 Total: 642.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417554 Min 01417554 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 3827 of 6486
Name
C I BHATT Rate Amount Qty 54 .6 90 27.9 .93 30 78 1.3 60 16.5 1.1 15 17.4 1.16 15 12 .4 30 400 400 1 Total: 605.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417556 Min 01417556 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3828 of 6486
Name
CHUNESHWAR PRASAD SAHU Rate Amount Qty 39 1.3 30 27.9 .93 30 14.85 .99 15 6 .4 15 21.3 .71 30 18 .6 30 400 400 1 Total: 527.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417557 Min 01417557 Appmt Dt Slno Description 27-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 27-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 27-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3829 of 6486
Name
SMT.MONGARA BAI SAHU Qty Rate Amount 3 .37 1.11 6 .64 3.84 6 .77 4.62 1 400 400 Total: 409.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417567 Min 01417567 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 04-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 3830 of 6486
Name
P G CHANDRANGADAN Rate Amount Qty 156.6 1.74 90 59.4 .66 90 12.15 12.15 1 54 .9 60 400 400 1 Total: 682.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417573 Min 01417573 Appmt Dt Slno Description 01-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 01-FEB-19 2 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 01-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3831 of 6486
Name
SATISH KUMAR GUPTA Qty Rate Amount 60 .9 54 1 100.71 100.71 30 .89 26.7 1 400 400 Total: 581.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417575 Min 01417575 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 3832 of 6486
Name
M MOHANAN Rate Amount Qty 32.4 1.08 30 36 .6 60 34.8 1.16 30 12 .4 30 400 400 1 88.35 5.89 15 7.5 .25 30 79.2 2.64 30 400 400 1 Total: 1090.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417582 Min 01417582 Appmt Dt Slno Description 20-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3833 of 6486
Name
RISHI KUMAR VERMA Qty Rate Amount 30 .99 29.7 1 400 400 429.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417590 Min 01417590 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 3834 of 6486
Name
BHAGIRATHI BAGHEL Rate Amount Qty 12 .4 30 76.5 2.55 30 400 400 1 Total: 488.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417591 Min 01417591 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3835 of 6486
Name
SMT.GITA BAGHEL Rate Amount Qty 18 .6 30 55.8 .93 60 27.9 .93 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 563.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417593 Min 01417593 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 3836 of 6486
Name
N.K.SHRIVASTAVA Rate Amount Qty 21.6 .36 60 .8 .16 5 29.7 .99 30 27.9 .93 30 400 400 1 Total: 480
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417594 Min 01417594 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3837 of 6486
Name
RAJENDRA PRASAD MASIH Rate Amount Qty 55.8 .93 60 6.9 .23 30 43.96 43.96 1 9.3 .62 15 3.04 .38 8 400 400 1 Total: 519
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417595 Min 01417595 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3838 of 6486
Name
NERI MASIH Rate Amount Qty 8.1 .27 30 33 1.1 30 36 .6 60 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 665.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417596 Min 01417596 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 3839 of 6486
Name
TAPAN KUMAR SARKAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417597 Min 01417597 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 16-FEB-19 PRAZOSIN,2.5MG,TABLET 7 16-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 3840 of 6486
Name
KALPANA SARKAR Rate Amount Qty 12 .4 30 9 .3 30 36 .6 60 8.1 .27 30 55.8 .93 60 21.3 .71 30 39 1.3 30 25.62 12.81 2 400 400 1 Total: 606.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417598 Min 01417598 Appmt Dt Slno Description 14-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3841 of 6486
Name
KULDEEP KUMAR Qty Rate Amount 60 .37 22.2 1 400 400 422.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417599 Min 01417599 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 PRAZOSIN,2.5MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 3842 of 6486
Name
SMT.SARALA DEVI Rate Amount Qty 34.8 1.16 30 3.2 .64 5 117 1.3 90 72 .6 120 400 400 1 Total: 627
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417607 Min 01417607 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3843 of 6486
Name
SHAHJADI BEGAM Rate Amount Qty 20.84 5.21 4 7.5 .25 30 36 .6 60 9 .3 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 522.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417609 Min 01417609 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 3844 of 6486
Name
MAYA DEVI CHOURASIA Rate Amount Qty 39 1.3 30 36 .4 90 81 .6 135 167.4 5.58 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 55.8 .93 60 400 400 1 Total: 864.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417626 Min 01417626 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 18-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3845 of 6486
Name
NEK CHAND CHOPRA Qty Rate Amount 6 .89 5.34 6 .25 1.5 6 .42 2.52 1 400 400 Total: 409.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417632 Min 01417632 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 06-FEB-19
Page 3846 of 6486
Name
ATMA PRABODH MINZ Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 400 400 1 34.8 1.16 30 66 1.1 60 27.9 .93 30 9 .3 30 54 .6 90 Total: 2441.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417634 Min 01417634 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 15 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 04-FEB-19
Page 3847 of 6486
Name
S C MISHRA Rate Amount Qty 12 .4 30 32.4 1.08 30 12 .4 30 33 1.1 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 400 400 1 27.9 .93 30 33 1.1 30 26.7 .89 30 7.5 .25 30 12 .4 30 21.3 .71 30 76.5 2.55 30 41.85 .93 45 400 400 1 Total: 1215.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417635 Min 01417635 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 3848 of 6486
Name
SK MISHRA Rate Amount Qty 7.5 .25 30 10.65 .71 15 400 400 1 Total: 418.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417638 Min 01417638 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 3849 of 6486
Name
CHANDRAKANT NIGHOJKAR Rate Amount Qty 26.7 .89 30 21.3 .71 30 36 .6 60 18.9 .63 30 400 400 1 Total: 502.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417639 Min 01417639 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 3850 of 6486
Name
SUREKHA NOGHOJKAR Rate Amount Qty 18 .6 30 167.4 5.58 30 4.1 .41 10 8.9 .89 10 41.06 41.06 1 400 400 1 Total: 639.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417641 Min 01417641 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 3851 of 6486
Name
DR. DEVENDRA KUMAR Rate Amount Qty 12 .4 30 34.8 1.16 30 23.7 .79 30 33 1.1 30 26.7 .89 30 10.8 .36 30 400 400 1 Total: 541
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417652 Min 01417652 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3852 of 6486
Name
DR DHANANJAY JHA Rate Amount Qty 121.2 .4 303 78 .78 100 7.8 .26 30 192.3 6.41 30 60.9 2.03 30 33 1.1 30 16.2 .27 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 976.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417653 Min 01417653 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3853 of 6486
Name
RUBI JHA Rate Amount Qty 26.7 .89 30 33 1.1 30 14.85 .99 15 55.8 .93 60 18 .6 30 400 400 1 16.2 .27 60 92.68 6.62 14 34.8 1.16 30 400 400 1 Total: 1092.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417654 Min 01417654 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 3854 of 6486
Name
TULSI RAM YADAV Rate Amount Qty 7.5 .25 30 6.4 .64 10 1.85 .37 5 54 .6 90 27.9 .93 30 21.6 .36 60 167.4 5.58 30 17.4 1.16 15 32.4 1.08 30 12 .4 30 400 400 1 Total: 748.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417655 Min 01417655 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3855 of 6486
Name
RUKHMANI YADAV Rate Amount Qty 55.8 .93 60 12 .4 30 118.5 3.95 30 118.5 3.95 30 92.85 6.19 15 21.3 .71 30 400 400 1 Total: 818.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417670 Min 01417670 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 23-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 3856 of 6486
Name
LAXMIKANT PRAMANIK Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 27.9 .93 30 36 .6 60 4.8 .16 30 9.9 .66 15 106.8 3.56 30 400 400 1 Total: 652.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417674 Min 01417674 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 COMPLETE HAEMOGRAM 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 04-FEB-19 UREA (BUN /UR) 5 04-FEB-19 URIC ACID (UA /URATES /UR) 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 8 27-FEB-19 X - RAY - SINGLE VIEW 9 27-FEB-19 DRESSING SIMPLE 10 27-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 11 27-FEB-19 TETANUS IMMUNOGLOBULIN 12 27-FEB-19 OBSERVATION IN CASUALTY 13 27-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 16 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 3857 of 6486
Name
SHANKARLAL Rate Amount Qty 400 400 1 750 750 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 600 600 1 550 550 1 300 300 1 5.85 5.85 1 1.37 1.37 1 420 420 1 7.3 .73 10 4.45 .89 5 4.1 .41 10 35.2 3.52 10 400 400 1 Total: 5878.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417675 Min 01417675 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3858 of 6486
Name
SHANTI BAI Rate Amount Qty 27.9 .93 30 17.8 .89 20 21.3 .71 30 32.4 1.08 30 6.9 .23 30 20.06 20.06 1 400 400 1 Total: 526.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417676 Min 01417676 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 SODIUM VALPROATE,500MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 16-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 12 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 3859 of 6486
TABARAK HUSSAIN Rate Amount Qty 60.18 20.06 3 31.46 15.73 2 400 400 1 15 .25 60 79 .79 100 400 400 1 117 3.9 30 400 400 1 39 1.3 30 400 400 1 400 400 1 1750 1750 1 20.06 20.06 1 8.9 .89 10 .8 .16 5 400 400 1 43.96 131.88 3 60.18 20.06 3 400 400 1 92.1 6.14 15 400 400 1 Total: 5605.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417677 Min 01417677 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 08-FEB-19 ECG 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 12-FEB-19 ECG 15 12-FEB-19
Page 3860 of 6486
Name
NIZMA BAGUM Rate Amount Qty 275 275 1 275 275 1 400 400 1 450 450 1 33 1.1 30 21.3 .71 30 400 400 1 275 275 1 275 275 1 6.9 .23 30 55.8 .93 60 117 1.3 90 54 .6 90 21.6 .36 60 450 450 1 Total: 3109.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417682 Min 01417682 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 3861 of 6486
Name
K APPA RAO Rate Amount Qty 36 .6 60 21.6 .36 60 27.9 .93 30 8.1 .27 30 39 1.3 30 21.3 .71 30 11.4 .38 30 21.12 3.52 6 6.72 1.12 6 400 400 1 Total: 593.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417688 Min 01417688 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 X - RAY - TWO VIEWS 2 21-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 21-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 3862 of 6486
Name
OM PRAKASH Rate Amount Qty 400 400 1 860 860 1 6.57 .73 9 2.67 .89 3 2.46 .41 6 3.65 .73 5 6.4 .64 10 4.45 .89 5 1.25 .25 5 400 400 1 10.95 .73 15 8.9 .89 10 4.1 .41 10 400 400 1 Total: 2111.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417692 Min 01417692 Slno Description Appmt Dt CREATININE /CRT 1 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 27-FEB-19
Page 3863 of 6486
Name
SWARNLATA CHOURASIA Rate Amount Qty 275 275 1 275 275 1 400 400 1 1300 1300 1 275 275 1 Total: 2525
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417693 Min 01417693 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 27-FEB-19 CREATININE /CRT 3 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 27-FEB-19
Page 3864 of 6486
Name
B.P. CHOURASIA Qty 1 1 1 1 1
Rate Amount 275 275 275 275 275 275 1300 1300 400 400 Total: 2525
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417695 Min 01417695 Appmt Dt Slno Description 19-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 19-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3865 of 6486
Name
TANDRA BANDYOPADHYAY Qty Rate Amount 6 .64 3.84 15 .25 3.75 30 .93 27.9 1 400 400 Total: 435.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417696 Min 01417696 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 3866 of 6486
Name
RAM SHANKAR SHRIWAS Rate Amount Qty 9.86 9.86 1 27.9 .93 30 18 .3 60 36 .6 60 21.3 .71 30 400 400 1 Total: 513.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417697 Min 01417697 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 13-FEB-19 X - RAY - TWO VIEWS 3 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 3867 of 6486
Name
ANJANI SHRIWAS Rate Amount Qty 400 400 1 26 2.6 10 860 860 1 4.1 .41 10 10.95 .73 15 4.45 .89 5 400 400 1 13.7 1.37 10 8.9 .89 10 400 400 1 13.7 1.37 10 400 400 1 Total: 2541.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417698 Min 01417698 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 07-FEB-19 FLUOXETINE HCL,20MG,CAPSULE/TABLET. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19 CREATININE /CRT 6 26-FEB-19 UREA (BUN /UR) 7 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 26-FEB-19 URIC ACID (UA /URATES /UR) 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 26-FEB-19
Page 3868 of 6486
Name
V P KESHARI Rate Amount Qty 52.65 3.51 15 199.2 3.32 60 400 400 1 550 550 1 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 5576.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417699 Min 01417699 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 01-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 5 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 3869 of 6486
Name
VANDANA KESHARI Rate Amount Qty 7.5 .25 30 17.4 .58 30 26.7 .89 30 1.85 .37 5 22 4.4 5 54 .9 60 400 400 1 72 .6 120 167.4 5.58 30 7.5 .25 30 18.9 .63 30 21.3 .71 30 185.7 6.19 30 19.8 .66 30 400 400 1 Total: 1422.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417700 Min 01417700 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 3870 of 6486
Name
NARAD LAL SONI Rate Amount Qty 1.48 .37 4 8.1 .27 30 34.8 1.16 30 27.9 .93 30 15.96 2.66 6 400 400 1 6.4 .64 10 18.9 .63 30 400 400 1 Total: 913.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417701 Min 01417701 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 25-FEB-19 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 4 25-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3871 of 6486
Name
JANKI SONI Rate Amount Qty 26.7 .89 30 13.7 1.37 10 19.2 .64 30 98.1 3.27 30 166.8 2.78 60 400 400 1 Total: 724.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417709 Min 01417709 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 3872 of 6486
Name
K.A.R.K.DHRUW Rate Amount Qty 275 275 1 400 400 1 275 275 1 47.4 .79 60 8.1 .27 30 7.5 .25 30 66 1.1 60 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 1540.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417710 Min 01417710 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 3873 of 6486
Name
SHARDA DHRUW Rate Amount Qty 13.7 1.37 10 17.8 .89 20 247.6 6.19 40 5 .25 20 400 400 1 Total: 684.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417711 Min 01417711 Appmt Dt Slno Description 07-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3874 of 6486
Name
RAJ KUMAR SHRIVASTAVA Qty Rate Amount 10 .25 2.5 10 .89 8.9 10 2.6 26 1 400 400 Total: 437.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417716 Min 01417716 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3875 of 6486
Name
AK LAHA Rate Amount Qty 10.8 .36 30 36 .6 60 78 1.3 60 34.8 1.16 30 12 .4 30 33 1.1 30 400 400 1 Total: 604.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417721 Min 01417721 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 3876 of 6486
Name
T KAMMAIYYA Rate Amount Qty 275 275 1 275 275 1 400 400 1 400 400 1 26.7 .89 30 7.5 .25 30 55.8 .93 60 60.9 2.03 30 34.8 1.16 30 12 .4 30 167.4 5.58 30 12.15 .27 45 400 400 1 Total: 2127.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417722 Min 01417722 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3877 of 6486
Name
T GUNNAMMA Rate Amount Qty 26.7 .89 30 18.9 .63 30 29.7 .99 30 32.4 1.08 30 10.8 .36 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 609.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417724 Min 01417724 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 01-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 3878 of 6486
Name
MULESWARI CHOUDHARY Rate Amount Qty 650 650 1 380 380 1 400 400 1 13.35 .89 15 12 .4 30 54 .6 90 21.3 .71 30 7.5 .25 30 400 400 1 Total: 1938.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417742 Min 01417742 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 3879 of 6486
Name
SUSHANTA KUMAR BANDYOPADHAYAY Rate Amount Qty 334.8 5.58 60 7.5 .25 30 72 .6 120 66 1.1 60 32.4 .36 90 16.2 .27 60 55.8 .93 60 29.7 .99 30 400 400 1 Total: 1014.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417744 Min 01417744 Appmt Dt Slno Description 11-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 2 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3880 of 6486
Name
KRISHNA KUMAR Qty Rate Amount 120 .6 72 60 1.3 78 30 .93 27.9 1 400 400 Total: 577.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417748 Min 01417748 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 14-FEB-19
Page 3881 of 6486
Name
PRABHAT KUMAR Rate Amount Qty 400 400 1 7.7 .77 10 13 2.6 5 400 400 1 49.28 3.52 14 6.23 .89 7 12.15 12.15 1 3.84 .64 6 Total: 892.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417754 Min 01417754 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 04-FEB-19 URIC ACID (UA /URATES /UR) 5 04-FEB-19 UREA (BUN /UR) 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 11-FEB-19 PRAZOSIN,2.5MG,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 16 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 18 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 22 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 25 23-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 26 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 28 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 23-FEB-19
Page 3882 of 6486
Name
KISHORE KUMAR Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 34.8 1.16 30 15.3 .51 30 16.2 .27 60 156 1.3 120 55.8 .93 60 36 .6 60 26.7 .89 30 400 400 1 400 400 1 12.15 12.15 1 26.7 .89 30 156.6 1.74 90 400 400 1 60.9 2.03 30 18 .6 30 66 1.1 60 27.9 .93 30 400 400 1 247.6 6.19 40 62.8 3.14 20 17.8 .89 20 25.2 .63 40 400 400 1 Total: 5862.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417758 Min 01417758 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3883 of 6486
Name
HEERA BAKSH Rate Amount Qty 33 1.1 30 11.1 .37 30 7.5 .25 30 55.8 .93 60 400 400 1 Total: 507.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417762 Min 01417762 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 6 19-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 19-FEB-19
Page 3884 of 6486
PANDEY RB Rate Amount Qty 25.07 25.07 1 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 1610 1610 1 1750 1750 1 Total: 4438.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417764 Min 01417764 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 3885 of 6486
Name
SURESH KUMAR SHRIVASTAVA Rate Amount Qty 72 .6 120 8.1 .27 30 34.8 1.16 30 11.85 .79 15 400 400 1 Total: 526.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417766 Min 01417766 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 3886 of 6486
Name
PANNA DAS Rate Amount Qty 7.5 .25 30 8.7 .58 15 10.65 .71 15 21.3 .71 30 9 .3 30 18 .6 30 400 400 1 Total: 475.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417768 Min 01417768 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3887 of 6486
Name
GURU DAS MALLICK Rate Amount Qty 36 .6 60 117 1.3 90 21.3 .71 30 27.9 .93 30 21.6 .36 60 167.4 5.58 30 400 400 1 Total: 791.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417770 Min 01417770 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3888 of 6486
MAHESH CHANDRA RASTOGI Rate Amount Qty 27 .9 30 20.1 .67 30 12.15 12.15 1 15.73 15.73 1 4.45 .89 5 26.6 2.66 10 400 400 1 Total: 506.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417771 Min 01417771 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3889 of 6486
Name
MAYA RASTOGI Rate Amount Qty 118.5 3.95 30 71 .71 100 12 .4 30 33 1.1 30 400 400 1 Total: 634.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417774 Min 01417774 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 3890 of 6486
MANOHARLAL SONI Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 6.4 .64 10 15.73 15.73 1 1.85 .37 5 6.9 .23 30 17.4 1.16 15 13.95 .93 15 400 400 1 Total: 2312.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417775 Min 01417775 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 11-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 3891 of 6486
Name
SUMAN SONI Rate Amount Qty 15.4 .77 20 12.15 12.15 1 3.7 .37 10 70.2 2.34 30 400 400 1 Total: 501.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417776 Min 01417776 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 3892 of 6486
Name
CAMIL TOPPO Rate Amount Qty 21.3 .71 30 16.2 .27 60 27.9 .93 30 18 .6 30 400 400 1 Total: 483.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417777 Min 01417777 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 02-FEB-19 IVABRADINE,5MG,,TABLET 3 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19
Page 3893 of 6486
Name
PHILOMINA TOPPO Rate Amount Qty 72.6 1.21 60 7.8 .26 30 597 9.95 60 21.6 .36 60 54 .6 90 117 1.3 90 167.4 5.58 30 55.8 .93 60 6.9 .23 30 12 .4 30 400 400 1 Total: 1512.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417792 Min 01417792 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 05-FEB-19
Page 3894 of 6486
RAMESH KUMAR Rate Amount Qty 400 400 1 17 1.7 10 15.73 15.73 1 8.9 .89 10 3.7 .37 10 6.4 .64 10 66.2 6.62 10 Total: 517.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417794 Min 01417794 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 3895 of 6486
Name
E.UMA SHANKAR RAO NAIDU Rate Amount Qty 55.8 .93 60 10.8 .36 30 14.85 .99 15 8.1 .27 30 36 .6 60 78 1.3 60 34.8 1.16 30 400 400 1 21.3 .71 30 27.9 .93 30 400 400 1 Total: 1087.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417805 Min 01417805 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 3896 of 6486
Name
MINATI SAHA Rate Amount Qty 41.06 41.06 1 7.5 .25 30 400 400 1 Total: 448.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417806 Min 01417806 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 3897 of 6486
Name
SUBHASH CHANDRA NETAM Rate Amount Qty 27.9 .93 30 34.8 1.16 30 26.7 .89 30 167.4 5.58 30 36 .6 60 10.8 .36 30 400 400 1 Total: 703.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417807 Min 01417807 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 3898 of 6486
Name
PREM SHEELA Rate Amount Qty 16.2 .27 60 72 .6 120 78 1.3 60 55.8 .93 60 21.3 .71 30 18.9 .63 30 400 400 1 Total: 662.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417809 Min 01417809 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 04-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 04-FEB-19 COMPLETE HAEMOGRAM 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 07-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 COMPLETE HAEMOGRAM 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 16 25-FEB-19
Page 3899 of 6486
Name
SMT.SUKHAVINDAR KAUR Rate Amount Qty 20.06 20.06 1 1300 1300 1 750 750 1 400 400 1 5 .25 20 35.2 3.52 10 15.4 .77 20 2.6 .26 10 400 400 1 61.4 6.14 10 17.8 .89 20 3.5 .7 5 400 400 1 750 750 1 400 400 1 1300 1300 1 Total: 5860.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417810 Min 01417810 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 3900 of 6486
PK DATTA Rate Amount Qty 12 .4 30 21.3 .71 30 6.9 .23 30 27.9 .93 30 400 400 1 25.07 25.07 1 400 400 1 Total: 893.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417811 Min 01417811 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3901 of 6486
Name
RUMA DATTA Rate Amount Qty 10.8 .36 30 36 .6 60 400 400 1 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417812 Min 01417812 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 23-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 15 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 17 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 3902 of 6486
Name
K CHINNAIAH Rate Amount Qty 15.6 .26 60 43.2 1.44 30 39 1.3 30 34.8 1.16 30 18.6 .62 30 23.7 .79 30 32.4 1.08 30 400 400 1 23.2 1.16 20 21.6 1.08 20 8 .4 20 10.4 .26 40 35.6 .89 40 8.2 .41 20 12.4 .62 20 26 1.3 20 15.8 .79 20 28.8 1.44 20 400 400 1 Total: 1197.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417814 Min 01417814 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 3903 of 6486
Name
MD SAHU Rate Amount Qty 21.3 .71 30 78 1.3 60 55.8 .93 60 167.4 5.58 30 78 1.3 60 9 .6 15 21.6 .36 60 66 1.1 60 36 .6 60 7.5 .25 30 400 400 1 Total: 940.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417821 Min 01417821 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3904 of 6486
Name
NIMAN MINZ Rate Amount Qty 36 .6 60 18.9 .63 30 34.8 1.16 30 21.6 .36 60 76.5 2.55 30 22.2 .37 60 27.9 .93 30 400 400 1 Total: 637.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417822 Min 01417822 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3905 of 6486
Name
SUMAN SUCHITA MINZ Rate Amount Qty 34.8 1.16 30 12 .4 30 36 .6 60 55.8 .93 60 400 400 1 Total: 538.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417828 Min 01417828 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ECG 5 27-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 6 27-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 7 27-FEB-19 ECG 8 27-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 OBSERVATION IN CASUALTY 11 27-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 3906 of 6486
Name
BALDAU Rate Amount Qty 15.95 3.19 5 8.9 .89 10 13.7 1.37 10 400 400 1 450 450 1 5.85 5.85 1 32.61 32.61 1 450 450 1 600 600 1 2.59 .37 7 420 420 1 3.66 3.66 1 400 400 1 Total: 2803.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417836 Min 01417836 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 3907 of 6486
Name
ARUN KUMAR DUBEY Rate Amount Qty 104.4 1.74 60 54 .9 60 400 400 1 Total: 558.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417837 Min 01417837 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 3908 of 6486
Name
SHAKUN DUBEY Rate Amount Qty 18 .6 30 27.9 .93 30 17.6 17.6 1 167.4 5.58 30 32.4 1.08 30 9.28 1.16 8 7.5 .25 30 400 400 1 Total: 680.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417841 Min 01417841 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3909 of 6486
Name
MAINA BAI Rate Amount Qty 54 .6 90 38.4 .64 60 78 2.6 30 7.5 .25 30 21.6 .36 60 400 400 1 Total: 599.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417850 Min 01417850 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 14-FEB-19 DEFLAZACORT,1MG,,TABLET 2 14-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 3910 of 6486
Name
NANDITA NATH Rate Amount Qty 38.76 3.23 12 82.2 1.37 60 83.4 2.78 30 38.25 2.55 15 400 400 1 Total: 642.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417858 Min 01417858 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19
Page 3911 of 6486
Name
BANMALI SETHI Rate Amount Qty 79.2 2.64 30 7.5 .25 30 19.8 .66 30 12.3 .41 30 400 400 1 36 .6 60 Total: 554.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417859 Min 01417859 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 27-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 10 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 3912 of 6486
Name
PREMLATA SETHI Rate Amount Qty 368.4 6.14 60 53.4 .89 60 400 400 1 2.5 .25 10 4.45 .89 5 35.2 3.52 10 6.4 .64 10 400 400 1 66.2 6.62 10 22 4.4 5 6.4 .64 10 8.9 .89 10 3.7 .37 10 400 400 1 Total: 1777.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417864 Min 01417864 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 3913 of 6486
Name
FRED ROBINSON Rate Amount Qty 32.4 1.08 30 12 .4 30 36 .6 60 43.2 .36 120 66 1.1 60 23.7 .79 30 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 676
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417865 Min 01417865 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3914 of 6486
Name
SHAILA R EMANUEL Rate Amount Qty 8.1 .27 30 72.6 1.21 60 21.3 .71 30 6.4 .64 10 8.9 .89 10 54 .6 90 32.4 .36 90 400 400 1 Total: 603.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417866 Min 01417866 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3915 of 6486
Name
CHANDRA PRAKASH MISHRA Rate Amount Qty 1.11 .37 3 7.5 .25 30 21.3 .71 30 32.4 1.08 30 27.9 .93 30 8.1 .27 30 400 400 1 16.85 3.37 5 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 942.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417867 Min 01417867 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 3916 of 6486
Name
VIBHUTI MISHRA Rate Amount Qty 27.9 .93 30 18 .6 30 400 400 1 11.1 .37 30 400 400 1 Total: 857
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417871 Min 01417871 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 3917 of 6486
Name
NEELAM GERA Rate Amount Qty 21.3 .71 30 14.85 .99 15 18 .6 30 12 .4 30 18.9 .63 30 27.9 .93 30 7.5 .25 30 17.4 .58 30 26.7 .89 30 400 400 1 Total: 564.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417874 Min 01417874 Appmt Dt Slno Description 13-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 13-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3918 of 6486
Name
HARGOVIND SOLANKI Qty Rate Amount 15 .93 13.95 30 1.16 34.8 30 .6 18 1 400 400 Total: 466.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417876 Min 01417876 Appmt Dt Slno Description 11-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11-FEB-19 2 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11-FEB-19 3 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3919 of 6486
EDWARD KUJUR Qty 2 2 2 1
Rate Amount 25.07 50.14 20.29 40.58 156.51 313.02 400 400 Total: 803.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417878 Min 01417878 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3920 of 6486
Name
DILIP KUMAR BANERJEE Rate Amount Qty 54 .6 90 21.3 .71 30 7.5 .25 30 10.8 .36 30 400 400 1 Total: 493.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417879 Min 01417879 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 12-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 CONSULTATION IN HEALTH CENTRE 9 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 3921 of 6486
Name
LILI BANERJEE Rate Amount Qty 27.9 .62 45 12.3 .41 30 3.84 .64 6 2.22 .37 6 35.1 2.34 15 7.5 .25 30 12.6 .42 30 55.8 .93 60 400 400 1 .27 .27 1 .16 .16 1 .93 .93 1 400 400 1 5.75 .23 25 400 400 1 Total: 1364.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417880 Min 01417880 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 20-FEB-19 X - RAY - TWO VIEWS 4 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 3922 of 6486
Name
VISHWAK SEN PRASAD MISHRA Rate Amount Qty 4.38 .73 6 2.67 .89 3 7.8 2.6 3 860 860 1 400 400 1 3.75 .25 15 4.48 .64 7 400 400 1 Total: 1683.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417882 Min 01417882 Slno Description Appmt Dt DEXAMETHASONE SODIUM,4MG/ML,INJECTION 1 03-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 03-FEB-19 OBSERVATION IN CASUALTY 3 03-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 03-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 3923 of 6486
Name
ABDUL ZAKIR KHAN Rate Amount Qty 6.67 6.67 1 45.44 45.44 1 420 420 1 100 100 1 60.9 2.03 30 15 .25 60 21.3 .71 30 26.7 .89 30 12 .4 30 72 .6 120 21.6 .36 60 400 400 1 21.3 .71 30 12 .4 30 21.6 .36 60 72 .6 120 10.2 .34 30 400 400 1 Total: 1738.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417883 Min 01417883 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 14-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 14-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 IVABRADINE,5MG,,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3924 of 6486
Name
SMT.SABINA KHAN Rate Amount Qty 15.3 .51 30 42.6 .71 60 43.2 1.44 30 47.4 .79 60 21.6 .36 60 597 9.95 60 36 .6 60 400 400 1 Total: 1203.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417885 Min 01417885 Name Appmt Dt Slno Description 01-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3925 of 6486
PARVATI PATEL Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417886 Min 01417886 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 3926 of 6486
Name
HARISH CHANDRA BHARTI Rate Amount Qty 32.4 1.08 30 20.06 20.06 1 60.9 2.03 30 26.7 .89 30 21.3 .71 30 33 1.1 30 13.95 .93 15 400 400 1 Total: 608.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417887 Min 01417887 Slno Description Appmt Dt CREATININE /CRT 1 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3927 of 6486
Name
SMT. DHANESHWARI Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 10.8 .36 30 45 .6 75 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 3043.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417890 Min 01417890 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 X - RAY - SINGLE VIEW 10 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 06-FEB-19
Page 3928 of 6486
RAJARAO Rate Amount Qty 8.1 .27 30 55.8 .93 60 67.46 33.73 2 21.3 .71 30 16.8 1.12 15 53.2 2.66 20 15.73 15.73 1 400 400 1 400 400 1 550 550 1 6.4 .64 10 Total: 1594.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417892 Min 01417892 Appmt Dt Slno Description 22-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3929 of 6486
Name
PANNALAL Qty Rate Amount 30 .27 8.1 30 .25 7.5 30 .93 27.9 1 400 400 Total: 443.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417894 Min 01417894 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 3930 of 6486
Name
AMARU RAM SINHA Rate Amount Qty 18 .6 30 8.1 .27 30 400 400 1 Total: 426.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417895 Min 01417895 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 SOLIFENACIN,5MG,,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 3931 of 6486
Name
RAMPYARI SINHA Rate Amount Qty 7.5 .25 30 400 400 1 6.15 .41 15 27.9 .93 30 21.3 .71 30 403.2 13.44 30 26.7 .89 30 18.6 .62 30 400 400 1 Total: 1311.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417896 Min 01417896 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 URIC ACID (UA /URATES /UR) 4 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 14 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 18 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 19 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 05-FEB-19
Page 3932 of 6486
Name
BABUL CHANDRA DHAR Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 10.8 .36 30 167.4 5.58 30 18 .6 30 27.9 .93 30 33 1.1 30 32.4 1.08 30 10.65 .71 15 5.7 .38 15 7.7 .77 10 66.2 6.62 10 6.7 .67 10 3.7 .37 10 12.15 12.15 1 8.1 .18 45 400 400 1 Total: 2585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417897 Min 01417897 Slno Description Appmt Dt ABDOMEN/PELVIS COLOUR DOPPLER 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 03-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 03-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 03-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 03-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 03-FEB-19 MAMOGRAPHY 9 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 12 04-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 13 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 14 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 15 07-FEB-19 ECG 16 07-FEB-19 OBSERVATION IN CASUALTY 17 07-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 18 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 22 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 13-FEB-19 RACECADOTRIL,100MG,CAPSULE 24 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 25 14-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 26 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 27 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 28 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 30 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 31 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 32 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 33 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 34 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 14-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 36 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 37 19-FEB-19 C T ABDOMEN 38 19-FEB-19 STOOL FOR OCCULT BLOOD 39 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 40 19-FEB-19
Page 3933 of 6486
Name
KAJALDHAR Rate Amount Qty 2640 2640 1 400 400 1 17.8 .89 20 22 1.1 20 23.2 1.16 20 12 .4 30 24 .6 40 400 400 1 2000 2000 1 43.96 43.96 1 400 400 1 1750 1750 1 100 100 1 24.52 24.52 1 9.62 9.62 1 450 450 1 420 420 1 600 600 1 275 275 1 275 275 1 400 400 1 1.15 .23 5 400 400 1 59.7 5.97 10 93.3 9.33 10 11.25 .25 45 4.8 .16 30 368.4 6.14 60 53.4 .89 60 33 1.1 30 34.8 1.16 30 12 .4 30 36 .6 60 12.6 .42 30 400 400 1 2.33 2.33 1 35.2 3.52 10 9000 9000 1 165 165 1 400 400 1 Total: 21410.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417903 Min 01417903 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 CREATININE /CRT 2 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 COMPLETE HAEMOGRAM 11 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3934 of 6486
Name
SMT.BIMLA BAI Rate Amount Qty 8.1 .27 30 275 275 1 14.85 .99 15 66.2 6.62 10 3.84 .64 6 5.34 .89 6 400 400 1 211.8 3.53 60 21.3 .71 30 7.5 .25 30 750 750 1 55.8 .93 60 400 400 1 Total: 2219.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417904 Min 01417904 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 11-FEB-19 DIETHYL CARBAMAZINE CITRATE,100MG,TABLET 3 11-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 4 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 11-FEB-19 PRAZOSIN,2.5MG,TABLET 8 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 OBSERVATION IN CASUALTY 16 13-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 17 13-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 18 13-FEB-19 ECG 19 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 20 13-FEB-19 OBSERVATION IN CASUALTY 21 13-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 22 13-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 23 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 24 13-FEB-19 ECG 25 13-FEB-19
Page 3935 of 6486
Name
VINAYAK RAJURKAR Rate Amount Qty 20.4 .51 40 41.6 1.04 40 80.01 1.27 63 6.99 2.33 3 7.6 .38 20 17.8 .89 20 14.8 .37 40 104 1.3 80 14.2 .71 20 10.4 .26 40 51 2.55 20 400 400 1 10.65 .71 15 16.2 1.08 15 400 400 1 420 420 1 25.54 25.54 1 100 100 1 450 450 1 9.62 9.62 1 420 420 1 25.54 25.54 1 100 100 1 9.62 9.62 1 450 450 1 Total: 3205.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417908 Min 01417908 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 3936 of 6486
Name
PANNA LAL WADEKAR Rate Amount Qty 66 1.1 60 8.1 .27 30 12 .4 30 21.3 .71 30 8.9 .89 10 .32 .16 2 7.5 .25 30 400 400 1 Total: 524.12
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417910 Min 01417910 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 3937 of 6486
VINOD KUMAR MISHRA Rate Amount Qty 60.9 2.03 30 400 400 1 1.85 .37 5 15.73 15.73 1 6.4 .64 10 400 400 1 6.4 .64 10 1.85 .37 5 35.2 3.52 10 400 400 1 1.11 .37 3 8.9 .89 10 21.12 3.52 6 60.9 2.03 30 400 400 1 Total: 1820.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417911 Min 01417911 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 3938 of 6486
Name
GAYANTI DEVI MISHRA Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 12.15 12.15 1 104.4 1.74 60 100.71 100.71 1 18 .6 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 2947.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417920 Min 01417920 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 3939 of 6486
Name
SHRIKANT BHAGWAT Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 11.4 .38 30 8.1 .27 30 26.7 .89 30 60.9 2.03 30 400 400 1 32.4 1.08 30 12 .4 30 34.8 1.16 30 60.9 2.03 30 26.7 .89 30 8.1 .27 30 11.4 .38 30 400 400 1 Total: 1159.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417921 Min 01417921 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3940 of 6486
Name
RANJANA BHAGWAT Rate Amount Qty 55.8 .93 60 400 400 1 55.8 .93 60 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 968.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417928 Min 01417928 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 15 28-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 3941 of 6486
Name
SUKH DEO SINGH Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 26.7 .89 30 60.9 2.03 30 27.9 .93 30 14.85 .99 15 87.92 43.96 2 400 400 1 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 82.2 2.74 30 73.5 2.45 30 400 400 1 Total: 2016.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417934 Min 01417934 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 TICAGRELOR 90MG ,TABLET 14 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 3942 of 6486
Name
SHRIKUMARI NAIR Rate Amount Qty 27.9 .93 30 12 .4 30 69.6 1.16 60 33 1.1 30 26.7 .89 30 400 400 1 33 1.1 30 12 .4 30 27.9 .93 30 34.8 1.16 30 26.7 .89 30 26 2.6 10 400 400 1 30.77 1846.2 60 27.9 .93 30 12 .4 30 33 1.1 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 3510.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417935 Min 01417935 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3943 of 6486
Name
K SHASHI NAIR Rate Amount Qty 10.8 .36 30 167.4 5.58 30 36 .6 60 12 .4 30 23.7 .79 30 34.8 1.16 30 400 400 1 Total: 684.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417936 Min 01417936 Slno Description Appmt Dt TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 1 05-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 2 05-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 3944 of 6486
Name
RANADHIR SOW Rate Amount Qty 156.51 313.02 2 40.58 20.29 2 6.82 6.82 1 400 400 1 17.4 1.16 15 13.95 .93 15 8.1 .27 30 60.9 2.03 30 400 400 1 Total: 1260.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417937 Min 01417937 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 3945 of 6486
Name
HARARANI SOW Rate Amount Qty 6.9 .23 30 9.28 1.16 8 6.19 160.94 26 24.76 6.19 4 400 400 1 Total: 601.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417938 Min 01417938 Appmt Dt Slno Description 02-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 02-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 02-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3946 of 6486
Name
VIJAYALAKSHMI VP Qty Rate Amount 3 .64 1.92 45 .36 16.2 90 .6 54 1 400 400 Total: 472.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417940 Min 01417940 Slno Description Appmt Dt GUM ASTRINGENT PAINT 1 22-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19 X - RAY - SINGLE VIEW 4 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 3947 of 6486
Name
MADHUSUDAN LAL AMRIT Rate Amount Qty 31.54 31.54 1 20.25 20.25 1 400 400 1 550 550 1 400 400 1 7.5 .25 30 16.2 .27 60 55.8 .93 60 54 .6 90 400 400 1 Total: 1935.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417941 Min 01417941 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 22-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 4 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 22-FEB-19
Page 3948 of 6486
Name
UMA AMRIT Rate Amount Qty 4.1 .41 10 4.45 .89 5 55.2 1.84 30 280 280 1 400 400 1 Total: 743.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417945 Min 01417945 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 2 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3949 of 6486
Name
ASHOK KUMAR DAYAL Rate Amount Qty 1.85 .37 5 6.99 2.33 3 1.85 .37 5 8.9 .89 10 6.99 2.33 3 8.9 .89 10 400 400 1 Total: 435.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417946 Min 01417946 Appmt Dt Slno Description 06-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3950 of 6486
Name
PURUSHOTTAM LAL SAHU Qty Rate Amount 60 .27 16.2 1 400 400 416.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417947 Min 01417947 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 3951 of 6486
Name
SARITA SAHU Rate Amount Qty 8.1 .27 30 27.9 .93 30 18.9 .63 30 4.8 .16 30 31.2 1.04 30 400 400 1 Total: 490.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417948 Min 01417948 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 3952 of 6486
Name
SHRIRAM Rate Amount Qty 2.5 .25 10 26 2.6 10 8.9 .89 10 400 400 1 26 2.6 10 8.9 .89 10 2.5 .25 10 400 400 1 Total: 874.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417954 Min 01417954 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 3953 of 6486
Name
SHARWAN KUMAR KEREKAR Rate Amount Qty 72 .6 120 55.8 .93 60 16.2 .27 60 21.3 .71 30 211.8 3.53 60 400 400 1 Total: 777.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417955 Min 01417955 Appmt Dt Slno Description 25-FEB-19 1 PRAZOSIN,2.5MG,TABLET 25-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3954 of 6486
Name
URMILA Qty Rate Amount 60 1.3 78 30 .4 12 30 .93 27.9 1 400 400 Total: 517.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417956 Min 01417956 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 3955 of 6486
Name
RAMESH KUMAR GUPTA Rate Amount Qty 30.6 .34 90 33 1.1 30 13.35 .89 15 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 544.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417963 Min 01417963 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 3956 of 6486
Name
G L PATEL Rate Amount Qty 4.1 .41 10 55.2 1.84 30 400 400 1 6.4 .64 10 400 400 1 Total: 865.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417964 Min 01417964 Appmt Dt Slno Description 05-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 05-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3957 of 6486
Name
KUNTI PATEL Qty Rate Amount 60 1.1 66 15 1.04 15.6 30 .71 21.3 1 400 400 Total: 502.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417965 Min 01417965 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3958 of 6486
Name
NARAYAN SINGH SAHU Rate Amount Qty 22.2 .37 60 7.5 .25 30 167.4 5.58 30 21.3 .71 30 54 .6 90 21.6 .36 60 76.5 2.55 30 400 400 1 Total: 770.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417966 Min 01417966 Appmt Dt Slno Description 26-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 26-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3959 of 6486
Name
SMT.URMILA BAI SAHU Qty Rate Amount 30 .27 8.1 15 .25 3.75 30 .36 10.8 1 400 400 Total: 422.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417969 Min 01417969 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 3960 of 6486
Name
M L CHANDRAKAR Rate Amount Qty 39 1.3 30 12 .4 30 21.3 .71 30 11.85 .79 15 167.4 5.58 30 54 .6 90 36 .4 90 400 400 1 Total: 741.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417970 Min 01417970 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 3961 of 6486
Name
PUSHPA CHANDRAKAR Rate Amount Qty 27.9 .93 30 36 .6 60 10.8 .36 30 21.3 .71 30 400 400 1 Total: 496
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417973 Min 01417973 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 3962 of 6486
Name
RAMJI PRASAD Rate Amount Qty 54 .9 60 26.7 .89 30 400 400 1 Total: 480.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417981 Min 01417981 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 9 07-FEB-19
Page 3963 of 6486
Name
BISHAUHA RAM THAKUR Rate Amount Qty 21.3 .71 30 13.8 .23 60 55.8 .93 60 39 1.3 30 36 .6 60 7.5 .25 30 400 400 1 400 400 1 1050 1050 1 Total: 2023.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417982 Min 01417982 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CREATININE /CRT 5 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 07-FEB-19
Page 3964 of 6486
Name
USHA BAI THAKUR Rate Amount Qty 1.48 .37 4 21.3 .71 30 27.9 .93 30 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 1675.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417984 Min 01417984 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 09-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 09-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 09-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 10 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19
Page 3965 of 6486
Name
SUDHA CHOUBEY Rate Amount Qty 21.3 .71 30 7.5 .25 30 5.21 5.21 1 166.8 2.78 60 29.7 .99 30 64.6 3.23 20 237 3.95 60 26.7 .89 30 27.9 .93 30 74.4 .62 120 18 .6 30 55.8 .93 60 400 400 1 Total: 1134.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417986 Min 01417986 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 08-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 08-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 10 08-FEB-19 CREATININE /CRT 11 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 08-FEB-19 PLATELET COUNT 14 08-FEB-19 ESR 15 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 08-FEB-19 HB,TLC,DLC 17 08-FEB-19
Page 3966 of 6486
Name
SMT. RADHA TIWARI Rate Amount Qty 8.4 .42 20 26.7 .89 30 27.9 .93 30 10.42 5.21 2 51.68 3.23 16 21.3 .71 30 12 .4 30 31.2 1.04 30 33 1.1 30 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 165 165 1 400 400 1 300 300 1 Total: 2517.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417989 Min 01417989 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 3967 of 6486
Name
SARALA DANI Rate Amount Qty 27.9 .93 30 15.3 .51 30 400 400 1 Total: 443.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417992 Min 01417992 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 3968 of 6486
Name
MANOHAR LIKHITKAR Rate Amount Qty 66 1.1 60 34.8 1.16 30 12 .4 30 10.8 .36 30 36 .6 60 400 400 1 Total: 559.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417993 Min 01417993 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 3969 of 6486
Name
SHARDA LIKHITKAR Rate Amount Qty 55.8 .93 60 211.8 3.53 60 400 400 1 Total: 667.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417996 Min 01417996 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 3970 of 6486
Name
PARASRAM SINHA Rate Amount Qty 6.25 .25 25 23 .92 25 32.5 1.3 25 5.75 .23 25 23.25 .93 25 17.75 .71 25 400 400 1 Total: 508.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417999 Min 01417999 Appmt Dt Slno Description 21-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 21-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 3 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3971 of 6486
Name
GHANSHYAM SINGH Qty Rate Amount 6 .64 3.84 5 .37 1.85 6 .38 2.28 1 400 400 Total: 407.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418000 Min 01418000 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 13-FEB-19 OBSERVATION IN CASUALTY 2 13-FEB-19 X - RAY - SINGLE VIEW 3 13-FEB-19
Page 3972 of 6486
Name
GEETA BAI THAKUR Rate Amount Qty 600 600 1 420 420 1 550 550 1 Total: 1570
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418003 Min 01418003 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 3973 of 6486
Name
BISARJAN LAL TORLE Rate Amount Qty 33 1.1 30 32.4 1.08 30 21.3 .71 30 23.7 .79 30 400 400 1 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418004 Min 01418004 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3974 of 6486
Name
SHANTI TORLE Rate Amount Qty 10.8 .36 30 36 .6 60 167.4 5.58 30 21.3 .71 30 21.3 .71 30 400 400 1 Total: 656.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418007 Min 01418007 Appmt Dt Slno Description 12-FEB-19 1 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12-FEB-19 2 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3975 of 6486
Name
KISHANLAL DHURWE Qty Rate Amount 9 1.12 10.08 6 .77 4.62 6 3.52 21.12 1 400 400 Total: 435.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418008 Min 01418008 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19
Page 3976 of 6486
SUSHILA DHURWE Rate Amount Qty 2.28 .38 6 3.84 .64 6 1.85 .37 5 400 400 1 1.85 .37 5 3.84 .64 6 5.4 .9 6 400 400 1 5.4 .9 6 1.85 .37 5 3.84 .64 6 400 400 1 15.73 15.73 1 26.6 2.66 10 6.23 .89 7 2.59 .37 7 400 400 1 Total: 1681.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418009 Min 01418009 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 3977 of 6486
Name
SUBHASH KUMAR GUPTA Rate Amount Qty 34.8 1.16 30 43.2 .36 120 54 .6 90 27.9 .93 30 66 1.1 60 32.4 1.08 30 12 .4 30 10.4 1.04 10 400 400 1 Total: 680.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418013 Min 01418013 Appmt Dt Slno Description 28-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 2 ALBENDAZOLE,STRIP PKT,400MG,TABLET 28-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 28-FEB-19 4 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK,
Page 3978 of 6486
Name
JAY KUMAR SONI Qty Rate Amount 120 .93 111.6 1 2.33 2.33 1 400 400 60 .25 15 Total: 528.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418018 Min 01418018 Appmt Dt Slno Description 28-FEB-19 1 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 28-FEB-19 2 COMPLETE HAEMOGRAM 28-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 28-FEB-19 4 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU
Page 3979 of 6486
Name
ASHA SONI Qty 1 1 1 1
Rate Amount 275 275 750 750 400 400 275 275 Total: 1700
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418020 Min 01418020 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 3980 of 6486
Name
PREMA KAPOOR Rate Amount Qty 13.95 .93 15 8.1 .27 30 400 400 1 Total: 422.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418026 Min 01418026 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3981 of 6486
Name
ISHWARLAL SONI Rate Amount Qty 15.6 .26 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 47.4 .79 60 8.1 .27 30 400 400 1 Total: 550.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418027 Min 01418027 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 15-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 3982 of 6486
Name
PRANITA SONI Rate Amount Qty 10.8 .36 30 18 .6 30 12 .4 30 400 400 1 1.48 .37 4 5.12 .64 8 21.28 2.66 8 400 400 1 Total: 868.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418029 Min 01418029 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 13-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 3983 of 6486
Name
BASANTI Rate Amount Qty 12 .4 30 6.4 .64 10 22 4.4 5 3.7 .37 10 27 .9 30 211.8 3.53 60 130.42 130.42 1 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 903.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418030 Min 01418030 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 3984 of 6486
Name
SHAMSUZOHA KHAN Rate Amount Qty 21.3 .71 30 8.1 .27 30 400 400 1 Total: 429.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418031 Min 01418031 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 3985 of 6486
Name
RUKHSANA KHAN Rate Amount Qty 47.4 .79 60 3.75 .25 15 66 1.1 60 55.2 .92 60 54 .6 90 21.3 .71 30 400 400 1 Total: 647.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418047 Min 01418047 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3986 of 6486
Name
VIDYA PRASAD KARTIKEY Rate Amount Qty 7.5 .25 30 13.95 .93 15 36 .6 60 10.8 .36 30 17.4 1.16 15 400 400 1 Total: 485.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418049 Min 01418049 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3987 of 6486
Name
DEBENDRA NATH BAIDYA Rate Amount Qty 17.4 1.16 15 11.4 .38 30 17.4 .58 30 27.9 .93 30 12 .4 30 400 400 1 Total: 486.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418050 Min 01418050 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3988 of 6486
Name
KABITA BAIDYA Rate Amount Qty 3.75 .25 15 33 1.1 30 16.8 1.12 15 5.7 .38 15 32.4 1.08 30 8.9 .89 10 34.8 1.16 30 6.9 .23 30 400 400 1 3.84 .64 6 2.28 .38 6 1.85 .37 5 400 400 1 Total: 950.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418051 Min 01418051 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 21-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3989 of 6486
Name
M K ELANGO Rate Amount Qty 18 .9 20 5.4 .18 30 70.2 2.34 30 12.15 12.15 1 3.7 .37 10 400 400 1 55.8 .93 60 72 .6 120 400 400 1 Total: 1037.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418052 Min 01418052 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 3990 of 6486
Name
NAMITA SWAMY Rate Amount Qty 54 .6 90 32.4 .36 90 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418055 Min 01418055 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 06-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 06-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 06-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 14 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 3991 of 6486
Name
SURENDRA NATH NAHAK Rate Amount Qty 13.48 3.37 4 9.86 9.86 1 7.4 .37 20 400 400 1 19.2 .64 30 301.8 5.03 60 26.7 .89 30 185.7 6.19 30 26 2.6 10 8.9 .89 10 3.55 .71 5 400 400 1 7.68 .64 12 4.8 .6 8 44.16 1.84 24 400 400 1 Total: 1859.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418056 Min 01418056 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 X - RAY - TWO VIEWS 4 01-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 5 06-FEB-19 CREATININE /CRT 6 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 06-FEB-19 UREA (BUN /UR) 8 06-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3992 of 6486
Name
SHANTI NAHAK Rate Amount Qty 12.8 .64 20 400 400 1 8.9 .89 10 860 860 1 9000 9000 1 275 275 1 400 400 1 275 275 1 43.8 .73 60 10.65 .71 15 20.84 5.21 4 400 400 1 Total: 11706.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418060 Min 01418060 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3993 of 6486
Name
RUKHAMANI DEWANGAN Rate Amount Qty 13.95 .93 15 14.85 .99 15 12.3 .41 30 2.4 .16 15 400 400 1 Total: 443.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418061 Min 01418061 Slno Description Appmt Dt CREATININE /CRT 1 13-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 2 13-FEB-19 PLATELET COUNT 3 13-FEB-19 HB,TLC,DLC 4 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 10 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 16 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 27-FEB-19
Page 3994 of 6486
Name
RIKHIRAM MASKARE Rate Amount Qty 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 26.7 .89 30 21.3 .71 30 36 .6 60 400 400 1 25.84 3.23 8 11.1 .37 30 25.62 12.81 2 7.6 .38 20 400 400 1 12.8 .64 20 20.84 5.21 4 26.7 .89 30 36 .6 60 .8 .16 5 400 400 1 Total: 3031.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418062 Min 01418062 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 27-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 27-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 27-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 9 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 27-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 3995 of 6486
Name
PADMAWATI Rate Amount Qty 7.6 .38 20 18.6 .62 30 400 400 1 27.9 .62 45 123.53 247.06 2 20.84 5.21 4 26.7 .89 30 20.1 .67 30 125.1 2.78 45 1.9 .38 5 51.68 3.23 16 400 400 1 Total: 1347.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418066 Min 01418066 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3996 of 6486
Name
RAMESHWARI DEVI SAHU Rate Amount Qty 7.5 .25 30 34.8 1.16 30 117 1.3 90 54 .6 90 400 400 1 Total: 613.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418067 Min 01418067 Appmt Dt Slno Description 26-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3997 of 6486
Name
RAM NATH PRASAD Qty Rate Amount 30 .4 12 30 1.1 33 30 .63 18.9 1 400 400 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418068 Min 01418068 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 2 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 3998 of 6486
Name
URMILA PRASAD Rate Amount Qty 400 400 1 650 650 1 1750 1750 1 400 400 1 78 1.3 60 72 .6 120 55.2 .92 60 167.4 5.58 30 3.75 .25 15 400 400 1 Total: 3976.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418073 Min 01418073 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 3999 of 6486
Name
KC GUPTA Rate Amount Qty 32.4 1.08 30 15.6 .26 60 21.3 .71 30 12 .4 30 8.1 .27 30 47.4 .79 60 66 1.1 60 31.2 1.04 30 400 400 1 Total: 634
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418074 Min 01418074 Appmt Dt Slno Description 07-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 07-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 07-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4000 of 6486
Name
ARUNA GUPTA Qty Rate Amount 4 5.21 20.84 30 .63 18.9 30 .25 7.5 1 400 400 Total: 447.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418076 Min 01418076 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 06-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 4001 of 6486
Name
AMBIKA DEVI Rate Amount Qty 5.4 .18 30 70.2 2.34 30 18 .9 20 6.4 .64 10 400 400 1 Total: 500
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418078 Min 01418078 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 02-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 02-FEB-19 PRAZOSIN,2.5MG,TABLET 3 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 4002 of 6486
Name
IMTIAJ AHMAD KHAN Rate Amount Qty 76.5 2.55 30 7.65 .51 15 78 1.3 60 22.2 .37 60 400 400 1 60.9 2.03 30 37.8 .63 60 192.3 6.41 30 400 400 1 Total: 1275.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418079 Min 01418079 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 02-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 02-FEB-19 PRAZOSIN,2.5MG,TABLET 5 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 24-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 24-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 24-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 12 24-FEB-19 PRAZOSIN,2.5MG,TABLET 13 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 24-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 16 26-FEB-19
Page 4003 of 6486
SABANA Rate Amount Qty 66 1.1 60 55.8 .93 60 14.85 .99 15 211.8 3.53 60 117 1.3 90 15.73 15.73 1 400 400 1 23.2 1.16 20 19.8 .99 20 37.2 .93 40 44 1.1 40 14.8 .37 40 52 1.3 40 400 400 1 400 400 1 1750 1750 1 Total: 3622.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418082 Min 01418082 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 URIC ACID (UA /URATES /UR) 4 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 4004 of 6486
Name
BABU CHERIAN EARALY Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 275 275 1 400 400 1 34.8 1.16 30 26.7 .89 30 27.9 .93 30 36 .6 60 24 .4 60 400 400 1 Total: 1877.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418083 Min 01418083 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 4005 of 6486
Name
SHIRLY BABU CHERIAN Rate Amount Qty 18.9 .63 30 12.8 .64 20 55.8 .93 60 21.3 .71 30 55.8 .93 60 26.7 .89 30 400 400 1 Total: 591.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418087 Min 01418087 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 5 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 4006 of 6486
Name
LAL BAI SAHU Rate Amount Qty 8.9 .89 10 41.5 4.15 10 21.3 .71 30 27.9 .93 30 59.3 5.93 10 3.8 .38 10 400 400 1 Total: 562.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418091 Min 01418091 Appmt Dt Slno Description 19-FEB-19 1 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4007 of 6486
Name
LALIT KUMAR SAHU Qty Rate Amount 60 2.1 126 1 400 400 526 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418092 Min 01418092 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 20-FEB-19 BLOOD FOR TSH 6 20-FEB-19 COMPLETE HAEMOGRAM 7 20-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 4008 of 6486
Name
AHILYA DEVI SAHU Rate Amount Qty 550 550 1 400 400 1 1750 1750 1 400 400 1 1300 1300 1 800 800 1 750 750 1 15.3 .34 45 10.4 1.04 10 400 400 1 Total: 6375.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418103 Min 01418103 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 10-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 10-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 10-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 10-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 10-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 10-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 10-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 10-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 9 10-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 10-FEB-19
Page 4009 of 6486
Name
KHARE DR UR Rate Amount Qty 7.9 .79 10 39.5 3.95 10 23.2 1.16 20 21.6 1.08 20 10.4 1.04 10 8 .4 20 36 .9 40 66.2 6.62 10 6.7 .67 10 10.4 .26 40 400 400 1 Total: 629.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418105 Min 01418105 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 08-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 18-FEB-19 SOLIFENACIN,5MG,,TABLET 13 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 16 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 18-FEB-19
Page 4010 of 6486
Name
P T VARGHESE Rate Amount Qty 26.7 .89 30 26.6 2.66 10 59.4 .66 90 156.6 1.74 90 54 .9 60 400 400 1 60.9 2.03 30 21.3 .71 30 167.4 5.58 30 36 .6 60 118.5 3.95 30 27.9 .93 30 806.4 13.44 60 32.4 1.08 30 7.5 .25 30 18 .3 60 400 400 1 Total: 2419.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418106 Min 01418106 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 27-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 4011 of 6486
Name
A LEELAMMA Rate Amount Qty 21.3 .71 30 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 14.85 .99 15 55.8 .93 60 3.75 .25 15 54 .6 90 3.84 .64 6 1.85 .37 5 3.8 .38 10 86.4 1.44 60 400 400 1 Total: 720.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418109 Min 01418109 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 4012 of 6486
Name
ARIEL NATH Rate Amount Qty 2.4 .16 15 7.5 .25 30 27.9 .93 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 517
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418110 Min 01418110 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 4013 of 6486
Name
S A NATH Rate Amount Qty 8.9 .89 10 2.4 .16 15 3.75 .25 15 36 .6 60 9 .3 30 55.8 .93 60 400 400 1 Total: 515.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418112 Min 01418112 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4014 of 6486
Name
NEELAMBER Rate Amount Qty 34.8 1.16 30 23.7 .79 30 72.6 1.21 60 33 1.1 30 12 .4 30 400 400 1 Total: 576.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418113 Min 01418113 Appmt Dt Slno Description 25-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4015 of 6486
Name
GONDA BAI Qty Rate Amount 30 .71 21.3 30 .93 27.9 30 .23 6.9 1 400 400 Total: 456.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418114 Min 01418114 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 4016 of 6486
Name
MURLI LAL GAJPAL Rate Amount Qty 12 .4 30 36 .6 60 32.4 .36 90 117 1.3 90 12 .4 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 700
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418115 Min 01418115 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 4017 of 6486
Name
CHANDA GAJPAL Rate Amount Qty 10.8 .36 30 36 .6 60 8.9 .89 10 43.96 43.96 1 23.7 .79 30 21.3 .71 30 7.5 .25 30 6.4 .64 10 400 400 1 Total: 558.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418119 Min 01418119 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4018 of 6486
Name
RAVISHANKAR SHARMA Rate Amount Qty 20.1 .67 30 12.15 12.15 1 5.55 .37 15 27 .9 30 400 400 1 13.5 .9 15 400 400 1 27.9 .93 30 400 400 1 Total: 1306.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418123 Min 01418123 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 15 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 19 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 20 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 21 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 23 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 25 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 28 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 29 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 30 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 31 08-FEB-19
Page 4019 of 6486
G.VISHWANATH Rate Amount Qty 34.8 1.16 30 14.85 .99 15 15.6 .26 60 23.7 .79 30 66 1.1 60 32.4 1.08 30 12 .4 30 7.2 .16 45 6.41 288.45 45 91.35 2.03 45 11.4 .38 30 31.46 15.73 2 6.4 .64 10 3.7 .37 10 26.6 2.66 10 53.4 .89 60 14.85 .99 15 34.8 1.16 30 15.6 .26 60 23.7 .79 30 66 1.1 60 32.4 1.08 30 12 .4 30 7.2 .16 45 6.41 288.45 45 91.35 2.03 45 400 400 1 11.4 .38 30 26.6 2.66 10 6.4 .64 10 31.46 15.73 2 Total: 1781.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418124 Min 01418124 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 08-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 08-FEB-19
Page 4020 of 6486
Name
V. NIRANJANA Rate Amount Qty 34.8 1.16 30 27 .6 45 7.5 .25 30 57.84 115.68 2 74.08 37.04 2 19.72 9.86 2 10.8 .36 30 400 400 1 27.9 .93 30 26.7 .89 30 Total: 744.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418125 Min 01418125 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 07-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 11 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 4021 of 6486
RAZIA KHATOON Rate Amount Qty 1.85 .37 5 9 .9 10 7.7 .77 10 35.2 3.52 10 3.84 .64 6 400 400 1 13.95 .93 15 76.5 2.55 30 48.22 48.22 1 400 400 1 132 4.4 30 53.4 .89 60 55.8 .93 60 400 400 1 55.8 .93 60 96.44 48.22 2 400 400 1 Total: 2189.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418130 Min 01418130 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 PRAZOSIN,2.5MG,TABLET 9 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 4022 of 6486
Name
BAL GOVIND BAJPAI Rate Amount Qty 21.6 .36 60 18.6 .62 30 34.8 1.16 30 12 .4 30 29.7 .99 30 76.5 2.55 30 55.8 .93 60 39 1.3 30 78 1.3 60 11.1 .37 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1430.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418131 Min 01418131 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 SOLIFENACIN,5MG,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 4023 of 6486
Name
USHA BAJPAI Rate Amount Qty 60.9 2.03 30 403.2 13.44 30 400 400 1 Total: 864.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418142 Min 01418142 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 4024 of 6486
Name
K DUTTA Rate Amount Qty 10.05 .67 15 7.5 .25 30 54 .9 60 66.2 6.62 10 400 400 1 Total: 537.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418146 Min 01418146 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 23-FEB-19 URIC ACID (UA /URATES /UR) 3 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 23-FEB-19 CREATININE /CRT 5 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4025 of 6486
Name
USHA SHARMA Rate Amount Qty 860 860 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 400 400 1 10.8 .36 30 21.3 .71 30 27.9 .93 30 36 .6 60 78 1.3 60 400 400 1 Total: 4634
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418151 Min 01418151 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 4026 of 6486
Name
SHANTI SAHANI Rate Amount Qty 21.12 3.52 6 6.4 .64 10 2.22 .37 6 3.75 .25 15 21.3 .71 30 27 .6 45 400 400 1 Total: 481.79
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418154 Min 01418154 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 4027 of 6486
R K DAS Rate Amount Qty 31.46 15.73 2 14.85 .99 15 185.7 6.19 30 26.7 .89 30 34.8 1.16 30 60.9 2.03 30 6.9 .23 30 12 .4 30 7.8 .26 30 400 400 1 Total: 781.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418155 Min 01418155 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 09-FEB-19 CREATININE /CRT 12 09-FEB-19 URIC ACID (UA /URATES /UR) 13 09-FEB-19 UREA (BUN /UR) 14 09-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 09-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 18 09-FEB-19
Page 4028 of 6486
Name
SMT NAMITA Rate Amount Qty 167.4 5.58 30 21.3 .71 30 27.9 .93 30 18.9 .63 30 117 1.3 90 14.85 .99 15 54 .6 90 43.2 .36 120 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 550 550 1 400 400 1 275 275 1 275 275 1 Total: 4764.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418156 Min 01418156 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4029 of 6486
Name
NARESH RAM SAHU Rate Amount Qty 16.24 2.03 8 35.2 4.4 8 400 400 1 6.4 .64 10 9.5 .38 25 66.2 6.62 10 20.3 2.03 10 4.45 .89 5 400 400 1 Total: 958.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418159 Min 01418159 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4030 of 6486
Name
RATNA NIRMALKAR Rate Amount Qty 55.8 .93 60 29.7 .99 30 8.1 .27 30 7.5 .25 30 400 400 1 Total: 501.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418165 Min 01418165 Name Appmt Dt Slno Description 19-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4031 of 6486
SMT.INDU DEWANGAN Qty Rate Amount 1 25.07 25.07 1 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418167 Min 01418167 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 ENTACAVIR 0.5MG,,TABLET 2 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 18-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 4032 of 6486
Name
LEELAVATI DEVI Rate Amount Qty 18 .6 30 673.5 22.45 30 7.65 .51 15 172.8 1.44 120 6.4 .64 10 10.8 .36 30 21.3 .71 30 7.5 .25 30 17.8 .89 20 61.4 6.14 10 66.2 6.62 10 400 400 1 Total: 1463.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418175 Min 01418175 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 PRAZOSIN,2.5MG,TABLET 8 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 22-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 15 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 17 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 20 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 22-FEB-19 PRAZOSIN,2.5MG,TABLET 22 22-FEB-19
Page 4033 of 6486
SINHA JMP Rate Amount Qty 400 400 1 15.73 15.73 1 46.2 .77 60 249.6 1.04 240 237 3.95 60 55.8 .93 60 15 .25 60 78 1.3 60 12.15 12.15 1 3.84 .64 6 22.8 .38 60 400 400 1 400 400 1 15 .25 60 100.71 201.42 2 121.8 2.03 60 384.6 6.41 60 42.6 .71 60 24 .4 60 15.3 .51 30 111.6 .93 120 78 1.3 60 Total: 2930.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418176 Min 01418176 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 22-FEB-19
Page 4034 of 6486
SMT. SHANTI DEVI Rate Amount Qty 400 400 1 17.8 .89 20 3.84 .64 6 21.12 3.52 6 50.14 25.07 2 8.9 .89 10 2.46 .41 6 400 400 1 Total: 904.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418181 Min 01418181 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 3 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 19-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 4035 of 6486
Name
PUNNI DAS PATIL Rate Amount Qty 10.08 1.12 9 7.7 .77 10 8.71 8.71 1 21.12 3.52 6 400 400 1 32.4 1.08 30 13.35 .89 15 34.8 1.16 30 55.8 .93 60 36.3 1.21 30 12 .4 30 30.6 .34 90 400 400 1 Total: 1062.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418183 Min 01418183 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 18-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4036 of 6486
Name
BABOO LAL CHOUDHARY Rate Amount Qty 44.16 1.84 24 4.8 .6 8 7.68 .64 12 400 400 1 20.25 20.25 1 400 400 1 Total: 876.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418184 Min 01418184 Appmt Dt Slno Description 20-FEB-19 1 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 20-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4037 of 6486
Name
SARASWATI BAI Qty Rate Amount 30 .73 21.9 10 .89 8.9 20 1.37 27.4 1 400 400 Total: 458.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418187 Min 01418187 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 02-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 MRCP (COST OF CONTRAST EXTRA) 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 4038 of 6486
Name
KUTBUN BIBI Rate Amount Qty 1750 1750 1 275 275 1 400 400 1 10000 10000 1 400 400 1 105.9 7.06 15 6.23 .89 7 400 400 1 26.7 .89 30 423.6 7.06 60 400 400 1 Total: 14187.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418194 Min 01418194 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4039 of 6486
Name
SALOMI PRASAD Rate Amount Qty 40.12 20.06 2 22.8 .38 60 26.7 .89 30 21.3 .71 30 27.9 .93 30 18.6 .62 30 400 400 1 Total: 557.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418196 Min 01418196 Slno Description Appmt Dt CARBIMAZOLE,5MG,BTL PACK,TABLET 1 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 4040 of 6486
Name
JANKI DEVI Rate Amount Qty 47.4 1.58 30 11.4 .38 30 21.3 .71 30 36.3 1.21 30 22.2 .37 60 400 400 1 Total: 538.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418200 Min 01418200 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 15-FEB-19 X - RAY - TWO VIEWS 3 15-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 4 15-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 5 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 15-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 12 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 15 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 18-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 4041 of 6486
Name
H.K.AGRAWAL Rate Amount Qty 1750 1750 1 400 400 1 860 860 1 1750 1750 1 32.61 32.61 1 6.4 .64 10 55.8 .93 60 21.3 .71 30 21.3 .71 30 26.7 .89 30 19.8 .66 30 15.3 .51 30 14.85 .99 15 7.5 .25 30 95.7 3.19 30 400 400 1 51.38 25.69 2 400 400 1 Total: 5928.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418201 Min 01418201 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 2 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 13 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 25-FEB-19 BRIMONIDINE TARTRATE,0.15% 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 18 25-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 19 25-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 20 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 25-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 22 27-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 23 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 27-FEB-19
Page 4042 of 6486
SUDHA AGRAWAL Rate Amount Qty 275 275 1 1500 1500 1 1300 1300 1 275 275 1 400 400 1 185.7 6.19 30 39 1.3 30 60.9 2.03 30 7.5 .25 30 18 .6 30 27.9 .93 30 400 400 1 27.9 .93 30 275 275 1 148.9 74.45 2 275 275 1 400 400 1 50.14 25.07 2 17.37 17.37 1 35.2 17.6 2 11.1 .37 30 21.45 21.45 1 13.49 13.49 1 400 400 1 Total: 6164.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418202 Min 01418202 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4043 of 6486
Name
TULSI RAM Rate Amount Qty 17.4 1.16 15 10.8 .36 30 63 .6 105 100.71 100.71 1 7.5 .25 30 400 400 1 Total: 599.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418203 Min 01418203 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 19-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 4044 of 6486
Name
AMITA Rate Amount Qty 7.65 .51 15 12 .4 30 23.7 .79 30 42.6 .71 60 400 400 1 Total: 485.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418208 Min 01418208 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 22-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 4045 of 6486
Name
BIHARI LAL SAHU Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 23.7 .79 30 15.6 .26 60 4.8 .16 30 32.4 1.08 30 21.3 .71 30 31.2 1.04 30 128.1 4.27 30 400 400 1 Total: 910.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418209 Min 01418209 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 4046 of 6486
Name
KACHARA BAI Rate Amount Qty 17.4 1.16 15 36 .6 60 66 1.1 60 55.8 .93 60 4.45 .89 5 7.5 .25 30 27.9 .93 30 2.4 .16 15 400 400 1 Total: 617.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418210 Min 01418210 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 28-FEB-19 GUM ANALGESIC GEL 9 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 4047 of 6486
P K MANDAL Rate Amount Qty 192.3 6.41 30 8.9 .89 10 60.9 2.03 30 6.15 .41 15 7.5 .25 30 400 400 1 4.45 .89 5 50.14 25.07 2 28.69 28.69 1 1.85 .37 5 35.2 3.52 10 3.75 .25 15 400 400 1 Total: 1199.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418215 Min 01418215 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4048 of 6486
Name
S R SREEDEVI Rate Amount Qty 63 2.1 30 18.6 .62 30 12 .4 30 21.3 .71 30 18 .6 30 8.1 .27 30 1.48 .37 4 7.5 .25 30 55.8 .93 60 400 400 1 Total: 605.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418216 Min 01418216 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 02-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 OBSERVATION IN CASUALTY 10 18-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 11 18-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 12 18-FEB-19 ECG 13 18-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 17 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 21-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 19 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 21 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 21-FEB-19
Page 4049 of 6486
Name
TIWARI MP Rate Amount Qty 7.5 .25 30 30.15 .67 45 26.7 .89 30 54 .9 60 13.73 192.22 14 400 400 1 62.8 3.14 20 17.8 .89 20 400 400 1 420 420 1 25.54 25.54 1 100 100 1 450 450 1 9.62 9.62 1 13.35 .89 15 27 .9 30 20.1 .67 30 30.45 2.03 15 2.6 .26 10 16.2 1.08 15 14.85 .99 15 27.9 .93 30 10.65 .71 15 400 400 1 Total: 2759.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418222 Min 01418222 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 IVABRADINE,5MG,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4050 of 6486
Name
ANKATAIYYA Rate Amount Qty 15.6 .26 60 34.8 1.16 30 32.4 1.08 30 12 .4 30 597 9.95 60 16.2 .27 60 400 400 1 Total: 1108
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418223 Min 01418223 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 4051 of 6486
Name
K ADI LAKSHMI Rate Amount Qty 7.5 .25 30 17.4 1.16 15 167.4 5.58 30 72 .6 120 66 1.1 60 27.9 .93 30 400 400 1 Total: 758.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418230 Min 01418230 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 4052 of 6486
Name
CHANDRIKA PRASAD Rate Amount Qty 47.4 .79 60 34.8 1.16 30 12 .4 30 22.2 .37 60 400 400 1 Total: 516.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418231 Min 01418231 Appmt Dt Slno Description 23-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 23-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4053 of 6486
Name
MEENA DEVI NIRMALKAR Qty Rate Amount 30 .27 8.1 30 .71 21.3 60 1.1 66 1 400 400 Total: 495.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418234 Min 01418234 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 25-FEB-19 URIC ACID (UA /URATES /UR) 3 25-FEB-19 CREATININE /CRT 4 25-FEB-19 UREA (BUN /UR) 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 27-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 4054 of 6486
Name
BALMIKI PRASAD ADIL Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 55.8 .93 60 36 .6 60 21.3 .71 30 20.84 5.21 4 9 .3 30 22.2 .37 60 400 400 1 Total: 4190.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418242 Min 01418242 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4055 of 6486
Name
LALJI SINGH Rate Amount Qty .96 .16 6 17.4 1.16 15 78 1.3 60 36 .6 60 167.4 5.58 30 400 400 1 1300 1300 1 400 400 1 41.85 .93 45 40.12 20.06 2 13.35 .89 15 400 400 1 Total: 2895.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418244 Min 01418244 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 27-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 4056 of 6486
Name
K.C.SAHU Rate Amount Qty 27.9 .93 30 400 400 1 25.62 12.81 2 31.61 31.61 1 11.1 .37 30 400 400 1 Total: 896.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418245 Min 01418245 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 4057 of 6486
Name
KIRAN SAHU Rate Amount Qty 72 .6 120 55.8 .93 60 19.8 .66 30 21.3 .71 30 400 400 1 Total: 568.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418247 Min 01418247 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 4 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 01-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 15 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 16 26-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 17 26-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 4058 of 6486
SHAKUNTALA YADAV Rate Amount Qty 167.4 5.58 30 31.46 15.73 2 6.4 .64 10 137.3 13.73 10 2.4 .16 15 26.7 .89 30 32.4 1.08 30 21.3 .71 30 36 .6 60 66 1.1 60 15.6 1.04 15 55.8 .93 60 27.9 .93 30 400 400 1 156.51 313.02 2 40.58 20.29 2 25.69 25.69 1 94.42 188.84 2 400 400 1 Total: 1994.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418250 Min 01418250 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 4059 of 6486
Name
SHAMBHOO DAYAL NAYAK Rate Amount Qty 33 1.1 30 8.1 .27 30 55.8 .93 60 167.4 5.58 30 72 .6 120 10.8 .36 30 34.8 1.16 30 400 400 1 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 400 400 1 Total: 1474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418251 Min 01418251 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 4060 of 6486
Name
MITHILESH NAYAK Rate Amount Qty 36 .6 60 39 1.3 30 167.4 5.58 30 27.9 .93 30 2.32 .58 4 15.08 .58 26 27.6 .92 30 13.35 .89 15 21.3 .71 30 400 400 1 247.6 6.19 40 27.4 1.37 20 17.8 .89 20 400 400 1 Total: 1442.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418253 Min 01418253 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 4061 of 6486
Name
JYOTI DEVI Rate Amount Qty 33.12 1.84 18 5.76 .64 9 400 400 1 Total: 438.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418262 Min 01418262 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 07-FEB-19 DESVENLAFAXINE,50MG,ER,,TABLET 3 07-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4062 of 6486
Name
M S CHOUDHARY Rate Amount Qty 28.08 3.51 8 126 2.1 60 267.3 8.91 30 39.6 2.64 15 74.4 .62 120 400 400 1 Total: 935.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418269 Min 01418269 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 19-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 4063 of 6486
Name
PARTHA SARATHI GHOSHAL Rate Amount Qty 55.2 1.84 30 6.4 .64 10 7.7 .77 10 400 400 1 100.71 100.71 1 22.5 .75 30 12.15 12.15 1 11.1 .37 30 156.6 1.74 90 54 .9 60 400 400 1 Total: 1226.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418271 Min 01418271 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 4064 of 6486
Name
JL KHURANA Rate Amount Qty 34.8 1.16 30 25.2 .42 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 504.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418273 Min 01418273 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 PLATELET COUNT 5 05-FEB-19 HB,TLC,DLC 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 05-FEB-19 CREATININE /CRT 9 05-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 PLATELET COUNT 13 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 16-FEB-19
Page 4065 of 6486
Name
SARVAJEET RAM Rate Amount Qty 275 275 1 550 550 1 1300 1300 1 275 275 1 330 330 1 300 300 1 400 400 1 20.06 20.06 1 275 275 1 45.44 45.44 1 7.5 .25 30 400 400 1 330 330 1 400 400 1 Total: 4908
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418274 Min 01418274 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 4066 of 6486
Name
PRABHA DEVI Rate Amount Qty 13.35 .89 15 66 1.1 60 7.65 .51 15 7.5 .25 30 1.6 .16 10 55.8 .93 60 54 .6 90 400 400 1 Total: 605.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418280 Min 01418280 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 24-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 24-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 24-FEB-19
Page 4067 of 6486
Name
DR. A K KADAM Rate Amount Qty 66.2 6.62 10 27.9 .93 30 34.8 1.16 30 26.7 .89 30 12 .4 30 400 400 1 Total: 567.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418284 Min 01418284 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 11-FEB-19 ECG 13 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 18-FEB-19 UREA (BUN /UR) 18 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 22-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 20 22-FEB-19
Page 4068 of 6486
Name
N L DUA Rate Amount Qty 10.8 .36 30 18 .6 30 26.7 .89 30 7.5 .25 30 60.9 2.03 30 7.65 .51 15 34.8 1.16 30 12 .4 30 32.4 1.08 30 21.3 .71 30 23.7 .79 30 11.4 .38 30 450 450 1 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 400 400 1 2370 2370 1 Total: 5112.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418285 Min 01418285 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 4069 of 6486
Name
SMT.SHAKUNTALA DUA Rate Amount Qty 2.31 .77 3 39.72 6.62 6 5.76 .64 9 400 400 1 18 .6 30 8.9 .89 10 27.9 .93 30 26 2.6 10 400 400 1 Total: 928.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418288 Min 01418288 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4070 of 6486
Name
P.M.PRATAP SINGH Rate Amount Qty 12 .4 30 72.6 1.21 60 55.8 .93 60 21.3 .71 30 26.7 .89 30 400 400 1 2.5 .25 10 10.95 .73 15 3.2 .64 5 1.85 .37 5 8.9 .89 10 55.2 1.84 30 35.2 3.52 10 400 400 1 Total: 1106.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418289 Min 01418289 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 4071 of 6486
Name
P BALA SARASWATI Rate Amount Qty 27.9 .93 30 12 .4 30 400 400 1 156.6 1.74 90 16.2 .18 90 26.7 .89 30 54 .9 60 400 400 1 Total: 1093.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418297 Min 01418297 Slno Description Appmt Dt QUETIAPINE FUMARATE,200MG,TABLET 1 19-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 19-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4072 of 6486
Name
CHANDRAKANT TOORRAY Rate Amount Qty 58.9 5.89 10 175.5 3.9 45 39.6 2.64 15 400 400 1 12 .4 30 21.3 .71 30 27.9 .93 30 400 400 1 Total: 1135.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418298 Min 01418298 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4073 of 6486
Name
NISHA Rate Amount Qty 7.5 .25 30 1.6 .16 10 .89 269.67 303 7.8 .26 30 27.9 .93 30 36 .6 60 400 400 1 Total: 750.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418301 Min 01418301 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4074 of 6486
Name
HARIJIWAN NAGBANSI Rate Amount Qty 43.2 1.44 30 15.3 .51 30 32.4 1.08 30 7.8 .26 30 23.7 .79 30 7.5 .25 30 400 400 1 Total: 529.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418303 Min 01418303 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 25-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 4075 of 6486
Name
ABDUL GANI Rate Amount Qty 60.9 2.03 30 26.7 .89 30 21.3 .71 30 21.3 .71 30 19.8 .66 30 12 .4 30 32.4 1.08 30 42.6 .71 60 400 400 1 66.2 6.62 10 4.45 .89 5 9 .9 10 5.2 1.04 5 400 400 1 Total: 1121.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418304 Min 01418304 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 25-FEB-19 PRAZOSIN,2.5MG,TABLET 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4076 of 6486
Name
JAIBUN NISA Rate Amount Qty 7.5 .25 30 13.35 .89 15 18.6 .62 30 12 .4 30 21.3 .71 30 22.2 .37 60 78 1.3 60 55.8 .93 60 400 400 1 Total: 628.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418309 Min 01418309 Appmt Dt Slno Description 08-FEB-19 1 SOLIFENACIN,5MG,,TABLET 08-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 08-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4077 of 6486
Name
PADMA SONI Qty Rate Amount 30 13.44 403.2 30 .99 29.7 30 .93 27.9 1 400 400 Total: 860.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418313 Min 01418313 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4078 of 6486
Name
AURNDHATHI Rate Amount Qty 126 2.1 60 11.4 .38 30 55.8 .93 60 2.4 .16 15 400 400 1 Total: 595.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418315 Min 01418315 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 X - RAY - TWO VIEWS 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 18-FEB-19 I & D (INCISION & DRAINAGE) UNDER LA 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 10 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 19-FEB-19 DRESSING SIMPLE 14 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 25-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 19 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 20 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 21 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 22 25-FEB-19 DRESSING SIMPLE 23 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 24 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 27-FEB-19
Page 4079 of 6486
S R SAHU Rate Amount Qty 400 400 1 860 860 1 275 275 1 8.9 .89 10 4.1 .41 10 400 400 1 33.12 1.84 18 1400 1400 1 400 400 1 51.38 25.69 2 3.84 .64 6 400 400 1 400 400 1 1500 300 5 9.6 .64 15 8.9 .89 10 400 400 1 11.1 .37 30 13.43 13.43 1 29.58 9.86 3 16.85 3.37 5 66.2 6.62 10 1800 300 6 25.07 25.07 1 400 400 1 Total: 8917.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418317 Min 01418317 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 22-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 22-FEB-19 DRESSING SIMPLE 13 22-FEB-19 DRESSING SIMPLE 14 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 4080 of 6486
Name
RAJAN KUMAR SHUKLA Rate Amount Qty 9.6 .64 15 12 .4 30 15.3 .51 30 76.5 2.55 30 55.8 .93 60 47.4 .79 60 44.16 1.84 24 400 400 1 400 400 1 157.8 15.78 10 6.4 .64 10 10.95 .73 15 1500 300 5 1500 300 5 400 400 1 26 2.6 10 400 400 1 Total: 5061.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418318 Min 01418318 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 2 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 3 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4081 of 6486
Name
NUTAN SHUKLA Rate Amount Qty 44.16 1.84 24 24.45 24.45 1 19.77 19.77 1 6.42 2.14 3 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418319 Min 01418319 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 12 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19
Page 4082 of 6486
Name
ZAMIR MOHAMMED SIDDIQUI Rate Amount Qty 13.95 .93 15 11.4 .38 30 26.7 .89 30 78 1.3 60 10.8 .36 30 72 .6 120 7.5 .25 30 66 1.1 60 21.3 .71 30 12 .4 30 400 400 1 106.8 3.56 30 1750 1750 1 400 400 1 Total: 2976.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418320 Min 01418320 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 DRESSING SIMPLE 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 13 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 4083 of 6486
KAHKUSHAN SIDDIQUI Rate Amount Qty 400 400 1 15.73 15.73 1 26.6 2.66 10 1500 300 5 1.85 .37 5 72 .6 120 117 1.3 90 72.6 1.21 60 7.65 .51 15 21.3 .71 30 55.8 .93 60 26.7 .89 30 71 .71 100 12 .4 30 400 400 1 10.08 1.12 9 3.84 .64 6 400 400 1 Total: 3214.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418321 Min 01418321 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 4084 of 6486
Name
BV BHADRAIYA Rate Amount Qty 1.6 .16 10 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 22.2 .37 60 29.7 .99 30 400 400 1 Total: 528.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418322 Min 01418322 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 4085 of 6486
Name
B.KAMESHWARI Rate Amount Qty 7.5 .25 30 12 .4 30 36 .6 60 39 1.3 30 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 531.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418325 Min 01418325 Appmt Dt Slno Description 21-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 21-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4086 of 6486
Name
SIYARAM KASHYAP Qty Rate Amount 30 .23 6.9 30 .93 27.9 15 .62 9.3 1 400 400 Total: 444.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418326 Min 01418326 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 PRAZOSIN,2.5MG,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4087 of 6486
Name
LAXMI DEVI KASHYAP Rate Amount Qty 275 275 1 275 275 1 55.8 .93 60 78 1.3 60 66 1.1 60 21.3 .71 30 18 .6 30 39 1.3 30 400 400 1 Total: 1228.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418327 Min 01418327 Appmt Dt Slno Description 26-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4088 of 6486
Name
DHANRAJ Qty Rate Amount 30 .93 27.9 30 .4 12 30 .23 6.9 1 400 400 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418328 Min 01418328 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 4089 of 6486
Name
SAVITRI Rate Amount Qty 7.5 .25 30 27.9 .93 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418329 Min 01418329 Appmt Dt Slno Description 25-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 25-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4090 of 6486
Name
VENU GOPAL TADURI Qty Rate Amount 30 .4 12 45 .62 27.9 30 .93 27.9 1 400 400 Total: 467.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418332 Min 01418332 Appmt Dt Slno Description 14-FEB-19 1 AMISULPRIDE, 100MG,,TABLET 14-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4091 of 6486
Name
HEMLAL SAHU Qty Rate Amount 30 7.82 234.6 30 .64 19.2 60 .25 15 1 400 400 Total: 668.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418335 Min 01418335 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4092 of 6486
Name
MANJU DEVI Rate Amount Qty 6.4 .64 10 400 400 1 18 .6 30 7.5 .25 30 400 400 1 Total: 831.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418337 Min 01418337 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 14-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 PRAZOSIN,2.5MG,TABLET 5 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4093 of 6486
Name
UMAVATI Rate Amount Qty 14.85 .99 15 100.71 100.71 1 104.4 1.74 60 26.7 .89 30 39 1.3 30 54 .9 60 55.8 .93 60 400 400 1 Total: 795.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418340 Min 01418340 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 06-FEB-19 CREATININE /CRT 7 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19
Page 4094 of 6486
Name
VINOD KUMAR SHARMA Rate Amount Qty 275 275 1 275 275 1 400 400 1 33.12 1.84 18 20.06 20.06 1 3.84 .64 6 275 275 1 22.08 1.84 12 2.56 .64 4 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 2143.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418341 Min 01418341 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 4095 of 6486
Name
SUNITA SHARMA Rate Amount Qty 21.6 .36 60 167.4 5.58 30 78 1.3 60 21.3 .71 30 54 .6 90 13.95 .93 15 400 400 1 Total: 756.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418342 Min 01418342 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4096 of 6486
Name
S K BHATTACHARYA Rate Amount Qty 33 1.1 30 34.8 1.16 30 27.9 .93 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 540.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418348 Min 01418348 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 4097 of 6486
Name
JANAK LAL SAHU Rate Amount Qty 1.48 .37 4 27.9 .93 30 400 400 1 Total: 429.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418349 Min 01418349 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 4098 of 6486
Name
RAJKUNWAR Rate Amount Qty 78 1.3 60 55.8 .93 60 400 400 1 Total: 533.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418356 Min 01418356 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 05-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4099 of 6486
Name
KASHI PRASAD RAI Rate Amount Qty 63.58 63.58 1 13.43 13.43 1 400 400 1 55.8 .93 60 33 1.1 30 6.9 .23 30 400 400 1 Total: 972.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418357 Min 01418357 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 X - RAY - SINGLE VIEW 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 4100 of 6486
Name
SANJU RAI Rate Amount Qty 1.85 .37 5 550 550 1 400 400 1 4.45 .89 5 12.15 12.15 1 26.6 2.66 10 400 400 1 8.1 .27 30 38.25 2.55 15 55.8 .93 60 400 400 1 Total: 1897.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418358 Min 01418358 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 4101 of 6486
Name
NG KUNDU Rate Amount Qty 11.85 .79 15 167.4 5.58 30 72 .6 120 32.4 .36 90 26.7 .89 30 117 1.3 90 21.3 .71 30 400 400 1 Total: 848.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418369 Min 01418369 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 18-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4102 of 6486
Name
ANIL KUMAR SALUNKE Rate Amount Qty 21.6 .36 60 12 .4 30 54 .6 90 55.8 .93 60 66 1.1 60 88.2 1.47 60 400 400 1 Total: 697.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418373 Min 01418373 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 X - RAY - TWO VIEWS 3 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 05-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 06-FEB-19 BLOOD FOR T-3,T-4,TSH 15 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 06-FEB-19 UREA (BUN /UR) 17 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 06-FEB-19 URIC ACID (UA /URATES /UR) 19 06-FEB-19 CREATININE /CRT 20 06-FEB-19
Page 4103 of 6486
Name
SK CHANDRAWANSHI Rate Amount Qty 8.96 .64 14 400 400 1 860 860 1 2.66 .38 7 6.23 .89 7 1750 1750 1 60.9 2.03 30 1610 1610 1 400 400 1 400 400 1 23.7 .79 30 9.3 .62 15 400 400 1 275 275 1 2400 2400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 Total: 11006.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418375 Min 01418375 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19 ULTRASONIC THERAPY UNIT 10 25-FEB-19
Page 4104 of 6486
Name
SUSHMA MANIK Rate Amount Qty 185.7 6.19 30 7.5 .25 30 33 1.1 30 27.9 .93 30 72 .6 120 12 .4 30 21.3 .71 30 400 400 1 400 400 1 590 590 1 Total: 1749.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418380 Min 01418380 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 CLOZAPINE,100MG,TABLET 9 20-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 10 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 4105 of 6486
Name
RAM BHAJAN SINGH Rate Amount Qty 66 1.1 60 78 1.3 60 55.8 .93 60 1.68 .42 4 17.4 1.16 15 7.92 .99 8 12 .4 30 400 400 1 42.96 5.37 8 63.8 3.19 20 39 2.6 15 400 400 1 7.12 .89 8 5.12 .64 8 400 400 1 Total: 1596.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418381 Min 01418381 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 09-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 09-FEB-19 ENTACAVIR 0.5MG,,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4106 of 6486
Name
VEENA BHARTI Rate Amount Qty 12 .4 30 34.8 1.16 30 400 400 1 11.4 .38 30 83.4 2.78 30 1347 22.45 60 400 400 1 Total: 2288.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418384 Min 01418384 Appmt Dt Slno Description 26-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 26-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4107 of 6486
Name
SUNIL KUMAR MATE Qty Rate Amount 60 .3 18 60 .6 36 60 .27 16.2 1 400 400 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418388 Min 01418388 Appmt Dt Slno Description 02-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 02-FEB-19 2 FUROSEMIDE,40MG,STRIP PACK,TABLET 02-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4108 of 6486
Name
PURAN PRASAD Qty Rate Amount 60 .93 55.8 15 .51 7.65 30 .27 8.1 1 400 400 Total: 471.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418389 Min 01418389 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 4109 of 6486
Name
JAITRI BAI Rate Amount Qty 43.2 .36 120 54 .6 90 117 1.3 90 55.8 .93 60 21.3 .71 30 12 .4 30 7.5 .25 30 167.4 5.58 30 400 400 1 Total: 878.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418391 Min 01418391 Appmt Dt Slno Description 18-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4110 of 6486
Name
SMT.SADHANA DIXIT Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418392 Min 01418392 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 4111 of 6486
Name
MOHAMMAD ISHAQUE Rate Amount Qty 29.7 .99 30 26.7 .89 30 368.4 6.14 60 43.96 43.96 1 400 400 1 Total: 868.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418393 Min 01418393 Appmt Dt Slno Description 19-FEB-19 1 SOLIFENACIN,5MG,,TABLET 19-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19-FEB-19 3 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4112 of 6486
Name
AZIZUN NISHA Qty Rate Amount 30 13.44 403.2 30 2.03 60.9 30 6.41 192.3 1 400 400 Total: 1056.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418398 Min 01418398 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 16-FEB-19
Page 4113 of 6486
Name
TARIT KUMAR MAZUMDAR Rate Amount Qty 100.71 100.71 1 7.5 .25 30 13.35 .89 15 8.1 .27 30 10.8 .36 30 167.4 5.58 30 36 .6 60 400 400 1 21.3 .71 30 55.8 .93 60 39 1.3 30 9.6 .64 15 400 400 1 54 .9 60 12.15 12.15 1 400 400 1 Total: 1735.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418399 Min 01418399 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 4114 of 6486
Name
SAMAPTI MAZUMDAR Rate Amount Qty 5.4 .27 20 11.6 1.16 10 12.4 .62 20 24.2 1.21 20 400 400 1 37.2 .93 40 400 400 1 Total: 890.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418400 Min 01418400 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 4115 of 6486
Name
RAVINARAYAN PATRO Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418401 Min 01418401 Appmt Dt Slno Description 16-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 2 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 16-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4116 of 6486
Name
BASANTI PATRO Qty Rate Amount 7 .89 6.23 14 18.41 257.74 7 2.6 18.2 1 400 400 Total: 682.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418406 Min 01418406 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4117 of 6486
Name
HARENDRA PANDEY Rate Amount Qty 9 .6 15 2.4 .16 15 23.1 .77 30 8.1 .27 30 13.95 .93 15 34.8 1.16 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 744.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418407 Min 01418407 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 9 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 27-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 16 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 4118 of 6486
Name
SAROJ PANDEY Rate Amount Qty 211.8 3.53 60 400 400 1 3.75 .25 15 13.35 .89 15 34.8 1.16 30 12 .4 30 12 .4 30 211.8 3.53 60 118.5 3.95 30 167.4 5.58 30 27.6 .92 30 36 .6 60 400 400 1 12.15 12.15 1 54 .9 60 100.71 100.71 1 26.7 .89 30 400 400 1 Total: 2242.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418409 Min 01418409 Appmt Dt Slno Description 18-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 18-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4119 of 6486
Name
SUJATA RAY Qty Rate Amount 30 .23 6.9 30 1.1 33 30 1.08 32.4 1 400 400 Total: 472.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418412 Min 01418412 Slno Description Appmt Dt CREATININE /CRT 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 05-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 4120 of 6486
Name
G C DAS Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 400 400 1 24 .4 60 72 .6 120 66 1.1 60 211.8 3.53 60 14.85 .99 15 55.8 .93 60 29.7 .99 30 400 400 1 Total: 3399.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418416 Min 01418416 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4121 of 6486
Name
SEEMA NAWGHARE Rate Amount Qty 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418417 Min 01418417 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 4122 of 6486
Name
KARTIK RAM DEWANGAN Rate Amount Qty 69.6 1.16 60 32.4 1.08 30 1.6 .16 10 12 .4 30 27.9 .93 30 6.9 .23 30 400 400 1 Total: 550.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418418 Min 01418418 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4123 of 6486
Name
LAXMI DEWANGAN Rate Amount Qty 27.9 .93 30 5.21 5.21 1 400 400 1 Total: 433.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418423 Min 01418423 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4124 of 6486
Name
LAVKUMAR KHADE Rate Amount Qty 17.8 .89 20 52 2.6 20 63.8 3.19 20 20.84 5.21 4 24 .6 40 400 400 1 Total: 578.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418424 Min 01418424 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 4 16-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4125 of 6486
Name
SUNITA KHADE Rate Amount Qty 3.8 .38 10 2.5 .25 10 400 400 1 6.92 1.73 4 7.7 .77 10 400 400 1 5 .25 20 123.8 6.19 20 17.8 .89 20 16.8 .42 40 27.4 1.37 20 12.6 .63 20 7.6 .38 20 400 400 1 Total: 1431.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418431 Min 01418431 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 8 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 4126 of 6486
Name
R. R. BANSOD PATIL Rate Amount Qty 36 .6 60 167.4 5.58 30 17.4 1.16 15 400 400 1 36 .6 60 21.3 .71 30 26.7 .89 30 368.4 6.14 60 167.4 5.58 30 400 400 1 Total: 1640.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418432 Min 01418432 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 4127 of 6486
Name
RUKHAMANI BANSOD PATIL Rate Amount Qty 55.8 .93 60 8.1 .27 30 36.3 1.21 30 7.5 .25 30 400 400 1 94.8 1.58 60 3.75 .25 15 55.8 .93 60 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 1106.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418433 Min 01418433 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 4128 of 6486
Name
JEEVANLAL HIRWANI Rate Amount Qty 92.1 6.14 15 13.35 .89 15 87.92 43.96 2 400 400 1 4.45 .89 5 87.92 43.96 2 400 400 1 Total: 1085.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418436 Min 01418436 Appmt Dt Slno Description 01-FEB-19 1 X - RAY - TWO VIEWS 01-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4129 of 6486
Name
DILLI SHEKAR RAO Qty Rate Amount 1 860 860 1 400 400 1260 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418437 Min 01418437 Slno Description Appmt Dt GLUCOSE RANDOM (RBG /RSG /GLU-R) 1 01-FEB-19 UREA (BUN /UR) 2 01-FEB-19 CREATININE /CRT 3 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 COMPLETE HAEMOGRAM 6 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 7 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 8 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 9 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 08-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 08-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 08-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 16 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 12-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 18 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 21 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 23 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 24 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 25 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 26 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 23-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 28 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 29 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 30 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 23-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 32 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 23-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 34 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 35 26-FEB-19
Page 4130 of 6486
USHA RANI Rate Amount Qty 275 275 1 275 275 1 275 275 1 550 550 1 400 400 1 750 750 1 4790 4790 1 275 275 1 4790 4790 1 400 400 1 30.6 .51 60 4790 4790 1 400 400 1 20.1 .67 30 8.1 .27 30 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 12.46 .89 14 8.1 .27 30 30.6 .51 60 11.4 .38 30 40.2 .67 60 6.4 .64 10 27.9 .93 30 7.98 .38 21 25.07 25.07 1 46.34 6.62 7 17.6 4.4 4 400 400 1 4790 4790 1 400 400 1 Total: 39422.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418444 Min 01418444 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 4131 of 6486
Name
AME SAHOO Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 Total: 472
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418445 Min 01418445 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 9 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4132 of 6486
Name
G K CHAKRAVARTTY Rate Amount Qty 26.7 .89 30 27.9 .93 30 8.1 .27 30 19.8 .66 30 192.3 6.41 30 21.3 .71 30 60.9 2.03 30 400 400 1 1750 1750 1 400 400 1 17.4 1.16 15 400 400 1 Total: 3324.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418453 Min 01418453 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 09-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 09-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 09-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 4 09-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 4133 of 6486
Name
B KOTESHWAR RAO Rate Amount Qty 79.2 2.64 30 5.28 .66 8 15.3 .51 30 5.89 265.05 45 73.5 2.45 30 400 400 1 Total: 838.33
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418455 Min 01418455 Appmt Dt Slno Description 07-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4134 of 6486
BIKASH CHANDRA SARKAR Qty Rate Amount 1 25.07 25.07 1 400 400 30 .93 27.9 1 400 400 Total: 852.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418461 Min 01418461 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 OBSERVATION IN CASUALTY 8 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 17-FEB-19 ECG 10 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 11 17-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 17-FEB-19
Page 4135 of 6486
Name
VINOD KUMAR SAO Rate Amount Qty 12 .4 30 10.8 .36 30 167.4 5.58 30 78 1.3 60 13.95 .93 15 7.5 .25 30 400 400 1 420 420 1 .89 .89 1 450 450 1 9.62 9.62 1 1.08 1.08 1 Total: 1571.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418462 Min 01418462 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4136 of 6486
Name
CHANDRA CHAKORI SAO Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418463 Min 01418463 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 4137 of 6486
Name
MOTIM Rate Amount Qty 54 .6 90 32.4 .36 90 12 .4 30 32.4 1.08 30 21.3 .71 30 55.8 .93 60 400 400 1 Total: 607.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418465 Min 01418465 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 19-FEB-19 C T HEAD PLAIN 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 19-FEB-19
Page 4138 of 6486
Name
SITA RAM Rate Amount Qty 8.9 .89 10 4.1 .41 10 66.2 6.62 10 5250 5250 1 8.1 .27 30 400 400 1 1.25 .25 5 36.3 1.21 30 Total: 5774.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418473 Min 01418473 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 4139 of 6486
Name
SHASHIKALA SINGH Rate Amount Qty 54 .6 90 55.8 .93 60 7.5 .25 30 14.85 .99 15 34.8 1.16 30 1.85 .37 5 400 400 1 Total: 568.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418475 Min 01418475 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4140 of 6486
Name
CHAMROO RAM Rate Amount Qty 117 1.3 90 18 .6 30 21.3 .71 30 211.8 3.53 60 55.8 .93 60 400 400 1 Total: 823.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418476 Min 01418476 Appmt Dt Slno Description 01-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4141 of 6486
Name
AKHTAR HUSSAIN Qty 1 1
Rate Amount 25.69 25.69 400 400 425.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418477 Min 01418477 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 4142 of 6486
Name
ASHIYA SULTAN Rate Amount Qty 8.71 8.71 1 16.8 1.12 15 7.7 .77 10 4.2 .7 6 400 400 1 Total: 437.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418478 Min 01418478 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 01-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 01-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 11 18-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 12 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 15 21-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 22-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 19 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 20 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 22 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 22-FEB-19
Page 4143 of 6486
Name
ROSHAN KUMAR CHANDRAKAR Rate Amount Qty 63.58 63.58 1 31.61 31.61 1 13.48 3.37 4 11.25 .75 15 13.43 13.43 1 400 400 1 7.5 .25 30 7.7 .77 10 20.55 1.37 15 400 400 1 19.77 19.77 1 25.69 25.69 1 2.46 .41 6 400 400 1 41.1 2.74 15 88.2 1.47 60 400 400 1 3.75 .25 15 47.85 3.19 15 9 .3 30 36 .6 60 23.7 .79 30 400 400 1 Total: 2466.62
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418479 Min 01418479 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 01-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 02-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 10 02-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 11 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 06-FEB-19 TAB,TRIMETHOPRIM80MG+SULPHAMETHOXAZ400MG 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 17 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 24 21-FEB-19 INHALANT,STRIP PACK,CAPSULE 25 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 26 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 28 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 29 21-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 30 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 33 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 34 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 35 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 36 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 37 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 22-FEB-19
Page 4144 of 6486
KRISHNA BAI Rate Amount Qty 26.7 .89 30 19.2 .64 30 7.5 .25 30 10.65 .71 15 77.22 8.58 9 400 400 1 275 275 1 400 400 1 275 275 1 37.04 37.04 1 650 650 1 400 400 1 6.9 .69 10 400 400 1 6.4 .64 10 400 400 1 92.05 18.41 5 6.4 .64 10 4.45 .89 5 400 400 1 400 400 1 275 275 1 275 275 1 10.95 .73 15 17 1.7 10 1.85 .37 5 8.9 .89 10 66.2 6.62 10 20.06 20.06 1 48.22 48.22 1 6.4 .64 10 400 400 1 54 .6 90 78 1.3 60 12 .4 30 7.5 .25 30 1.6 .16 10 400 400 1 Total: 5977.19
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418482 Min 01418482 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 7 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 28-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4145 of 6486
MOHD.KHIZAR HUSAIN Rate Amount Qty 12 .4 30 8.1 .27 30 33 1.1 30 21.3 .71 30 25.07 25.07 1 400 400 1 18.21 18.21 1 8.2 .41 20 26.7 .89 30 50.14 25.07 2 21.45 21.45 1 400 400 1 Total: 1024.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418483 Min 01418483 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 4146 of 6486
Name
SMT.SULTANA PARVEEN Rate Amount Qty 55.8 .93 60 16.2 .27 60 66 1.1 60 7.5 .25 30 400 400 1 Total: 545.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418488 Min 01418488 Appmt Dt Slno Description 26-FEB-19 1 DILTIAZEM 90 MG XL/XR,,TABLET 26-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 26-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4147 of 6486
Name
BHUNESHWER PRASAD YADAV Qty Rate Amount 15 3.95 59.25 30 .63 18.9 30 .71 21.3 1 400 400 Total: 499.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418489 Min 01418489 Slno Description Appmt Dt ALENDRONATE SODIUM,USP,70MG,,TABLET 1 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 4148 of 6486
Name
SARASWATI YADAV Rate Amount Qty 48.76 12.19 4 11.4 .38 30 55.8 .93 60 10.42 5.21 2 8.1 .27 30 38.76 3.23 12 400 400 1 Total: 573.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418491 Min 01418491 Appmt Dt Slno Description 14-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14-FEB-19 2 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 14-FEB-19 3 ESCITALOPRAM,10MG,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4149 of 6486
Name
KAKOLI BHADURI Qty Rate Amount 60 .16 9.6 60 5.37 322.2 45 1.85 83.25 1 400 400 Total: 815.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418494 Min 01418494 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 PRAZOSIN,2.5MG,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4150 of 6486
Name
SOMNATH GORE Rate Amount Qty 34.8 1.16 30 55.8 .93 60 78 1.3 60 14.85 .99 15 20.06 20.06 1 60.9 2.03 30 16.2 .27 60 400 400 1 Total: 680.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418496 Min 01418496 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 4151 of 6486
Name
SOM NATH SHARMA Rate Amount Qty 18 .6 30 21.3 .71 30 10.8 .36 30 12 .4 30 15.6 .26 60 66 1.1 60 55.8 .93 60 400 400 1 Total: 599.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418498 Min 01418498 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 4152 of 6486
Name
PRABHAT KUMAR SINGH Rate Amount Qty 104.4 1.74 60 26.7 .89 30 12.15 12.15 1 54 .9 60 400 400 1 Total: 597.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418502 Min 01418502 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 4153 of 6486
Name
LOONKARAN SAHU Rate Amount Qty 5.55 .37 15 100.71 100.71 1 54 .9 60 16.2 .18 90 400 400 1 27.9 .93 30 66 1.1 60 15.6 .26 60 400 400 1 Total: 1085.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418504 Min 01418504 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 4154 of 6486
Name
BIRJU PRASAD Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 12 .4 30 55.8 .93 60 8.1 .27 30 14.85 .99 15 117 1.3 90 72 .6 120 400 400 1 Total: 746.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418505 Min 01418505 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 4155 of 6486
Name
SHEELA DEVI Rate Amount Qty 27 .9 30 36 .6 60 32.4 1.08 30 7.5 .25 30 26.7 .89 30 21.3 .71 30 400 400 1 Total: 550.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418508 Min 01418508 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4156 of 6486
Name
ATMA RAM BANJARE Rate Amount Qty 13.8 .23 60 55.8 .93 60 32.4 1.08 30 17.4 1.16 15 76.5 2.55 30 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418512 Min 01418512 Appmt Dt Slno Description 07-FEB-19 1 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 07-FEB-19 2 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 08-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4157 of 6486
Name
HARDIK KUMAR KURMI Qty Rate Amount 1 275 275 1 275 275 15 1.16 17.4 1 400 400 Total: 967.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418513 Min 01418513 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 4158 of 6486
Name
SULOCHANI BAI Rate Amount Qty 275 275 1 275 275 1 17.4 1.16 15 36 .6 60 167.4 5.58 30 27 .36 75 211.8 3.53 60 400 400 1 Total: 1409.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418515 Min 01418515 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4159 of 6486
Name
ASHA PATIL Qty 5 1 1
Rate Amount 1.85 .37 12.15 12.15 400 400 Total: 414
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418516 Min 01418516 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 PRAZOSIN,2.5MG,TABLET 3 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 4160 of 6486
Name
UDHO SINGH RAJPUT Rate Amount Qty 55.8 .93 60 12 .4 30 156 1.3 120 22.2 .37 60 43.96 43.96 1 26.7 .89 30 29.7 .99 30 34.8 1.16 30 400 400 1 Total: 781.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418518 Min 01418518 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4161 of 6486
Name
T R MALAGAR Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418519 Min 01418519 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 4162 of 6486
Name
SAROJNI MALAGAR Rate Amount Qty 55.8 .93 60 31.95 .71 45 27.9 .93 30 20.84 5.21 4 21.3 .71 30 400 400 1 Total: 557.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418520 Min 01418520 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 4163 of 6486
Name
SHYAM DIWALE Rate Amount Qty 12 .4 30 66 1.1 60 16.2 .36 45 36 .6 60 23.7 .79 30 400 400 1 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418521 Min 01418521 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4164 of 6486
Name
UJWALA DIWALE Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418524 Min 01418524 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 15-FEB-19 UREA (BUN /UR) 2 15-FEB-19 CREATININE /CRT 3 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 18-FEB-19 PRAZOSIN,2.5MG,TABLET 11 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 18-FEB-19 ECG 17 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 19-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 21 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 23 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 24 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 25 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 26 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 27-FEB-19
Page 4165 of 6486
Name
SUBHASH CHAND KURRE Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 21.6 .36 60 12 .4 30 32.4 1.08 30 211.8 3.53 60 156 1.3 120 8.1 .27 30 55.8 .93 60 54 .6 90 7.5 .25 30 400 400 1 450 450 1 400 400 1 275 275 1 275 275 1 9000 9000 1 400 400 1 44.16 1.84 24 19.77 19.77 1 6.42 2.14 3 24.45 24.45 1 400 400 1 Total: 15054
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418525 Min 01418525 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 15-FEB-19 UREA (BUN /UR) 4 15-FEB-19 CREATININE /CRT 5 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4166 of 6486
Name
SUNITA DEVI KURRE Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 55.2 .92 60 47.4 .79 60 72 .6 120 400 400 1 Total: 3374.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418528 Min 01418528 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 4167 of 6486
Name
NANDKUMAR SONI Rate Amount Qty 34.8 1.16 30 12 .4 30 13.95 .93 15 7.5 .25 30 400 400 1 Total: 468.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418530 Min 01418530 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 4168 of 6486
BABOO LAL Rate Amount Qty 25.07 25.07 1 13.49 13.49 1 400 400 1 72.6 1.21 60 29.7 .99 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 2.4 .16 15 400 400 1 Total: 1028.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418531 Min 01418531 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4169 of 6486
Name
PURNIMA BAI Rate Amount Qty 3.84 .64 6 2.28 .38 6 66.2 6.62 10 2.22 .37 6 400 400 1 8.1 .27 30 1.85 .37 5 2.4 .16 15 13.95 .93 15 66 1.1 60 400 400 1 Total: 966.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418532 Min 01418532 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 4170 of 6486
Name
SATISH KUMAR CHOUBEY Rate Amount Qty 32.4 1.08 30 26.7 .89 30 2.4 .16 15 12 .4 30 21.3 .71 30 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418533 Min 01418533 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4171 of 6486
Name
SMT.ARCHANA CHOUBEY Rate Amount Qty 27.9 .93 30 21.3 .71 30 400 400 1 54 .6 90 21.3 .71 30 78 1.3 60 7.5 .25 30 21.6 .36 60 400 400 1 Total: 1031.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418538 Min 01418538 Appmt Dt Slno Description 22-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 22-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4172 of 6486
Name
HORI LAL RATRE Qty Rate Amount 30 .93 27.9 15 .99 14.85 30 .71 21.3 1 400 400 Total: 464.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418543 Min 01418543 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4173 of 6486
Name
JAMUNA DEVI Rate Amount Qty 27.6 .92 30 36 .6 60 7.5 .25 30 400 400 1 8.9 .89 10 13.7 1.37 10 2.5 .25 10 31.9 3.19 10 400 400 1 Total: 928.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418547 Min 01418547 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4174 of 6486
Name
FARAT ARA Rate Amount Qty 16.2 .27 60 55.8 .93 60 21.3 .71 30 72 .6 120 21.6 .36 60 66 1.1 60 400 400 1 Total: 652.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418548 Min 01418548 Slno Description Appmt Dt ECG 1 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 13-FEB-19 OBSERVATION IN CASUALTY 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 14-FEB-19
Page 4175 of 6486
Name
KUNDAN LAL RATHOD Rate Amount Qty 900 450 2 24.52 24.52 1 420 420 1 .89 .89 1 186.6 9.33 20 61.4 6.14 10 17.8 .89 20 123.53 123.53 1 Total: 1734.74
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418550 Min 01418550 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 18-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 5 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 28-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4176 of 6486
VIJAY SINGH Rate Amount Qty 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 400 400 1 18.21 18.21 1 3.7 .37 10 25.07 25.07 1 400 400 1 25.07 25.07 1 16.81 16.81 1 400 400 1 Total: 1342.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418566 Min 01418566 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 4177 of 6486
Name
VIKAS GANVEER Rate Amount Qty 55.8 .93 60 27.6 .92 30 72 .6 120 34.8 1.16 30 8.1 .27 30 33 1.1 30 400 400 1 Total: 631.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418570 Min 01418570 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CYCLOSPORIN,50MG,CAPSULE 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 27-FEB-19 CYCLOSPORIN,50MG,CAPSULE 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 4178 of 6486
Name
NAGESHWARLAL SHRIVASTAVA Rate Amount Qty 7.5 .25 30 26.7 .89 30 48.92 2935.2 60 36.3 1.21 30 15.6 1.04 15 18.6 .62 30 400 400 1 15.6 1.04 15 36.3 1.21 30 7.5 .25 30 26.7 .89 30 48.92 2935.2 60 400 400 1 Total: 6861.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418572 Min 01418572 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4179 of 6486
Name
DILLESWARI Qty Rate Amount 15 .89 13.35 30 .27 8.1 30 .93 27.9 1 400 400 Total: 449.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418575 Min 01418575 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 4180 of 6486
Name
DIGAMBAR LAL BHARGAVA Rate Amount Qty 185.7 6.19 30 6.4 .64 10 400 400 1 Total: 592.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418577 Min 01418577 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19
Page 4181 of 6486
Name
MOHANLAL DEKATE Rate Amount Qty 400 400 1 3.84 .64 6 12.15 12.15 1 42.12 2.34 18 21.12 3.52 6 1.92 .64 3 400 400 1 Total: 881.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418578 Min 01418578 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 28-FEB-19
Page 4182 of 6486
Name
SMT. SHANTA DEKATE Rate Amount Qty 111.6 .93 120 108 .6 180 400 400 1 3.84 .64 6 36 .3 120 Total: 659.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418580 Min 01418580 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 01-FEB-19 BLOOD FOR T-3,T-4,TSH 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 01-FEB-19
Page 4183 of 6486
Name
SHANAZ PARVEEN Rate Amount Qty 7.4 .37 20 41.06 41.06 1 2400 2400 1 400 400 1 12.81 12.81 1 Total: 2861.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418585 Min 01418585 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 4184 of 6486
Name
CHANDULAL Rate Amount Qty 23.7 .79 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 498.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418586 Min 01418586 Appmt Dt Slno Description 18-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 18-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 3 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4185 of 6486
Name
VASUNDHARA C CALEB Qty Rate Amount 30 .4 12 60 1.1 66 60 .37 22.2 1 400 400 Total: 500.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418589 Min 01418589 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 4186 of 6486
Name
KC DASH Rate Amount Qty 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 484.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418593 Min 01418593 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 4187 of 6486
Name
SARDAR SINGH Rate Amount Qty 78 1.3 60 32.4 1.08 30 30.6 .34 90 26.7 .89 30 10.8 .36 30 72.6 1.21 60 21.3 .71 30 27.9 .93 30 12 .4 30 400 400 1 Total: 712.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418596 Min 01418596 Slno Description Appmt Dt POTASSIUM CHLORIDE LIQUID,200ML, 1 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 05-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 3 05-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4188 of 6486
PADMA BAI Rate Amount Qty 45.98 45.98 1 25.07 25.07 1 20.29 20.29 1 21.4 2.14 10 400 400 1 Total: 512.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418601 Min 01418601 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 9 18-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 4189 of 6486
Name
BHUWANLAL KAHAR Rate Amount Qty 1.85 .37 5 3.2 .64 5 9 .9 10 3.35 .67 5 1.25 .25 5 10.64 2.66 4 4.45 .89 5 400 400 1 100.71 100.71 1 14.07 .67 21 12.6 .9 14 6.23 .89 7 400 400 1 9 .6 15 27.9 .93 30 3.75 .25 15 400 400 1 Total: 1408
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418602 Min 01418602 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 4190 of 6486
Name
USHA DEVI Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418603 Min 01418603 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4191 of 6486
Name
MICHAEL GREGORY CHARLIE Rate Amount Qty 42.6 .71 60 27.9 .93 30 400 400 1 Total: 470.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418604 Min 01418604 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 24-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 24-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 11 24-FEB-19 OBSERVATION IN CASUALTY 12 24-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 4192 of 6486
Name
SMT.PUSHPA M GREGORY Rate Amount Qty 16.2 .18 90 54 .9 60 26.7 .89 30 12.15 12.15 1 400 400 1 6.9 .23 30 21.3 .71 30 400 400 1 24.52 24.52 1 45.44 45.44 1 100 100 1 420 420 1 13.4 .67 20 70.2 2.34 30 400 400 1 Total: 2010.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418605 Min 01418605 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4193 of 6486
Name
NAVISH NIMONKER CHANDU Rate Amount Qty 70.2 2.34 30 12.8 .64 20 3.7 .37 10 23.7 .79 30 15 .25 60 20.84 5.21 4 54 .6 90 400 400 1 Total: 600.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418606 Min 01418606 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 4194 of 6486
Name
S CHANDU Rate Amount Qty 20.84 5.21 4 22.8 .38 60 400 400 1 Total: 443.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418609 Min 01418609 Appmt Dt Slno Description 02-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 02-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 02-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4195 of 6486
Name
MOHAN LAL DEWANGAN Qty Rate Amount 60 .37 22.2 60 .79 47.4 60 .93 55.8 1 400 400 Total: 525.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418610 Min 01418610 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 08-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 4196 of 6486
Name
DANESHWARI DEWANGAN Rate Amount Qty 189 2.1 90 46.8 .78 60 400 400 1 Total: 635.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418611 Min 01418611 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4197 of 6486
Name
AMBIKA PD Rate Amount Qty 17.4 1.16 15 12 .4 30 32.4 1.08 30 8.1 .27 30 400 400 1 8.1 .27 30 32.4 1.08 30 12 .4 30 21.3 .71 30 400 400 1 Total: 943.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418612 Min 01418612 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 27-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 4198 of 6486
Name
SATO BAI Rate Amount Qty 21.3 .71 30 10.42 5.21 2 7.65 .51 15 27.9 .93 30 22.2 .37 60 36 .6 60 9 .3 30 10.8 .36 30 400 400 1 Total: 545.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418613 Min 01418613 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 11-FEB-19 GUM ASTRINGENT PAINT 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 4199 of 6486
Name
NIRUP KUMAR PAL Rate Amount Qty 11.2 1.12 10 7.3 .73 10 8.9 .89 10 9.6 .64 15 55.2 1.84 30 31.54 31.54 1 400 400 1 Total: 523.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418619 Min 01418619 Appmt Dt Slno Description 06-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 06-FEB-19 2 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 4200 of 6486
Name
MANHARAN KUMAR SHARMA Qty Rate Amount 1 400 400 1 1750 1750 2150 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418621 Min 01418621 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 CREATININE /CRT 4 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 25-FEB-19 UREA (BUN /UR) 6 25-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 25-FEB-19 PLATELET COUNT 8 25-FEB-19 HB,TLC,DLC 9 25-FEB-19 PROTHROMBIN TIME (PT) 10 25-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 11 25-FEB-19 ABC TEST HIV 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19 X - RAY - SINGLE VIEW 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19
Page 4201 of 6486
Name
LALLU RAM Rate Amount Qty 400 400 1 1750 1750 1 6.4 .64 10 275 275 1 550 550 1 275 275 1 275 275 1 330 330 1 300 300 1 330 330 1 1000 1000 1 1250 1250 1 400 400 1 550 550 1 400 400 1 Total: 8091.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418624 Min 01418624 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4202 of 6486
Name
DHASHARI BAI Rate Amount Qty 6.4 .64 10 32.4 1.08 30 34.8 1.16 30 15.6 .26 60 55.8 .93 60 39 1.3 30 9 .3 30 18 .6 30 400 400 1 Total: 611
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418627 Min 01418627 Appmt Dt Slno Description 22-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4203 of 6486
Name
MAHESH TAMRAKAR Qty Rate Amount 90 .6 54 1 400 400 454 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418628 Min 01418628 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4204 of 6486
Name
SHAKUNTALA TAMRAKAR Rate Amount Qty 55.8 .93 60 26.7 .89 30 8.1 .27 30 4.8 .16 30 40.12 20.06 2 400 400 1 Total: 535.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418629 Min 01418629 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 4205 of 6486
Name
JETHU RAM SINHA Rate Amount Qty 16.2 .18 90 54 .9 60 400 400 1 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418631 Min 01418631 Appmt Dt Slno Description 12-FEB-19 1 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12-FEB-19 2 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 12-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4206 of 6486
Name
SUKHA RANJAN DAS Qty Rate Amount 1 12.81 12.81 1 31.61 31.61 20 .37 7.4 1 400 400 Total: 451.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418632 Min 01418632 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 12-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 7 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 4207 of 6486
Name
MINU DAS Rate Amount Qty 27.9 .93 30 21.3 .71 30 36 .6 60 10.8 .36 30 400 400 1 16.8 .42 40 62.8 3.14 20 123.8 6.19 20 17.8 .89 20 400 400 1 Total: 1117.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418633 Min 01418633 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 07-FEB-19 X - RAY - SINGLE VIEW 14 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 17 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 19-FEB-19
Page 4208 of 6486
Name
PURSHOTTAM KUMAR SAHU Rate Amount Qty 275 275 1 1300 1300 1 1300 1300 1 275 275 1 400 400 1 7.5 .25 30 22.05 1.47 15 21.3 .71 30 167.4 5.58 30 7.5 .25 30 54 .6 90 27.9 .93 30 10.8 .36 30 550 550 1 400 400 1 400 400 1 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 Total: 5639.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418637 Min 01418637 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 PRAZOSIN,2.5MG,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4209 of 6486
Name
VISHNU DUTT PANDEY Rate Amount Qty 34.8 1.16 30 78 1.3 60 18 .3 60 36 .6 60 55.8 .93 60 29.7 .99 30 7.5 .25 30 400 400 1 Total: 659.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418638 Min 01418638 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 PRAZOSIN,2.5MG,TABLET 5 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 4210 of 6486
Name
SMT.KUSUM PANDEY Rate Amount Qty 191.4 3.19 60 7.5 .25 30 123.53 123.53 1 17.4 1.16 15 156 1.3 120 29.7 .99 30 117 1.3 90 55.8 .93 60 36 .6 60 21.6 .36 60 400 400 1 Total: 1155.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418641 Min 01418641 Slno Description Appmt Dt CREATININE /CRT 1 21-FEB-19 URIC ACID (UA /URATES /UR) 2 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 21-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19 UREA (BUN /UR) 6 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 21-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 9 21-FEB-19
Page 4211 of 6486
Name
PURSHOTTAM SINGH VERMA Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 1610 1610 1 400 400 1 275 275 1 275 275 1 275 275 1 1000 1000 1 Total: 5685
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418642 Min 01418642 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 21-FEB-19 URIC ACID (UA /URATES /UR) 5 21-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 21-FEB-19
Page 4212 of 6486
Name
ASHA VERMA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 27.9 .93 30 21.3 .71 30 18 .6 30 27.4 1.37 20 123.8 6.19 20 17.8 .89 20 Total: 2761.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418645 Min 01418645 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 05-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 4213 of 6486
DHRU KUMAR Rate Amount Qty 43.96 43.96 1 167.4 5.58 30 36 .6 60 34.8 1.16 30 32.4 1.08 30 12.15 12.15 1 3.78 .18 21 12.6 .9 14 66.2 6.62 10 157.8 15.78 10 400 400 1 9 .9 10 15.73 15.73 1 400 400 1 Total: 1391.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418646 Min 01418646 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 8 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 4214 of 6486
CHAMPA BAI Rate Amount Qty 66.2 6.62 10 7.5 .25 30 26.7 .89 30 14.85 .99 15 27.9 .93 30 66 1.1 60 1.85 .37 5 48.22 48.22 1 13.7 1.37 10 185.7 6.19 30 6.4 .64 10 400 400 1 Total: 865.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418650 Min 01418650 Appmt Dt Slno Description 05-FEB-19 1 DRESSING SIMPLE 05-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4215 of 6486
Name
SMT.ANISA SHARIF Qty Rate Amount 5 300 1500 1 400 400 1900 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418651 Min 01418651 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4216 of 6486
Name
SHATRUHAN PRASAD Rate Amount Qty 12.6 .63 20 17.8 .89 20 29.2 .73 40 7.6 .38 20 20.84 5.21 4 400 400 1 Total: 488.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418653 Min 01418653 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 05-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4217 of 6486
Name
T.C.DASHRIYE Rate Amount Qty 21.3 .71 30 22.2 .37 60 155.7 5.19 30 32.4 1.08 30 400 400 1 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418654 Min 01418654 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 PRAZOSIN,2.5MG,TABLET 3 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 4218 of 6486
Name
PHULVANTA BAI Rate Amount Qty 29.7 .99 30 21.3 .71 30 39 1.3 30 72.6 1.21 60 16.2 .27 60 27 .36 75 36 .6 60 55.8 .93 60 400 400 1 Total: 697.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418655 Min 01418655 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 05-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 05-FEB-19 3 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 4 PARACETAMOL,STRIP PKT,500MG,TABLET
Page 4219 of 6486
PYARI BANSAL Qty Rate Amount 1 400 400 5 .38 1.9 1 15.73 15.73 10 .64 6.4 Total: 424.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418660 Min 01418660 Slno Description Appmt Dt HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 1 07-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 08-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 4220 of 6486
Name
SUMAN SHUKLA Rate Amount Qty 57.38 28.69 2 37.04 37.04 1 400 400 1 7.3 .73 10 35.2 3.52 10 17 1.7 10 3.7 .37 10 400 400 1 54 .6 90 10.8 .36 30 11.4 .38 30 400 400 1 Total: 1433.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418663 Min 01418663 Appmt Dt Slno Description 19-FEB-19 1 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4221 of 6486
Name
RANJANA MULEY Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418670 Min 01418670 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19
Page 4222 of 6486
Name
MEETA BOSE Rate Amount Qty 30.6 .34 90 32.4 1.08 30 12 .4 30 47.4 .79 60 34.8 1.16 30 36 .6 60 12 .4 30 66 1.1 60 400 400 1 55.8 .93 60 13.35 .89 15 400 400 1 Total: 1140.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418673 Min 01418673 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4223 of 6486
Name
MAHENDRA KUMAR SHARMA Rate Amount Qty 33 1.1 30 12 .4 30 69.6 1.16 60 18.9 .63 30 27.9 .93 30 400 400 1 Total: 561.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418674 Min 01418674 Appmt Dt Slno Description 26-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4224 of 6486
Name
SUNITA SHARMA Qty Rate Amount 60 1.1 66 15 .25 3.75 60 .93 55.8 1 400 400 Total: 525.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418676 Min 01418676 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 4225 of 6486
Name
CHHEDILAL Rate Amount Qty 11.2 1.12 10 60.9 2.03 30 34.8 1.16 30 12 .4 30 66 1.1 60 8.1 .27 30 55.8 .93 60 39 1.3 30 36 .6 60 32.4 .36 90 35.2 3.52 10 7.5 .25 30 400 400 1 Total: 798.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418677 Min 01418677 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 4226 of 6486
Name
MALTI DEVI Rate Amount Qty 8.1 .27 30 27.9 .93 30 117 1.3 90 7.5 .25 30 10.8 .36 30 34.8 1.16 30 18 .6 30 400 400 1 Total: 624.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418682 Min 01418682 Appmt Dt Slno Description 27-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 27-FEB-19 2 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 27-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4227 of 6486
Name
K F PAUL Qty 3 6 9 1
Rate Amount 2.6 7.8 .73 4.38 1.84 16.56 400 400 Total: 428.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418686 Min 01418686 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 02-FEB-19 CREATININE /CRT 5 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 07-FEB-19 URIC ACID (UA /URATES /UR) 18 07-FEB-19 CREATININE /CRT 19 07-FEB-19 UREA (BUN /UR) 20 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 21 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 07-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 23 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 24 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 25 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 13-FEB-19
Page 4228 of 6486
Name
BISWANATH DAS Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 167.4 5.58 30 27.9 .93 30 192.3 6.41 30 60.9 2.03 30 23.1 .77 30 7.5 .25 30 9.9 .66 15 20.84 5.21 4 400 400 1 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 39.6 .66 60 156.6 1.74 90 17.4 .58 30 400 400 1 Total: 7673.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418687 Min 01418687 Slno Description Appmt Dt UREA (BUN /UR) 1 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19 URIC ACID (UA /URATES /UR) 8 02-FEB-19 PRAZOSIN,2.5MG,TABLET 9 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 07-FEB-19 URIC ACID (UA /URATES /UR) 11 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 18 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 19 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 07-FEB-19
Page 4229 of 6486
Name
PRATIVA DAS Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 234 1.3 180 550 550 1 275 275 1 275 275 1 78 1.3 60 18.9 .63 30 32.4 1.08 30 21.3 .71 30 1300 1300 1 22.2 .37 60 72.6 1.21 60 400 400 1 275 275 1 Total: 7179.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418688 Min 01418688 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4230 of 6486
Name
V.S. SIVA RAMA KRISHNA Rate Amount Qty 76.5 2.55 30 18 .6 30 27.9 .93 30 400 400 1 55.2 1.84 30 4.45 .89 5 9.6 .64 15 16.8 1.12 15 400 400 1 Total: 1008.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418689 Min 01418689 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 08-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 08-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 4231 of 6486
Name
VVL KAMESHWARI Rate Amount Qty 66.2 6.62 10 17 1.7 10 28.7 5.74 5 8.9 .89 10 3.84 .64 6 400 400 1 Total: 524.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418690 Min 01418690 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 11 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 4232 of 6486
Name
BISHELAL Rate Amount Qty 7.5 .25 30 100.71 100.71 1 12.15 12.15 1 26.7 .89 30 54 .9 60 400 400 1 32.4 1.08 30 12 .4 30 34.8 1.16 30 13.8 .23 60 7.8 .26 30 9.9 .66 15 400 400 1 Total: 1111.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418691 Min 01418691 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4233 of 6486
Name
BUDHWANTIN BAI Qty 7 1 1
Rate Amount 1.75 .25 13.49 13.49 400 400 Total: 415.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418692 Min 01418692 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 4234 of 6486
Name
CSK MISHRA Rate Amount Qty 12 .4 30 150.9 5.03 30 21.3 .71 30 18.9 .63 30 8.1 .27 30 400 400 1 Total: 611.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418693 Min 01418693 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 06-FEB-19 X - RAY - SINGLE VIEW 5 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 06-FEB-19 URIC ACID (UA /URATES /UR) 7 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 07-FEB-19 HB,TLC,DLC 10 07-FEB-19 PLATELET COUNT 11 07-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 12 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 07-FEB-19 CREATININE /CRT 15 07-FEB-19 UREA (BUN /UR) 16 07-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 17 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 18 27-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 19 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 21 27-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 22 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 27-FEB-19
Page 4235 of 6486
SHUBHRA MISHRA Rate Amount Qty 6.4 .64 10 2.59 .37 7 15.13 .89 17 15.73 15.73 1 550 550 1 400 400 1 275 275 1 1300 1300 1 400 400 1 300 300 1 330 330 1 550 550 1 275 275 1 1300 1300 1 275 275 1 275 275 1 330 330 1 25.62 12.81 2 63.22 31.61 2 11.1 .37 30 9.86 9.86 1 10.11 3.37 3 400 400 1 Total: 7119.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418698 Min 01418698 Appmt Dt Slno Description 16-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4236 of 6486
Name
VIMAL KUMAR Qty Rate Amount 20 .16 3.2 1 400 400 403.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418700 Min 01418700 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4237 of 6486
Name
TILAK DHARAMDAS HEDAOO Qty Rate Amount 30 1.16 34.8 30 1.08 32.4 30 .4 12 1 400 400 Total: 479.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418704 Min 01418704 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 4238 of 6486
Name
BAINAPALLI BHEEMA RAO Rate Amount Qty 10.8 .36 30 3.75 .25 15 66 1.1 60 32.4 1.08 30 54 .6 90 400 400 1 Total: 566.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418705 Min 01418705 Slno Description Appmt Dt DICLOFENAC SODIUM,25MG/ML,INJECTION 1 13-FEB-19 OBSERVATION IN CASUALTY 2 13-FEB-19 ECG 3 13-FEB-19
Page 4239 of 6486
Name
LALITA PARETA Qty 1 1 1
Rate Amount 5.77 5.77 420 420 450 450 Total: 875.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418706 Min 01418706 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 4240 of 6486
Name
NARENDRA KUMAR SAHU Rate Amount Qty 7.5 .25 30 18.9 .63 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 490.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418722 Min 01418722 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 07-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 6 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 4241 of 6486
KN SAROJINI Rate Amount Qty 25.07 25.07 1 55.8 .93 60 25.62 12.81 2 7.4 .37 20 63.58 63.58 1 41.06 41.06 1 31.61 31.61 1 400 400 1 Total: 650.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418724 Min 01418724 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 4242 of 6486
Name
MOTILAL KORI Rate Amount Qty 12 .4 30 23.7 .79 30 7.5 .25 30 18 .6 30 10.8 .36 30 66 1.1 60 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 591.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418725 Min 01418725 Appmt Dt Slno Description 05-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 2 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 05-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4243 of 6486
Name
RAJ KALI Qty Rate Amount 30 .71 21.3 30 .26 7.8 30 1.08 32.4 1 400 400 Total: 461.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418728 Min 01418728 Appmt Dt Slno Description 05-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 05-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4244 of 6486
Name
MAHESH CHANDRA PRAJAPATI Qty Rate Amount 4 .37 1.48 8 .38 3.04 8 .64 5.12 1 400 400 Total: 409.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418729 Min 01418729 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4245 of 6486
Name
SUMAN PRAJAPATI Rate Amount Qty 11.4 .38 30 8.1 .27 30 400 400 1 Total: 419.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418732 Min 01418732 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 GUM ANALGESIC GEL 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4246 of 6486
Name
NALINI BURADE Rate Amount Qty 10.42 5.21 2 185.7 6.19 30 7.5 .25 30 21.3 .71 30 12 .4 30 57.38 28.69 2 400 400 1 Total: 694.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418734 Min 01418734 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 9 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 05-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 11 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 19 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 21 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 23 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 11-FEB-19
Page 4247 of 6486
CHHABI RAM SAHU Rate Amount Qty 26.7 .89 30 54 .9 60 24.3 12.15 2 400 400 1 26.6 2.66 10 1.85 .37 5 7.7 .77 10 15.73 15.73 1 17 1.7 10 11.4 .38 30 22.5 .75 30 25.2 .42 60 15 .25 60 400 400 1 21.12 3.52 6 3.84 .64 6 1.48 .37 4 400 400 1 17.4 .58 30 55.8 .93 60 60.9 2.03 30 13.35 .89 15 54 .9 60 400 400 1 Total: 2075.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418735 Min 01418735 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 4248 of 6486
Name
SHAKUNTALA SAHU Rate Amount Qty 47.1 3.14 15 185.7 6.19 30 7.5 .25 30 18.9 .63 30 400 400 1 8.1 .27 30 66 1.1 60 14.85 .99 15 400 400 1 Total: 1148.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418736 Min 01418736 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 4249 of 6486
Name
BIMAL CHAKRABORTY Rate Amount Qty 167.4 5.58 30 16.2 .36 45 54 .6 90 211.8 3.53 60 18.9 .63 30 17.8 .89 20 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 1009.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418739 Min 01418739 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4250 of 6486
Name
CHAMPA BAI Rate Amount Qty 4.1 .41 10 8.9 .89 10 10.8 .36 30 167.4 5.58 30 94.8 1.58 60 54 .6 90 7.5 .25 30 400 400 1 Total: 747.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418748 Min 01418748 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 4251 of 6486
Name
RAJESH SUNIL SOLOMON Rate Amount Qty 55.8 .93 60 66 1.1 60 23.7 .79 30 167.4 5.58 30 72 .6 120 21.6 .36 60 13.35 .89 15 21.3 .71 30 12 .4 30 29.7 .99 30 400 400 1 Total: 882.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418749 Min 01418749 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4252 of 6486
Name
ABHA SOLOMON Rate Amount Qty 55.8 .93 60 7.5 .25 30 16.2 .27 60 33 1.1 30 34.8 1.16 30 32.4 1.08 30 4.8 .16 30 400 400 1 Total: 584.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418752 Min 01418752 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 4253 of 6486
Name
CS SANJEEVAN Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 21.3 .71 30 23.7 .79 30 36 .6 60 27.9 .62 45 400 400 1 Total: 762.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418753 Min 01418753 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 4254 of 6486
Name
VIMALA SANJEEVAN Rate Amount Qty 55.8 .93 60 39 1.3 30 54 .6 90 29.7 .99 30 400 400 1 Total: 578.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418755 Min 01418755 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4255 of 6486
HARAMMA Rate Amount Qty 6.4 .64 10 6.82 6.82 1 4.45 .89 5 1.85 .37 5 66.2 6.62 10 25.07 25.07 1 400 400 1 Total: 510.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418757 Min 01418757 Appmt Dt Slno Description 27-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 27-FEB-19 2 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 27-FEB-19 3 AZATHIOPRINE,STRIP PKT,50MG,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4256 of 6486
Name
LALITA PANDEY Qty Rate Amount 30 .38 11.4 60 3.27 196.2 60 3.38 202.8 1 400 400 Total: 810.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418759 Min 01418759 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 20-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 11 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 28-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 13 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 4257 of 6486
Name
NAND KUMARI Rate Amount Qty 2.22 .37 6 14.85 .99 15 3.84 .64 6 8.1 .27 30 400 400 1 8.9 .89 10 6.4 .64 10 2.5 .25 10 400 400 1 13.35 .89 15 47.1 3.14 15 9.86 9.86 1 96 9.6 10 1.11 .37 3 3.75 .25 15 400 400 1 Total: 1417.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418761 Min 01418761 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 4258 of 6486
Name
.JAYSHREE DEWANGAN Rate Amount Qty 3.84 .64 6 2.28 .38 6 1.85 .37 5 400 400 1 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 Total: 815.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418766 Min 01418766 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 26-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 26-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 6 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4259 of 6486
Name
JAI PRAKASH YADAV Rate Amount Qty 12 .4 30 18.9 .63 30 400 400 1 35.2 17.6 2 26.96 3.37 8 63.58 63.58 1 7.4 .37 20 400 400 1 Total: 964.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418767 Min 01418767 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 8 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4260 of 6486
Name
LALTI DEVI Rate Amount Qty 9 .6 15 66 1.1 60 66 1.1 60 9 .6 15 27.9 .93 30 400 400 1 3.2 .64 5 28.08 2.34 12 1.48 .37 4 400 400 1 Total: 1010.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418768 Min 01418768 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4261 of 6486
Name
DEW SHARAN SAHU Rate Amount Qty 12 .4 30 9 .3 30 36 .6 60 167.4 5.58 30 21.3 .71 30 400 400 1 Total: 645.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418770 Min 01418770 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 4262 of 6486
Name
VINOD KUMAR SHAIL Rate Amount Qty 2.22 .37 6 21.28 2.66 8 400 400 1 1.85 .37 5 1.9 .38 5 3.85 .77 5 400 400 1 Total: 831.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418771 Min 01418771 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 5 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4263 of 6486
Name
ANURADHA SHAIL Rate Amount Qty 18.6 .62 30 7.5 .25 30 55.8 .93 60 21.3 .71 30 847.2 7.06 120 317.7 3.53 90 29.7 .99 30 400 400 1 21.3 .71 30 400 400 1 Total: 2119.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418778 Min 01418778 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4264 of 6486
Name
RAMBALI YADAV Rate Amount Qty 12 .4 30 29.7 .99 30 21.3 .71 30 16.2 .27 60 55.8 .93 60 36 .6 60 20.06 20.06 1 400 400 1 Total: 591.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418780 Min 01418780 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 4265 of 6486
Name
BHANU PRASAD SHARMA Rate Amount Qty 87.92 43.96 2 82.76 165.52 2 400 400 1 21.3 .71 30 .96 .16 6 8.1 .27 30 400 400 1 Total: 1083.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418781 Min 01418781 Slno Description Appmt Dt CREATININE /CRT 1 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 4266 of 6486
Name
URVASHI DEVI Rate Amount Qty 275 275 1 25.62 12.81 2 1300 1300 1 400 400 1 275 275 1 275 275 1 21.6 .36 60 39 1.3 30 72 .6 120 21.3 .71 30 400 400 1 Total: 3104.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418782 Min 01418782 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 4267 of 6486
Name
GIRDHAR LAL SAHU Rate Amount Qty 54 .9 60 100.71 100.71 1 8.9 .89 10 .8 .16 5 7.5 .25 30 6.9 .23 30 9 .6 15 400 400 1 Total: 587.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418783 Min 01418783 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 11-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 3 11-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 11-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 11-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 4268 of 6486
Name
ANUSUYA SAHU Rate Amount Qty 26.7 .89 30 4.8 .16 30 24.38 12.19 2 51.68 3.23 16 4.56 .38 12 83.4 2.78 30 23.45 .67 35 10.42 5.21 2 400 400 1 Total: 629.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418792 Min 01418792 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 4269 of 6486
Name
SHAMINA KHANAM Rate Amount Qty 8.1 .27 30 27.9 .93 30 17.4 1.16 15 12 .4 30 400 400 1 Total: 465.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418794 Min 01418794 Slno Description Appmt Dt ECG 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 02-FEB-19 X - RAY - SINGLE VIEW 6 02-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 26-FEB-19 SUTURE REMOVAL 18 26-FEB-19
Page 4270 of 6486
Name
NIRANJAN ROY Rate Amount Qty 450 450 1 400 400 1 1.85 .37 5 400 400 1 26.6 2.66 10 550 550 1 5 .25 20 400 400 1 32.4 1.08 30 123.53 247.06 2 7.5 .25 30 27 .9 30 27.9 .93 30 21.3 .71 30 12 .4 30 400 400 1 400 400 1 490 490 1 Total: 3898.61
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418800 Min 01418800 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 11 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 14-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 15 14-FEB-19 BUDESONIDE,200MCG,CAPSULE 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19
Page 4271 of 6486
SHRIKANT KULKARNI Rate Amount Qty 55.8 .93 60 54 .9 60 156 1.3 120 72 .6 120 21.6 .36 60 334.8 5.58 60 21.3 .71 30 211.8 3.53 60 26.7 .89 30 400 400 1 100.71 100.71 1 53.4 .89 60 15.73 15.73 1 12.15 12.15 1 39.6 .66 60 156.6 1.74 90 400 400 1 Total: 2132.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418801 Min 01418801 Slno Description Appmt Dt CARBAMAZEPINE,STRIP PKT,200MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 4272 of 6486
Name
VANDANA KULKARNI Rate Amount Qty 132.3 1.47 90 12 .4 30 15.6 .26 60 54 .6 90 21.3 .71 30 55.8 .93 60 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 758.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418805 Min 01418805 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 4273 of 6486
Name
PV RAGHAVENDRA RAO Rate Amount Qty 72 .6 120 55.2 .92 60 167.4 5.58 30 21.3 .71 30 78 1.3 60 12 .4 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 840.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418806 Min 01418806 Slno Description Appmt Dt UREA (BUN /UR) 1 18-FEB-19 URIC ACID (UA /URATES /UR) 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 PRAZOSIN,2.5MG,TABLET 7 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 4274 of 6486
Name
SMT.PV UMA RAO Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 78 1.3 60 31.2 1.04 30 76.5 2.55 30 18.9 .63 30 39 1.3 30 11.4 .38 30 32.4 1.08 30 26.7 .89 30 55.8 .93 60 400 400 1 Total: 2291.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418811 Min 01418811 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 11-FEB-19
Page 4275 of 6486
Name
RAJARAM Rate Amount Qty 10.8 .36 30 78 1.3 60 400 400 1 23.7 .79 30 36 .6 60 34.8 1.16 30 400 400 1 Total: 983.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418822 Min 01418822 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 7 14-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 4276 of 6486
Name
B.K.CHAKRABORTY Rate Amount Qty 30.6 .34 90 32.4 1.08 30 44.1 1.47 30 47.4 .79 60 33 1.1 30 4.45 .89 5 57.84 57.84 1 6.7 .67 10 3.7 .37 10 26.7 .89 30 185.7 6.19 30 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 966.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418824 Min 01418824 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 21-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4277 of 6486
Name
RD PRASAD Rate Amount Qty 20.84 5.21 4 23.7 .79 30 32.4 1.08 30 118.5 3.95 30 12 .4 30 21.3 .71 30 400 400 1 57.84 115.68 2 25.62 12.81 2 400 400 1 Total: 1170.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418825 Min 01418825 Appmt Dt Slno Description 18-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 18-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 18-FEB-19 3 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4278 of 6486
Name
UMA PRASAD Qty Rate Amount 4 5.21 20.84 30 .38 11.4 30 .93 27.9 1 400 400 Total: 460.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418826 Min 01418826 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 28-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 28-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4279 of 6486
Name
RAJU KV Rate Amount Qty 9 .9 10 4.8 .6 8 6.7 .67 10 44.16 1.84 24 7.68 .64 12 12.15 12.15 1 1.3 .26 5 400 400 1 Total: 485.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418827 Min 01418827 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 10-FEB-19 ECG 2 10-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 10-FEB-19 URINE ACETONE 4 10-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 5 10-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 10-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 11-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 11 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 11-FEB-19
Page 4280 of 6486
Name
K RAJESWARI Rate Amount Qty 420 420 1 450 450 1 9.62 9.62 1 165 165 1 5.21 5.21 1 .27 .27 1 21.3 .71 30 55.8 .93 60 33 1.1 30 7.5 .25 30 12.3 .41 30 8.1 .27 30 36 .6 60 Total: 1224.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418828 Min 01418828 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 21-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 15 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 16 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 17 21-FEB-19
Page 4281 of 6486
Name
SHRAWANLAL BAHEKAR Rate Amount Qty 1.48 .37 4 167.4 5.58 30 54 .6 90 3.84 .64 6 15.96 2.66 6 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 27.9 .93 30 8.1 .27 30 12 .4 30 400 400 1 400 400 1 1750 1750 1 1610 1610 1 192.3 6.41 30 60.9 2.03 30 Total: 4991.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418829 Min 01418829 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 26-FEB-19 ECG 8 26-FEB-19 OBSERVATION IN CASUALTY 9 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 26-FEB-19 DICLOFENAC SODIUM SR,100MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4282 of 6486
Name
GITA DAVI BAHEKAR Rate Amount Qty 16.5 1.1 15 8.1 .27 30 21.3 .71 30 20.06 20.06 1 400 400 1 .16 .16 1 24.52 24.52 1 450 450 1 420 420 1 4.1 .41 10 .41 .41 1 400 400 1 Total: 1765.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418830 Min 01418830 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 01-FEB-19 MOXONIDIN 0.2MG,,TABLET 15 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 17 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 18 13-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 19 13-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 20 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 24 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 25 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 26 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 19-FEB-19
Page 4283 of 6486
Name
CHANDRA KANTA NAIK Rate Amount Qty 7.65 .51 15 55.8 .93 60 53.4 .89 60 21.3 .71 30 2.4 .16 15 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 66 1.1 60 15.6 .26 60 47.4 .79 60 21.6 .36 60 211.8 3.53 60 400 400 1 11.25 .75 15 35.2 17.6 2 41.06 41.06 1 74.08 37.04 2 18.6 .62 30 400 400 1 55.8 .93 60 18 .6 30 9.45 .63 15 34.8 1.16 30 400 400 1 Total: 2333.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418831 Min 01418831 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4284 of 6486
Name
BHUSHAN LAL NAIK Rate Amount Qty 21.6 .36 60 72 .6 120 16.2 .27 60 12 .4 30 9.9 .66 15 21.3 .71 30 400 400 1 Total: 553
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418837 Min 01418837 Appmt Dt Slno Description 14-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4285 of 6486
Name
MANGALIN BAI Qty Rate Amount 30 .6 18 10 .64 6.4 30 .25 7.5 1 400 400 Total: 431.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418838 Min 01418838 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 URIC ACID (UA /URATES /UR) 6 18-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 7 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 18-FEB-19 CREATININE /CRT 10 18-FEB-19 UREA (BUN /UR) 11 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 13 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 4286 of 6486
ELSEY CHACKO Rate Amount Qty 4.45 .89 5 15.73 15.73 1 13.95 .93 15 26.6 2.66 10 400 400 1 275 275 1 650 650 1 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1750 1750 1 275 275 1 21.3 .71 30 400 400 1 Total: 5607.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418841 Min 01418841 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 08-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 4287 of 6486
Name
BASANT KUMARI Rate Amount Qty 4.45 .89 5 13.4 .67 20 13.4 .67 20 9 .9 10 4.45 .89 5 5.2 1.04 5 5.2 1.04 5 12.15 12.15 1 9 .9 10 400 400 1 Total: 476.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418845 Min 01418845 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 4288 of 6486
Name
PRAMILA BAI Rate Amount Qty 21.3 .71 30 8.1 .27 30 66 1.1 60 32.4 1.08 30 400 400 1 Total: 527.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418846 Min 01418846 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 09-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 4289 of 6486
Name
SINGH DB Rate Amount Qty 7.5 .25 30 21.3 .71 30 32.4 1.08 30 7.65 .51 15 76.5 2.55 30 22.2 .37 60 60.9 2.03 30 167.4 5.58 30 72 .6 120 43.2 .36 120 12 .4 30 400 400 1 Total: 923.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418847 Min 01418847 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4290 of 6486
Name
SMT.VIMALA SINGH Rate Amount Qty 27.9 .93 30 26.7 .89 30 29.7 .99 30 55.8 .93 60 36 .6 60 18.6 .62 30 400 400 1 Total: 594.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418852 Min 01418852 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4291 of 6486
Name
RINKU PATRO Rate Amount Qty 21.3 .71 30 12 .4 30 2.4 .16 15 27.9 .93 30 14.85 .99 15 400 400 1 Total: 478.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418853 Min 01418853 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 26-FEB-19 CREATININE /CRT 4 26-FEB-19 URIC ACID (UA /URATES /UR) 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 26-FEB-19 UREA (BUN /UR) 13 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 16 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 24 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 28-FEB-19
Page 4292 of 6486
Name
SIVAPRASAD T Rate Amount Qty 1300 1300 1 550 550 1 20.06 20.06 1 275 275 1 275 275 1 72 .6 120 7.5 .25 30 21.3 .71 30 60.9 2.03 30 167.4 5.58 30 27.9 .93 30 26.7 .89 30 275 275 1 275 275 1 275 275 1 1750 1750 1 400 400 1 60.9 2.03 30 167.4 5.58 30 21.3 .71 30 7.5 .25 30 72 .6 120 27.9 .93 30 78 1.3 60 26.7 .89 30 400 400 1 Total: 6640.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418854 Min 01418854 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 4293 of 6486
Name
T V S LALITHA Rate Amount Qty 74.4 .62 120 71 .71 100 400 400 1 Total: 545.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418857 Min 01418857 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 TAB,TRIMETHOPRIM80MG+SULPHAMETHOXAZ400MG 3 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 12-FEB-19 GUM ANALGESIC GEL 5 12-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 12-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 7 12-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 4294 of 6486
GS SANGAR Rate Amount Qty 26 2.6 10 6.4 .64 10 6.9 .69 10 16.8 1.12 15 28.69 28.69 1 7 .7 10 17.37 17.37 1 34.84 8.71 4 400 400 1 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418858 Min 01418858 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 4295 of 6486
Name
MANDEEP KAUR Rate Amount Qty 21.3 .71 30 27.9 .93 30 12.8 .64 20 33.6 1.12 30 3.7 .37 10 400 400 1 Total: 499.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418866 Min 01418866 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 4296 of 6486
Name
PK BANGA Rate Amount Qty 192.3 6.41 30 32.4 1.08 30 60.9 2.03 30 22.2 .37 60 15.6 .26 60 21.3 .71 30 211.8 3.53 60 400 400 1 Total: 956.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418869 Min 01418869 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 23-FEB-19 URIC ACID (UA /URATES /UR) 3 23-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 26-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4297 of 6486
JAYANTI KUNDU Rate Amount Qty 860 860 1 400 400 1 275 275 1 25.69 25.69 1 50.14 25.07 2 400 400 1 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 400 400 1 17.8 .89 20 247.6 6.19 40 62.8 3.14 20 400 400 1 Total: 3193.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418875 Min 01418875 Appmt Dt Slno Description 20-FEB-19 1 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 20-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4298 of 6486
Name
A JAGANNADHAM Qty Rate Amount 60 1.47 88.2 30 .93 27.9 90 .6 54 1 400 400 Total: 570.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418878 Min 01418878 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 08-FEB-19 URIC ACID (UA /URATES /UR) 11 08-FEB-19 CREATININE /CRT 12 08-FEB-19 UREA (BUN /UR) 13 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 08-FEB-19
Page 4299 of 6486
Name
SWAPNA SARKAR Rate Amount Qty 5.21 5.21 1 8.9 .89 10 400 400 1 27.9 .62 45 7.8 .26 30 21.3 .71 30 12 .4 30 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3708.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418879 Min 01418879 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4300 of 6486
Name
PRAKASH CHANDRA AGRAWAL Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 36.3 1.21 30 8.1 .27 30 17.37 17.37 1 400 400 1 Total: 714.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418880 Min 01418880 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4301 of 6486
Name
MAMTA AGRAWAL Qty Rate Amount 30 .93 27.9 30 .93 27.9 30 .62 18.6 1 400 400 Total: 474.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418881 Min 01418881 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 27-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 27-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4302 of 6486
Name
THOMAS DUNG DUNG Rate Amount Qty 5.55 .37 15 20.22 3.37 6 19.72 9.86 2 13.43 13.43 1 400 400 1 Total: 458.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418882 Min 01418882 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4303 of 6486
Name
EMELDA DUNG DUNG Rate Amount Qty 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 12.81 12.81 1 400 400 1 Total: 466.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418883 Min 01418883 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 13-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 4304 of 6486
Name
DEEDAR SINGH Rate Amount Qty 9.6 .64 15 185.7 6.19 30 7.5 .25 30 11.1 .37 30 25.62 12.81 2 11.25 .75 15 400 400 1 Total: 650.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418884 Min 01418884 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 4305 of 6486
Name
N P CHANDRAKAR Rate Amount Qty 33 1.1 30 1.48 .37 4 34.8 1.16 30 55.8 .93 60 36 .6 60 10.8 .36 30 400 400 1 Total: 571.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418885 Min 01418885 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 4306 of 6486
Name
SMT.GITA BAI CHANDRAKAR Rate Amount Qty 8.1 .27 30 36 .6 60 55.8 .93 60 21.3 .71 30 400 400 1 Total: 521.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418892 Min 01418892 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4307 of 6486
Name
VIDYAKAR UPADHYAY Rate Amount Qty 11.85 .79 15 72 .6 120 16.5 1.1 15 17.4 1.16 15 12 .4 30 400 400 1 Total: 529.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418893 Min 01418893 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 4308 of 6486
Name
TARA UPADHYAY Rate Amount Qty 27.9 .93 30 73.8 .82 90 400 400 1 13.7 1.37 10 123.8 6.19 20 8.9 .89 10 400 400 1 Total: 1048.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418906 Min 01418906 Appmt Dt Slno Description 11-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 11-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11-FEB-19 3 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4309 of 6486
DEORAJ DESHMUKH Qty Rate Amount 6 .64 3.84 1 15.73 15.73 10 2.66 26.6 1 400 400 Total: 446.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418907 Min 01418907 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 06-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 4310 of 6486
Name
TUMESHWARI Qty 2 2 1
Rate Amount 40.58 20.29 67.16 33.58 400 400 Total: 507.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418908 Min 01418908 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4311 of 6486
Name
BHARAT LAL VERMA Rate Amount Qty 8.1 .27 30 66 1.1 60 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 564.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418911 Min 01418911 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 4312 of 6486
Name
BEHRE KISHORE KUMAR Rate Amount Qty 32.4 1.08 30 167.4 5.58 30 55.8 .93 60 54 .6 90 20.84 5.21 4 12 .4 30 36.3 1.21 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 821.04
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418912 Min 01418912 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 4313 of 6486
MEERA BEHRE Rate Amount Qty 33 1.1 30 21.3 .71 30 12 .4 30 7.5 .25 30 20.84 5.21 4 25.07 25.07 1 27.9 .93 30 18 .6 30 400 400 1 Total: 565.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418913 Min 01418913 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 22-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 22-FEB-19
Page 4314 of 6486
Name
LACHHI RAM Rate Amount Qty 60.9 2.03 30 400 400 1 22.8 .38 60 400 400 1 55.8 .93 60 43.2 .36 120 72 .6 120 47.4 .79 60 Total: 1102.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418914 Min 01418914 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4315 of 6486
Name
SATWANTIN BAI Rate Amount Qty 72 .6 120 10.65 .71 15 23.7 .79 30 3.75 .25 15 1.48 .37 4 32.4 .36 90 400 400 1 185.7 6.19 30 7.5 .25 30 36 .6 60 10.8 .36 30 27.9 .93 30 13.7 1.37 10 400 400 1 Total: 1225.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418925 Min 01418925 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 23-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 2 23-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 23-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4316 of 6486
Name
J P MADHARIA Rate Amount Qty 44.16 1.84 24 280 280 1 4.8 .6 8 7.68 .64 12 400 400 1 19.8 .66 30 12.3 .41 30 400 400 1 Total: 1168.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418926 Min 01418926 Appmt Dt Slno Description 23-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4317 of 6486
Name
SMT KUMARI MADHARIA Qty Rate Amount 30 1.1 33 1 400 400 433 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418928 Min 01418928 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4318 of 6486
Name
ANGAN KUMAR MARIK Rate Amount Qty 72 .6 120 10.8 .36 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 532
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418929 Min 01418929 Appmt Dt Slno Description 28-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4319 of 6486
Name
KALPANA MARIK Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418934 Min 01418934 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 4320 of 6486
Name
NANDA SAH Qty 9 5 1
Rate Amount 10.08 1.12 1.25 .25 400 400 Total: 411.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418935 Min 01418935 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 19-FEB-19 CREATININE /CRT 15 19-FEB-19 UREA (BUN /UR) 16 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 20 20-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 21 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 25 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 26 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 27 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 28 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 29 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 30 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 31 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 26-FEB-19
Page 4321 of 6486
Name
SUCHCHA SINGH Rate Amount Qty 33 1.1 30 27.9 .93 30 21.3 .71 30 5.7 .38 15 36 .6 60 14.85 .99 15 10.8 .36 30 32.4 1.08 30 400 400 1 5.76 .64 9 33.12 1.84 18 10.08 1.12 9 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 20.16 1.12 18 2.46 .41 6 2.67 .89 3 400 400 1 3.75 .25 15 66 1.1 60 36 .6 60 10.8 .36 30 14.85 .99 15 27.9 .93 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 4119.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418937 Min 01418937 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19 X - RAY - SINGLE VIEW 11 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 4322 of 6486
LIRDHANPRASAD CHOURASIA Rate Amount Qty 26.6 2.66 10 1.85 .37 5 6.4 .64 10 400 400 1 70.2 2.34 30 5.4 .18 30 15.73 15.73 1 3.7 .37 10 18 .9 20 400 400 1 550 550 1 400 400 1 25.2 .42 60 400 400 1 Total: 2323.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418938 Min 01418938 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4323 of 6486
Name
SUBHASINI CHOURASIA Rate Amount Qty .8 .16 5 2.5 .25 10 400 400 1 Total: 403.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418952 Min 01418952 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4324 of 6486
Name
VINOD KUMAR DIWAN Rate Amount Qty 7.5 .25 30 185.7 6.19 30 13.7 1.37 10 400 400 1 167.4 5.58 30 78 1.3 60 7.5 .25 30 36 .6 60 400 400 1 Total: 1295.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418953 Min 01418953 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19
Page 4325 of 6486
Name
RAJANI DIWAN Rate Amount Qty 550 550 1 400 400 1 26.7 .89 30 Total: 976.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418954 Min 01418954 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 PRAZOSIN,2.5MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 4326 of 6486
Name
REWA RAM Rate Amount Qty 34.8 1.16 30 39 1.3 30 12 .4 30 55.8 .93 60 42.6 .71 60 29.7 .99 30 400 400 1 Total: 613.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418958 Min 01418958 Appmt Dt Slno Description 14-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 14-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4327 of 6486
Name
GURAHU CHAUHAN Qty Rate Amount 30 1.1 33 15 1.16 17.4 30 1.08 32.4 1 400 400 Total: 482.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418962 Min 01418962 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 24-FEB-19 ECG 2 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 24-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 24-FEB-19 ECG 5 24-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 24-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 24-FEB-19
Page 4328 of 6486
Name
LALIT KISHORE PANDEY Rate Amount Qty 420 420 1 450 450 1 9.62 9.62 1 .26 .26 1 450 450 1 24.52 24.52 1 .16 .16 1 Total: 1354.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418966 Min 01418966 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 4329 of 6486
Name
PK PANDEY Rate Amount Qty 60.9 2.03 30 11.1 .37 30 118.5 3.95 30 26.7 .89 30 23.1 .77 30 21.3 .71 30 32.4 1.08 30 15.6 .26 60 8.1 .27 30 400 400 1 Total: 717.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418968 Min 01418968 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4330 of 6486
Name
KEHRI RAM VERMA Rate Amount Qty 21.3 .71 30 36 .6 60 21.6 .36 60 7.5 .25 30 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418974 Min 01418974 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 09-FEB-19 ECG 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 11 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 12 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 4331 of 6486
Name
B H V SUBRAMANYAM Rate Amount Qty 400 400 1 450 450 1 8.9 .89 10 7.5 .25 30 21.3 .71 30 18.9 .63 30 14.85 .99 15 55.8 .93 60 9 .3 30 73.6 1.84 40 4.28 2.14 2 24.45 24.45 1 19.77 19.77 1 400 400 1 Total: 1508.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418975 Min 01418975 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4332 of 6486
Name
SMT.BH BHAVANI Rate Amount Qty 27.9 .93 30 7.5 .25 30 34.8 1.16 30 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 514.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418982 Min 01418982 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 4333 of 6486
Name
MOHANLAL SAHU Rate Amount Qty 7.5 .25 30 26.7 .89 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 506.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418984 Min 01418984 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4334 of 6486
Name
RADHESHYAM THAKUR Rate Amount Qty 7.65 .51 15 8.1 .27 30 400 400 1 Total: 415.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418985 Min 01418985 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4335 of 6486
Name
UTTRA THAKUR Rate Amount Qty 21.3 .71 30 7.5 .25 30 15.6 1.04 15 55.8 .93 60 54 .6 90 24 .4 60 400 400 1 Total: 578.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418987 Min 01418987 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 01-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 5 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 10 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 4336 of 6486
Name
VASANT KUMAR TRIVEDI Rate Amount Qty 66.2 6.62 10 7.6 .38 20 67.46 33.73 2 400 400 1 157.8 15.78 10 3.8 .38 10 41.06 41.06 1 400 400 1 7.5 .25 30 67.46 33.73 2 11.4 .38 30 400 400 1 Total: 1630.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418990 Min 01418990 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4337 of 6486
Name
K K JOSHI Rate Amount Qty 32.4 1.08 30 12 .4 30 15.6 .26 60 18 .6 30 38.25 2.55 15 34.8 1.16 30 400 400 1 Total: 551.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418991 Min 01418991 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4338 of 6486
Name
KANCHAN JOSHI Rate Amount Qty 27.9 .93 30 7.65 .51 15 21.3 .71 30 1.85 .37 5 400 400 1 Total: 458.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418994 Min 01418994 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4339 of 6486
Name
BALRAM KANWAR Rate Amount Qty 192.3 6.41 30 18.9 .63 30 21.3 .71 30 72 .6 120 10.8 .36 30 16.2 .27 60 60.9 2.03 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1445.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419000 Min 01419000 Appmt Dt Slno Description 08-FEB-19 1 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 08-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4340 of 6486
Name
HARIDAS SEAL Qty Rate Amount 10 3.52 35.2 10 .64 6.4 10 .89 8.9 1 400 400 Total: 450.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419001 Min 01419001 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 5 18-FEB-19 X - RAY - SINGLE VIEW 6 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 27-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 10 27-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19
Page 4341 of 6486
Name
SULATA SEAL Rate Amount Qty 20.06 20.06 1 400 400 1 18.6 .62 30 400 400 1 1750 1750 1 550 550 1 400 400 1 1300 1300 1 550 550 1 275 275 1 1500 1500 1 400 400 1 Total: 7563.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419006 Min 01419006 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 4342 of 6486
Name
PC SHOMESHEKHARAN Rate Amount Qty 55.8 .93 60 16.2 .27 60 167.4 5.58 30 36 .6 60 21.6 .36 60 400 400 1 Total: 697
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419008 Min 01419008 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4343 of 6486
Name
DILIP KUMAR CHANDRAKAR Rate Amount Qty 27.9 .93 30 33 1.1 30 1.6 .16 10 13.35 .89 15 17.4 1.16 15 400 400 1 Total: 493.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419012 Min 01419012 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 15-FEB-19 UREA (BUN /UR) 16 15-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 17 15-FEB-19 CREATININE /CRT 18 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 15-FEB-19
Page 4344 of 6486
JAGJIT SINGH SANDO Rate Amount Qty 6.4 .64 10 32.4 1.08 30 12 .4 30 54 .6 90 21.6 .36 60 25.07 25.07 1 3.7 .37 10 16.2 .27 60 55.8 .93 60 34.8 1.16 30 14.85 .99 15 400 400 1 400 400 1 275 275 1 1300 1300 1 275 275 1 1300 1300 1 275 275 1 275 275 1 Total: 4776.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419013 Min 01419013 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 15-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 14 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 15-FEB-19 COMPLETE HAEMOGRAM 16 15-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 17 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 18 15-FEB-19 X - RAY - TWO VIEWS 19 18-FEB-19 MAMOGRAPHY 20 18-FEB-19 U S CRANIUM / THYROID /BREAST/JOINTS 21 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 18-FEB-19
Page 4345 of 6486
Name
BALBIR KAUR Rate Amount Qty 20.84 5.21 4 52 2.6 20 53.4 .89 60 9 .6 15 27.9 .93 30 9.3 .62 15 21.3 .71 30 20.06 20.06 1 400 400 1 1300 1300 1 275 275 1 400 400 1 8.9 .89 10 63.8 3.19 20 275 275 1 750 750 1 1500 1500 1 26 2.6 10 860 860 1 2000 2000 1 3700 1850 2 400 400 1 Total: 12172.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419014 Min 01419014 Appmt Dt Slno Description 01-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 2 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4346 of 6486
Name
TARCILA KUJUR Qty Rate Amount 30 .25 7.5 60 .37 22.2 30 .93 27.9 1 400 400 Total: 457.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419015 Min 01419015 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 OBSERVATION IN CASUALTY 4 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 01-FEB-19 ECG 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 18-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 9 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 4347 of 6486
Name
FABIAN KUJUR Rate Amount Qty .89 .89 1 .16 .16 1 .93 .93 1 420 420 1 600 600 1 450 450 1 27.9 .93 30 21.3 .71 30 46.8 .78 60 60.9 2.03 30 16.8 1.12 15 26.7 .89 30 400 400 1 Total: 2072.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419020 Min 01419020 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4348 of 6486
Name
ARUN KUMAR SHRIVASTAVA Rate Amount Qty 27.9 .93 30 2.4 .16 15 26.7 .89 30 21.3 .71 30 117 1.3 90 36 .6 60 12 .4 30 14.85 .99 15 87.92 43.96 2 8.1 .27 30 400 400 1 Total: 754.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419021 Min 01419021 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 4349 of 6486
Name
BEENA SHRIVASTAVA Rate Amount Qty 12 .6 20 19.8 .99 20 18.6 .93 20 14.2 .71 20 18.6 .93 20 18.6 .93 20 400 400 1 27.9 .93 30 29.7 .99 30 36 .6 60 117 1.3 90 21.3 .71 30 2.22 .37 6 3.84 .64 6 22.2 .37 60 400 400 1 Total: 1161.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419023 Min 01419023 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4350 of 6486
Name
NIRANJAN BISWAS Rate Amount Qty 7.5 .25 30 18 .6 30 167.4 5.58 30 21.3 .71 30 400 400 1 Total: 614.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419024 Min 01419024 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 4351 of 6486
Name
PRAJAPATI BISWAS Rate Amount Qty 13.8 .23 60 33 1.1 30 400 400 1 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419025 Min 01419025 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4352 of 6486
Name
ANTARYAMI NAYAK Rate Amount Qty 54 .6 90 55.8 .93 60 13.35 .89 15 43.2 .36 120 167.4 5.58 30 400 400 1 Total: 733.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419026 Min 01419026 Appmt Dt Slno Description 20-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 20-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 20-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4353 of 6486
Name
PRIYAMBADA NAYAK Qty Rate Amount 30 .71 21.3 30 .62 18.6 2 5.21 10.42 1 400 400 Total: 450.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419027 Min 01419027 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19
Page 4354 of 6486
Name
RAKESH KUMAR SHUKLA Rate Amount Qty 34.8 1.16 30 20.84 5.21 4 7.5 .25 30 2.4 .16 15 192.3 6.41 30 60.9 2.03 30 26.7 .89 30 167.4 5.58 30 32.4 1.08 30 12 .4 30 118.5 3.95 30 400 400 1 66.2 6.62 10 400 400 1 Total: 1541.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419028 Min 01419028 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 04-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 6 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 10 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 11 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 26-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 4355 of 6486
Name
PRABHA RANI SHUKLA Rate Amount Qty 34.8 1.16 30 26.7 .89 30 4.8 .16 30 7.5 .25 30 40.12 20.06 2 11.65 2.33 5 60.9 2.03 30 3.7 .37 10 55.8 .93 60 118.5 3.95 30 82.76 165.52 2 11.4 .38 30 400 400 1 70.4 3.52 20 192 9.6 20 400 400 1 Total: 1603.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419035 Min 01419035 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 4356 of 6486
Name
S GANGULY Rate Amount Qty 60.9 2.03 30 8.7 .58 15 8.1 .27 30 66 1.1 60 400 400 1 Total: 543.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419039 Min 01419039 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4357 of 6486
Name
GOUTAM RAY Rate Amount Qty 55.8 .93 60 19.8 .66 30 400 400 1 6.23 .89 7 400 400 1 Total: 881.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419040 Min 01419040 Appmt Dt Slno Description 01-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 11-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4358 of 6486
Name
MALLIKA RAY Qty Rate Amount 30 .58 17.4 1 400 400 30 .71 21.3 1 400 400 Total: 838.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419041 Min 01419041 Appmt Dt Slno Description 11-FEB-19 1 GLICLAZIDE MR,30 MG,,TABLET 11-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 11-FEB-19 3 TENELIGLIPTIN,20MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4359 of 6486
Name
UPASIN BAI Qty Rate Amount 30 .92 27.6 30 1.16 34.8 30 5.58 167.4 1 400 400 Total: 629.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419042 Min 01419042 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4360 of 6486
Name
GOURI SHANKAR RAGHATATE Rate Amount Qty 11.85 .79 15 9 .3 30 54 .6 90 12 .4 30 400 400 1 Total: 486.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419044 Min 01419044 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 14-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 3 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 14-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4361 of 6486
Name
RAMESHAR SINGH Rate Amount Qty 185.7 6.19 30 25.62 12.81 2 13.43 13.43 1 39 2.6 15 11.25 .75 15 7.5 .25 30 11.1 .37 30 13.35 .89 15 400 400 1 Total: 706.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419054 Min 01419054 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 4362 of 6486
Name
SHYAM SINGH Rate Amount Qty 23.7 .79 30 23.1 .77 30 12 .4 30 32.4 1.08 30 33 1.1 30 34.8 1.16 30 400 400 1 Total: 559
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419055 Min 01419055 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 18-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 URIC ACID (UA /URATES /UR) 5 19-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 19-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 8 19-FEB-19 OBSERVATION IN CASUALTY 9 19-FEB-19 RA FACTOR /RH FACTOR 10 19-FEB-19 ASO 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 20-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 14 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 15 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 20-FEB-19
Page 4363 of 6486
Name
URMILA SINGH Rate Amount Qty 10.42 5.21 2 10.22 .73 14 9.59 1.37 7 400 400 1 275 275 1 600 600 1 .16 .16 1 100 100 1 420 420 1 600 600 1 600 600 1 400 400 1 20.1 .67 30 166.8 2.78 60 9.9 .66 15 15 .25 60 78 2.6 30 18.9 .63 30 400 400 1 Total: 4134.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419056 Min 01419056 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 23-FEB-19 UREA (BUN /UR) 2 23-FEB-19 CREATININE /CRT 3 23-FEB-19 URIC ACID (UA /URATES /UR) 4 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 23-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 23-FEB-19 TACROLIMUS,0.5MG,TAB/CAP 9 23-FEB-19 TACROLIMUS,1MG, TAB/CAP 10 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 23-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 13 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 23-FEB-19
Page 4364 of 6486
Name
MANDER GS Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 118.5 3.95 30 276.3 9.21 30 11.21 1681.5 150 18.9 .63 30 11.4 .38 30 31.99 2879.1 90 12 .4 30 Total: 8347.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419058 Min 01419058 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 4365 of 6486
Name
NITYA GOPAL KUNDU Rate Amount Qty 55.8 .93 60 21.3 .71 30 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419059 Min 01419059 Appmt Dt Slno Description 26-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 26-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4366 of 6486
Name
SUMITA KUNDU Qty Rate Amount 30 .23 6.9 30 .71 21.3 30 .63 18.9 1 400 400 Total: 447.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419060 Min 01419060 Slno Description Appmt Dt PHENAZOPYRIDINE HCL,200MG,TABLET 1 03-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 2 03-FEB-19 OBSERVATION IN CASUALTY 3 03-FEB-19 PYRAZINAMIDE,750MG,,TABLET 4 03-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 03-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 03-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 7 03-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 03-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 11 04-FEB-19 URINE ROUTINE AND MICROSCOPIC 12 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 4367 of 6486
Name
BENJAMIN PAUL Rate Amount Qty 51.48 8.58 6 11.89 11.89 1 420 420 1 1.99 1.99 1 21.12 3.52 6 10.08 1.12 9 26.13 8.71 3 3.84 .64 6 24.52 24.52 1 400 400 1 650 650 1 380 380 1 400 400 1 275 275 1 275 275 1 12 .4 30 21.3 .71 30 32.4 1.08 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 3477.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419061 Min 01419061 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4368 of 6486
Name
RENUKA PAUL Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419063 Min 01419063 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 28-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 4369 of 6486
Name
MADHAV RAO Rate Amount Qty 21.3 .71 30 2.4 .16 15 7.5 .25 30 11.4 .38 30 46.8 .78 60 55.8 .93 60 400 400 1 Total: 545.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419064 Min 01419064 Slno Description Appmt Dt CREATININE /CRT 1 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 28-FEB-19 CREATININE /CRT 4 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 28-FEB-19
Page 4370 of 6486
Name
KAMAMMA Qty 1 1 1 1 1 1 1
Rate Amount 275 275 275 275 400 400 275 275 550 550 1300 1300 275 275 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419067 Min 01419067 Appmt Dt Slno Description 06-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 06-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4371 of 6486
Name
SOHAN LAL DUBEY Qty Rate Amount 30 1.16 34.8 30 .4 12 30 1.1 33 1 400 400 Total: 479.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419068 Min 01419068 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 4372 of 6486
Name
PUSHPA DUBEY Rate Amount Qty 6.9 .23 30 55.8 .93 60 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419076 Min 01419076 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 SODIUM VALPROATE,500MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 4373 of 6486
Name
RAJ KUMAR BHALLA Rate Amount Qty 117 1.3 90 47.4 .79 60 21.12 2.64 8 72 .6 120 12.3 .82 15 3.75 .25 15 234 3.9 60 400 400 1 Total: 907.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419077 Min 01419077 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 4374 of 6486
Name
NEERU BHALLA Rate Amount Qty 27.9 .93 30 21.3 .71 30 72 .6 120 167.4 5.58 30 400 400 1 Total: 688.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419080 Min 01419080 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 4375 of 6486
Name
RAM SHARAN CHANDRAKAR Rate Amount Qty 7.5 .25 30 34.8 1.16 30 23.7 .79 30 117 1.3 90 72 .6 120 21.6 .36 60 400 400 1 Total: 676.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419081 Min 01419081 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 4376 of 6486
Name
SAVITRI CHANDRAKAR Rate Amount Qty 16.2 .27 60 66 1.1 60 2.46 .41 6 5.34 .89 6 400 400 1 Total: 490
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419082 Min 01419082 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 12-FEB-19 ECG 2 12-FEB-19 CREATININE /CRT 3 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 4377 of 6486
Name
T VIJAY SHANKAR RAO Rate Amount Qty 1300 1300 1 450 450 1 275 275 1 275 275 1 275 275 1 400 400 1 21.6 .36 60 36 .6 60 27.9 .93 30 33 1.1 30 12 .4 30 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 3694.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419094 Min 01419094 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 26-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 26-FEB-19 SERUM FERRITIN 4 26-FEB-19 COMPLETE HAEMOGRAM 5 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 26-FEB-19 URIC ACID (UA /URATES /UR) 8 26-FEB-19 UREA (BUN /UR) 9 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 14 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 26-FEB-19
Page 4378 of 6486
Name
SMT SHANTI DWIVEDI Rate Amount Qty 74.4 .62 120 3.7 .37 10 57.84 57.84 1 800 800 1 750 750 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 27.9 .93 30 7.5 .25 30 34.8 1.16 30 6.4 .64 10 Total: 5889.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419095 Min 01419095 Slno Description Appmt Dt PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 1 05-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 HB,TLC,DLC 4 05-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 5 05-FEB-19 PLATELET COUNT 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 UREA (BUN /UR) 8 05-FEB-19 CREATININE /CRT 9 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 05-FEB-19 SERUM COPPER (CU++) 11 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 13 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 16 07-FEB-19
Page 4379 of 6486
Name
A K MISHRA Rate Amount Qty 275 275 1 1750 1750 1 400 400 1 300 300 1 330 330 1 330 330 1 275 275 1 275 275 1 275 275 1 550 550 1 500 500 1 1300 1300 1 1300 1300 1 60.9 2.03 30 400 400 1 1610 1610 1 Total: 9930.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419097 Min 01419097 Appmt Dt Slno Description 26-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 26-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4380 of 6486
Name
PRAHLAD SINGH Qty Rate Amount 30 .27 8.1 30 .93 27.9 30 .71 21.3 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419098 Min 01419098 Appmt Dt Slno Description 16-FEB-19 1 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 16-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4381 of 6486
Name
PUSHPA THAKUR Qty 8 8 4 1
Rate Amount .38 3.04 .64 5.12 .37 1.48 400 400 Total: 409.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419103 Min 01419103 Appmt Dt Slno Description 21-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 21-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21-FEB-19 3 FUROSEMIDE,40MG,STRIP PACK,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4382 of 6486
Name
LOKCHAND KASHYAP Qty Rate Amount 60 .79 47.4 30 .27 8.1 15 .51 7.65 1 400 400 Total: 463.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419105 Min 01419105 Slno Description Appmt Dt CREATININE /CRT 1 08-FEB-19 UREA (BUN /UR) 2 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 URIC ACID (UA /URATES /UR) 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 4383 of 6486
Name
N K SURESH Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 275 275 1 400 400 1 275 275 1 13.95 .93 15 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 3308.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419106 Min 01419106 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4384 of 6486
Name
SHAILAJA SURESH Rate Amount Qty 7.5 .25 30 18.6 .62 30 21.3 .71 30 18 .6 30 167.4 5.58 30 400 400 1 Total: 632.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419107 Min 01419107 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 08-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 10 08-FEB-19
Page 4385 of 6486
Name
BHAGWANDEEN Rate Amount Qty 400 400 1 34.8 1.16 30 64.8 1.08 60 9.6 .16 60 237 3.95 60 24 .4 60 94.8 .79 120 36 .6 60 12.8 .64 20 158.4 2.64 60 Total: 1072.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419113 Min 01419113 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 11-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 4386 of 6486
Name
BASANT KUMAR NANDESHWAR Rate Amount Qty 5.7 .38 15 37.8 .63 60 123.53 123.53 1 55.8 .93 60 6.9 .23 30 17.4 1.16 15 400 400 1 Total: 647.13
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419114 Min 01419114 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 26-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 26-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 7 27-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 27-FEB-19 RACECADOTRIL,100MG,CAPSULE 10 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 27-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 12 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 4387 of 6486
PRATIBHA NANDESHWAR Rate Amount Qty 1.9 .38 5 4.62 .77 6 15.73 15.73 1 3.84 .64 6 1.85 .37 5 400 400 1 34.84 8.71 4 35.2 3.52 10 16.8 1.12 15 53.73 5.97 9 8.9 .89 10 4.2 .7 6 3.84 .64 6 400 400 1 Total: 985.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419116 Min 01419116 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 25-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4388 of 6486
Name
SMT SANTI DEVI Rate Amount Qty 6.9 .23 30 400 400 1 54 .9 60 26.7 .89 30 100.71 100.71 1 104.4 1.74 60 400 400 1 Total: 1092.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419119 Min 01419119 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 25-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4389 of 6486
Name
DWARKA LAL Rate Amount Qty 6.82 6.82 1 6.4 .64 10 400 400 1 4.8 .16 30 7.65 .51 15 34.8 1.16 30 167.4 5.58 30 11.85 .79 15 32.4 1.08 30 23.1 .77 30 7.5 .25 30 400 400 1 Total: 1102.72
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419120 Min 01419120 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 4390 of 6486
SMT.SIYAPATI Qty 1 1 1
Rate Amount 16.81 16.81 25.07 25.07 400 400 Total: 441.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419123 Min 01419123 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 22-FEB-19 ECG 5 26-FEB-19 OBSERVATION IN CASUALTY 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 27-FEB-19
Page 4391 of 6486
Name
CHANDRA KANTA SHAIKH Rate Amount Qty 27.9 .93 30 21.3 .71 30 66 1.1 60 400 400 1 450 450 1 420 420 1 .16 .16 1 1.5 .25 6 2.52 .42 6 5.34 .89 6 Total: 1394.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419124 Min 01419124 Appmt Dt Slno Description 22-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 22-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4392 of 6486
Name
M.D. MURTUZA Qty Rate Amount 15 .93 13.95 30 .63 18.9 30 1.1 33 1 400 400 Total: 465.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419126 Min 01419126 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4393 of 6486
Name
MAYA BISWAS Rate Amount Qty 2.4 .16 15 7.5 .25 30 17.8 .89 20 185.7 6.19 30 6.4 .64 10 400 400 1 Total: 619.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419131 Min 01419131 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 4394 of 6486
Name
PURSHOTTAM KUMAR Rate Amount Qty 27.9 .93 30 27.9 .93 30 400 400 1 Total: 455.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419133 Min 01419133 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4395 of 6486
Name
VIJAY KUMAR JAIN Rate Amount Qty 33 1.1 30 19.8 .66 30 69.6 1.16 60 32.4 1.08 30 24 .4 60 11.85 .79 15 400 400 1 Total: 590.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419134 Min 01419134 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4396 of 6486
Name
SAROJ JAIN Rate Amount Qty 26.7 .89 30 167.4 5.58 30 9 .3 30 36 .6 60 4.8 .16 30 39 1.3 30 13.95 .93 15 21.3 .71 30 18.6 .62 30 400 400 1 Total: 736.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419145 Min 01419145 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 4397 of 6486
Name
NIRMALENDU MALAKAR Rate Amount Qty 18.9 .63 30 21.3 .71 30 12 .4 30 42.6 .71 60 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419147 Min 01419147 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 4398 of 6486
Name
KAMAL NARAYAN SAHU Rate Amount Qty 32.4 1.08 30 21.3 .71 30 55.8 .93 60 36.3 1.21 30 8.1 .27 30 4.1 .41 10 400 400 1 Total: 558
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419151 Min 01419151 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4399 of 6486
Name
A K SAXENA Rate Amount Qty 55.8 .93 60 7.5 .25 30 18 .6 30 21.3 .71 30 400 400 1 Total: 502.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419152 Min 01419152 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 20-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 4400 of 6486
Name
POONAM SAXENA Rate Amount Qty 27.9 .93 30 400 400 1 104.4 1.74 60 100.71 100.71 1 400 400 1 Total: 1033.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419154 Min 01419154 Name Appmt Dt Slno Description 01-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4401 of 6486
MAMTA SHRIVASTAVA Qty Rate Amount 1 25.07 25.07 1 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419155 Min 01419155 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 4402 of 6486
Name
ASIT KUMAR GHOSH Rate Amount Qty 3.56 .89 4 13.95 .93 15 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 496.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419161 Min 01419161 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4403 of 6486
Name
BHARATLAL DESHMUKH Rate Amount Qty 12.15 12.15 1 12.6 .9 14 7.56 .18 42 400 400 1 108 .6 180 1.48 .37 4 117 1.3 90 167.4 5.58 30 7.5 .25 30 60.9 2.03 30 43.2 .36 120 400 400 1 Total: 1337.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419163 Min 01419163 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 4404 of 6486
Name
RP GUPTA Rate Amount Qty 9 .3 30 8.9 .89 10 185.7 6.19 30 7.5 .25 30 18 .6 30 400 400 1 Total: 629.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419164 Min 01419164 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 4405 of 6486
Name
SMT.KISHORI GUPTA Rate Amount Qty 1.85 .37 5 6.4 .64 10 26.6 2.66 10 7.5 .25 30 17.4 .58 30 8.1 .27 30 400 400 1 Total: 467.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419165 Min 01419165 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4406 of 6486
Name
NARAYAN LAL SONBOER Rate Amount Qty 5.34 .89 6 .75 .25 3 400 400 1 47.4 .79 60 400 400 1 Total: 853.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419171 Min 01419171 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 15 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 19 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 4407 of 6486
Name
ASHOK KUMAR KHANZODE Rate Amount Qty 117 1.3 90 21.6 .36 60 7.5 .25 30 167.4 5.58 30 12 .4 30 23.7 .79 30 32.4 1.08 30 46.2 .77 60 34.8 1.16 30 33 1.1 30 400 400 1 7.5 .25 30 34.8 1.16 30 33 1.1 30 23.7 .79 30 12 .4 30 167.4 5.58 30 32.4 1.08 30 117 1.3 90 21.6 .36 60 400 400 1 Total: 1745
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419176 Min 01419176 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 08-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 08-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4408 of 6486
ANJANA GHOSH Qty 1 2 1 8 1 1 1
Rate Amount 400 400 31.46 15.73 12.81 12.81 26.96 3.37 31.61 31.61 63.58 63.58 400 400 Total: 966.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419183 Min 01419183 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 4409 of 6486
Name
MAKHANLAL Rate Amount Qty 10.8 .36 30 54 .6 90 55.8 .93 60 8.1 .27 30 21.3 .71 30 400 400 1 Total: 550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419185 Min 01419185 Appmt Dt Slno Description 06-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 06-FEB-19 2 SUTURE REMOVAL
Page 4410 of 6486
Name
GULAL SINGH KATINGAL Qty Rate Amount 1 400 400 1 490 490 890 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419187 Min 01419187 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 4411 of 6486
Name
AJAY KANT BHATT Rate Amount Qty 10.8 .36 30 27.9 .93 30 10.65 .71 15 .96 .16 6 400 400 1 Total: 450.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419190 Min 01419190 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4412 of 6486
Name
TULURANI ROY Rate Amount Qty 17.8 .89 20 9.33 130.62 14 400 400 1 Total: 548.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419192 Min 01419192 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4413 of 6486
Name
SAVITRI SAHU Rate Amount Qty 26.7 .89 30 12 .4 30 66 1.1 60 14.85 .99 15 30 .6 50 21.6 .36 60 22.2 .37 60 55.8 .93 60 400 400 1 Total: 649.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419193 Min 01419193 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 4414 of 6486
Name
SHAILENDRA KUMAR DAS Rate Amount Qty 26.7 .89 30 355.5 3.95 90 12 .4 30 34.8 1.16 30 400 400 1 Total: 829
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419194 Min 01419194 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 02-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19
Page 4415 of 6486
GLORY DAS Rate Amount Qty 3.7 .37 10 6.4 .64 10 4.1 .41 10 55.2 1.84 30 26 2.6 10 21.3 .71 30 78 1.3 60 72 .6 120 43.2 .36 120 31.46 15.73 2 400 400 1 Total: 741.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419195 Min 01419195 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 26-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4416 of 6486
Name
M L CHOUDHARY Rate Amount Qty 12 .4 30 41.85 .93 45 36 .6 60 34.8 1.16 30 32.4 1.08 30 19.8 .66 30 60.9 2.03 30 26.7 .89 30 123.53 247.06 2 400 400 1 Total: 911.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419200 Min 01419200 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 4417 of 6486
Name
VIRENDRA SINGH VINOD Rate Amount Qty 19.72 9.86 2 37.8 .63 60 53.4 .89 60 21.3 .71 30 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 785.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419201 Min 01419201 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 23-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 4418 of 6486
Name
SMT.ASHA VINOD Rate Amount Qty 166.5 1.85 90 158.4 2.64 60 400 400 1 Total: 724.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419202 Min 01419202 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 4419 of 6486
Name
NARESH KUMAR CHOUBEY Rate Amount Qty 3.08 .77 4 2.56 .64 4 22.08 1.84 12 400 400 1 18 .6 30 400 400 1 Total: 845.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419207 Min 01419207 Appmt Dt Slno Description 25-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 25-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4420 of 6486
Name
VIJAY LAXMI Qty Rate Amount 6 .64 3.84 5 .37 1.85 30 .27 8.1 1 400 400 Total: 413.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419208 Min 01419208 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 4421 of 6486
Name
ABINASH BARMAN Rate Amount Qty 32.4 1.08 30 33 1.1 30 21.3 .71 30 55.8 .93 60 8.1 .27 30 26.7 .89 30 4.8 .16 30 400 400 1 Total: 582.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419211 Min 01419211 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 4422 of 6486
Name
BASANTI SHARMA Rate Amount Qty 27.9 .93 30 8.1 .27 30 21.3 .71 30 18 .6 30 400 400 1 Total: 475.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419215 Min 01419215 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 4423 of 6486
Name
ABHA SINHA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 13.7 1.37 10 400 400 1 21.3 .71 30 400 400 1 Total: 1028.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419223 Min 01419223 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 05-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4424 of 6486
Name
GEETA BAI TEKAM Rate Amount Qty 39.6 2.64 15 36.75 2.45 15 400 400 1 Total: 476.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419226 Min 01419226 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 10-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 10-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 6 10-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 10-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 8 10-FEB-19 ECG 9 10-FEB-19 OBSERVATION IN CASUALTY 10 10-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 11 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 18 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 18-FEB-19 RIFAXIMIN 200 MG,,TABLET 20 18-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 23 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 19-FEB-19 C T HEAD PLAIN 26 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 20-FEB-19
Page 4425 of 6486
Name
BABULAL PATEL Rate Amount Qty 46.8 .78 60 15 .25 60 400 400 1 24.52 24.52 1 9.81 9.81 1 23.39 23.39 1 3.52 3.52 1 11.89 11.89 1 450 450 1 420 420 1 1.4 .7 2 7.12 .89 8 52.96 6.62 8 13.44 1.12 12 400 400 1 7.5 .25 30 19.2 .64 30 21.3 .71 30 26.7 .89 30 186.6 9.33 20 7 .7 10 400 400 1 46.8 .78 60 15 .25 60 400 400 1 5250 5250 1 400 400 1 Total: 8659.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419227 Min 01419227 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 15-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 4426 of 6486
Name
BIMLA BAI PATEL Rate Amount Qty 33.12 1.84 18 3.84 .64 6 3.56 .89 4 400 400 1 74.08 37.04 2 400 400 1 17.8 .89 20 8.2 .41 20 400 400 1 Total: 1340.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419228 Min 01419228 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 4427 of 6486
Name
PREM RAJ Rate Amount Qty 34.8 1.16 30 400 400 1 12 .4 30 34.8 1.16 30 32.4 1.08 30 66 1.1 60 7.8 .26 30 400 400 1 Total: 987.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419229 Min 01419229 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 5 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 27-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 27-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 4428 of 6486
MOUHR SHRI Rate Amount Qty 12 .4 30 34.8 1.16 30 167.4 5.58 30 72 .6 120 19.77 19.77 1 47.4 .79 60 118.5 3.95 30 211.8 3.53 60 29.7 .99 30 7.5 .25 30 156 1.3 120 25.07 25.07 1 400 400 1 Total: 1301.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419230 Min 01419230 Appmt Dt Slno Description 18-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18-FEB-19 2 TABLET/CAPSULE FLUCONAZOLE, 150MG 18-FEB-19 3 CREAM,CLOTRIMAZOLE,1%,15-20GM 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4429 of 6486
Name
CHINTA GAURANGA Qty Rate Amount 20 .37 7.4 8 3.37 26.96 1 9.86 9.86 1 400 400 Total: 444.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419232 Min 01419232 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 4430 of 6486
Name
ISHWARI LAL VERMA Rate Amount Qty 54 .6 90 12 .4 30 21.3 .71 30 10.8 .36 30 400 400 1 Total: 498.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419242 Min 01419242 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4431 of 6486
Name
DAURAM Rate Amount Qty 13.95 .93 15 78 1.3 60 36 .6 60 21.6 .36 60 400 400 1 Total: 549.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419243 Min 01419243 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4432 of 6486
Name
MANDRIKA PRASAD Rate Amount Qty 26.7 .89 30 211.8 7.06 30 400 400 1 26.7 .89 30 66.2 6.62 10 54 .9 60 16.2 .18 90 400 400 1 Total: 1201.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419244 Min 01419244 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 02-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 4 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 02-FEB-19 PLATELET COUNT 7 02-FEB-19 PARASITES (MP /MF) 8 02-FEB-19 HB,TLC,DLC 9 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 14 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 DRESSING SIMPLE 17 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 08-FEB-19 DRESSING SIMPLE 19 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 25 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 26 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 27 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 28 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 19-FEB-19 DRESSING SIMPLE 31 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 32 26-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 33 27-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 34 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 35 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 37 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 27-FEB-19
Page 4433 of 6486
Name
RAJ KUMARI DEVI Rate Amount Qty 19.72 9.86 2 26.96 3.37 8 7.4 .37 20 650 650 1 275 275 1 275 275 1 330 330 1 165 165 1 300 300 1 400 400 1 9.6 .64 15 3.8 .38 10 4.45 .89 5 10.95 .73 15 66.2 6.62 10 400 400 1 1500 300 5 400 400 1 2100 300 7 400 400 1 27.9 .93 30 18 .6 30 21.3 .71 30 400 400 1 66.2 6.62 10 6.4 .64 10 10.95 .73 15 3.8 .38 10 400 400 1 400 400 1 2100 300 7 400 400 1 6.54 2.18 3 26.13 8.71 3 20.06 20.06 1 5.34 .89 6 10.08 1.12 9 400 400 1 Total: 11666.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419245 Min 01419245 Appmt Dt Slno Description 18-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4434 of 6486
Name
LOKESHWAR PD VERMA Qty Rate Amount 30 .99 29.7 60 .27 16.2 60 .93 55.8 1 400 400 Total: 501.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419246 Min 01419246 Appmt Dt Slno Description 15-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4435 of 6486
Name
USHA BAI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419253 Min 01419253 Appmt Dt Slno Description 25-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 25-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 25-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4436 of 6486
Name
BABY SHARDA PAKHALE Qty Rate Amount 60 .6 36 30 .36 10.8 30 .25 7.5 1 400 400 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419258 Min 01419258 Appmt Dt Slno Description 28-FEB-19 1 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4437 of 6486
Name
MOHAR DAS Qty Rate Amount 15 .82 12.3 1 400 400 412.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419260 Min 01419260 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 22-FEB-19
Page 4438 of 6486
Name
D.K.RAMTEKE Rate Amount Qty 400 400 1 16.2 .27 60 55.8 .93 60 400 400 1 19.72 9.86 2 Total: 891.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419261 Min 01419261 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 05-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 22-FEB-19
Page 4439 of 6486
Name
SMT. SINDHU RAMTEKE Rate Amount Qty 400 400 1 55.8 .93 60 55.2 .92 60 72 .6 120 40.2 .67 60 22.8 .38 60 22.8 .38 60 51.68 3.23 16 53.4 .89 60 122.8 6.14 20 400 400 1 60.18 20.06 3 Total: 1356.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419263 Min 01419263 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 SUTURE REMOVAL 8 05-FEB-19
Page 4440 of 6486
Name
SHIKHAR CHAND JAIN Rate Amount Qty 7.7 .77 10 1.85 .37 5 17 1.7 10 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 490 490 1 Total: 1569.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419270 Min 01419270 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 4441 of 6486
Name
DKV MANKODI Rate Amount Qty 13.95 .93 15 32.4 1.08 30 12 .4 30 34.8 1.16 30 26.7 .89 30 7.5 .25 30 60.9 2.03 30 400 400 1 Total: 588.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419274 Min 01419274 Appmt Dt Slno Description 04-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 04-FEB-19 2 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 04-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4442 of 6486
Name
ANURADHA MOITRA Qty Rate Amount 7 .37 2.59 14 3.52 49.28 14 .64 8.96 1 400 400 Total: 460.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419277 Min 01419277 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 4443 of 6486
Name
TAMER DR SK Rate Amount Qty 16.2 .27 60 12 .4 30 55.8 .93 60 72 .6 120 400 400 1 Total: 556
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419278 Min 01419278 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 X - RAY - TWO VIEWS 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 4444 of 6486
Name
UJWAL TAMER Rate Amount Qty 400 400 1 860 860 1 53.4 .89 60 55.8 .93 60 72 .6 120 12 .4 30 16.2 .27 60 40.12 20.06 2 400 400 1 Total: 1909.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419284 Min 01419284 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4445 of 6486
Name
KIRAN SINHA Rate Amount Qty 27.9 .93 30 21.3 .71 30 36 .6 60 10.8 .36 30 400 400 1 Total: 496
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419285 Min 01419285 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 4446 of 6486
Name
S K SINHA Rate Amount Qty 403.2 13.44 30 192.3 6.41 30 60.9 2.03 30 157.8 2.63 60 9.3 .62 15 38.25 2.55 15 69.6 1.16 60 24 .4 60 16.2 .27 60 27.9 .93 30 400 400 1 Total: 1399.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419286 Min 01419286 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 9 09-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 10 09-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 11 09-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19
Page 4447 of 6486
Name
GOURISHANKAR MISHRA Rate Amount Qty 36 .6 60 117 1.3 90 9 .3 30 55.8 .93 60 8.1 .27 30 32.4 1.08 30 34.8 1.16 30 400 400 1 2.85 128.25 45 353.4 5.89 60 106.8 3.56 30 19.8 .66 30 400 400 1 Total: 1701.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419287 Min 01419287 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 4448 of 6486
Name
SMT KALYANI MISHRA Rate Amount Qty 9.3 .62 15 21.3 .71 30 4.8 .16 30 26.7 .89 30 400 400 1 Total: 462.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419289 Min 01419289 Appmt Dt Slno Description 14-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4449 of 6486
Name
PADMAWATI DONGRE Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419290 Min 01419290 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 4450 of 6486
Name
SAHEB LAL RATHORE Rate Amount Qty 18.9 .63 30 26.7 .89 30 21.3 .71 30 31.2 1.04 30 8.1 .27 30 76.5 2.55 30 55.8 .93 60 400 400 1 Total: 638.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419292 Min 01419292 Slno Description Appmt Dt ALBENDAZOLE,STRIP PKT,400MG,TABLET 1 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4451 of 6486
Name
BHAW SINGH SONWANI Rate Amount Qty 2.33 2.33 1 9.33 130.62 14 400 400 1 32.4 1.08 30 18 .6 30 66 1.1 60 55.8 .93 60 400 400 1 Total: 1105.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419293 Min 01419293 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4452 of 6486
Name
SMT. KAMLA SONWANI Rate Amount Qty 27.9 .93 30 400 400 1 21.3 .71 30 27.9 .93 30 167.4 5.58 30 117 1.3 90 72 .6 120 400 400 1 Total: 1233.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419296 Min 01419296 Appmt Dt Slno Description 15-FEB-19 1 SOLIFENACIN,5MG,,TABLET 15-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 3 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4453 of 6486
Name
OMANA KUTTY AMMA Qty Rate Amount 30 13.44 403.2 60 .89 53.4 3 43.96 131.88 1 400 400 Total: 988.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419300 Min 01419300 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 4454 of 6486
Name
M.SUDHA RANI Rate Amount Qty 54 .6 90 21.3 .71 30 32.4 1.08 30 11.4 .38 30 27.9 .93 30 400 400 1 Total: 547
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419301 Min 01419301 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 14-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 4455 of 6486
Name
GANGA DEVI Rate Amount Qty 4.1 .41 10 12 .4 30 122.8 6.14 20 8.1 .27 30 14.85 .99 15 21.3 .71 30 12 .4 30 55.8 .93 60 15.6 .26 60 400 400 1 Total: 666.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419302 Min 01419302 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 11 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 4456 of 6486
Name
ASHOK KUMAR Rate Amount Qty 71 .71 100 15 .25 60 400 400 1 6.4 .64 10 4.1 .41 10 4.45 .89 5 55.2 1.84 30 400 400 1 4.45 .89 5 6.4 .64 10 4.1 .41 10 55.2 1.84 30 400 400 1 Total: 1426.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419316 Min 01419316 Appmt Dt Slno Description 19-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4457 of 6486
Name
MOHANLAL Qty Rate Amount 30 .4 12 1 400 400 412 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419325 Min 01419325 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 4458 of 6486
Name
CHRISTINA Rate Amount Qty 27.9 .93 30 6.9 .23 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419326 Min 01419326 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4459 of 6486
Name
LAXMAN PRASAD Rate Amount Qty 78 1.3 60 72 .6 120 27.9 .93 30 32.4 .36 90 167.4 5.58 30 400 400 1 Total: 777.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419330 Min 01419330 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 3 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 4 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4460 of 6486
Name
RAMAWADH YADAV Rate Amount Qty 26.55 26.55 1 400 400 1 19.77 19.77 1 6.42 2.14 3 44.16 1.84 24 24.45 24.45 1 400 400 1 Total: 921.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419331 Min 01419331 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 4461 of 6486
Name
KARMA DEVI Rate Amount Qty 33 1.1 30 23.1 .77 30 39 1.3 30 36 .6 60 41.85 .93 45 400 400 1 Total: 572.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419334 Min 01419334 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 04-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 3 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 04-FEB-19 SILDENAFIL,25 MG,,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 4462 of 6486
Name
SMT.HARKEET KAUR Rate Amount Qty 7.8 .26 30 27.9 .93 30 18.88 1.18 16 21.3 .71 30 32.4 1.08 30 73.8 .82 90 36 .6 60 27.6 .92 30 23.7 .79 30 79.2 2.64 30 400 400 1 Total: 748.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419339 Min 01419339 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 4463 of 6486
Name
KANTA DEVI Rate Amount Qty 29.7 .99 30 66 1.1 60 21.3 .71 30 16.2 .27 60 31.9 3.19 10 8.9 .89 10 4.1 .41 10 400 400 1 27.4 1.37 20 8.9 .89 10 185.7 6.19 30 400 400 1 Total: 1200.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419346 Min 01419346 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 4464 of 6486
Name
SATYA GOPAL MANDAL Rate Amount Qty 55.8 .93 60 23.1 .77 30 12 .4 30 32.4 1.08 30 3.75 .25 15 36 .6 60 10.8 .36 30 13.8 .23 60 400 400 1 Total: 587.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419349 Min 01419349 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 4465 of 6486
Name
ASHA JAIN Rate Amount Qty 34.8 1.16 30 6.9 .23 30 3.75 .25 15 29.7 .99 30 32.4 1.08 30 27.9 .93 30 27.9 .62 45 33 1.1 30 400 400 1 Total: 596.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419350 Min 01419350 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4466 of 6486
Name
SAWDHAN TOPPO Rate Amount Qty 82.8 .92 90 26.7 .89 30 117 1.3 90 167.4 5.58 30 32.4 1.08 30 23.7 .79 30 72 .6 120 7.5 .25 30 34.8 1.16 30 400 400 1 Total: 964.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419358 Min 01419358 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 4467 of 6486
Name
MOHAN LAL BHALAVI Rate Amount Qty 12 .4 30 33 1.1 30 13.8 .23 60 55.8 .93 60 36 .6 60 27.6 .92 30 34.8 1.16 30 400 400 1 Total: 613
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419359 Min 01419359 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4468 of 6486
Name
SMT. NEETA BHALAVI Rate Amount Qty 36 .6 60 7.5 .25 30 39 1.3 30 27.9 .93 30 12 .4 30 400 400 1 Total: 522.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419360 Min 01419360 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 4469 of 6486
Name
RAJENDRA KUMAR KABALIA Rate Amount Qty 32.4 1.08 30 15 .25 60 33 1.1 30 34.8 1.16 30 46.2 .77 60 18.6 .62 30 12 .4 30 400 400 1 Total: 592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419363 Min 01419363 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 PRAZOSIN,2.5MG,TABLET 3 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4470 of 6486
Name
VRINDA DWIVEDI Rate Amount Qty 33 1.1 30 55.8 .93 60 78 1.3 60 211.8 3.53 60 400 400 1 Total: 778.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419364 Min 01419364 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 03-FEB-19 OBSERVATION IN CASUALTY 2 03-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 3 03-FEB-19 DIAZEPAM,10MG/2ML,INJECTION 4 03-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 4471 of 6486
Name
S.P.SAHU Rate Amount Qty .89 .89 1 420 420 1 5.77 5.77 1 13.45 13.45 1 39.6 2.64 15 44.66 3.19 14 18.2 2.6 7 400 400 1 27.9 .93 30 26.7 .89 30 60.9 2.03 30 400 400 1 29.2 .73 40 17.8 .89 20 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 2558.27
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419365 Min 01419365 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 4472 of 6486
SMT. BRINDA BAI SAHU Rate Amount Qty 34.8 1.16 30 55.8 .93 60 21.3 .71 30 12 .4 30 400 400 1 25.07 25.07 1 400 400 1 12.15 12.15 1 1.85 .37 5 9 .9 10 66.2 6.62 10 400 400 1 Total: 1438.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419369 Min 01419369 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4473 of 6486
Name
SMT.KHOL BAHARIN Rate Amount Qty 66 1.1 60 34.8 1.16 30 32.4 1.08 30 16.2 .27 60 400 400 1 4.45 .89 5 12.15 12.15 1 1.85 .37 5 9 .9 10 400 400 1 Total: 976.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419375 Min 01419375 Appmt Dt Slno Description 16-FEB-19 1 OINTMENT,LIDOCAINE,3%,15GM 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4474 of 6486
Name
SMT.USHA KIRAN NAMDEO Qty Rate Amount 2 82.76 165.52 1 400 400 565.52 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419379 Min 01419379 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 18-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4475 of 6486
Name
JAGDISH PRASAD Rate Amount Qty 7.65 .51 15 32.4 1.08 30 6.9 .23 30 23.1 .77 30 400 400 1 63.8 3.19 20 26 2.6 10 7.5 .25 30 11.4 .38 30 400 400 1 Total: 978.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419380 Min 01419380 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4476 of 6486
Name
SAROJANI BAI Rate Amount Qty 33 1.1 30 8.7 .58 15 21.3 .71 30 6.9 .23 30 400 400 1 Total: 469.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419387 Min 01419387 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 28-FEB-19
Page 4477 of 6486
Name
S C SINGORE Qty 6 1 3 1 3
Rate Amount 21.12 3.52 6.82 6.82 1.92 .64 400 400 1.11 .37 Total: 430.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419401 Min 01419401 Appmt Dt Slno Description 01-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4478 of 6486
Name
SURESH RAM Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419402 Min 01419402 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 OBSERVATION IN CASUALTY 5 03-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 03-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 8 03-FEB-19 ECG 9 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 20 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 21 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 22-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 23 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 27-FEB-19 X - RAY - SINGLE VIEW 27 27-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 28 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 28-FEB-19 BUDESONIDE,200MCG,CAPSULE 30 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 28-FEB-19
Page 4479 of 6486
Name
SHANTI DEVI Rate Amount Qty 26.7 .89 30 156.6 1.74 90 6.4 .64 10 400 400 1 420 420 1 600 600 1 24.52 24.52 1 9.62 9.62 1 450 450 1 5.34 .89 6 7.8 2.6 3 15.6 .26 60 27.9 .93 30 12 .4 30 34.8 1.16 30 400 400 1 15.6 .26 60 1.85 .37 5 12 .4 30 4.2 .7 6 15.6 1.04 15 21.3 .71 30 22 4.4 5 4.45 .89 5 400 400 1 400 400 1 550 550 1 15.6 .26 60 26.7 .89 30 156.6 1.74 90 400 400 1 Total: 4643.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419403 Min 01419403 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 X - RAY - SINGLE VIEW 7 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 04-FEB-19
Page 4480 of 6486
Name
ALICE JOSE Rate Amount Qty 21.3 .71 30 32.4 1.08 30 400 400 1 7.5 .25 30 26.7 .89 30 2.4 .16 15 550 550 1 16.2 .27 60 Total: 1056.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419404 Min 01419404 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 22-FEB-19 SOLIFENACIN,5MG,,TABLET 8 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 19 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 22 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 25 26-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 26 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 26-FEB-19
Page 4481 of 6486
M.S. SAHU Rate Amount Qty 15.73 15.73 1 16.2 .18 90 12.15 12.15 1 400 400 1 21.3 .71 30 9.3 .62 15 60.9 2.03 30 403.2 13.44 30 192.3 6.41 30 8.1 .27 30 27.9 .93 30 36 .6 60 26.7 .89 30 43.96 131.88 3 6.4 .64 10 21.6 .36 60 36 .6 60 27.9 .93 30 6.9 .23 30 21.3 .71 30 400 400 1 20.06 20.06 1 8.9 .89 10 400 400 1 1.28 .16 8 24.6 .82 30 400 400 1 Total: 2736.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419405 Min 01419405 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 CREAM,ACICLOVIR,5%,5GM/TUBE 5 18-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 18-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 7 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 18-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19
Page 4482 of 6486
SAVITRI SAHU Rate Amount Qty 12.15 12.15 1 26.6 2.66 10 15.73 15.73 1 400 400 1 35.63 35.63 1 26.96 3.37 8 63.58 63.58 1 6.4 .64 10 35.2 3.52 10 127.5 12.75 10 400 400 1 21.3 .71 30 11.85 .79 15 4.08 .51 8 400 400 1 Total: 1586.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419406 Min 01419406 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 20-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4483 of 6486
Name
GAJANAND CHANDRAKAR Rate Amount Qty 18 .6 30 18.6 .62 30 23.7 .79 30 60.9 2.03 30 34.8 1.16 30 400 400 1 43.96 43.96 1 13.86 .99 14 400 400 1 Total: 1013.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419407 Min 01419407 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 4484 of 6486
Name
TRIVENI CHANDRAKAR Rate Amount Qty 42.6 .71 60 27.9 .93 30 21.3 .71 30 11.6 1.16 10 400 400 1 Total: 503.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419409 Min 01419409 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4485 of 6486
Name
ASHOK KUMAR Rate Amount Qty 400 400 1 275 275 1 1300 1300 1 275 275 1 8.1 .27 30 27.9 .93 30 17.8 .89 20 34.8 1.16 30 36 .6 60 400 400 1 Total: 2774.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419410 Min 01419410 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4486 of 6486
Name
USHA KIRAN Rate Amount Qty 8.1 .27 30 41.4 .92 45 36 .6 60 27.9 .93 30 7.5 .25 30 14.85 .99 15 21.3 .71 30 26.7 .89 30 400 400 1 Total: 583.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419420 Min 01419420 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4487 of 6486
Name
DL SONI Rate Amount Qty 4.8 .16 30 26.7 .89 30 31.2 1.04 30 192.3 6.41 30 21.3 .71 30 12 .6 20 12 .4 30 32.4 1.08 30 27.9 .93 30 8.1 .27 30 60.9 2.03 30 400 400 1 Total: 829.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419421 Min 01419421 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 26-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4488 of 6486
Name
KANTA SONI Rate Amount Qty 7.5 .25 30 123.53 123.53 1 7.7 .77 10 31.2 1.04 30 87.92 43.96 2 40.12 20.06 2 16.2 .27 60 23.7 .79 30 55.8 .93 60 400 400 1 Total: 793.67
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419425 Min 01419425 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4489 of 6486
SHRADHA PRADHAN Rate Amount Qty 27.9 .93 30 26 2.6 10 19.72 9.86 2 82.76 82.76 1 26.7 .89 30 9.6 .64 15 31.46 15.73 2 400 400 1 Total: 624.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419428 Min 01419428 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 4490 of 6486
Name
KIRAN SHRIVASTAVA Rate Amount Qty 23.1 .77 30 7.5 .25 30 8.1 .27 30 47.4 .79 60 400 400 1 Total: 486.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419430 Min 01419430 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4491 of 6486
Name
PHILMON TOPPO Rate Amount Qty 8.1 .27 30 55.8 .93 60 21.3 .71 30 17.4 .58 30 12 .4 30 400 400 1 Total: 514.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419434 Min 01419434 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 21-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 4492 of 6486
Name
M TITUS Rate Amount Qty 13.95 .93 15 60.9 2.03 30 23.1 .77 30 17.4 1.16 15 12 .4 30 32.4 1.08 30 400 400 1 32.4 1.08 30 12 .4 30 21.3 .71 30 23.1 .77 30 192.3 6.41 30 13.95 .93 15 400 400 1 Total: 1254.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419435 Min 01419435 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 4493 of 6486
Name
VINEETA Rate Amount Qty 66 1.1 60 2.4 .16 15 27.9 .93 30 32.4 .36 90 72 .6 120 26 2.6 10 3.75 .25 15 400 400 1 72 .6 120 27.9 .93 30 66 1.1 60 .8 .16 5 3.75 .25 15 32.4 .36 90 400 400 1 Total: 1233.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419436 Min 01419436 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 4494 of 6486
Name
RATAN KUMAR DHAMDE Rate Amount Qty 39 1.3 30 2.28 .38 6 1.85 .37 5 3.84 .64 6 60.9 2.03 30 21.3 .71 30 27.9 .93 30 167.4 5.58 30 36 .6 60 55.2 .92 60 400 400 1 Total: 815.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419437 Min 01419437 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4495 of 6486
Name
SHYAM KUWAR BAI Rate Amount Qty 167.4 5.58 30 21.3 .71 30 36 .6 60 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 Total: 632.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419439 Min 01419439 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 4496 of 6486
Name
KRISHN KUMAR DIXIT Rate Amount Qty 87.92 43.96 2 19.8 .66 30 22.2 .37 60 53.4 .89 60 6.4 .64 10 1.85 .37 5 400 400 1 35.2 3.52 10 87.92 43.96 2 1.85 .37 5 6.4 .64 10 400 400 1 Total: 1122.94
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419440 Min 01419440 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 22-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 4497 of 6486
MRS MANJU DIXIT Rate Amount Qty 7.4 .37 20 4.8 .16 30 21.3 .71 30 26.7 .89 30 400 400 1 3.84 .64 6 6.72 1.12 6 50.14 25.07 2 1.85 .37 5 55.2 1.84 30 20.25 20.25 1 400 400 1 Total: 998.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419452 Min 01419452 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 02-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 02-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 02-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 15 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 28-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 4498 of 6486
Name
S MEERA BAI Rate Amount Qty 66.2 6.62 10 43.96 43.96 1 15.6 1.04 15 21.3 .71 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 15.3 .34 45 26.7 .89 30 400 400 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 26.7 .89 30 21.3 .71 30 15.3 .34 45 43.96 43.96 1 31.2 1.04 30 400 400 1 Total: 1285.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419461 Min 01419461 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4499 of 6486
Name
RAMKHILAWAN BANDHEKAR Rate Amount Qty 32.4 1.08 30 11.4 .38 30 78 1.3 60 27.9 .93 30 46.2 .77 60 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419467 Min 01419467 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 19-FEB-19
Page 4500 of 6486
Name
B MUKHERJI Rate Amount Qty 42.6 .71 60 16.2 .27 60 111.6 .93 120 400 400 1 15 .25 60 53.4 .89 60 24 .4 60 64.8 1.08 60 Total: 727.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419469 Min 01419469 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4501 of 6486
Name
SAWBHAGYABATI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419479 Min 01419479 Appmt Dt Slno Description 02-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 02-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 02-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4502 of 6486
Name
BABU RAM Qty Rate Amount 30 .36 10.8 15 .25 3.75 60 .6 36 1 400 400 Total: 450.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419480 Min 01419480 Appmt Dt Slno Description 02-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4503 of 6486
Name
SMT.ASHA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419481 Min 01419481 Appmt Dt Slno Description 14-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4504 of 6486
Name
A.T. SUNDARI Qty Rate Amount 120 .62 74.4 1 400 400 474.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419490 Min 01419490 Appmt Dt Slno Description 04-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 04-FEB-19 2 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 04-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4505 of 6486
Name
VIDYA S JOSHI Qty Rate Amount 30 .16 4.8 30 .71 21.3 30 1.08 32.4 1 400 400 Total: 458.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419491 Min 01419491 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 4506 of 6486
Name
PRATIMA DASTIDAR Rate Amount Qty 55.8 .93 60 13.35 .89 15 17.4 .58 30 16.2 .27 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 531.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419494 Min 01419494 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4507 of 6486
Name
KUM KUM RANSOM EKKA Rate Amount Qty 13.8 .23 60 33 1.1 30 18.9 .63 30 36 .6 60 21.3 .71 30 400 400 1 Total: 523
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419497 Min 01419497 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 01-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4508 of 6486
Name
B L SAHU Qty 1 1 1
Rate Amount 57.84 57.84 17.37 17.37 400 400 Total: 475.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419498 Min 01419498 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4509 of 6486
Name
ANUSUYA SAHU Rate Amount Qty 10.65 .71 15 7.5 .25 30 55.8 .93 60 29.7 .99 30 400 400 1 10.65 .71 15 55.8 .93 60 29.7 .99 30 7.5 .25 30 400 400 1 Total: 1007.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419505 Min 01419505 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 21-FEB-19 SUTURE REMOVAL 10 21-FEB-19
Page 4510 of 6486
Name
SONAMATI DEVI Rate Amount Qty 36 .6 60 17.4 1.16 15 55.8 .93 60 76.5 2.55 30 29.7 .99 30 400 400 1 60.9 2.03 30 400 400 1 400 400 1 490 490 1 Total: 1966.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419508 Min 01419508 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4511 of 6486
Name
SWATANTRA KUMAR SONI Rate Amount Qty 17.8 .89 20 18 .6 30 167.4 5.58 30 10.8 .36 30 27.9 .93 30 32.4 1.08 30 400 400 1 Total: 674.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419516 Min 01419516 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4512 of 6486
Name
KUMAR S Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 55.8 .93 60 8.1 .27 30 15.3 .51 30 400 400 1 55.8 .93 60 72.6 1.21 60 15.3 .51 30 8.1 .27 30 34.8 1.16 30 400 400 1 Total: 1173.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419517 Min 01419517 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4513 of 6486
Name
CHHAYA RANI Rate Amount Qty 55.8 .93 60 36.3 1.21 30 400 400 1 Total: 492.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419518 Min 01419518 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 05-FEB-19 3 ONDANSETRON,8MG,STRIP PACK.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4514 of 6486
Name
PRITAM SINGH Qty 6 1 3 1
Rate Amount .89 5.34 20.06 20.06 .7 2.1 400 400 Total: 427.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419519 Min 01419519 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 22-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 22-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 4 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4515 of 6486
Name
SARJEET KAUR Rate Amount Qty 21.3 .71 30 43.2 1.44 30 7.65 .51 15 23.6 1.18 20 1.48 .37 4 12 .4 30 27.9 .93 30 400 400 1 Total: 537.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419521 Min 01419521 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4516 of 6486
Name
DR.SN GHOSH Rate Amount Qty 247.6 6.19 40 17.8 .89 20 14 .7 20 14.6 .73 20 400 400 1 Total: 694
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419522 Min 01419522 Appmt Dt Slno Description 05-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 3 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4517 of 6486
RAJ KUMAR MISHRA Qty Rate Amount 10 2.66 26.6 1 15.73 15.73 1 12.15 12.15 1 400 400 Total: 454.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419523 Min 01419523 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 11-FEB-19 SUTURE REMOVAL 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 11-FEB-19
Page 4518 of 6486
Name
GODAVARI MISHRA Rate Amount Qty 66.2 6.62 10 4.45 .89 5 6.4 .64 10 400 400 1 7.12 .89 8 2.8 .7 4 490 490 1 400 400 1 Total: 1376.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419525 Min 01419525 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4519 of 6486
Name
MAZHARUNNISA KHAN Rate Amount Qty 12 .4 30 17.4 1.16 15 18 .6 30 4.27 192.15 45 14.85 .99 15 15.3 .51 30 78 1.3 60 7.5 .25 30 400 400 1 Total: 755.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419527 Min 01419527 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4520 of 6486
Name
SARVAR SULTAN SIDDQUI Rate Amount Qty 26.7 .89 30 167.4 5.58 30 20.06 20.06 1 7.5 .25 30 400 400 1 Total: 621.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419533 Min 01419533 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 06-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 22-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4521 of 6486
Name
PUSHPA DEVI Rate Amount Qty 3.7 .37 10 17.6 17.6 1 17.37 17.37 1 400 400 1 5.76 .64 9 1.48 .37 4 5.4 .6 9 400 400 1 Total: 851.31
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419537 Min 01419537 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 04-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 10 04-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19
Page 4522 of 6486
BIMAL BAWEJA Rate Amount Qty 34.8 1.16 30 55.8 .93 60 72 .6 120 15.73 15.73 1 33 1.1 30 7.5 .25 30 26.7 .89 30 32.4 1.08 30 12 .4 30 64.2 2.14 30 88.2 1.47 60 400 400 1 Total: 842.33
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419539 Min 01419539 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 14-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 23 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 24 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 26 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 28-FEB-19
Page 4523 of 6486
SALMA BEGUM Rate Amount Qty 5.4 .18 30 18 .9 20 70.2 2.34 30 3.7 .37 10 15.73 15.73 1 400 400 1 66.2 6.62 10 9 .9 10 12.15 12.15 1 3.7 .37 10 8.1 .27 30 26.7 .89 30 32.4 .36 90 72 .6 120 167.4 5.58 30 78 1.3 60 29.7 .99 30 55.8 .93 60 33 1.1 30 12 .4 30 21.3 .71 30 400 400 1 8.1 .18 45 27 .9 30 3.7 .37 10 12.15 12.15 1 400 400 1 Total: 1991.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419542 Min 01419542 Slno Description Appmt Dt TICAGRELOR 90MG ,TABLET 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4524 of 6486
Name
ZAFAR MOINUDDIN QURAISHI Rate Amount Qty 30.77 1846.2 60 400 400 1 36.3 1.21 30 12 .4 30 27.9 .93 30 400 400 1 Total: 2722.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419551 Min 01419551 Appmt Dt Slno Description 09-FEB-19 1 VITAMIN A CHEWABLE,50000IU,,TABLET 09-FEB-19 2 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 09-FEB-19 3 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4525 of 6486
Name
ALKA CHAKOLE Qty Rate Amount 20 .75 15 1 37.04 37.04 1 12.81 12.81 1 400 400 Total: 464.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419554 Min 01419554 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4526 of 6486
MAROTI RAO DOHARE Rate Amount Qty 9.9 .66 15 27.9 .93 30 8.1 .27 30 76.5 2.55 30 400 400 1 25.07 25.07 1 400 400 1 Total: 947.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419555 Min 01419555 Appmt Dt Slno Description 07-FEB-19 1 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 07-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4527 of 6486
Name
LEELA DOHARE Qty Rate Amount 3 .71 2.13 10 .25 2.5 30 .6 18 1 400 400 Total: 422.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419556 Min 01419556 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 4528 of 6486
Name
S.K. GHOSH Rate Amount Qty 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 490.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419557 Min 01419557 Slno Description Appmt Dt TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 1 23-FEB-19 PILOCARPINE NITRATE,2%,EYE DROP,5ML PACK 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 4529 of 6486
Name
SMITA GHOSH Qty 2 2 1
Rate Amount 156.51 313.02 54.46 108.92 400 400 Total: 821.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419558 Min 01419558 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 18-FEB-19 UREA (BUN /UR) 4 18-FEB-19 CREATININE /CRT 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 4530 of 6486
Name
K VENKATESH KARANTH Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 27.9 .93 30 33 1.1 30 400 400 1 Total: 2360.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419559 Min 01419559 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 4531 of 6486
Name
CHANDRALATA KARANTH Rate Amount Qty 17.4 1.16 15 55.8 .93 60 36 .6 60 3.75 .25 15 400 400 1 Total: 512.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419560 Min 01419560 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19
Page 4532 of 6486
Name
SHARDA PRASAD Rate Amount Qty 400 400 1 400 400 1 47.4 .79 60 74.4 .62 120 34.8 1.16 30 15 .25 60 144 .6 240 43.2 .36 120 Total: 1158.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419561 Min 01419561 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 8 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 11 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 28-FEB-19
Page 4533 of 6486
Name
KANTI DEVI Rate Amount Qty 400 400 1 9.86 9.86 1 35.2 3.52 10 85.2 .71 120 36 .6 60 166.8 2.78 60 42.6 .71 60 85.52 85.52 1 400 400 1 8.9 .89 10 4.1 .41 10 66.2 6.62 10 Total: 1340.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419564 Min 01419564 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 6 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 4534 of 6486
Name
JAGDISH KUMAR CHAWHAN Rate Amount Qty 21.3 .71 30 12 .4 30 27.6 .92 30 76.5 2.55 30 36 .6 60 46.8 .78 60 7.8 .26 30 400 400 1 Total: 628
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419565 Min 01419565 Appmt Dt Slno Description 12-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 12-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4535 of 6486
Name
RASHMI CHAWHAN Qty Rate Amount 60 .6 36 45 .36 16.2 30 .71 21.3 1 400 400 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419582 Min 01419582 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4536 of 6486
Name
PUSHPA TRIGUNAIT Rate Amount Qty 1.85 .37 5 66.2 6.62 10 400 400 1 Total: 468.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419583 Min 01419583 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 05-FEB-19
Page 4537 of 6486
Name
RATAN LAL DEWANGAN Rate Amount Qty 192.3 6.41 30 275 275 1 60.9 2.03 30 400 400 1 275 275 1 Total: 1203.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419584 Min 01419584 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 14-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 14-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 3 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4538 of 6486
Name
KALYANI DEWANGAN Rate Amount Qty 12.3 .82 15 351 3.9 90 85.5 2.85 30 79.2 2.64 30 9.9 .66 15 400 400 1 Total: 937.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419585 Min 01419585 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 C T SMALL PARTS /HR 6 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 4539 of 6486
Name
AMRITPAL SINGH NOTEY Rate Amount Qty 25.2 .63 40 14.6 .73 20 247.6 6.19 40 20.84 5.21 4 400 400 1 12000 6000 2 400 400 1 25.2 .63 40 35.6 .89 40 247.6 6.19 40 29.2 .73 40 400 400 1 55.8 .93 60 76.5 2.55 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 14459.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419590 Min 01419590 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 14-FEB-19 PLATELET COUNT 3 14-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 4 14-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 5 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 HB,TLC,DLC 9 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 4540 of 6486
Name
PADMA JAIN Rate Amount Qty 8.1 .27 30 400 400 1 330 330 1 165 165 1 330 330 1 11.4 .38 30 13.95 .93 15 7.5 .25 30 300 300 1 27.9 .93 30 8.1 .27 30 400 400 1 Total: 2001.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419591 Min 01419591 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 27-FEB-19
Page 4541 of 6486
NIMBA BADGUJAR Rate Amount Qty 1.85 .37 5 15.73 15.73 1 66.2 6.62 10 400 400 1 7.5 .25 30 301.8 5.03 60 22.8 .38 60 9.6 .64 15 185.7 6.19 30 400 400 1 247.6 6.19 40 35.6 .89 40 54.8 1.37 40 400 400 1 13.35 .89 15 16.8 1.12 15 87.92 43.96 2 400 400 1 6.4 .64 10 66.2 6.62 10 400 400 1 Total: 3139.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419592 Min 01419592 Appmt Dt Slno Description 27-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 27-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 27-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4542 of 6486
Name
KALPANA BAI Qty Rate Amount 30 1.84 55.2 10 .64 6.4 5 .89 4.45 1 400 400 Total: 466.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419595 Min 01419595 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 18-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 18-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 4543 of 6486
Name
BIMAN KUMAR PAUL Rate Amount Qty 72.6 1.21 60 27.9 .93 30 7.5 .25 30 18 .6 30 34.8 1.16 30 400 400 1 37.04 37.04 1 41.06 41.06 1 8.9 .89 10 6.4 .64 10 3.8 .38 10 55.2 1.84 30 400 400 1 Total: 1113.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419608 Min 01419608 Slno Description Appmt Dt CLOBAZAM,STRIP PKT,10MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 4544 of 6486
Name
SURESH JAIN Rate Amount Qty 73.35 4.89 15 7.5 .25 30 400 400 1 17.4 1.16 15 60.9 2.03 30 13.95 .93 15 54 .6 90 9 .3 30 3.75 .25 15 9.9 .66 15 400 400 1 Total: 1049.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419609 Min 01419609 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4545 of 6486
Name
SUNITA DEVI JAIN Rate Amount Qty 9.3 .62 15 21.3 .71 30 400 400 1 Total: 430.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419617 Min 01419617 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 11-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 4546 of 6486
Name
SAWMITA GANGULY Rate Amount Qty 9 .3 30 4.45 .89 5 18 .6 30 1.85 .37 5 12.81 12.81 1 7.4 .37 20 6.7 .67 10 400 400 1 Total: 460.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419618 Min 01419618 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 4547 of 6486
Name
SON SINGH Rate Amount Qty 15.96 2.66 6 7.5 .25 30 26.7 .89 30 55.8 .93 60 2.22 .37 6 400 400 1 Total: 508.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419619 Min 01419619 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 2 08-FEB-19 ECG 3 08-FEB-19
Page 4548 of 6486
Name
RUKHMANI DEVI THAKUR Rate Amount Qty 400 400 1 2370 2370 1 450 450 1 Total: 3220
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419622 Min 01419622 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 4549 of 6486
Name
CHARAN LAL Rate Amount Qty 12 .4 30 7.5 .25 30 27.9 .93 30 34.8 1.16 30 167.4 5.58 30 400 400 1 Total: 649.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419623 Min 01419623 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 PROTHROMBIN TIME (PT) 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 COMPLETE HAEMOGRAM 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 8 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 20-FEB-19 COMPLETE HAEMOGRAM 12 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 15 20-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 16 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 23-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19
Page 4550 of 6486
Name
SHEELA BAI Rate Amount Qty 1300 1300 1 275 275 1 330 330 1 400 400 1 750 750 1 400 400 1 .25 .25 1 423.6 7.06 60 20.84 5.21 4 400 400 1 550 550 1 750 750 1 400 400 1 1300 1300 1 1300 1300 1 423.6 7.06 60 3.75 .25 15 10.42 5.21 2 400 400 1 Total: 9437.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419633 Min 01419633 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 25-FEB-19 TRIGLYCERIDES (TGL) 12 25-FEB-19 CHOLESTEROL (CHOL) 13 25-FEB-19 UREA (BUN /UR) 14 25-FEB-19 CREATININE /CRT 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 25-FEB-19 PLATELET COUNT 18 25-FEB-19 HB,TLC,DLC 19 25-FEB-19 BLOOD FOR T-3,T-4,TSH 20 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 25-FEB-19
Page 4551 of 6486
Name
KEWARI LAHARI Rate Amount Qty 7.5 .25 30 10.8 .36 30 27.9 .62 45 34.8 1.16 30 400 400 1 7.5 .25 30 1.85 .37 5 21.3 .71 30 27.9 .62 45 10.8 .36 30 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 300 300 1 2400 2400 1 400 400 1 Total: 6180.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419634 Min 01419634 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 4552 of 6486
Name
KISHORI LAL CHANDRAKER Rate Amount Qty 27.9 .93 30 12 .4 30 21.3 .71 30 39 1.3 30 13.35 .89 15 8.1 .27 30 9 .6 15 10.8 .36 30 400 400 1 26.7 .89 30 47.4 .79 60 33 1.1 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 1102.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419635 Min 01419635 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4553 of 6486
Name
EAMAN DEVI CHANDRAKER Rate Amount Qty 36 .6 60 39 1.3 30 7.5 .25 30 27.9 .93 30 27.6 .92 30 400 400 1 Total: 538
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419641 Min 01419641 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 05-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OBSERVATION IN CASUALTY 7 24-FEB-19 ECG 8 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 9 24-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 24-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 24-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 24-FEB-19
Page 4554 of 6486
Name
BASANTI Rate Amount Qty 19.72 9.86 2 11.1 .37 30 17.6 17.6 1 26.86 13.43 2 26.96 3.37 8 400 400 1 420 420 1 450 450 1 9.62 9.62 1 3.36 .42 8 1.61 .23 7 .66 .66 1 400 400 1 Total: 1787.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419642 Min 01419642 Appmt Dt Slno Description 20-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 20-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4555 of 6486
Name
JAGDISH PRASAD NAMDEO Qty Rate Amount 30 .93 27.9 30 1.16 34.8 30 .25 7.5 1 400 400 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419645 Min 01419645 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 4556 of 6486
Name
KAUSHILIYA BAI Rate Amount Qty 6.4 .64 10 7.5 .25 30 21.3 .71 30 167.4 5.58 30 8.9 .89 10 13.7 1.37 10 36 .6 60 400 400 1 Total: 661.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419646 Min 01419646 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 4557 of 6486
MUNNALAL JAIN Rate Amount Qty 12 .4 30 13.95 .93 15 33 1.1 30 34.8 1.16 30 15.73 15.73 1 400 400 1 Total: 509.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419648 Min 01419648 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 4558 of 6486
Name
SURESH KUMAR NARAD Rate Amount Qty 7.5 .25 30 27.9 .93 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419651 Min 01419651 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4559 of 6486
Name
SHASHIKALA SONI Rate Amount Qty 25.62 12.81 2 7.4 .37 20 400 400 1 78 1.3 60 27.9 .93 30 90 .6 150 43.2 .36 120 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 1260.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419654 Min 01419654 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 15 21-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 16 21-FEB-19 PARASITES (MP /MF) 17 21-FEB-19 PLATELET COUNT 18 21-FEB-19 HB,TLC,DLC 19 21-FEB-19 X - RAY - SINGLE VIEW 20 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 23 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 25 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 26 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 27 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 23-FEB-19
Page 4560 of 6486
Name
ASHOK KUMAR GUPTA Rate Amount Qty 167.4 5.58 30 27.9 .93 30 29.7 .99 30 18 .6 30 34.8 1.16 30 400 400 1 1.48 .37 4 3.84 .64 6 39.72 6.62 6 400 400 1 1.48 .37 4 3.84 .64 6 39.72 6.62 6 400 400 1 330 330 1 165 165 1 165 165 1 330 330 1 300 300 1 550 550 1 400 400 1 3.7 .37 10 66.2 6.62 10 26.7 .89 30 12.15 12.15 1 20.1 .67 30 54 .9 60 400 400 1 Total: 4390.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419655 Min 01419655 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19
Page 4561 of 6486
Name
SARITA GUPTA Rate Amount Qty 6 .6 10 11.6 1.16 10 2.5 .25 10 55.8 5.58 10 400 400 1 7.5 .25 30 34.8 1.16 30 167.4 5.58 30 3.84 .64 6 2.28 .38 6 1.85 .37 5 18 .6 30 400 400 1 66.2 6.62 10 1.85 .37 5 6.4 .64 10 8.9 .89 10 400 400 1 Total: 1594.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419659 Min 01419659 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 4562 of 6486
Name
MILA BAI Rate Amount Qty 2.4 .16 15 27.9 .93 30 400 400 1 Total: 430.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419666 Min 01419666 Appmt Dt Slno Description 08-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 08-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 08-FEB-19 3 VITAMIN E,STRIP PKT,200MG,CAPSULE 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4563 of 6486
Name
SATISH CHAND VERMA Qty Rate Amount 15 .99 14.85 30 .63 18.9 15 1.58 23.7 1 400 400 Total: 457.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419667 Min 01419667 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 4564 of 6486
Name
SMT.PRABHAWATI VERMA Rate Amount Qty 33 1.1 30 17.4 1.16 15 400 400 1 3.2 .64 5 8.9 .89 10 20.84 5.21 4 400 400 1 Total: 883.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419668 Min 01419668 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 25-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4565 of 6486
Name
BHOJ LAL GEDAM Rate Amount Qty 23.7 .79 30 26.7 .89 30 21.3 .71 30 32.4 1.08 30 12 .4 30 400 400 1 13.7 1.37 10 14.6 .73 20 8.9 .89 10 10.65 .71 15 7.5 .25 30 400 400 1 Total: 971.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419669 Min 01419669 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4566 of 6486
Name
AMAN BAI GEDAM Rate Amount Qty 78 1.3 60 36 .6 60 23.7 .79 30 21.3 .71 30 7.5 .25 30 18.9 .63 30 400 400 1 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419682 Min 01419682 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 4567 of 6486
Name
RAFI AHMED KHAN Rate Amount Qty 184.1 18.41 10 6.4 .64 10 31.4 3.14 10 400 400 1 10.8 .36 30 54 .6 90 78 1.3 60 21.3 .71 30 11.85 .79 15 26.7 .89 30 7.5 .25 30 400 400 1 Total: 1232.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419683 Min 01419683 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 4568 of 6486
Name
SHAKEELA BANO Rate Amount Qty 72 .6 120 21.6 .36 60 334.8 5.58 60 55.8 .93 60 29.7 .99 30 39 1.3 30 26.7 .89 30 17.4 1.16 15 12 .4 30 8.1 .27 30 400 400 1 21.3 .71 30 26.7 .89 30 12 .4 30 8.1 .27 30 29.7 .99 30 55.8 .93 60 39 1.3 30 167.4 5.58 30 72 .6 120 21.6 .36 60 400 400 1 Total: 1870.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419684 Min 01419684 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4569 of 6486
Name
S K BARDHAN Rate Amount Qty 3.7 .37 10 45.44 45.44 1 400 400 1 18.9 .63 30 400 400 1 Total: 868.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419686 Min 01419686 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 4570 of 6486
Name
MAHESH KUMAR GUPTA Rate Amount Qty 55.8 .93 60 36 .6 60 10.8 .36 30 12 .4 30 8.1 .27 30 29.7 .99 30 34.8 1.16 30 400 400 1 Total: 587.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419687 Min 01419687 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4571 of 6486
Name
LALITA GUPTA Rate Amount Qty 55.8 .93 60 29.7 .99 30 2.4 .16 15 9.3 .62 15 8.1 .27 30 26.7 .89 30 400 400 1 Total: 532
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419689 Min 01419689 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 4572 of 6486
Name
SMT.HARJEET KAUR Rate Amount Qty 72 .6 120 55.8 .93 60 7.5 .25 30 18 .6 30 26.7 .89 30 400 400 1 Total: 580
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419690 Min 01419690 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 07-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 2 07-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 3 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 6 18-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 7 18-FEB-19 SODIUM VALPROATE,500MG,TABLET 8 18-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4573 of 6486
Name
MAHESH KUMAR SHARMA Rate Amount Qty 10.56 2.64 4 7.14 .51 14 13.7 1.37 10 29.4 2.1 14 400 400 1 61.65 1.37 45 39.6 2.64 15 234 3.9 60 30.6 .51 60 400 400 1 Total: 1226.65
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419692 Min 01419692 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 4574 of 6486
BILAS KORE Rate Amount Qty 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 25.07 25.07 1 400 400 1 25.2 .6 42 42.63 2.03 21 19.53 .93 21 26.88 .64 42 18.69 .89 21 35.2 3.52 10 3.36 .16 21 400 400 1 Total: 1289.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419693 Min 01419693 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 4575 of 6486
Name
MANGLA BAI Rate Amount Qty 12.81 12.81 1 7.5 .25 30 400 400 1 Total: 420.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419694 Min 01419694 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 26-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 4576 of 6486
Name
DEWANGAN BP Rate Amount Qty 11.4 .38 30 23.7 .79 30 33 1.1 30 400 400 1 301.8 5.03 60 400 400 1 Total: 1169.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419698 Min 01419698 Appmt Dt Slno Description 28-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 28-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4577 of 6486
Name
P UMA Qty Rate Amount 30 .89 26.7 30 .71 21.3 60 .93 55.8 1 400 400 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419699 Min 01419699 Appmt Dt Slno Description 28-FEB-19 1 GLICLAZIDE MR,30 MG,,TABLET 28-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4578 of 6486
Name
P SHRINIWAS RAO Qty Rate Amount 15 .92 13.8 30 .93 27.9 30 .6 18 1 400 400 Total: 459.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419705 Min 01419705 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 ECG 2 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 PRAZOSIN,2.5MG,TABLET 9 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 12 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 13 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 4579 of 6486
Name
CHANDRAKANT CHANDEL Rate Amount Qty 400 400 1 450 450 1 38.25 2.55 15 18 .6 30 29.7 .99 30 55.8 .93 60 12 .4 30 34.8 1.16 30 156 1.3 120 9 .3 30 400 400 1 19.77 19.77 1 24.45 24.45 1 44.16 1.84 24 400 400 1 Total: 2091.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419709 Min 01419709 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 4580 of 6486
Name
TEJ RAM YADAV Rate Amount Qty .8 .16 5 66 1.1 60 55.8 .93 60 36 .6 60 12 .4 30 21.3 .71 30 167.4 5.58 30 400 400 1 3.04 .38 8 5.12 .64 8 1.48 .37 4 400 400 1 Total: 1168.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419712 Min 01419712 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 02-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 02-FEB-19 ECG 6 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 18-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4581 of 6486
Name
RAJNI ARYA Rate Amount Qty 420 420 1 .64 .64 1 9.62 9.62 1 .89 .89 1 600 600 1 450 450 1 33 1.1 30 2.5 .25 10 8.9 .89 10 400 400 1 Total: 1925.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419713 Min 01419713 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 6 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 22-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 4582 of 6486
Name
OM PRAKASH USRATHE Rate Amount Qty 4.8 .16 30 66 1.1 60 29.7 .99 30 55.8 .93 60 400 400 1 41.06 41.06 1 19.72 9.86 2 26.96 3.37 8 400 400 1 Total: 1044.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419715 Min 01419715 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 04-FEB-19 RA FACTOR /RH FACTOR 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 URIC ACID (UA /URATES /UR) 5 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 OBSERVATION IN CASUALTY 13 26-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 14 26-FEB-19
Page 4583 of 6486
Name
JAGESHWAR PRASAD TRIPATHI Rate Amount Qty 2.05 .41 5 600 600 1 4.48 .64 7 6.23 .89 7 275 275 1 275 275 1 275 275 1 400 400 1 66 1.1 60 6.9 .23 30 8.1 .27 30 400 400 1 420 420 1 600 600 1 Total: 3338.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419717 Min 01419717 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 4584 of 6486
Name
DURGA PRASAD CHAURE Rate Amount Qty 55.8 .93 60 8.9 .89 10 400 400 1 Total: 464.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419718 Min 01419718 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4585 of 6486
Name
VIDHYA CHOURE Rate Amount Qty 54 .6 90 21.6 .36 60 13.95 .93 15 34.8 1.16 30 167.4 5.58 30 117 1.3 90 400 400 1 Total: 808.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419722 Min 01419722 Appmt Dt Slno Description 05-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4586 of 6486
Name
M.MALARKODI Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419723 Min 01419723 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4587 of 6486
Name
BABULAL Rate Amount Qty 12 .4 30 36 .6 60 36.3 1.21 30 69.6 1.16 60 400 400 1 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419725 Min 01419725 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 CILOSTAZOL,CAPSULE/100MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 4588 of 6486
Name
RAJNI KANT WILLIAMSON Rate Amount Qty 275 275 1 275 275 1 400 400 1 432.6 7.21 60 400 400 1 Total: 1782.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419726 Min 01419726 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 4589 of 6486
Name
SHASHI SALONAMMA Rate Amount Qty 18.41 128.87 7 18.2 2.6 7 6.23 .89 7 400 400 1 10.8 .36 30 72 .6 120 21.3 .71 30 167.4 5.58 30 27.9 .93 30 117 1.3 90 18.9 .63 30 12 .4 30 400 400 1 Total: 1400.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419731 Min 01419731 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4590 of 6486
Name
P.S.DHANJAL Rate Amount Qty 3.7 .37 10 12.15 12.15 1 78 1.3 60 55.8 .93 60 21.3 .71 30 18 .6 30 18 .9 20 400 400 1 Total: 606.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419732 Min 01419732 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4591 of 6486
Name
PARAMJEET KAUR DHANJAL Rate Amount Qty 16.2 .36 45 55.8 .93 60 117 1.3 90 167.4 5.58 30 21.3 .71 30 72 .6 120 2.4 .16 15 400 400 1 Total: 852.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419733 Min 01419733 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 4592 of 6486
Name
MAKHAN SINGH Rate Amount Qty 14.85 .99 15 55.8 .93 60 10.8 .36 30 7.5 .25 30 167.4 5.58 30 54 .6 90 39 1.3 30 400 400 1 Total: 749.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419734 Min 01419734 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 27-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 3 27-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4593 of 6486
Name
TRISHNA KAUR DHARWAL Rate Amount Qty 20.84 5.21 4 3.04 .38 8 64.6 3.23 20 125.1 2.78 45 400 400 1 Total: 613.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419739 Min 01419739 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 4 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 09-FEB-19
Page 4594 of 6486
Name
HETRAM BAGHEL Rate Amount Qty 5.12 .64 8 44.16 1.84 24 400 400 1 1170 1170 1 400 400 1 Total: 2019.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419740 Min 01419740 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4595 of 6486
Name
SMT.LAXMI BAGHEL Rate Amount Qty 39 1.3 30 21.3 .71 30 167.4 5.58 30 7.5 .25 30 9 .3 30 54 .6 90 400 400 1 Total: 698.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419742 Min 01419742 Appmt Dt Slno Description 05-FEB-19 1 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4596 of 6486
Name
SMT. SUNAINA DEVI Qty Rate Amount 90 .78 70.2 1 400 400 470.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419744 Min 01419744 Appmt Dt Slno Description 11-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4597 of 6486
Name
RAJ KUNWAR KOSMA Qty Rate Amount 60 .6 36 30 .71 21.3 30 .79 23.7 1 400 400 Total: 481
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419745 Min 01419745 Slno Description Appmt Dt T M T (TREAD MILL EXERCISE TEST) 1 08-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 2 08-FEB-19 ECG 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 4598 of 6486
Name
CHETAN LAL Rate Amount Qty 3430 3430 1 2370 2370 1 450 450 1 400 400 1 6.4 .4 16 66 1.1 60 14.85 .99 15 55.8 .93 60 21.3 .71 30 400 400 1 Total: 7214.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419747 Min 01419747 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4599 of 6486
Name
K R JOSEPH Rate Amount Qty 21.6 .36 60 167.4 5.58 30 55.8 .93 60 16.2 .27 60 29.7 .99 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 777.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419748 Min 01419748 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4600 of 6486
Name
LILLY JOSEPH Rate Amount Qty 14.85 .99 15 21.3 .71 30 7.5 .25 30 36 .6 60 71 .71 100 27.9 .93 30 74.4 .62 120 10.8 .36 30 400 400 1 Total: 663.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419751 Min 01419751 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 4601 of 6486
Name
GOVERDHAN PRASAD HARADAHA Rate Amount Qty 21.3 .71 30 23.7 .79 30 32.4 1.08 30 36 .6 60 9 .3 30 400 400 1 Total: 522.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419753 Min 01419753 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 21-FEB-19 SODIUM VALPROATE,500MG,TABLET 7 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 9 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 4602 of 6486
Name
BINA BHATTACHARYA Rate Amount Qty 31.9 3.19 10 26 2.6 10 8.9 .89 10 2.5 .25 10 400 400 1 15.3 .51 30 234 3.9 60 9.9 .66 15 41.1 1.37 30 79.2 2.64 30 400 400 1 16.8 .42 40 123.8 6.19 20 17.8 .89 20 62.8 3.14 20 400 400 1 Total: 1870
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419754 Min 01419754 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 4 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 4603 of 6486
Name
BIMAN BHATTACHARYA Rate Amount Qty 5 .25 20 16.8 .42 40 5 .25 20 62.8 3.14 20 63.8 3.19 20 400 400 1 26.7 .89 30 25.2 .42 60 20.84 5.21 4 12.3 .41 30 400 400 1 Total: 1038.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419757 Min 01419757 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4604 of 6486
Name
BAISAKHU RAM Rate Amount Qty 26.7 .89 30 2.4 .16 15 33 1.1 30 30.6 .34 90 12 .4 30 32.4 1.08 30 23.7 .79 30 400 400 1 Total: 560.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419759 Min 01419759 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4605 of 6486
Name
SWAPAN KUMAR PAUL Rate Amount Qty 27.9 .93 30 17.4 1.16 15 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419760 Min 01419760 Appmt Dt Slno Description 14-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 14-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4606 of 6486
Name
UJWALA PAUL Qty Rate Amount 30 .4 12 30 .23 6.9 15 1.16 17.4 1 400 400 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419764 Min 01419764 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4607 of 6486
Name
AJAY KUMAR Rate Amount Qty 34.8 1.16 30 27.9 .93 30 54 .6 90 117 1.3 90 32.4 1.08 30 192.3 6.41 30 60.9 2.03 30 12 .4 30 400 400 1 Total: 931.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419768 Min 01419768 Appmt Dt Slno Description 08-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 08-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 08-FEB-19 3 BISOPROLOL FUMARATE,5MG,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4608 of 6486
Name
CJV RAMAN Qty Rate Amount 60 .37 22.2 30 .79 23.7 30 2.55 76.5 1 400 400 Total: 522.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419770 Min 01419770 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 PRAZOSIN,2.5MG,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4609 of 6486
Name
DATTATRAI SHINDE Rate Amount Qty 27.6 .92 30 21.3 .71 30 156 1.3 120 32.4 1.08 30 16.2 .27 60 400 400 1 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419771 Min 01419771 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 4610 of 6486
Name
SANGEETA SHINDE Rate Amount Qty 10.8 .36 30 36 .6 60 400 400 1 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419778 Min 01419778 Slno Description Appmt Dt CREAM,ACICLOVIR,5%,5GM/TUBE 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4611 of 6486
Name
NUTUN KALPANDE Rate Amount Qty 35.63 35.63 1 6.4 .64 10 13.95 .93 15 1.85 .37 5 26.7 .89 30 31.95 .71 45 20.06 20.06 1 400 400 1 Total: 536.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419790 Min 01419790 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 8 13-FEB-19 PHENYTOIN,50MG/ML,2ML AMP,INJECTION 9 13-FEB-19 OBSERVATION IN CASUALTY 10 13-FEB-19
Page 4612 of 6486
Name
SARASWATI GUPTA Rate Amount Qty 27.6 .92 30 18 .6 30 33 1.1 30 13.95 .93 15 17.4 1.16 15 7.5 .25 30 400 400 1 6.67 6.67 1 8.1 8.1 1 420 420 1 Total: 952.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419791 Min 01419791 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 4613 of 6486
Name
VIRENDRA KUMAR PANIGRAHI Rate Amount Qty 26.7 .89 30 10.8 .36 30 18 .6 30 7.5 .25 30 400 400 1 Total: 463
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419793 Min 01419793 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 4614 of 6486
Name
YAMUNA PRASAD Rate Amount Qty 275 275 1 400 400 1 275 275 1 123.53 123.53 1 10.8 .36 30 9.9 .66 15 21.3 .71 30 39 1.3 30 36 .6 60 7.5 .25 30 400 400 1 Total: 1598.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419794 Min 01419794 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4615 of 6486
Name
SUSHMA DEVI Rate Amount Qty 13.48 3.37 4 9.86 9.86 1 5.55 .37 15 12.81 12.81 1 400 400 1 Total: 441.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419798 Min 01419798 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 18-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4616 of 6486
Name
PUSHPA SINGH Rate Amount Qty 78 1.3 60 18 .6 30 167.4 5.58 30 9.3 .62 15 12 .4 30 13.95 .93 15 34.8 1.16 30 26.6 2.66 10 6.4 .64 10 400 400 1 Total: 766.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419802 Min 01419802 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 4617 of 6486
Name
PROMILA KHANNA Rate Amount Qty 71 .71 100 27.9 .93 30 20.84 5.21 4 400 400 1 9.86 9.86 1 400 400 1 Total: 929.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419806 Min 01419806 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 4618 of 6486
Name
BASANT KUMAR SAHU Rate Amount Qty 18 .6 30 21.3 .71 30 12 .4 30 8.1 .27 30 400 400 1 Total: 459.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419807 Min 01419807 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 4619 of 6486
Name
UMA SAHU Rate Amount Qty 8.1 .27 30 33 1.1 30 4.2 .42 10 27.9 .62 45 400 400 1 Total: 473.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419808 Min 01419808 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 4620 of 6486
Name
GAUTAM KUMAR DAS Rate Amount Qty 60.9 2.03 30 43.2 .36 120 12 .4 30 8.1 .27 30 72.6 1.21 60 55.8 .93 60 21.3 .71 30 72 .6 120 117 1.3 90 400 400 1 Total: 862.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419809 Min 01419809 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4621 of 6486
Name
SHARMILA DAS Rate Amount Qty 10.42 5.21 2 13.95 .93 15 9.3 .62 15 37.8 .63 60 400 400 1 Total: 471.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419815 Min 01419815 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 08-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 4622 of 6486
Name
RUHI DAS BARAI Rate Amount Qty 78 1.3 60 27.9 .93 30 21.3 .71 30 18.9 .63 30 60.9 2.03 30 10.65 .71 15 54 .6 90 400 400 1 Total: 671.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419816 Min 01419816 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 4623 of 6486
Name
ARCHANA BARAI Rate Amount Qty 32.4 .36 90 72 .6 120 117 1.3 90 23.7 .79 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 3.84 .64 6 2.28 .38 6 1.85 .37 5 400 400 1 Total: 732.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419820 Min 01419820 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4624 of 6486
Name
GEETA DEVI GUPTA Rate Amount Qty 29.7 .99 30 69.6 1.16 60 64.8 1.08 60 47.4 .79 60 44.4 .37 120 400 400 1 Total: 655.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419827 Min 01419827 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4625 of 6486
Name
C L KHATIK Rate Amount Qty 1.6 .16 10 4.45 .89 5 3.84 .64 6 4.2 .42 10 400 400 1 Total: 414.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419833 Min 01419833 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 22-FEB-19 INHALANT,STRIP PACK,CAPSULE 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4626 of 6486
Name
SATYA RAO Rate Amount Qty 3.7 .37 10 4.45 .89 5 1.85 .37 5 17 1.7 10 400 400 1 2.22 .37 6 35.2 3.52 10 6.4 .64 10 400 400 1 Total: 870.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419834 Min 01419834 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4627 of 6486
Name
K. ADI LAXMI Rate Amount Qty 47.4 .79 60 7.65 .51 15 9 .6 15 9.3 .62 15 21.3 .71 30 8.1 .27 30 400 400 1 Total: 502.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419836 Min 01419836 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 05-FEB-19 URIC ACID (UA /URATES /UR) 4 05-FEB-19 CREATININE /CRT 5 05-FEB-19 UREA (BUN /UR) 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 4628 of 6486
Name
VIDYAVATI VISHWAKARMA Rate Amount Qty 750 750 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 21.3 .71 30 32.4 1.08 30 11.4 .38 30 9.3 .62 15 400 400 1 Total: 4849.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419837 Min 01419837 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4629 of 6486
Name
DINESH KUMAR CHOUKSEY Rate Amount Qty 78 1.3 60 3.75 .25 15 32.4 1.08 30 21.3 .71 30 32.4 .36 90 72 .6 120 400 400 1 Total: 639.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419838 Min 01419838 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 4630 of 6486
Name
VEENA CHOUKSEY Rate Amount Qty 21.3 .71 30 18.6 .62 30 27.9 .93 30 18 .6 30 400 400 1 Total: 485.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419841 Min 01419841 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 06-FEB-19 UREA (BUN /UR) 14 06-FEB-19 CREATININE /CRT 15 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 06-FEB-19 BUDESONIDE,200MCG,CAPSULE 17 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 16-FEB-19
Page 4631 of 6486
Name
VIBHA BHATT Rate Amount Qty 36 .6 60 400 400 1 1300 1300 1 20.06 20.06 1 21.3 .71 30 26.7 .89 30 2.4 .16 15 12 .4 30 8.1 .27 30 27.9 .93 30 275 275 1 21.6 .36 60 275 275 1 275 275 1 275 275 1 550 550 1 208.8 1.74 120 400 400 1 Total: 4134.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419842 Min 01419842 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 UREA (BUN /UR) 10 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 06-FEB-19 CREATININE /CRT 13 06-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 16-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 16 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 16-FEB-19
Page 4632 of 6486
Name
DINESH DATT BHATT Rate Amount Qty 36 .6 60 21.3 .71 30 12 .4 30 275 275 1 275 275 1 6.9 .23 30 27.9 .93 30 14.85 .99 15 400 400 1 275 275 1 1300 1300 1 550 550 1 275 275 1 9.86 9.86 1 7.5 .25 30 26.96 3.37 8 400 400 1 Total: 3913.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419844 Min 01419844 Appmt Dt Slno Description 21-FEB-19 1 T M T (TREAD MILL EXERCISE TEST) 21-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4633 of 6486
Name
NIRMALA THAKUR Qty 1 1
Rate Amount 3430 3430 400 400 3830 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419845 Min 01419845 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 6 07-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 07-FEB-19 OBSERVATION IN CASUALTY 8 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13 07-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 13-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 18 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 19 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 20 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 22 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 23 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 25 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 13-FEB-19
Page 4634 of 6486
JEEWAN LAL DEWANGAN Rate Amount Qty 6.4 .64 10 7.7 .77 10 1.85 .37 5 26.6 2.66 10 400 400 1 100 100 1 45.44 45.44 1 420 420 1 12.15 12.15 1 1.85 .37 5 4.45 .89 5 9 .9 10 2.7 .18 15 600 600 1 400 400 1 9 .9 10 4.45 .89 5 69.05 69.05 1 31.46 15.73 2 104.4 1.74 60 26.7 .89 30 54 .9 60 12.15 12.15 1 1.25 .25 5 13.4 .67 20 400 400 1 Total: 2764
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419846 Min 01419846 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 4635 of 6486
Name
NIRA DEWANGAN Rate Amount Qty 4.45 .89 5 26.6 2.66 10 1.85 .37 5 400 400 1 1.85 .37 5 400 400 1 Total: 834.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419847 Min 01419847 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 06-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 6 06-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 7 06-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 8 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 06-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19
Page 4636 of 6486
Name
AJAY KUMAR JAISWAL Rate Amount Qty 26.7 .89 30 40.2 .67 60 7.5 .25 30 13.95 .93 15 25.62 12.81 2 66.92 33.46 2 202.8 3.38 60 48.76 12.19 4 10.42 5.21 2 41.06 41.06 1 400 400 1 Total: 883.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419851 Min 01419851 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4637 of 6486
Name
MUKUND JOSHI Rate Amount Qty 36 .6 60 13.95 .93 15 400 400 1 Total: 449.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419856 Min 01419856 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4638 of 6486
Name
MINU CHAKRABORTY Rate Amount Qty 15.96 2.66 6 1.85 .37 5 15.63 5.21 3 7.5 .25 30 36 .6 60 12 .4 30 400 400 1 Total: 488.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419859 Min 01419859 Slno Description Appmt Dt LEVETIRACETAM,500MG STRIP PACK,,TABLET 1 04-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 26-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 9 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 4639 of 6486
Name
AJAY DHANUSHKAR Rate Amount Qty 311.4 5.19 60 71.1 .79 90 400 400 1 78 .78 100 11.4 .38 30 17.4 .58 30 400 400 1 78 .78 100 71.1 .79 90 11.4 .38 30 400 400 1 Total: 1849.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419861 Min 01419861 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 SODIUM VALPROATE,500MG,TABLET 5 14-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 6 14-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4640 of 6486
Name
DEVENDRA SINGH DESHRAJAN Rate Amount Qty 55.8 .93 60 12 .4 30 8.1 .27 30 400 400 1 234 3.9 60 161.1 5.37 30 10.96 1.37 8 400 400 1 Total: 1281.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419862 Min 01419862 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4641 of 6486
Name
MANJU Rate Amount Qty 1.11 .37 3 55.8 .93 60 33 1.1 30 10.38 1.73 6 17.4 1.16 15 400 400 1 Total: 517.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419865 Min 01419865 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 19-FEB-19 UREA (BUN /UR) 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 25-FEB-19 URIC ACID (UA /URATES /UR) 19 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 20 25-FEB-19 UREA (BUN /UR) 21 25-FEB-19
Page 4642 of 6486
Name
LOKENDRA SAHU Rate Amount Qty 167.4 5.58 30 34.8 1.16 30 12 .4 30 7.65 .51 15 55.8 .93 60 76.5 2.55 30 36 .6 60 117 1.3 90 400 400 1 550 550 1 275 275 1 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 550 550 1 275 275 1 550 550 1 275 275 1 Total: 5282.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419866 Min 01419866 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 X - RAY - TWO VIEWS 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19
Page 4643 of 6486
Name
GURUMATI SAHU Rate Amount Qty 2.4 .16 15 12.3 .41 30 26.7 .89 30 400 400 1 860 860 1 400 400 1 Total: 1701.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419871 Min 01419871 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 4644 of 6486
Name
S.A.SYED MEHMOOD Rate Amount Qty 26.7 .89 30 79.2 2.64 30 16.2 .36 45 54 .6 90 39 1.3 30 55.8 .93 60 76.5 2.55 30 14.85 .99 15 21.3 .71 30 400 400 1 Total: 783.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419873 Min 01419873 Slno Description Appmt Dt DRY REAGENT BASED,GLUCOMETER TEST STRIPS 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 20-FEB-19 OBSERVATION IN CASUALTY 4 20-FEB-19 ECG 5 20-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 6 20-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 21-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 4645 of 6486
Name
SURENDRA KUMAR PANDWAR Rate Amount Qty 9.62 9.62 1 .89 .89 1 600 600 1 420 420 1 450 450 1 100 100 1 2.66 2.66 1 3.7 .37 10 66.2 6.62 10 12.3 .41 30 13.95 .93 15 60.9 2.03 30 14.85 .99 15 8.1 .27 30 34.8 1.16 30 12 .4 30 400 400 1 Total: 2209.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419874 Min 01419874 Appmt Dt Slno Description 16-FEB-19 1 OINTMENT,LIDOCAINE,3%,15GM 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 18-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4646 of 6486
Name
MADHAVI PANDWAR Qty Rate Amount 2 82.76 165.52 1 400 400 20 .64 12.8 1 400 400 Total: 978.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419875 Min 01419875 Appmt Dt Slno Description 13-FEB-19 1 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4647 of 6486
Name
RAMESH J Qty Rate Amount 60 6.14 368.4 1 400 400 768.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419876 Min 01419876 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4648 of 6486
Name
NUTHAN RAMESH Rate Amount Qty 8.7 .58 15 6.9 .23 30 400 400 1 Total: 415.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419881 Min 01419881 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19 HAEMOGLOBIN / (HB %) 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 9 26-FEB-19
Page 4649 of 6486
Name
L.K DEWANGAN Rate Amount Qty 21.3 .71 30 12 .4 30 47.4 .79 60 6.9 .23 30 32.4 1.08 30 400 400 1 130 130 1 400 400 1 165 165 1 Total: 1215
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419882 Min 01419882 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19 HAEMOGLOBIN / (HB %) 7 26-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 8 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 26-FEB-19
Page 4650 of 6486
Name
MANJU DEWANGAN Rate Amount Qty 36 .6 60 2.22 .37 6 12.3 .41 30 9 .3 30 22.32 5.58 4 400 400 1 130 130 1 165 165 1 400 400 1 Total: 1176.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419883 Min 01419883 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 04-FEB-19 CALCIUM (CA) 2 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 CREATININE /CRT 5 04-FEB-19 UREA (BUN /UR) 6 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 04-FEB-19 COMPLETE HAEMOGRAM 8 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 9 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 14 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 14-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 16 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 18-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 20 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 21-FEB-19 PRAZOSIN,2.5MG,TABLET 22 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 23 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 24 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 25 21-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 26 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 27 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 28-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 30 28-FEB-19
Page 4651 of 6486
Name
AMAR SINGH THAKUR Rate Amount Qty 550 550 1 275 275 1 4790 4790 1 400 400 1 275 275 1 275 275 1 275 275 1 750 750 1 275 275 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 1300 1300 1 400 400 1 41.06 41.06 1 400 400 1 4790 4790 1 400 400 1 156 1.3 120 30.6 .51 60 22.2 .37 60 11.4 .38 30 30.6 .34 90 4790 4790 1 400 400 1 400 400 1 4790 4790 1 Total: 41396.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419886 Min 01419886 Appmt Dt Slno Description 15-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4652 of 6486
Name
SMT.ANITA DEVI Qty Rate Amount 15 1.37 20.55 30 .25 7.5 10 .89 8.9 1 400 400 Total: 436.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419887 Min 01419887 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4653 of 6486
Name
CHANDRAKANT DHOTE Rate Amount Qty 60.18 20.06 3 60.9 2.03 30 26.7 .89 30 400 400 1 13.4 .67 20 8.9 .89 10 3.7 .37 10 45.44 45.44 1 400 400 1 Total: 1019.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419888 Min 01419888 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 06-FEB-19 URIC ACID (UA /URATES /UR) 2 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 06-FEB-19 UREA (BUN /UR) 6 06-FEB-19 CREATININE /CRT 7 06-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 4654 of 6486
Name
KAMLESH DHOTE Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 34.8 1.16 30 13.95 .93 15 400 400 1 Total: 4823.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419891 Min 01419891 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4655 of 6486
Name
GOKUL PRASAD NAGPURE Rate Amount Qty 3.04 .38 8 1.48 .37 4 5.12 .64 8 400 400 1 69.6 1.16 60 12 .4 30 400 400 1 Total: 891.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419892 Min 01419892 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4656 of 6486
Name
CHANDA NAGPURE Rate Amount Qty 6.4 .64 10 10.78 .77 14 1.85 .37 5 400 400 1 38.25 2.55 15 27.9 .62 45 400 400 1 159.6 1.33 120 400 400 1 Total: 1444.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419893 Min 01419893 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 4657 of 6486
Name
SUNDERLAL Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 23.7 .79 30 400 400 1 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419896 Min 01419896 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 9 26-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 4658 of 6486
Name
TRIBHUWAN SHARMA Rate Amount Qty 21.3 .71 30 12 .4 30 8.1 .27 30 27.9 .93 30 41.06 41.06 1 400 400 1 1.75 .25 7 8.96 .64 14 17.37 17.37 1 357 12.75 28 400 400 1 Total: 1295.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419897 Min 01419897 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 3 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 25-FEB-19 URIC ACID (UA /URATES /UR) 5 25-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 25-FEB-19 HB,TLC,DLC 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19
Page 4659 of 6486
Name
UMA SHARMA Rate Amount Qty 26.7 .89 30 55.8 .93 60 82.76 165.52 2 550 550 1 275 275 1 1300 1300 1 300 300 1 400 400 1 Total: 3073.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419898 Min 01419898 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 4 21-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 4660 of 6486
Name
TARACHAND Rate Amount Qty 36 .6 60 32.4 1.08 30 12 .4 30 22.5 .25 90 15.4 .77 20 60.9 2.03 30 192.3 6.41 30 53.4 .89 60 400 400 1 Total: 824.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419909 Min 01419909 Appmt Dt Slno Description 26-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4661 of 6486
Name
MAHESH PALSOKAR Qty Rate Amount 30 .89 26.7 60 1.1 66 30 .62 18.6 1 400 400 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419912 Min 01419912 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 4662 of 6486
Name
SHOBHA NANDESHWAR Rate Amount Qty 1.48 .37 4 1.52 .38 4 400 400 1 Total: 403
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419916 Min 01419916 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 4663 of 6486
Name
DHANNU SINGH THAKUR Rate Amount Qty 7.5 .25 30 6.4 .64 10 118.5 3.95 30 36 .6 60 29.7 .99 30 12 .4 30 17.4 1.16 15 27.9 .93 30 400 400 1 Total: 655.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419917 Min 01419917 Appmt Dt Slno Description 20-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 20-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4664 of 6486
Name
RAMA SHANKAR SINGH Qty Rate Amount 4 .25 1 4 .64 2.56 4 .37 1.48 1 400 400 Total: 405.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419918 Min 01419918 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 05-FEB-19 UREA (BUN /UR) 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 URIC ACID (UA /URATES /UR) 5 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 09-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4665 of 6486
Name
MALTI DEVI Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 26.7 .89 30 230.7 7.69 30 400 400 1 53.4 .89 60 153.8 7.69 20 400 400 1 Total: 4064.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419925 Min 01419925 Slno Description Appmt Dt TABLET PYRIDOSTIGMINE 60 MG 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 11-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 4666 of 6486
Name
HEMANT KHAIRKAR Rate Amount Qty 516 4.3 120 27.9 .93 30 39 1.3 30 54 .6 90 10.8 .36 30 33 1.1 30 20.1 .67 30 400 400 1 18.2 2.6 7 6.23 .89 7 400 400 1 Total: 1525.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419926 Min 01419926 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 4667 of 6486
Name
SINDHU TAI KHAIRKAR Rate Amount Qty 18.2 2.6 7 6.23 .89 7 400 400 1 12.8 .64 20 400 400 1 Total: 837.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419928 Min 01419928 Appmt Dt Slno Description 04-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4668 of 6486
Name
.SUKHIYA BAI Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419929 Min 01419929 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 15-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 23 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 24 27-FEB-19
Page 4669 of 6486
Name
HIRAMAN LAL TELI Rate Amount Qty 4.8 .16 30 400 400 1 55.8 .93 60 36 .6 60 32.4 1.08 30 12 .4 30 66 1.1 60 34.8 1.16 30 167.4 5.58 30 38.43 12.81 3 29.7 .99 30 60.9 2.03 30 26.7 .89 30 7.5 .25 30 400 400 1 54 .6 90 26.7 .89 30 4.8 .16 30 32.4 1.08 30 7.5 .25 30 1.8 .36 5 19.8 .36 55 8.1 .27 30 34.8 1.16 30 Total: 1562.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419935 Min 01419935 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 4670 of 6486
Name
UTTRA BAI Rate Amount Qty 21.3 .71 30 8.9 .89 10 8.1 .27 30 400 400 1 301.8 5.03 60 400 400 1 Total: 1140.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419947 Min 01419947 Appmt Dt Slno Description 04-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 04-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4671 of 6486
Name
. REENA SINGH Qty Rate Amount 30 .23 6.9 30 .25 7.5 60 1.1 66 1 400 400 Total: 480.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419950 Min 01419950 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 4672 of 6486
Name
PUNIT RAM Rate Amount Qty 27.9 .93 30 118.5 3.95 30 12 .4 30 21.3 .71 30 31.2 1.04 30 400 400 1 Total: 610.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419952 Min 01419952 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4673 of 6486
Name
RADHESHARAN Rate Amount Qty 21.3 .71 30 400 400 1 71 .71 100 3.84 .64 6 2.22 .37 6 400 400 1 Total: 898.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419953 Min 01419953 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 URIC ACID (UA /URATES /UR) 4 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 4674 of 6486
Name
BARO DEVI Rate Amount Qty 13.7 1.37 10 400 400 1 8.9 .89 10 275 275 1 9.9 .66 15 7.5 .25 30 185.7 6.19 30 26 2.6 10 400 400 1 35.2 3.52 10 3.84 .64 6 2.22 .37 6 400 400 1 Total: 1767.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419954 Min 01419954 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 15-FEB-19 ABC TEST HIV 4 15-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4675 of 6486
V RAJA RAO Rate Amount Qty 8.1 .27 30 400 400 1 400 400 1 1250 1250 1 1000 1000 1 14.08 3.52 4 7.98 .38 21 .82 .41 2 25.07 25.07 1 400 400 1 123.53 123.53 1 400 400 1 Total: 4029.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419955 Min 01419955 Appmt Dt Slno Description 12-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 12-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4676 of 6486
Name
V. LAXMI Qty Rate Amount 30 .4 12 30 .71 21.3 30 .93 27.9 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419956 Min 01419956 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 19-FEB-19
Page 4677 of 6486
Name
RUKKHMANI BAI Rate Amount Qty 153 2.55 60 64.8 1.08 60 69.6 1.16 60 55.8 .93 60 29.7 .99 30 400 400 1 61.2 .6 102 55.2 .92 60 32.4 .27 120 Total: 921.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419957 Min 01419957 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 4678 of 6486
Name
LAKHWINDER SINGH Rate Amount Qty 66 1.1 60 7.8 .26 30 21.3 .71 30 12 .4 30 12.6 .42 30 72 .6 120 10.8 .36 30 117 1.3 90 400 400 1 Total: 719.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419963 Min 01419963 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4679 of 6486
Name
BHAKTA BANDHU SATPATHY Rate Amount Qty 211.8 3.53 60 55.8 .93 60 400 400 1 Total: 667.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419964 Min 01419964 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4680 of 6486
Name
SANJUKTA SATPATHY Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419967 Min 01419967 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 05-FEB-19 URIC ACID (UA /URATES /UR) 2 05-FEB-19 CREATININE /CRT 3 05-FEB-19 UREA (BUN /UR) 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 11-FEB-19 ECG 11 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 11-FEB-19
Page 4681 of 6486
Name
SUBIR KUMAR PAL Rate Amount Qty 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 18.9 .63 30 12 .4 30 450 450 1 400 400 1 55.8 .93 60 18 .6 30 Total: 4579.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419968 Min 01419968 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 4682 of 6486
Name
INDRANI PAL Rate Amount Qty 21.3 .71 30 6.3 .42 15 12.8 .64 20 20.84 5.21 4 3.04 .38 8 27.9 .93 30 51.68 3.23 16 400 400 1 Total: 543.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419969 Min 01419969 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 4683 of 6486
Name
M SHARAD KUMAR NAIDU Rate Amount Qty 27.9 .93 30 76.5 2.55 30 400 400 1 53.4 .89 60 184.2 6.14 30 43.96 131.88 3 400 400 1 Total: 1273.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419970 Min 01419970 Appmt Dt Slno Description 13-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 13-FEB-19 2 TENELIGLIPTIN,20MG,,TABLET 13-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4684 of 6486
Name
SMT.M SHASHI NAIDU Qty Rate Amount 30 .23 6.9 30 5.58 167.4 60 .6 36 1 400 400 Total: 610.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419975 Min 01419975 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4685 of 6486
Name
SUNESHWAR SINGH THAKUR Rate Amount Qty 27.9 .93 30 30.6 .34 90 21.3 .71 30 12 .4 30 60.9 2.03 30 2.4 .16 15 12 .4 30 400 400 1 Total: 567.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419977 Min 01419977 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 OBSERVATION IN CASUALTY 2 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19 OBSERVATION IN CASUALTY 14 23-FEB-19 ECG 15 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 20 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 25-FEB-19
Page 4686 of 6486
Name
MAYA DEVI Rate Amount Qty .89 .89 1 420 420 1 .64 .64 1 32.4 1.08 30 36.3 1.21 30 11.85 .79 15 17.4 1.16 15 167.4 5.58 30 12 .4 30 72 .6 120 21.6 .36 60 78 1.3 60 400 400 1 420 420 1 450 450 1 .64 .64 1 .89 .89 1 1.64 .41 4 1.85 .37 5 2.28 .38 6 400 400 1 Total: 2547.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419980 Min 01419980 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 22-FEB-19 CREATININE /CRT 10 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19
Page 4687 of 6486
Name
JR SONWANI Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 36 .6 60 7.8 .26 30 76.5 2.55 30 27.9 .93 30 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3152.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419981 Min 01419981 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 4688 of 6486
Name
ANUSUYA SONWANI Rate Amount Qty 34.8 1.16 30 29.7 .99 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 586.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419982 Min 01419982 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4689 of 6486
Name
ASHRAF ULLA KHAN Rate Amount Qty 17.4 1.16 15 105.9 3.53 30 27.9 .93 30 9 .3 30 36 .6 60 400 400 1 Total: 596.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419984 Min 01419984 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 9 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 11-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 14 11-FEB-19 ECG 15 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 11-FEB-19
Page 4690 of 6486
Name
YOUAL JOHN Rate Amount Qty 7.8 .26 30 32.4 1.08 30 12 .4 30 7.5 .25 30 60.9 2.03 30 14.85 .99 15 26.7 .89 30 34.8 1.16 30 311.4 5.19 60 4.8 .16 30 27.9 .93 30 72.6 1.21 60 36 .6 60 78 .78 100 450 450 1 400 400 1 Total: 1577.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419986 Min 01419986 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 18-FEB-19 GUM ANALGESIC GEL 7 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 18-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 18-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 26-FEB-19 UREA (BUN /UR) 16 26-FEB-19 CREATININE /CRT 17 26-FEB-19
Page 4691 of 6486
Name
YASHWANTRAO PARDHI Rate Amount Qty 66.2 6.62 10 9.6 .64 15 20.06 20.06 1 10.95 .73 15 400 400 1 16.8 1.12 15 28.69 28.69 1 66.2 6.62 10 7.3 .73 10 3.8 .38 10 400 400 1 52.96 6.62 8 1.52 .38 4 400 400 1 400 400 1 275 275 1 275 275 1 Total: 2434.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419987 Min 01419987 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 25-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4692 of 6486
Name
SUMAN PARDHI Rate Amount Qty 26 2.6 10 13.35 .89 15 9.6 .64 15 7.5 .25 30 185.7 6.19 30 400 400 1 11.4 .38 30 28.69 28.69 1 400 400 1 Total: 1082.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419989 Min 01419989 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 4693 of 6486
Name
ASMA Rate Amount Qty 275 275 1 275 275 1 10.8 .36 30 1.11 .37 3 27.9 .93 30 54 .6 90 39 1.3 30 400 400 1 Total: 1082.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419998 Min 01419998 Appmt Dt Slno Description 25-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 25-FEB-19 2 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 25-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4694 of 6486
Name
MADHAVI VERMA Qty Rate Amount 30 1.84 55.2 1 20.25 20.25 6 .64 3.84 1 400 400 Total: 479.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420001 Min 01420001 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4695 of 6486
Name
AKHTAR KHAN Rate Amount Qty 6.25 .25 25 17.75 .71 25 23.25 .93 25 45 .6 75 65 1.3 50 9 .36 25 400 400 1 Total: 566.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420002 Min 01420002 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 06-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 06-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 4696 of 6486
SMT.CHANDA KHATOON Rate Amount Qty 12.81 12.81 1 26.96 3.37 8 63.58 63.58 1 400 400 1 15.73 15.73 1 3.8 .38 10 1.85 .37 5 400 400 1 17.37 17.37 1 3.7 .37 10 400 400 1 8.9 .89 10 400 400 1 Total: 1754.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420018 Min 01420018 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 4697 of 6486
Name
DURGAWATI DEVI Rate Amount Qty 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 3.6 .6 6 5.76 .64 9 33.12 1.84 18 400 400 1 Total: 899.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420025 Min 01420025 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 24-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 24-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 24-FEB-19 OBSERVATION IN CASUALTY 5 24-FEB-19 ECG 6 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 24-FEB-19 X - RAY - SINGLE VIEW 8 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19
Page 4698 of 6486
Name
S K RAJAK Qty 1 1 1 1 1 1 1 1 1
Rate Amount .4 .4 1.08 1.08 .26 .26 9.62 9.62 420 420 450 450 .89 .89 550 550 400 400 Total: 1832.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420026 Min 01420026 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 12-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 12-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 4699 of 6486
Name
SHASHI RAJAK Rate Amount Qty 21.3 .71 30 13.35 .89 15 2.4 .16 15 72.6 1.21 60 31.2 1.04 30 43.2 1.44 30 12 .4 30 400 400 1 Total: 596.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420027 Min 01420027 Appmt Dt Slno Description 22-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 22-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22-FEB-19 3 CEFEXIME,STRIP PKT,200MG,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4700 of 6486
Name
MOHD.MUJIB Qty 5 3 6 1
Rate Amount .64 3.2 .37 1.11 6.62 39.72 400 400 Total: 444.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420028 Min 01420028 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 28-FEB-19 CREATININE /CRT 10 28-FEB-19
Page 4701 of 6486
Name
AKHTAR BEGUM Rate Amount Qty 105.9 3.53 30 55.8 .93 60 34.8 1.16 30 400 400 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 Total: 3671.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420037 Min 01420037 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 23-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 8 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 10 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 4702 of 6486
Name
TIRUPATI RAO Rate Amount Qty 27 .6 45 47.4 .79 60 7.5 .25 30 400 400 1 400 400 1 275 275 1 275 275 1 19.77 19.77 1 44.16 1.84 24 6.42 2.14 3 24.45 24.45 1 400 400 1 Total: 1926.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420039 Min 01420039 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 4703 of 6486
Name
MANZOOR AHMED Rate Amount Qty 8.1 .27 30 7.5 .25 30 11.4 .38 30 43.2 .36 120 72 .6 120 27.9 .93 30 400 400 1 Total: 570.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420047 Min 01420047 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 7 07-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 8 07-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 11 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 07-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 13 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 07-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 16 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19
Page 4704 of 6486
Name
VENKAT RAO Rate Amount Qty 6.4 .64 10 34.84 8.71 4 8.9 .89 10 16.8 1.12 15 66.2 6.62 10 4.8 .16 30 82.2 2.74 30 73.5 2.45 30 23.7 .79 30 53.4 .89 60 189 2.1 90 34.8 1.16 30 73.5 2.45 30 19.8 .66 30 15 .25 60 311.4 5.19 60 70.2 .78 90 400 400 1 Total: 1484.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420048 Min 01420048 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 4705 of 6486
Name
LALITA RAJAM Rate Amount Qty 27.4 1.37 20 20.84 5.21 4 17.8 .89 20 12.6 .63 20 400 400 1 27.9 .93 30 61.9 6.19 10 2.4 .16 15 17.4 1.16 15 13 2.6 5 400 400 1 Total: 1001.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420051 Min 01420051 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 4706 of 6486
Name
VIMALA HIYANIA Rate Amount Qty 185.7 6.19 30 6.7 .67 10 198.6 6.62 30 35.6 .89 40 14 .7 20 400 400 1 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 1297.24
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420052 Min 01420052 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 07-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 07-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 9 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 16 20-FEB-19 BLOOD FOR T-3,T-4,TSH 17 20-FEB-19 PLATELET COUNT 18 20-FEB-19 HB,TLC,DLC 19 20-FEB-19 URIC ACID (UA /URATES /UR) 20 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 21 20-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 22 20-FEB-19 CREATININE /CRT 23 20-FEB-19 UREA (BUN /UR) 24 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 25 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 26 20-FEB-19 URINE ROUTINE AND MICROSCOPIC 27 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 20-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 29 20-FEB-19
Page 4707 of 6486
DINESH KUMAR HIYANIA Rate Amount Qty 35.2 3.52 10 2.22 .37 6 12.15 12.15 1 15.73 15.73 1 70.2 2.34 30 6.4 .64 10 8.9 .89 10 18 .9 20 23.45 .67 35 3.7 .37 10 400 400 1 5.34 .89 6 6.4 .64 10 55.2 1.84 30 400 400 1 5.1 .51 10 2400 2400 1 330 330 1 300 300 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 380 380 1 400 400 1 275 275 1 Total: 8102.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420055 Min 01420055 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 4708 of 6486
Name
PRASANNA Rate Amount Qty 18 .6 30 23.7 .79 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 495.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420059 Min 01420059 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4709 of 6486
Name
V.K. KHARE Rate Amount Qty 12 .4 30 71 .71 100 34.8 1.16 30 16.2 .27 60 400 400 1 Total: 534
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420060 Min 01420060 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4710 of 6486
Name
SHASHIBALA KHARE Rate Amount Qty 41.68 5.21 8 66 1.1 60 74.4 .62 120 26.7 .89 30 400 400 1 Total: 608.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420061 Min 01420061 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 GUM ASTRINGENT PAINT 8 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4711 of 6486
Name
DR. ASHOK GHORPADE Rate Amount Qty 117 1.3 90 167.4 5.58 30 21.6 .36 60 36 .6 60 21.3 .71 30 4.8 .16 30 20.84 5.21 4 31.54 31.54 1 37.8 .63 60 400 400 1 Total: 858.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420062 Min 01420062 Slno Description Appmt Dt INHALER FOR INHALING DRY POWDER CAPSULE 1 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 25-FEB-19 GUM ASTRINGENT PAINT 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4712 of 6486
Name
AMITA ASHOK GHORPADE Rate Amount Qty 69.05 69.05 1 38.25 2.55 15 54 .9 60 26.7 .89 30 156.6 1.74 90 59.4 .66 90 400 400 1 36.3 1.21 30 4.8 .16 30 20.06 20.06 1 63.08 31.54 2 400 400 1 Total: 1328.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420065 Min 01420065 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 X - RAY - TWO VIEWS 2 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 11-FEB-19 DRESSING SIMPLE 10 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 22-FEB-19 SUTURE REMOVAL 12 22-FEB-19
Page 4713 of 6486
Name
RAM CHANDRA SAMANT Rate Amount Qty 400 400 1 860 860 1 55.2 1.84 30 4.1 .41 10 4.45 .89 5 400 400 1 17.8 .89 20 8.2 .41 20 400 400 1 300 300 1 400 400 1 490 490 1 Total: 3339.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420066 Min 01420066 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4714 of 6486
Name
KALAVATI SAMANT Rate Amount Qty 27.9 .93 30 54 .6 90 39 1.3 30 21.6 .36 60 185.7 6.19 30 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 750.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420067 Min 01420067 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 01-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 4715 of 6486
Name
JOGALU Rate Amount Qty 57.84 57.84 1 47.4 1.58 30 27.9 .93 30 36 .6 60 32.4 1.08 30 17.4 1.16 15 13.35 .89 15 7.5 .25 30 400 400 1 Total: 639.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420068 Min 01420068 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 4716 of 6486
Name
V GANGAMMA Rate Amount Qty 54 .6 90 21.6 .36 60 167.4 5.58 30 12 .4 30 9.86 9.86 1 34.8 1.16 30 400 400 1 Total: 699.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420077 Min 01420077 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 22-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 4717 of 6486
Name
ANIL KUMAR SHUKLA Rate Amount Qty 21.3 .71 30 83.7 5.58 15 9 .3 30 60.9 2.03 30 59.4 .99 60 400 400 1 Total: 634.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420078 Min 01420078 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 4718 of 6486
Name
SMT.VIDYA SHUKLA Rate Amount Qty 32.4 1.08 30 27.9 .93 30 167.4 5.58 30 117 1.3 90 21.3 .71 30 400 400 1 Total: 766
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420083 Min 01420083 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 4719 of 6486
Y R N PATRO Rate Amount Qty 21.3 .71 30 18.9 .63 30 27.9 .93 30 400 400 1 6.4 .64 10 4.45 .89 5 1.85 .37 5 66.2 6.62 10 400 400 1 48.22 48.22 1 400 400 1 Total: 1395.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420084 Min 01420084 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 ONDANSETRON,2MG/ML,INJECTION 7 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 20-FEB-19 OBSERVATION IN CASUALTY 10 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19
Page 4720 of 6486
Name
Y USHARANI Rate Amount Qty 167.4 5.58 30 72 .6 120 10.8 .36 30 34.8 1.16 30 66 1.1 60 400 400 1 7.52 7.52 1 24.52 24.52 1 .66 .66 1 420 420 1 66 1.1 60 72 .6 120 167.4 5.58 30 10.8 .36 30 1.85 .37 5 4.45 .89 5 34.8 1.16 30 400 400 1 Total: 1961
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420097 Min 01420097 Appmt Dt Slno Description 06-FEB-19 1 GLICLAZIDE MR,30 MG,,TABLET 06-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 06-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4721 of 6486
Name
GOKARAN SINGH Qty Rate Amount 30 .92 27.6 90 .6 54 30 .71 21.3 1 400 400 Total: 502.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420098 Min 01420098 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4722 of 6486
Name
PREMA DEVI Rate Amount Qty 43.96 43.96 1 27.9 .93 30 72 .6 120 21.6 .36 60 21.3 .71 30 400 400 1 Total: 586.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420106 Min 01420106 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4723 of 6486
Name
HOLI RAM KAUSHIK Rate Amount Qty 27.9 .93 30 66 1.1 60 12 .4 30 21.3 .71 30 14.85 .99 15 400 400 1 Total: 542.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420107 Min 01420107 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4724 of 6486
Name
RAM KUMARI Rate Amount Qty 12 .4 30 34.8 1.16 30 32.4 1.08 30 6.9 .23 30 29.7 .99 30 55.8 .93 60 54 .6 90 167.4 5.58 30 400 400 1 Total: 793
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420108 Min 01420108 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 4725 of 6486
Name
MAHENDRA SHARMA Rate Amount Qty 32.4 1.08 30 16.2 .27 60 17.4 1.16 15 39 1.3 30 55.8 .93 60 36 .6 60 32.4 .36 90 400 400 1 Total: 629.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420110 Min 01420110 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 4726 of 6486
Name
SHIBU MATHEW Rate Amount Qty 3.84 .64 6 1.48 .37 4 15.96 2.66 6 400 400 1 18.9 .63 30 23.7 .79 30 33 1.1 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 18 .6 30 400 400 1 Total: 994.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420118 Min 01420118 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 4727 of 6486
Name
PURVINDER OBEROI Rate Amount Qty 29.7 .99 30 13.35 .89 15 34.8 1.16 30 12 .4 30 72.6 1.21 60 8.1 .27 30 55.8 .93 60 117 1.3 90 36 .6 60 21.6 .36 60 400 400 1 Total: 800.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420119 Min 01420119 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 09-FEB-19 CILOSTAZOL,CAPSULE/100MG,TABLET 6 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 11 14-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 4728 of 6486
Name
LOKNATH KURRE Rate Amount Qty 36 .6 60 32.4 1.08 30 69.6 1.16 60 7.5 .25 30 27.9 .93 30 432.6 7.21 60 39 1.3 30 8.1 .27 30 38.25 2.55 15 400 400 1 21.3 .71 30 95.7 3.19 30 15 .25 60 400 400 1 Total: 1623.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420120 Min 01420120 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 27-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 11 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 27-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 14 27-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 15 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 4729 of 6486
Name
HEMIN BAI Rate Amount Qty 6.9 .23 30 23.7 .79 30 12 .4 30 7.5 .25 30 54 .6 90 6.4 .64 10 8.9 .89 10 400 400 1 27.4 1.37 20 12.6 .42 30 95.7 3.19 30 9.9 .66 15 27.4 1.37 20 12.6 .42 30 95.7 3.19 30 9.9 .66 15 400 400 1 Total: 1210.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420127 Min 01420127 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4730 of 6486
Name
PRONOY CHOWDHARY Rate Amount Qty 17.4 1.16 15 18 .6 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420130 Min 01420130 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 03-FEB-19 ONDANSETRON,2MG/ML,INJECTION 2 03-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 03-FEB-19 ECG 4 03-FEB-19 OBSERVATION IN CASUALTY 5 03-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 03-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 03-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 03-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 4731 of 6486
Name
KAMLA BAI Rate Amount Qty 17.42 8.71 2 7.52 7.52 1 9.62 9.62 1 450 450 1 420 420 1 1.9 .38 5 1.25 .25 5 39.72 6.62 6 24.52 24.52 1 400 400 1 33 1.1 30 27.9 .93 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 1867.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420132 Min 01420132 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4732 of 6486
Name
MALER SALVI Rate Amount Qty 21.3 .71 30 15 .25 60 400 400 1 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420134 Min 01420134 Slno Description Appmt Dt TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 4733 of 6486
Name
CHAMELI BAI Rate Amount Qty 5.55 1.11 5 13.95 .93 15 7.5 .25 30 17.4 1.16 15 400 400 1 17.8 .89 20 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 1137.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420137 Min 01420137 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 PRAZOSIN,2.5MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4734 of 6486
Name
SATISH KUMAR SHARMA Rate Amount Qty 55.2 .92 60 7.5 .25 30 167.4 5.58 30 55.8 .93 60 29.7 .99 30 117 1.3 90 21.3 .71 30 78 1.3 60 400 400 1 Total: 931.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420138 Min 01420138 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 4735 of 6486
Name
DEEPA RANI SHARMA Rate Amount Qty 27.9 .93 30 14.85 .99 15 400 400 1 Total: 442.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420140 Min 01420140 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 4736 of 6486
Name
GAJRA BAI Rate Amount Qty 167.4 5.58 30 36 .6 60 117 1.3 90 55.8 .93 60 21.3 .71 30 33 1.1 30 400 400 1 Total: 830.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420147 Min 01420147 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4737 of 6486
Name
BHEEV RAM WAKDE Rate Amount Qty 12 .4 30 21.3 .71 30 14.85 .99 15 33 1.1 30 55.8 .93 60 400 400 1 Total: 536.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420148 Min 01420148 Appmt Dt Slno Description 14-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4738 of 6486
Name
RATNAWALI WAKDE Qty Rate Amount 60 .6 36 30 .36 10.8 30 .38 11.4 1 400 400 Total: 458.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420157 Min 01420157 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 4739 of 6486
Name
BAHUR SINGH RAMTEKE Rate Amount Qty 54 .6 90 10.8 .36 30 7.5 .25 30 55.8 .93 60 21.3 .71 30 400 400 1 37.04 37.04 1 400 400 1 Total: 986.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420158 Min 01420158 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 14-FEB-19 SOLIFENACIN,5MG,,TABLET 10 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 14-FEB-19 BICALUTAMIDE,50MG,CAPSULE/,TABLET 12 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 14-FEB-19
Page 4740 of 6486
Name
GEETA RAMTEKE Rate Amount Qty 39 1.3 30 8.1 .27 30 27.9 .93 30 26.7 .89 30 32.4 1.08 30 7.5 .25 30 192.3 6.41 30 21.3 .71 30 53.4 .89 60 403.2 13.44 30 192.3 6.41 30 312 10.4 30 60.9 2.03 30 Total: 1377
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420169 Min 01420169 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 CREATININE /CRT 7 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 27-FEB-19 BLOOD FOR T-3,T-4,TSH 12 27-FEB-19
Page 4741 of 6486
Name
R ANBALAGAN Rate Amount Qty 55.8 .93 60 167.4 5.58 30 156 1.3 120 72 .6 120 123.53 123.53 1 400 400 1 275 275 1 1300 1300 1 275 275 1 3850 275 14 400 400 1 2400 2400 1 Total: 9474.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420170 Min 01420170 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 4742 of 6486
Name
A NESA MANI VOILA Rate Amount Qty 34.8 1.16 30 36 .6 60 78 1.3 60 10.8 .36 30 13.95 .93 15 400 400 1 Total: 573.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420175 Min 01420175 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 4743 of 6486
Name
PHIRTU DAS Rate Amount Qty 43.2 .36 120 34.8 1.16 30 167.4 5.58 30 117 1.3 90 72 .6 120 400 400 1 Total: 834.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420177 Min 01420177 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 05-FEB-19 PRAZOSIN,2.5MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 4744 of 6486
Name
SALIK RAM Rate Amount Qty 54 .6 90 22.2 .37 60 78 1.3 60 8.9 .89 10 21.3 .71 30 400 400 1 Total: 584.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420178 Min 01420178 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4745 of 6486
Name
PAWAN BAI Rate Amount Qty 3.75 .25 15 36 .6 60 400 400 1 Total: 439.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420180 Min 01420180 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 19-FEB-19 TENOFOVIR,LAMIVUDINE300 & EFAVIRENZ600MG 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 4746 of 6486
Name
MEENA BAI Rate Amount Qty 275 275 1 9.3 .62 15 275 275 1 400 400 1 21.3 .71 30 779.4 25.98 30 21.3 .71 30 18 .6 30 60.9 2.03 30 400 400 1 Total: 2260.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420184 Min 01420184 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 4747 of 6486
Name
JOGULU Rate Amount Qty 7.5 .25 30 11.4 .38 30 27.9 .93 30 6.9 .23 30 400 400 1 Total: 453.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420186 Min 01420186 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 4748 of 6486
Name
TULARAM CHANDRAKAR Rate Amount Qty 12 .4 30 192.3 6.41 30 26.7 .89 30 7.5 .25 30 8.1 .27 30 10.65 .71 15 34.8 1.16 30 117 1.3 90 60.9 2.03 30 55.8 .93 60 36 .6 60 21.6 .36 60 400 400 1 Total: 983.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420187 Min 01420187 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4749 of 6486
Name
SATRUPA CHANDRAKAR Rate Amount Qty 7.5 .25 30 36 .6 60 21.3 .71 30 27.9 .93 30 400 400 1 Total: 492.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420192 Min 01420192 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 4750 of 6486
Name
JOGINDER SINGH Rate Amount Qty 55.8 .93 60 34.8 1.16 30 37.8 .63 60 43.96 43.96 1 400 400 1 Total: 572.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420193 Min 01420193 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4751 of 6486
Name
MANJEET KOUR Rate Amount Qty 54 .6 90 9 .3 30 23.7 .79 30 18.6 .62 30 39 1.3 30 33 1.1 30 8.1 .27 30 400 400 1 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420194 Min 01420194 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 4752 of 6486
Name
TILAK RAM SAHU Rate Amount Qty 27.9 .93 30 6.9 .23 30 9.3 .62 15 21.3 .71 30 400 400 1 18.6 .62 30 27.9 .93 30 6.9 .23 30 21.3 .71 30 400 400 1 Total: 940.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420195 Min 01420195 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19
Page 4753 of 6486
Name
NIRUPA BAI SAHU Rate Amount Qty 7.1 .71 10 9.9 .99 10 105.9 3.53 30 18.6 .93 20 400 400 1 21.3 .71 30 29.7 .99 30 317.7 3.53 90 55.8 .93 60 12.6 .42 30 400 400 1 15 .25 60 400 400 1 Total: 1793.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420196 Min 01420196 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4754 of 6486
Name
M K YADAV Rate Amount Qty 7.5 .25 30 32.4 .36 90 54 .6 90 29.7 .99 30 55.8 .93 60 13.8 .23 60 400 400 1 Total: 593.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420199 Min 01420199 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 4755 of 6486
PUSHPA SONI Rate Amount Qty 7.7 .77 10 1.85 .37 5 6.4 .64 10 26.6 2.66 10 8.1 .27 30 7.5 .25 30 400 400 1 18 .9 20 5.4 .18 30 15.73 15.73 1 3.7 .37 10 400 400 1 Total: 900.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420200 Min 01420200 Slno Description Appmt Dt LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 08-FEB-19
Page 4756 of 6486
Name
BALRAM SAHU Rate Amount Qty 17.37 17.37 1 7.4 .37 20 9.86 9.86 1 400 400 1 400 400 1 275 275 1 275 275 1 1300 1300 1 Total: 2684.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420201 Min 01420201 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 COMPLETE HAEMOGRAM 3 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 08-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 5 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 4757 of 6486
Name
SUDHA SAHU Rate Amount Qty 275 275 1 400 400 1 750 750 1 275 275 1 1750 1750 1 27.9 .93 30 400 400 1 Total: 3877.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420204 Min 01420204 Appmt Dt Slno Description 21-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 21-FEB-19 3 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4758 of 6486
Name
ANOOP KUMAR CHAKRAVORTY Qty Rate Amount 5 .37 1.85 10 .64 6.4 18 2.34 42.12 1 400 400 Total: 450.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420205 Min 01420205 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 UREA (BUN /UR) 5 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 22-FEB-19 CREATININE /CRT 10 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19 COMPLETE HAEMOGRAM 15 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 26-FEB-19
Page 4759 of 6486
Name
SAVITA CHAKRAVORTY Rate Amount Qty 8.9 .89 10 20.06 20.06 1 .32 .16 2 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 550 550 1 3.8 .38 10 2.5 .25 10 400 400 1 750 750 1 400 400 1 Total: 5335.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420207 Min 01420207 Appmt Dt Slno Description 21-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4760 of 6486
Name
P C GUPTA Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420210 Min 01420210 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4761 of 6486
Name
SMT.VEENA JANGHEL Rate Amount Qty 27.9 .93 30 118.5 3.95 30 21.3 .71 30 13.35 .89 15 400 400 1 Total: 581.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420212 Min 01420212 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 4762 of 6486
Name
M SURYANARAYAN Rate Amount Qty 26.6 2.66 10 27 .9 30 3.7 .37 10 6.4 .64 10 12.15 12.15 1 400 400 1 7.5 .25 30 54 .6 90 400 400 1 Total: 937.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420213 Min 01420213 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 4763 of 6486
Name
M LAXMI Rate Amount Qty 12 .4 30 55.8 .93 60 105.9 3.53 30 42.6 .71 60 14.85 .99 15 16.2 .27 60 21.3 .71 30 400 400 1 Total: 668.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420216 Min 01420216 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 12 21-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 4764 of 6486
Name
BHUWANESHWAR SINGH Rate Amount Qty 3.75 .25 15 47.85 3.19 15 27.9 .93 30 33 1.1 30 7.8 .26 30 21.3 .71 30 12 .4 30 62.8 3.14 20 8.9 .89 10 14.6 .73 20 400 400 1 6.82 6.82 1 25.69 25.69 1 400 400 1 Total: 1072.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420217 Min 01420217 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 04-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 04-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 04-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 4 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 5 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 04-FEB-19 APTT (ACTIVATED PARTIAL THROMBOPLASTIN T 7 04-FEB-19 PLATELET COUNT 8 04-FEB-19 ABC TEST HIV 9 04-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 10 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 04-FEB-19 HB,TLC,DLC 12 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 23-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 4765 of 6486
Name
ANUSUIYA DEVI Rate Amount Qty 550 550 1 380 380 1 1300 1300 1 1500 1500 1 275 275 1 550 550 1 330 330 1 330 330 1 1250 1250 1 1000 1000 1 400 400 1 300 300 1 1.25 .25 5 66.2 6.62 10 9.6 .64 15 10.95 .73 15 4.45 .89 5 400 400 1 Total: 8657.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420218 Min 01420218 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 18-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 7 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 4766 of 6486
Name
MADHU SUDAN Rate Amount Qty 27.9 .62 45 400 400 1 6.4 .64 10 20.25 20.25 1 400 400 1 10.65 .71 15 20.25 20.25 1 27.4 1.37 20 8.9 .89 10 7.5 .25 30 400 400 1 Total: 1329.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420219 Min 01420219 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4767 of 6486
Name
KANTI KUMAR Rate Amount Qty 6.9 .23 30 17.4 1.16 15 55.8 .93 60 72 .6 120 21.6 .36 60 167.4 5.58 30 78 1.3 60 400 400 1 Total: 819.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420220 Min 01420220 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 5 08-FEB-19 PYRAZINAMIDE,750MG,,TABLET 6 08-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 4768 of 6486
Name
A.SURYA RAO Rate Amount Qty 27.9 .93 30 7.5 .25 30 26.7 .89 30 6.4 .64 10 177.9 5.93 30 1.99 149.25 75 4.15 186.75 45 400 400 1 Total: 982.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420227 Min 01420227 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4769 of 6486
Name
RAM BAI Rate Amount Qty 14.85 .99 15 55.8 .93 60 8.1 .27 30 36.3 1.21 30 2.5 .25 10 36 .6 60 400 400 1 Total: 553.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420228 Min 01420228 Appmt Dt Slno Description 26-FEB-19 1 ESCITALOPRAM,10MG,,TABLET 26-FEB-19 2 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 26-FEB-19 3 NITRAZEPAM,10MG,TABLE,STRIP PACK. 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4770 of 6486
Name
NEBU LAL MAURYA Qty Rate Amount 30 1.85 55.5 30 .82 24.6 15 2.64 39.6 1 400 400 Total: 519.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420234 Min 01420234 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 PRAZOSIN,2.5MG,TABLET 2 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 06-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 06-FEB-19
Page 4771 of 6486
Name
HEMANT KUMAR GAHLOT Rate Amount Qty 33 1.1 30 39 1.3 30 105.9 3.53 30 20.06 20.06 1 55.8 .93 60 400 400 1 4.1 .41 10 8.9 .89 10 16.8 1.12 15 55.2 1.84 30 Total: 738.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420235 Min 01420235 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 4772 of 6486
Name
INDU GAHLOT Rate Amount Qty 32.4 1.08 30 18.6 .62 30 39 1.3 30 34.8 1.16 30 27.9 .93 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 756.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420240 Min 01420240 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 4773 of 6486
Name
BIHARI DAS Rate Amount Qty 21.3 .71 30 5.1 .51 10 55.8 .93 60 32.4 .36 90 72 .6 120 400 400 1 43.2 .36 120 72 .6 120 55.8 .93 60 21.3 .71 30 400 400 1 Total: 1178.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420242 Min 01420242 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 25-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 25-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 4 25-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 5 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4774 of 6486
RAMANUJ KUNJAM Rate Amount Qty 50.14 25.07 2 22.8 .38 60 15 .75 20 26.98 13.49 2 67.16 33.58 2 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 636.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420244 Min 01420244 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 4775 of 6486
Name
SHASHI PRABHA UPADHYAY Rate Amount Qty 12 .4 30 15.95 3.19 5 185.7 6.19 30 2.4 .16 15 26.7 .89 30 31.2 1.04 30 34.8 1.16 30 66 1.1 60 55.8 .93 60 400 400 1 Total: 830.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420245 Min 01420245 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 4776 of 6486
Name
AKHILESH UPADHYAYA Rate Amount Qty 76.5 2.55 30 32.4 1.08 30 34.8 1.16 30 9 .3 30 2.4 .16 15 12 .4 30 47.4 .79 60 400 400 1 Total: 614.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420247 Min 01420247 Appmt Dt Slno Description 22-FEB-19 1 BMD/DEXA SCAN 22-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4777 of 6486
Name
SUBHASH CHANDRA ROY Qty Rate Amount 1 1500 1500 1 400 400 1900 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420248 Min 01420248 Appmt Dt Slno Description 06-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 06-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4778 of 6486
Name
INDRANI ROY Qty Rate Amount 30 .71 21.3 30 .71 21.3 15 .16 2.4 1 400 400 Total: 445
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420251 Min 01420251 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4779 of 6486
Name
SUDIP CHAUDHURY Rate Amount Qty 21.3 .71 30 41.85 .93 45 400 400 1 Total: 463.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420252 Min 01420252 Appmt Dt Slno Description 20-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4780 of 6486
Name
NANDITA CHAUDHURY Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420253 Min 01420253 Appmt Dt Slno Description 05-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 05-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4781 of 6486
Name
MOHAN LAL SAHU Qty Rate Amount 30 .36 10.8 30 .71 21.3 30 .93 27.9 1 400 400 Total: 460
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420254 Min 01420254 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4782 of 6486
Name
DROPATI SAHU Qty Rate Amount 10 .89 8.9 30 1.1 33 30 .93 27.9 1 400 400 Total: 469.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420255 Min 01420255 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 4783 of 6486
Name
ANAND RAM Rate Amount Qty 2.3 .23 10 26 1.3 20 24 .6 40 7.2 .36 20 18.6 .93 20 400 400 1 43.2 .36 120 167.4 5.58 30 54 .6 90 78 1.3 60 55.8 .93 60 14.85 .99 15 400 400 1 Total: 1291.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420256 Min 01420256 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 4784 of 6486
Name
CHANDA BAI Rate Amount Qty 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 490.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420266 Min 01420266 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4785 of 6486
Name
MOHAN LAL Rate Amount Qty 34.8 1.16 30 39 1.3 30 36 .6 60 167.4 5.58 30 41.85 .93 45 11.4 .38 30 10.8 .36 30 400 400 1 Total: 741.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420267 Min 01420267 Slno Description Appmt Dt VITAMIN E,STRIP PKT,200MG,CAPSULE 1 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4786 of 6486
Name
RAJKUMARI GEHLOT Rate Amount Qty 23.7 1.58 15 20.84 5.21 4 55.8 .93 60 16.2 .27 60 36 .6 60 400 400 1 Total: 552.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420268 Min 01420268 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4787 of 6486
Name
PRADIP KUMAR ROY CHOUDHURY Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 12 .4 30 27.9 .93 30 8.1 .27 30 1.6 .16 10 400 400 1 Total: 702.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420269 Min 01420269 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 4788 of 6486
Name
PURNIMA ROY CHOUDHURY Rate Amount Qty 10.42 5.21 2 7.5 .25 30 27.9 .93 30 18.9 .63 30 400 400 1 Total: 464.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420271 Min 01420271 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 4789 of 6486
Name
UMA SHRIVASTAVA Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 30.6 .34 90 43.96 43.96 1 400 400 1 Total: 524.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420274 Min 01420274 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 2 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4790 of 6486
Name
R K GOPAL Rate Amount Qty 77.52 3.23 24 166.8 2.78 60 20.84 5.21 4 26.7 .89 30 55.8 .93 60 21.44 .67 32 6.08 .38 16 400 400 1 Total: 775.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420276 Min 01420276 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 4791 of 6486
Name
JHUMUK LAL Rate Amount Qty 34.8 1.16 30 8.1 .27 30 27.9 .93 30 32.4 1.08 30 12 .4 30 15.6 .26 60 400 400 1 1.85 .37 5 1.9 .38 5 400 400 1 Total: 934.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420281 Min 01420281 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 4792 of 6486
Name
SUMAN BAI Rate Amount Qty 57.84 57.84 1 7.4 .37 20 400 400 1 54 .6 90 10.8 .36 30 21.3 .71 30 400 400 1 Total: 951.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420282 Min 01420282 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4793 of 6486
Name
DESH SEWAK SINGH SURI Rate Amount Qty 21.3 .71 30 39 1.3 30 36 .6 60 10.8 .36 30 400 400 1 Total: 507.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420288 Min 01420288 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 4794 of 6486
Name
PRAVEEN KUMAR DAS Rate Amount Qty 7.5 .25 30 34.8 1.16 30 12 .4 30 36 .6 60 10.8 .36 30 27.9 .93 30 400 400 1 Total: 529
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420290 Min 01420290 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 4795 of 6486
GORA CHAND BANDYOPADHYAY Rate Amount Qty 41.06 41.06 1 15.73 15.73 1 400 400 1 Total: 456.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420291 Min 01420291 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4796 of 6486
Name
KAVITA BANDYOPADHYAY Rate Amount Qty 8.9 .89 10 66 1.1 60 22.2 .37 60 400 400 1 28.69 28.69 1 400 400 1 Total: 925.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420297 Min 01420297 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 21-FEB-19 URIC ACID (UA /URATES /UR) 3 21-FEB-19 CREATININE /CRT 4 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 21-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 6 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 4797 of 6486
Name
HARDEEP KOUR Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1050 1050 1 400 400 1 33 1.1 30 36 .6 60 21.3 .71 30 26.7 .89 30 167.4 5.58 30 1.85 .37 5 6.4 .64 10 66.2 6.62 10 12 .4 30 27.9 .93 30 400 400 1 Total: 4648.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420298 Min 01420298 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 4798 of 6486
Name
MANOHAR PRASAD TIWARI Rate Amount Qty 12 .4 30 17.4 1.16 15 7.5 .25 30 54 .6 90 167.4 5.58 30 29.7 .99 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 751.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420299 Min 01420299 Appmt Dt Slno Description 07-FEB-19 1 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 07-FEB-19 2 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 07-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4799 of 6486
Name
SANDHYA TIWARI Qty Rate Amount 30 6.14 184.2 2 43.96 87.92 15 .89 13.35 1 400 400 Total: 685.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420301 Min 01420301 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 CREATININE /CRT 3 05-FEB-19 UREA (BUN /UR) 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 4800 of 6486
Name
SMT.SAWANA BAI Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 32.4 .36 90 400 400 1 54 .6 90 7.5 .25 30 167.4 5.58 30 34.8 1.16 30 400 400 1 Total: 2196.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420302 Min 01420302 Appmt Dt Slno Description 25-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 25-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 25-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4801 of 6486
Name
PADEGAONKAR SV Qty Rate Amount 30 .63 18.9 30 .38 11.4 30 .71 21.3 1 400 400 Total: 451.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420303 Min 01420303 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4802 of 6486
Name
ANJALI PADEGAONKAR Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420306 Min 01420306 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 4 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 4803 of 6486
Name
KHILAWAN SINGH SAHU Rate Amount Qty 33.12 1.84 18 5.76 .64 9 400 400 1 18.41 165.69 9 33.12 1.84 18 400 400 1 Total: 1037.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420310 Min 01420310 Appmt Dt Slno Description 27-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4804 of 6486
Name
SURESH KUMAR SAHU Qty Rate Amount 15 .79 11.85 1 400 400 411.85 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420318 Min 01420318 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 CREATININE /CRT 8 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 15-FEB-19
Page 4805 of 6486
Name
RAMESH KUMAR PARMAR Rate Amount Qty 66 1.1 60 55.8 .93 60 39 1.3 30 32.4 1.08 30 34.8 1.16 30 12 .4 30 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 3165
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420328 Min 01420328 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 11 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 4806 of 6486
N RADHAKRISHNA PILLAI Rate Amount Qty 117 1.3 90 400 400 1 15.73 15.73 1 21.6 .36 60 24 .4 60 36 .6 60 36.3 1.21 30 69.6 1.16 60 32.4 1.08 30 400 400 1 36.3 1.21 30 21.6 .36 60 117 1.3 90 36 .6 60 24 .4 60 69.6 1.16 60 400 400 1 Total: 1857.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420329 Min 01420329 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 21-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 21-FEB-19 X - RAY - SINGLE VIEW 4 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19
Page 4807 of 6486
Name
S SUJAYA KUMARI Qty 1 2 1 1 1
Rate Amount 550 550 3500 1750 400 400 550 550 400 400 Total: 5400
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420332 Min 01420332 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 6 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 17 27-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 18 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 19 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 22 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 24 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 27-FEB-19
Page 4808 of 6486
Name
GANGADHAR Rate Amount Qty 18.17 .79 23 7.5 .25 30 14.85 .99 15 72.6 1.21 60 55.8 .93 60 46.8 .78 60 18.9 .63 30 5.53 .79 7 12 .4 30 32.4 1.08 30 17.4 1.16 15 400 400 1 6.9 .23 30 400 400 1 7.5 .25 30 12 .4 30 18.9 .63 30 46.8 .78 60 29.7 .99 30 21.3 .71 30 32.4 1.08 30 23.7 .79 30 55.8 .93 60 72.6 1.21 60 400 400 1 Total: 1829.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420333 Min 01420333 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 14-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 8 14-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 4809 of 6486
Name
LUMBINA Rate Amount Qty 3.84 .64 6 1.64 .41 4 400 400 1 7.4 .37 20 13.4 .67 20 8.9 .89 10 25.62 12.81 2 31.61 31.61 1 85.52 85.52 1 400 400 1 Total: 977.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420334 Min 01420334 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4810 of 6486
Name
USHA SIKRI Rate Amount Qty 76.5 2.55 30 27.9 .93 30 30.6 .34 90 21.3 .71 30 12 .4 30 400 400 1 Total: 568.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420336 Min 01420336 Slno Description Appmt Dt LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 19-FEB-19
Page 4811 of 6486
RISHIDAS VAISHNAW Rate Amount Qty 30.8 4.4 7 8.9 .89 10 31.46 15.73 2 400 400 1 8.1 .27 30 7.5 .25 30 36.3 1.21 30 26.7 .89 30 12.15 12.15 1 400 400 1 Total: 961.91
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420338 Min 01420338 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 TIBOLONE,STRIP PKT,2.5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 07-FEB-19 PYRAZINAMIDE,750MG,,TABLET 7 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 07-FEB-19 OBSERVATION IN CASUALTY 9 07-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 10 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 19 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 26-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 23 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 26 26-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 27 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 28 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 26-FEB-19
Page 4812 of 6486
ANU MATHUR Rate Amount Qty 7.5 .25 30 185.7 6.19 30 41.1 1.37 30 15.48 433.44 28 400 400 1 600 600 1 1.99 1.99 1 .64 .64 1 420 420 1 3.66 3.66 1 1.85 .37 5 8.9 .89 10 2.5 .25 10 4.1 .41 10 10.95 .73 15 16.8 1.12 15 26.6 2.66 10 400 400 1 3.57 .51 7 12.46 .89 14 18.6 .93 20 7.1 .71 10 5.74 .41 14 40.12 20.06 2 2.59 .37 7 48.22 48.22 1 3.78 .18 21 12.6 .9 14 400 400 1 Total: 3120.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420339 Min 01420339 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 08-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 8 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 9 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 08-FEB-19 UREA (BUN /UR) 11 08-FEB-19 CREATININE /CRT 12 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 08-FEB-19
Page 4813 of 6486
Name
MUKHOPADHYAY BN Rate Amount Qty 400 400 1 9.45 .63 15 8.9 .89 10 123.53 123.53 1 39 1.3 30 36 .6 60 275 275 1 1500 1500 1 1300 1300 1 550 550 1 275 275 1 275 275 1 167.4 5.58 30 21.3 .71 30 Total: 4980.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420340 Min 01420340 Appmt Dt Slno Description 08-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4814 of 6486
Name
ANITA MUKHOPADHYAY Qty Rate Amount 4 5.21 20.84 1 400 400 420.84 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420341 Min 01420341 Appmt Dt Slno Description 05-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 05-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4815 of 6486
Name
DILIP KUMAR VAIDYA Qty Rate Amount 30 2.03 60.9 60 .36 21.6 60 .93 55.8 1 400 400 Total: 538.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420344 Min 01420344 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 08-FEB-19 RACECADOTRIL,100MG,CAPSULE 3 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 08-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4816 of 6486
Name
SHASHI Qty 6 9 6 9 4 6 1
Rate Amount 21.12 3.52 83.97 9.33 35.82 5.97 10.08 1.12 34.84 8.71 5.34 .89 400 400 Total: 591.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420346 Min 01420346 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 02-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 02-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 02-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 13 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 14 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 21-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 17 21-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 18 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 19 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 21-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 21 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 22 21-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 23 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 24 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 25 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 21-FEB-19
Page 4817 of 6486
Name
LILY PRICILLA TOPPO Rate Amount Qty 17.4 1.16 15 9.12 .38 24 12.6 .42 30 38.76 3.23 12 83.4 2.78 30 10.05 .67 15 33 1.1 30 27.9 .93 30 400 400 1 21.3 .71 30 12.6 .42 30 55.8 .93 60 12.6 .42 30 11.4 .38 30 21.3 .71 30 12 .4 30 83.4 2.78 30 38.76 3.23 12 10.05 .67 15 33 1.1 30 83.4 2.78 30 12 .4 30 38.76 3.23 12 10.05 .67 15 33 1.1 30 55.8 .93 60 400 400 1 Total: 1577.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420349 Min 01420349 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4818 of 6486
Name
NARAYAN PRASAD BAGHEL Rate Amount Qty 27.9 .93 30 7.5 .25 30 33 1.1 30 16.2 .27 60 400 400 1 16.2 .27 60 27.9 .93 30 33 1.1 30 7.5 .25 30 400 400 1 Total: 969.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420350 Min 01420350 Appmt Dt Slno Description 05-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 05-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4819 of 6486
Name
PUSHPA BAGHEL Qty Rate Amount 60 .27 16.2 60 .93 55.8 15 .99 14.85 1 400 400 Total: 486.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420353 Min 01420353 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 18-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19 SYRINGE,DISPOSABLE,2ML 16 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 17 19-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 18 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 19 19-FEB-19 ONDANSETRON,2MG/ML,INJECTION 20 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 21 19-FEB-19 OBSERVATION IN CASUALTY 22 19-FEB-19 DIAZEPAM,10MG/2ML,INJECTION 23 19-FEB-19
Page 4820 of 6486
Name
GUNESHWAR SINGH THAKUR Rate Amount Qty 7.65 .51 15 18 .3 60 27.9 .93 30 167.4 5.58 30 117 1.3 90 36 .6 60 18.9 .63 30 32.4 1.08 30 21.3 .71 30 26.7 .89 30 11.4 .38 30 400 400 1 3.84 .64 6 13.08 2.18 6 400 400 1 7.36 1.84 4 9.81 9.81 1 5.77 5.77 1 11.89 11.89 1 7.52 7.52 1 24.52 24.52 1 420 420 1 13.45 13.45 1 Total: 1801.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420354 Min 01420354 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 18-FEB-19
Page 4821 of 6486
Name
RATNA THAKUR Rate Amount Qty 7.5 .25 30 17.6 17.6 1 27.9 .93 30 275 275 1 275 275 1 400 400 1 36 .6 60 21.6 .36 60 167.4 5.58 30 78 1.3 60 7.5 .25 30 27.9 .93 30 34.8 1.16 30 400 400 1 275 275 1 275 275 1 1300 1300 1 Total: 3626.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420356 Min 01420356 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4822 of 6486
Name
SAROJ SONI Rate Amount Qty 1.11 .37 3 2.31 .77 3 1.92 .64 3 400 400 1 33 1.1 30 55.8 .93 60 54 .6 90 1.48 .37 4 211.8 3.53 60 7.92 .99 8 9 .3 30 400 400 1 Total: 1178.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420357 Min 01420357 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4823 of 6486
Name
DAYALOO Rate Amount Qty 21.3 .71 30 33 1.1 30 12 .4 30 32.4 1.08 30 47.4 .79 60 36 .6 60 18 .3 60 400 400 1 Total: 600.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420358 Min 01420358 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 4824 of 6486
Name
PADMABAI Rate Amount Qty 39 1.3 30 73.8 .82 90 33 1.1 30 9 .3 30 34.8 1.16 30 6.4 .64 10 1.85 .37 5 36 .6 60 12 .4 30 400 400 1 Total: 645.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420361 Min 01420361 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 26-FEB-19
Page 4825 of 6486
Name
DHIRENDRANATH SARDER Rate Amount Qty 21.3 .71 30 21.3 .71 30 42.6 .71 60 23.7 .79 30 32.4 1.08 30 15.6 .26 60 400 400 1 550 550 1 400 400 1 Total: 1506.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420365 Min 01420365 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 4826 of 6486
Name
SAVITRI BAI Rate Amount Qty 26.7 .89 30 12.15 12.15 1 54 .9 60 156.6 1.74 90 59.4 .66 90 400 400 1 Total: 708.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420366 Min 01420366 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 22-FEB-19 X - RAY - TWO VIEWS 8 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 22-FEB-19
Page 4827 of 6486
Name
UMA DUBEY Rate Amount Qty 27.9 .93 30 36.3 1.21 30 3.75 .25 15 400 400 1 6.23 .89 7 5.03 226.35 45 400 400 1 860 860 1 18.2 2.6 7 Total: 1978.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420367 Min 01420367 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4828 of 6486
Name
A.K DUBEY Rate Amount Qty 21.6 .36 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 66 1.1 60 36 .6 60 400 400 1 Total: 602.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420368 Min 01420368 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 4829 of 6486
Name
CHUNNILAL Rate Amount Qty 17.4 1.16 15 33 1.1 30 7.8 .26 30 27.9 .93 30 9 .3 30 36 .6 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 575.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420369 Min 01420369 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 13-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 23-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 23-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 12 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 4830 of 6486
Name
DEV KUMARI Rate Amount Qty 15.6 .26 60 15 .25 60 87.92 43.96 2 27.9 .93 30 66 1.1 60 34.8 1.16 30 12 .4 30 400 400 1 33 1.1 30 32.4 1.08 30 123.53 123.53 1 82.76 82.76 1 6.4 .64 10 7.5 .25 30 21.3 .71 30 400 400 1 Total: 1366.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420372 Min 01420372 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 4831 of 6486
Name
KAMAL NARAYAN VERMA Rate Amount Qty 23.7 .79 30 21.3 .71 30 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 529.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420375 Min 01420375 Appmt Dt Slno Description 22-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4832 of 6486
Name
SHEIKH NAYYUM Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420377 Min 01420377 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 TENOFOVIR,LAMIVUDINE300 & EFAVIRENZ600MG 3 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 28-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4833 of 6486
Name
GARGI Rate Amount Qty 54 .9 60 26.7 .89 30 779.4 25.98 30 12.15 12.15 1 7.5 .25 30 39.6 .66 60 104.4 1.74 60 400 400 1 Total: 1423.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420380 Min 01420380 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 4834 of 6486
Name
SARATHI SENGUPTA Rate Amount Qty 76.5 2.55 30 32.4 1.08 30 400 400 1 Total: 508.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420381 Min 01420381 Appmt Dt Slno Description 27-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 27-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 27-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4835 of 6486
Name
NIVEDITA SENGUPTA Qty Rate Amount 30 .36 10.8 30 .79 23.7 60 .6 36 1 400 400 Total: 470.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420384 Min 01420384 Slno Description Appmt Dt GUM ANALGESIC GEL 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4836 of 6486
Name
JAI GOVIND NARAYAN SHARMA Rate Amount Qty 28.69 28.69 1 5 .25 20 400 400 1 Total: 433.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420390 Min 01420390 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 4837 of 6486
Name
MALA DUTTA Rate Amount Qty 72 .6 120 118.5 3.95 30 13.35 .89 15 55.8 .93 60 12.3 .41 30 21.3 .71 30 29.7 .99 30 9 .3 30 25.2 .42 60 400 400 1 Total: 757.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420397 Min 01420397 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4838 of 6486
Name
M.SHRINIVAS Rate Amount Qty 21.3 .71 30 76.5 2.55 30 400 400 1 Total: 497.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420399 Min 01420399 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19 TICAGRELOR 90MG ,TABLET 14 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 4839 of 6486
Name
D K TANDON Rate Amount Qty 43.96 43.96 1 26.7 .89 30 33 1.1 30 36 .6 60 34.8 1.16 30 12 .4 30 43.96 43.96 1 26.7 .89 30 33 1.1 30 36 .6 60 34.8 1.16 30 12 .4 30 400 400 1 30.77 1846.2 60 36 .6 60 12 .4 30 34.8 1.16 30 33 1.1 30 26.7 .89 30 43.96 43.96 1 400 400 1 Total: 3205.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420400 Min 01420400 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 28-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 4840 of 6486
JIRA DEVI Rate Amount Qty 15.73 15.73 1 39 1.3 30 54 .6 90 21.6 .36 60 34.8 1.16 30 7.5 .25 30 8.1 .27 30 400 400 1 94.8 1.58 60 400 400 1 7.5 .25 30 34.8 1.16 30 8.1 .27 30 39 1.3 30 54 .6 90 21.6 .36 60 94.8 1.58 60 400 400 1 Total: 1735.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420402 Min 01420402 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 26-FEB-19 PRAZOSIN,2.5MG,TABLET 7 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4841 of 6486
Name
BISWANTIN DEVI VERMA Rate Amount Qty 55.8 .93 60 21.6 .36 60 27.6 .92 30 72.6 1.21 60 33.3 .37 90 211.8 3.53 60 156 1.3 120 36 .6 60 400 400 1 Total: 1014.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420405 Min 01420405 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4842 of 6486
Name
ISHWARLAL VERMA Rate Amount Qty 1.6 .16 10 17.4 1.16 15 36 .6 60 10.8 .36 30 8.1 .27 30 400 400 1 Total: 473.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420406 Min 01420406 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4843 of 6486
Name
DEEPAK VERMA Rate Amount Qty 26 2.6 10 5 .25 20 27.9 .93 30 13.8 .23 60 400 400 1 7.6 .38 20 400 400 1 Total: 880.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420407 Min 01420407 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 4844 of 6486
Name
SHATRUHAN LAL CHANDRAKAR Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 9.6 .64 15 7.5 .25 30 185.7 6.19 30 400 400 1 8.1 .27 30 21.3 .71 30 12 .4 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 1900.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420408 Min 01420408 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4845 of 6486
Name
LAXMI CHANDRAKAR Rate Amount Qty 33 1.1 30 26.7 .89 30 27.9 .93 30 20.06 20.06 1 29.7 .99 30 21.3 .71 30 4.8 .16 30 400 400 1 Total: 563.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420410 Min 01420410 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 4846 of 6486
Name
.KAMALA DEVI Rate Amount Qty 26.7 .89 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 498.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420413 Min 01420413 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 4847 of 6486
Name
JYOTIBALA SINGH Rate Amount Qty 38.25 2.55 15 18 .6 30 27.9 .62 45 27.9 .93 30 400 400 1 Total: 512.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420414 Min 01420414 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4848 of 6486
Name
SUDHIR SINGH Rate Amount Qty 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 588.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420417 Min 01420417 Slno Description Appmt Dt SPOT URINE PCR (PROTEIN CREATININE RATIO 1 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 4849 of 6486
Name
S LAXMINARAYAN Rate Amount Qty 550 550 1 275 275 1 275 275 1 400 400 1 36 .6 60 55.8 .93 60 211.8 3.53 60 16.2 .36 45 32.4 1.08 30 39 1.3 30 12 .4 30 34.8 1.16 30 66 1.1 60 400 400 1 Total: 2404
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420418 Min 01420418 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 16 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 4850 of 6486
Name
S SUSEELA Rate Amount Qty 32.4 1.08 30 39 1.3 30 16.2 .36 45 17.4 1.16 15 55.8 .93 60 36 .6 60 211.8 3.53 60 55.8 .93 60 12 .4 30 34.8 1.16 30 66 1.1 60 400 400 1 150.9 5.03 30 400 400 1 21.3 .71 30 123.8 6.19 20 55.8 .93 60 400 400 1 Total: 2129
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420419 Min 01420419 Slno Description Appmt Dt PLATELET COUNT 1 04-FEB-19 HB,TLC,DLC 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 CREATININE /CRT 8 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 15 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 16 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 19 06-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 20 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 06-FEB-19
Page 4851 of 6486
Name
AMARNATH Rate Amount Qty 330 330 1 300 300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 66 1.1 60 10.8 .36 30 167.4 5.58 30 72 .6 120 78 1.3 60 27.9 .93 30 18.6 .62 30 9.45 .63 15 12 .4 30 21.3 .71 30 55.8 .93 60 44.1 1.47 30 400 400 1 Total: 3388.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420420 Min 01420420 Appmt Dt Slno Description 28-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 28-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 28-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4852 of 6486
Name
NASREEN EHSAN SIDDIQUI Qty Rate Amount 40 6.19 247.6 40 .64 25.6 20 .89 17.8 1 400 400 Total: 691
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420429 Min 01420429 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 21-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 4853 of 6486
Name
SANTOSH KUMAR DEY Rate Amount Qty 34.8 1.16 30 12 .4 30 7.5 .25 30 95.7 3.19 30 15 .25 60 26.7 .89 30 27.9 .93 30 8.1 .27 30 39 1.3 30 72 .6 120 32.4 .36 90 400 400 1 Total: 771.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420430 Min 01420430 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4854 of 6486
Name
SHYAMALI DEY Rate Amount Qty 27.9 .93 30 17.4 .58 30 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420431 Min 01420431 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 4855 of 6486
Name
DILER SINGH DHRUW Rate Amount Qty 60.9 2.03 30 18.9 .63 30 11.4 .38 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 540.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420432 Min 01420432 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 16-FEB-19 X - RAY - TWO VIEWS 7 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19
Page 4856 of 6486
Name
HEMLATA Rate Amount Qty 21.3 .71 30 18.9 .63 30 33 1.1 30 400 400 1 4.1 .41 10 123.8 6.19 20 860 860 1 400 400 1 8.9 .89 10 Total: 1870
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420433 Min 01420433 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 4857 of 6486
T HEMANT KUMAR NAIDU Rate Amount Qty 34.8 1.16 30 55.8 .93 60 16.2 .27 60 12 .4 30 36 .6 60 400 400 1 25.07 25.07 1 3.2 .64 5 400 400 1 Total: 983.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420434 Min 01420434 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4858 of 6486
Name
T.VIJAYA LAXMI NAIDU Rate Amount Qty 3.75 .25 15 13.95 .93 15 17.4 1.16 15 36 .6 60 400 400 1 Total: 471.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420439 Min 01420439 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 4859 of 6486
Name
VK SHRIVASTAVA Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 27.9 .93 30 167.4 5.58 30 1.6 .16 10 54 .6 90 21.6 .36 60 26.7 .89 30 117 1.3 90 400 400 1 Total: 923.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420440 Min 01420440 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 T M T (TREAD MILL EXERCISE TEST) 2 01-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 3 01-FEB-19
Page 4860 of 6486
Name
KUSUM SHRIVASTAVA Rate Amount Qty 400 400 1 3430 3430 1 2370 2370 1 Total: 6200
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420446 Min 01420446 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 4861 of 6486
Name
KIRAN SHUKLA Rate Amount Qty 29.7 .99 30 34.8 1.16 30 10.8 .36 30 36 .6 60 167.4 5.58 30 55.8 .93 60 38.25 2.55 15 400 400 1 Total: 772.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420447 Min 01420447 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 4862 of 6486
Name
B RAJA RAO Rate Amount Qty 32.4 .36 90 34.8 1.16 30 167.4 5.58 30 41.85 .93 45 72 .6 120 117 1.3 90 400 400 1 Total: 865.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420448 Min 01420448 Appmt Dt Slno Description 09-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4863 of 6486
Name
B. PADMAVATHI Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420452 Min 01420452 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4864 of 6486
Name
NEETA CHANDRA Rate Amount Qty 55.2 .92 60 36 .6 60 11.4 .38 30 167.4 5.58 30 400 400 1 Total: 670
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420453 Min 01420453 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4865 of 6486
Name
PUNU RAM Rate Amount Qty 47.4 .79 60 14.85 .99 15 400 400 1 Total: 462.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420454 Min 01420454 Appmt Dt Slno Description 19-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4866 of 6486
Name
DIP KUNWAR BAI Qty Rate Amount 30 .93 27.9 30 .71 21.3 30 1.08 32.4 1 400 400 Total: 481.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420455 Min 01420455 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 4867 of 6486
HARENDRA KUMAR WANJARI Rate Amount Qty 26 2.6 10 185.7 6.19 30 400 400 1 21.3 .71 30 21.3 .71 30 32.4 1.08 30 27.9 .93 30 60.9 2.03 30 8.9 .89 10 25.07 25.07 1 20.06 20.06 1 400 400 1 Total: 1229.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420456 Min 01420456 Slno Description Appmt Dt DRESSING SIMPLE 1 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 11 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19
Page 4868 of 6486
Name
SHAILJA WANJARI Rate Amount Qty 300 300 1 2.56 .64 4 400 400 1 36.8 1.84 20 185.7 6.19 30 13.35 .89 15 39 2.6 15 400 400 1 5.21 5.21 1 21.3 .71 30 18.6 .62 30 8.1 .27 30 400 400 1 Total: 1830.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420457 Min 01420457 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4869 of 6486
Name
LALIT KUMAR POPAT Rate Amount Qty 32.4 1.08 30 27.9 .93 30 76.5 2.55 30 3.7 .37 10 6.4 .64 10 400 400 1 Total: 546.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420459 Min 01420459 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 ECG 4 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 07-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 07-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 8 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 07-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 10 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19
Page 4870 of 6486
Name
ALAK BHATTACHARYA Rate Amount Qty 13.35 .89 15 87.92 43.96 2 400 400 1 450 450 1 16.8 1.12 15 11.4 .38 30 90.88 45.44 2 33.46 33.46 1 35.2 3.52 10 11.25 .75 15 10.8 .36 30 2.4 .16 15 7.5 .25 30 21.3 .71 30 8.1 .27 30 117 1.3 90 55.8 .93 60 36 .6 60 400 400 1 Total: 1809.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420460 Min 01420460 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 12-FEB-19 PRAZOSIN,2.5MG,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 SOLIFENACIN,5MG,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4871 of 6486
Name
SMT. DIPTI BHATTACHARYA Rate Amount Qty 78 1.3 60 22.2 .37 60 156 1.3 120 55.8 .93 60 29.7 .99 30 21.3 .71 30 21.6 .36 60 400 400 1 403.2 13.44 30 400 400 1 Total: 1587.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420462 Min 01420462 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 27-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 7 27-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 8 27-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 9 27-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 4872 of 6486
Name
PUSHKALA MOHANAN Rate Amount Qty 3.84 .64 6 42.12 2.34 18 2.28 .38 6 1.85 .37 5 400 400 1 38.76 3.23 12 83.4 2.78 30 100.71 100.71 1 69.05 69.05 1 156.6 1.74 90 400 400 1 Total: 1298.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420467 Min 01420467 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 DRESSING SIMPLE 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4873 of 6486
Name
SARAF BK Rate Amount Qty 400 400 1 300 300 1 55.8 .93 60 33 1.1 30 16.2 .27 60 12 .4 30 400 400 1 Total: 1217
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420468 Min 01420468 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 4874 of 6486
Name
USHA SARAF Rate Amount Qty 3.75 .25 15 21.3 .71 30 167.4 5.58 30 117 1.3 90 72 .6 120 43.2 .36 120 6.23 .89 7 18.2 2.6 7 400 400 1 Total: 849.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420474 Min 01420474 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 28-FEB-19 CREATININE /CRT 4 28-FEB-19 URIC ACID (UA /URATES /UR) 5 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 28-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 28-FEB-19
Page 4875 of 6486
Name
PK SAHA Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 42.6 .71 60 1300 1300 1 27.9 .93 30 8.1 .27 30 12 .4 30 32.4 1.08 30 21.3 .71 30 1300 1300 1 Total: 4794.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420483 Min 01420483 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 4876 of 6486
Name
INDRA KUMAR SAHU Rate Amount Qty 47.4 .79 60 21.3 .71 30 7.65 .51 15 15.6 .26 60 7.5 .25 30 126 2.1 60 55.8 .93 60 400 400 1 Total: 681.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420485 Min 01420485 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 4877 of 6486
Name
R P DUBEY Rate Amount Qty 17.4 1.16 15 27.9 .93 30 12 .4 30 167.4 5.58 30 39 1.3 30 10.8 .36 30 36 .6 60 400 400 1 Total: 710.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420486 Min 01420486 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 05-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 05-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 3 05-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4878 of 6486
Name
KIRAN DUBEY Rate Amount Qty 28.08 3.51 8 117 3.9 30 42.75 2.85 15 79.2 2.64 30 400 400 1 Total: 667.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420487 Min 01420487 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 4879 of 6486
Name
DINESH KUMAR TAMRAKAR Rate Amount Qty 18.9 .63 30 34.8 1.16 30 33 1.1 30 14.85 .99 15 27.9 .93 30 12 .4 30 15.6 .26 60 400 400 1 Total: 557.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420488 Min 01420488 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 22-FEB-19 COMPLETE HAEMOGRAM 9 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 22-FEB-19 URIC ACID (UA /URATES /UR) 11 22-FEB-19 UREA (BUN /UR) 12 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 22-FEB-19 BLOOD FOR T-3,T-4,TSH 15 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 22-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18 22-FEB-19
Page 4880 of 6486
Name
JHIMIT TAMRAKAR Rate Amount Qty 21.3 .71 30 40.12 20.06 2 53.4 .89 60 12 .4 30 33 1.1 30 27.9 .93 30 10.8 .36 30 167.4 5.58 30 750 750 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 2400 2400 1 400 400 1 2.4 .16 15 27.9 .93 30 Total: 6346.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420491 Min 01420491 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19 C T HEAD WITH CONTRAST (COST OF DYE IN 9 25-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 4881 of 6486
Name
VIJAY PRASAD Rate Amount Qty 26.7 .89 30 20.06 20.06 1 8.4 .42 20 400 400 1 275 275 1 275 275 1 4.2 .42 10 400 400 1 8500 8500 1 25.69 25.69 1 400 400 1 Total: 10335.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420492 Min 01420492 Appmt Dt Slno Description 15-FEB-19 1 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU
Page 4882 of 6486
Name
SANGMITRA Qty 1 1
Rate Amount 275 275 275 275 550 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420497 Min 01420497 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 12 25-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 4883 of 6486
Name
DR.VINOD MATE Rate Amount Qty 3.7 .37 10 34.8 1.16 30 12 .4 30 18 .6 30 4.1 .41 10 6.4 .64 10 55.8 .93 60 60.9 2.03 30 400 400 1 4.1 .41 10 36.8 1.84 20 9 .6 15 41.06 41.06 1 400 400 1 Total: 1086.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420498 Min 01420498 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 19-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 16 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19
Page 4884 of 6486
Name
MAMTA MATE Rate Amount Qty 55.8 .93 60 36 .6 60 39 1.3 30 7.65 .51 15 17.4 .58 30 21.3 .71 30 7.5 .25 30 400 400 1 192.3 6.41 30 60.9 2.03 30 20.84 5.21 4 3.7 .37 10 4.1 .41 10 6.4 .64 10 7.5 .25 30 47.4 1.58 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 1374.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420499 Min 01420499 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 4885 of 6486
Name
ANAND KUMAR Rate Amount Qty 54 .6 90 9 .3 30 21.6 .36 60 167.4 5.58 30 55.8 .93 60 6.9 .23 30 21.3 .71 30 3.75 .25 15 400 400 1 Total: 739.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420500 Min 01420500 Appmt Dt Slno Description 27-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 27-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 27-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4886 of 6486
Name
CHANDRA KALA PATEL Qty Rate Amount 30 .93 27.9 60 1.1 66 30 .27 8.1 1 400 400 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420501 Min 01420501 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 4887 of 6486
Name
CHANDULAL Rate Amount Qty 26.96 3.37 8 3.7 .37 10 19.72 9.86 2 400 400 1 275 275 1 275 275 1 55.8 .93 60 27 .6 45 105.9 3.53 30 7.5 .25 30 400 400 1 Total: 1596.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420502 Min 01420502 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 27-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 4888 of 6486
Name
GANESHI BAI Rate Amount Qty 13.5 .9 15 5.55 .37 15 1.85 .37 5 6.4 .64 10 36 .6 60 55.8 .93 60 33 1.1 30 13.35 .89 15 400 400 1 10.95 .73 15 26.7 .89 30 185.7 6.19 30 21.3 .71 30 400 400 1 Total: 1210.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420507 Min 01420507 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 4889 of 6486
Name
BISHNU PADA DAS Rate Amount Qty 66 1.1 60 21.6 .36 60 117 1.3 90 3.48 1.16 3 12 .4 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 823.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420509 Min 01420509 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 27-FEB-19 CREATININE /CRT 8 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4890 of 6486
Name
SILVESTER TIRKEY Rate Amount Qty 13.8 .23 60 27.9 .93 30 400 400 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 27.9 .93 30 8.1 .27 30 400 400 1 Total: 3402.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420510 Min 01420510 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4891 of 6486
Name
SHANTI TIRKEY Rate Amount Qty 17.4 1.16 15 27.9 .93 30 18 .6 30 400 400 1 275 275 1 275 275 1 400 400 1 7.5 .25 30 36 .6 60 21.3 .71 30 27.9 .93 30 400 400 1 Total: 1906
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420511 Min 01420511 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 I & D (INCISION & DRAINAGE) UNDER LA 2 15-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 16-FEB-19 DRESSING SIMPLE 6 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 25-FEB-19 DRESSING SIMPLE 8 25-FEB-19
Page 4892 of 6486
Name
HARISH CHANDRA BARAPATRE Rate Amount Qty 400 400 1 1400 1400 1 15.78 220.92 14 6.4 .64 10 400 400 1 2100 300 7 400 400 1 3000 300 10 Total: 7927.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420512 Min 01420512 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 06-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 4893 of 6486
Name
MAMATA BARAPATRE Rate Amount Qty 27.9 .62 45 12.3 .41 30 23.7 .79 30 5.21 5.21 1 27.9 .93 30 21.3 .71 30 33 1.1 30 25.2 .42 60 12 .4 30 400 400 1 Total: 588.51
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420513 Min 01420513 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 09-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4894 of 6486
A A LAL Rate Amount Qty 25.07 25.07 1 6.4 .64 10 7.5 .25 30 32.4 1.08 30 55.8 .93 60 73.8 .82 90 400 400 1 Total: 600.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420514 Min 01420514 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4895 of 6486
Name
A K LAL Rate Amount Qty 69.6 1.16 60 32.4 1.08 30 24 .4 60 27.9 .93 30 400 400 1 27.9 .93 30 24 .4 60 32.4 1.08 30 69.6 1.16 60 400 400 1 Total: 1107.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420516 Min 01420516 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 4896 of 6486
Name
BAJRANG LAL AGRAWAL Rate Amount Qty 20.06 20.06 1 185.7 6.19 30 7.5 .25 30 12 .4 30 9 .3 30 27.9 .93 30 167.4 5.58 30 36 .6 60 400 400 1 Total: 865.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420517 Min 01420517 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 4897 of 6486
Name
NEELAM AGRAWAL Rate Amount Qty 6.9 .23 30 185.7 6.19 30 21.3 .71 30 9.3 .62 15 400 400 1 Total: 623.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420526 Min 01420526 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 4898 of 6486
Name
ALOK KUMAR KUNDU Rate Amount Qty 1.85 .37 5 8.9 .89 10 55.2 1.84 30 6.4 .64 10 400 400 1 Total: 472.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420528 Min 01420528 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 28-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 7 28-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 4899 of 6486
Name
MOHD. ISRAIL Rate Amount Qty 8.1 .27 30 32.4 1.08 30 10.65 .71 15 27.9 .93 30 400 400 1 24.6 .41 60 36.75 2.45 15 19.8 .99 20 400 400 1 Total: 960.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420529 Min 01420529 Slno Description Appmt Dt OLOPATADINE,0.1%,EYE DROP,5ML PACK 1 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 28-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 10 28-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4900 of 6486
ABIDA BAGAM Rate Amount Qty 18.21 18.21 1 25.07 25.07 1 13.35 .89 15 92.85 6.19 15 6.15 .41 15 400 400 1 25.07 25.07 1 4.8 .16 30 9.9 .66 15 18.21 18.21 1 161.1 5.37 30 400 400 1 Total: 1174.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420532 Min 01420532 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 20-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4901 of 6486
Name
DEVENDRA KUMAR DUBEY Rate Amount Qty 7.5 .25 30 26.7 .89 30 54 .9 60 16.2 .18 90 20.1 .67 30 400 400 1 6.9 .23 30 400 400 1 Total: 931.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420535 Min 01420535 Appmt Dt Slno Description 09-FEB-19 1 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 09-FEB-19 2 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 09-FEB-19 3 ASCORBIC ACID,STRIP PKT,100MG,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4902 of 6486
Name
P LAXMINARAYAN Qty Rate Amount 1 20.25 20.25 20 1.84 36.8 10 .38 3.8 1 400 400 Total: 460.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420536 Min 01420536 Appmt Dt Slno Description 09-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4903 of 6486
Name
P PADMA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420545 Min 01420545 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4904 of 6486
Name
JEEWANLAL SAHU Rate Amount Qty 9 .3 30 18 .6 30 167.4 5.58 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 636.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420548 Min 01420548 Slno Description Appmt Dt BLOOD FOR TSH 1 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 15-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 15-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 8 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 15-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 19-FEB-19
Page 4905 of 6486
Name
REKHA BANJARE Rate Amount Qty 800 800 1 400 400 1 24.6 .41 60 79.2 2.64 30 34.8 1.16 30 26.7 .89 30 15 .25 60 88.2 1.47 60 21.3 .71 30 15.3 .51 30 40.12 20.06 2 27.9 .93 30 550 550 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 4373.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420549 Min 01420549 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 4906 of 6486
Name
LAXMAN RAO NAIDU Rate Amount Qty 21.3 .71 30 55.8 .93 60 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420550 Min 01420550 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 4907 of 6486
Name
RAJESHWARI Rate Amount Qty 13.95 .93 15 36 .6 60 10.8 .36 30 34.8 1.16 30 400 400 1 Total: 495.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420552 Min 01420552 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4908 of 6486
Name
G.SHOBHA RATNAM Rate Amount Qty 41.85 .93 45 39 1.3 30 72 .6 120 21.6 .36 60 21.3 .71 30 400 400 1 Total: 595.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420556 Min 01420556 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 08-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 08-FEB-19
Page 4909 of 6486
SMT. PUSHAPA JOGI Rate Amount Qty 8.1 .27 30 46.8 2.34 20 26.7 .89 30 400 400 1 26.6 2.66 10 31.46 15.73 2 6.4 .64 10 3.7 .37 10 Total: 549.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420557 Min 01420557 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4910 of 6486
Name
SIRAJUDDIN Rate Amount Qty 550 550 1 400 400 1 1750 1750 1 400 400 1 27.9 .93 30 400 400 1 Total: 3527.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420559 Min 01420559 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 08-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 08-FEB-19 URIC ACID (UA /URATES /UR) 15 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 08-FEB-19 UREA (BUN /UR) 17 08-FEB-19 CREATININE /CRT 18 08-FEB-19
Page 4911 of 6486
Name
PRADEEP SINGH BHADAURIA Rate Amount Qty 51 1.7 30 400 400 1 550 550 1 1300 1300 1 275 275 1 1050 1050 1 400 400 1 36 .6 60 33 1.1 30 15.6 .26 60 27.9 .93 30 69.6 1.16 60 32.4 1.08 30 24 .4 60 275 275 1 275 275 1 275 275 1 275 275 1 Total: 5364.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420560 Min 01420560 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 08-FEB-19 UREA (BUN /UR) 10 08-FEB-19 CREATININE /CRT 11 08-FEB-19 URIC ACID (UA /URATES /UR) 12 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 08-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 16 08-FEB-19
Page 4912 of 6486
Name
KALPANA BHADAURIA Rate Amount Qty 26.55 26.55 1 400 400 1 21.3 .71 30 36 .6 60 21.6 .36 60 20.84 5.21 4 2.4 .16 15 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 1050 1050 1 Total: 5203.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420561 Min 01420561 Appmt Dt Slno Description 07-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 07-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 3 TENELIGLIPTIN,20MG,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4913 of 6486
Name
RAJENDRA PRASAD Qty Rate Amount 30 .4 12 30 .93 27.9 30 5.58 167.4 1 400 400 Total: 607.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420565 Min 01420565 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 4914 of 6486
Name
MOHD ABBAS Rate Amount Qty 22.08 1.84 12 4.62 .77 6 41.06 41.06 1 3.2 .64 5 400 400 1 Total: 470.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420567 Min 01420567 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 07-FEB-19 RA FACTOR /RH FACTOR 9 07-FEB-19 PLATELET COUNT 10 07-FEB-19 ESR 11 07-FEB-19 HB,TLC,DLC 12 07-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 13 07-FEB-19 CREATININE /CRT 14 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 07-FEB-19
Page 4915 of 6486
Name
SHUBHAYU DAS Rate Amount Qty 37.8 .63 60 34.8 1.16 30 12 .4 30 118.5 3.95 30 55.8 .93 60 117 1.3 90 12 .4 30 20.84 5.21 4 600 600 1 330 330 1 165 165 1 300 300 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 3303.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420568 Min 01420568 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4916 of 6486
Name
SUCHITRA DAS Rate Amount Qty 18 .3 60 54 .6 90 9.3 .62 15 10.65 .71 15 27.9 .93 30 7.5 .25 30 400 400 1 Total: 527.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420570 Min 01420570 Appmt Dt Slno Description 13-FEB-19 1 CARBIMAZOLE,5MG,BTL PACK,TABLET 13-FEB-19 2 TRANEXAMIC ACID,500 MG,,TABLET 13-FEB-19 3 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4917 of 6486
Name
SMT. AMBALIKA DEWANGAN Qty Rate Amount 60 1.58 94.8 10 12.95 129.5 2 43.96 87.92 1 400 400 Total: 712.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420571 Min 01420571 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 4918 of 6486
Name
SURENDRA RAUT Rate Amount Qty 3.7 .37 10 5.28 .66 8 20.55 1.37 15 3.75 .25 15 400 400 1 Total: 433.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420573 Min 01420573 Appmt Dt Slno Description 18-FEB-19 1 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4919 of 6486
Name
P RAJAGOPALAM Qty Rate Amount 60 1.3 78 1 400 400 478 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420574 Min 01420574 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4920 of 6486
Name
P V G CH. MANI Rate Amount Qty 5.34 .89 6 66 1.1 60 6.72 1.12 6 55.2 1.84 30 6.4 .64 10 27.9 .93 30 400 400 1 Total: 567.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420577 Min 01420577 Slno Description Appmt Dt VITAMIN E,STRIP PKT,200MG,CAPSULE 1 06-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4921 of 6486
Name
SUMITRA JANGID Rate Amount Qty 23.7 1.58 15 11.4 .38 30 10.42 5.21 2 13.35 .89 15 17.4 1.16 15 55.8 .93 60 400 400 1 Total: 532.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420584 Min 01420584 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 4922 of 6486
Name
SHIV SHANKAR THAKUR Rate Amount Qty 15.6 1.04 15 18.9 .63 30 15.6 .26 60 55.8 .93 60 16.2 .27 60 32.4 1.08 30 12 .4 30 21.3 .71 30 400 400 1 Total: 587.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420586 Min 01420586 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 4923 of 6486
Name
O.P.DAS Rate Amount Qty 7.7 .77 10 41.85 .93 45 400 400 1 Total: 449.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420587 Min 01420587 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 4924 of 6486
Name
URMILA DEVI Rate Amount Qty 18 .6 30 21.3 .71 30 72.6 1.21 60 7.5 .25 30 8.1 .27 30 400 400 1 Total: 527.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420588 Min 01420588 Appmt Dt Slno Description 15-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4925 of 6486
Name
SATYA PRAKASH RAI Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420589 Min 01420589 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 16-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4926 of 6486
Name
KAMLAWATI Rate Amount Qty 4.1 .41 10 8.9 .89 10 35.2 3.52 10 400 400 1 57.84 57.84 1 400 400 1 167.4 5.58 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 1502.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420592 Min 01420592 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4927 of 6486
Name
P VIMLA RAO Rate Amount Qty 371.4 6.19 60 21.3 .71 30 8.1 .27 30 8.9 .89 10 400 400 1 Total: 809.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420593 Min 01420593 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4928 of 6486
Name
P.VENKAT RAMAN Rate Amount Qty 6.4 .64 10 3.7 .37 10 60.9 2.03 30 27.9 .93 30 192.3 6.41 30 400 400 1 Total: 691.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420598 Min 01420598 Slno Description Appmt Dt ECG 1 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 06-FEB-19 OBSERVATION IN CASUALTY 3 06-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 06-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 4929 of 6486
Name
SHYAM LAL SAHU Rate Amount Qty 450 450 1 .16 .16 1 420 420 1 100 100 1 600 600 1 8.1 .27 30 66 1.1 60 8.9 .89 10 400 400 1 Total: 2053.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420604 Min 01420604 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 4930 of 6486
Name
K SUKHMATI PETER Rate Amount Qty 20.22 3.37 6 19.72 9.86 2 400 400 1 7.5 .25 30 21.3 .71 30 11.4 .38 30 400 400 1 Total: 880.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420605 Min 01420605 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 04-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 2 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 4931 of 6486
Name
K PETER Rate Amount Qty 26.96 3.37 8 37.04 37.04 1 11.25 .75 15 400 400 1 21.3 .71 30 23.7 .79 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 1123.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420608 Min 01420608 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 4932 of 6486
Name
ASHOK KUMAR SONI Rate Amount Qty 21.3 .71 30 32.4 1.08 30 8.1 .27 30 23.7 .79 30 7.5 .25 30 72 .6 120 400 400 1 106.8 3.56 30 400 400 1 Total: 1071.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420609 Min 01420609 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 8 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 13-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 11 13-FEB-19 URINE ROUTINE AND MICROSCOPIC 12 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 13-FEB-19 SOLIFENACIN,5MG,,TABLET 15 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 16 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 20 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 23 21-FEB-19 BLOOD FOR T-3,T-4,TSH 24 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 26 21-FEB-19 CREATININE /CRT 27 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 22-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 29 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 30 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 31 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 32 22-FEB-19
Page 4933 of 6486
Name
JYOTI SONI Rate Amount Qty 6.4 .64 10 35.2 3.52 10 20.84 5.21 4 371.4 6.19 60 400 400 1 6.4 .64 10 4.45 .89 5 650 650 1 400 400 1 33.12 1.84 18 1750 1750 1 380 380 1 35.2 3.52 10 3.8 .38 10 403.2 13.44 30 18.6 .62 30 400 400 1 21.3 .71 30 7.5 .25 30 167.4 5.58 30 78 1.3 60 72 .6 120 21.6 .36 60 2400 2400 1 400 400 1 33 1.1 30 275 275 1 400 400 1 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 9248.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420610 Min 01420610 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4934 of 6486
Name
ANIL KUMAR Rate Amount Qty 55.8 .93 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 46.2 .77 60 400 400 1 Total: 581.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420611 Min 01420611 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4935 of 6486
Name
RAJIM BAI Rate Amount Qty 403.2 13.44 30 2.4 .16 15 33 1.1 30 6.9 .23 30 26 2.6 10 7.5 .25 30 400 400 1 Total: 879
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420612 Min 01420612 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4936 of 6486
Name
SHESHNATH Rate Amount Qty 66 1.1 60 12 .4 30 27.9 .93 30 36 .6 60 16.2 .36 45 6.9 .23 30 400 400 1 Total: 565
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420613 Min 01420613 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4937 of 6486
Name
LALMATI Rate Amount Qty 12 .4 30 7.5 .25 30 117 1.3 90 72 .6 120 21.6 .36 60 400 400 1 Total: 630.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420614 Min 01420614 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 4938 of 6486
Name
SHIV SHANKAR TIWARI Rate Amount Qty 4.8 .6 8 7.68 .64 12 8.96 1.12 8 44.16 1.84 24 400 400 1 Total: 465.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420615 Min 01420615 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 4939 of 6486
Name
ASHA TIWARI Rate Amount Qty 27.9 .93 30 6.4 .64 10 18.6 .62 30 12.6 .9 14 1.85 .37 5 26.6 2.66 10 400 400 1 Total: 493.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420616 Min 01420616 Appmt Dt Slno Description 05-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 05-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 05-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4940 of 6486
Name
JAIPRAKASH SINGH Qty Rate Amount 60 .6 36 30 .36 10.8 30 .79 23.7 1 400 400 Total: 470.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420617 Min 01420617 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 INHALANT,STRIP PACK,CAPSULE 9 23-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 10 23-FEB-19 OBSERVATION IN CASUALTY 11 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 16 23-FEB-19 ECG 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 4941 of 6486
Name
USHA KIRAN Rate Amount Qty 19.72 9.86 2 11.1 .37 30 16.85 3.37 5 400 400 1 600 600 1 35.2 3.52 10 1.85 .37 5 4.45 .89 5 17 1.7 10 22.71 22.71 1 420 420 1 66.2 6.62 10 1.85 .37 5 8.9 .89 10 6.4 .64 10 4.2 .42 10 450 450 1 400 400 1 Total: 2486.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420618 Min 01420618 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 16-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 2 16-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 16-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 16-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 4942 of 6486
Name
PREMNATH Rate Amount Qty 39.6 2.64 15 20.55 1.37 15 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 12.81 12.81 1 400 400 1 Total: 527.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420620 Min 01420620 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 26-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4943 of 6486
Name
MUGANLAL VERMA Rate Amount Qty 19.2 .64 30 26.7 .89 30 185.7 6.19 30 55.2 1.84 30 400 400 1 12.81 12.81 1 7.4 .37 20 31.61 31.61 1 400 400 1 Total: 1138.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420621 Min 01420621 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 25-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 25-FEB-19 X - RAY - TWO VIEWS 6 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 4944 of 6486
Name
YUGAL KISHORI VERMA Rate Amount Qty 3.84 .64 6 3.6 .6 6 10.65 .71 15 400 400 1 20.84 5.21 4 860 860 1 33.12 1.84 18 11.4 .38 30 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 1780.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420623 Min 01420623 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 4945 of 6486
Name
BIMLA DEVI Rate Amount Qty 66 1.1 60 34.8 1.16 30 32.4 .36 90 72 .6 120 167.4 5.58 30 8.1 .27 30 400 400 1 Total: 780.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420624 Min 01420624 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 12-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 6 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 12-FEB-19 MYCOPHENOLATE MOFETIL,500MG,TABLET 8 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 15-FEB-19 DEFLAZACORT,1MG,,TABLET 10 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19
Page 4946 of 6486
Name
DP VISHWAKARMA Rate Amount Qty 44.16 1.84 24 7.68 .64 12 5.84 .73 8 7.12 .89 8 8.96 1.12 8 1170 1170 1 400 400 1 22.96 2066.4 90 167.4 5.58 30 41.1 1.37 30 1.6 .16 10 12 .4 30 11.4 .38 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 4407.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420626 Min 01420626 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 04-FEB-19 RIFAXIMIN 200 MG,,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4947 of 6486
Name
PRADIP KUMAR DAS Rate Amount Qty 21.3 .71 30 9.9 .66 15 23.7 .79 30 279.9 9.33 30 36 .6 60 12 .4 30 78 1.3 60 21.6 .36 60 400 400 1 2.46 .41 6 5.34 .89 6 400 400 1 Total: 1290.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420627 Min 01420627 Slno Description Appmt Dt OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 1 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 26-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 4948 of 6486
Name
ADITY DAS Rate Amount Qty 26.86 13.43 2 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 400 400 1 Total: 480.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420629 Min 01420629 Appmt Dt Slno Description 21-FEB-19 1 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 21-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 3 SOLIFENACIN,5MG,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4949 of 6486
Name
SAKINA KHATUN Qty Rate Amount 15 .71 10.65 30 .89 26.7 60 13.44 806.4 1 400 400 Total: 1243.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420630 Min 01420630 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4950 of 6486
Name
LAWRVEEN MASIH Rate Amount Qty 12.15 .27 45 21.6 .36 60 72 .6 120 78 1.3 60 34.8 1.16 30 55.8 .93 60 167.4 5.58 30 400 400 1 Total: 841.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420631 Min 01420631 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 4951 of 6486
Name
SMT SUMAN SUSHAMA MASIH Rate Amount Qty 39 1.3 30 76.5 2.55 30 12 .4 30 17.4 1.16 15 16.2 .27 60 55.8 .93 60 211.8 3.53 60 400 400 1 Total: 828.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420632 Min 01420632 Appmt Dt Slno Description 11-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11-FEB-19 2 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 11-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4952 of 6486
SAVITRI DEVI Qty Rate Amount 30 .27 8.1 2 48.22 96.44 10 3.52 35.2 1 400 400 Total: 539.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420634 Min 01420634 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 PRAZOSIN,2.5MG,TABLET 4 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 4953 of 6486
Name
JAGDEO THAKUR Rate Amount Qty 275 275 1 275 275 1 55.8 .93 60 39 1.3 30 3.53 187.09 53 55.2 .92 60 17.4 1.16 15 3.96 .99 4 24.71 3.53 7 18 .6 30 400 400 1 Total: 1351.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420635 Min 01420635 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 8 28-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4954 of 6486
Name
CHANDRAKALA DEVI Rate Amount Qty 55.8 .93 60 3.2 .64 5 30.95 6.19 5 3.55 .71 5 26 2.6 10 26.7 .89 30 7.5 .25 30 9.9 .66 15 161.1 5.37 30 66 1.1 60 12 .4 30 400 400 1 Total: 802.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420637 Min 01420637 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 4955 of 6486
Name
ISHWARLAL THAKUR Rate Amount Qty 26.7 .89 30 18 .6 30 7.5 .25 30 7.65 .51 15 34.8 1.16 30 21.3 .71 30 12 .4 30 9 .3 30 55.8 .93 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 637.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420639 Min 01420639 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4956 of 6486
Name
M.JAGDISHWAR RAO Rate Amount Qty 3.84 .64 6 34.8 1.16 30 11.85 .79 15 12 .4 30 400 400 1 Total: 462.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420640 Min 01420640 Appmt Dt Slno Description 07-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 07-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 07-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4957 of 6486
Name
M.LAXMI Qty Rate Amount 15 1.16 17.4 15 .79 11.85 5 .16 .8 1 400 400 Total: 430.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420644 Min 01420644 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 4958 of 6486
Name
.CHAMPA BAI Rate Amount Qty 27.9 .93 30 36 .6 60 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420646 Min 01420646 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4959 of 6486
Name
VINAYAK RAO CHANNAWAR Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420647 Min 01420647 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 CREATININE /CRT 6 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 URIC ACID (UA /URATES /UR) 10 18-FEB-19
Page 4960 of 6486
Name
D SHRINIVASAN Rate Amount Qty 21.3 .71 30 55.8 .93 60 18 .6 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 2395.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420648 Min 01420648 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 18-FEB-19 CREATININE /CRT 12 18-FEB-19
Page 4961 of 6486
Name
RANJINI SHRINIVASAN Rate Amount Qty 7.5 .25 30 54 .6 90 55.8 .93 60 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 275 275 1 400 400 1 275 275 1 1300 1300 1 275 275 1 Total: 3108
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420651 Min 01420651 Appmt Dt Slno Description 14-FEB-19 1 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14-FEB-19 2 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 14-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4962 of 6486
Name
GURNAM SINGH Qty Rate Amount 2 12.81 25.62 2 31.61 63.22 30 .37 11.1 1 400 400 Total: 499.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420652 Min 01420652 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4963 of 6486
Name
JASWINDER KAUR Rate Amount Qty 9.9 .66 15 34.8 1.16 30 33 1.1 30 22.2 .37 60 55.8 .93 60 400 400 1 Total: 555.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420654 Min 01420654 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4964 of 6486
Name
DHARMIN SAHU Rate Amount Qty 55.8 .93 60 8.1 .27 30 15.3 .51 30 6.4 .64 10 400 400 1 Total: 485.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420663 Min 01420663 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 4965 of 6486
Name
LAXMAN SINGH SENGAR Rate Amount Qty 12 .4 30 34.8 1.16 30 7.5 .25 30 26.7 .89 30 12.3 .41 30 10.8 .36 30 54 .6 90 78 1.3 60 400 400 1 Total: 636.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420667 Min 01420667 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 13-FEB-19 UREA (BUN /UR) 5 13-FEB-19 CREATININE /CRT 6 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19
Page 4966 of 6486
Name
JAWID HASSAN Rate Amount Qty 1300 1300 1 275 275 1 400 400 1 275 275 1 275 275 1 275 275 1 7.5 .25 30 1.85 .37 5 34.8 1.16 30 8.1 .27 30 55.8 .93 60 3.2 .64 5 54 .9 60 26.7 .89 30 400 400 1 Total: 3391.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420668 Min 01420668 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 13-FEB-19 CREATININE /CRT 14 13-FEB-19 UREA (BUN /UR) 15 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 13-FEB-19 OBSERVATION IN CASUALTY 20 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 21 17-FEB-19 ONDANSETRON,2MG/ML,INJECTION 22 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 17-FEB-19 ECG 25 17-FEB-19
Page 4967 of 6486
Name
SHAMIMUNNISA BEGUM Rate Amount Qty 21.6 .36 60 72 .6 120 27.9 .62 45 21.3 .71 30 7.5 .25 30 55.8 .93 60 4.8 .16 30 53.4 .89 60 3.7 .37 10 10.5 .7 15 66.2 6.62 10 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 420 420 1 24.52 24.52 1 7.52 7.52 1 .93 .93 1 .16 .16 1 450 450 1 Total: 4997.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420669 Min 01420669 Slno Description Appmt Dt TETANUS TOXOID,0.5ML,INJECTION 1 09-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 2 09-FEB-19 X - RAY - SINGLE VIEW 3 09-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 4 09-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 09-FEB-19 OBSERVATION IN CASUALTY 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 DRESSING SIMPLE 14 21-FEB-19 DRESSING SIMPLE 15 23-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 16 26-FEB-19 DRESSING SIMPLE 17 26-FEB-19 SUTURE REMOVAL 18 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 26-FEB-19
Page 4968 of 6486
Name
I.P.THAKUR Rate Amount Qty 8.64 8.64 1 5.77 5.77 1 550 550 1 600 600 1 9.81 9.81 1 420 420 1 4.45 .89 5 10.95 .73 15 9.6 .64 15 66.2 6.62 10 9.5 .38 25 400 400 1 400 400 1 300 300 1 300 300 1 41.06 41.06 1 300 300 1 490 490 1 400 400 1 Total: 4325.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420675 Min 01420675 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 25-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4969 of 6486
Name
NETRAM SAHU Rate Amount Qty 8.1 .27 30 55.8 .93 60 11.1 .37 30 21.3 .71 30 7.5 .25 30 14.85 .99 15 36 .6 60 17.6 17.6 1 85.52 85.52 1 400 400 1 Total: 657.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420676 Min 01420676 Appmt Dt Slno Description 25-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4970 of 6486
Name
BISAHIN BAI Qty Rate Amount 4 .37 1.48 30 1.1 33 15 .93 13.95 1 400 400 Total: 448.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420683 Min 01420683 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4971 of 6486
Name
HAJARI RAM CHAWRE Rate Amount Qty 26.7 .89 30 27.9 .93 30 34.8 1.16 30 19.8 .66 30 400 400 1 Total: 509.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420684 Min 01420684 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4972 of 6486
Name
AMBIKA BAI Qty Rate Amount 30 .71 21.3 30 1.1 33 30 .27 8.1 1 400 400 Total: 462.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420685 Min 01420685 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 23-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 4973 of 6486
Name
RAJESH KUMAR RANA Rate Amount Qty .8 .16 5 8.9 .89 10 7.5 .25 30 117 1.3 90 55.2 .92 60 66 1.1 60 21.3 .71 30 12 .4 30 8.1 .27 30 400 400 1 Total: 696.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420689 Min 01420689 Slno Description Appmt Dt CREATININE /CRT 1 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 15-FEB-19 TRIGLYCERIDES (TGL) 4 15-FEB-19 UREA (BUN /UR) 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 18-FEB-19 PRAZOSIN,2.5MG,TABLET 11 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 4974 of 6486
Name
BALESWAR Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 195 1.3 150 167.4 5.58 30 33 1.1 30 10.8 .36 30 156 1.3 120 55.8 .93 60 72 .6 120 211.8 3.53 60 400 400 1 Total: 2698.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420693 Min 01420693 Appmt Dt Slno Description 18-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 18-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4975 of 6486
Name
SUSHMA VERMA Qty Rate Amount 30 .6 18 30 .25 7.5 30 1.1 33 1 400 400 Total: 458.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420695 Min 01420695 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 X - RAY - TWO VIEWS 2 12-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 3 12-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 4 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 16-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 BMD/DEXA SCAN 11 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 27-FEB-19 HAEMOGLOBIN / (HB %) 14 27-FEB-19 BLOOD FOR T-3,T-4,TSH 15 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 27-FEB-19 CREATININE /CRT 17 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 27-FEB-19 URIC ACID (UA /URATES /UR) 20 27-FEB-19 UREA (BUN /UR) 21 27-FEB-19
Page 4976 of 6486
Name
NISHA SINHA Rate Amount Qty 400 400 1 1720 860 2 18000 9000 2 3.96 .99 4 20.84 5.21 4 123.8 6.19 20 7.6 .38 20 29.2 .73 40 13.4 .67 20 17.8 .89 20 1500 1500 1 400 400 1 400 400 1 130 130 1 2400 2400 1 400 400 1 275 275 1 550 550 1 1300 1300 1 275 275 1 275 275 1 Total: 28241.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420697 Min 01420697 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 18-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 7 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 4977 of 6486
Name
SMT.SHUBHADA PATANKAR Rate Amount Qty 26.7 .89 30 15.6 .26 60 60.9 2.03 30 34.8 1.16 30 27.9 .93 30 32.4 1.08 30 35.2 17.6 2 87.92 43.96 2 40.12 20.06 2 11.1 .37 30 12 .4 30 400 400 1 Total: 784.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420699 Min 01420699 Slno Description Appmt Dt DRESSING SIMPLE 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 06-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 15 09-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 16 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 17 09-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 18 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 20 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 21 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 22 09-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 23 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 25 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 26 09-FEB-19 UREA (BUN /UR) 27 09-FEB-19 CREATININE /CRT 28 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 12-FEB-19 DRESSING SIMPLE 30 12-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 31 16-FEB-19 OBSERVATION IN CASUALTY 32 16-FEB-19 ECG 33 16-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 34 16-FEB-19 INJECTION PHYTOMENADIONE 10MG/ML, 35 16-FEB-19 SYRINGE,DISPOSABLE,2ML 36 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 37 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 38 17-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 39 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 40 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 41 17-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 42 20-FEB-19 BLOOD FOR TSH 43 20-FEB-19 COMPLETE HAEMOGRAM 44 20-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 45 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 46 20-FEB-19
Page 4978 of 6486
Name
RAISHA BIBI Qty 7 1 30 30 30 30 1 30 60 30 1 1 1 1 15 60 30 30 30 1 30 30 1 1 1 1 1 1 1 10 1 1 1 1 1 2 1 5 10 10 1 1 1 1 1 1
Rate Amount 2100 300 400 400 32.4 1.08 34.8 1.16 43.2 1.44 15.3 .51 20.06 20.06 167.4 5.58 42.6 .71 23.7 .79 400 400 275 275 275 275 400 400 7.65 .51 42.6 .71 23.7 .79 43.2 1.44 32.4 1.08 1300 1300 34.8 1.16 167.4 5.58 550 550 400 400 275 275 275 275 275 275 275 275 400 400 3000 300 600 600 420 420 450 450 9.62 9.62 1.37 1.37 3.68 1.84 43.96 43.96 .8 .16 61.4 6.14 8.9 .89 400 400 1300 1300 800 800 750 750 1500 1500 400 400
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420699 Min 01420699 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 47 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 48 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 49 22-FEB-19
Page 4979 of 6486
Name
RAISHA BIBI Qty 6 6 1
Rate Amount 2.46 .41 39.72 6.62 400 400 Total: 18523.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420700 Min 01420700 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4980 of 6486
Name
ANAND RAM SINHA Rate Amount Qty 275 275 1 275 275 1 21.3 .71 30 167.4 5.58 30 10.8 .36 30 72 .6 120 400 400 1 Total: 1221.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420701 Min 01420701 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4981 of 6486
Name
LAXMI SINHA Rate Amount Qty 13.95 .93 15 7.5 .25 30 5.21 5.21 1 33 1.1 30 400 400 1 Total: 459.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420703 Min 01420703 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 01-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 26-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 26-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 15 26-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 4982 of 6486
Name
NILAKANTH TANDI Rate Amount Qty 54 .9 60 100.71 100.71 1 16.2 .18 90 47.4 1.58 30 7.5 .25 30 26.7 .89 30 26.7 .89 30 400 400 1 13.7 1.37 10 185.7 6.19 30 18.9 .63 30 400 400 1 54 .9 60 16.2 .18 90 100.71 100.71 1 33.5 .67 50 400 400 1 Total: 1901.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420705 Min 01420705 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4983 of 6486
Name
URMILA BAI Rate Amount Qty 24 .6 40 12.8 .64 20 247.6 6.19 40 17.8 .89 20 400 400 1 21.3 .71 30 8.4 .42 20 400 400 1 Total: 1131.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420708 Min 01420708 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 4984 of 6486
Name
V GURAVAYYA Rate Amount Qty 26 2.6 10 31.9 3.19 10 8.9 .89 10 400 400 1 18 .6 30 55.8 .93 60 3.45 .23 15 37.8 .63 60 34.8 1.16 30 33 1.1 30 13.8 .92 15 400 400 1 Total: 1063.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420709 Min 01420709 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 4985 of 6486
Name
V.BHULAXMI Qty 7 7 1
Rate Amount 6.23 .89 9.59 1.37 400 400 Total: 415.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420710 Min 01420710 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4986 of 6486
Name
VINOD KUMAR DIWAN Rate Amount Qty 1750 1750 1 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 2803.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420713 Min 01420713 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 4987 of 6486
Name
SANGEETA AGRAWAL Rate Amount Qty 21.3 .71 30 23.7 .79 30 400 400 1 Total: 445
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420718 Min 01420718 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 26-FEB-19 PRAZOSIN,2.5MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4988 of 6486
Name
NAND KUMAR TAMRAKAR Rate Amount Qty 26.7 .89 30 21.3 .71 30 29.7 .99 30 18 .6 30 36.3 1.21 30 78 1.3 60 55.8 .93 60 400 400 1 Total: 665.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420719 Min 01420719 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4989 of 6486
Name
PRATIMA DEVI TAMRAKAR Rate Amount Qty 26.7 .89 30 66 1.1 60 34.8 1.16 30 12 .4 30 400 400 1 6 .6 10 55.2 1.84 30 6.72 1.12 6 9.6 .64 15 400 400 1 Total: 1017.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420723 Min 01420723 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4990 of 6486
Name
RS CHATURVEDI Rate Amount Qty 78 1.3 60 21.3 .71 30 66 1.1 60 400 400 1 7.5 .25 30 72.6 1.21 60 22.2 .37 60 400 400 1 Total: 1067.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420724 Min 01420724 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 25-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4991 of 6486
Name
ANJU CHATURVEDI Qty Rate Amount 30 .93 27.9 30 .6 18 30 .16 4.8 1 400 400 Total: 450.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420726 Min 01420726 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4992 of 6486
Name
VINOD KUMAR SHARMA Rate Amount Qty 60.9 2.03 30 18.9 .63 30 17.4 1.16 15 32.4 1.08 30 66 1.1 60 55.8 .93 60 18 .6 30 400 400 1 Total: 669.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420728 Min 01420728 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 19-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 4993 of 6486
Name
BALWANT KHOBRAGADE Rate Amount Qty 27.9 .93 30 117 1.3 90 76.5 2.55 30 36 .6 60 21.6 .36 60 13.43 13.43 1 12.81 12.81 1 400 400 1 Total: 705.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420731 Min 01420731 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4994 of 6486
Name
P K ROY GHATAK Rate Amount Qty 26.7 .89 30 32.4 1.08 30 400 400 1 Total: 459.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420737 Min 01420737 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 4995 of 6486
Name
ASHOK KUMAR CHANDEL Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 16.5 1.1 15 12 .4 30 39 1.3 30 10.8 .36 30 11.85 .79 15 400 400 1 Total: 557.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420738 Min 01420738 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 15-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 4996 of 6486
Name
KAMLA CHANDEL Qty 6 6 1
Rate Amount 2.46 .41 4.62 .77 400 400 Total: 407.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420745 Min 01420745 Appmt Dt Slno Description 18-FEB-19 1 INHALANT,STRIP PACK,CAPSULE 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4997 of 6486
Name
SHAILENDRA KUMAR SONI Qty Rate Amount 6 1.7 10.2 1 400 400 410.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420747 Min 01420747 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 4998 of 6486
Name
BIRENDRA BAHADUR SINGH Rate Amount Qty 12 .4 30 72.6 1.21 60 18 .6 30 8.1 .27 30 34.8 1.16 30 27.9 .93 30 15.6 .26 60 400 400 1 Total: 589
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420748 Min 01420748 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4999 of 6486
Name
MANJU Qty 4 4 1
Rate Amount 1.64 .41 3.08 .77 400 400 Total: 404.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420749 Min 01420749 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 5000 of 6486
Name
MADHU SUDAN MAITRA Rate Amount Qty 55.8 .93 60 29.7 .99 30 66 1.1 60 21.3 .71 30 2.22 .37 6 400 400 1 Total: 575.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420750 Min 01420750 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 04-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 5001 of 6486
Name
KRISHNA MAITRA Rate Amount Qty 22.2 .37 60 28.08 2.34 12 2.22 .37 6 55.8 .93 60 400 400 1 Total: 508.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420751 Min 01420751 Slno Description Appmt Dt OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 1 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 25-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 28-FEB-19 CREATININE /CRT 6 28-FEB-19 URIC ACID (UA /URATES /UR) 7 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 28-FEB-19 HB,TLC,DLC 9 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 28-FEB-19 PLATELET COUNT 11 28-FEB-19 X - RAY - TWO VIEWS 12 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 28-FEB-19
Page 5002 of 6486
Name
SK PRAMANIK Rate Amount Qty 32.61 32.61 1 1.85 .37 5 17 1.7 10 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 300 300 1 275 275 1 330 330 1 860 860 1 400 400 1 Total: 4741.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420754 Min 01420754 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 5003 of 6486
Name
S A KHAN Rate Amount Qty 2.7 .27 10 7.9 .79 10 400 400 1 Total: 410.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420756 Min 01420756 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19
Page 5004 of 6486
Name
N.S.ADIL Rate Amount Qty 400 400 1 55.8 .93 60 15 .25 60 Total: 470.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420757 Min 01420757 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 10 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 20-FEB-19 RACECADOTRIL,100MG,CAPSULE 12 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 20-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 15 20-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 16 20-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 17 20-FEB-19 ONDANSETRON,2MG/ML,INJECTION 18 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 19 20-FEB-19 OBSERVATION IN CASUALTY 20 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 21 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 24 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 25 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 26 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 27 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 25-FEB-19
Page 5005 of 6486
INDRANI DEVI Rate Amount Qty 21.3 .71 30 10.8 .36 30 8.1 .27 30 71.1 .79 90 66 1.1 60 12 .4 30 400 400 1 400 400 1 7.5 .25 30 34.84 8.71 4 35.2 3.52 10 59.7 5.97 10 8.9 .89 10 7 .7 10 9.81 9.81 1 8.71 8.71 1 11.89 11.89 1 7.52 7.52 1 24.52 24.52 1 420 420 1 16.8 1.12 15 400 400 1 8.9 .89 10 70.2 2.34 30 2.7 .18 15 9 .9 10 48.22 48.22 1 2.5 .25 10 400 400 1 Total: 2583.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420758 Min 01420758 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 5006 of 6486
Name
AJAD AHMAD KHAN Rate Amount Qty 54 .6 90 55.8 .93 60 211.8 3.53 60 32.4 1.08 30 17.4 1.16 15 400 400 1 3.2 .64 5 400 400 1 Total: 1174.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420759 Min 01420759 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 27-FEB-19
Page 5007 of 6486
Name
SHAZIA BEGAM Rate Amount Qty 275 275 1 66 1.1 60 27.9 .93 30 18.9 .63 30 275 275 1 Total: 662.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420760 Min 01420760 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 5008 of 6486
Name
DAMODAR KHADE Rate Amount Qty 72.6 1.21 60 47.4 .79 60 6.9 .23 30 12 .4 30 400 400 1 Total: 538.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420761 Min 01420761 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5009 of 6486
Name
LALITA KHADE Rate Amount Qty 47.4 .79 60 8.1 .27 30 400 400 1 Total: 455.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420765 Min 01420765 Appmt Dt Slno Description 28-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5010 of 6486
Name
DILIP KUMAR DEY Qty Rate Amount 30 .25 7.5 30 .27 8.1 6 .64 3.84 1 400 400 Total: 419.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420766 Min 01420766 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 5011 of 6486
Name
SMT. RINA DEY Rate Amount Qty 6.4 .64 10 2.22 .37 6 21.12 3.52 6 400 400 1 13.95 .93 15 21.3 .71 30 8.1 .27 30 400 400 1 Total: 873.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420769 Min 01420769 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5012 of 6486
Name
VK SEENGAL Rate Amount Qty 21.3 .71 30 55.8 .93 60 10.8 .36 30 371.4 6.19 60 400 400 1 Total: 859.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420770 Min 01420770 Appmt Dt Slno Description 21-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5013 of 6486
Name
SARITA SEENGAL Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420773 Min 01420773 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 11-FEB-19 PRAZOSIN,2.5MG,TABLET 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 5014 of 6486
Name
RAMEJIYAS EKKA Rate Amount Qty 275 275 1 275 275 1 66 1.1 60 17.4 1.16 15 32.4 1.08 30 167.4 5.58 30 78 1.3 60 117 1.3 90 12 .4 30 55.8 .93 60 54 .6 90 400 400 1 Total: 1550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420774 Min 01420774 Appmt Dt Slno Description 06-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 06-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5015 of 6486
Name
CARLEN EKKA Qty Rate Amount 30 .93 27.9 30 .6 18 30 .25 7.5 1 400 400 Total: 453.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420776 Min 01420776 Appmt Dt Slno Description 11-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5016 of 6486
Name
SATTU RAM Qty Rate Amount 30 .25 7.5 30 .6 18 30 .36 10.8 1 400 400 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420779 Min 01420779 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 06-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5017 of 6486
Name
SARITA DEWANGAN Rate Amount Qty 189 2.1 90 27.9 .93 30 33 1.1 30 22.95 .51 45 43.2 1.44 30 400 400 1 Total: 716.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420781 Min 01420781 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 19-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 19-FEB-19
Page 5018 of 6486
Name
PINGLA BAI Rate Amount Qty 400 400 1 4.1 .41 10 46.8 2.34 20 1.25 .25 5 7.7 .77 10 Total: 459.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420782 Min 01420782 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5019 of 6486
Name
BHAGWAT PRASAD AGRAWAL Rate Amount Qty 8.9 .89 10 6.4 .64 10 10.42 5.21 2 7.5 .25 30 41.85 .93 45 400 400 1 Total: 475.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420783 Min 01420783 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5020 of 6486
Name
PADMA AGRAWAL Rate Amount Qty 12 .4 30 27.9 .93 30 117 1.3 90 34.8 1.16 30 167.4 5.58 30 21.6 .36 60 72 .6 120 400 400 1 Total: 852.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420788 Min 01420788 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 26-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 5021 of 6486
Name
ROHINI YADU Rate Amount Qty 60.18 20.06 3 2.4 .16 15 184.2 6.14 30 55.8 .93 60 21.3 .71 30 26.7 .89 30 14.85 .99 15 12.8 .64 20 400 400 1 Total: 778.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420789 Min 01420789 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 5022 of 6486
Name
NK JAISWAL Rate Amount Qty 2.28 .38 6 1.85 .37 5 9 .3 30 3.84 .64 6 55.8 .93 60 29.7 .99 30 3.75 .25 15 54 .6 90 400 400 1 Total: 560.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420793 Min 01420793 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 14-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5023 of 6486
Name
HEMLATA VERMA Rate Amount Qty 52.65 3.51 15 55.5 1.85 30 400 400 1 Total: 508.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420796 Min 01420796 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 11-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 4 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 22-FEB-19 URIC ACID (UA /URATES /UR) 9 22-FEB-19 CREATININE /CRT 10 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 22-FEB-19
Page 5024 of 6486
Name
PRATAP K CHANDRAKAR Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 60.9 2.03 30 21.3 .71 30 12 .4 30 118.5 3.95 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 5262.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420797 Min 01420797 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 11-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 5025 of 6486
Name
RAMA CHANDRAKAR Rate Amount Qty 26 2.6 10 2.5 .25 10 61.9 6.19 10 7.1 .71 10 400 400 1 27.4 1.37 20 10.65 .71 15 2.5 .25 10 400 400 1 Total: 938.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420800 Min 01420800 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 15-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 4 15-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 15-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 15-FEB-19 ONDANSETRON,2MG/ML,INJECTION 9 15-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 10 15-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 11 15-FEB-19 OBSERVATION IN CASUALTY 12 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19
Page 5026 of 6486
Name
JAGMOHAN SINGH Rate Amount Qty 34.84 8.71 4 7 .7 10 8.9 .89 10 8.71 8.71 1 9.33 139.95 15 9.81 9.81 1 3.52 3.52 1 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 35.52 35.52 1 420 420 1 35.2 3.52 10 400 400 1 Total: 1147.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420805 Min 01420805 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 5027 of 6486
Name
RAM BAI Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 27.9 .93 30 12 .4 30 29.7 .99 30 36 .6 60 18.9 .63 30 400 400 1 40.12 20.06 2 15.3 .51 30 55.8 .93 60 132 1.1 120 400 400 1 Total: 1234.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420808 Min 01420808 Appmt Dt Slno Description 16-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5028 of 6486
Name
RAMSANEHI DESHMUKH Qty Rate Amount 30 .79 23.7 1 400 400 423.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420809 Min 01420809 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5029 of 6486
Name
TULSEE DESHMUKH Qty Rate Amount 30 .27 8.1 30 .89 26.7 30 1.16 34.8 1 400 400 Total: 469.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420810 Min 01420810 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5030 of 6486
Name
PANNA LAL CHANDRAKAR Rate Amount Qty 40.12 20.06 2 13.35 .89 15 400 400 1 4.2 .42 10 8.1 .27 30 400 400 1 Total: 865.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420811 Min 01420811 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5031 of 6486
Name
VIMLA CHANDRAKAR Rate Amount Qty 189 2.1 90 32.4 1.08 30 95.7 3.19 30 400 400 1 13.35 .89 15 6.15 .41 15 16.8 1.12 15 400 400 1 Total: 1153.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420812 Min 01420812 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 15-FEB-19 URIC ACID (UA /URATES /UR) 3 15-FEB-19 CREATININE /CRT 4 15-FEB-19 UREA (BUN /UR) 5 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 15-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 12 15-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 13 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19
Page 5032 of 6486
Name
KISHORE KUMAR TEMBHURKAR Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 66 1.1 60 32.4 1.08 30 21.3 .71 30 24.6 .41 60 368.4 6.14 60 2.4 .16 15 12.8 .64 20 400 400 1 Total: 4552.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420820 Min 01420820 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 24-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 24-FEB-19 OBSERVATION IN CASUALTY 9 24-FEB-19 ECG 10 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 11 24-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 25-FEB-19 WITH IN BHILAI & DURG CITY LIMITS TO JL 13 25-FEB-19 X - RAY - TWO VIEWS 14 25-FEB-19
Page 5033 of 6486
Name
K.L. AGRAWAL Rate Amount Qty 11.4 .38 30 2.56 .64 4 400 400 1 27.9 .93 30 7.5 .25 30 400 400 1 24.52 24.52 1 .16 .16 1 420 420 1 450 450 1 9.62 9.62 1 400 400 1 0 560 0 860 860 1 Total: 3013.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420821 Min 01420821 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5034 of 6486
Name
SAVITRI AGRAWAL Rate Amount Qty 185.7 6.19 30 7.5 .25 30 26 2.6 10 400 400 1 54 .6 90 7.5 .25 30 21.6 .36 60 400 400 1 Total: 1102.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420822 Min 01420822 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 5035 of 6486
Name
MANHARAN LAL RATHORE Rate Amount Qty 10.08 1.12 9 33.12 1.84 18 3.84 .64 6 2.67 .89 3 400 400 1 55.2 .92 60 167.4 5.58 30 21.3 .71 30 7.5 .25 30 54 .6 90 400 400 1 Total: 1155.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420823 Min 01420823 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 5036 of 6486
Name
DULARI RATHORE Rate Amount Qty 33 1.1 30 55.8 .93 60 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420824 Min 01420824 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 14-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5037 of 6486
Name
KU. MEERA SHARMA Rate Amount Qty 189 2.1 90 6.56 .82 8 400 400 1 Total: 595.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420825 Min 01420825 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5038 of 6486
Name
R S TANWAR Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 35.2 3.52 10 2.22 .37 6 20.06 20.06 1 5.76 .64 9 400 400 1 Total: 912.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420826 Min 01420826 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 OBSERVATION IN CASUALTY 6 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 25-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 8 25-FEB-19
Page 5039 of 6486
Name
SHIV CHARAN Rate Amount Qty 18 .6 30 12 .4 30 69.6 1.16 60 32.4 1.08 30 400 400 1 420 420 1 24.52 24.52 1 5.77 5.77 1 Total: 982.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420827 Min 01420827 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 5040 of 6486
Name
VINA LILHARE Rate Amount Qty 8.1 .27 30 21.3 .71 30 7.5 .25 30 78 1.3 60 167.4 5.58 30 54 .6 90 32.4 .36 90 27.9 .93 30 400 400 1 Total: 796.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420828 Min 01420828 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5041 of 6486
Name
NIRMALA JHA Rate Amount Qty 21.3 .71 30 27.9 .93 30 78 1.3 60 36 .6 60 10.8 .36 30 400 400 1 Total: 574
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420829 Min 01420829 Appmt Dt Slno Description 11-FEB-19 1 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5042 of 6486
Name
SK JHA Qty 2 1
Rate Amount 45.44 90.88 400 400 490.88 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420830 Min 01420830 Slno Description Appmt Dt DIAGNOSTIC UGI ENDOSCOPY 1 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 27-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19
Page 5043 of 6486
Name
NIRUPAM SHARMA Rate Amount Qty 2110 2110 1 400 400 1 2.34 196.56 84 47.04 1.12 42 37.38 .89 42 Total: 2790.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420838 Min 01420838 Appmt Dt Slno Description 12-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12-FEB-19 2 VITAMIN A CHEWABLE,50000IU,,TABLET 12-FEB-19 3 CREAM,BETAMETHASONE VALERATE,0.10% 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5044 of 6486
Name
TULSIDAS SAHU Qty Rate Amount 20 .37 7.4 15 .75 11.25 2 17.6 35.2 1 400 400 Total: 453.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420846 Min 01420846 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 5045 of 6486
Name
MOTILAL Rate Amount Qty 7.5 .25 30 14.85 .99 15 21.3 .71 30 54 .6 90 21.3 .71 30 12 .4 30 27 .9 30 400 400 1 Total: 557.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420850 Min 01420850 Appmt Dt Slno Description 05-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5046 of 6486
Name
SUNIL KUMAR PARDESHI Qty Rate Amount 6 2.66 15.96 6 .64 3.84 4 .37 1.48 1 400 400 Total: 421.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420851 Min 01420851 Appmt Dt Slno Description 21-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 21-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 3 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5047 of 6486
Name
GEETA PARDESHI Qty Rate Amount 60 .6 36 15 .93 13.95 30 .3 9 1 400 400 Total: 458.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420852 Min 01420852 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 2 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19
Page 5048 of 6486
Name
PREM KUMAR TRIVEDI Rate Amount Qty 400 400 1 32.61 32.61 1 400 400 1 2.56 .64 4 28.16 3.52 8 56.16 2.34 24 400 400 1 Total: 1319.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420853 Min 01420853 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19 MAMOGRAPHY 9 25-FEB-19 TRANEXAMIC ACID,500 MG,,TABLET 10 25-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 16 28-FEB-19 TRANEXAMIC ACID,500 MG,,TABLET 17 28-FEB-19
Page 5049 of 6486
Name
SMT. KIRAN TRIVEDI Rate Amount Qty 400 400 1 1750 1750 1 4.1 .41 10 7.5 .25 30 35.2 3.52 10 400 400 1 400 400 1 400 400 1 2000 2000 1 12.95 194.25 15 21.8 2.18 10 400 400 1 10.08 1.12 9 21.12 3.52 6 400 400 1 21.8 2.18 10 129.5 12.95 10 Total: 6595.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420854 Min 01420854 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 23-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 23-FEB-19
Page 5050 of 6486
Name
SUNDER LAL PATEL Rate Amount Qty 13.8 .23 60 15 .25 60 400 400 1 400 400 1 1300 1300 1 Total: 2128.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420856 Min 01420856 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 5051 of 6486
Name
C B P SRIVASTAV Rate Amount Qty 36 .6 60 53.4 .89 60 27.9 .62 45 34.8 1.16 30 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420860 Min 01420860 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 9 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 22 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 5052 of 6486
Name
YUVRAJ SINGH SAHU Rate Amount Qty 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 82.76 165.52 2 400 400 1 27.9 .93 30 41.06 41.06 1 1.28 .16 8 26.7 .89 30 9 .6 15 400 400 1 275 275 1 275 275 1 400 400 1 18 .6 30 26.7 .89 30 55.8 .93 60 8.1 .27 30 7.5 .25 30 2.4 .16 15 33 1.1 30 400 400 1 Total: 6122.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420863 Min 01420863 Slno Description Appmt Dt UREA (BUN /UR) 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 FLUVOXAMINE,STRIP PKT,100MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 8 20-FEB-19 GUM ANALGESIC GEL 9 20-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 10 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 22-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 15 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 22-FEB-19
Page 5053 of 6486
Name
MEENA Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 324.45 21.63 15 400 400 1 20.25 20.25 1 28.69 28.69 1 280 280 1 7.6 .38 20 400 400 1 400 400 1 275 275 1 1500 1500 1 1300 1300 1 275 275 1 Total: 6710.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420864 Min 01420864 Appmt Dt Slno Description 26-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5054 of 6486
Name
SHRAWAN SINGH Qty Rate Amount 10 1.37 13.7 1 400 400 413.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420866 Min 01420866 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 5055 of 6486
Name
M.L.CHANDRAWANSHI Rate Amount Qty 21.3 .71 30 7.5 .25 30 46.2 .77 60 32.4 1.08 30 400 400 1 36 .6 60 18.9 .63 30 11.4 .38 30 34.8 1.16 30 400 400 1 Total: 1008.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420873 Min 01420873 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 6 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 5056 of 6486
Name
MARIAMMA KOSHY Rate Amount Qty 10.05 .67 15 18 .6 30 13.95 .93 15 12 .4 30 21.3 .71 30 48.76 12.19 4 27.9 .62 45 400 400 1 Total: 551.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420875 Min 01420875 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 5057 of 6486
Name
MOT ILAL TIWARI Rate Amount Qty 3.84 .64 6 1.48 .37 4 14.85 .99 15 27.9 .93 30 15.96 2.66 6 21.3 .71 30 7.5 .25 30 17.4 .58 30 400 400 1 Total: 510.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420876 Min 01420876 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 5058 of 6486
HASINA BEGAM HUSSAIN Rate Amount Qty 44.4 .37 120 34.8 1.16 30 75.6 .63 120 37.2 .62 60 111.6 .93 120 6.4 .64 10 1.85 .37 5 15.73 15.73 1 20.84 5.21 4 400 400 1 Total: 748.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420877 Min 01420877 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 2 04-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 3 04-FEB-19 HB,TLC,DLC 4 04-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 5 04-FEB-19 ALKALINE PHOSPHATASE (ALP) 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 PRAZOSIN,2.5MG,TABLET 8 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 12 04-FEB-19 PLATELET COUNT 13 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 14 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 15 04-FEB-19 UREA (BUN /UR) 16 04-FEB-19 CREATININE /CRT 17 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 04-FEB-19 SERUM COPPER (CU++) 19 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 20 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 07-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 22 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 24 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 26 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 18-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 28 18-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 31 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 32 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 33 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 34 28-FEB-19
Page 5059 of 6486
Name
SANGAM GIRI Rate Amount Qty 400 400 1 330 330 1 165 165 1 300 300 1 275 275 1 275 275 1 16.2 .27 60 156 1.3 120 46.2 .77 60 30.6 .51 60 11.4 .38 30 211.8 3.53 60 330 330 1 4790 4790 1 275 275 1 275 275 1 275 275 1 550 550 1 500 500 1 275 275 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 Total: 45817.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420878 Min 01420878 Slno Description Appmt Dt PHOSPHOROUS /PHOSPHATE (PHOS /PI) 1 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 CALCIUM (CA) 6 09-FEB-19 ALKALINE PHOSPHATASE (ALP) 7 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 09-FEB-19 URIC ACID (UA /URATES /UR) 9 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 5060 of 6486
Name
GANGA DEVI Rate Amount Qty 275 275 1 275 275 1 275 275 1 6.85 1.37 5 4.45 .89 5 275 275 1 275 275 1 400 400 1 275 275 1 20.84 5.21 4 7.5 .25 30 400 400 1 Total: 2489.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420879 Min 01420879 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 19-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5061 of 6486
Name
JASVINDER GUPTA Qty Rate Amount 30 .27 8.1 30 .6 18 30 .25 7.5 1 400 400 Total: 433.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420880 Min 01420880 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5062 of 6486
Name
DEBASHISH GUPTA Rate Amount Qty 2.4 .16 15 13.95 .93 15 8.1 .27 30 7.5 .25 30 20.06 20.06 1 400 400 1 Total: 452.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420881 Min 01420881 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5063 of 6486
Name
SHEELA SHARMA Rate Amount Qty 25.69 25.69 1 400 400 1 36 .6 60 27.9 .93 30 10.8 .36 30 400 400 1 Total: 900.39
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420882 Min 01420882 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5064 of 6486
SHANKAR LAL SHARMA Rate Amount Qty 25.07 25.07 1 6.82 6.82 1 400 400 1 Total: 431.89
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420886 Min 01420886 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 09-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 18 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 21 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 25-FEB-19
Page 5065 of 6486
KAMLA BAI Rate Amount Qty 26.6 2.66 10 9 .9 10 48.22 48.22 1 7.5 .25 30 13.35 .89 15 20.55 1.37 15 1.85 .37 5 2.7 .18 15 400 400 1 18 .9 20 5.4 .18 30 15.73 15.73 1 3.7 .37 10 400 400 1 1.85 .37 5 42.12 2.34 18 400 400 1 12.15 12.15 1 5.55 .37 15 27 .9 30 8.1 .18 45 400 400 1 Total: 1869.37
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420887 Min 01420887 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 5066 of 6486
SARJU DAS Rate Amount Qty 6.82 6.82 1 25.07 25.07 1 400 400 1 31.2 1.04 30 33 1.1 30 64.8 1.08 60 12 .4 30 69.6 1.16 60 400 400 1 Total: 1042.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420888 Min 01420888 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 5067 of 6486
Name
SIMLA BAI Rate Amount Qty 8.9 .89 10 31.4 3.14 10 18.9 .63 30 123.8 6.19 20 5 .25 20 400 400 1 Total: 588
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420889 Min 01420889 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 04-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 5068 of 6486
Name
NALIN KUMAR SAMUEL Rate Amount Qty 26.7 .89 30 21 .7 30 4.8 .16 30 19.2 .64 30 9.33 139.95 15 33.6 1.12 30 132.4 6.62 20 87.1 8.71 10 400 400 1 Total: 864.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420891 Min 01420891 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 PRAZOSIN,2.5MG,TABLET 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 5069 of 6486
Name
JAI NARAYAN SWARNKAR Rate Amount Qty 21.3 .71 30 36 .6 60 31.2 1.04 30 66 1.1 60 19.5 1.3 15 26.7 .89 30 55.8 .93 60 18.9 .63 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 719.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420892 Min 01420892 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 5070 of 6486
Name
SITA DEVI Rate Amount Qty 32.4 1.08 30 21.3 .71 30 167.4 5.58 30 117 1.3 90 54 .6 90 21.6 .36 60 21.3 .71 30 15.3 .51 30 18.9 .63 30 26.7 .89 30 400 400 1 Total: 895.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420896 Min 01420896 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5071 of 6486
Name
M SUJATA Rate Amount Qty 39 1.3 30 27.9 .93 30 38.25 2.55 15 12 .4 30 34.8 1.16 30 400 400 1 Total: 551.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420902 Min 01420902 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5072 of 6486
Name
NATHU RAM MARKAM Rate Amount Qty 7.5 .25 30 185.7 6.19 30 13.7 1.37 10 400 400 1 31.2 1.04 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1102
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420904 Min 01420904 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 05-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 05-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19
Page 5073 of 6486
Name
SUDHIR KUMAR SHARMA Rate Amount Qty 39.6 2.64 15 351 3.9 90 12.3 .82 15 400 400 1 3.84 .64 6 26.7 .89 30 27.9 .93 30 15.6 .26 60 33 1.1 30 69.6 1.16 60 24 .4 60 18 .6 30 400 400 1 Total: 1421.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420906 Min 01420906 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 5074 of 6486
Name
S J DEWANGAN Rate Amount Qty 3.75 .25 15 21.3 .71 30 12 .4 30 32.4 1.08 30 7.65 .51 15 8.1 .27 30 18.9 .63 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 625.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420907 Min 01420907 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 5075 of 6486
Name
RAMKALI Rate Amount Qty 9 .3 30 10.8 .36 30 21.3 .71 30 21.3 .71 30 12 .4 30 72 .6 120 400 400 1 Total: 546.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420910 Min 01420910 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 5076 of 6486
Name
SMT.VIMALA SHARMA Rate Amount Qty 35.2 17.6 2 7.4 .37 20 13.35 .89 15 17.4 .58 30 2.4 .16 15 55.8 .93 60 118.5 3.95 30 10.8 .36 30 54 .6 90 400 400 1 Total: 714.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420911 Min 01420911 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 23-FEB-19 UREA (BUN /UR) 9 23-FEB-19 CREATININE /CRT 10 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 23-FEB-19
Page 5077 of 6486
Name
BISHNU PRASAD Rate Amount Qty 18 .6 30 32.4 1.08 30 17.4 1.16 15 23.7 .79 30 8.1 .27 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 275 275 1 Total: 3849.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420915 Min 01420915 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 5078 of 6486
Name
BINAY KUMAR ROY Rate Amount Qty 55.8 .93 60 8.1 .27 30 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420920 Min 01420920 Appmt Dt Slno Description 20-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5079 of 6486
Name
MEENAKSHI DEWANGAN Qty Rate Amount 15 .64 9.6 1 400 400 409.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420921 Min 01420921 Appmt Dt Slno Description 22-FEB-19 1 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 22-FEB-19 2 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 22-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 22-FEB-19 4 HEPATITIS C TEST /HCV
Page 5080 of 6486
Name
B D SAHU Qty 1 1 1 1
Rate Amount 1000 1000 275 275 400 400 1700 1700 Total: 3375
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420922 Min 01420922 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19
Page 5081 of 6486
Name
PUSHPA SAHU Rate Amount Qty 21.3 .71 30 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 2271.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420926 Min 01420926 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 5082 of 6486
Name
M V DIXIT Rate Amount Qty 7.8 .26 30 5.21 5.21 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 492.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420927 Min 01420927 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5083 of 6486
Name
BINAY KUMAR SINGHA Rate Amount Qty 7.5 .25 30 34.8 1.16 30 12 .4 30 18 .3 60 400 400 1 Total: 472.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420929 Min 01420929 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 5084 of 6486
Name
SHAILENDRA KUMAR MISHRA Rate Amount Qty 33 1.1 30 11.85 .79 15 12 .4 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 510.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420933 Min 01420933 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5085 of 6486
Name
MUNNALAL CHANDRAKAR Rate Amount Qty 60.9 2.03 30 32.4 1.08 30 23.7 .79 30 18 .6 30 10.8 .36 30 400 400 1 Total: 545.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420935 Min 01420935 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 5086 of 6486
Name
TAMESHWAR RAM Rate Amount Qty 60.9 2.03 30 13.95 .93 15 400 400 1 Total: 474.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420937 Min 01420937 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 5087 of 6486
Name
JAWAHAR Rate Amount Qty 12 .4 30 32.4 1.08 30 55.8 .93 60 78 1.3 60 17.4 1.16 15 317.7 3.53 90 400 400 1 Total: 913.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420941 Min 01420941 Slno Description Appmt Dt PERIPHERAL BLOOD SMEAR EXAMINATION 1 02-FEB-19 UREA (BUN /UR) 2 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 5 02-FEB-19 CREATININE /CRT 6 02-FEB-19 PLATELET COUNT 7 02-FEB-19 URIC ACID (UA /URATES /UR) 8 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 02-FEB-19 SERUM COPPER (CU++) 10 02-FEB-19 HB,TLC,DLC 11 02-FEB-19 ALKALINE PHOSPHATASE (ALP) 12 02-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 13 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 14 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 15 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 06-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 17 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 09-FEB-19 SEVELAMER ,800 MG,,TABLET 19 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 20 13-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 21 13-FEB-19 PRAZOSIN,2.5MG,TABLET 22 13-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 23 13-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 24 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 25 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 13-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 27 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 16-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 29 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 23-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 31 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 32 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 33 23-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 34 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 35 23-FEB-19
Page 5088 of 6486
SHEIKH MALANG Rate Amount Qty 330 330 1 275 275 1 4790 4790 1 400 400 1 275 275 1 275 275 1 330 330 1 275 275 1 550 550 1 500 500 1 300 300 1 275 275 1 275 275 1 275 275 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 501.9 16.73 30 11.4 .38 30 21.3 .71 30 234 1.3 180 30.6 .34 90 62.4 1.04 60 16.2 .27 60 400 400 1 4790 4790 1 400 400 1 13.2 4.4 3 400 400 1 4790 4790 1 92.68 6.62 14 17.8 .89 20 48.22 48.22 1 3.84 .64 6 Total: 31338.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420944 Min 01420944 Slno Description Appmt Dt DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 1 05-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 5089 of 6486
Name
VIMAL SURYAVANSHI Rate Amount Qty 161.1 5.37 30 79.2 2.64 30 400 400 1 8.1 .27 30 27.9 .93 30 400 400 1 Total: 1076.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420945 Min 01420945 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ONDANSETRON,2MG/ML,INJECTION 7 03-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 8 03-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 9 03-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 03-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 11 03-FEB-19 OBSERVATION IN CASUALTY 12 03-FEB-19 ECG 13 03-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 14 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 03-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 16 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 23 14-FEB-19 INHALANT,STRIP PACK,CAPSULE 24 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 26 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 27 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 28 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 30 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 33 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 34 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 37 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 39 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 40 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 41 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 42 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 43 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 44 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 45 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 46 26-FEB-19
Page 5090 of 6486
Name
CHANDRA KUMARI SHARMA Rate Amount Qty 17.4 .58 30 7.5 .25 30 2.4 .16 15 334.8 5.58 60 34.8 1.16 30 400 400 1 7.52 7.52 1 5.41 5.41 1 11.89 11.89 1 .64 .64 1 9.81 9.81 1 420 420 1 450 450 1 9.62 9.62 1 24.52 24.52 1 100.71 100.71 1 7.5 .25 30 54 .9 60 26.7 .89 30 400 400 1 1.85 .37 5 17.8 .89 20 247.6 6.19 40 17 1.7 10 27.4 1.37 20 40.12 20.06 2 20.84 5.21 4 66.2 6.62 10 8.9 .89 10 5.76 .64 9 400 400 1 5.34 .89 6 6.4 .64 10 55.2 1.84 30 400 400 1 33.82 .89 38 122.8 6.14 20 400 400 1 6.4 .64 10 20.06 20.06 1 8.9 .89 10 66.2 6.62 10 400 400 1 3.75 .25 15 334.8 5.58 60 21.3 .71 30
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420945 Min 01420945 Appmt Dt Slno Description 26-FEB-19 47 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5091 of 6486
Name
CHANDRA KUMARI SHARMA Qty Rate Amount 1 400 400 5463.66 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420946 Min 01420946 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 06-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 06-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 06-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 06-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 7 06-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 14 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 17-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 17-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 21 17-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 22 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 25 18-FEB-19 RIFAXIMIN 200 MG,,TABLET 26 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 18-FEB-19
Page 5092 of 6486
Name
AYODHYA PRASAD SHARMA Rate Amount Qty 8.9 .89 10 6.72 1.12 6 54 .9 60 39.72 6.62 6 52.26 8.71 6 36.84 6.14 6 2.8 .7 4 100.71 100.71 1 400 400 1 1.85 .37 5 4.45 .89 5 35.2 3.52 10 6.4 .64 10 20.84 5.21 4 7.5 .25 30 400 400 1 2.5 .25 10 400 400 1 8.9 .89 10 2.5 .25 10 20.25 20.25 1 16.8 1.12 15 400 400 1 17.8 .89 20 122.8 6.14 20 9.33 139.95 15 400 400 1 Total: 2709.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420947 Min 01420947 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 18-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5093 of 6486
Name
BHOJ RAM DARSENA Rate Amount Qty 12.81 12.81 1 13.43 13.43 1 21.3 .71 30 7.5 .25 30 400 400 1 Total: 455.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420948 Min 01420948 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 26-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 5094 of 6486
Name
JYOTI DARSENA Rate Amount Qty 7.5 .25 30 11.4 .38 30 22.5 .75 30 1.48 .37 4 1.6 .16 10 26.7 .89 30 78 1.3 60 27.9 .62 45 7.5 .25 30 400 400 1 Total: 584.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420951 Min 01420951 Appmt Dt Slno Description 04-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5095 of 6486
Name
RAJENDRA KUMAR VERMA Qty Rate Amount 60 .36 21.6 30 .93 27.9 30 2.03 60.9 1 400 400 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420953 Min 01420953 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 5096 of 6486
Name
GHOSH SK Rate Amount Qty 13.7 1.37 10 7.5 .25 30 400 400 1 Total: 421.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420957 Min 01420957 Appmt Dt Slno Description 02-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 02-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 02-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5097 of 6486
Name
HARI DAS MADHU Qty Rate Amount 30 1.16 34.8 6 .64 3.84 30 .27 8.1 1 400 400 Total: 446.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420958 Min 01420958 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 5098 of 6486
Name
SHYAMLI MADHU Rate Amount Qty 6 .4 15 36 .6 60 26.7 .89 30 78 1.3 60 27.9 .93 30 21.3 .71 30 3.84 .64 6 12 .4 30 400 400 1 Total: 611.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420963 Min 01420963 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 28-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5099 of 6486
Name
SHELLEY MRS. SJ Rate Amount Qty 54 .9 60 100.71 100.71 1 12.15 12.15 1 7.5 .25 30 26.7 .89 30 400 400 1 Total: 601.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420971 Min 01420971 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 5100 of 6486
Name
JAGANNATH SHAH Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 467.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420972 Min 01420972 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19 X - RAY - TWO VIEWS 12 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 5101 of 6486
Name
GAYATRI DEVI Rate Amount Qty 21.3 .71 30 15 .25 60 400 400 1 33 1.1 30 18 .6 30 13.95 .93 15 7.5 .25 30 10.65 .71 15 18.6 .62 30 400 400 1 400 400 1 860 860 1 7.5 .25 30 21.3 .71 30 400 400 1 Total: 2626.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420974 Min 01420974 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 05-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5102 of 6486
Name
PARVATI Rate Amount Qty 55.8 .93 60 71 .71 100 83.4 2.78 30 13.8 .23 60 400 400 1 Total: 624
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420975 Min 01420975 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 5103 of 6486
Name
D BHADURI Rate Amount Qty 72 .6 120 11.85 .79 15 34.8 1.16 30 400 400 1 192.3 6.41 30 400 400 1 Total: 1110.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420979 Min 01420979 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 5104 of 6486
Name
N PADMAVATHI AMMA Rate Amount Qty 11.4 .38 30 36 .6 60 78 1.3 60 34.8 1.16 30 211.8 3.53 60 7.5 .25 30 53.4 .89 60 27.9 .93 30 167.4 5.58 30 400 400 1 Total: 1028.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420980 Min 01420980 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 27-FEB-19 BLOOD FOR TSH 5 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 27-FEB-19 CALCIUM (CA) 8 27-FEB-19 HB,TLC,DLC 9 27-FEB-19 UREA (BUN /UR) 10 27-FEB-19
Page 5105 of 6486
Name
A G RAJAPPAN NAIR Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 800 800 1 1300 1300 1 550 550 1 275 275 1 300 300 1 275 275 1 Total: 5750
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420992 Min 01420992 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 BRIMONIDINE TARTRATE,0.15% 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 13-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 9 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 13-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 13-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 5106 of 6486
SOHAL SS Rate Amount Qty 32.4 1.08 30 26.7 .89 30 24 .4 60 148.9 74.45 2 34.8 1.16 30 23.7 .79 30 400 400 1 17.6 17.6 1 33.46 33.46 1 3.84 .64 6 50.14 25.07 2 148.9 74.45 2 33.12 1.84 18 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 1814.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420993 Min 01420993 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 9 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 GUM ANALGESIC GEL 12 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 13 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19
Page 5107 of 6486
Name
SMT. SURINDAR KAUR Rate Amount Qty 6.4 .64 10 21.3 .71 30 8.1 .27 30 18 .6 30 12 .4 30 185.7 6.19 30 33 1.1 30 400 400 1 17.37 17.37 1 35.2 17.6 2 400 400 1 28.69 28.69 1 34 1.7 20 3.75 .25 15 400 400 1 Total: 1603.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420999 Min 01420999 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 16-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 5108 of 6486
Name
KESHAW RAM DEWANGAN Rate Amount Qty 40.12 20.06 2 192.3 6.41 30 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 714.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421000 Min 01421000 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 16-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 16-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 5109 of 6486
Name
RAM BAI DEWANGAN Rate Amount Qty 19.8 .66 30 95.7 3.19 30 15.3 .51 30 20.06 20.06 1 6.4 .64 10 7.5 .25 30 400 400 1 Total: 564.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421002 Min 01421002 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 13-FEB-19 UREA (BUN /UR) 2 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 13-FEB-19 CREATININE /CRT 5 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 13-FEB-19 URIC ACID (UA /URATES /UR) 8 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 13-FEB-19
Page 5110 of 6486
Name
SMT.LALITA RAMAN Rate Amount Qty 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 21.3 .71 30 550 550 1 275 275 1 1300 1300 1 Total: 3646.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421003 Min 01421003 Appmt Dt Slno Description 01-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 01-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 01-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5111 of 6486
Name
BAHADUR SINGH Qty Rate Amount 15 1.16 17.4 30 .4 12 30 1.1 33 1 400 400 Total: 462.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421004 Min 01421004 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5112 of 6486
Name
SUMAN SINGH Rate Amount Qty 32.4 1.08 30 55.8 .93 60 17.4 1.16 15 6.9 .23 30 400 400 1 Total: 512.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421007 Min 01421007 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 02-FEB-19 UREA (BUN /UR) 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 5113 of 6486
Name
MAKHAN LAL SHUKLA Rate Amount Qty 31.4 3.14 10 3.75 .25 15 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 5.25 .25 21 31.4 3.14 10 400 400 1 Total: 2096.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421015 Min 01421015 Appmt Dt Slno Description 14-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5114 of 6486
Name
ARUN KUMAR BHOUTEY Qty Rate Amount 30 .23 6.9 1 400 400 406.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421016 Min 01421016 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5115 of 6486
Name
SAVITA BHOUTEY Rate Amount Qty 13.95 .93 15 54 .6 90 12 .4 30 16.2 .27 60 7.5 .25 30 400 400 1 Total: 503.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421017 Min 01421017 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5116 of 6486
Name
MAHESH KUMAR PANDEY Rate Amount Qty 95.7 3.19 30 400 400 1 15 .25 60 21.3 .71 30 400 400 1 Total: 932
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421018 Min 01421018 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 11-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 13 11-FEB-19 CREATININE /CRT 14 11-FEB-19 URIC ACID (UA /URATES /UR) 15 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 23 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 24 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 25 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 26 11-FEB-19 UREA (BUN /UR) 27 11-FEB-19
Page 5117 of 6486
Name
SANDHYA PANDEY Rate Amount Qty 5.8 1.16 5 9.3 .93 10 5.21 5.21 1 3.6 .36 10 24 .6 40 12.1 1.21 10 39 1.3 30 2.5 .25 10 400 400 1 275 275 1 275 275 1 275 275 1 12.3 .41 30 275 275 1 275 275 1 550 550 1 1300 1300 1 7.5 .25 30 400 400 1 275 275 1 27.9 .93 30 39 1.3 30 10.8 .36 30 72 .6 120 36.3 1.21 30 18.6 .62 30 275 275 1 Total: 4900.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421026 Min 01421026 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5118 of 6486
Name
PRAMILA BAI Rate Amount Qty 23.7 .79 30 29.7 .99 30 400 400 1 Total: 453.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421028 Min 01421028 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 18-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 5119 of 6486
Name
BABURAM Rate Amount Qty 66 1.1 60 4.08 .51 8 43.2 1.44 30 34.8 1.16 30 12 .4 30 7.8 .26 30 13.95 .93 15 21.6 .36 60 72 .6 120 400 400 1 Total: 675.43
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421029 Min 01421029 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 18-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 8 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 5120 of 6486
SITA DEVI Rate Amount Qty 25.07 25.07 1 1.11 .37 3 3.2 .64 5 21.06 2.34 9 400 400 1 6.4 .64 10 1.85 .37 5 17.3 1.73 10 7.7 .77 10 400 400 1 Total: 883.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421032 Min 01421032 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 5121 of 6486
Name
BABU RAM SAHU Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421033 Min 01421033 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 5122 of 6486
Name
NIRMALA SAHU Rate Amount Qty 8.1 .27 30 12 .4 30 21.3 .71 30 18.9 .63 30 400 400 1 Total: 460.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421036 Min 01421036 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 5123 of 6486
Name
NARENDRA KUMAR Rate Amount Qty 72.6 1.21 60 1.48 .37 4 7.65 .51 15 27.9 .93 30 400 400 1 Total: 509.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421038 Min 01421038 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 28-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 28-FEB-19 CREATININE /CRT 9 28-FEB-19 URIC ACID (UA /URATES /UR) 10 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 28-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 12 28-FEB-19 UREA (BUN /UR) 13 28-FEB-19
Page 5124 of 6486
Name
SHIVDAS RAMTEKE Rate Amount Qty 36.3 1.21 30 37.8 .63 60 12 .4 30 18 .6 30 8.1 .27 30 400 400 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 4612.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421039 Min 01421039 Appmt Dt Slno Description 26-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 26-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5125 of 6486
Name
SMT. RAMBHA RAMTEKE Qty Rate Amount 60 1.1 66 30 1.08 32.4 30 .4 12 1 400 400 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421040 Min 01421040 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 01-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 8 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 19-FEB-19 RIFAXIMIN 200 MG,,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 5126 of 6486
Name
HAJRA BEGUM Rate Amount Qty 22.8 .38 60 31.2 1.04 30 16.2 .27 60 40.12 20.06 2 26.7 .89 30 184.2 6.14 30 20.06 20.06 1 7 .7 10 371.4 6.19 60 55.8 .93 60 400 400 1 43.96 43.96 1 9.33 419.85 45 400 400 1 Total: 2039.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421043 Min 01421043 Appmt Dt Slno Description 05-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 05-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5127 of 6486
Name
N K CHAUHAN Qty Rate Amount 30 1.08 32.4 30 .93 27.9 30 .71 21.3 1 400 400 Total: 481.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421045 Min 01421045 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 5128 of 6486
Name
AKTOO RAM SURYAWANSHI Rate Amount Qty 7.5 .25 30 18 .4 45 400 400 1 Total: 425.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421048 Min 01421048 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 08-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 5 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 11-FEB-19 SYRINGE,DISPOSABLE,2ML 10 11-FEB-19 ONDANSETRON,2MG/ML,INJECTION 11 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 12 11-FEB-19 OBSERVATION IN CASUALTY 13 11-FEB-19 ECG 14 11-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 15 11-FEB-19 RIFAXIMIN 200 MG,,TABLET 16 18-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 17 18-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 18 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 20 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 21 18-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 22 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 23 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 18-FEB-19
Page 5129 of 6486
Name
AVINASH KUMAR Rate Amount Qty 43.2 1.44 30 52.8 3.52 15 26.7 .89 30 123.53 247.06 2 423.6 7.06 60 7.65 .51 15 15.6 1.04 15 400 400 1 600 600 1 3.68 1.84 2 7.52 7.52 1 24.52 24.52 1 420 420 1 450 450 1 9.62 9.62 1 279.9 9.33 30 423.6 7.06 60 43.2 1.44 30 26.7 .89 30 15.6 1.04 15 52.8 3.52 15 123.53 123.53 1 5.7 .38 15 400 400 1 Total: 4102.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421049 Min 01421049 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 5130 of 6486
Name
URMILA RANI Rate Amount Qty 23.7 .79 30 15.6 .26 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 545.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421051 Min 01421051 Appmt Dt Slno Description 16-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5131 of 6486
Name
DEVENDRA KUMAR CHAUHAN Qty Rate Amount 30 .79 23.7 1 400 400 423.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421052 Min 01421052 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 5132 of 6486
Name
RADHA CHAUHAN Rate Amount Qty 66 1.1 60 21.3 .71 30 12 .4 30 13.95 .93 15 66 1.1 60 21.3 .71 30 13.95 .93 15 12 .4 30 400 400 1 Total: 626.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421057 Min 01421057 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 5133 of 6486
Name
NAZMUNNISHA Rate Amount Qty 12 .4 30 21.3 .71 30 72.6 1.21 60 55.8 .93 60 400 400 1 Total: 561.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421062 Min 01421062 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5134 of 6486
Name
RAJKUMARI Rate Amount Qty 21.3 .71 30 54 .6 90 9 .3 30 11.4 .38 30 400 400 1 Total: 495.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421063 Min 01421063 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 5135 of 6486
Name
ISLAM KHAN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421064 Min 01421064 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 06-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5136 of 6486
Name
ANWARI BEGAM Rate Amount Qty 6.4 .64 10 34.8 1.16 30 12 .4 30 66 1.1 60 7.8 .26 30 400 400 1 Total: 527
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421066 Min 01421066 Slno Description Appmt Dt DICLOFENAC SODIUM,25MG/ML,INJECTION 1 03-FEB-19 ECG 2 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 03-FEB-19 OBSERVATION IN CASUALTY 4 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 5137 of 6486
Name
SANGEETA Rate Amount Qty 5.77 5.77 1 450 450 1 24.52 24.52 1 420 420 1 8.9 .89 10 13.7 1.37 10 400 400 1 18.6 .62 30 7.5 .25 30 167.4 5.58 30 27.9 .93 30 10.65 .71 15 90 .6 150 21.6 .36 60 18 .3 60 400 400 1 Total: 2084.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421067 Min 01421067 Slno Description Appmt Dt ECG 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 TRIGLYCERIDES (TGL) 3 05-FEB-19 CHOLESTEROL (CHOL) 4 05-FEB-19 UREA (BUN /UR) 5 05-FEB-19 CREATININE /CRT 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19
Page 5138 of 6486
Name
ALLAUDDIN Rate Amount Qty 450 450 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 36 .6 60 27.9 .93 30 18.9 .63 30 17.4 1.16 15 117 1.3 90 167.4 5.58 30 21.6 .36 60 400 400 1 Total: 3306.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421068 Min 01421068 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 6 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5139 of 6486
SALMA Rate Amount Qty 275 275 1 275 275 1 13.95 .93 15 27.6 .92 30 18 .6 30 13.84 1.73 8 15.73 15.73 1 400 400 1 Total: 1039.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421071 Min 01421071 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 12-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 12-FEB-19 SODIUM VALPROATE,500MG,TABLET 4 12-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 7 12-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 13-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 16 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 13-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 18 13-FEB-19 PARASITES (MP /MF) 19 13-FEB-19 OBSERVATION IN CASUALTY 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 24 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 25 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 26 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 28 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 25-FEB-19
Page 5140 of 6486
Name
ASHWALEKHA BAIS Rate Amount Qty 22.8 .38 60 31.95 .71 45 368.4 6.14 60 468 3.9 120 79.2 2.64 30 7.5 .25 30 105.3 3.51 30 85.5 2.85 30 27.9 .93 30 26.7 .89 30 400 400 1 66.2 6.62 10 8.9 .89 10 1.85 .37 5 9.6 .64 15 9.81 9.81 1 24.52 24.52 1 22.71 22.71 1 165 165 1 420 420 1 400 400 1 3.7 .37 10 54 .6 90 12 .4 30 27.6 .92 30 34.8 1.16 30 26.7 .89 30 11.4 .38 30 400 400 1 Total: 3322.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421072 Min 01421072 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 5141 of 6486
Name
V S BAIS Rate Amount Qty 6.4 .64 10 78 1.3 60 167.4 5.58 30 72 .6 120 21.6 .36 60 21.3 .71 30 3.75 .25 15 400 400 1 Total: 770.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421081 Min 01421081 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 02-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 5142 of 6486
Name
SUBHAWANI MAHTO Rate Amount Qty 7.5 .75 10 20.06 20.06 1 371.4 6.19 60 18.9 .63 30 34.8 1.16 30 55.8 .93 60 12 .4 30 400 400 1 Total: 920.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421082 Min 01421082 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 5143 of 6486
Name
SATISH MAHTO Rate Amount Qty 12 .4 30 34.8 1.16 30 27.9 .93 30 66 1.1 60 400 400 1 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421083 Min 01421083 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 5144 of 6486
Name
ROY AK Rate Amount Qty 22.2 .37 60 47.4 .79 60 13.35 .89 15 43.96 43.96 1 400 400 1 Total: 526.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421098 Min 01421098 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 5145 of 6486
Name
JYOTI PRAKASH XALXO Rate Amount Qty 12 .4 30 15.6 .26 60 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 33 1.1 30 8.1 .27 30 32.4 1.08 30 400 400 1 Total: 789.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421099 Min 01421099 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 5146 of 6486
Name
LALITA XALXO Rate Amount Qty 126 2.1 60 211.8 3.53 60 36 .6 60 33 1.1 30 34.8 1.16 30 13.8 .92 15 167.4 5.58 30 12 .4 30 400 400 1 Total: 1034.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421100 Min 01421100 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 17-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 17-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 17-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 17-FEB-19
Page 5147 of 6486
Name
S R ROY Rate Amount Qty 6.9 .23 30 18.9 .63 30 21.3 .71 30 60.9 2.03 30 1.85 .37 5 400 400 1 Total: 509.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421101 Min 01421101 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 17-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 17-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 17-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 17-FEB-19 COMPLETE HAEMOGRAM 10 19-FEB-19 SAMARIUM - 153 EDTMP INJECTION 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19
Page 5148 of 6486
Name
GOURI ROY Rate Amount Qty 26 2.6 10 400 400 1 105.9 3.53 30 33 1.1 30 34.8 1.16 30 9.3 .62 15 26.7 .89 30 1.85 .37 5 400 400 1 750 750 1 16000 16000 1 400 400 1 Total: 18187.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421112 Min 01421112 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 09-FEB-19
Page 5149 of 6486
Name
BHUNESHWAR LAL MANWAR Rate Amount Qty 7.5 .25 30 14.85 .99 15 72 .6 120 117 1.3 90 47.4 .79 60 8.1 .27 30 400 400 1 21.6 .36 60 54 .6 90 39 1.3 30 27.9 .93 30 34.8 1.16 30 1.85 .37 5 400 400 1 Total: 1246
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421113 Min 01421113 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 20-FEB-19 UREA (BUN /UR) 8 20-FEB-19 CREATININE /CRT 9 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 20-FEB-19 URIC ACID (UA /URATES /UR) 11 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 20-FEB-19 COMPLETE HAEMOGRAM 13 20-FEB-19
Page 5150 of 6486
Name
PARWATI MANWAR Rate Amount Qty 118.5 3.95 30 21.3 .71 30 47.4 .79 60 11.4 .38 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 1300 1300 1 750 750 1 Total: 4698.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421116 Min 01421116 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 18-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5151 of 6486
MARI DAS Rate Amount Qty 15.73 15.73 1 12.15 12.15 1 20.1 .67 30 16.2 .18 90 54 .9 60 13.35 .89 15 400 400 1 Total: 531.53
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421118 Min 01421118 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 25-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 2 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5152 of 6486
ASHOK KUMAR YADAV Rate Amount Qty 16.81 16.81 1 24.45 24.45 1 25.07 25.07 1 21.3 .71 30 54 .6 90 12 .4 30 21.6 .36 60 8.9 .89 10 4.1 .41 10 400 400 1 18.03 18.03 1 400 400 1 Total: 1006.26
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421119 Min 01421119 Slno Description Appmt Dt FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 1 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 CREATININE /CRT 4 11-FEB-19 UREA (BUN /UR) 5 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 C T NECK 7 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19 KETOTIFEN,1MG,TABLET 9 15-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 15-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 13 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 15-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 19-FEB-19 X - RAY - SINGLE VIEW 19 19-FEB-19
Page 5153 of 6486
MEENA YADAV Rate Amount Qty 130.42 130.42 1 5.55 .37 15 400 400 1 275 275 1 275 275 1 400 400 1 6000 6000 1 400 400 1 45.6 1.52 30 16.2 .18 90 54 .9 60 11.4 .38 30 100.71 100.71 1 5.55 .37 15 15.73 15.73 1 400 400 1 1750 1750 1 400 400 1 550 550 1 Total: 11235.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421122 Min 01421122 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 5154 of 6486
Name
LEOS CAMIL XALXO Rate Amount Qty 55.8 .93 60 1.48 .37 4 400 400 1 Total: 457.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421123 Min 01421123 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 02-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 27-FEB-19
Page 5155 of 6486
Name
SMT ROJALIYA Rate Amount Qty 117 1.3 90 43.2 .36 120 54 .6 90 17.4 1.16 15 167.4 5.58 30 11.1 .37 30 55.8 .93 60 14.85 .99 15 36.3 1.21 30 400 400 1 275 275 1 400 400 1 275 275 1 Total: 1867.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421124 Min 01421124 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 08-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 20-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 13 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 5156 of 6486
Name
MOHD YOSUF Rate Amount Qty 860 860 1 400 400 1 2.67 .89 3 2.92 .73 4 1.46 .73 2 7.8 2.6 3 400 400 1 8.9 .89 10 7.3 .73 10 26 2.6 10 400 400 1 3.75 .25 15 21.9 .73 30 39 2.6 15 400 400 1 Total: 2581.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421125 Min 01421125 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 09-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 9 19-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 5157 of 6486
Name
M L GUPTA Rate Amount Qty 12 .4 30 21.3 .71 30 18.6 .62 30 27.9 .93 30 192.3 6.41 30 153 2.55 60 15.6 1.04 15 400 400 1 53.4 3.56 15 82.2 2.74 30 400 400 1 Total: 1376.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421126 Min 01421126 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 U S CRANIUM / THYROID /BREAST/JOINTS 2 01-FEB-19 BLOOD FOR T-3,T-4,TSH 3 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 15-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 5158 of 6486
Name
PARWATI NISHAD Rate Amount Qty 400 400 1 1850 1850 1 2400 2400 1 16.8 1.12 15 87.92 43.96 2 13.35 .89 15 400 400 1 .48 .16 3 10.78 .77 14 26 2.6 10 400 400 1 Total: 5605.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421127 Min 01421127 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 9 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 5159 of 6486
Name
R.K. GAJENDRA Rate Amount Qty 36 .6 60 55.2 .92 60 167.4 5.58 30 7.5 .25 30 400 400 1 7.5 .25 30 167.4 5.58 30 36 .6 60 55.2 .92 60 6.4 .64 10 400 400 1 Total: 1338.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421129 Min 01421129 Appmt Dt Slno Description 14-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5160 of 6486
Name
SOHAN LAL VISHWAKARMA Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421130 Min 01421130 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 19-FEB-19 URIC ACID (UA /URATES /UR) 5 19-FEB-19 CREATININE /CRT 6 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 19-FEB-19
Page 5161 of 6486
Name
RAMA VISHWAKARMA Rate Amount Qty 27.9 .93 30 8.1 .27 30 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 20.06 20.06 1 27.6 .92 30 36.3 1.21 30 Total: 3469.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421131 Min 01421131 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5162 of 6486
Name
RIKHI RAM SEN Rate Amount Qty 9 .6 15 27.9 .93 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421132 Min 01421132 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5163 of 6486
Name
MALTI SEN Rate Amount Qty 36 .6 60 66 1.1 60 8.1 .27 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 545.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421133 Min 01421133 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5164 of 6486
Name
SHARMA RN Rate Amount Qty 13.95 .93 15 32.4 1.08 30 21.3 .71 30 167.4 5.58 30 60.9 2.03 30 400 400 1 Total: 695.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421134 Min 01421134 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5165 of 6486
Name
SMT.MADHURI SHARMA Rate Amount Qty 55.8 .93 60 20.84 5.21 4 36.3 1.21 30 11.4 .38 30 400 400 1 Total: 524.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421140 Min 01421140 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 8 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 08-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 5166 of 6486
Name
KESHAV RAO Rate Amount Qty 21.3 .71 30 32.4 1.08 30 27.9 .93 30 54 .6 90 7.5 .25 30 21.6 .36 60 400 400 1 3.9 .26 15 43.96 131.88 3 400 400 1 40.58 20.29 2 148.9 74.45 2 400 400 1 Total: 1689.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421142 Min 01421142 Slno Description Appmt Dt DRESSING SIMPLE 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 01-FEB-19 DRESSING SIMPLE 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 04-FEB-19
Page 5167 of 6486
Name
RAMSAGAR Rate Amount Qty 300 300 1 400 400 1 7.5 .75 10 1500 300 5 400 400 1 Total: 2607.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421156 Min 01421156 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 14-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 15-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 5168 of 6486
Name
SUMAN LATA Rate Amount Qty 7.7 .77 10 2.5 .25 10 400 400 1 6.23 .89 7 18.2 2.6 7 150.9 5.03 30 400 400 1 Total: 985.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421157 Min 01421157 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 5169 of 6486
Name
SURESH D. WANKHEDE Rate Amount Qty 72 .6 120 32.4 1.08 30 23.1 .77 30 34.8 1.16 30 7.5 .25 30 12 .4 30 39 1.3 30 21.6 .36 60 400 400 1 Total: 642.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421158 Min 01421158 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 11-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 8 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 5170 of 6486
Name
VANDANA WANKHEDE Rate Amount Qty 9.86 9.86 1 63.58 63.58 1 13.48 3.37 4 51.38 25.69 2 400 400 1 17 1.7 10 26.7 .89 30 6.99 2.33 3 1.11 .37 3 400 400 1 Total: 990.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421159 Min 01421159 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 14-FEB-19 CREATININE /CRT 4 14-FEB-19 BLOOD FOR TSH 5 14-FEB-19
Page 5171 of 6486
Name
RONALD RHAM Rate Amount Qty 27.9 .93 30 400 400 1 550 550 1 275 275 1 800 800 1 Total: 2052.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421160 Min 01421160 Appmt Dt Slno Description 05-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 05-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 05-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5172 of 6486
Name
LILY RHAM Qty Rate Amount 60 .79 47.4 30 .71 21.3 15 .99 14.85 1 400 400 Total: 483.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421161 Min 01421161 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5173 of 6486
Name
SAMARU Rate Amount Qty 117 1.3 90 108 .6 180 10.8 .36 30 41.85 .93 45 400 400 1 Total: 677.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421162 Min 01421162 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5174 of 6486
Name
MEENA BAI Rate Amount Qty 34.8 1.16 30 7.5 .25 30 10.8 .36 30 54 .6 90 400 400 1 Total: 507.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421163 Min 01421163 Slno Description Appmt Dt DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 1 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 5175 of 6486
Name
MAHANTY AK Rate Amount Qty 322.2 5.37 60 23.7 .79 30 21.3 .71 30 12 .4 30 7.65 .51 15 10.65 .71 15 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1450.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421164 Min 01421164 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 12-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 8 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 9 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19
Page 5176 of 6486
SMT MAMTA UMARE Rate Amount Qty 9.3 .62 15 3.7 .37 10 27.4 1.37 20 123.8 6.19 20 17.8 .89 20 12.6 .63 20 9.86 9.86 1 28.69 28.69 1 48.22 48.22 1 25.07 25.07 1 55.8 .93 60 16.2 .27 60 7.65 .51 15 12 .4 30 45 .6 75 7.5 .25 30 26.7 .89 30 400 400 1 Total: 877.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421167 Min 01421167 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5177 of 6486
Name
SUSHIL RAM Rate Amount Qty 60.9 2.03 30 37.8 .63 60 400 400 1 Total: 498.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421168 Min 01421168 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 05-FEB-19 UREA (BUN /UR) 5 05-FEB-19 CREATININE /CRT 6 05-FEB-19 URIC ACID (UA /URATES /UR) 7 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 05-FEB-19 BLOOD FOR T-3,T-4,TSH 12 05-FEB-19 CHOLESTEROL (CHOL) 13 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19
Page 5178 of 6486
MANJEET KAUR Rate Amount Qty 71 .71 100 275 275 1 25.07 25.07 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 27.9 .93 30 400 400 1 2400 2400 1 275 275 1 7.4 .37 20 9.86 9.86 1 400 400 1 Total: 6841.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421169 Min 01421169 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 15 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 16-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 19 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 16-FEB-19
Page 5179 of 6486
Name
SHARMA SS Rate Amount Qty 334.8 5.58 60 117 1.3 90 72 .6 120 2.22 .37 6 66.2 6.62 10 15.6 .26 60 60.9 2.03 30 192.3 6.41 30 24 .4 60 34.8 1.16 30 118.5 3.95 30 400 400 1 4.45 .89 5 6.4 .64 10 4.1 .41 10 55.2 1.84 30 400 400 1 6.4 .64 10 4.1 .41 10 55.2 1.84 30 4.45 .89 5 400 400 1 Total: 2378.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421170 Min 01421170 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 5180 of 6486
Name
ASHA SHARMA Rate Amount Qty 7.5 .25 30 41.06 41.06 1 3.7 .37 10 13.95 .93 15 13.8 .23 60 12 .4 30 20.84 5.21 4 36 .6 60 21.3 .71 30 6.4 .64 10 400 400 1 Total: 576.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421174 Min 01421174 Appmt Dt Slno Description 26-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5181 of 6486
Name
BUDHWANTIN BAI Qty Rate Amount 30 .38 11.4 1 400 400 411.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421178 Min 01421178 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 5182 of 6486
Name
KHORBAHARA RAM Rate Amount Qty 7.5 .25 30 17.4 1.16 15 18.6 .62 30 27.9 .93 30 72 .6 120 27.6 .92 30 400 400 1 Total: 571
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421179 Min 01421179 Appmt Dt Slno Description 26-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 26-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5183 of 6486
Name
KEKATI BAI Qty Rate Amount 15 .93 13.95 15 .38 5.7 15 .6 9 1 400 400 Total: 428.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421180 Min 01421180 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 7 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 5184 of 6486
Name
MOHD. AYUB SIDDIQUI Rate Amount Qty 9.6 .64 15 185.7 6.19 30 156.3 5.21 30 26.7 .89 30 400 400 1 41.85 .93 45 15.8 1.58 10 7.5 .25 30 5.8 .58 10 400 400 1 2.22 .37 6 6.4 .64 10 8.9 .89 10 35.2 3.52 10 400 400 1 Total: 1701.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421181 Min 01421181 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 05-FEB-19 X - RAY - SINGLE VIEW 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5185 of 6486
Name
MALKABEGAM Rate Amount Qty 400 400 1 4.45 .89 5 1.85 .37 5 26.6 2.66 10 550 550 1 400 400 1 4.45 .89 5 400 400 1 Total: 1787.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421187 Min 01421187 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5186 of 6486
Name
SHAKUNTALA SONI Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 21.3 .71 30 55.8 .93 60 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 2411.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421190 Min 01421190 Appmt Dt Slno Description 02-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 02-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 02-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5187 of 6486
Name
SANTOSH KUMAR TRIVEDI Qty Rate Amount 90 .6 54 30 2.03 60.9 15 .79 11.85 1 400 400 Total: 526.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421191 Min 01421191 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 5188 of 6486
Name
KIRAN BALA TRIVEDI Rate Amount Qty 33 1.1 30 27.9 .93 30 400 400 1 Total: 460.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421192 Min 01421192 Appmt Dt Slno Description 05-FEB-19 1 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 05-FEB-19 2 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 05-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5189 of 6486
Name
SHISHIR KUMAR KARMAKAR Qty Rate Amount 150 4.27 640.5 30 .51 15.3 60 .79 47.4 1 400 400 Total: 1103.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421193 Min 01421193 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5190 of 6486
Name
RAMA KARMAKAR Rate Amount Qty 7.5 .25 30 54 .6 90 27.9 .93 30 18 .3 60 78 1.3 60 34.8 1.16 30 400 400 1 Total: 620.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421194 Min 01421194 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 5191 of 6486
Name
MANOHAR RAO GOSAI Rate Amount Qty 54 .6 90 55.8 .93 60 43.2 .36 120 167.4 5.58 30 13.35 .89 15 21.3 .71 30 400 400 1 Total: 755.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421195 Min 01421195 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 5192 of 6486
Name
SMT.MANORAMA Rate Amount Qty 34.8 1.16 30 55.8 .93 60 18 .6 30 7.5 .25 30 400 400 1 Total: 516.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421202 Min 01421202 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 5193 of 6486
RAVI KUMAR BUXI Rate Amount Qty 8.1 .27 30 27.9 .93 30 25.07 25.07 1 400 400 1 16.2 .18 90 12.15 12.15 1 400 400 1 Total: 889.42
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421206 Min 01421206 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 11-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 5194 of 6486
HARIHAR PRASAD Rate Amount Qty 3.84 .64 6 33.12 1.84 18 20.84 5.21 4 4.62 .77 6 400 400 1 17.4 .58 30 20.84 5.21 4 400 400 1 50.14 25.07 2 6.82 6.82 1 20.84 5.21 4 156.3 5.21 30 6.4 .64 10 400 400 1 Total: 1541.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421207 Min 01421207 Slno Description Appmt Dt URSODEOXYCHOLIC ACID,150MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19
Page 5195 of 6486
Name
NIRMALA DEVI Rate Amount Qty 423.6 7.06 60 26.7 .89 30 400 400 1 400 400 1 .37 .37 1 .89 .89 1 .82 .41 2 1.25 .25 5 Total: 1253.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421208 Min 01421208 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 ECG 3 14-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 20-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5196 of 6486
Name
DEOMAN SAHARE Rate Amount Qty 420 420 1 .16 .16 1 450 450 1 24.52 24.52 1 6 .4 15 34.8 1.16 30 17.4 1.16 15 123.53 370.59 3 400 400 1 Total: 1723.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421211 Min 01421211 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 16-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 5197 of 6486
Name
SMT. RATNA DESHLAHARE Rate Amount Qty 26.7 .89 30 7.5 .25 30 10.8 .36 30 21.3 .71 30 400 400 1 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421212 Min 01421212 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 2 15-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 15-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 4 15-FEB-19 OBSERVATION IN CASUALTY 5 15-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 6 15-FEB-19 ECG 7 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 17 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 15-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19
Page 5198 of 6486
Name
KUSUM SHUKLA Rate Amount Qty 10.8 .36 30 35.52 35.52 1 600 600 1 9.81 9.81 1 420 420 1 9.62 9.62 1 450 450 1 24.52 24.52 1 .64 .64 1 123.53 123.53 1 20.06 20.06 1 4.45 .89 5 1.85 .37 5 3.2 .64 5 55.8 .93 60 16.2 .27 60 105.9 3.53 30 33 1.1 30 12 .4 30 32.4 1.08 30 36 .6 60 400 400 1 19.77 19.77 1 400 400 1 Total: 2825.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421217 Min 01421217 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 5199 of 6486
Name
KRISHNA KUMAR Rate Amount Qty 48 .4 120 90 .6 150 7.5 .25 30 2.4 .16 15 55.8 .93 60 117 1.3 90 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 799.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421218 Min 01421218 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 5200 of 6486
Name
GITA KUMARI Rate Amount Qty 550 550 1 400 400 1 34.8 1.16 30 66.2 6.62 10 8.9 .89 10 36 .6 60 21.6 .36 60 167.4 5.58 30 117 1.3 90 55.8 .93 60 17.4 1.16 15 33 1.1 30 3.75 .25 15 400 400 1 Total: 1911.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421227 Min 01421227 Appmt Dt Slno Description 19-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 19-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 3 GLICLAZIDE MR,30 MG,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5201 of 6486
Name
MAROTI MALUJI ROHAT Qty Rate Amount 90 .6 54 15 .25 3.75 30 .92 27.6 1 400 400 Total: 485.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421228 Min 01421228 Appmt Dt Slno Description 19-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5202 of 6486
Name
SHAKUNTALA ROHAT Qty Rate Amount 60 .37 22.2 1 400 400 422.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421233 Min 01421233 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 5203 of 6486
Name
BHAGWAN SINGH Rate Amount Qty 6.9 .23 30 1.85 .37 5 400 400 1 Total: 408.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421246 Min 01421246 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ECG 8 10-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 10-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 10-FEB-19 OBSERVATION IN CASUALTY 11 10-FEB-19
Page 5204 of 6486
Name
INDUMATI RAM Rate Amount Qty 27.9 .93 30 4.2 .7 6 10.08 1.12 9 21.12 3.52 6 3.7 .37 10 34.84 8.71 4 400 400 1 450 450 1 .16 .16 1 24.52 24.52 1 420 420 1 Total: 1396.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421251 Min 01421251 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5205 of 6486
Name
SHESH NARAYAN DWIVEDI Rate Amount Qty 36 .6 60 7.44 .93 8 9.28 1.16 8 167.4 5.58 30 400 400 1 Total: 620.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421252 Min 01421252 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5206 of 6486
Name
RATNA DWIVEDI Rate Amount Qty 66.2 6.62 10 3.84 .64 6 6.57 .73 9 2.67 .89 3 400 400 1 Total: 479.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421264 Min 01421264 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 28-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 2 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5207 of 6486
Name
DAMYANTI DEVI SHAKYA Rate Amount Qty 21.3 .71 30 94.8 1.58 60 27.4 1.37 20 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 736.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421265 Min 01421265 Appmt Dt Slno Description 21-FEB-19 1 DEXKETOPROFEN,25MG,TAB STRIP PACK 21-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5208 of 6486
Name
AMRIT LAL Qty Rate Amount 20 3.14 62.8 20 .89 17.8 20 6.19 123.8 1 400 400 Total: 604.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421266 Min 01421266 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5209 of 6486
Name
LAXMI Rate Amount Qty 123.8 6.19 20 12.8 .64 20 17.8 .89 20 24 .6 40 400 400 1 Total: 578.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421270 Min 01421270 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 9 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 11-FEB-19 ECG 13 11-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 14 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 11-FEB-19 OBSERVATION IN CASUALTY 16 11-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 17 11-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 18 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 19 11-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 20 11-FEB-19 OBSERVATION IN CASUALTY 21 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 24 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 25 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 27 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 29 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 30 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 31 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 25-FEB-19
Page 5210 of 6486
Name
SIMACHALAM Rate Amount Qty 12.15 12.15 1 21.6 .18 120 54 .9 60 24.3 .27 90 29.7 .99 30 55.8 .93 60 20.1 .67 30 400 400 1 9.62 9.62 1 6.4 .64 10 8.9 .89 10 2.5 .25 10 450 450 1 3.66 3.66 1 24.52 24.52 1 420 420 1 5.77 5.77 1 3.66 3.66 1 24.52 24.52 1 600 600 1 420 420 1 400 400 1 26.7 .89 30 12.15 12.15 1 29.7 .99 30 55.8 .93 60 20.1 .67 30 24.3 .27 90 3.84 .64 6 54 .9 60 21.6 .18 120 400 400 1 Total: 3645.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421272 Min 01421272 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 5211 of 6486
Name
J P GUPTA Rate Amount Qty 27.9 .93 30 167.4 5.58 30 7.5 .25 30 18 .6 30 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 688
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421274 Min 01421274 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 UREA (BUN /UR) 6 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 25-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 11 25-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19
Page 5212 of 6486
Name
RAJU Rate Amount Qty 17.4 1.16 15 167.4 5.58 30 12 .4 30 117 1.3 90 400 400 1 275 275 1 275 275 1 275 275 1 3.8 .38 10 36.8 1.84 20 41.06 41.06 1 51.38 25.69 2 400 400 1 Total: 2071.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421275 Min 01421275 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19 UREA (BUN /UR) 10 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 25-FEB-19
Page 5213 of 6486
Name
CHARUSHILA PATIL Rate Amount Qty 29.7 .99 30 17.4 1.16 15 18 .6 30 1.85 .37 5 3.8 .38 10 27.9 .93 30 9.3 .62 15 400 400 1 400 400 1 275 275 1 6.4 .64 10 275 275 1 275 275 1 Total: 1739.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421276 Min 01421276 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 05-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 5214 of 6486
Name
SAHEB RAO BORODE Rate Amount Qty 7.65 .51 15 72.6 1.21 60 55.8 .93 60 117 1.3 90 36 .6 60 32.4 1.08 30 12 .4 30 26.7 .89 30 7.4 .37 20 12.81 12.81 1 7.5 .25 30 34.8 1.16 30 400 400 1 Total: 822.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421277 Min 01421277 Appmt Dt Slno Description 16-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 16-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5215 of 6486
Name
SAROJ LATA BORODE Qty Rate Amount 6 .64 3.84 60 .93 55.8 5 .37 1.85 1 400 400 Total: 461.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421280 Min 01421280 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5216 of 6486
Name
VIJAY SINGH THAKUR Rate Amount Qty 3.84 .64 6 2.67 .89 3 400 400 1 Total: 406.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421281 Min 01421281 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 5217 of 6486
Name
MANORAMA THAKUR Rate Amount Qty 21.6 .36 60 72 .6 120 39 1.3 30 27.9 .93 30 167.4 5.58 30 21.3 .71 30 12 .4 30 400 400 1 Total: 761.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421283 Min 01421283 Appmt Dt Slno Description 01-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 2 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5218 of 6486
Name
PANNALAL Qty Rate Amount 10 .89 8.9 1 43.96 43.96 30 .93 27.9 1 400 400 Total: 480.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421290 Min 01421290 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5219 of 6486
Name
MEHBOOB NISHA Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421294 Min 01421294 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 5220 of 6486
Name
MEENA NEMA Rate Amount Qty 11.2 1.12 10 17.4 .58 30 29.7 .99 30 55.8 .93 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 551.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421296 Min 01421296 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 5221 of 6486
Name
SHRI ANJAN KUMAR MANDAL Rate Amount Qty 13.7 1.37 10 2.5 .25 10 400 400 1 Total: 416.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421300 Min 01421300 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 09-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 2 09-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5222 of 6486
Name
RAKESH KUMAR CHOUKSEY Rate Amount Qty 18.9 .63 30 85.5 2.85 30 79.2 2.64 30 400 400 1 21.3 .71 30 400 400 1 Total: 1004.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421301 Min 01421301 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 15-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 5223 of 6486
Name
PUSHPLATA CHOUKSEY Rate Amount Qty 26.7 .89 30 54 .9 60 156.6 1.74 90 100.71 100.71 1 400 400 1 20.84 5.21 4 12.6 .63 20 17.8 .89 20 16.8 .42 40 25.6 .64 40 400 400 1 21.3 .71 30 27.9 .93 30 400 400 1 Total: 1680.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421304 Min 01421304 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 5224 of 6486
Name
ALMUDDIN Rate Amount Qty 34.8 1.16 30 16.2 .36 45 72 .6 120 27.9 .93 30 17.4 .58 30 11.4 .38 30 400 400 1 185.7 6.19 30 13.7 1.37 10 400 400 1 4.45 .89 5 35.2 3.52 10 1.85 .37 5 400 400 1 185.7 6.19 30 26 2.6 10 7.5 .25 30 400 400 1 Total: 2239.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421305 Min 01421305 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 21-FEB-19 X - RAY - SINGLE VIEW 18 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 22-FEB-19 COMPLETE HAEMOGRAM 22 22-FEB-19
Page 5225 of 6486
Name
SHAKINA Rate Amount Qty 6.4 .64 10 26.6 2.66 10 8.1 .18 45 27 .9 30 400 400 1 66.2 6.62 10 13.35 .89 15 27 .9 30 12.15 12.15 1 20.1 .67 30 9.6 .64 15 5.55 .37 15 400 400 1 400 400 1 12.15 12.15 1 14.07 .67 21 12.46 .89 14 550 550 1 12.6 .9 14 400 400 1 400 400 1 750 750 1 Total: 3573.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421313 Min 01421313 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5226 of 6486
Name
SUBRATA KUMAR BISWAS Rate Amount Qty 8.1 .27 30 27.9 .93 30 117 1.3 90 72 .6 120 34.8 1.16 30 12 .4 30 9 .3 30 400 400 1 Total: 680.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421315 Min 01421315 Slno Description Appmt Dt RACECADOTRIL,100MG,CAPSULE 1 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 02-FEB-19 RIFAXIMIN 200 MG,,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 7 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5227 of 6486
Name
ANIL KUMAR VISHWAKARMA Rate Amount Qty 35.82 5.97 6 4.62 .77 6 83.97 9.33 9 21.3 .71 30 13.95 .93 15 400 400 1 32.61 32.61 1 400 400 1 27.9 .93 30 21.3 .71 30 26.7 .89 30 400 400 1 Total: 1468.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421316 Min 01421316 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 5228 of 6486
Name
SUNITA VISHWAKARMA Rate Amount Qty 33 1.1 30 21.3 .71 30 400 400 1 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421321 Min 01421321 Appmt Dt Slno Description 06-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5229 of 6486
Name
M KAMRAJ Qty Rate Amount 30 .27 8.1 30 .4 12 30 .25 7.5 1 400 400 Total: 427.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421322 Min 01421322 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 5230 of 6486
M KRISHNA KUMARI Rate Amount Qty 15.73 15.73 1 6.4 .64 10 7 .7 10 8.9 .89 10 400 400 1 Total: 438.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421326 Min 01421326 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 PRAZOSIN,2.5MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5231 of 6486
Name
SMT.DURGA DEVI Rate Amount Qty 18.9 .63 30 34.8 1.16 30 36 .6 60 55.8 .93 60 78 1.3 60 400 400 1 Total: 623.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421328 Min 01421328 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 5232 of 6486
Name
MINU DEBNATH Rate Amount Qty 21.3 .71 30 32.4 1.08 30 17.4 .58 30 7.5 .25 30 12 .4 30 10.8 .36 30 36 .6 60 8.1 .27 30 400 400 1 Total: 545.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421331 Min 01421331 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 27-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 5233 of 6486
Name
KHOLBAHARA RAM PATEL Rate Amount Qty 2.7 .18 15 6.4 .64 10 66.2 6.62 10 4.45 .89 5 9 .9 10 6.7 .67 10 1.25 .25 5 400 400 1 7.5 .25 30 54 .9 60 156.6 1.74 90 26.7 .89 30 400 400 1 Total: 1141.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421338 Min 01421338 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 5234 of 6486
Name
SAROJ MISHRA Rate Amount Qty 5 .25 20 17.4 1.16 15 400 400 1 10.65 .71 15 13.95 .93 15 400 400 1 Total: 847
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421339 Min 01421339 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5235 of 6486
Name
SANJEEV NAYYAR Rate Amount Qty 26.7 .89 30 185.7 6.19 30 18.9 .63 30 5.21 5.21 1 400 400 1 Total: 636.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421340 Min 01421340 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 5236 of 6486
Name
SUMAN NAYYAR Rate Amount Qty 9.3 .62 15 13.8 .23 60 18 .6 30 185.7 6.19 30 9.3 .62 15 13.8 .23 60 18 .6 30 185.7 6.19 30 400 400 1 Total: 853.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421343 Min 01421343 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5237 of 6486
Name
CHAMPA BHATTACHARYA Rate Amount Qty 27.9 .62 45 21.3 .71 30 26.7 .89 30 4.8 .16 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 544.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421345 Min 01421345 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 5238 of 6486
Name
RAM KUMAR SAHU Rate Amount Qty 66 1.1 60 18.9 .63 30 54 .6 90 7.8 .26 30 32.4 1.08 30 27.9 .93 30 26.7 .89 30 400 400 1 18.9 .63 30 27.9 .93 30 66 1.1 60 32.4 1.08 30 26.7 .89 30 54 .6 90 7.8 .26 30 400 400 1 Total: 1267.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421348 Min 01421348 Slno Description Appmt Dt IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 1 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 24-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 24-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 24-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 24-FEB-19 OBSERVATION IN CASUALTY 6 24-FEB-19 ECG 7 24-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 8 24-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 9 24-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 24-FEB-19
Page 5239 of 6486
Name
SHAKUNTALA DEVI Rate Amount Qty 9.81 9.81 1 2.67 .89 3 10.08 1.12 9 21.12 3.52 6 3.2 .64 5 420 420 1 450 450 1 11.89 11.89 1 5.41 5.41 1 3.52 3.52 1 400 400 1 Total: 1337.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421353 Min 01421353 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 5240 of 6486
Name
SHEELA NEEKHAR Rate Amount Qty 7.5 .25 30 6.4 .64 10 39 1.3 30 54 .6 90 10.8 .36 30 400 400 1 15 .25 60 18.6 .62 30 400 400 1 Total: 951.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421355 Min 01421355 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 5241 of 6486
Name
SAROJINI DEVI Rate Amount Qty 20.06 20.06 1 15 .25 60 400 400 1 Total: 435.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421356 Min 01421356 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5242 of 6486
Name
GURUNARAYAN SONI Rate Amount Qty 66 1.1 60 9 .3 30 18 .6 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 572.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421358 Min 01421358 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 5243 of 6486
Name
VK ASHOKAN Rate Amount Qty 54 .9 60 60.9 2.03 30 21.6 .36 60 17.4 1.16 15 26.7 .89 30 12.15 12.15 1 36 .6 60 78 1.3 60 400 400 1 Total: 706.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421359 Min 01421359 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19
Page 5244 of 6486
Name
P.S. GEETHA Rate Amount Qty 6.16 .77 8 7.68 .64 12 8.96 1.12 8 36 .6 60 33 1.1 30 41.85 .93 45 15.6 .26 60 21.3 .71 30 44.16 1.84 24 400 400 1 44.16 1.84 24 7.68 .64 12 6.16 .77 8 400 400 1 Total: 1072.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421364 Min 01421364 Appmt Dt Slno Description 21-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 21-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5245 of 6486
Name
KRISHNA SAHU Qty Rate Amount 15 .99 14.85 60 .27 16.2 30 .93 27.9 1 400 400 Total: 458.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421368 Min 01421368 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 ENTACAVIR 0.5MG,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 12-FEB-19 DRESSING SIMPLE 18 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 19 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 13-FEB-19 DRESSING SIMPLE 21 13-FEB-19
Page 5246 of 6486
Name
BARDHA RAJU Rate Amount Qty 78 1.3 60 43.96 43.96 1 60.9 2.03 30 26.7 .89 30 673.5 22.45 30 34.8 1.16 30 7.8 .26 30 12 .4 30 55.8 .93 60 21.6 .36 60 400 400 1 371.4 6.19 60 18.2 2.6 7 6.23 .89 7 400 400 1 400 400 1 6.4 .64 10 300 300 1 55.2 1.84 30 400 400 1 1200 300 4 Total: 4572.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421369 Min 01421369 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 C T HEAD PLAIN 11 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 04-FEB-19
Page 5247 of 6486
Name
S GANGAMMA Rate Amount Qty 7.5 .25 30 55.8 .93 60 66 1.1 60 12 .4 30 79.2 2.64 30 26.7 .89 30 9.24 .42 22 15.96 .42 38 34.8 1.16 30 400 400 1 5250 5250 1 400 400 1 Total: 6357.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421370 Min 01421370 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 5248 of 6486
Name
VIJAY MOREY Rate Amount Qty 7.3 .73 10 4.1 .41 10 33.12 1.84 18 275 275 1 400 400 1 7.7 .77 10 .48 .16 3 275 275 1 33 1.1 30 39 1.3 30 21.3 .71 30 12 .4 30 18 .6 30 21.6 .36 60 400 400 1 Total: 1547.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421371 Min 01421371 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 PARASITES (MP /MF) 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19
Page 5249 of 6486
KALPANA MOREY Rate Amount Qty 400 400 1 165 165 1 6.4 .64 10 66.2 6.62 10 15.73 15.73 1 3.7 .37 10 Total: 657.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421376 Min 01421376 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 7 15-FEB-19 ECG 8 15-FEB-19 OBSERVATION IN CASUALTY 9 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 15-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 20-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 19 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 20 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 20-FEB-19
Page 5250 of 6486
Name
DURGAWATI DEVI Rate Amount Qty 13.95 .93 15 26.7 .89 30 18.6 .62 30 7.5 .25 30 18 .6 30 400 400 1 23.39 23.39 1 900 450 2 420 420 1 .48 .16 3 9.81 9.81 1 400 400 1 2.4 .16 15 36 .6 60 7.5 .25 30 34.8 1.16 30 26.7 .89 30 13.95 .93 15 88.2 1.47 60 18.6 .62 30 400 400 1 Total: 2866.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421377 Min 01421377 Appmt Dt Slno Description 15-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15-FEB-19 2 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 15-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5251 of 6486
Name
POKHAN SINGH THAKUR Qty Rate Amount 60 .9 54 1 100.71 100.71 60 .27 16.2 1 400 400 Total: 570.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421380 Min 01421380 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 14-FEB-19 PRAZOSIN,2.5MG,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 5252 of 6486
Name
ISHWAR CHAND MANWAR Rate Amount Qty 4.8 .16 30 26.7 .89 30 7.65 .51 15 78 1.3 60 8.1 .27 30 10.8 .36 30 72.6 1.21 60 55.8 .93 60 400 400 1 Total: 664.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421381 Min 01421381 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 28-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 28-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5253 of 6486
Name
SHANTI Rate Amount Qty 66 1.1 60 8.1 .27 30 11.1 .37 30 63.22 31.61 2 25.62 12.81 2 400 400 1 Total: 574.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421383 Min 01421383 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 5254 of 6486
Name
SHAILENDRI BAI Qty 4 4 1
Rate Amount 3.08 .77 1.64 .41 400 400 Total: 404.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421386 Min 01421386 Appmt Dt Slno Description 06-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 06-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5255 of 6486
Name
T.R.SAHARE Qty Rate Amount 15 .16 2.4 30 .4 12 30 .79 23.7 1 400 400 Total: 438.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421387 Min 01421387 Appmt Dt Slno Description 06-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 06-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5256 of 6486
Name
JYOTI Qty Rate Amount 30 .6 18 30 .25 7.5 30 .71 21.3 1 400 400 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421392 Min 01421392 Appmt Dt Slno Description 12-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 12-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5257 of 6486
Name
SAHAS RAM KAUSHIK Qty Rate Amount 30 2.55 76.5 60 .93 55.8 15 .99 14.85 1 400 400 Total: 547.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421393 Min 01421393 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5258 of 6486
Name
CHARAN KAUSHIK Rate Amount Qty 21.3 .71 30 33 1.1 30 27.9 .93 30 18.9 .63 30 26 2.6 10 18.6 .62 30 8.9 .89 10 400 400 1 Total: 554.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421396 Min 01421396 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 14-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 2 14-FEB-19 SODIUM VALPROATE,500MG,TABLET 3 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5259 of 6486
Name
PREMLAL Rate Amount Qty 105.3 3.51 30 24.6 .82 30 468 3.9 120 39.6 2.64 15 43.96 43.96 1 400 400 1 Total: 1081.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421397 Min 01421397 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 13-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 13-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 10 13-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 11 13-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19
Page 5260 of 6486
Name
URMILA Rate Amount Qty 13.35 .89 15 33 1.1 30 371.4 6.19 60 34.8 .58 60 3.9 .26 15 11.85 .79 15 21.3 .71 30 18 .6 30 9.88 .38 26 83.4 2.78 30 38.76 3.23 12 27.6 .92 30 400 400 1 Total: 1067.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421398 Min 01421398 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 5261 of 6486
Name
GOLI RAWUT Rate Amount Qty 78 1.3 60 26.7 .89 30 4.8 .16 30 126 2.1 60 27.9 .93 30 32.4 1.08 30 36 .6 60 60.9 2.03 30 400 400 1 Total: 792.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421400 Min 01421400 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5262 of 6486
SMT.KRISHNA DEVI PANDEY Rate Amount Qty 18 .6 30 10.8 .36 30 23.52 1.12 21 6.82 6.82 1 25.07 25.07 1 400 400 1 Total: 484.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421401 Min 01421401 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 10-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 10-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 10-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 10-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 10-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 10-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 10-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 10-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 10-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 10-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 10-FEB-19
Page 5263 of 6486
Name
T RADHAKRISHNAN NAIR Rate Amount Qty 184.2 6.14 30 279.9 9.33 30 16.8 1.12 15 63.22 31.61 2 60.18 20.06 3 60.9 2.03 30 12 .4 30 34.8 1.16 30 32.4 1.08 30 66 1.1 60 27.9 .93 30 400 400 1 Total: 1238.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421405 Min 01421405 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5264 of 6486
Name
SURENDRA KUMAR PANDEY Rate Amount Qty 10.8 .36 30 54 .6 90 47.4 .79 60 21.3 .71 30 400 400 1 Total: 533.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421406 Min 01421406 Appmt Dt Slno Description 01-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 01-FEB-19 2 CEFEXIME,STRIP PKT,200MG,TABLET 01-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5265 of 6486
Name
SHAIL PANDEY Qty Rate Amount 10 .64 6.4 10 6.62 66.2 10 .77 7.7 1 400 400 Total: 480.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421408 Min 01421408 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5266 of 6486
Name
THANESHWARI BAI Rate Amount Qty 4.65 .93 5 2.5 .25 10 400 400 1 13.95 .93 15 7.5 .25 30 400 400 1 Total: 828.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421413 Min 01421413 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 5267 of 6486
Name
RAM SHIROMANI SINGH Rate Amount Qty 66.2 6.62 10 2.22 .37 6 3.84 .64 6 400 400 1 54 .6 90 24 .4 60 6.3 .63 10 12 .4 30 21.3 .71 30 39 1.3 30 400 400 1 Total: 1028.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421414 Min 01421414 Appmt Dt Slno Description 06-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5268 of 6486
Name
MALTI SINGH Qty Rate Amount 15 .93 13.95 1 400 400 413.95 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421419 Min 01421419 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 05-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 05-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 8 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 05-FEB-19 PRAZOSIN,2.5MG,TABLET 12 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 OBSERVATION IN CASUALTY 15 17-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 16 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 17-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 17-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 20 17-FEB-19 X - RAY - SINGLE VIEW 21 17-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 22 17-FEB-19 PARASITES (MP /MF) 23 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 24 17-FEB-19 ECG 25 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 17-FEB-19 URIC ACID (UA /URATES /UR) 27 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 28 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 29 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 30 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 31 18-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 32 18-FEB-19 COMPLETE HAEMOGRAM 33 18-FEB-19 WIDAL TEST 34 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 35 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 36 18-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 37 18-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 38 18-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 39 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 40 19-FEB-19 CULTURE AND SENSITIVITY (C/S) - BLOOD 41 19-FEB-19
Page 5269 of 6486
Name
DR. S S SENAPATI Rate Amount Qty 21.8 2.18 10 7 .7 10 16.8 1.12 15 132.4 6.62 20 7.4 .37 20 12.8 .64 20 5.7 .38 15 126 2.1 60 34.8 1.16 30 14.85 .99 15 317.7 3.53 90 78 1.3 60 55.8 .93 60 400 400 1 420 420 1 66.2 6.62 10 4.45 .89 5 9 .9 10 1.85 .37 5 12.15 12.15 1 550 550 1 100 100 1 165 165 1 600 600 1 450 450 1 400 400 1 275 275 1 275 275 1 1300 1300 1 54 .9 60 26.7 .89 30 79.2 .66 120 750 750 1 600 600 1 400 400 1 313.2 1.74 180 69.05 69.05 1 20.1 .67 30 650 650 1 400 400 1 650 650 1 Total: 9871.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421420 Min 01421420 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 PRAZOSIN,2.5MG,TABLET 6 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 5270 of 6486
Name
MOHAN DHAR SHARMA Rate Amount Qty 76.5 2.55 30 36 .6 60 167.4 5.58 30 14.85 .99 15 55.8 .93 60 117 1.3 90 18.9 .63 30 12 .4 30 2.4 .16 15 400 400 1 Total: 900.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421424 Min 01421424 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 02-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 7 02-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 02-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 15 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 16 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 18 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 14-FEB-19
Page 5271 of 6486
BRIJLATA CHOUBEY Rate Amount Qty 35.2 3.52 10 7.7 .77 10 2.59 .37 7 400 400 1 10.05 .67 15 9 .9 10 69.05 69.05 1 52.2 1.74 30 19.8 .66 30 4.45 .89 5 400 400 1 15.73 15.73 1 27 .9 30 5.55 .37 15 39.6 .66 60 104.4 1.74 60 400 400 1 76.5 2.55 30 8.1 .27 30 17.4 1.16 15 400 400 1 Total: 2104.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421425 Min 01421425 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5272 of 6486
Name
S.S. CHOUBEY Rate Amount Qty 18 .6 30 167.4 5.58 30 33 1.1 30 8.1 .27 30 17.4 1.16 15 400 400 1 Total: 643.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421426 Min 01421426 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5273 of 6486
Name
D.K.DILLIWAR Rate Amount Qty 7.5 .25 30 26.7 .89 30 34.8 1.16 30 9 .3 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 731.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421427 Min 01421427 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5274 of 6486
Name
SUSHILA Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 9 .3 30 167.4 5.58 30 36.3 1.21 30 400 400 1 Total: 679.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421428 Min 01421428 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 PRAZOSIN,2.5MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5275 of 6486
Name
LAXMINATH NIRMAL Rate Amount Qty 55.8 .93 60 8.1 .27 30 7.5 .25 30 39 1.3 30 400 400 1 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421429 Min 01421429 Appmt Dt Slno Description 05-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 05-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5276 of 6486
Name
SMT.SUBHADRA NIRMAL Qty Rate Amount 10 .58 5.8 10 1.1 11 20 .93 18.6 1 400 400 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421430 Min 01421430 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 5277 of 6486
Name
RAMLAL Rate Amount Qty 12 .4 30 23.1 .77 30 21.6 .36 60 7.5 .25 30 34.8 1.16 30 211.8 3.53 60 55.8 .93 60 54 .6 90 78 1.3 60 167.4 5.58 30 400 400 1 Total: 1066
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421431 Min 01421431 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 5278 of 6486
Name
PARVATI DEVI Rate Amount Qty 7.7 .77 10 7.5 .25 30 17.4 1.16 15 39 1.3 30 27.9 .93 30 18 .6 30 400 400 1 Total: 517.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421432 Min 01421432 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5279 of 6486
Name
SHRIRAM Rate Amount Qty 7.5 .25 30 27.9 .93 30 18 .4 45 21.3 .71 30 36 .6 60 400 400 1 Total: 510.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421433 Min 01421433 Appmt Dt Slno Description 28-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 28-FEB-19 2 CREAM,CLOTRIMAZOLE,1%,15-20GM 28-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5280 of 6486
Name
GANGA BAI Qty Rate Amount 20 .37 7.4 2 9.86 19.72 8 3.37 26.96 1 400 400 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421436 Min 01421436 Appmt Dt Slno Description 06-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5281 of 6486
Name
GOVERDHAN PRASAD Qty Rate Amount 60 .27 16.2 30 .71 21.3 60 .93 55.8 1 400 400 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421437 Min 01421437 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 PRAZOSIN,2.5MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 5282 of 6486
Name
KAUSHALYA Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 78 1.3 60 55.8 .93 60 167.4 5.58 30 32.4 .36 90 3.75 .25 15 400 400 1 Total: 816.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421438 Min 01421438 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 5283 of 6486
Name
SUBODH KUMAR KALPANDE Rate Amount Qty 27.9 .93 30 36.3 1.21 30 26.7 .89 30 4.8 .16 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 549.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421440 Min 01421440 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5284 of 6486
Name
LAKHAN LAL BANDE Rate Amount Qty 3.75 .25 15 21.3 .71 30 8.1 .27 30 8.7 .58 15 18 .6 30 400 400 1 Total: 459.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421441 Min 01421441 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5285 of 6486
Name
VEDWATI BANDE Rate Amount Qty 27.9 .93 30 21.3 .71 30 3.75 .25 15 36 .6 60 6.9 .23 30 400 400 1 Total: 495.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421442 Min 01421442 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 18-FEB-19 URIC ACID (UA /URATES /UR) 2 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 18-FEB-19
Page 5286 of 6486
Name
RC SINGH Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 1300 1300 1 400 400 1 53.4 .89 60 60.9 2.03 30 192.3 6.41 30 Total: 3856.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421443 Min 01421443 Appmt Dt Slno Description 18-FEB-19 1 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 18-FEB-19 2 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 18-FEB-19 4 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G
Page 5287 of 6486
Name
SUSHILA SINGH Qty 1 1 1 1
Rate Amount 1300 1300 1300 1300 400 400 275 275 Total: 3275
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421444 Min 01421444 Appmt Dt Slno Description 11-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5288 of 6486
Name
ROSHANLAL DEWANGAN Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421445 Min 01421445 Slno Description Appmt Dt ANA SCREENING 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 COMPLETE HAEMOGRAM 3 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 5289 of 6486
Name
REKHA DEWANGAN Rate Amount Qty 2430 2430 1 400 400 1 750 750 1 27.9 .93 30 400 400 1 Total: 4007.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421451 Min 01421451 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 15-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 2 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 5290 of 6486
Name
TAPESWARI Rate Amount Qty 166.8 2.78 60 64.6 3.23 20 4.56 .38 12 55.8 .93 60 6.6 .66 10 167.4 5.58 30 54 .6 90 42.6 .71 60 8.1 .27 30 400 400 1 Total: 970.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421453 Min 01421453 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 22-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 13 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5291 of 6486
Name
KRISHNA BAI Rate Amount Qty 7.5 .25 30 95.7 3.19 30 9.9 .66 15 21.3 .71 30 400 400 1 7.5 .25 30 34.8 1.16 30 9 .6 15 13.95 .93 15 400 400 1 95.7 3.19 30 15 .25 60 9.9 .66 15 21.3 .71 30 400 400 1 Total: 1541.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421456 Min 01421456 Appmt Dt Slno Description 09-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 09-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 09-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5292 of 6486
Name
D. NEERAJA Qty Rate Amount 20 .89 17.8 20 .64 12.8 40 .42 16.8 1 400 400 Total: 447.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421458 Min 01421458 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 18-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 5293 of 6486
S N BISWAS Rate Amount Qty 7.5 .25 30 3.7 .37 10 25.07 25.07 1 26.7 .89 30 55.8 .93 60 118.5 3.95 30 9.9 .66 15 60.9 2.03 30 54 .9 60 192.3 6.41 30 400 400 1 Total: 954.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421459 Min 01421459 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 18-FEB-19 PRAZOSIN,2.5MG,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 5294 of 6486
Name
MADHURI BISWAS Rate Amount Qty 18.9 .63 30 10.42 5.21 2 156 1.3 120 21.3 .71 30 55.8 .93 60 12 .4 30 72 .6 120 400 400 1 Total: 746.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421460 Min 01421460 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5295 of 6486
Name
SURENDRA PAL SINGH Rate Amount Qty 72 .6 120 78 1.3 60 55.8 .93 60 8.1 .27 30 12 .4 30 10.8 .36 30 400 400 1 Total: 636.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421461 Min 01421461 Appmt Dt Slno Description 08-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 08-FEB-19 2 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 08-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5296 of 6486
Name
ABHA SINGH Qty Rate Amount 30 .71 21.3 30 .58 17.4 30 1.16 34.8 1 400 400 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421463 Min 01421463 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 5297 of 6486
Name
YOGENDRA KUMAR GUPTA Rate Amount Qty 31.95 .71 45 11.25 .25 45 16.2 .36 45 27 .6 45 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421464 Min 01421464 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5298 of 6486
Name
MADHU BALA GUPTA Rate Amount Qty 3.75 .25 15 16.1 .23 70 39.6 .99 40 74.4 .93 80 96 .6 160 28.8 .36 80 400 400 1 Total: 658.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421469 Min 01421469 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 27-FEB-19 COMPLETE HAEMOGRAM 5 27-FEB-19 ECG 6 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 27-FEB-19 UREA (BUN /UR) 8 27-FEB-19 CREATININE /CRT 9 27-FEB-19 URIC ACID (UA /URATES /UR) 10 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 5299 of 6486
Name
SWAPAN KUMAR KUNDU Rate Amount Qty 275 275 1 33 1.1 30 13.95 .93 15 400 400 1 750 750 1 450 450 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 Total: 5271.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421471 Min 01421471 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 7 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 15 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 5300 of 6486
BINDU KUMAR SRIVAS Rate Amount Qty 8.9 .89 10 1.85 .37 5 9.6 .64 15 66.2 6.62 10 27.9 .93 30 400 400 1 15.3 .51 30 9 .3 30 18 .6 30 7.5 .25 30 400 400 1 185.7 6.19 30 1.85 .37 5 4.45 .89 5 40.58 20.29 2 50.14 25.07 2 26 2.6 10 8.9 .89 10 400 400 1 Total: 1681.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421472 Min 01421472 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 28-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 14 28-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 15 28-FEB-19 OBSERVATION IN CASUALTY 16 28-FEB-19 ECG 17 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 28-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 20 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 21 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 22 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 5301 of 6486
Name
MADHU SHRIVAS Rate Amount Qty 27.9 .93 30 118.5 3.95 30 21.3 .71 30 12 .4 30 33 1.1 30 20.06 20.06 1 400 400 1 7.5 .25 30 33 1.1 30 34.8 1.16 30 12 .4 30 400 400 1 .64 .64 1 24.52 24.52 1 9.62 9.62 1 420 420 1 450 450 1 .8 .16 5 26.7 .89 30 98.28 2.34 42 47.04 1.12 42 20.06 20.06 1 3.2 .64 5 400 400 1 Total: 2620.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421473 Min 01421473 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 5302 of 6486
Name
ARUN BHANDAKKAR Rate Amount Qty 18.9 .63 30 27.9 .93 30 18 .6 30 21.3 .71 30 400 400 1 Total: 486.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421475 Min 01421475 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 13-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 14-FEB-19 DRESSING SIMPLE 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 15-FEB-19 X - RAY - SINGLE VIEW 15 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 26-FEB-19 DRESSING SIMPLE 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 28-FEB-19 DRESSING SIMPLE 19 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21 28-FEB-19
Page 5303 of 6486
Name
A S DHILLON Rate Amount Qty 43.2 1.44 30 11.85 .79 15 31.2 1.04 30 37.8 .63 60 7.8 .26 30 12 .4 30 21.3 .71 30 400 400 1 35.2 3.52 10 1500 300 5 4.45 .89 5 6.4 .64 10 400 400 1 400 400 1 550 550 1 400 400 1 900 300 3 400 400 1 2100 300 7 6.4 .64 10 19 .38 50 Total: 7286.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421476 Min 01421476 Slno Description Appmt Dt ONDANSETRON,8MG,STRIP PACK.,TABLET 1 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 19-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 3 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 8 21-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 9 21-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 10 21-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 11 21-FEB-19 OBSERVATION IN CASUALTY 12 21-FEB-19
Page 5304 of 6486
Name
GURMEET KOUR Qty 4 5 1 6 9 6 1 1 1 1 1 1
Rate Amount 2.8 .7 3.2 .64 8.71 8.71 4.62 .77 10.08 1.12 21.12 3.52 400 400 9.81 9.81 11.89 11.89 35.52 35.52 24.52 24.52 420 420 Total: 952.27
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421478 Min 01421478 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 11 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 23-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19
Page 5305 of 6486
URMILA Rate Amount Qty 6.82 6.82 1 25.07 25.07 1 39 1.3 30 26.7 .89 30 76.5 2.55 30 12 .4 30 21.3 .71 30 400 400 1 54 .9 60 26.7 .89 30 20.1 .67 30 7.5 .25 30 17.4 .58 30 400 400 1 Total: 1133.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421482 Min 01421482 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 5306 of 6486
Name
SMT.DEEPA P CHANDRAN Rate Amount Qty 27.9 .93 30 29.7 .99 30 21.3 .71 30 18.9 .63 30 10.8 .36 30 22.2 .37 60 66 1.1 60 72 .6 120 400 400 1 Total: 668.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421483 Min 01421483 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19
Page 5307 of 6486
CHHOTULAL Rate Amount Qty 55.8 .93 60 78 1.3 60 72 .6 120 16.2 .36 45 7.5 .25 30 26.7 .89 30 8.1 .27 30 167.4 5.58 30 400 400 1 48.22 48.22 1 8.9 .89 10 13.49 13.49 1 400 400 1 Total: 1302.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421484 Min 01421484 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 5308 of 6486
Name
BHEEMA BAI Rate Amount Qty 27.9 .93 30 54 .6 90 4.1 .41 10 14.85 .99 15 21.3 .71 30 7.5 .25 30 26.7 .89 30 13.7 1.37 10 185.7 6.19 30 400 400 1 Total: 755.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421489 Min 01421489 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 MRI SPECTROSCOPY (COST OF MRI NOT INCLUD 8 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5309 of 6486
Name
DINESH KUMAR Rate Amount Qty 43.2 1.08 40 17.8 .89 20 5 .25 20 16 .4 40 5 .25 20 46.4 1.16 40 400 400 1 5240 5240 1 400 400 1 69.6 1.16 60 64.8 1.08 60 24 .4 60 7.5 .25 30 26.7 .89 30 400 400 1 Total: 6766
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421495 Min 01421495 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 5310 of 6486
Name
KS ANIL KUMAR Rate Amount Qty 27.6 .92 30 36 .6 60 78 1.3 60 11.85 .79 15 33 1.1 30 32.4 1.08 30 21.3 .71 30 1.85 .37 5 400 400 1 Total: 642
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421496 Min 01421496 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 15 20-FEB-19 SYRINGE,DISPOSABLE,2ML 16 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 17 20-FEB-19 ONDANSETRON,2MG/ML,INJECTION 18 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 20 20-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 21 20-FEB-19 RACECADOTRIL,100MG,CAPSULE 22 20-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 23 20-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 24 20-FEB-19 OBSERVATION IN CASUALTY 25 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 28 21-FEB-19 INDOOR DEPARTMENTAL CONSULTATION (PER DA 29 21-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 30 21-FEB-19 OBSERVATION IN CASUALTY 31 21-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 32 21-FEB-19 ONDANSETRON,2MG/ML,INJECTION 33 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 34 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 35 22-FEB-19 RIFAXIMIN 200 MG,,TABLET 36 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 37 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 22-FEB-19
Page 5311 of 6486
Name
SHEEBA M Rate Amount Qty 26.55 26.55 1 8.9 .89 10 1.85 .37 5 400 400 1 8.9 .89 10 66.2 6.62 10 1.85 .37 5 3.2 .64 5 400 400 1 7.12 .89 8 1.48 .37 4 52.96 6.62 8 5.12 .64 8 400 400 1 11.89 11.89 1 7.36 1.84 4 9.81 9.81 1 7.52 7.52 1 10.08 1.12 9 24.52 24.52 1 34.84 8.71 4 35.82 5.97 6 22.71 22.71 1 23.39 23.39 1 420 420 1 5.34 .89 6 400 400 1 9.81 9.81 1 600 600 1 23.39 23.39 1 420 420 1 24.52 24.52 1 7.52 7.52 1 8.9 .89 10 7 .7 10 9.33 139.95 15 35.2 3.52 10 400 400 1 Total: 4073.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421497 Min 01421497 Slno Description Appmt Dt CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 1 13-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 23-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5312 of 6486
MD.WASIM AHMED Rate Amount Qty 33.46 33.46 1 75.21 25.07 3 400 400 1 156.6 1.74 90 100.71 100.71 1 12.15 12.15 1 400 400 1 Total: 1178.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421503 Min 01421503 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 02-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 2 02-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 3 02-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 02-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 8 28-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 9 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 10 28-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 13 28-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5313 of 6486
Name
MOHAMMED FARUKH Rate Amount Qty 25.69 25.69 1 156.51 313.02 2 40.58 20.29 2 31.61 31.61 1 17.6 17.6 1 7.4 .37 20 400 400 1 156.51 313.02 2 25.69 25.69 1 40.58 20.29 2 85.52 85.52 1 7.4 .37 20 31.61 31.61 1 17.6 17.6 1 400 400 1 Total: 1757.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421504 Min 01421504 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 02-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 02-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 5 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 02-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 11 28-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 12 28-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 13 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5314 of 6486
Name
JAHAIRA KHAN Rate Amount Qty 185.7 6.19 30 11.1 .37 30 26 2.6 10 9.86 9.86 1 45.44 45.44 1 7.5 .25 30 37.04 37.04 1 7.5 .25 30 27.9 .93 30 400 400 1 31.61 31.61 1 45.44 45.44 1 17.6 17.6 1 7.4 .37 20 400 400 1 Total: 1260.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421508 Min 01421508 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5315 of 6486
Name
VANDANA BAJAD Qty Rate Amount 20 .89 17.8 20 6.19 123.8 40 .63 25.2 1 400 400 Total: 566.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421510 Min 01421510 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 07-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 16-FEB-19 INHALANT,STRIP PACK,CAPSULE 14 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 16-FEB-19
Page 5316 of 6486
BHARTI BAI Rate Amount Qty 34 1.7 20 70.2 2.34 30 20.06 20.06 1 17.8 .89 20 3.7 .37 10 15.73 15.73 1 400 400 1 27.9 .93 30 36 .6 60 10.8 .36 30 10.8 .36 30 9 .3 30 18 .3 60 25.5 1.7 15 36 .6 60 27.9 .93 30 26.7 .89 30 1.85 .37 5 400 400 1 Total: 1191.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421511 Min 01421511 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 11 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19
Page 5317 of 6486
Name
MOHD FAIYAZ KHAN Rate Amount Qty 92.85 6.19 15 9.9 .66 15 39 2.6 15 400 400 1 8.1 .27 30 27.9 .93 30 21.3 .71 30 36 .6 60 9 .3 30 400 400 1 73.35 4.89 15 39 2.6 15 185.7 6.19 30 400 400 1 Total: 1742.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421512 Min 01421512 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 5318 of 6486
Name
ZAFRUNNISHA Rate Amount Qty 167.4 5.58 30 72 .6 120 43.2 .36 120 55.8 .93 60 18.6 .62 30 8.1 .27 30 400 400 1 Total: 765.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421515 Min 01421515 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 5319 of 6486
Name
LOCHAN PURI GOSWAMI Rate Amount Qty 27.9 .93 30 6.9 .23 30 14.85 .99 15 400 400 1 6.9 .23 30 27.9 .93 30 14.85 .99 15 400 400 1 Total: 899.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421517 Min 01421517 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 13-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 13-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 5 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 5320 of 6486
RAMJI Rate Amount Qty 25.07 25.07 1 73.35 4.89 15 26.7 .89 30 185.7 6.19 30 6.82 6.82 1 13.7 1.37 10 400 400 1 Total: 731.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421527 Min 01421527 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5321 of 6486
Name
RAJ KAMAL AIRY Rate Amount Qty 18 .6 30 38.76 3.23 12 27.9 .93 30 4.05 .27 15 10.65 .71 15 12 .4 30 185.7 6.19 30 400 400 1 Total: 697.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421528 Min 01421528 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 5322 of 6486
Name
ASHA RANI AIRY Rate Amount Qty 14.85 .99 15 18.9 .63 30 32.4 1.08 30 21.3 .71 30 27 .9 30 7.5 .25 30 55.8 .93 60 22.2 .37 60 18 .6 30 400 400 1 Total: 617.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421531 Min 01421531 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5323 of 6486
PRITAM SINGH Rate Amount Qty 34.8 1.16 30 12 .4 30 3.2 .64 5 15.73 15.73 1 1.85 .37 5 26.7 .89 30 55.8 .93 60 400 400 1 Total: 550.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421532 Min 01421532 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 PRAZOSIN,2.5MG,TABLET 8 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 5324 of 6486
Name
RANJIT KAUR Rate Amount Qty 34.8 1.16 30 25.69 25.69 1 400 400 1 72 .6 120 117 1.3 90 105.9 3.53 30 55.8 .93 60 117 1.3 90 18.6 .62 30 167.4 5.58 30 400 400 1 Total: 1514.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421538 Min 01421538 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 4 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 01-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 02-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 02-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 02-FEB-19
Page 5325 of 6486
Name
R FANCY Rate Amount Qty 1300 1300 1 275 275 1 400 400 1 85.52 85.52 1 57.84 115.68 2 26.86 13.43 2 55.8 .93 60 167.4 5.58 30 10.65 .71 15 39 1.3 30 12 .4 30 33 1.1 30 7.5 .25 30 72 .6 120 110.4 .92 120 13.8 .23 60 400 400 1 Total: 3124.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421539 Min 01421539 Appmt Dt Slno Description 18-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 18-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5326 of 6486
Name
BHIM RAO Qty Rate Amount 4 5.21 20.84 30 6.41 192.3 30 2.03 60.9 1 400 400 Total: 674.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421540 Min 01421540 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 10 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 11 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 12 19-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 13 19-FEB-19 OBSERVATION IN CASUALTY 14 19-FEB-19 RACECADOTRIL,100MG,CAPSULE 15 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19
Page 5327 of 6486
Name
SESAMMA RAO Rate Amount Qty 167.4 5.58 30 36 .6 60 43.6 2.18 20 53.4 .89 60 60.9 2.03 30 21.3 .71 30 27.9 .93 30 33 1.1 30 400 400 1 9.81 9.81 1 11.89 11.89 1 24.52 24.52 1 35.52 35.52 1 420 420 1 59.7 5.97 10 8.9 .89 10 16.8 1.12 15 35.2 3.52 10 400 400 1 Total: 1865.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421542 Min 01421542 Appmt Dt Slno Description 14-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 3 VITAMIN E,STRIP PKT,200MG,CAPSULE 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5328 of 6486
Name
MEENA VERMA Qty Rate Amount 30 .23 6.9 15 1.16 17.4 30 1.58 47.4 1 400 400 Total: 471.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421549 Min 01421549 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5329 of 6486
Name
PARASRAM BANJARE Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421550 Min 01421550 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 10 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 5330 of 6486
Name
SUMITRA DEVI Rate Amount Qty 275 275 1 275 275 1 27.9 .93 30 11.4 .38 30 158.4 2.64 60 55.2 .92 60 167.4 5.58 30 36 .6 60 15.6 .26 60 118.5 3.95 30 66 1.1 60 12 .4 30 17.4 1.16 15 32.4 1.08 30 400 400 1 Total: 1668.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421553 Min 01421553 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 18-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 10 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19 TICAGRELOR 90MG ,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5331 of 6486
Name
YD HARDAHA Rate Amount Qty 123.53 247.06 2 9.9 .66 15 26.7 .89 30 11.85 .79 15 31.2 1.04 30 21.3 .71 30 139.2 1.16 120 12 .4 30 400 400 1 46.8 2.34 20 2.5 .25 10 3.7 .37 10 400 400 1 30.77 1292.34 42 400 400 1 Total: 3044.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421555 Min 01421555 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 5332 of 6486
Name
SMT.KUNWAR BAI Rate Amount Qty 33 1.1 30 55.8 .93 60 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421558 Min 01421558 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5333 of 6486
Name
N SUNDAR Rate Amount Qty 10.65 .71 15 27.9 .93 30 167.4 5.58 30 54 .6 90 10.8 .36 30 400 400 1 Total: 670.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421559 Min 01421559 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 23-FEB-19 FLUVOXAMINE,STRIP PKT,100MG,TABLET 2 23-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 3 23-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 5334 of 6486
Name
VAIJAYANTHI MALA SUNDAR Rate Amount Qty 36.9 .41 90 21.63 1297.8 60 49.2 .82 60 39.6 .99 40 400 400 1 Total: 1823.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421560 Min 01421560 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 01-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 5335 of 6486
CHHABI RANI Rate Amount Qty 55.8 .93 60 13.73 192.22 14 26.7 .89 30 12 .4 30 15.73 15.73 1 7.65 .51 15 118.5 3.95 30 11.4 .38 30 2.4 .16 15 400 400 1 Total: 842.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421563 Min 01421563 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 5336 of 6486
Name
RAMAYAN PRASAD Rate Amount Qty 55.8 .93 60 2.4 .16 15 21.3 .71 30 36 .6 60 400 400 1 54 .9 60 16.2 .18 90 12.15 12.15 1 400 400 1 Total: 997.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421564 Min 01421564 Slno Description Appmt Dt CREATININE /CRT 1 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 UREA (BUN /UR) 4 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 5337 of 6486
Name
KAILASI Rate Amount Qty 275 275 1 550 550 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 .8 .16 5 16.8 1.12 15 7 .7 10 8.9 .89 10 400 400 1 Total: 3783.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421565 Min 01421565 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5338 of 6486
Name
DHRUW NARAYAN SINGH Rate Amount Qty 78 1.3 60 7.5 .25 30 60.9 2.03 30 72 .6 120 21.6 .36 60 400 400 1 Total: 640
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421568 Min 01421568 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 26-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 7 26-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 26-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 10 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5339 of 6486
Name
NALINI SINGH Rate Amount Qty 21.3 .71 30 18 .6 30 167.4 5.58 30 26.7 .89 30 7.5 .25 30 9.3 .62 15 166.8 2.78 60 40.2 .67 60 9.12 .38 24 51.68 3.23 16 6.9 .23 30 400 400 1 Total: 924.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421569 Min 01421569 Appmt Dt Slno Description 09-FEB-19 1 NITRAZEPAM,10MG,TABLE,STRIP PACK. 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5340 of 6486
Name
SHIV KUMAR Qty Rate Amount 30 2.64 79.2 1 400 400 479.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421571 Min 01421571 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 5341 of 6486
Name
GLEETUS Rate Amount Qty 100.71 100.71 1 10.05 .67 15 26.7 .89 30 54 .9 60 400 400 1 Total: 591.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421575 Min 01421575 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 18-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 OBSERVATION IN CASUALTY 6 19-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 7 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 19-FEB-19
Page 5342 of 6486
Name
AG RAO Rate Amount Qty 11.2 1.12 10 6 .6 10 55.2 1.84 30 2.46 .41 6 400 400 1 420 420 1 5.77 5.77 1 24.52 24.52 1 Total: 925.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421576 Min 01421576 Appmt Dt Slno Description 18-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5343 of 6486
Name
VARALAXMI Qty Rate Amount 3 .37 1.11 15 .93 13.95 60 .6 36 1 400 400 Total: 451.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421579 Min 01421579 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5344 of 6486
Name
NK SHUKLA Rate Amount Qty 55.8 .93 60 10.8 .36 30 12 .4 30 17.4 1.16 15 7.5 .25 30 72 .6 120 13.35 .89 15 400 400 1 Total: 588.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421583 Min 01421583 Appmt Dt Slno Description 20-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5345 of 6486
Name
PAPPU LAXMAN SASTRY Qty Rate Amount 60 .36 21.6 30 .6 18 30 .63 18.9 1 400 400 Total: 458.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421585 Min 01421585 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 28-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 8 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 5346 of 6486
Name
RAMESH KUMAR JAIN Rate Amount Qty 26.7 .89 30 104.4 1.74 60 100.71 100.71 1 400 400 1 126 2.1 60 7.5 .25 30 5.21 5.21 1 146.7 4.89 30 27.9 .62 45 13.95 .93 15 400 400 1 Total: 1359.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421586 Min 01421586 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 5347 of 6486
Name
BHARTI JAIN Rate Amount Qty 12 .4 30 21.3 .71 30 14.85 .99 15 27.9 .93 30 334.8 5.58 60 72 .6 120 27 .36 75 400 400 1 Total: 909.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421587 Min 01421587 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 5348 of 6486
Name
RAJU WATE Rate Amount Qty 32.4 .36 90 167.4 5.58 30 12 .4 30 6.9 .23 30 41.85 .93 45 156 1.3 120 72 .6 120 34.8 1.16 30 400 400 1 Total: 923.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421588 Min 01421588 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5349 of 6486
Name
RAJSHREE WATE Rate Amount Qty 35.55 .79 45 33 1.1 30 12 .4 30 17.4 1.16 15 10.42 5.21 2 400 400 1 Total: 508.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421592 Min 01421592 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 ABC TEST HIV 3 01-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 4 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 01-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 21-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 13 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 16 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 21-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 20 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 23-FEB-19
Page 5350 of 6486
Name
SANTOSH KUMAR DHURANDHAR Rate Amount Qty 400 400 1 275 275 1 1250 1250 1 1000 1000 1 275 275 1 20.84 5.21 4 15.6 .26 60 12 .4 30 34.8 1.16 30 7.5 .25 30 400 400 1 7.98 .38 21 20.29 20.29 1 6.82 6.82 1 14.08 3.52 4 2.46 .41 6 3.7 .37 10 13.49 13.49 1 400 400 1 18.03 18.03 1 400 400 1 Total: 4577.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421593 Min 01421593 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 13-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 12 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 13 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19
Page 5351 of 6486
Name
TARA DHURANDHAR Rate Amount Qty 8.1 .27 30 7.5 .25 30 9 .3 30 72 .6 120 24 .4 60 32.4 1.08 30 34.8 1.16 30 36.3 1.21 30 400 400 1 11.1 .37 30 104.4 1.74 60 69.05 69.05 1 12.15 12.15 1 54 .9 60 26.7 .89 30 26.6 2.66 10 400 400 1 Total: 1328.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421598 Min 01421598 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 14-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 2 14-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 14-FEB-19 SYRINGE,DISPOSABLE,2ML 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 5352 of 6486
Name
DINESH KUMAR BHAKRE Rate Amount Qty 420 420 1 5.41 5.41 1 24.52 24.52 1 3.68 1.84 2 35.6 .89 40 8 .4 20 5 .25 20 23.2 1.16 20 400 400 1 Total: 925.41
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421612 Min 01421612 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5353 of 6486
SATYAWAN CHOUDHARY Rate Amount Qty 27.9 .93 30 10.8 .18 60 26.7 .89 30 15.73 15.73 1 400 400 1 Total: 481.13
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421614 Min 01421614 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 ABC TEST HIV 3 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 08-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 08-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 23-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 7 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 8 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 10 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 5354 of 6486
HEMLAL CHANDRAWANSHI Rate Amount Qty 400 400 1 275 275 1 1250 1250 1 275 275 1 1000 1000 1 6.82 6.82 1 20.29 20.29 1 18.03 18.03 1 2.46 .41 6 18.03 18.03 1 14.08 3.52 4 7.98 .38 21 400 400 1 6.82 6.82 1 25.07 25.07 1 18.03 18.03 1 400 400 1 Total: 4137.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421618 Min 01421618 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 5355 of 6486
Name
VIJAY KUMAR JAIN Rate Amount Qty 21.6 .36 60 34.8 1.16 30 12 .4 30 33 1.1 30 7.8 .26 30 8.1 .27 30 55.8 .93 60 36 .6 60 400 400 1 Total: 609.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421620 Min 01421620 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 5356 of 6486
Name
KAMAL KANTI DAS Rate Amount Qty 33 1.1 30 55.8 .93 60 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421623 Min 01421623 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5357 of 6486
Name
SMT.V PARVATI DEVI Rate Amount Qty 8.9 .89 10 27.9 .93 30 21.3 .71 30 10.8 .36 30 18 .6 30 400 400 1 Total: 486.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421625 Min 01421625 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 5358 of 6486
Name
RAKESH ASTHANA Rate Amount Qty 27.9 .93 30 8.1 .27 30 36 .6 60 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 511.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421627 Min 01421627 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 5359 of 6486
Name
RK AGRAWAL Rate Amount Qty 55.8 .93 60 16.2 .27 60 167.4 5.58 30 20.84 5.21 4 21.3 .71 30 4.8 .16 30 7.5 .25 30 400 400 1 Total: 693.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421633 Min 01421633 Appmt Dt Slno Description 12-FEB-19 1 TABLET/CAPSULE FLUCONAZOLE, 150MG 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5360 of 6486
Name
JAGJEET KAUR Qty 8 1
Rate Amount 3.37 26.96 400 400 426.96 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421636 Min 01421636 Appmt Dt Slno Description 06-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5361 of 6486
Name
K K GUPTA Qty Rate Amount 10 .37 3.7 1 400 400 403.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421641 Min 01421641 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5362 of 6486
Name
SMT.NARMADA CHANDRAKAR Qty Rate Amount 60 .93 55.8 30 .25 7.5 4 .37 1.48 1 400 400 Total: 464.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421642 Min 01421642 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5363 of 6486
Name
SANJAY KUMAR INGLE Rate Amount Qty 8.9 .89 10 18.9 .63 30 32.4 1.08 30 29.7 .99 30 83.7 .93 90 27.4 1.37 20 400 400 1 Total: 601
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421651 Min 01421651 Appmt Dt Slno Description 07-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 07-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 07-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5364 of 6486
Name
SUNDER LAL CHANDRAWANSHI Qty Rate Amount 60 .3 18 120 .63 75.6 60 .25 15 1 400 400 Total: 508.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421652 Min 01421652 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5365 of 6486
Name
ASHA DEVI Qty Rate Amount 15 1.16 17.4 30 .6 18 5 .37 1.85 1 400 400 Total: 437.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421653 Min 01421653 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 5366 of 6486
Name
ARUN KUMAR Rate Amount Qty 192.3 6.41 30 12 .4 30 400 400 1 13.35 .89 15 192.3 6.41 30 12 .4 30 400 400 1 Total: 1221.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421654 Min 01421654 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 IVABRADINE,5MG,,TABLET 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 23-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 10 23-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 13 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 17 26-FEB-19 IVABRADINE,5MG,,TABLET 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 5367 of 6486
Name
SUNITA DAS Rate Amount Qty 86.4 1.44 60 31.2 1.04 30 21.3 .71 30 298.5 9.95 30 38.25 2.55 15 27.9 .93 30 400 400 1 8.9 .89 10 5 .25 20 26.55 26.55 1 31.4 3.14 10 400 400 1 86.4 1.44 60 21.3 .71 30 31.2 1.04 30 27.9 .93 30 38.25 2.55 15 298.5 9.95 30 400 400 1 Total: 2278.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421655 Min 01421655 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 5368 of 6486
Name
SUDAMA PRASAD Rate Amount Qty 32.4 1.08 30 55.8 .93 60 400 400 1 Total: 488.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421656 Min 01421656 Slno Description Appmt Dt ONDANSETRON,8MG,STRIP PACK.,TABLET 1 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 07-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 X - RAY - SINGLE VIEW 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19
Page 5369 of 6486
Name
SHAIL KUMARI Rate Amount Qty 7 .7 10 27.9 .93 30 88.2 1.47 60 21.3 .71 30 8.1 .27 30 550 550 1 400 400 1 8.9 .89 10 7.3 .73 10 13.7 1.37 10 13.7 1.37 10 400 400 1 Total: 1546.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421663 Min 01421663 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 5370 of 6486
Name
KAILASH NATH DIXIT Rate Amount Qty 8.1 .27 30 5.21 5.21 1 400 400 1 Total: 413.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421665 Min 01421665 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 5371 of 6486
Name
RAM SALONE Rate Amount Qty 21.3 .71 30 12 .4 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 494.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421669 Min 01421669 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 23-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5372 of 6486
Name
DEBASHIS DUTTA Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 104.4 1.74 60 39.6 .66 60 53.4 .89 60 400 400 1 Total: 1250.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421672 Min 01421672 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5373 of 6486
Name
BASANTIN BAI Rate Amount Qty 39 1.3 30 3.75 .25 15 13.35 .89 15 12 .4 30 18 .6 30 21.3 .71 30 12 .4 30 400 400 1 Total: 519.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421673 Min 01421673 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 5374 of 6486
Name
SHANKAR UPADHYAYA Rate Amount Qty 21.3 .71 30 17.8 .89 20 4.8 .16 30 32.4 1.08 30 12 .4 30 72.6 1.21 60 55.8 .93 60 8.1 .27 30 10.8 .36 30 36 .6 60 400 400 1 Total: 671.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421674 Min 01421674 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 5375 of 6486
Name
MOUSUMI UPADHYAYA Rate Amount Qty 6.9 .23 30 21.3 .71 30 17.8 .89 20 5.21 5.21 1 4.8 .16 30 7.5 .25 30 12.3 .41 30 32.4 1.08 30 400 400 1 Total: 508.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421677 Min 01421677 Appmt Dt Slno Description 07-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 08-FEB-19 2 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET
Page 5376 of 6486
Name
NOOR ALAM KHAN Qty 1 5
Rate Amount 400 400 .16 .8 400.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421692 Min 01421692 Appmt Dt Slno Description 21-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 21-FEB-19 2 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 21-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 21-FEB-19 4 X - RAY - SINGLE VIEW
Page 5377 of 6486
Name
NITA MAL Qty 1 1 1 1
Rate Amount 400 400 1300 1300 400 400 550 550 Total: 2650
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421697 Min 01421697 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 15-FEB-19 PRAZOSIN,2.5MG,TABLET 2 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5378 of 6486
Name
C S VAKIL Rate Amount Qty 11.4 .38 30 156 1.3 120 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 635.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421701 Min 01421701 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 16-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 16-FEB-19 URIC ACID (UA /URATES /UR) 7 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 18-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 13 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 5379 of 6486
Name
KASHI RAM DEWANGAN Rate Amount Qty 192.3 6.41 30 400 400 1 275 275 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 7.5 .25 30 27 .6 45 10.8 .36 30 23.7 .79 30 22.2 .37 60 55.8 .93 60 400 400 1 Total: 4214.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421703 Min 01421703 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 5380 of 6486
Name
NARAYAN PRASAD SONI Rate Amount Qty 12 .4 30 18.9 .63 30 27.9 .93 30 36 .6 60 78 1.3 60 21.3 .71 30 400 400 1 Total: 594.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421705 Min 01421705 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 12-FEB-19 CREATININE /CRT 2 12-FEB-19 UREA (BUN /UR) 3 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 10 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 12-FEB-19
Page 5381 of 6486
Name
D ASOKAN Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 34.8 1.16 30 3.75 .25 15 55.8 .93 60 2.6 .26 10 19.2 .64 30 12 .4 30 36 .6 60 Total: 2964.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421709 Min 01421709 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 28-FEB-19
Page 5382 of 6486
Name
BRIHASPAT SINGH Rate Amount Qty 16.2 .27 60 26.7 .89 30 400 400 1 Total: 442.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421711 Min 01421711 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 5383 of 6486
Name
RAMKHILAWAN MARKAM Rate Amount Qty 167.4 5.58 30 66 1.1 60 22.2 .37 60 14.85 .99 15 27.9 .93 30 7.5 .25 30 400 400 1 Total: 705.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421714 Min 01421714 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 5384 of 6486
Name
MEENA DHERE Rate Amount Qty 27.9 .93 30 21.3 .71 30 12 .4 30 8.1 .27 30 29.7 .99 30 66 1.1 60 400 400 1 Total: 565
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421717 Min 01421717 Appmt Dt Slno Description 20-FEB-19 1 TENELIGLIPTIN,20MG,,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5385 of 6486
Name
G RAMESH Qty Rate Amount 30 5.58 167.4 1 400 400 567.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421718 Min 01421718 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 5386 of 6486
Name
ANITHA RAMESH Rate Amount Qty 21.3 .71 30 27.9 .93 30 33 1.1 30 8.1 .27 30 400 400 1 Total: 490.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421719 Min 01421719 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5387 of 6486
Name
RAGHAVENDRA SINGH Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421720 Min 01421720 Appmt Dt Slno Description 11-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5388 of 6486
Name
SHAIL SINGH Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421721 Min 01421721 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 19-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 19-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 5389 of 6486
Name
RAMDAS Rate Amount Qty 49.2 .41 120 39.6 2.64 15 189 2.1 90 9.6 .16 60 400 400 1 Total: 687.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421731 Min 01421731 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 X - RAY - THREE VIEWS 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19
Page 5390 of 6486
Name
DHANIRAM Rate Amount Qty 27.4 1.37 20 1500 1500 1 400 400 1 Total: 1927.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421735 Min 01421735 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 7 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 5391 of 6486
Name
S.K.JYOTISHI Rate Amount Qty 14.2 .71 20 37.2 .93 40 5.4 .27 20 24 .6 40 8 .4 20 12.6 .42 30 2.5 .25 10 30.8 .77 40 21.6 1.08 20 400 400 1 Total: 556.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421738 Min 01421738 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5392 of 6486
Name
KIRAN Rate Amount Qty 21.3 .71 30 72.6 1.21 60 8.1 .27 30 72 .6 120 10.8 .36 30 400 400 1 Total: 584.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421739 Min 01421739 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 5393 of 6486
Name
KANHAIYA LAL Rate Amount Qty 19.8 .66 30 21.3 .71 30 6.9 .23 30 52 2.6 20 12 .4 30 27.9 .93 30 185.7 6.19 30 33 1.1 30 400 400 1 Total: 758.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421740 Min 01421740 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 5394 of 6486
Name
SHIV KUMARI Rate Amount Qty 21.3 .71 30 55.8 .93 60 36 .6 60 33 1.1 30 9.9 .66 15 12.6 .42 30 11.4 .38 30 400 400 1 54 .6 90 21.3 .71 30 7.5 .25 30 27.9 .93 30 60.9 2.03 30 400 400 1 Total: 1151.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421741 Min 01421741 Appmt Dt Slno Description 07-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5395 of 6486
Name
RAJESH KUMAR CHAUHAN Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421743 Min 01421743 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 COMPLETE HAEMOGRAM 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 27-FEB-19 COMPLETE HAEMOGRAM 8 27-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 9 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 27-FEB-19
Page 5396 of 6486
Name
SHAILENDRA KUMAR Rate Amount Qty 400 400 1 750 750 1 8.1 .27 30 55.8 .93 60 21.3 .71 30 400 400 1 3.2 .64 5 750 750 1 26.55 26.55 1 400 400 1 Total: 2814.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421744 Min 01421744 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 11-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 11-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 23-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 25-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 17 25-FEB-19 X - RAY - SINGLE VIEW 18 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 25-FEB-19
Page 5397 of 6486
Name
URMILA VISHWAKARMA Rate Amount Qty 1300 1300 1 275 275 1 400 400 1 17.6 17.6 1 1300 1300 1 1750 1750 1 400 400 1 27.9 .93 30 167.4 5.58 30 55.2 .92 60 12 .4 30 9.3 .62 15 54 .6 90 33 1.1 30 400 400 1 1300 1300 1 330 330 1 550 550 1 400 400 1 Total: 8781.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421745 Min 01421745 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 5398 of 6486
Name
GUPTA RAMESH Rate Amount Qty 13.7 1.37 10 4.45 .89 5 400 400 1 Total: 418.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421746 Min 01421746 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 5399 of 6486
Name
KALPANA GUPTA Rate Amount Qty 20.06 20.06 1 26.7 .89 30 21.3 .71 30 29.7 .99 30 23.7 .79 30 66 1.1 60 34.8 1.16 30 27.9 .93 30 21.3 .71 30 12 .4 30 400 400 1 Total: 683.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421747 Min 01421747 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 3 19-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 OBSERVATION IN CASUALTY 9 26-FEB-19 ECG 10 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 26-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 13 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 15 26-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 5400 of 6486
Name
NAKUL Rate Amount Qty 76.5 2.55 30 400 400 1 47.12 5.89 8 21.12 2.64 8 7.5 .25 30 400 400 1 24.52 24.52 1 .93 .93 1 420 420 1 450 450 1 .16 .16 1 1.6 .16 10 .77 .77 1 55.8 .93 60 76.5 2.55 30 .25 .25 1 400 400 1 Total: 2382.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421748 Min 01421748 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5401 of 6486
Name
BHAGWANTIN BAI Rate Amount Qty 275 275 1 400 400 1 1300 1300 1 275 275 1 24 .4 60 27.9 .93 30 7.5 .25 30 400 400 1 Total: 2709.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421749 Min 01421749 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 URIC ACID (UA /URATES /UR) 8 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 26-FEB-19 UREA (BUN /UR) 13 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 15 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 26-FEB-19 CREATININE /CRT 19 26-FEB-19
Page 5402 of 6486
P MANG RAJU Rate Amount Qty 63.22 31.61 2 25.62 12.81 2 11.1 .37 30 15 .75 20 400 400 1 50.14 25.07 2 400 400 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 26 2.6 10 18.9 .63 30 35.2 3.52 10 16.8 1.12 15 8.9 .89 10 275 275 1 Total: 4145.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421754 Min 01421754 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 02-FEB-19 PRAZOSIN,2.5MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 16 23-FEB-19 INHALANT,STRIP PACK,CAPSULE 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 5403 of 6486
Name
BHAGAWANTIN BAI Rate Amount Qty 275 275 1 275 275 1 78 1.3 60 36 .6 60 17.4 1.16 15 400 400 1 55.8 .93 60 400 400 1 1.48 .37 4 3.04 .38 8 400 400 1 20.06 20.06 1 8.9 .89 10 6.4 .64 10 1.85 .37 5 66.2 6.62 10 17 1.7 10 400 400 1 Total: 2462.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421755 Min 01421755 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5404 of 6486
Name
NIRMAL SHUKLA Rate Amount Qty 2.4 .16 15 21.3 .71 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 487.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421756 Min 01421756 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5405 of 6486
Name
GEETA SHUKLA Rate Amount Qty 54 .9 60 104.4 1.74 60 100.71 100.71 1 26.7 .89 30 400 400 1 Total: 685.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421766 Min 01421766 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 5406 of 6486
Name
SHIMLA GUPTA Rate Amount Qty 18.6 .62 30 8.9 .89 10 400 400 1 Total: 427.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421772 Min 01421772 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 5407 of 6486
Name
VEENA NAG Rate Amount Qty 167.4 5.58 30 21.6 .36 60 72 .6 120 78 1.3 60 55.8 .93 60 43.96 43.96 1 7.5 .25 30 21.3 .71 30 400 400 1 Total: 867.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421774 Min 01421774 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 UREA (BUN /UR) 8 09-FEB-19 CREATININE /CRT 9 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 09-FEB-19
Page 5408 of 6486
Name
ALKA AGRAWAL Rate Amount Qty 7.5 .25 30 27.9 .93 30 18 .6 30 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 400 400 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 Total: 3307.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421777 Min 01421777 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5409 of 6486
Name
MADAN LAL Rate Amount Qty 7.8 .26 30 6.9 .23 30 26.7 .89 30 54 .9 60 18 .6 30 400 400 1 Total: 513.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421778 Min 01421778 Appmt Dt Slno Description 07-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 07-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 07-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5410 of 6486
Name
JAGOTIN BAI Qty Rate Amount 10 1.37 13.7 30 6.19 185.7 4 5.21 20.84 1 400 400 Total: 620.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421781 Min 01421781 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 25-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 25-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5411 of 6486
Name
SHAMBHOO RAM Rate Amount Qty 16.85 3.37 5 19.72 9.86 2 185.7 6.19 30 7.4 .37 20 20.1 .67 30 17.6 17.6 1 37.04 37.04 1 20.55 1.37 15 400 400 1 7.5 .25 30 18 .6 30 400 400 1 Total: 1150.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421785 Min 01421785 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 5412 of 6486
Name
SUBODHA CHANDRA DASS Rate Amount Qty 55.8 .93 60 17.4 1.16 15 12 .4 30 33 1.1 30 36 .6 60 37.8 .63 60 400 400 1 Total: 592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421786 Min 01421786 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 01-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 3 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 4 01-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 5 01-FEB-19 OBSERVATION IN CASUALTY 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 8 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 04-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19
Page 5413 of 6486
Name
ANIMA DAS Rate Amount Qty 185.7 6.19 30 17.4 .58 30 8.64 8.64 1 600 600 1 5.77 5.77 1 420 420 1 400 400 1 1750 1750 1 400 400 1 9.6 .64 15 10.95 .73 15 8.9 .89 10 400 400 1 26 2.6 10 4.45 .89 5 400 400 1 21.3 .71 30 400 400 1 Total: 5068.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421788 Min 01421788 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 X - RAY - SINGLE VIEW 5 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 11-FEB-19
Page 5414 of 6486
Name
SUKRITA BAI SAHU Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 400 400 1 550 550 1 275 275 1 47.4 .79 60 72 .6 120 29.7 .99 30 400 400 1 13 2.6 5 4.45 .89 5 400 400 1 8.9 .89 10 7.3 .73 10 26 2.6 10 400 400 1 Total: 4608.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421790 Min 01421790 Appmt Dt Slno Description 01-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 2 LEVETIRACETAM,500MG STRIP PACK,,TABLET 01-FEB-19 3 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5415 of 6486
Name
VANITA KUMAR Qty Rate Amount 3 .89 2.67 15 5.19 77.85 6 .41 2.46 1 400 400 Total: 482.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421795 Min 01421795 Appmt Dt Slno Description 09-FEB-19 1 OLANZEPINE,STRIP PKT,10MG,TABLET 09-FEB-19 2 NITRAZEPAM,10MG,TABLE,STRIP PACK. 09-FEB-19 3 ESCITALOPRAM,10MG,,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5416 of 6486
Name
RAJENDRA KUMAR Qty Rate Amount 8 3.51 28.08 10 2.64 26.4 30 1.85 55.5 1 400 400 Total: 509.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421799 Min 01421799 Appmt Dt Slno Description 14-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5417 of 6486
Name
RAM RAJ Qty 1 1
Rate Amount 9.86 9.86 400 400 409.86 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421801 Min 01421801 Appmt Dt Slno Description 16-FEB-19 1 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5418 of 6486
Name
SHATRUGHAN LAL SAHU Qty Rate Amount 1 28.69 28.69 1 400 400 428.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421804 Min 01421804 Appmt Dt Slno Description 22-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 22-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5419 of 6486
Name
S K KHANDELWAL Qty Rate Amount 30 .25 7.5 30 1.16 34.8 60 .6 36 1 400 400 Total: 478.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421806 Min 01421806 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5420 of 6486
Name
NARAYAN PRASAD Rate Amount Qty 7.8 .26 30 12 .4 30 21.3 .71 30 21.3 .71 30 14.85 .99 15 11.4 .38 30 400 400 1 Total: 488.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421809 Min 01421809 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 22-FEB-19 ECG 2 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 22-FEB-19
Page 5421 of 6486
Name
DIPA DAS Qty 5 1 1
Rate Amount .8 .16 450 450 400 400 Total: 850.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421817 Min 01421817 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5422 of 6486
Name
SHANTA SUTAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 21.3 .71 30 18 .6 30 400 400 1 Total: 503.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421820 Min 01421820 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5423 of 6486
Name
SUMAL ROY Rate Amount Qty 6.9 .23 30 55.8 .93 60 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421821 Min 01421821 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 16-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 16-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5424 of 6486
Name
LIPI ROY Rate Amount Qty 20.84 5.21 4 26 2.6 10 185.7 6.19 30 400 400 1 57.84 57.84 1 7.4 .37 20 400 400 1 Total: 1097.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421824 Min 01421824 Appmt Dt Slno Description 25-FEB-19 1 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 25-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5425 of 6486
Name
RANGAPPA Qty Rate Amount 20 .73 14.6 7 .89 6.23 15 1.37 20.55 1 400 400 Total: 441.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421828 Min 01421828 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 PRAZOSIN,2.5MG,TABLET 4 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 5426 of 6486
Name
NAGIN BHAI PATEL Rate Amount Qty 14.85 .99 15 72 .6 120 156 1.3 120 156 1.3 120 334.8 5.58 60 55.8 .93 60 43.2 .36 120 400 400 1 Total: 1232.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421830 Min 01421830 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 13 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 20-FEB-19 URIC ACID (UA /URATES /UR) 15 20-FEB-19 COMPLETE HAEMOGRAM 16 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 20-FEB-19 UREA (BUN /UR) 20 20-FEB-19
Page 5427 of 6486
Name
ARVIND KUMAR KATIYAR Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 26.7 .89 30 211.8 3.53 60 14.85 .99 15 55.8 .93 60 36 .6 60 72.6 1.21 60 400 400 1 550 550 1 1300 1300 1 1300 1300 1 275 275 1 750 750 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 6538.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421831 Min 01421831 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 20-FEB-19 COMPLETE HAEMOGRAM 12 20-FEB-19
Page 5428 of 6486
Name
SMT.REKHA KATIYAR Rate Amount Qty 27.6 .92 30 18 .6 30 21.3 .71 30 7.5 .25 30 400 400 1 400 400 1 275 275 1 275 275 1 1300 1300 1 1300 1300 1 550 550 1 750 750 1 Total: 5324.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421834 Min 01421834 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 14-FEB-19 UREA (BUN /UR) 6 14-FEB-19 CREATININE /CRT 7 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 14-FEB-19
Page 5429 of 6486
Name
S SUMAN Rate Amount Qty 8.9 .89 10 61.4 6.14 10 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 2520.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421835 Min 01421835 Slno Description Appmt Dt LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 1 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 08-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 14-FEB-19 UREA (BUN /UR) 8 14-FEB-19 URIC ACID (UA /URATES /UR) 9 14-FEB-19 BLOOD FOR T-3,T-4,TSH 10 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 14-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 12 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 14-FEB-19 CREATININE /CRT 15 14-FEB-19
Page 5430 of 6486
Name
SHAKUNTALA DEVI Rate Amount Qty 17.37 17.37 1 26 2.6 10 47.85 3.19 15 18.6 .62 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 2400 2400 1 1300 1300 1 550 550 1 550 550 1 400 400 1 275 275 1 Total: 7084.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421836 Min 01421836 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 18 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 27-FEB-19 X - RAY - SINGLE VIEW 20 27-FEB-19
Page 5431 of 6486
AZIZ Rate Amount Qty 26 2.6 10 7.5 .25 30 17.4 1.16 15 76.5 2.55 30 16.2 .27 60 72 .6 120 32.4 .36 90 27.9 .93 30 400 400 1 185.7 6.19 30 7.5 .25 30 20.55 1.37 15 13.35 .89 15 20.84 5.21 4 400 400 1 18.2 2.6 7 6.23 .89 7 25.07 25.07 1 400 400 1 550 550 1 Total: 2323.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421837 Min 01421837 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 5432 of 6486
Name
ANEES QEASAR Rate Amount Qty 7.5 .25 30 21.6 .36 60 167.4 5.58 30 17.4 1.16 15 72 .6 120 27.9 .93 30 400 400 1 Total: 713.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421841 Min 01421841 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 19-FEB-19 ECG 2 19-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5433 of 6486
Name
CHANDA BAI Rate Amount Qty 420 420 1 450 450 1 9.62 9.62 1 3.7 .37 10 600 600 1 24.52 24.52 1 2.52 .42 6 400 400 1 Total: 1910.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421842 Min 01421842 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 5434 of 6486
Name
SUDHIR KUMAR GUHEY Rate Amount Qty 60.9 2.03 30 18.9 .63 30 21.3 .71 30 23.7 .79 30 400 400 1 100.71 100.71 1 156.6 1.74 90 54 .9 60 400 400 1 Total: 1236.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421850 Min 01421850 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 UREA (BUN /UR) 7 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 06-FEB-19 URIC ACID (UA /URATES /UR) 10 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 06-FEB-19 CREATININE /CRT 13 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 06-FEB-19
Page 5435 of 6486
Name
MARGRET JOSEPH Rate Amount Qty 26.7 .89 30 4.8 .16 30 32.4 1.08 30 33 1.1 30 26.7 .89 30 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 Total: 4148.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421851 Min 01421851 Appmt Dt Slno Description 19-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 19-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5436 of 6486
Name
GILBERT JOSEPH Qty Rate Amount 30 1.21 36.3 30 1.08 32.4 30 .93 27.9 1 400 400 Total: 496.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421854 Min 01421854 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 5437 of 6486
Name
SUSAMMA THOMAS Rate Amount Qty 27.9 .93 30 167.4 5.58 30 34.8 1.16 30 36 .6 60 400 400 1 2.28 .38 6 3.84 .64 6 1.85 .37 5 400 400 1 Total: 1074.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421857 Min 01421857 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5438 of 6486
Name
RAMJI GAYAKWAD Rate Amount Qty 27.9 .93 30 72 .6 120 400 400 1 12.8 .64 20 106.8 .89 120 9 .9 10 1.6 .16 10 400 400 1 Total: 1030.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421866 Min 01421866 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 5439 of 6486
Name
KASHI DEVI SINGH Rate Amount Qty 29.7 .99 30 105.9 3.53 30 55.8 .93 60 400 400 1 26.7 .89 30 159.6 1.33 120 400 400 1 Total: 1177.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421868 Min 01421868 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 BLOOD FOR T-3,T-4,TSH 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 CREATININE /CRT 5 04-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 COMPLETE HAEMOGRAM 8 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 04-FEB-19
Page 5440 of 6486
Name
ANUPAMA JHA Qty 1 1 1 1 1 1 1 1 1
Rate Amount 400 400 275 275 2400 2400 275 275 275 275 1300 1300 1300 1300 750 750 275 275 Total: 7250
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421871 Min 01421871 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 5441 of 6486
Name
APARNA BANERJEE Rate Amount Qty 6.3 .63 10 13.7 1.37 10 400 400 1 Total: 420
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421874 Min 01421874 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 5442 of 6486
Name
HEMANT KUMAR GUPTA Rate Amount Qty 16.2 .36 45 18 .6 30 400 400 1 Total: 434.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421875 Min 01421875 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 5443 of 6486
Name
PRATIMA GUPTA Rate Amount Qty 27.9 .93 30 9 .6 15 400 400 1 Total: 436.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421880 Min 01421880 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5444 of 6486
Name
JAWAHAR LAL SHARMA Rate Amount Qty 55.8 .93 60 8.1 .27 30 17.4 1.16 15 36 .6 60 400 400 1 Total: 517.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421881 Min 01421881 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5445 of 6486
Name
INDU SHARMA Rate Amount Qty 27.9 .62 45 66 1.1 60 79.2 2.64 30 55.8 .93 60 105.9 3.53 30 400 400 1 33.12 1.84 18 400 400 1 Total: 1167.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421882 Min 01421882 Appmt Dt Slno Description 20-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 20-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5446 of 6486
Name
CHANDAN BISWAS Qty Rate Amount 30 .4 12 30 1.16 34.8 30 .93 27.9 1 400 400 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421890 Min 01421890 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 5447 of 6486
Name
KOMAL PRASAD SHUKLA Rate Amount Qty 5 .25 20 4.1 .41 10 12.6 .63 20 400 400 1 3.7 .37 10 400 400 1 66.2 6.62 10 6.4 .64 10 8.9 .89 10 3.7 .37 10 18 .9 20 400 400 1 Total: 1328.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421892 Min 01421892 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5448 of 6486
Name
YOMAN SINGH SAHU Rate Amount Qty 34.8 1.16 30 55.8 .93 60 12 .4 30 9 .3 30 400 400 1 Total: 511.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421896 Min 01421896 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5449 of 6486
Name
VIJAY KUMAR Rate Amount Qty 34.8 1.16 30 53.4 .89 60 7.5 .25 30 27.9 .93 30 400 400 1 Total: 523.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421897 Min 01421897 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19
Page 5450 of 6486
Name
PRABHA BAI Rate Amount Qty 43.96 43.96 1 17.8 .89 20 31.4 3.14 10 247.6 6.19 40 25.2 .63 40 400 400 1 8.1 .27 30 33 1.1 30 400 400 1 380 380 1 400 400 1 Total: 1987.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421898 Min 01421898 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 5451 of 6486
Name
PRAVEEN B DEOGHARE Rate Amount Qty 45 .6 75 21.3 .71 30 12 .4 30 23.7 .79 30 33 1.1 30 400 400 1 Total: 535
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421901 Min 01421901 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 6 21-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 5452 of 6486
Name
NIRMALA CHANDRAKAR Rate Amount Qty 185.7 6.19 30 7.5 .25 30 8.9 .89 10 13.7 1.37 10 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 20.84 5.21 4 400 400 1 Total: 704.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421908 Min 01421908 Slno Description Appmt Dt ALENDRONATE SODIUM,USP,70MG,,TABLET 1 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 01-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 01-FEB-19 DEFLAZACORT 6MG,,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 5453 of 6486
Name
N S TANWAR Rate Amount Qty 48.76 12.19 4 21.3 .71 30 27.9 .93 30 83.4 2.78 30 83.1 2.77 30 26.7 .89 30 400 400 1 Total: 691.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421913 Min 01421913 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5454 of 6486
Name
NANDPURI GOSWAMI Rate Amount Qty 13.95 .93 15 34.8 1.16 30 123.53 123.53 1 24 .4 60 32.4 1.08 30 400 400 1 Total: 628.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421915 Min 01421915 Slno Description Appmt Dt CREATININE /CRT 1 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 21-FEB-19 HB,TLC,DLC 4 21-FEB-19 PLATELET COUNT 5 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 ECG 9 26-FEB-19
Page 5455 of 6486
Name
KIRAN AGRAWAL Qty 1 1 1 1 1 1 1 1 1
Rate Amount 275 275 1300 1300 400 400 300 300 330 330 275 275 275 275 400 400 450 450 Total: 4005
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421923 Min 01421923 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5456 of 6486
Name
DANI RAM Rate Amount Qty 21.6 .36 60 72 .6 120 7.5 .25 30 21.3 .71 30 400 400 1 Total: 522.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421924 Min 01421924 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5457 of 6486
Name
DEVKI BAI Rate Amount Qty 27.6 .92 30 7.5 .25 30 36 .6 60 23.7 .79 30 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421929 Min 01421929 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 CREATININE /CRT 4 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 04-FEB-19
Page 5458 of 6486
Name
J L SAHU Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 1.6 .16 10 Total: 3076.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421931 Min 01421931 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5459 of 6486
Name
DINESH KUMAR PANDYA Rate Amount Qty 117 1.3 90 21.3 .71 30 27.9 .93 30 36 .6 60 21.6 .36 60 400 400 1 Total: 623.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421932 Min 01421932 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 5460 of 6486
Name
VARSHA PANDYA Rate Amount Qty 72 .6 120 27.9 .93 30 1.6 .16 10 21.3 .71 30 4.5 .3 15 400 400 1 19.2 .64 30 26 2.6 10 26.7 .89 30 7.5 .25 30 185.7 6.19 30 400 400 1 Total: 1192.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421936 Min 01421936 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 5461 of 6486
Name
NANDU RAMTEKE Rate Amount Qty 18 .6 30 9 .3 30 34.8 1.16 30 16.2 .27 60 55.8 .93 60 72.6 1.21 60 400 400 1 Total: 606.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421940 Min 01421940 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5462 of 6486
PUNA RAM Rate Amount Qty 50.14 25.07 2 66 1.1 60 400 400 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 400 400 1 Total: 972.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421941 Min 01421941 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5463 of 6486
Name
RAJ KUMARI Rate Amount Qty 26.6 2.66 10 6.4 .64 10 7.5 .25 30 1.85 .37 5 2.5 .25 10 13.35 .89 15 20.55 1.37 15 400 400 1 Total: 478.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421942 Min 01421942 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 05-FEB-19 HISTOPATHOLOGY BIOPSY- SMALL SPECIMEN AN 5 05-FEB-19 GUM ASTRINGENT PAINT 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 9 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 18 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 22-FEB-19
Page 5464 of 6486
Name
D C MANDAL Rate Amount Qty 3.84 .64 6 55.2 1.84 30 400 400 1 4.62 .77 6 1250 1250 1 31.54 31.54 1 400 400 1 400 400 1 550 550 1 16.2 .27 60 29.7 .99 30 55.8 .93 60 7.5 .25 30 400 400 1 54 .6 90 60.9 2.03 30 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 4308
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421944 Min 01421944 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 13-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 13-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 5465 of 6486
Name
POONAM SINGH Rate Amount Qty 13.48 3.37 4 63.58 63.58 1 9.86 9.86 1 400 400 1 3.75 .25 15 4.45 .89 5 13.7 1.37 10 400 400 1 Total: 908.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421945 Min 01421945 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 26-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 26-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 3 26-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 4 26-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5466 of 6486
Name
DEVENDRA KUMAR MISHRA Rate Amount Qty 26.4 2.64 10 292.5 3.9 75 161.1 5.37 30 41.1 1.37 30 15.3 .51 30 400 400 1 Total: 936.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421948 Min 01421948 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 5467 of 6486
Name
TILOTMA CHATURVEDI Rate Amount Qty 16.2 .27 60 34.8 1.16 30 167.4 5.58 30 12 .4 30 26.7 .89 30 72 .6 120 55.8 .93 60 76.5 2.55 30 21.3 .71 30 400 400 1 Total: 882.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421951 Min 01421951 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 01-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19
Page 5468 of 6486
Name
TULA RAM Rate Amount Qty 7.4 .37 20 11.25 .75 15 275 275 1 275 275 1 25.62 12.81 2 1300 1300 1 63.22 31.61 2 400 400 1 13.8 .23 60 29.7 .99 30 72 .6 120 55.8 .93 60 400 400 1 Total: 2928.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421957 Min 01421957 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 5469 of 6486
Name
RAJKUMAR CHOUBEY Rate Amount Qty 26.7 .89 30 2.4 .16 15 7.5 .25 30 55.8 .93 60 60.9 2.03 30 12 .4 30 34.8 1.16 30 36 .6 60 9 .3 30 400 400 1 Total: 645.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421958 Min 01421958 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 5470 of 6486
Name
SUNITA Rate Amount Qty 7.5 .25 30 26.7 .89 30 26 2.6 10 21.3 .71 30 36 .6 60 400 400 1 Total: 517.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421959 Min 01421959 Appmt Dt Slno Description 08-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 08-FEB-19 2 X - RAY - SINGLE VIEW
Page 5471 of 6486
Name
MEHTARU RAM SAHU Qty Rate Amount 1 400 400 1 550 550 950 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421960 Min 01421960 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 6 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 5472 of 6486
Name
RUKHMANI BAI SAHU Rate Amount Qty 86.4 1.44 60 7.65 .51 15 23.7 .79 30 26.7 .89 30 34.8 1.16 30 157.8 2.63 60 30.6 .34 90 12 .4 30 32.4 1.08 30 400 400 1 Total: 812.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421970 Min 01421970 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 5473 of 6486
Name
VARSHA GODESHWAR Rate Amount Qty 55.8 .93 60 29.7 .99 30 8.1 .27 30 10.65 .71 15 34.8 1.16 30 37.8 .36 105 18 .6 30 20.06 20.06 1 400 400 1 Total: 614.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421973 Min 01421973 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5474 of 6486
Name
P S THAKUR Rate Amount Qty 41.85 .93 45 17.37 17.37 1 33 1.1 30 34.8 1.16 30 12 .4 30 8.1 .27 30 29.7 .99 30 400 400 1 Total: 576.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421974 Min 01421974 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5475 of 6486
Name
PURNIMA THAKUR Rate Amount Qty 32.4 1.08 30 27.9 .62 45 7.5 .25 30 1.85 .37 5 2.28 .38 6 3.84 .64 6 34.8 1.16 30 400 400 1 Total: 510.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421975 Min 01421975 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 9 18-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 21-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19
Page 5476 of 6486
Name
SHAKEEL AHMED Rate Amount Qty 860 860 1 400 400 1 6.4 .64 10 26 2.6 10 2.5 .25 10 400 400 1 .48 .16 3 8.9 .89 10 2.5 .25 10 4.2 .42 10 5.5 1.1 5 400 400 1 .8 .16 5 9.9 .99 10 5.4 .27 20 5 .25 20 400 400 1 Total: 2537.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421976 Min 01421976 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 04-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 6 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 17-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 17-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 18-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 17 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 21 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 21-FEB-19
Page 5477 of 6486
MAHALKA BEGUM Rate Amount Qty 45.44 45.44 1 6.4 .64 10 1.85 .37 5 11.1 .37 30 15.73 15.73 1 31.61 31.61 1 25.62 12.81 2 8.9 .89 10 13.4 .67 20 400 400 1 6.4 .64 10 66.2 6.62 10 1.85 .37 5 400 400 1 20.06 20.06 1 6.4 .64 10 2.5 .25 10 400 400 1 3.84 .64 6 21.12 3.52 6 10.08 1.12 9 5.34 .89 6 400 400 1 Total: 1903.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421984 Min 01421984 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5478 of 6486
Name
PRAVIR KUMAR GHOSH Rate Amount Qty 12 .4 30 8.1 .27 30 34.8 1.16 30 7.5 .25 30 4.8 .16 30 26.7 .89 30 400 400 1 Total: 493.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421986 Min 01421986 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5479 of 6486
Name
MADHURIMA S.MASIH Rate Amount Qty 27.9 .93 30 36 .6 60 37.8 .63 60 21.3 .71 30 25.2 .42 60 400 400 1 Total: 548.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421990 Min 01421990 Slno Description Appmt Dt WARFARIN SODIUM,STRIP PKT,5MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 15-FEB-19 CREATININE /CRT 11 15-FEB-19 URIC ACID (UA /URATES /UR) 12 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 15-FEB-19
Page 5480 of 6486
Name
SATISH KUMAR SHARMA Rate Amount Qty 107.5 2.15 50 15 .25 60 400 400 1 27.6 .92 30 36 .6 60 21.3 .71 30 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3807.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421991 Min 01421991 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 5481 of 6486
Name
R N CHANDRAKAR Rate Amount Qty 2.22 .37 6 21.3 .71 30 8.1 .27 30 27.9 .93 30 55.8 .93 60 18 .6 30 400 400 1 Total: 533.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421995 Min 01421995 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 21-FEB-19 OBSERVATION IN CASUALTY 3 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 22-FEB-19 CREATININE /CRT 6 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 22-FEB-19 UREA (BUN /UR) 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 11 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 5482 of 6486
Name
RAJESH KUMAR PANDEY Rate Amount Qty .16 .16 1 600 600 1 420 420 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 8.9 .89 10 5 .25 20 275 275 1 400 400 1 4.66 2.33 2 400 400 1 Total: 5188.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421999 Min 01421999 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 5483 of 6486
Name
KESU RAM URVASHA Rate Amount Qty 43.2 .36 120 21.3 .71 30 167.4 5.58 30 54 .6 90 14.85 .99 15 55.8 .93 60 400 400 1 Total: 756.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422001 Min 01422001 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5484 of 6486
Name
VIJAY KUMAR SINGH Rate Amount Qty 12 .4 30 10.8 .36 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 513.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422002 Min 01422002 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5485 of 6486
Name
RAMESHWARI SINGH Rate Amount Qty 4.1 .41 10 8.9 .89 10 92.85 6.19 15 400 400 1 6.4 .64 10 185.7 6.19 30 400 400 1 Total: 1097.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422003 Min 01422003 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5486 of 6486
Name
PRABHA SAHU Rate Amount Qty 55.8 .93 60 72.6 1.21 60 21.3 .71 30 14.85 .99 15 36 .6 60 21.6 .36 60 400 400 1 Total: 622.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422004 Min 01422004 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5487 of 6486
VINOD KUMAR SWARNKAR Rate Amount Qty 9 .3 30 18 .6 30 38.25 2.55 15 17.4 1.16 15 400 400 1 3.84 .64 6 25.07 25.07 1 11.4 .38 30 2.67 .89 3 6.72 1.12 6 33.12 1.84 18 400 400 1 Total: 965.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422005 Min 01422005 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 20-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 5488 of 6486
Name
ASHA KIRAN Rate Amount Qty 27.9 .93 30 14.85 .99 15 8.1 .27 30 400 400 1 301.8 5.03 60 8.9 .89 10 26 2.6 10 400 400 1 Total: 1187.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422006 Min 01422006 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 5489 of 6486
Name
YUWRAJ SINGH Rate Amount Qty 27.9 .93 30 2.22 .37 6 21.3 .71 30 32.4 1.08 30 4.2 .42 10 26.6 2.66 10 3.84 .64 6 400 400 1 Total: 518.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422007 Min 01422007 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 5490 of 6486
Name
KUMARI THAKUR Rate Amount Qty 27.9 .93 30 8.1 .27 30 12 .4 30 21.3 .71 30 2.22 .37 6 26.6 2.66 10 6.4 .64 10 3.8 .38 10 18 .6 30 400 400 1 44.16 1.84 24 8.96 1.12 8 7.68 .64 12 3.56 .89 4 5.84 .73 8 400 400 1 21.3 .71 30 12 .4 30 8.1 .27 30 27.9 .93 30 18 .6 30 400 400 1 Total: 1483.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422008 Min 01422008 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 5491 of 6486
Name
ROBY DAVID Rate Amount Qty 34.8 1.16 30 37.8 .63 60 39 1.3 30 118.5 3.95 30 21.6 .36 60 60.9 2.03 30 12 .4 30 36 .6 60 400 400 1 Total: 760.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422014 Min 01422014 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 5492 of 6486
Name
NARENDRA KUMAR Rate Amount Qty 43.96 131.88 3 26.7 .89 30 60.18 20.06 3 400 400 1 7.5 .25 30 27.9 .93 30 26.6 2.66 10 1.85 .37 5 6.4 .64 10 400 400 1 Total: 1089.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422016 Min 01422016 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 5493 of 6486
Name
SUBHASH AGLAWE Rate Amount Qty 11.4 .38 30 26.7 .89 30 6.9 .23 30 33 1.1 30 400 400 1 Total: 478
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422017 Min 01422017 Appmt Dt Slno Description 05-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5494 of 6486
Name
SANGEETA S AGLAWE Qty Rate Amount 20 6.19 123.8 20 .89 17.8 20 1.37 27.4 1 400 400 Total: 569
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422018 Min 01422018 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 5495 of 6486
Name
DEWAL DAU Rate Amount Qty 34.8 1.16 30 27.6 .92 30 16.2 .27 60 11.85 .79 15 400 400 1 Total: 490.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422020 Min 01422020 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 5496 of 6486
Name
JAGANNATH BANCHHORE Rate Amount Qty 18.41 147.28 8 18.2 2.6 7 6.23 .89 7 400 400 1 55.8 .93 60 12 .4 30 11.4 .38 30 32.4 1.08 30 23.1 .77 30 34.8 1.16 30 400 400 1 Total: 1141.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422021 Min 01422021 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 X - RAY - TWO VIEWS 2 11-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 5497 of 6486
Name
SMT. JANKI BANCHHORE Rate Amount Qty 400 400 1 860 860 1 1750 1750 1 26 2.6 10 26.7 .89 30 6.23 .89 7 18.2 2.6 7 400 400 1 Total: 3487.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422023 Min 01422023 Appmt Dt Slno Description 27-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27-FEB-19 2 LORNOXICAM 8 MG,STRIP PACK,,TABLET 27-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5498 of 6486
Name
RUKMANI BAI Qty Rate Amount 30 .89 26.7 30 1.37 41.1 30 6.19 185.7 1 400 400 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422024 Min 01422024 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19
Page 5499 of 6486
Name
P RAJARAO Rate Amount Qty 9.9 .66 15 7.8 .26 30 33 1.1 30 27.9 .93 30 3.75 .25 15 5.7 .38 15 34.8 1.16 30 35.1 .78 45 66.2 6.62 10 400 400 1 12 .4 30 400 400 1 Total: 1036.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422026 Min 01422026 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5500 of 6486
Name
BRIJ BIHARI SINGH Rate Amount Qty 7.5 .25 30 21.3 .71 30 156 1.3 120 167.4 5.58 30 54 .6 90 400 400 1 Total: 806.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422027 Min 01422027 Appmt Dt Slno Description 21-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5501 of 6486
Name
MALTI SINGH Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422028 Min 01422028 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 08-FEB-19 UREA (BUN /UR) 2 08-FEB-19 URIC ACID (UA /URATES /UR) 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 5502 of 6486
Name
RAMNATH SAHU Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 167.4 5.58 30 21.3 .71 30 7.5 .25 30 2.4 .16 15 9 .3 30 36 .6 60 39 1.3 30 27.9 .93 30 400 400 1 Total: 2210.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422029 Min 01422029 Appmt Dt Slno Description 27-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 27-FEB-19 2 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27-FEB-19 3 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27-FEB-19 4 UREA (BUN /UR)
Page 5503 of 6486
Name
NIRMALA SAHU Qty 1 1 1 1
Rate Amount 400 400 275 275 275 275 275 275 Total: 1225
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422033 Min 01422033 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 06-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5504 of 6486
Name
SURUJ DEVI VERMA Rate Amount Qty 400 400 1 275 275 1 275 275 1 18.4 .92 20 400 400 1 Total: 1368.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422035 Min 01422035 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5505 of 6486
Name
BINA THAKUR Qty Rate Amount 30 .93 27.9 15 1.16 17.4 15 1.1 16.5 1 400 400 Total: 461.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422039 Min 01422039 Appmt Dt Slno Description 07-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 07-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 07-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5506 of 6486
Name
SUNIL KUMAR PURI Qty Rate Amount 30 .27 8.1 30 .71 21.3 30 .89 26.7 1 400 400 Total: 456.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422040 Min 01422040 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 5507 of 6486
Name
NEELAM PURI Rate Amount Qty 10.42 5.21 2 26.7 .89 30 21.3 .71 30 6.4 .64 10 2.4 .16 15 66 1.1 60 400 400 1 Total: 533.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422042 Min 01422042 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5508 of 6486
Name
VINITA MARTIN Rate Amount Qty 7.5 .25 30 27.9 .93 30 54 .6 90 21.3 .71 30 32.4 .36 90 400 400 1 Total: 543.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422043 Min 01422043 Appmt Dt Slno Description 27-FEB-19 1 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5509 of 6486
Name
SUKHIT RAM Qty Rate Amount 30 2.15 64.5 1 400 400 464.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422045 Min 01422045 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12 19-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 13 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 5510 of 6486
Name
SHAILENDRA KUMAR KULSHRESHTHA Rate Amount Qty 21.6 .36 60 90 .6 150 9 .3 30 7.5 .25 30 21.3 .71 30 12 .4 30 7.65 .51 15 156 1.3 120 167.4 5.58 30 8.1 .27 30 400 400 1 25.62 12.81 2 31.61 31.61 1 11.1 .37 30 400 400 1 Total: 1368.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422046 Min 01422046 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 5511 of 6486
Name
KUMKUM KULSHRESHTHA Rate Amount Qty 32.4 1.08 30 76.5 2.55 30 7.5 .25 30 16.2 .27 60 15.3 .51 30 45 .6 75 55.8 .93 60 400 400 1 Total: 648.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422047 Min 01422047 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 18-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 10 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 27-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 16 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 5512 of 6486
Name
GHANSHYAM PRASAD Rate Amount Qty 6.4 .64 10 123.8 6.19 20 6.6 .66 10 400 400 1 6.4 .64 10 7.5 .25 30 185.7 6.19 30 400 400 1 9.6 .64 15 6.6 .66 10 16.2 .27 60 26.7 .89 30 1.48 .37 4 400 400 1 19.18 1.37 14 6.82 6.82 1 41.06 41.06 1 400 400 1 Total: 2064.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422048 Min 01422048 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 2 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 5513 of 6486
Name
MINESHWARI DEVI Rate Amount Qty 8.9 .89 10 26.55 26.55 1 3.2 .64 5 1.85 .37 5 36.8 1.84 20 400 400 1 Total: 477.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422049 Min 01422049 Appmt Dt Slno Description 25-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 25-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 25-FEB-19 3 GLICLAZIDE MR,30 MG,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5514 of 6486
Name
VIJAY KUMAR SAHU Qty Rate Amount 30 .79 23.7 60 .6 36 30 .92 27.6 1 400 400 Total: 487.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422050 Min 01422050 Appmt Dt Slno Description 26-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 26-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5515 of 6486
Name
BHAVNIDHI SAHU Qty Rate Amount 30 .25 7.5 30 .38 11.4 120 .62 74.4 1 400 400 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422058 Min 01422058 Appmt Dt Slno Description 21-FEB-19 1 SALBUTAMOL,2MG,STRIP PACK,,TABLET 21-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 3 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5516 of 6486
Name
SARITA PRASAD Qty Rate Amount 15 .18 2.7 5 .37 1.85 10 .38 3.8 1 400 400 Total: 408.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422063 Min 01422063 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 5517 of 6486
RAJESH BECK Rate Amount Qty 400 400 1 6.4 .64 10 7.4 .37 20 17.8 .89 20 47.19 15.73 3 52 2.6 20 27.9 .93 30 18.6 .62 30 18.9 .63 30 400 400 1 Total: 996.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422064 Min 01422064 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5518 of 6486
Name
SILBIA BECK Rate Amount Qty 14.85 .99 15 55.8 .93 60 400 400 1 Total: 470.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422069 Min 01422069 Slno Description Appmt Dt CREATININE /CRT 1 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 26-FEB-19 URIC ACID (UA /URATES /UR) 4 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 26-FEB-19
Page 5519 of 6486
Name
RAJESHWAR RAO Qty 1 1 1 1 1 1 1
Rate Amount 275 275 550 550 1300 1300 275 275 400 400 275 275 275 275 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422072 Min 01422072 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 5520 of 6486
Name
USHA SHARMA Rate Amount Qty 36 .6 60 34.8 1.16 30 14.85 .99 15 27.9 .93 30 167.4 5.58 30 10.8 .36 30 400 400 1 34.8 1.16 30 10.8 .36 30 36 .6 60 167.4 5.58 30 27.9 .93 30 14.85 .99 15 400 400 1 Total: 1383.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422073 Min 01422073 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 RIFAXIMIN 200 MG,,TABLET 13 18-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 28-FEB-19 COLONOSCOPY DIAGNOSTIC 18 28-FEB-19
Page 5521 of 6486
Name
DR MRS V MOTGHARE Rate Amount Qty 39 1.3 30 13.35 .89 15 21.3 .71 30 167.4 5.58 30 21.6 .36 60 54 .6 90 400 400 1 39 1.3 30 34.8 1.16 30 27.6 .92 30 72 .6 120 400 400 1 9.33 195.93 21 7 .7 10 26.7 .89 30 400 400 1 400 400 1 3230 3230 1 Total: 5549.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422074 Min 01422074 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5522 of 6486
Name
DR. CB MOTGHARE Rate Amount Qty 39 1.3 30 13.35 .89 15 55.8 .93 60 12 .4 30 400 400 1 Total: 520.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422075 Min 01422075 Appmt Dt Slno Description 26-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5523 of 6486
Name
CHUMMANLAL VERMA Qty Rate Amount 30 2.55 76.5 1 400 400 476.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422076 Min 01422076 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5524 of 6486
Name
SAVITA BAI VERMA Rate Amount Qty 21.3 .71 30 27.9 .93 30 8.1 .27 30 29.7 .99 30 400 400 1 Total: 487
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422077 Min 01422077 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 06-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19
Page 5525 of 6486
Name
BHARAT WADALKAR Rate Amount Qty 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 3550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422078 Min 01422078 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 06-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 06-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 12-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 13 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 12-FEB-19
Page 5526 of 6486
Name
SHUBHANGI Rate Amount Qty 1.85 .37 5 2.56 .64 4 400 400 1 275 275 1 275 275 1 1300 1300 1 1300 1300 1 2.28 .38 6 13.95 .93 15 8.9 .89 10 18 .6 30 39 1.3 30 17.6 17.6 1 6.4 .64 10 21.3 .71 30 33 1.1 30 400 400 1 Total: 4114.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422079 Min 01422079 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 5527 of 6486
Name
SHATRUGHAN LAL SONWANY Rate Amount Qty 21.3 .71 30 27.9 .93 30 10.8 .36 30 36 .6 60 11.1 .37 30 400 400 1 Total: 507.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422080 Min 01422080 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 5528 of 6486
Name
KAUSHILYA BAI Rate Amount Qty 27.9 .93 30 21.3 .71 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422081 Min 01422081 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 27-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 10 27-FEB-19
Page 5529 of 6486
Name
RAMESH PRASAD VISHWAKARMA Rate Amount Qty 6.15 .41 15 13.35 .89 15 95.7 3.19 30 400 400 1 1300 1300 1 275 275 1 400 400 1 275 275 1 400 400 1 550 550 1 Total: 3715.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422082 Min 01422082 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 04-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 2 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 X - RAY - TWO VIEWS 11 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 25-FEB-19
Page 5530 of 6486
Name
LAKSHMI VISHWAKARMA Rate Amount Qty 100.71 100.71 1 28.69 28.69 1 20.22 3.37 6 104.4 1.74 60 19.72 9.86 2 7.4 .37 20 400 400 1 8.9 .89 10 4.1 .41 10 400 400 1 860 860 1 400 400 1 Total: 2354.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422083 Min 01422083 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5531 of 6486
Name
VINOD DEOGHARE Rate Amount Qty 10.8 .36 30 24 .4 60 21.3 .71 30 47.4 .79 60 400 400 1 Total: 503.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422091 Min 01422091 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 PRAZOSIN,2.5MG,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5532 of 6486
Name
MANOHAR DONGRE Rate Amount Qty 18 .6 30 39 1.3 30 78 1.3 60 55.8 .93 60 400 400 1 Total: 590.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422092 Min 01422092 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 26-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19 CIPROFLOXACIN,200MG/100ML,INJECTION 4 27-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 5 27-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 27-FEB-19 OBSERVATION IN CASUALTY 7 27-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 8 27-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 27-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 10 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13 28-FEB-19 RACECADOTRIL,100MG,CAPSULE 14 28-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 15 28-FEB-19 RIFAXIMIN 200 MG,,TABLET 16 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 5533 of 6486
Name
NEETU DONGRE Rate Amount Qty 6.72 1.12 6 9.36 2.34 4 400 400 1 16.1 16.1 1 24.52 24.52 1 11.89 11.89 1 420 420 1 22.71 22.71 1 600 600 1 9.81 9.81 1 7.52 7.52 1 8.9 .89 10 16.8 1.12 15 59.7 5.97 10 10.5 .7 15 93.3 9.33 10 66.2 6.62 10 400 400 1 Total: 2184.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422094 Min 01422094 Appmt Dt Slno Description 04-FEB-19 1 RANITIDINE HCL,STRIP PKT,150MG,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5534 of 6486
Name
GS SAHAI Qty Rate Amount 20 .77 15.4 1 400 400 415.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422096 Min 01422096 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 5535 of 6486
Name
SUBHASH CHAND Rate Amount Qty 26.6 2.66 10 1.85 .37 5 167.4 5.58 30 23.1 .77 30 39 1.3 30 34.8 1.16 30 12 .4 30 72 .6 120 21.6 .36 60 400 400 1 4.45 .89 5 400 400 1 Total: 1202.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422097 Min 01422097 Appmt Dt Slno Description 11-FEB-19 1 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 11-FEB-19 2 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 11-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5536 of 6486
Name
PREETI KESHARWANI Qty Rate Amount 90 .78 70.2 180 2.1 378 30 .38 11.4 1 400 400 Total: 859.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422100 Min 01422100 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 5537 of 6486
Name
RUPENDRA KUMAR Rate Amount Qty 29.7 .99 30 12 .4 30 55.8 .93 60 66 1.1 60 82.8 .92 90 167.4 5.58 30 72 .6 120 34.8 1.16 30 400 400 1 Total: 920.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422102 Min 01422102 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 5538 of 6486
Name
KALAM KHAN Rate Amount Qty 47.4 .79 60 22.2 .37 60 400 400 1 Total: 469.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422103 Min 01422103 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 5539 of 6486
Name
SAHIDA BEGAM Rate Amount Qty 17.4 1.16 15 18.9 .63 30 33 1.1 30 27.9 .93 30 7.7 .77 10 400 400 1 Total: 504.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422106 Min 01422106 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 19-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 5540 of 6486
Name
K K GUPTA Rate Amount Qty 36 .6 60 10.8 .36 30 150.9 5.03 30 21.3 .71 30 18.9 .63 30 400 400 1 10.8 .36 30 11.4 .38 30 21.3 .71 30 36 .6 60 18.9 .63 30 400 400 1 Total: 1136.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422107 Min 01422107 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19
Page 5541 of 6486
Name
SUNITA GUPTA Rate Amount Qty 72 .6 120 21.3 .71 30 14.85 .99 15 27.9 .93 30 400 400 1 275 275 1 275 275 1 400 400 1 Total: 1486.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422108 Min 01422108 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 26-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 3 26-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5542 of 6486
Name
BALVINDER SINGH Rate Amount Qty 4.45 .89 5 4.1 .41 10 22 4.4 5 10.95 .73 15 400 400 1 Total: 441.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422112 Min 01422112 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 23-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 9 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 23-FEB-19
Page 5543 of 6486
Name
S K MAJUMDAR Rate Amount Qty 26.7 .89 30 18.9 .63 30 192.3 6.41 30 60.9 2.03 30 4.8 .16 30 21.3 .71 30 8.1 .27 30 27.9 .93 30 1750 1750 1 400 400 1 Total: 2510.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422114 Min 01422114 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5544 of 6486
Name
DR. R P SINGH Rate Amount Qty 55.8 .93 60 12.8 .64 20 35.2 3.52 10 60.9 2.03 30 8.1 .27 30 400 400 1 Total: 572.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422115 Min 01422115 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5545 of 6486
Name
KIRAN SINGH Rate Amount Qty 12.8 .64 20 41.06 41.06 1 7.4 .37 20 27.9 .93 30 26.7 .89 30 400 400 1 Total: 515.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422120 Min 01422120 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5546 of 6486
Name
JOHAR LAL JANGDE Rate Amount Qty 117 1.3 90 54 .6 90 10.8 .36 30 27.9 .93 30 400 400 1 Total: 609.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422124 Min 01422124 Appmt Dt Slno Description 02-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5547 of 6486
Name
RC SHARMA Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422127 Min 01422127 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 5548 of 6486
Name
LAKHWINDER KAUR Rate Amount Qty 40.12 20.06 2 8.9 .89 10 400 400 1 1750 1750 1 55.8 .93 60 13.7 1.37 10 8.9 .89 10 185.7 6.19 30 8.9 .89 10 8.1 .27 30 7.5 .25 30 1.6 .16 10 400 400 1 Total: 2889.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422131 Min 01422131 Appmt Dt Slno Description 11-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5549 of 6486
Name
KUMARI BAI Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422139 Min 01422139 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 5550 of 6486
SAVITRI SONI Rate Amount Qty 12 .4 30 32.4 1.08 30 23.7 .79 30 17.68 1.04 17 13.52 1.04 13 35.2 3.52 10 21.3 .71 30 15.73 15.73 1 400 400 1 Total: 571.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422142 Min 01422142 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 5551 of 6486
Name
JHAGAR LAL SAHU Rate Amount Qty 27.9 .93 30 15.4 .77 20 400 400 1 Total: 443.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422143 Min 01422143 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 5552 of 6486
Name
UMA SAHU Rate Amount Qty 7.5 .25 30 92.85 6.19 15 26.7 .89 30 12 .4 30 14.85 .99 15 55.8 .93 60 6.9 .23 30 72 .6 120 12 .4 30 400 400 1 Total: 700.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422146 Min 01422146 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5553 of 6486
Name
JAIRAM Rate Amount Qty 18.6 .62 30 92.85 6.19 15 20.55 1.37 15 55.8 .93 60 400 400 1 Total: 587.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422148 Min 01422148 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 5554 of 6486
Name
PRAVEEN KUMAR GUPTA Rate Amount Qty 22.2 .37 60 6.4 .64 10 21.3 .71 30 55.8 .93 60 400 400 1 Total: 505.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422150 Min 01422150 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 5555 of 6486
Name
DEW SINGH SAHU Rate Amount Qty 8.1 .27 30 66 1.1 60 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422151 Min 01422151 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5556 of 6486
Name
LOKESHWARI BAI Rate Amount Qty 24 .4 60 5.58 100.44 18 21.3 .71 30 66.96 5.58 12 36 .6 60 400 400 1 Total: 648.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422153 Min 01422153 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 22-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 28-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 9 28-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 10 28-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 5557 of 6486
Name
SANGEETA DEWANGAN Rate Amount Qty 18 .6 30 167.4 5.58 30 27.9 .93 30 21.3 .71 30 400 400 1 400 400 1 1750 1750 1 400 400 1 31.61 31.61 1 280 280 1 12.81 12.81 1 7.4 .37 20 400 400 1 Total: 3916.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422154 Min 01422154 Appmt Dt Slno Description 12-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5558 of 6486
Name
VK SHANKARA NARAYAN Qty Rate Amount 30 .89 26.7 30 .27 8.1 30 .71 21.3 1 400 400 Total: 456.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422155 Min 01422155 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19 CULTURE AND SENSITIVITY (C/S) - BLOOD 16 22-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 17 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 22-FEB-19 URINE ROUTINE AND MICROSCOPIC 19 22-FEB-19 PLATELET COUNT 20 22-FEB-19 HB,TLC,DLC 21 22-FEB-19
Page 5559 of 6486
Name
P.S. SUMATHY Rate Amount Qty 1.85 .37 5 3.84 .64 6 39 1.3 30 17.4 .58 30 55.8 .93 60 66 1.1 60 29.7 .99 30 21.3 .71 30 6.9 .23 30 18 .6 30 400 400 1 6.4 .64 10 8.9 .89 10 66.2 6.62 10 400 400 1 650 650 1 650 650 1 400 400 1 380 380 1 330 330 1 300 300 1 Total: 3851.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422156 Min 01422156 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 5560 of 6486
Name
ROOPRAM Rate Amount Qty 34.8 1.16 30 117 1.3 90 36 .6 60 29.7 .99 30 72.6 1.21 60 55.8 .93 60 16.2 .27 60 15.3 .51 30 400 400 1 Total: 777.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422158 Min 01422158 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 6 08-FEB-19
Page 5561 of 6486
Name
PS SURESH Rate Amount Qty 55.8 .93 60 8.1 .27 30 12 .4 30 400 400 1 400 400 1 1050 1050 1 Total: 1925.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422159 Min 01422159 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 5562 of 6486
Name
K R SHEELA Rate Amount Qty 117 1.3 90 167.4 5.58 30 21.3 .71 30 72 .6 120 400 400 1 Total: 777.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422160 Min 01422160 Appmt Dt Slno Description 15-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5563 of 6486
Name
JOHNSON SALDAN BARA Qty Rate Amount 30 2.03 60.9 30 .93 27.9 30 .63 18.9 1 400 400 Total: 507.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422161 Min 01422161 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 5564 of 6486
Name
NISHA JOHNSON S.BARA Rate Amount Qty 12 .4 30 34.8 1.16 30 7.5 .25 30 2.22 .37 6 21.6 .36 60 54 .6 90 15.96 2.66 6 27.9 .93 30 400 400 1 Total: 575.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422166 Min 01422166 Appmt Dt Slno Description 18-FEB-19 1 CEFEXIME,STRIP PKT,200MG,TABLET 18-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5565 of 6486
Name
NEELIMA DESAI Qty Rate Amount 10 6.62 66.2 15 .93 13.95 5 .37 1.85 1 400 400 Total: 482
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422167 Min 01422167 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 06-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 2 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 06-FEB-19 URIC ACID (UA /URATES /UR) 4 06-FEB-19 UREA (BUN /UR) 5 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 06-FEB-19
Page 5566 of 6486
Name
K C GOPINATH Qty 1 1 1 1 1 1 1
Rate Amount 275 275 1610 1610 400 400 275 275 275 275 1300 1300 275 275 Total: 4410
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422170 Min 01422170 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 11-FEB-19 OBSERVATION IN CASUALTY 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5567 of 6486
Name
ANJALI JOSHI Rate Amount Qty 40.12 20.06 2 420 420 1 .64 .64 1 8.9 .89 10 24.52 24.52 1 400 400 1 Total: 894.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422171 Min 01422171 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 5568 of 6486
Name
SHANKAR CHANDRA DEY Rate Amount Qty 1.48 .37 4 15.96 2.66 6 21.3 .71 30 8.1 .27 30 27.9 .93 30 3.84 .64 6 400 400 1 Total: 478.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422173 Min 01422173 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 15 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 26-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 19 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 21 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 24 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 27-FEB-19
Page 5569 of 6486
Name
KV BHARATHAN Rate Amount Qty 42.6 .71 60 34.8 1.16 30 31.2 1.04 30 10.8 .36 30 9 .3 30 7.5 .25 30 43.2 1.44 30 72 .6 120 32.4 1.08 30 12 .4 30 23.7 .79 30 400 400 1 9 .3 30 72 .6 120 43.2 1.44 30 10.8 .36 30 31.2 1.04 30 34.8 1.16 30 42.6 .71 60 12 .4 30 23.7 .79 30 32.4 1.08 30 400 400 1 20.84 5.21 4 400 400 1 Total: 1851.74
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422174 Min 01422174 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5570 of 6486
K.V.INDIRA Rate Amount Qty 15.73 15.73 1 2.22 .37 6 26.6 2.66 10 6.4 .64 10 400 400 1 Total: 450.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422175 Min 01422175 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 5571 of 6486
Name
GIRISH KUMAR Rate Amount Qty 4.1 .41 10 4.45 .89 5 400 400 1 Total: 408.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422176 Min 01422176 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 T M T (TREAD MILL EXERCISE TEST) 2 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 5572 of 6486
Name
KAVITA DUBEY Rate Amount Qty 400 400 1 3430 3430 1 12.15 12.15 1 35.2 3.52 10 55.8 .93 60 17.4 1.16 15 3.2 .16 20 6.4 .64 10 7.5 .25 30 18 .9 20 400 400 1 55.8 .93 60 153 2.55 60 400 400 1 Total: 4994.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422177 Min 01422177 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5573 of 6486
Name
BHUKHAU RAM THAKUR Rate Amount Qty 32.4 1.08 30 66 1.1 60 27.9 .93 30 21.3 .71 30 400 400 1 Total: 547.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422180 Min 01422180 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 5574 of 6486
Name
BHAGYA LATA MAHARANA Rate Amount Qty 1.85 .37 5 21.3 .71 30 6.9 .23 30 21.3 .71 30 400 400 1 Total: 451.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422183 Min 01422183 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 5575 of 6486
Name
VASUPALLY LAXMAN RAO Rate Amount Qty 60.9 2.03 30 7.5 .25 30 192.3 6.41 30 17.4 1.16 15 12 .4 30 30.6 .34 90 117 1.3 90 36 .6 60 43.2 .36 120 400 400 1 Total: 916.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422186 Min 01422186 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19
Page 5576 of 6486
Name
ROSY KUMAR Rate Amount Qty 14.85 .99 15 7.5 .25 30 1.48 .37 4 21.3 .71 30 36 .6 60 55.8 .93 60 39 1.3 30 10.8 .36 30 400 400 1 10.8 .36 30 39 1.3 30 36 .6 60 27.9 .93 30 21.3 .71 30 400 400 1 Total: 1121.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422188 Min 01422188 Appmt Dt Slno Description 12-FEB-19 1 HYPERTONIC SALINE EYE DROPS, 5% W/V, 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5577 of 6486
Name
URMILA MARKAM Qty 1 1
Rate Amount 33.58 33.58 400 400 433.58 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422192 Min 01422192 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 19-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 19-FEB-19 4 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 5578 of 6486
Name
ANNAPURNA Qty Rate Amount 20 .89 17.8 1 400 400 1 400 400 1 1750 1750 Total: 2567.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422195 Min 01422195 Appmt Dt Slno Description 28-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 28-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5579 of 6486
Name
MANOHAR LAL SONI Qty Rate Amount 30 .62 18.6 30 .71 21.3 60 .93 55.8 1 400 400 Total: 495.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422196 Min 01422196 Appmt Dt Slno Description 14-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14-FEB-19 2 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14-FEB-19 3 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5580 of 6486
Name
SUMAN DEVI SONI Qty Rate Amount 30 .89 26.7 90 .18 16.2 30 .9 27 1 400 400 Total: 469.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422197 Min 01422197 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 27-FEB-19 CREATININE /CRT 2 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 27-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 27-FEB-19 HB,TLC,DLC 12 27-FEB-19 PLATELET COUNT 13 27-FEB-19
Page 5581 of 6486
Name
VK VERMA Rate Amount Qty 1300 1300 1 275 275 1 39 1.3 30 12 .4 30 34.8 1.16 30 35.55 .79 45 21.3 .71 30 275 275 1 275 275 1 10.8 .36 30 400 400 1 300 300 1 330 330 1 Total: 3308.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422199 Min 01422199 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 5582 of 6486
Name
KUNJ BIHARI AGRAWAL Rate Amount Qty 26.7 .89 30 21.3 .71 30 55.8 .93 60 76.5 2.55 30 400 400 1 Total: 580.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422203 Min 01422203 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5583 of 6486
Name
APURVA MUKERJI Rate Amount Qty 78 1.3 60 15 .25 60 36 .6 60 185.7 6.19 30 400 400 1 Total: 714.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422205 Min 01422205 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 5584 of 6486
Name
BALMUKUND RAM SAHU Rate Amount Qty 167.4 5.58 30 7.5 .25 30 55.8 .93 60 12 .4 30 34.8 1.16 30 14.85 .99 15 54 .6 90 32.4 .36 90 400 400 1 Total: 778.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422206 Min 01422206 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 5585 of 6486
Name
PADMAWATI Rate Amount Qty 21.3 .71 30 14.85 .99 15 7.5 .25 30 55.8 .93 60 21.6 .36 60 36 .6 60 400 400 1 Total: 557.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422207 Min 01422207 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 26-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 27-FEB-19 URIC ACID (UA /URATES /UR) 12 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 27-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 17 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 27-FEB-19 BLOOD FOR TSH 20 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 27-FEB-19 CREATININE /CRT 23 27-FEB-19
Page 5586 of 6486
AKIL MOHD. Rate Amount Qty 38.25 2.55 15 55.8 .93 60 32.4 1.08 30 21.3 .71 30 18.9 .63 30 21.3 .71 30 400 400 1 25.07 25.07 1 21.45 21.45 1 400 400 1 1300 1300 1 275 275 1 41.85 .93 45 38.25 2.55 15 32.4 1.08 30 21.3 .71 30 18.6 .62 30 18.9 .63 30 400 400 1 800 800 1 275 275 1 275 275 1 275 275 1 Total: 4805.77
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422208 Min 01422208 Slno Description Appmt Dt UREA (BUN /UR) 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 14-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 13 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 17 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 26-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 19 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 20 26-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 5587 of 6486
HANIFA BEGUM Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 1300 1300 1 21.3 .71 30 7.5 .25 30 117 1.3 90 36 .6 60 32.4 .36 90 167.4 5.58 30 50.3 5.03 10 8.9 .89 10 13.7 1.37 10 400 400 1 27.4 1.37 20 8.9 .89 10 150.9 5.03 30 25.07 25.07 1 18.21 18.21 1 400 400 1 Total: 4284.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422210 Min 01422210 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 5 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 5588 of 6486
Name
BHAJAN DAS BANDHE Rate Amount Qty 1.48 .37 4 15.96 2.66 6 36 .6 60 4.8 .16 30 33.3 1.11 30 167.4 5.58 30 21.3 .71 30 12 .4 30 27.9 .93 30 400 400 1 Total: 720.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422211 Min 01422211 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5589 of 6486
Name
ISHWARI DEVI BANDHE Rate Amount Qty 15.96 2.66 6 2.5 .25 10 1.48 .37 4 3.84 .64 6 400 400 1 Total: 423.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422212 Min 01422212 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 9 13-FEB-19 UREA (BUN /UR) 10 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 13-FEB-19 CREATININE /CRT 14 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 5590 of 6486
Name
VIJAY KUMAR JANA Rate Amount Qty 29.7 .99 30 3.3 .66 5 36 .6 60 27.9 .93 30 10.8 .36 30 55.2 1.84 30 3.84 .64 6 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 3803.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422213 Min 01422213 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 12-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 12-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5591 of 6486
Name
SAVITA Rate Amount Qty 70.2 .78 90 252 2.1 120 6.9 .23 30 27.9 .93 30 7.7 .77 10 17.3 1.73 10 6.4 .64 10 400 400 1 Total: 788.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422215 Min 01422215 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 22-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5592 of 6486
Name
KUMARI BAI Rate Amount Qty 7.4 .37 20 37.04 37.04 1 27.9 .93 30 9.3 .62 15 17.37 17.37 1 6.4 .64 10 20.84 5.21 4 400 400 1 Total: 526.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422220 Min 01422220 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 20-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5593 of 6486
VIJOY KUMAR SINGH Rate Amount Qty 21.3 .71 30 55.8 .93 60 60.9 2.03 30 192.3 6.41 30 25.07 25.07 1 16.81 16.81 1 400 400 1 Total: 772.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422221 Min 01422221 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 T M T (TREAD MILL EXERCISE TEST) 7 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 20-FEB-19 URIC ACID (UA /URATES /UR) 9 20-FEB-19 CREATININE /CRT 10 20-FEB-19 UREA (BUN /UR) 11 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 5594 of 6486
Name
USHA SINGH Rate Amount Qty 10.8 .36 30 72 .6 120 27.9 .93 30 21.3 .71 30 20.84 5.21 4 7.5 .25 30 3430 3430 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 400 400 1 Total: 7065.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422227 Min 01422227 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 25-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5595 of 6486
Name
SATYWATI GUPTA Rate Amount Qty 3.84 .64 6 21.12 3.52 6 400 400 1 66.2 6.62 10 17 1.7 10 1.85 .37 5 4.45 .89 5 400 400 1 Total: 914.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422230 Min 01422230 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 5596 of 6486
Name
PURANIK RAM UIKEY Rate Amount Qty 12 .4 30 17.4 1.16 15 6.9 .23 30 55.8 .93 60 117 1.3 90 21.6 .36 60 400 400 1 21.6 .36 60 117 1.3 90 55.8 .93 60 6.9 .23 30 12 .4 30 21.3 .71 30 400 400 1 Total: 1265.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422232 Min 01422232 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 5597 of 6486
Name
DILIP PODDAR Rate Amount Qty 13.95 .93 15 21.3 .71 30 400 400 1 Total: 435.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422233 Min 01422233 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 19-FEB-19 SODIUM VALPROATE,500MG,TABLET 6 19-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5598 of 6486
Name
NIVEDITA PODDAR Rate Amount Qty 36 .6 60 7.5 .25 30 34.8 1.16 30 400 400 1 15.3 .51 30 117 3.9 30 41.1 1.37 30 400 400 1 Total: 1051.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422236 Min 01422236 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 5599 of 6486
Name
KRISHNA KUMAR Rate Amount Qty 8.1 .27 30 39 1.3 30 33 1.1 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 9 .3 30 72 .6 120 400 400 1 Total: 640.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422239 Min 01422239 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 5600 of 6486
Name
HEMANT PURI GOSWAMI Rate Amount Qty 32.4 1.08 30 7.5 .25 30 15.6 .26 60 34.8 1.16 30 400 400 1 34.8 1.16 30 32.4 1.08 30 15.6 .26 60 3.75 .25 15 400 400 1 Total: 976.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422240 Min 01422240 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 28-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 28-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5601 of 6486
Name
P K NAHAR Rate Amount Qty 45.44 45.44 1 19.72 9.86 2 13.48 3.37 4 5.55 .37 15 41.06 41.06 1 400 400 1 Total: 525.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422241 Min 01422241 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 02-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 2 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 5602 of 6486
Name
PRAMILA NAHAR Rate Amount Qty 3.84 .64 6 137.3 13.73 10 32.4 1.08 30 27.9 .93 30 400 400 1 21.3 .71 30 400 400 1 Total: 1022.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422246 Min 01422246 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 5603 of 6486
Name
BHUSHAN LAL DEWANGAN Rate Amount Qty 11.85 .79 15 12 .4 30 32.4 1.08 30 7.8 .26 30 21.3 .71 30 66 1.1 60 400 400 1 Total: 551.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422248 Min 01422248 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19
Page 5604 of 6486
Name
DINESH KUMAR SAHU Rate Amount Qty 36 .6 60 16.5 1.1 15 12 .4 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 167.4 5.58 30 Total: 306.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422250 Min 01422250 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 5605 of 6486
Name
MAHENDRA SINGH Rate Amount Qty 7.7 .77 10 72.6 1.21 60 8.1 .27 30 1.85 .37 5 27.9 .93 30 21.28 2.66 8 32.4 1.08 30 34.8 1.16 30 36 .6 60 3.84 .64 6 400 400 1 Total: 646.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422252 Min 01422252 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5606 of 6486
Name
RAKESH KUMAR DUBEY Rate Amount Qty 9.28 1.16 8 33 1.1 30 7.44 .93 8 400 400 1 27.9 .93 30 66 1.1 60 21.3 .71 30 400 400 1 Total: 964.92
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422254 Min 01422254 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 5607 of 6486
DEVILAL Rate Amount Qty 27.9 .93 30 7.65 .51 15 15.73 15.73 1 66 1.1 60 54 .9 60 34.8 1.16 30 400 400 1 Total: 606.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422255 Min 01422255 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 08-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5608 of 6486
Name
AMRIKA BAI Rate Amount Qty 3.7 .37 10 17.6 17.6 1 85.52 85.52 1 400 400 1 21.3 .71 30 23.7 .79 30 36 .6 60 27.6 .92 30 400 400 1 Total: 1015.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422258 Min 01422258 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5609 of 6486
Name
M.K.DILLIWAR Rate Amount Qty 117 1.3 90 21.6 .36 60 36 .6 60 13.95 .93 15 167.4 5.58 30 21.3 .71 30 12 .4 30 400 400 1 Total: 789.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422260 Min 01422260 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5610 of 6486
Name
REWALAL Rate Amount Qty 72 .6 120 167.4 5.58 30 17.4 1.16 15 400 400 1 78 1.3 60 400 400 1 Total: 1134.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422262 Min 01422262 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 5611 of 6486
Name
S K KIROLIKAR Rate Amount Qty 29.7 .99 30 8.1 .27 30 55.8 .93 60 26.7 .89 30 12 .4 30 76.5 2.55 30 400 400 1 Total: 608.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422263 Min 01422263 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 09-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 5612 of 6486
Name
ANJALI KIROLIKAR Rate Amount Qty 24.3 12.15 2 24.3 12.15 2 19.72 9.86 2 371.4 6.19 60 7.5 .25 30 400 400 1 Total: 847.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422264 Min 01422264 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 22-FEB-19 RIFAXIMIN 200 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5613 of 6486
Name
D R SAHU Rate Amount Qty 7.8 .26 30 66 1.1 60 32.4 1.08 30 12 .4 30 69.6 1.16 60 93.3 9.33 10 400 400 1 Total: 681.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422265 Min 01422265 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 12-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 18 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19
Page 5614 of 6486
Name
JAMUN BAI SAHU Rate Amount Qty 36 .6 60 78 1.3 60 27.9 .93 30 7.5 .25 30 14.85 .99 15 17.4 1.16 15 26.7 .89 30 400 400 1 7.4 .37 20 17.37 17.37 1 400 400 1 36 .6 60 7.5 .25 30 78 1.3 60 27.9 .93 30 14.85 .99 15 21.3 .71 30 95.7 3.19 30 26.7 .89 30 400 400 1 Total: 1741.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422270 Min 01422270 Appmt Dt Slno Description 23-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 23-FEB-19 2 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 23-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5615 of 6486
Name
SANTOSH KUMAR SARKAR Qty Rate Amount 6 .64 3.84 6 2.66 15.96 4 .37 1.48 1 400 400 Total: 421.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422271 Min 01422271 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5616 of 6486
Name
SHARMILA SARKAR Rate Amount Qty 18.6 .62 30 26.7 .89 30 21.3 .71 30 12 .4 30 33 1.1 30 18 .6 30 167.4 5.58 30 400 400 1 Total: 697
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422274 Min 01422274 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 5617 of 6486
Name
RAJENDRA PRASAD TAMRAKAR Rate Amount Qty 21.3 .71 30 76.5 2.55 30 400 400 1 Total: 497.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422275 Min 01422275 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 13-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 7 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 8 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 5618 of 6486
Name
NAMRATA TAMRAKAR Rate Amount Qty 40.12 20.06 2 8.9 .89 10 16.8 1.12 15 35.2 3.52 10 400 400 1 400 400 1 2110 2110 1 65.52 2.34 28 23.52 1.12 21 17.8 .89 20 400 400 1 Total: 3517.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422276 Min 01422276 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 5619 of 6486
Name
YERATH DAS SAHU Rate Amount Qty 6.9 .23 30 66 1.1 60 400 400 1 Total: 472.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422280 Min 01422280 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 14-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5620 of 6486
GYANENDRA SINGH GOUR Qty Rate Amount 30 .93 27.9 1 15.73 15.73 5 .37 1.85 1 400 400 Total: 445.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422282 Min 01422282 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 5621 of 6486
Name
BASANTI BOSE Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422285 Min 01422285 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5622 of 6486
Name
NAROTTAM RAM Qty Rate Amount 30 .93 27.9 30 .27 8.1 15 1.16 17.4 1 400 400 Total: 453.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422290 Min 01422290 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 23-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 5 23-FEB-19 PRAZOSIN,2.5MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5623 of 6486
Name
UTTARA SONI Rate Amount Qty 104.4 1.74 60 400 400 1 36 .6 60 29.7 .99 30 73.8 .82 90 39 1.3 30 400 400 1 Total: 1082.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422291 Min 01422291 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 20-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5624 of 6486
Name
BHIKHAM Rate Amount Qty 1.5 .25 6 13.7 1.37 10 6.3 .42 15 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 614.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422292 Min 01422292 Appmt Dt Slno Description 07-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5625 of 6486
Name
TRILOKI Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422293 Min 01422293 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5626 of 6486
Name
PARMESHWAR SINGH Rate Amount Qty 12 .4 30 21.3 .71 30 1.85 .37 5 10.8 .36 30 36 .6 60 400 400 1 Total: 481.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422294 Min 01422294 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 18-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5627 of 6486
Name
PANNA DEVI Qty Rate Amount 30 .93 27.9 30 .62 18.6 60 1.1 66 1 400 400 Total: 512.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422297 Min 01422297 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 04-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 17 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 20 23-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 5628 of 6486
Name
RAMESH KUMAR SHARMA Rate Amount Qty 6.4 .64 10 4.45 .89 5 35.2 3.52 10 26.55 26.55 1 400 400 1 21.12 3.52 6 3.84 .64 6 5.34 .89 6 400 400 1 21.12 3.52 6 3.84 .64 6 400 400 1 1.11 .37 3 3.84 .64 6 39.72 6.62 6 400 400 1 20.1 .67 30 27 .9 30 13.35 .89 15 12.15 12.15 1 42.12 2.34 18 400 400 1 Total: 2287.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422298 Min 01422298 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 5629 of 6486
Name
MITHLESH SHARMA Rate Amount Qty 27.9 .93 30 72 .6 120 21.3 .71 30 12 .4 30 29.7 .99 30 7.5 .25 30 29.7 .99 30 21.3 .71 30 12 .4 30 72 .6 120 7.5 .25 30 27.9 .93 30 400 400 1 8.9 .89 10 2.5 .25 10 26 2.6 10 400 400 1 Total: 1178.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422299 Min 01422299 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 17 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 13-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 19 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 13-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 17-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 25 17-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 26 17-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 27 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 17-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 29 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 21-FEB-19
Page 5630 of 6486
PANNALAL Rate Amount Qty 20.06 20.06 1 .32 .16 2 6.4 .64 10 5.34 .89 6 400 400 1 36 .6 60 192.3 6.41 30 60.9 2.03 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 1.9 .38 5 15.73 15.73 1 6.4 .64 10 1.85 .37 5 400 400 1 15.73 15.73 1 2.5 .25 10 7.7 .77 10 9.6 .64 15 17.3 1.73 10 400 400 1 8.9 .89 10 3.2 .64 5 40.6 2.03 20 24 .6 40 128.2 6.41 20 400 400 1 12.15 12.15 1 400 400 1 Total: 2695.83
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422300 Min 01422300 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 5 09-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 9 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 23-FEB-19 PRAZOSIN,2.5MG,TABLET 13 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 23-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 5631 of 6486
SUSHILA DEVI Rate Amount Qty 13.49 13.49 1 25.07 25.07 1 400 400 1 25.07 25.07 1 6.82 6.82 1 13.49 13.49 1 400 400 1 7.7 .77 10 11.1 .37 30 5.7 .38 15 10.65 .71 15 10.65 .71 15 39 1.3 30 6.82 6.82 1 13.49 13.49 1 400 400 1 Total: 1389.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422301 Min 01422301 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 ECG 4 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 5632 of 6486
Name
S R HASAN Rate Amount Qty 400 400 1 400 400 1 400 400 1 450 450 1 11.85 .79 15 400 400 1 Total: 2061.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422303 Min 01422303 Appmt Dt Slno Description 14-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 14-FEB-19 2 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14-FEB-19 3 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5633 of 6486
V DHARMA RAO Qty 2 2 1 1
Rate Amount 20.29 40.58 25.07 50.14 156.51 156.51 400 400 Total: 647.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422304 Min 01422304 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 02-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 7 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 14-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 9 14-FEB-19 BRIMONIDINE TARTRATE,0.15% 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 5634 of 6486
V.KAMESHWARI Rate Amount Qty 54 .6 90 55.8 .93 60 83.4 2.78 30 51.68 3.23 16 3.8 .38 10 400 400 1 40.58 20.29 2 50.14 25.07 2 156.51 156.51 1 148.9 74.45 2 400 400 1 Total: 1444.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422305 Min 01422305 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 9 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 5635 of 6486
Name
RUPCHANDRA BHONSLE Rate Amount Qty 33.12 1.84 18 3.84 .64 6 4.62 .77 6 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 8.9 .89 10 15.95 3.19 5 13.7 1.37 10 400 400 1 Total: 1317.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422306 Min 01422306 Appmt Dt Slno Description 21-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5636 of 6486
Name
KIRAN BHONSLE Qty Rate Amount 10 1.37 13.7 30 6.19 185.7 30 .25 7.5 1 400 400 Total: 606.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422309 Min 01422309 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 5637 of 6486
Name
ANU KUMAR Rate Amount Qty 36 .6 60 55 1.1 50 400 400 1 Total: 491
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422311 Min 01422311 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 5638 of 6486
Name
B THANKAMANI Rate Amount Qty 13.95 .93 15 7.5 .25 30 8.1 .27 30 21.3 .71 30 167.4 5.58 30 36 .6 60 21.6 .36 60 400 400 1 Total: 675.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422313 Min 01422313 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5639 of 6486
Name
J.PAULOSE Rate Amount Qty 12 .4 30 27.9 .93 30 167.4 5.58 30 18 .6 30 34.8 1.16 30 400 400 1 Total: 660.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422324 Min 01422324 Appmt Dt Slno Description 22-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5640 of 6486
Name
RAJENDRA KUMAR KASHYAP Qty Rate Amount 30 .27 8.1 30 .71 21.3 30 .25 7.5 1 400 400 Total: 436.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422325 Min 01422325 Slno Description Appmt Dt SODIUM VALPROATE,500MG,TABLET 1 21-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 2 21-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 27-FEB-19 X - RAY - SINGLE VIEW 11 27-FEB-19
Page 5641 of 6486
Name
LOCHAN KASHYAP Rate Amount Qty 351 3.9 90 52.65 3.51 15 30.6 .51 60 400 400 1 21.3 .71 30 18.9 .63 30 21.3 .71 30 32.4 1.08 30 400 400 1 400 400 1 550 550 1 Total: 2278.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422326 Min 01422326 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 5642 of 6486
Name
RAJIV KUMAR TEWARY Rate Amount Qty 21.3 .71 30 32.4 .36 90 167.4 5.58 30 72 .6 120 55.8 .93 60 7.5 .25 30 400 400 1 Total: 756.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422327 Min 01422327 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5643 of 6486
Name
NIRMALA TEWARY Qty Rate Amount 30 .93 27.9 30 .25 7.5 100 .71 71 1 400 400 Total: 506.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422328 Min 01422328 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5644 of 6486
Name
AMRIT LAL CHANDRAKAR Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422330 Min 01422330 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5645 of 6486
Name
TASKIN BANO Rate Amount Qty 27.9 .93 30 1.6 .16 10 26.7 .89 30 123.53 123.53 1 8.1 .27 30 400 400 1 Total: 587.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422331 Min 01422331 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 SERUM ASPARATATE TRANSMINASE (AST /SGOT 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19 PROTHROMBIN TIME (PT) 7 18-FEB-19 COMPLETE HAEMOGRAM 8 18-FEB-19 HEPATITIS C TEST /HCV 9 18-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 10 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 18-FEB-19 CREATININE /CRT 12 18-FEB-19 UREA (BUN /UR) 13 18-FEB-19 SERUM AMYLASE (AMYL) 14 18-FEB-19 X - RAY - SINGLE VIEW 15 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 ECG 17 18-FEB-19
Page 5646 of 6486
Name
SEKH SAYYAD Rate Amount Qty 26.7 .89 30 12.15 12.15 1 54 .9 60 400 400 1 275 275 1 400 400 1 330 330 1 750 750 1 1700 1700 1 1000 1000 1 550 550 1 275 275 1 275 275 1 550 550 1 550 550 1 400 400 1 450 450 1 Total: 7997.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422332 Min 01422332 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 6 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 14 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 16 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 07-FEB-19
Page 5647 of 6486
Name
SAIFUNNISA Rate Amount Qty 25.2 .42 60 51 1.7 30 20.06 20.06 1 26.7 .89 30 15.96 2.66 6 25.69 25.69 1 14.2 .71 20 5 .25 20 17.8 .89 20 27.4 1.37 20 21.3 .71 30 18.9 .63 30 12 .4 30 7.65 .51 15 33 1.1 30 27.6 .92 30 117 1.3 90 27.9 .93 30 400 400 1 Total: 894.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422334 Min 01422334 Appmt Dt Slno Description 02-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 02-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 02-FEB-19 3 OBSERVATION IN CASUALTY 02-FEB-19 4 ECG
Page 5648 of 6486
Name
CHAMPA DEVI SAO Qty 1 1 1 1
Rate Amount .16 .16 .89 .89 420 420 450 450 Total: 871.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422336 Min 01422336 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 5649 of 6486
Name
DURGA DEVI KOSRE Rate Amount Qty 43.96 131.88 3 27.9 .93 30 400 400 1 Total: 559.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422337 Min 01422337 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 5650 of 6486
Name
CHHANNULAL Rate Amount Qty 26.7 .89 30 20.06 20.06 1 27.9 .93 30 30.6 .34 90 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 572.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422338 Min 01422338 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5651 of 6486
Name
BAHURA BAI Rate Amount Qty 55.8 .93 60 7.5 .25 30 14.85 .99 15 7.5 .25 30 .8 .16 5 400 400 1 Total: 486.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422339 Min 01422339 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 5652 of 6486
Name
BHARADWAJ SK Rate Amount Qty 8.1 .27 30 66 1.1 60 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422343 Min 01422343 Appmt Dt Slno Description 15-FEB-19 1 GLICLAZIDE MR,30 MG,,TABLET 15-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 15-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5653 of 6486
Name
ROMLAL SAHU Qty Rate Amount 30 .92 27.6 30 .79 23.7 30 .6 18 1 400 400 Total: 469.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422346 Min 01422346 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 19-FEB-19
Page 5654 of 6486
Name
B.DEEVANAMMA Rate Amount Qty 66.96 5.58 12 5.58 100.44 18 18 .6 30 78 1.3 60 27.9 .93 30 12 .4 30 34.8 1.16 30 60.9 2.03 30 4.8 .16 30 53.4 .89 60 123.53 123.53 1 12.8 .64 20 7.5 .25 30 53.4 .89 60 21.3 .71 30 36 .6 60 400 400 1 Total: 1111.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422347 Min 01422347 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5655 of 6486
Name
GOPAL SINGH Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 7.5 .25 30 55.8 .93 60 400 400 1 Total: 542.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422350 Min 01422350 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 23-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 5656 of 6486
Name
BASANTI DEVI Rate Amount Qty 39 1.3 30 10.8 .36 30 38.25 2.55 15 27.9 .93 30 18 .6 30 400 400 1 Total: 533.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422351 Min 01422351 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 5657 of 6486
Name
A.N. SINGH Rate Amount Qty 26 2.6 10 18.9 .63 30 400 400 1 Total: 444.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422356 Min 01422356 Appmt Dt Slno Description 14-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14-FEB-19 2 RANITIDINE HCL,STRIP PKT,150MG,TABLET 14-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5658 of 6486
Name
SAVITRI BAI Qty Rate Amount 12 1.84 22.08 6 .77 4.62 9 .64 5.76 1 400 400 Total: 432.46
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422357 Min 01422357 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5659 of 6486
RAVIKANT MASIH Rate Amount Qty 8.68 .62 14 22.2 .37 60 3.7 .37 10 21.3 .71 30 .62 .62 1 48.22 48.22 1 27.9 .93 30 400 400 1 Total: 532.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422358 Min 01422358 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 5660 of 6486
Name
CHANDRA LEKHA MASIH Rate Amount Qty 55.8 .93 60 78 1.3 60 12 .4 30 21.3 .71 30 14.85 .99 15 15.6 .26 60 10.8 .36 30 18 .3 60 36 .6 60 39 1.3 30 400 400 1 Total: 701.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422359 Min 01422359 Slno Description Appmt Dt INHALER FOR INHALING DRY POWDER CAPSULE 1 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 5661 of 6486
Name
SANJAY KUMAR SEN Rate Amount Qty 69.05 69.05 1 52.2 1.74 30 400 400 1 21.3 .71 30 18 .6 30 55.8 .93 60 27.9 .93 30 60.18 20.06 3 60.9 2.03 30 167.4 5.58 30 12 .4 30 400 400 1 Total: 1344.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422360 Min 01422360 Slno Description Appmt Dt CREATININE /CRT 1 01-FEB-19 UREA (BUN /UR) 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 C T ABDOMEN AND PELVIS 4 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 11-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 5662 of 6486
Name
CHAINA SEN Rate Amount Qty 275 275 1 275 275 1 400 400 1 12000 12000 1 550 550 1 53.4 .89 60 40.12 20.06 2 72 .6 120 167.4 5.58 30 21.3 .71 30 122.8 6.14 20 400 400 1 Total: 14377.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422361 Min 01422361 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5663 of 6486
Name
NASKETU CHOUDHARY Rate Amount Qty 27.9 .93 30 46.2 .77 60 15.6 .26 60 32.4 1.08 30 21.3 .71 30 8.1 .27 30 14.85 .99 15 400 400 1 Total: 566.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422365 Min 01422365 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5664 of 6486
Name
HARAK RAM BANJARE Rate Amount Qty 18 .6 30 55.8 .93 60 8.1 .27 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 528.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422371 Min 01422371 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 20-FEB-19 CREATININE /CRT 3 20-FEB-19 UREA (BUN /UR) 4 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 5665 of 6486
Name
JHANAK LAL RANA Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 5.7 .38 15 27.9 .93 30 18.9 .63 30 400 400 1 Total: 2852.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422372 Min 01422372 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 5666 of 6486
URMILA RANA Rate Amount Qty 15.73 15.73 1 1.85 .37 5 6.4 .64 10 26.6 2.66 10 400 400 1 9 .9 10 1.85 .37 5 400 400 1 55.8 .93 60 20.84 5.21 4 400 400 1 Total: 1338.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422373 Min 01422373 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5667 of 6486
Name
ONKAR BHUSHAN VERMA Rate Amount Qty 13.95 .93 15 21.3 .71 30 400 400 1 Total: 435.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422374 Min 01422374 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 GUM ASTRINGENT PAINT 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 5668 of 6486
Name
PUSHPA DEVI VERMA Rate Amount Qty 27.9 .93 30 13.8 .23 60 400 400 1 31.54 31.54 1 400 400 1 13.8 .23 60 27.9 .93 30 400 400 1 Total: 1314.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422375 Min 01422375 Slno Description Appmt Dt BLOOD FOR T-3,T-4,TSH 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 06-FEB-19 OBSERVATION IN CASUALTY 6 06-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 7 06-FEB-19 ECG 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 10 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 5669 of 6486
Name
SANJAY KUMAR LAKHE Rate Amount Qty 2400 2400 1 400 400 1 24.52 24.52 1 26.7 .89 30 20.06 20.06 1 420 420 1 5.77 5.77 1 450 450 1 400 400 1 10 .25 40 5 .25 20 400 400 1 Total: 4562.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422377 Min 01422377 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5670 of 6486
Name
MALKHAN LAL SAHU Rate Amount Qty 18.9 .63 30 36 .6 60 76.5 2.55 30 8.1 .27 30 55.8 .93 60 78 1.3 60 34.8 1.16 30 400 400 1 Total: 708.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422382 Min 01422382 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 5671 of 6486
Name
SANGHMITRA BORKAR Rate Amount Qty 42.12 2.34 18 1.85 .37 5 6.4 .64 10 7.5 .25 30 27.9 .93 30 13.7 1.37 10 5 .25 20 14.2 .71 20 400 400 1 Total: 518.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422385 Min 01422385 Slno Description Appmt Dt UREA (BUN /UR) 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 04-FEB-19
Page 5672 of 6486
Name
YOGENDRA SINGH Rate Amount Qty 275 275 1 275 275 1 275 275 1 37.8 .63 60 1300 1300 1 275 275 1 69.6 1.16 60 55.8 .93 60 145.2 1.21 120 59.4 .99 60 Total: 2767.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422386 Min 01422386 Appmt Dt Slno Description 04-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5673 of 6486
Name
SUSHILA SINGH Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422390 Min 01422390 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5674 of 6486
Name
LAWAN SINGH Rate Amount Qty 21.3 .71 30 7.5 .25 30 55.8 .93 60 29.7 .99 30 22.2 .37 60 400 400 1 Total: 536.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422391 Min 01422391 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 5675 of 6486
Name
SOMTI BAI Rate Amount Qty 55.8 .93 60 76.5 2.55 30 400 400 1 Total: 532.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422392 Min 01422392 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 6 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 5676 of 6486
Name
UNIRAM MARKANDEY Rate Amount Qty 7.5 .25 30 400 400 1 28.14 .67 42 54 .9 60 26.7 .89 30 69.05 69.05 1 100.71 100.71 1 156.6 1.74 90 12.15 12.15 1 400 400 1 Total: 1254.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422393 Min 01422393 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 5677 of 6486
Name
DEVKUMARI MARKANDEY Rate Amount Qty 27.9 .93 30 8.1 .27 30 400 400 1 55.8 .93 60 63.58 63.58 1 400 400 1 Total: 955.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422400 Min 01422400 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5678 of 6486
Name
APPA RAO Rate Amount Qty 36 .6 60 12 .4 30 21.3 .71 30 33 1.1 30 400 400 1 Total: 502.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422404 Min 01422404 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19
Page 5679 of 6486
Name
SUNDER LAL BADHOLIA Rate Amount Qty 13.49 13.49 1 2.59 .37 7 .77 .77 1 49.28 3.52 14 400 400 1 8.71 8.71 1 7.7 .77 10 3.04 .38 8 400 400 1 21.3 .71 30 12 .4 30 10.8 .36 30 400 400 1 6.72 1.12 6 6.4 .64 10 55.2 1.84 30 400 400 1 Total: 1798
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422409 Min 01422409 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 25-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 5680 of 6486
K JAGDISHWAR RAO Rate Amount Qty 7.4 .37 20 13.48 3.37 4 19.72 9.86 2 31.61 31.61 1 12.81 12.81 1 25.07 25.07 1 7.5 .25 30 18.9 .63 30 19.2 .64 30 26.7 .89 30 400 400 1 Total: 582.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422413 Min 01422413 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 22-FEB-19 URIC ACID (UA /URATES /UR) 4 22-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 22-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 5681 of 6486
Name
CH. YOGESHWAR RAO Rate Amount Qty 26 2.6 10 275 275 1 275 275 1 275 275 1 24.45 4.89 5 2.5 .25 10 400 400 1 6.82 6.82 1 2.67 .89 3 1.23 .41 3 55.2 1.84 30 400 400 1 Total: 1743.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422420 Min 01422420 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 5682 of 6486
Name
PRAKASH NARAYAN DADSENA Rate Amount Qty 6.82 6.82 1 13.49 13.49 1 400 400 1 Total: 420.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422421 Min 01422421 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 23-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 5683 of 6486
Name
UMA DADSENA Rate Amount Qty 132.4 6.62 20 6.4 .64 10 31.9 3.19 10 4.8 .16 30 26.7 .89 30 3.7 .37 10 55.8 .93 60 400 400 1 Total: 661.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422430 Min 01422430 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 5684 of 6486
Name
KALI PRASAD Rate Amount Qty 12 .4 30 32.4 1.08 30 15.6 .26 60 27.9 .93 30 34.8 1.16 30 39 1.3 30 21.6 .36 60 36 .6 60 400 400 1 Total: 619.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422431 Min 01422431 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 02-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 11 02-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19
Page 5685 of 6486
URMILA Rate Amount Qty 15.73 15.73 1 46.2 .77 60 47.4 .79 60 69.6 1.16 60 24 .4 60 64.8 1.08 60 234 1.3 180 167.4 5.58 30 72 .6 120 21.6 .36 60 30.6 .34 90 118.5 3.95 30 400 400 1 Total: 1311.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422432 Min 01422432 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 5686 of 6486
Name
CHANDRAKANT CHOUDHARY Rate Amount Qty 35.2 3.52 10 7.7 .77 10 6.4 .64 10 26.55 26.55 1 400 400 1 27.6 .92 30 54 .6 90 34.8 1.16 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1056.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422433 Min 01422433 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 08-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 12-FEB-19 CREATININE /CRT 11 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 12-FEB-19 UREA (BUN /UR) 15 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 13-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 17 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 13-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 19 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 20 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 13-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 22 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 13-FEB-19
Page 5687 of 6486
Name
SUNITA CHOUDHARY Rate Amount Qty 7.7 .77 10 35.2 3.52 10 6.4 .64 10 400 400 1 6.4 .64 10 1.85 .37 5 35.1 2.34 15 6.23 .89 7 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 30.15 .67 45 166.8 2.78 60 4.56 .38 12 77.52 3.23 24 23.7 .79 30 167.4 5.58 30 55.2 .92 60 400 400 1 Total: 4624.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422436 Min 01422436 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5688 of 6486
Name
SURESH KUMAR SAHU Rate Amount Qty 156 1.3 120 11.4 .38 30 60.9 2.03 30 55.8 .93 60 105.9 3.53 30 400 400 1 Total: 790
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422437 Min 01422437 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5689 of 6486
Name
ROHINI BAI Rate Amount Qty 36 .6 60 42.6 .71 60 167.4 5.58 30 10.8 .36 30 3.75 .25 15 27.9 .93 30 400 400 1 Total: 688.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422438 Min 01422438 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 COMPLETE HAEMOGRAM 4 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 19-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 6 19-FEB-19 CREATININE /CRT 7 19-FEB-19 UREA (BUN /UR) 8 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 26-FEB-19 BLOOD FOR T-3,T-4,TSH 16 26-FEB-19
Page 5690 of 6486
Name
TAYYAB ANSARI Rate Amount Qty 8.9 .89 10 2.5 .25 10 400 400 1 750 750 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 4.25 .25 17 .75 .25 3 400 400 1 400 400 1 2400 2400 1 Total: 7441.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422440 Min 01422440 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 DIETHYL CARBAMAZINE CITRATE,100MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 11-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 8 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 11 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 13 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 CLOMIPRAMINE,25MG,TABLET 16 19-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 17 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 19-FEB-19
Page 5691 of 6486
Name
R R DEWANGAN Rate Amount Qty 12.8 .64 20 14.6 .73 20 17.8 .89 20 80.01 1.27 63 400 400 1 36 .6 60 11.4 .38 30 189 2.1 90 9 .3 30 400 400 1 100.71 100.71 1 26.7 .89 30 12.15 12.15 1 54 .9 60 400 400 1 192.6 2.14 90 79.2 2.64 30 400 400 1 Total: 2435.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422441 Min 01422441 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 12-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 12-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 5692 of 6486
Name
KANCHAN DEWANGAN Rate Amount Qty 26.13 8.71 3 37.32 9.33 4 2.8 .7 4 4.45 .89 5 13.44 1.12 12 52.96 6.62 8 400 400 1 Total: 537.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422442 Min 01422442 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 16-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 5693 of 6486
Name
B JOGA RAO Rate Amount Qty 44 1.1 40 8 .4 20 23.2 1.16 20 35.6 .89 40 400 400 1 39.6 .66 60 156.6 1.74 90 12.15 12.15 1 26.7 .89 30 16.2 .18 90 400 400 1 Total: 1162.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422450 Min 01422450 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 14-FEB-19 OBSERVATION IN CASUALTY 3 19-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 4 19-FEB-19 SYRINGE,DISPOSABLE,2ML 5 19-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 19-FEB-19
Page 5694 of 6486
Name
BHOPAL ARYA Rate Amount Qty 21.6 .36 60 400 400 1 420 420 1 8.64 8.64 1 1.84 1.84 1 600 600 1 Total: 1452.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422451 Min 01422451 Slno Description Appmt Dt FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5695 of 6486
Name
USHA ARYA Rate Amount Qty 130.42 130.42 1 2.5 .25 10 400 400 1 36.3 1.21 30 8.1 .27 30 3.75 .25 15 400 400 1 Total: 981.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422460 Min 01422460 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5696 of 6486
Name
ROSHAN LAL KANKRE Rate Amount Qty 18.6 .62 30 311.4 5.19 60 27.9 .93 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 800.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422461 Min 01422461 Appmt Dt Slno Description 02-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 02-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 02-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5697 of 6486
Name
SUNAYNA KANKRE Qty Rate Amount 18 1.84 33.12 6 .64 3.84 6 .77 4.62 1 400 400 Total: 441.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422465 Min 01422465 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5698 of 6486
Name
JAISHREE PRADHAN Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422466 Min 01422466 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5699 of 6486
Name
PASHUPATI PRADHAN Rate Amount Qty 39 1.3 30 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 504.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422469 Min 01422469 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5700 of 6486
Name
BAIJU NATH TEMBHARE Rate Amount Qty 32.4 .36 90 72 .6 120 167.4 5.58 30 17.4 1.16 15 7.5 .25 30 400 400 1 Total: 696.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422477 Min 01422477 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5701 of 6486
Name
SUMAN LATA SHARMA Rate Amount Qty 21.3 .71 30 26.7 .89 30 14.85 .99 15 27.9 .93 30 400 400 1 Total: 490.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422478 Min 01422478 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 5702 of 6486
Name
MAHESH Rate Amount Qty 7.5 .25 30 47.4 .79 60 400 400 1 Total: 454.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422480 Min 01422480 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 5703 of 6486
Name
ASHWANI KUMAR SHUKLA Rate Amount Qty 76.5 2.55 30 34.8 1.16 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 9 .3 30 36 .6 60 400 400 1 Total: 658
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422488 Min 01422488 Appmt Dt Slno Description 26-FEB-19 1 FUROSEMIDE,40MG,STRIP PACK,TABLET 26-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5704 of 6486
Name
JAIMURTY DEVI Qty Rate Amount 15 .51 7.65 60 .93 55.8 30 .71 21.3 1 400 400 Total: 484.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422490 Min 01422490 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5705 of 6486
Name
KARUNA DUBE Rate Amount Qty 35.2 17.6 2 11.1 .37 30 400 400 1 Total: 446.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422495 Min 01422495 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 5706 of 6486
Name
ASHOK KUMAR GHOSH Rate Amount Qty 3.75 .25 15 167.4 5.58 30 21.3 .71 30 18 .6 30 400 400 1 Total: 610.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422496 Min 01422496 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 5707 of 6486
Name
LIPIKA GHOSH Rate Amount Qty 14.85 .99 15 55.8 .93 60 400 400 1 Total: 470.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422499 Min 01422499 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 5708 of 6486
Name
RADHA KRISHNA TIWARI Rate Amount Qty 55.8 .93 60 72.6 1.21 60 14.85 .99 15 18.9 .63 30 21.3 .71 30 400 400 1 18 .6 30 400 400 1 Total: 1001.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422500 Min 01422500 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 8 23-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 5709 of 6486
Name
RITA TIWARI Rate Amount Qty 78 1.3 60 167.4 5.58 30 11.4 .38 30 8.1 .27 30 72.6 1.21 60 21.3 .71 30 400 400 1 85.52 85.52 1 35.2 17.6 2 7.4 .37 20 400 400 1 Total: 1286.92
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422508 Min 01422508 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 28-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 5710 of 6486
RAM NATH PATEL Rate Amount Qty 22.8 .38 60 15 .25 60 55.8 .93 60 27.9 .62 45 400 400 1 25.07 25.07 1 18.21 18.21 1 400 400 1 Total: 964.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422509 Min 01422509 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 5711 of 6486
Name
SANDHYA PATEL Rate Amount Qty 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422512 Min 01422512 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 5712 of 6486
Name
N C RAY Rate Amount Qty 21.3 .71 30 12 .4 30 32.4 1.08 30 66 1.1 60 27.9 .93 30 400 400 1 Total: 559.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422516 Min 01422516 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 5713 of 6486
Name
SATISH KUMAR JOSHI Rate Amount Qty 34.8 1.16 30 55.8 .93 60 36 .6 60 10.8 .36 30 21.3 .71 30 16.2 .27 60 29.7 .99 30 400 400 1 Total: 604.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422518 Min 01422518 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 08-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5714 of 6486
Name
NARAYAN SINGH Qty Rate Amount 20 .93 18.6 1 400 400 60 .93 55.8 1 400 400 Total: 874.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422519 Min 01422519 Slno Description Appmt Dt WARFARIN SODIUM,STRIP PKT,5MG,TABLET 1 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 08-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5715 of 6486
Name
RAMBAI Rate Amount Qty 43 2.15 20 31.2 1.04 30 28.32 1.18 24 18 .6 30 9 .3 30 7.5 .25 30 400 400 1 Total: 537.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422520 Min 01422520 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 CREATININE /CRT 4 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 5716 of 6486
Name
KHALIA BISHOYI Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 7.5 .25 30 16.2 .27 60 13.95 .93 15 21.3 .71 30 60.9 2.03 30 400 400 1 Total: 3594.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422521 Min 01422521 Slno Description Appmt Dt RIFAXIMIN 200 MG,,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 04-FEB-19 RACECADOTRIL,100MG,CAPSULE 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 5717 of 6486
Name
SUMITRA BISHOYI Rate Amount Qty 83.97 9.33 9 4.62 .77 6 10.08 1.12 9 35.82 5.97 6 13.95 .93 15 400 400 1 Total: 548.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422524 Min 01422524 Appmt Dt Slno Description 09-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 09-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5718 of 6486
Name
SHAKUNTALA DHRUWA Qty Rate Amount 30 .25 7.5 30 .93 27.9 4 5.21 20.84 1 400 400 Total: 456.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422525 Min 01422525 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 5719 of 6486
Name
KULESHWAR PRASAD DHRUWA Rate Amount Qty 33 1.1 30 6.9 .23 30 8.1 .27 30 7.5 .25 30 400 400 1 16.8 1.12 15 400 400 1 Total: 872.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422528 Min 01422528 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5720 of 6486
Name
J. KAMARAJU Rate Amount Qty 55.8 .93 60 72.6 1.21 60 34.8 1.16 30 26.7 .89 30 18.9 .63 30 12 .4 30 8.1 .27 30 400 400 1 Total: 628.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422531 Min 01422531 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5721 of 6486
Name
SANDHYA RAWLE Rate Amount Qty 21.3 .71 30 55.8 .93 60 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422532 Min 01422532 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 SOLIFENACIN,5MG,,TABLET 14 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 18 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 19 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 25-FEB-19
Page 5722 of 6486
Name
D.C MISHRA Rate Amount Qty 66 1.1 60 32.4 1.08 30 26.7 .89 30 44.1 1.47 30 7.5 .25 30 54 .9 60 6.9 .23 30 21.6 .36 60 18 .6 30 27.9 .93 30 15.6 1.04 15 34.8 1.16 30 400 400 1 403.2 13.44 30 60.9 2.03 30 400 400 1 1.25 .25 5 66.2 6.62 10 6.7 .67 10 9 .9 10 4.45 .89 5 400 400 1 Total: 2107.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422533 Min 01422533 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 5723 of 6486
Name
PUSHP LATA MISHRA Rate Amount Qty 66 1.1 60 10.8 .36 30 39 1.3 30 36 .6 60 21.3 .71 30 400 400 1 Total: 573.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422534 Min 01422534 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 5724 of 6486
Name
SHIVCHARAN Rate Amount Qty 21.3 .71 30 14.85 .99 15 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 717.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422541 Min 01422541 Appmt Dt Slno Description 19-FEB-19 1 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP.
Page 5725 of 6486
Name
T VARALAXMI Qty Rate Amount 30 6.41 192.3 30 2.03 60.9 253.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422542 Min 01422542 Name Appmt Dt Slno Description 27-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5726 of 6486
BIGHNESHWAR SETHI Qty Rate Amount 1 25.07 25.07 1 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422543 Min 01422543 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 5727 of 6486
Name
JHARA SETHYANI Rate Amount Qty 13.8 .92 15 13.95 .93 15 400 400 1 Total: 427.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422544 Min 01422544 Appmt Dt Slno Description 09-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5728 of 6486
Name
A K CHOUDHARY Qty Rate Amount 90 .6 54 1 400 400 454 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422545 Min 01422545 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5729 of 6486
Name
NIRJALA CHOUDHARY Rate Amount Qty 7.4 .37 20 17.37 17.37 1 400 400 1 Total: 424.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422546 Min 01422546 Appmt Dt Slno Description 28-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 28-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 28-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5730 of 6486
Name
OSAN ALI Qty Rate Amount 20 1.08 21.6 20 1.16 23.2 20 .25 5 1 400 400 Total: 449.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422547 Min 01422547 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19 X - RAY - SINGLE VIEW 6 28-FEB-19
Page 5731 of 6486
Name
ZOHRA BEGUM Rate Amount Qty 21.8 2.18 10 4.45 .89 5 6.4 .64 10 400 400 1 400 400 1 550 550 1 Total: 1382.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422548 Min 01422548 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5732 of 6486
Name
A H KHAN Qty Rate Amount 30 .93 27.9 15 .16 2.4 30 2.03 60.9 1 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422552 Min 01422552 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 5733 of 6486
Name
YAM CHAND TITARMARE Rate Amount Qty 9 .3 30 60.9 2.03 30 26.7 .89 30 33 1.1 30 34.8 1.16 30 32.4 1.08 30 24 .4 60 27.9 .93 30 36 .6 60 400 400 1 Total: 684.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422554 Min 01422554 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 5734 of 6486
Name
NIRANJAN PRASAD DAS Rate Amount Qty 43.96 43.96 1 3.75 .25 15 400 400 1 Total: 447.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422555 Min 01422555 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5735 of 6486
Name
UTTAMA DAS Rate Amount Qty 76.5 2.55 30 27.9 .93 30 400 400 1 3.84 .64 6 1.85 .37 5 2.28 .38 6 400 400 1 Total: 912.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422556 Min 01422556 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5736 of 6486
Name
ARVIND KUMAR SONA Rate Amount Qty 21.3 .71 30 8.1 .27 30 55.8 .93 60 36 .6 60 3.2 .64 5 12 .4 30 400 400 1 Total: 536.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422557 Min 01422557 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5737 of 6486
Name
SAVITA SONA Rate Amount Qty 12 .4 30 55.8 .93 60 78 1.3 60 7.5 .25 30 72 .6 120 10.8 .36 30 17.4 1.16 15 400 400 1 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422560 Min 01422560 Appmt Dt Slno Description 21-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 21-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5738 of 6486
Name
SAMYUKTA CHAURASIA Qty Rate Amount 30 .4 12 30 .93 27.9 30 .71 21.3 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422561 Min 01422561 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 8 21-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 9 21-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 10 21-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 5739 of 6486
Name
LAKSHMAN CHAURASIA Rate Amount Qty 7.65 .51 15 72 .6 120 32.4 .36 90 78 1.3 60 3.75 .25 15 8.1 .27 30 34.8 1.16 30 13.2 2.64 5 41.1 1.37 30 252 2.1 120 85.5 2.85 30 400 400 1 Total: 1028.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422565 Min 01422565 Appmt Dt Slno Description 08-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 08-FEB-19 2 TENELIGLIPTIN,20MG,,TABLET 08-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5740 of 6486
Name
R MOORTHI Qty Rate Amount 30 .37 11.1 30 5.58 167.4 60 .6 36 1 400 400 Total: 614.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422566 Min 01422566 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5741 of 6486
Name
K PREMAVATHY Rate Amount Qty 21.3 .71 30 12 .4 30 10.8 .36 30 54 .6 90 117 1.3 90 167.4 5.58 30 400 400 1 Total: 782.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422567 Min 01422567 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 6 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 5742 of 6486
Name
RAMDAS BANJARE Rate Amount Qty 23.7 .79 30 38.25 2.55 15 26.7 .89 30 31.2 1.04 30 2.4 .16 15 34.5 1.15 30 7.8 .26 30 24 .4 60 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 655.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422568 Min 01422568 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 X - RAY - SINGLE VIEW 10 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 12 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 14 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 5743 of 6486
Name
SUSHILA BANJARE Rate Amount Qty 27 .9 30 118.5 3.95 30 26.7 .89 30 100.71 100.71 1 15.6 1.04 15 211.8 3.53 60 21.3 .71 30 54 .9 60 400 400 1 550 550 1 400 400 1 1750 1750 1 31.2 1.04 30 43.2 1.44 30 34.8 1.16 30 27.9 .93 30 66 1.1 60 12 .4 30 400 400 1 Total: 4290.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422575 Min 01422575 Appmt Dt Slno Description 02-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5744 of 6486
Name
SAUBHADRA KUMAR MADHARIA Qty Rate Amount 30 .38 11.4 1 400 400 411.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422576 Min 01422576 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 5745 of 6486
Name
JHARANA MADHARIA Rate Amount Qty 74.4 .62 120 26.7 .89 30 400 400 1 Total: 501.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422581 Min 01422581 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5746 of 6486
Name
DINA RAO SAKARKAR Rate Amount Qty 47.4 .79 60 34.8 1.16 30 12 .4 30 33 1.1 30 14.85 .99 15 400 400 1 Total: 542.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422582 Min 01422582 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 5747 of 6486
Name
VINA SAKARKAR Rate Amount Qty 7.5 .25 30 34.8 1.16 30 23.7 .79 30 36 .6 60 10.8 .36 30 7.5 .25 30 11.4 .38 30 9.6 .64 15 7.3 .73 10 400 400 1 Total: 548.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422583 Min 01422583 Appmt Dt Slno Description 18-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5748 of 6486
Name
RADHE SHYAM SAHU Qty Rate Amount 30 1.1 33 30 .71 21.3 30 .93 27.9 1 400 400 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422584 Min 01422584 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5749 of 6486
Name
DHIRA RANI SAHU Rate Amount Qty 72 .6 120 167.4 5.58 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 688.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422585 Min 01422585 Appmt Dt Slno Description 14-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 14-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5750 of 6486
Name
MAHENDRA KUMAR SHARMA Qty Rate Amount 60 .23 13.8 30 .71 21.3 15 1.16 17.4 1 400 400 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422586 Min 01422586 Appmt Dt Slno Description 15-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 15-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5751 of 6486
Name
SUMAN SHARMA Qty Rate Amount 60 1.1 66 30 .27 8.1 60 .93 55.8 1 400 400 Total: 529.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422591 Min 01422591 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 5752 of 6486
Name
GOUTAM PAL Rate Amount Qty 184.1 18.41 10 8.9 .89 10 26 2.6 10 2.5 .25 10 400 400 1 Total: 621.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422593 Min 01422593 Appmt Dt Slno Description 01-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 01-FEB-19 2 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5753 of 6486
Name
DEVI CHARAN GUPTA Qty Rate Amount 4 .37 1.48 6 2.66 15.96 60 .93 55.8 1 400 400 Total: 473.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422595 Min 01422595 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 5754 of 6486
Name
LAXMAN DEO Rate Amount Qty 167.4 5.58 30 32.4 .36 90 72 .6 120 29.7 .99 30 36.3 1.21 30 55.8 .93 60 26.7 .89 30 400 400 1 Total: 820.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422597 Min 01422597 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 10 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 5755 of 6486
Name
SUNIL KUMAR LANJEWAR Rate Amount Qty 167.4 5.58 30 123.53 123.53 1 7.5 .25 30 27 .9 30 36 .6 60 21.6 .36 60 29.7 .99 30 55.8 .93 60 400 400 1 13.43 13.43 1 11.1 .37 30 25.62 12.81 2 400 400 1 Total: 1318.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422598 Min 01422598 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 5756 of 6486
Name
RITA LANJEWAR Rate Amount Qty 32.4 1.08 30 8.1 .27 30 27.9 .93 30 21.3 .71 30 20.84 5.21 4 12.8 .64 20 400 400 1 Total: 523.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422605 Min 01422605 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5757 of 6486
KAMLA KOSHLE Rate Amount Qty 25.07 25.07 1 400 400 1 26.7 .89 30 7.5 .25 30 21.3 .71 30 55.8 .93 60 54 .6 90 9.9 .99 10 400 400 1 Total: 1000.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422606 Min 01422606 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 5758 of 6486
Name
UMA SHANKER Rate Amount Qty 34.8 1.16 30 33 1.1 30 14.85 .99 15 55.8 .93 60 12 .4 30 400 400 1 Total: 550.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422607 Min 01422607 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 16-FEB-19 TRIGLYCERIDES (TGL) 5 16-FEB-19 CREATININE /CRT 6 16-FEB-19 CHOLESTEROL (CHOL) 7 16-FEB-19
Page 5759 of 6486
Name
C.H.MANIKYAM Rate Amount Qty 34.8 1.16 30 18 .6 30 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 1427.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422610 Min 01422610 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 5760 of 6486
Name
RAMESH HARICHAND BADGUJAR Rate Amount Qty 32.4 1.08 30 13.95 .93 15 12 .4 30 34.8 1.16 30 36 .6 60 33 1.1 30 30.6 .34 90 21.6 .36 60 400 400 1 Total: 614.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422613 Min 01422613 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5761 of 6486
Name
SUKHVINDER KAUR Rate Amount Qty 29.7 .99 30 17.4 1.16 15 66 1.1 60 55.8 .93 60 18.6 .62 30 18.9 .63 30 12 .4 30 400 400 1 Total: 618.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422614 Min 01422614 Appmt Dt Slno Description 25-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 25-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5762 of 6486
Name
SUBHASH CHANDRA Qty Rate Amount 30 .6 18 60 .93 55.8 15 .71 10.65 1 400 400 Total: 484.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422621 Min 01422621 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 5763 of 6486
Name
GOUSIYA BEGUM Rate Amount Qty 26.7 .89 30 18.9 .63 30 41.1 1.37 30 371.4 6.19 60 400 400 1 Total: 858.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422626 Min 01422626 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 02-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 26-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 13 26-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 14 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 20 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 21 27-FEB-19 CREATININE /CRT 22 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 24 27-FEB-19
Page 5764 of 6486
Name
SUKHCHAND DAS Rate Amount Qty 43.2 1.44 30 69.6 1.16 60 31.2 1.04 30 32.4 1.08 30 4.8 .16 30 7.5 .25 30 42.6 .71 60 12 .4 30 46.2 .77 60 400 400 1 23.7 .79 30 4.8 .16 30 43.2 1.44 30 42.6 .71 60 69.6 1.16 60 32.4 1.08 30 12 .4 30 400 400 1 400 400 1 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 Total: 4392.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422633 Min 01422633 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 5765 of 6486
Name
SHABANA BEGAM Rate Amount Qty 55.8 .93 60 17.4 1.16 15 36.3 1.21 30 8.1 .27 30 400 400 1 Total: 517.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422634 Min 01422634 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 21-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 5766 of 6486
Name
KULDEEP KUMAR SONKAR Rate Amount Qty 26.96 3.37 8 63.58 63.58 1 12.15 12.15 1 3.7 .37 10 100.71 100.71 1 104.4 1.74 60 54 .9 60 400 400 1 Total: 765.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422635 Min 01422635 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 5767 of 6486
Name
VIDHOTAMA SONKAR Rate Amount Qty 117 1.3 90 10.8 .36 30 36 .6 60 18.6 .62 30 167.4 5.58 30 10.42 5.21 2 17.4 1.16 15 400 400 1 Total: 777.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422640 Min 01422640 Appmt Dt Slno Description 01-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5768 of 6486
Name
NC DAS Qty 1 1
Rate Amount 25.69 25.69 400 400 425.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422645 Min 01422645 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5769 of 6486
Name
LAXMI SHRIVAS Qty 6 6 1
Rate Amount 4.62 .77 3.84 .64 400 400 Total: 408.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422649 Min 01422649 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 5770 of 6486
Name
VN JAIRAJ Rate Amount Qty 27.9 .93 30 6.9 .23 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422650 Min 01422650 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5771 of 6486
Name
P AJITA Rate Amount Qty 55.8 .93 60 36 .6 60 34.8 1.16 30 14.85 .99 15 400 400 1 Total: 541.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422660 Min 01422660 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 5772 of 6486
Name
AVINASH KUMAR GUPTA Rate Amount Qty 12 .4 30 18 .6 30 13.8 .92 15 27.9 .93 30 21.3 .71 30 400 400 1 Total: 493
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422663 Min 01422663 Appmt Dt Slno Description 14-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5773 of 6486
Name
SANEH LATA Qty Rate Amount 30 .6 18 30 .93 27.9 15 1.16 17.4 1 400 400 Total: 463.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422670 Min 01422670 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 14-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 5774 of 6486
Name
ASHUTOSH JHA Rate Amount Qty 7.5 .25 30 21.3 .71 30 72 .6 120 117 1.3 90 167.4 5.58 30 60.9 2.03 30 192.3 6.41 30 12 .4 30 23.7 .79 30 19.72 9.86 2 3.7 .37 10 26.96 3.37 8 400 400 1 Total: 1124.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422671 Min 01422671 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5775 of 6486
Name
SHASHIBALA JHA Rate Amount Qty 33 1.1 30 21.3 .71 30 400 400 1 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422672 Min 01422672 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 5776 of 6486
Name
DEEPAK KUMAR RUDRA Rate Amount Qty 7.5 .25 30 21.3 .71 30 10.8 .36 30 32.4 1.08 30 36 .6 60 27.9 .93 30 400 400 1 Total: 535.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422674 Min 01422674 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 5777 of 6486
Name
DINGAL DAS CHELAK Rate Amount Qty 3.75 .25 15 32.4 1.08 30 17.4 1.16 15 10.8 .36 30 11.85 .79 15 7.8 .26 30 400 400 1 Total: 484
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422675 Min 01422675 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5778 of 6486
Name
C. CHELAK Rate Amount Qty 21.3 .71 30 32.4 1.08 30 55.8 .93 60 22.2 .37 60 400 400 1 Total: 531.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422676 Min 01422676 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 04-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 13 14-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 14 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 19 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 20-FEB-19
Page 5779 of 6486
Name
GOVIND PRASAD Rate Amount Qty 26.7 .89 30 66.2 6.62 10 7.5 .25 30 21.3 .71 30 32.4 1.08 30 66 1.1 60 41.06 41.06 1 5.34 .89 6 16.8 1.12 15 10.95 .73 15 9.6 .64 15 400 400 1 161.1 5.37 30 20.55 1.37 15 79.2 2.64 30 400 400 1 8.1 .27 30 55.8 .93 60 29.7 .99 30 400 400 1 1.48 .37 4 400 400 1 Total: 2259.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422677 Min 01422677 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 27-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 5780 of 6486
Name
DHARM SHEELA Rate Amount Qty 2.22 .37 6 15.96 2.66 6 3.84 .64 6 400 400 1 1.48 .37 4 27.9 .93 30 33 1.1 30 3.08 .77 4 400 400 1 Total: 887.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422678 Min 01422678 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 5 09-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 6 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 SUTURE REMOVAL 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 X - RAY - TWO VIEWS 14 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 15 22-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 16 22-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19
Page 5781 of 6486
Name
BALIDAS SAO Rate Amount Qty 192.3 6.41 30 192 9.6 20 400 400 1 26.04 .93 28 9.94 .71 14 10.22 .73 14 17.92 .64 28 12.46 .89 14 35.2 3.52 10 400 400 1 490 490 1 400 400 1 400 400 1 860 860 1 74.45 223.35 3 77.07 25.69 3 60.87 20.29 3 400 400 1 Total: 4207.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422679 Min 01422679 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 UREA (BUN /UR) 3 01-FEB-19 CREATININE /CRT 4 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 01-FEB-19 DRESSING SIMPLE 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 01-FEB-19 DRESSING SIMPLE 13 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 5782 of 6486
Name
NIRMALA SAO Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 1300 1300 1 1500 300 5 400 400 1 3.56 .89 4 39.72 6.62 6 6.4 .64 10 7.3 .73 10 900 300 3 400 400 1 36 .6 60 21.3 .71 30 55.8 .93 60 400 400 1 Total: 7470.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422680 Min 01422680 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 12 05-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 27-FEB-19
Page 5783 of 6486
Name
SADHU RAM Rate Amount Qty 9.86 9.86 1 41.06 41.06 1 34.8 1.16 30 8.1 .27 30 27.9 .93 30 167.4 5.58 30 54 .6 90 32.4 .36 90 13.48 3.37 4 35.2 3.52 10 400 400 1 33.58 33.58 1 6.82 6.82 1 400 400 1 54 .6 90 32.4 .36 90 3.84 .64 6 27.9 .93 30 8.1 .27 30 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 1979.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422681 Min 01422681 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 5784 of 6486
Name
URMILA SAHU Rate Amount Qty 8.1 .27 30 17.4 1.16 15 7.5 .25 30 12 .4 30 27.9 .93 30 400 400 1 12 .4 30 3.75 .25 15 8.1 .27 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 945.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422682 Min 01422682 Appmt Dt Slno Description 22-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 22-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5785 of 6486
Name
TARUN KUMAR DAS Qty Rate Amount 30 2.03 60.9 30 .6 18 30 .93 27.9 1 400 400 Total: 506.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422683 Min 01422683 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5786 of 6486
Name
KALPANA DAS Rate Amount Qty 18 .6 30 27.9 .93 30 400 400 1 156.6 1.74 90 400 400 1 Total: 1002.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422684 Min 01422684 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 18-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 2 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5787 of 6486
Name
NARMADA PRASAD SACHAN Rate Amount Qty 15.3 .51 30 123.6 4.12 30 76.5 2.55 30 16.2 .27 60 60.9 2.03 30 400 400 1 Total: 692.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422686 Min 01422686 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 15-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 5788 of 6486
Name
G.GURUMURTHY Rate Amount Qty 400 400 1 1750 1750 1 192.3 6.41 30 118.5 3.95 30 27.9 .93 30 11.4 .38 30 60.9 2.03 30 400 400 1 7.2 .16 45 400 400 1 13.35 .89 15 20.06 20.06 1 400 400 1 Total: 3801.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422687 Min 01422687 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 5789 of 6486
Name
G DANAMMA Rate Amount Qty 21.3 .71 30 32.4 1.08 30 21.3 .71 30 33 1.1 30 400 400 1 26.7 .89 30 100.71 100.71 1 54 .9 60 6.4 .64 10 400 400 1 15 .25 60 400 400 1 Total: 1510.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422689 Min 01422689 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 18-FEB-19 CREATININE /CRT 4 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 18-FEB-19 URIC ACID (UA /URATES /UR) 6 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 5790 of 6486
Name
DR. SMT NISHA SHUKLA Rate Amount Qty 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 72.6 1.21 60 22.2 .37 60 36 .6 60 167.4 5.58 30 27.6 .92 30 21.3 .71 30 371.4 6.19 60 55.8 .93 60 400 400 1 Total: 3974.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422692 Min 01422692 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 5791 of 6486
Name
RAMHOO LAL PATIL Rate Amount Qty 17.4 .58 30 7.5 .25 30 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 Total: 521.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422694 Min 01422694 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 26-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 5792 of 6486
Name
HEMRAJ BHENDARKAR Rate Amount Qty 12 .4 30 36 .6 60 3.75 .25 15 8.1 .27 30 15.96 2.66 6 55.8 .93 60 1.48 .37 4 400 400 1 3.84 .64 6 1.48 .37 4 3.8 .38 10 15.96 2.66 6 400 400 1 Total: 958.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422695 Min 01422695 Appmt Dt Slno Description 11-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 20-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5793 of 6486
Name
VISHNU SAHAY Qty Rate Amount 30 2.03 60.9 1 400 400 30 .23 6.9 1 400 400 Total: 867.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422696 Min 01422696 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5794 of 6486
Name
DASHRATHRAM SAHU Rate Amount Qty 9.59 1.37 7 6.23 .89 7 1.75 .25 7 400 400 1 39 2.6 15 400 400 1 66 1.1 60 32.4 1.08 30 21.3 .71 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 1410.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422697 Min 01422697 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5795 of 6486
Name
MEENA SAHU Rate Amount Qty 6.9 .23 30 14.85 .99 15 55.8 .93 60 12 .4 30 54 .6 90 27.6 .92 30 167.4 5.58 30 6.4 .64 10 7.5 .25 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 813.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422700 Min 01422700 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 12 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 08-FEB-19
Page 5796 of 6486
SHARAD CHAND SONI Rate Amount Qty 2.59 .37 7 9.6 .64 15 65.52 2.34 28 400 400 1 1.75 .25 7 27.9 .93 30 8.1 .27 30 5.39 .77 7 400 400 1 15.73 15.73 1 6.23 .89 7 9.38 .67 14 3.78 .18 21 400 400 1 Total: 1355.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422701 Min 01422701 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 08-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 5797 of 6486
Name
MANJULA SONI Rate Amount Qty 167.4 5.58 30 54 .6 90 47.4 .79 60 21.3 .71 30 400 400 1 26.7 .89 30 12.15 12.15 1 54 .9 60 156.6 1.74 90 59.4 .66 90 400 400 1 Total: 1398.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422702 Min 01422702 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 19-FEB-19 ESCITALOPRAM,10MG,,TABLET 5 19-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 6 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5798 of 6486
Name
G R HIRWANI Rate Amount Qty 21.3 .71 30 36 .6 60 400 400 1 39.6 2.64 15 111 1.85 60 52.65 3.51 15 43.96 43.96 1 400 400 1 Total: 1104.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422703 Min 01422703 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 5 19-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 5799 of 6486
Name
DHANESHWARI BAI Rate Amount Qty 18 .6 30 21.3 .71 30 400 400 1 19.8 .66 30 12.3 .82 15 85.5 2.85 30 400 400 1 72.6 1.21 60 32.4 1.08 30 60.9 2.03 30 56.61 .37 153 2.4 .16 15 26.7 .89 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 1699.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422704 Min 01422704 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5800 of 6486
Name
BHIKHARI SINGH Rate Amount Qty 167.4 5.58 30 54 .6 90 32.4 .36 90 21.3 .71 30 7.5 .25 30 400 400 1 Total: 682.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422705 Min 01422705 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 5801 of 6486
Name
RAMLAL SWARNKAR Rate Amount Qty 12 .4 30 32.4 1.08 30 66 1.1 60 23.7 .79 30 21.3 .71 30 26.7 .89 30 18 .6 30 400 400 1 Total: 600.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422706 Min 01422706 Appmt Dt Slno Description 05-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 05-FEB-19 3 MOXONIDIN 0.2MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5802 of 6486
Name
SAVITRI SONI Qty Rate Amount 60 .93 55.8 90 .6 54 90 3.53 317.7 1 400 400 Total: 827.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422707 Min 01422707 Appmt Dt Slno Description 01-FEB-19 1 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 01-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 01-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5803 of 6486
Name
SANTOSH KUMAR Qty Rate Amount 14 3.52 49.28 7 .37 2.59 14 .77 10.78 1 400 400 Total: 462.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422711 Min 01422711 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 5804 of 6486
Name
S K PANDYA Rate Amount Qty 18.6 .62 30 4.8 .16 30 24 .4 60 34.8 1.16 30 8.1 .27 30 27.9 .93 30 43.96 43.96 1 400 400 1 18.6 .62 30 55.8 .93 60 8.1 .27 30 12 .4 30 3.2 .16 20 400 400 1 Total: 1059.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422712 Min 01422712 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 14 12-FEB-19 RIFAXIMIN 200 MG,,TABLET 15 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 12-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19
Page 5805 of 6486
Name
NEELAM PANDYA Rate Amount Qty 12 .4 30 167.4 5.58 30 371.4 6.19 60 55.8 .93 60 27.9 .62 45 6.9 .23 30 21.3 .71 30 54 .6 90 10.08 1.12 9 3.75 .25 15 14.85 .99 15 400 400 1 8.9 .89 10 26.13 8.71 3 93.3 9.33 10 35.2 3.52 10 7 .7 10 400 400 1 Total: 1715.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422713 Min 01422713 Appmt Dt Slno Description 11-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5806 of 6486
Name
OA SHREEDHAR Qty Rate Amount 30 .27 8.1 30 .71 21.3 30 1.21 36.3 1 400 400 Total: 465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422714 Min 01422714 Appmt Dt Slno Description 11-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5807 of 6486
Name
SUL0 CHANA Qty Rate Amount 30 .25 7.5 30 .71 21.3 30 1.21 36.3 1 400 400 Total: 465.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422717 Min 01422717 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 5808 of 6486
Name
GANGA RAM SAO Rate Amount Qty 21.3 .71 30 26.7 .89 30 32.4 1.08 30 12 .4 30 15.6 .26 60 8.1 .27 30 27.9 .93 30 400 400 1 20.06 20.06 1 12.46 .89 14 400 400 1 Total: 976.52
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422718 Min 01422718 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 21-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 5809 of 6486
UMA SAO Rate Amount Qty 6.4 .64 10 2.6 .26 10 400 400 1 25.07 25.07 1 400 400 1 Total: 834.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422721 Min 01422721 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 23-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 2 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5810 of 6486
Name
MOHD SALIMULLAH Rate Amount Qty 12 .4 30 61.8 4.12 15 6.9 .23 30 12 .4 30 18.9 .63 30 34.8 1.16 30 400 400 1 Total: 546.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422725 Min 01422725 Slno Description Appmt Dt SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 5811 of 6486
Name
SHIVNATH Rate Amount Qty 29 29 1 7.4 .37 20 17.6 17.6 1 400 400 1 54 .6 90 78 1.3 60 167.4 5.58 30 21.3 .71 30 27.9 .93 30 185.7 6.19 30 32.4 .36 90 12 .4 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 1466.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422726 Min 01422726 Slno Description Appmt Dt RISPERIDONE,STRIP PKT,2MG,TABLET 1 19-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 2 19-FEB-19 SODIUM VALPROATE,500MG,TABLET 3 19-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 20-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 5812 of 6486
Name
SARASWATI Rate Amount Qty 41.1 1.37 30 11.5 1.15 10 234 3.9 60 15.3 .51 30 400 400 1 3.84 .64 6 14.85 .99 15 18.6 .62 30 27.9 .93 30 22.05 1.47 15 400 400 1 Total: 1189.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422728 Min 01422728 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 04-FEB-19 GUM ANALGESIC GEL 2 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 5813 of 6486
Name
PHOOL BAI Rate Amount Qty 5.21 5.21 1 28.69 28.69 1 4.1 .41 10 .77 .77 1 6.93 .77 9 400 400 1 16.8 .42 40 17.8 .89 20 62.8 3.14 20 400 400 1 Total: 943.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422732 Min 01422732 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 5814 of 6486
Name
RADHA BAI Rate Amount Qty 55.2 1.84 30 4.45 .89 5 4.1 .41 10 16.8 1.12 15 400 400 1 Total: 480.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422734 Min 01422734 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5815 of 6486
Name
PK SARKAR Rate Amount Qty 27.6 .92 30 54 .6 90 27.9 .93 30 8.1 .27 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 564.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422735 Min 01422735 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 14-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 14-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 3 14-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 4 14-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 14-FEB-19 CREAM,ACICLOVIR,5%,5GM/TUBE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 5816 of 6486
KAJAL BANERJEE Rate Amount Qty 46.8 .78 60 234 3.9 60 12.75 12.75 1 85.52 85.52 1 31.61 31.61 1 35.63 35.63 1 400 400 1 25.07 25.07 1 400 400 1 Total: 1271.38
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422737 Min 01422737 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 22-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 25-FEB-19 UREA (BUN /UR) 12 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 25-FEB-19 CREATININE /CRT 14 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 25-FEB-19 URIC ACID (UA /URATES /UR) 17 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 5817 of 6486
SMT.TRIPTI RANI CHOUDHARY Rate Amount Qty 78 2.6 30 2.6 .26 10 25.2 .42 60 26.7 .89 30 7.5 .25 30 21.3 .71 30 18.9 .63 30 18 .3 60 36 .6 60 400 400 1 400 400 1 275 275 1 6600 550 12 275 275 1 1300 1300 1 275 275 1 275 275 1 25.07 25.07 1 400 400 1 Total: 10459.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422738 Min 01422738 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 02-FEB-19 OXCARBAZEPINE,300MG,,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 5818 of 6486
Name
LAKSHMI CHAND AGARWAL Rate Amount Qty 47.4 .79 60 394.8 6.58 60 400 400 1 Total: 842.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422743 Min 01422743 Appmt Dt Slno Description 17-FEB-19 1 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 17-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5819 of 6486
Name
GANGULI SK Qty Rate Amount 30 .66 19.8 1 400 400 419.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422749 Min 01422749 Appmt Dt Slno Description 15-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5820 of 6486
Name
GRACY KURIEN Qty Rate Amount 60 .27 16.2 30 .71 21.3 60 .93 55.8 1 400 400 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422750 Min 01422750 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5821 of 6486
Name
KURIEN CHACKO Rate Amount Qty 7.5 .25 30 12 .4 30 72 .6 120 21.3 .71 30 47.4 .79 60 400 400 1 Total: 560.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422752 Min 01422752 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 27-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19 ABC TEST HIV 11 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 28-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19
Page 5822 of 6486
SHANTA RAJPUT Rate Amount Qty 31.61 31.61 1 25.62 12.81 2 11.1 .37 30 36 .6 60 7.5 .25 30 76.5 2.55 30 8.1 .27 30 25.07 25.07 1 21.45 21.45 1 400 400 1 1250 1250 1 275 275 1 275 275 1 1000 1000 1 400 400 1 Total: 3842.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422753 Min 01422753 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5823 of 6486
Name
S B S LAL Rate Amount Qty 33 1.1 30 7.5 .25 30 21.3 .71 30 8.1 .27 30 27.9 .93 30 12 .4 30 400 400 1 Total: 509.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422759 Min 01422759 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 19-FEB-19 URIC ACID (UA /URATES /UR) 3 19-FEB-19 CREATININE /CRT 4 19-FEB-19 UREA (BUN /UR) 5 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 16 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 20-FEB-19
Page 5824 of 6486
Name
AUGUSTUS XALXO Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 11.85 .79 15 34.8 1.16 30 33 1.1 30 12 .4 30 167.4 5.58 30 32.4 1.08 30 78 1.3 60 20.84 5.21 4 400 400 1 Total: 4415.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422760 Min 01422760 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5825 of 6486
Name
CLARA XALXO Rate Amount Qty 12 .4 30 142.2 1.58 90 7.5 .25 30 26.7 .89 30 21.3 .71 30 32.4 .36 90 400 400 1 Total: 642.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422762 Min 01422762 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 25-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 25-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5826 of 6486
Name
L VARALAXMI Rate Amount Qty 63.58 63.58 1 63.22 31.61 2 25.62 12.81 2 11.25 .75 15 400 400 1 Total: 563.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422763 Min 01422763 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5827 of 6486
Name
DIWAKAR THAKRE Rate Amount Qty 29.7 .99 30 11.4 .38 30 26.7 .89 30 12 .4 30 55.8 .93 60 21.3 .71 30 15.6 .26 60 118.5 3.95 30 400 400 1 Total: 691
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422764 Min 01422764 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 5828 of 6486
Name
KUMUD Rate Amount Qty 55.8 .93 60 14.85 .99 15 27.9 .93 30 13.35 .89 15 27.6 .92 30 18 .6 30 21.3 .71 30 400 400 1 Total: 578.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422765 Min 01422765 Slno Description Appmt Dt BLOOD FOR T-3,T-4,TSH 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 04-FEB-19 URIC ACID (UA /URATES /UR) 6 04-FEB-19 CREATININE /CRT 7 04-FEB-19 UREA (BUN /UR) 8 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 5829 of 6486
Name
SUBHASH DAROKAR Rate Amount Qty 2400 2400 1 400 400 1 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 12 .4 30 36 .6 60 9 .3 30 34.8 1.16 30 400 400 1 Total: 6241.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422766 Min 01422766 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 04-FEB-19 URIC ACID (UA /URATES /UR) 2 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 04-FEB-19 CREATININE /CRT 6 04-FEB-19 UREA (BUN /UR) 7 04-FEB-19 BLOOD FOR T-3,T-4,TSH 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 04-FEB-19 CREATININE /CRT 14 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 19-FEB-19 POTASSIUM (K+) 16 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 20 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 5830 of 6486
Name
SMT.SUNITA DAROKAR Rate Amount Qty 550 550 1 275 275 1 9.3 .62 15 36 .6 60 1300 1300 1 275 275 1 275 275 1 2400 2400 1 400 400 1 275 275 1 33 1.1 30 13.95 .93 15 39 1.3 30 275 275 1 400 400 1 275 275 1 13.95 .93 15 36 .6 60 33 1.1 30 39 1.3 30 9.3 .62 15 400 400 1 Total: 7362.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422771 Min 01422771 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5831 of 6486
Name
R P DEWANGAN Rate Amount Qty 13.7 1.37 10 8.4 .42 20 5 .25 20 400 400 1 27.9 .93 30 400 400 1 Total: 855
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422772 Min 01422772 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 14-FEB-19
Page 5832 of 6486
Name
LATA DEWANGAN Rate Amount Qty 9.28 1.16 8 12 .4 30 41.85 .93 45 36.3 1.21 30 10.8 .36 30 36 .6 60 400 400 1 275 275 1 275 275 1 Total: 1096.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422773 Min 01422773 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 08-FEB-19 UREA (BUN /UR) 7 08-FEB-19 CREATININE /CRT 8 08-FEB-19 URIC ACID (UA /URATES /UR) 9 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 08-FEB-19
Page 5833 of 6486
Name
TIRUPATHAIAH Rate Amount Qty 21.3 .71 30 23.7 .79 30 82.8 .92 90 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 8.1 .27 30 27.9 .93 30 72 .6 120 Total: 3310.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422774 Min 01422774 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 5834 of 6486
Name
RAMA LAXMI Rate Amount Qty 2.22 .37 6 3.84 .64 6 18.4 1.84 10 400 400 1 2.56 .64 4 1.52 .38 4 1 .25 4 400 400 1 Total: 829.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422775 Min 01422775 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 5835 of 6486
Name
BK DOKANIA Rate Amount Qty 18 .6 30 8.1 .27 30 76.5 2.55 30 7.5 .25 30 12 .4 30 32.4 1.08 30 21.3 .71 30 400 400 1 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 1029.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422776 Min 01422776 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 5836 of 6486
Name
MANJU DOKANIA Rate Amount Qty 33 1.1 30 7.5 .25 30 26.7 .89 30 11.2 1.12 10 35.2 3.52 10 21.3 .71 30 400 400 1 Total: 534.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422779 Min 01422779 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 02-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 10 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 14 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19
Page 5837 of 6486
Name
SAKUN BAI Rate Amount Qty 12 .6 20 26 1.3 20 55.8 5.58 10 3.1 .62 5 7.2 .36 20 16.4 .82 20 400 400 1 275 275 1 275 275 1 73.8 .82 90 167.4 5.58 30 17.4 1.16 15 400 400 1 36.42 18.21 2 51.38 25.69 2 400 400 1 Total: 2216.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422781 Min 01422781 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 13-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 13-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 13-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 5838 of 6486
Name
SUNDER LAL SAHU Rate Amount Qty 19.72 9.86 2 25.69 25.69 1 6.82 6.82 1 26.96 3.37 8 7.4 .37 20 400 400 1 26 2.6 10 2.5 .25 10 400 400 1 Total: 915.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422783 Min 01422783 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5839 of 6486
Name
ATMA RAM THAKUR Rate Amount Qty 32.4 1.08 30 47.4 .79 60 26.7 .89 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 535.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422788 Min 01422788 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 C T ABDOMEN 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19
Page 5840 of 6486
Name
NAND KISHORE Rate Amount Qty 4.45 .89 5 6.4 .64 10 400 400 1 9000 9000 1 400 400 1 Total: 9810.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422791 Min 01422791 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 5841 of 6486
Name
S R SHEOLIKAR Rate Amount Qty 13.5 .3 45 21.3 .71 30 36 .6 60 8.1 .27 30 55.8 .93 60 400 400 1 Total: 534.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422793 Min 01422793 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 GUM ASTRINGENT PAINT 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 5842 of 6486
Name
SINGH SUKHCHAIN BHUE Rate Amount Qty 11.2 1.12 10 36.8 1.84 20 3.84 .64 6 4.45 .89 5 31.54 31.54 1 400 400 1 55.2 1.84 30 1.85 .37 5 3.2 .64 5 8.9 .89 10 400 400 1 Total: 956.98
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422796 Min 01422796 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 5843 of 6486
YOGESH MIHIR Rate Amount Qty 11.85 .79 15 25.07 25.07 1 26.7 .89 30 12 .4 30 33 1.1 30 117 1.3 90 9 .3 30 400 400 1 157.8 2.63 60 400 400 1 Total: 1192.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422797 Min 01422797 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 5844 of 6486
Name
BHAGAT GHALLE Rate Amount Qty 26.6 2.66 10 6.7 .67 10 12.15 12.15 1 400 400 1 26.7 .89 30 54 .9 60 12.15 12.15 1 400 400 1 21.3 .71 30 20.84 5.21 4 26.7 .89 30 27.9 .93 30 32.4 1.08 30 400 400 1 Total: 1467.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422799 Min 01422799 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 14-FEB-19 SOLIFENACIN,5MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 5845 of 6486
Name
PAPALAL Rate Amount Qty 11.4 .38 30 167.4 5.58 30 60.9 2.03 30 403.2 13.44 30 400 400 1 6.4 .64 10 35.2 3.52 10 400 400 1 Total: 1484.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422800 Min 01422800 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5846 of 6486
Name
GOURA BAI Rate Amount Qty 33 1.1 30 9.9 .66 15 26.7 .89 30 7.5 .25 30 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422801 Min 01422801 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 22-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 13 22-FEB-19 INHALANT,STRIP PACK,CAPSULE 14 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 27-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 20 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 27-FEB-19 INHALANT,STRIP PACK,CAPSULE 22 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 27-FEB-19
Page 5847 of 6486
CHUNNI LAL SAHU Rate Amount Qty 27.9 .93 30 14.85 .99 15 21.3 .71 30 7.5 .25 30 60.9 2.03 30 6 .6 10 192.3 6.41 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 6.4 .64 10 32.61 32.61 1 17 1.7 10 20.06 20.06 1 1.85 .37 5 400 400 1 8.9 .89 10 66.2 6.62 10 48.22 48.22 1 8.9 .89 10 17 1.7 10 400 400 1 Total: 2411.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422802 Min 01422802 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 5848 of 6486
Name
TIKAM BAI Rate Amount Qty 11.4 .38 30 7.5 .25 30 400 400 1 Total: 418.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422803 Min 01422803 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 PRAZOSIN,2.5MG,TABLET 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5849 of 6486
Name
YASHWANT Rate Amount Qty 12 .4 30 21.3 .71 30 211.8 3.53 60 55.8 .93 60 78 1.3 60 1.48 .37 4 400 400 1 Total: 780.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422804 Min 01422804 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5850 of 6486
Name
SMT.BHAGYAWATI Rate Amount Qty 12 .4 30 32.4 1.08 30 55.8 .93 60 33 1.1 30 4.5 .3 15 36 .6 60 34.8 1.16 30 400 400 1 Total: 608.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422805 Min 01422805 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5851 of 6486
Name
SUKHAU DAS Rate Amount Qty 72 .6 120 167.4 5.58 30 21.3 .71 30 27.9 .93 30 32.4 .36 90 7.5 .25 30 400 400 1 Total: 728.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422806 Min 01422806 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5852 of 6486
Name
UMROUTIN BAI Rate Amount Qty 43.96 43.96 1 7.5 .25 30 400 400 1 Total: 451.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422807 Min 01422807 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 5853 of 6486
Name
MUNI LAL SHANDIL Rate Amount Qty 10.8 .36 30 1.85 .37 5 3.84 .64 6 26.6 2.66 10 17.4 1.16 15 78 1.3 60 54 .6 90 400 400 1 Total: 592.49
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422808 Min 01422808 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 5854 of 6486
KAMINI BAI Rate Amount Qty 15.73 15.73 1 26.7 .89 30 12.8 .64 20 7.5 .25 30 43.96 43.96 1 400 400 1 Total: 506.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422810 Min 01422810 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5855 of 6486
Name
SUBHADRA SAM DAVID Rate Amount Qty 36 .6 60 7.5 .25 30 17.4 1.16 15 27.9 .93 30 10.8 .36 30 400 400 1 Total: 499.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422813 Min 01422813 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 12-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 5856 of 6486
Name
DINAKAR MARATHE Rate Amount Qty 34.8 1.16 30 23.1 .77 30 189 2.1 90 10.35 .23 45 400 400 1 Total: 657.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422815 Min 01422815 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 22-FEB-19
Page 5857 of 6486
Name
CHINNA KONDIYYA Rate Amount Qty 6.4 .64 10 18 .6 30 40.12 20.06 2 400 400 1 70.2 2.34 30 35.2 3.52 10 Total: 569.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422817 Min 01422817 Appmt Dt Slno Description 11-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 12-FEB-19 2 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 12-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12-FEB-19 4 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET
Page 5858 of 6486
Name
ANGILINA SHANTA DAS Qty Rate Amount 1 400 400 1 19.77 19.77 24 1.84 44.16 4 2.14 8.56 Total: 472.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422818 Min 01422818 Appmt Dt Slno Description 05-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 05-FEB-19 2 BRIMONIDINE TARTRATE,0.15% 05-FEB-19 3 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5859 of 6486
Name
ARVIND KUMAR DAS Qty Rate Amount 3 25.69 77.07 3 74.45 223.35 3 20.29 60.87 1 400 400 Total: 761.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422821 Min 01422821 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 5860 of 6486
Name
PV DESHMUKH Rate Amount Qty 7.8 .26 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 42.6 .71 60 27.9 .93 30 31.2 1.04 30 400 400 1 Total: 588.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422824 Min 01422824 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 URINE ROUTINE AND MICROSCOPIC 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 APTT (ACTIVATED PARTIAL THROMBOPLASTIN T 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 PROTHROMBIN TIME (PT) 8 05-FEB-19 PROTHROMBIN TIME (PT) 9 13-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 13-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 11 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 20-FEB-19 PROTHROMBIN TIME (PT) 16 20-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 17 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 27-FEB-19
Page 5861 of 6486
Name
ASHIYA BAI Qty 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 275 275 275 275 380 380 400 400 1300 1300 330 330 400 400 330 330 330 330 1300 1300 330 330 400 400 400 400 275 275 275 275 330 330 330 330 400 400 Total: 8060
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422825 Min 01422825 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 27-FEB-19 X - RAY - SINGLE VIEW 2 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 27-FEB-19 ESCITALOPRAM,10MG,,TABLET 9 27-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 10 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 5862 of 6486
Name
KULWANT SINGH BHALLA Rate Amount Qty 400 400 1 550 550 1 16.5 1.1 15 55.8 .93 60 13.8 .23 60 6.4 .64 10 12 .4 30 32.4 1.08 30 55.5 1.85 30 95.7 3.19 30 1.85 .37 5 400 400 1 Total: 1639.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422826 Min 01422826 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 5863 of 6486
Name
SATINDER PAL KAUR BHALLA Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 Total: 472
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422828 Min 01422828 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 10-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 10-FEB-19 OBSERVATION IN CASUALTY 5 10-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 10-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 10-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 X - RAY - SINGLE VIEW 14 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 14-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 17 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 21-FEB-19 HB,TLC,DLC 27 25-FEB-19 PLATELET COUNT 28 25-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 29 25-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 30 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 31 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 32 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 33 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 25-FEB-19
Page 5864 of 6486
Name
B VARALAKSHMI Rate Amount Qty 3.75 .25 15 400 400 1 .51 .51 1 .27 .27 1 420 420 1 .89 .89 1 4.2 .42 10 400 400 1 2.4 .16 15 8.4 .42 20 27.9 .93 30 5.21 5.21 1 400 400 1 550 550 1 400 400 1 550 550 1 1300 1300 1 1300 1300 1 275 275 1 400 400 1 275 275 1 7.5 .25 30 400 400 1 3.84 .64 6 8.9 .89 10 400 400 1 300 300 1 330 330 1 26 2.6 10 22 4.4 5 3.7 .37 10 41.85 .93 45 400 400 1 400 400 1 Total: 9067.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422832 Min 01422832 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 02-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 02-FEB-19 ECG 3 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 02-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 02-FEB-19 OBSERVATION IN CASUALTY 8 02-FEB-19 ECG 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19
Page 5865 of 6486
Name
SHEKH CHAND Rate Amount Qty 24.52 24.52 1 600 600 1 450 450 1 .16 .16 1 9.62 9.62 1 8.9 .89 10 3.84 .64 6 420 420 1 450 450 1 400 400 1 Total: 2367.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422833 Min 01422833 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5866 of 6486
Name
SUGRA BE Rate Amount Qty 43.96 43.96 1 19.8 .66 30 21.3 .71 30 12 .4 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 557.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422838 Min 01422838 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5867 of 6486
Name
BHAGWATI BAI THAKUR Rate Amount Qty 33 1.1 30 18 .6 30 400 400 1 Total: 451
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422841 Min 01422841 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 2 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 07-FEB-19 ONDANSETRON,2MG/ML,INJECTION 4 07-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 5 07-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 09-FEB-19 UREA (BUN /UR) 10 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 09-FEB-19 URIC ACID (UA /URATES /UR) 12 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 13 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 15 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 18 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 11-FEB-19
Page 5868 of 6486
Name
SMT.KIRAN DUBEY Rate Amount Qty 420 420 1 9.62 9.62 1 24.52 24.52 1 7.52 7.52 1 23.39 23.39 1 9.81 9.81 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 54 .6 90 26.7 .89 30 23.7 .79 30 34.8 1.16 30 54 .6 90 55.2 .92 60 400 400 1 Total: 3943.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422842 Min 01422842 Slno Description Appmt Dt CREATININE /CRT 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 8 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 10 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 01-FEB-19
Page 5869 of 6486
Name
RAJ NARAYAN YADAV Rate Amount Qty 275 275 1 69.6 1.16 60 275 275 1 1300 1300 1 400 400 1 24 .4 60 275 275 1 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 36 .6 60 33 1.1 30 Total: 2741.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422843 Min 01422843 Appmt Dt Slno Description 01-FEB-19 1 URSODEOXYCHOLIC ACID,150MG,TABLET 01-FEB-19 2 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 01-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5870 of 6486
Name
SUMITRA DEVI Qty Rate Amount 90 7.06 635.4 60 .26 15.6 30 .89 26.7 1 400 400 Total: 1077.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422844 Min 01422844 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 14-FEB-19 PRAZOSIN,2.5MG,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 5871 of 6486
Name
ASHOK KUMAR SHARMA Rate Amount Qty 317.7 3.53 90 39 1.3 30 29.7 .99 30 7.5 .25 30 60.9 2.03 30 54 .6 90 21.6 .36 60 167.4 5.58 30 400 400 1 78 1.3 60 55.8 .93 60 400 400 1 Total: 1631.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422846 Min 01422846 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5872 of 6486
TAPAS KUMAR Rate Amount Qty 192.3 6.41 30 46.2 .77 60 60.9 2.03 30 400 400 1 50.14 25.07 2 400 400 1 Total: 1149.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422847 Min 01422847 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 URIC ACID (UA /URATES /UR) 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 UREA (BUN /UR) 5 15-FEB-19 CREATININE /CRT 6 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 15-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 9 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 X - RAY - TWO VIEWS 14 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 19 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 22 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 24 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 22-FEB-19
Page 5873 of 6486
Name
LAKSHMI VARMAN Rate Amount Qty 400 400 1 275 275 1 3.56 .89 4 5.12 .64 8 275 275 1 275 275 1 275 275 1 275 275 1 73.64 18.41 4 14.85 .99 15 21.3 .71 30 8.1 .27 30 400 400 1 860 860 1 167.4 5.58 30 72 .6 120 117 1.3 90 32.4 .36 90 76.5 2.55 30 55.8 .93 60 12.8 .64 20 26 2.6 10 17.8 .89 20 123.8 6.19 20 5 .25 20 400 400 1 Total: 4268.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422849 Min 01422849 Appmt Dt Slno Description 12-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5874 of 6486
Name
SURESH PRAKASH PREM Qty Rate Amount 30 .38 11.4 1 400 400 411.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422854 Min 01422854 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5875 of 6486
Name
SAFIQUN NISHA Rate Amount Qty 21.3 .71 30 6.9 .23 30 167.4 5.58 30 54 .6 90 10.8 .36 30 3.75 .25 15 400 400 1 Total: 664.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422855 Min 01422855 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 08-FEB-19 CREATININE /CRT 5 08-FEB-19 COMPLETE HAEMOGRAM 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 15-FEB-19
Page 5876 of 6486
Name
FUL CHAND PANDEY Rate Amount Qty 4.97 .71 7 275 275 1 275 275 1 550 550 1 275 275 1 750 750 1 400 400 1 1.75 .25 7 1.12 .16 7 7.56 1.08 7 3.78 .27 14 13.02 .93 14 39.06 5.58 7 8.4 .6 14 2.52 .36 7 16.2 .27 60 32.4 1.08 30 36 .6 60 167.4 5.58 30 55.8 .93 60 10.8 .36 30 21.3 .71 30 7.5 .25 30 2.4 .16 15 400 400 1 Total: 3356.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422856 Min 01422856 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 08-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5877 of 6486
Name
SMT.ARTI PANDEY Qty Rate Amount 30 .93 27.9 15 .99 14.85 30 .71 21.3 1 400 400 Total: 464.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422857 Min 01422857 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5878 of 6486
Name
K ANANDA RAO Rate Amount Qty 33 1.1 30 21.3 .71 30 26.7 .89 30 21.6 .36 60 7.5 .25 30 117 1.3 90 12 .4 30 27.9 .93 30 400 400 1 Total: 667
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422858 Min 01422858 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5879 of 6486
Name
K. JAYALAXMI Rate Amount Qty 1.6 .16 10 27.9 .93 30 26.7 .89 30 32.4 1.08 30 18 .6 30 400 400 1 Total: 506.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422864 Min 01422864 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 09-FEB-19
Page 5880 of 6486
Name
RAMSAHAI Rate Amount Qty 400 400 1 32.4 1.08 30 6.82 6.82 1 33 1.1 30 7.65 .51 15 12 .4 30 Total: 491.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422870 Min 01422870 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 5881 of 6486
Name
UMA SHANKAR TIWARI Rate Amount Qty 10.8 1.08 10 11.6 1.16 10 9.3 .93 10 400 400 1 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 926.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422871 Min 01422871 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 5882 of 6486
Name
SATYAWATI TIWARI Rate Amount Qty 5.4 .27 20 18.6 .93 20 7.1 .71 10 18 .6 30 4 .4 10 400 400 1 21.3 .71 30 7.5 .25 30 12 .4 30 12 .4 30 54 .6 90 16.2 .27 60 55.8 .93 60 400 400 1 Total: 1031.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422873 Min 01422873 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 11-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5883 of 6486
Name
SMT MAYA RANI SHARMA Rate Amount Qty 21.12 3.52 6 10.08 1.12 9 4.62 .77 6 2.56 .64 4 400 400 1 Total: 438.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422874 Min 01422874 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 5884 of 6486
Name
MOHD ABOO SHAFIQUE Rate Amount Qty 55.8 .93 60 33 1.1 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 72 .6 120 60.9 2.03 30 26.7 .89 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 33 1.1 30 12 .4 30 32.4 1.08 30 16.2 .27 60 7.5 .25 30 26.7 .89 30 34.8 1.16 30 60.9 2.03 30 72 .6 120 7.5 .25 30 400 400 1 Total: 1102
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422880 Min 01422880 Appmt Dt Slno Description 20-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 20-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 5885 of 6486
Name
MARY CHARAN Qty 1 1
Rate Amount 400 400 400 400 800 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422894 Min 01422894 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 04-FEB-19 COMPLETE HAEMOGRAM 4 04-FEB-19 CALCIUM (CA) 5 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 6 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 04-FEB-19 UREA (BUN /UR) 8 04-FEB-19 CREATININE /CRT 9 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 09-FEB-19 PRAZOSIN,2.5MG,TABLET 13 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 14 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 17 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 11-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 19 12-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 20 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 12-FEB-19 ECG 22 12-FEB-19 OBSERVATION IN CASUALTY 23 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 12-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 25 12-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 26 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 31 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 32 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 33 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 34 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 35 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 36 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 37 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 38 28-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 39 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 40 28-FEB-19
Page 5886 of 6486
Name
SMT.KAMINI DANDGE Rate Amount Qty 400 400 1 550 550 1 4790 4790 1 750 750 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 4790 4790 1 400 400 1 76.5 2.55 30 156 1.3 120 15.6 .26 60 30.6 .51 60 400 400 1 4790 4790 1 400 400 1 35.52 35.52 1 9.81 9.81 1 3.84 .64 6 450 450 1 420 420 1 8.9 .89 10 600 600 1 3.66 3.66 1 400 400 1 400 400 1 4790 4790 1 400 400 1 1750 1750 1 400 400 1 1300 1300 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 6.23 .89 7 4790 4790 1 400 400 1 Total: 45471.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422902 Min 01422902 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 5887 of 6486
Name
PREETI CHOUDHURY Rate Amount Qty 275 275 1 275 275 1 17.4 1.16 15 18 .6 30 10.8 .36 30 78 1.3 60 400 400 1 Total: 1074.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422903 Min 01422903 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5888 of 6486
Name
DURGA PRASAD PARKAR Rate Amount Qty 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422905 Min 01422905 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 5889 of 6486
Name
VIKAS PANDE Rate Amount Qty 211.8 3.53 60 29.7 .99 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 713.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422906 Min 01422906 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 21-FEB-19 CREATININE /CRT 4 21-FEB-19 UREA (BUN /UR) 5 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 21-FEB-19
Page 5890 of 6486
Name
VARSHA PANDE Qty 1 1 1 1 1 1 1
Rate Amount 550 550 400 400 275 275 275 275 275 275 275 275 1300 1300 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422908 Min 01422908 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 5891 of 6486
Name
RENU DAS Rate Amount Qty 1.85 .37 5 2.28 .38 6 3.84 .64 6 2.4 .16 15 32.4 1.08 30 36 .6 60 23.7 .79 30 400 400 1 Total: 502.47
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422909 Min 01422909 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 X - RAY - SINGLE VIEW 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 9 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 28-FEB-19 IVABRADINE,5MG,,TABLET 14 28-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 15 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 17 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 28-FEB-19 IMATINIB 400MG,,TABLET 20 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 5892 of 6486
KRISHNA FOLE Rate Amount Qty 26.6 2.66 10 3.7 .37 10 18 .9 20 6.7 .67 10 12.15 12.15 1 400 400 1 550 550 1 400 400 1 1750 1750 1 15.73 15.73 1 400 400 1 22.95 .51 45 66 1.1 60 597 9.95 60 26.6 2.66 10 26.7 .89 30 43.2 1.44 30 34.8 1.16 30 6.4 .64 10 42.29 1268.7 30 157.8 2.63 60 400 400 1 Total: 6233.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422910 Min 01422910 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 05-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 5 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 28-FEB-19 URIC ACID (UA /URATES /UR) 10 28-FEB-19 CREATININE /CRT 11 28-FEB-19 UREA (BUN /UR) 12 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 18 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 28-FEB-19
Page 5893 of 6486
SHEELA FOLE Rate Amount Qty 15.73 15.73 1 3.7 .37 10 18 .9 20 5.4 .18 30 22 4.4 5 66.2 6.62 10 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 18 .6 30 167.4 5.58 30 21.3 .71 30 26 2.6 10 7.5 .25 30 275 275 1 400 400 1 275 275 1 Total: 4396.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422912 Min 01422912 Appmt Dt Slno Description 02-FEB-19 1 NITRAZEPAM,10MG,TABLE,STRIP PACK. 02-FEB-19 2 OLANZEPINE,STRIP PKT,10MG,TABLET 02-FEB-19 3 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5894 of 6486
Name
JEEWANLAL Qty Rate Amount 30 2.64 79.2 30 3.51 105.3 90 2.1 189 1 400 400 Total: 773.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422914 Min 01422914 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 6 20-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 5895 of 6486
Name
DR. (MRS) MEENA JAIN Rate Amount Qty 12.8 .64 20 9.6 .16 60 0 .37 0 82.12 41.06 2 400 400 1 51.38 25.69 2 21.45 21.45 1 400 400 1 Total: 977.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422916 Min 01422916 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5896 of 6486
Name
M SAIBABA Rate Amount Qty 27.9 .93 30 34.8 1.16 30 18.9 .63 30 5.94 .99 6 400 400 1 Total: 487.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422920 Min 01422920 Name Appmt Dt Slno Description 19-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5897 of 6486
RAM DUTT MISHRA Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422922 Min 01422922 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 28-FEB-19 2 CARVEDILOL,STRIP PACK,6.25MG,TABLET 28-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5898 of 6486
Name
SEWAK KUMAR Qty Rate Amount 30 1.16 34.8 30 .71 21.3 30 .4 12 1 400 400 Total: 468.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422923 Min 01422923 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5899 of 6486
Name
CHANDA RANI Rate Amount Qty 8.9 .89 10 61.4 6.14 10 400 400 1 Total: 470.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422924 Min 01422924 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5900 of 6486
Name
SATISH CHANDRA Rate Amount Qty 4.45 .89 5 21.6 .36 60 54 .6 90 7.5 .25 30 66.2 6.62 10 1.85 .37 5 6.4 .64 10 400 400 1 Total: 562
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422925 Min 01422925 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 8 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 5901 of 6486
Name
MEENA SHARMA Rate Amount Qty 66.2 6.62 10 6.4 .64 10 1.85 .37 5 7.5 .25 30 9 .3 30 36 .6 60 21.3 .71 30 12.3 .41 30 27.9 .62 45 400 400 1 Total: 588.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422926 Min 01422926 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 19-FEB-19 CREATININE /CRT 3 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 5902 of 6486
Name
SUKHRAM SAHU Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 21.6 .36 60 54 .6 90 55.8 .93 60 29.7 .99 30 8.1 .27 30 400 400 1 Total: 3644.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422927 Min 01422927 Slno Description Appmt Dt UREA (BUN /UR) 1 19-FEB-19 CREATININE /CRT 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5903 of 6486
Name
ANSOO SAHU Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 55.8 .93 60 36 .6 60 400 400 1 Total: 3291.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422928 Min 01422928 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 22-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5904 of 6486
Name
NAFIS HASHMI Rate Amount Qty 7.5 .25 30 27.9 .62 45 39.6 2.64 15 36 .6 60 34.8 1.16 30 12 .4 30 400 400 1 Total: 557.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422933 Min 01422933 Appmt Dt Slno Description 05-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 05-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5905 of 6486
Name
ABDUL SALIM Qty Rate Amount 2 9.86 19.72 20 .37 7.4 8 3.37 26.96 1 400 400 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422934 Min 01422934 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5906 of 6486
Name
QUMRUN BEGAM Rate Amount Qty 3.37 3.37 1 23.59 3.37 7 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422935 Min 01422935 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 5907 of 6486
Name
LISY VARGHESE Rate Amount Qty 47.4 .79 60 12 .4 30 34.8 1.16 30 19.8 .66 30 54 .6 90 72.6 1.21 60 117 1.3 90 21.6 .36 60 400 400 1 Total: 779.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422939 Min 01422939 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 16-FEB-19 I & D (INCISION & DRAINAGE) UNDER LA 8 16-FEB-19 DRESSING SIMPLE 9 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 18-FEB-19 DRESSING SIMPLE 11 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 26-FEB-19
Page 5908 of 6486
Name
BHAWANI SHANKAR Rate Amount Qty 6.4 .64 10 4.45 .89 5 66.2 6.62 10 400 400 1 400 400 1 33.12 1.84 18 6.4 .64 10 1400 1400 1 1800 300 6 400 400 1 900 300 3 3.84 .64 6 400 400 1 Total: 5820.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422945 Min 01422945 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 COMPLETE HAEMOGRAM 5 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 20-FEB-19
Page 5909 of 6486
Name
SHIV SHARAN AGRAWAL Rate Amount Qty .75 .25 3 5.34 .89 6 3.84 .64 6 400 400 1 750 750 1 400 400 1 Total: 1559.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422946 Min 01422946 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 5910 of 6486
Name
MADHU AGRAWAL Rate Amount Qty 400 400 1 650 650 1 27.9 .93 30 21.3 .71 30 400 400 1 Total: 1499.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422953 Min 01422953 Appmt Dt Slno Description 26-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5911 of 6486
Name
MADANLAL SINHA Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422954 Min 01422954 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 06-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 08-FEB-19 X - RAY - TWO VIEWS 9 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 10 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 13-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 13 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 16 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 19 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 26-FEB-19
Page 5912 of 6486
Name
CHANDRA PRABHA SINHA Rate Amount Qty 8.9 .89 10 62.8 3.14 20 31.9 3.19 10 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 860 860 1 31.4 3.14 10 8.9 .89 10 7.5 .25 30 21.3 .71 30 55.8 .93 60 16.2 .27 60 36.3 1.21 30 34.8 1.16 30 400 400 1 26 2.6 10 400 400 1 Total: 4651.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422957 Min 01422957 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 5913 of 6486
Name
DILIP KUMAR CHOUDHARY Rate Amount Qty 8.1 .27 30 12 .4 30 60.9 2.03 30 27.9 .93 30 167.4 5.58 30 72 .6 120 2.4 .16 15 400 400 1 Total: 750.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422959 Min 01422959 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 5914 of 6486
Name
JAGTAR SINGH Rate Amount Qty 11.1 .37 30 27.9 .93 30 76.5 2.55 30 10.8 .36 30 36 .6 60 17.4 1.16 15 400 400 1 Total: 579.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422960 Min 01422960 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5915 of 6486
Name
HARJEET KAUR Rate Amount Qty 17.4 1.16 15 27.9 .93 30 18 .6 30 21.6 .36 60 400 400 1 Total: 484.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422963 Min 01422963 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 5916 of 6486
Name
MOHAMMAD RAFI Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 34.8 1.16 30 8.1 .27 30 78 1.3 60 55.8 .93 60 55.2 .92 60 72 .6 120 400 400 1 Total: 1357.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422964 Min 01422964 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 BLOOD FOR TSH 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19
Page 5917 of 6486
Name
MAHER NASEEM Rate Amount Qty 8.4 .42 20 21.3 .71 30 22.2 .37 60 21.3 .71 30 29.7 .99 30 55.8 .93 60 3.2 .16 20 72.6 1.21 60 400 400 1 800 800 1 400 400 1 Total: 1834.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422967 Min 01422967 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 02-FEB-19 SYRINGE,DISPOSABLE,2ML 2 02-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 3 02-FEB-19 ECG 4 02-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 5 02-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 02-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 02-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 02-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 9 02-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 10 02-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 11 02-FEB-19 ECG 12 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 05-FEB-19 PLATELET COUNT 18 09-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 19 09-FEB-19 COMPLETE HAEMOGRAM 20 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 09-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 22 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 20-FEB-19
Page 5918 of 6486
Name
VASANT MOTIRAMJI KADUKAR Rate Amount Qty 420 420 1 9.2 1.84 5 9.81 9.81 1 450 450 1 5.41 5.41 1 3.52 3.52 1 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 35.52 35.52 1 9.62 9.62 1 450 450 1 39.72 6.62 6 10.08 1.12 9 8.9 .89 10 2.5 .25 10 400 400 1 330 330 1 550 550 1 750 750 1 400 400 1 5.7 .38 15 400 400 1 Total: 4333.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422968 Min 01422968 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5919 of 6486
Name
SHAKUNTALA KADUKAR Rate Amount Qty 55.8 .93 60 33 1.1 30 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422969 Min 01422969 Appmt Dt Slno Description 19-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 19-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5920 of 6486
Name
MANAS KUMAR DAS Qty Rate Amount 30 .63 18.9 30 .71 21.3 30 .93 27.9 1 400 400 Total: 468.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422970 Min 01422970 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5921 of 6486
Name
NISHA DAS Rate Amount Qty 7.5 .25 30 12 .4 30 54 .6 90 117 1.3 90 167.4 5.58 30 400 400 1 Total: 757.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422971 Min 01422971 Appmt Dt Slno Description 01-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 01-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5922 of 6486
Name
GOPAL DAS Qty Rate Amount 30 .62 18.6 30 .71 21.3 30 .25 7.5 1 400 400 Total: 447.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422972 Min 01422972 Appmt Dt Slno Description 01-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 01-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 01-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5923 of 6486
Name
SANGITA DAS Qty Rate Amount 30 .4 12 30 .38 11.4 60 .6 36 1 400 400 Total: 459.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422973 Min 01422973 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 5924 of 6486
Name
SHAIK RAFFIUDDIN Rate Amount Qty 15.6 .26 60 8.1 .27 30 47.4 .79 60 12 .4 30 21.3 .71 30 400 400 1 15 .25 60 78 .78 100 400 400 1 Total: 997.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422974 Min 01422974 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 19-FEB-19 URIC ACID (UA /URATES /UR) 6 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 5925 of 6486
Name
LAIKUNNISHA Rate Amount Qty 21.3 .71 30 15 .25 60 191.4 3.19 60 78 2.6 30 6.4 .64 10 275 275 1 400 400 1 1.85 .37 5 35.2 3.52 10 8.9 .89 10 2.5 .25 10 26 2.6 10 400 400 1 Total: 1461.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422975 Min 01422975 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5926 of 6486
Name
SHRIKANT SHARMA Rate Amount Qty 118.5 3.95 30 34.8 1.16 30 18.9 .63 30 16.2 .27 60 54 .6 90 47.4 .79 60 400 400 1 Total: 689.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422976 Min 01422976 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5927 of 6486
Name
SANTOSH KUMARI SHARMA Rate Amount Qty 3.84 .64 6 92.85 6.19 15 400 400 1 Total: 496.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422977 Min 01422977 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 19-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5928 of 6486
Name
SHESH NARAYAN BUXY Rate Amount Qty 13.95 .93 15 4.56 .38 12 83.4 2.78 30 26.7 .89 30 51.68 3.23 16 400 400 1 Total: 580.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422981 Min 01422981 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 5929 of 6486
Name
RAM RAJ CHANDRA Rate Amount Qty 12 .4 30 14.85 .99 15 13.95 .93 15 16.2 .27 60 72.6 1.21 60 18 .6 30 400 400 1 Total: 547.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422987 Min 01422987 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5930 of 6486
Name
SUNIL KUMAR AHUJA Rate Amount Qty 24 .4 60 69.6 1.16 60 66 1.1 60 8.1 .27 30 400 400 1 Total: 567.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422989 Min 01422989 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 12-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 5931 of 6486
Name
NARAYAN PRASAD JETHMAL Rate Amount Qty 19.72 9.86 2 16.85 3.37 5 7.4 .37 20 400 400 1 29.7 .99 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 937.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422990 Min 01422990 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 5932 of 6486
Name
MEENA BAI Rate Amount Qty 8.1 .27 30 211.8 3.53 60 55.8 .93 60 14.85 .99 15 400 400 1 Total: 690.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422991 Min 01422991 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 5933 of 6486
Name
LALIT KUMAR SHARMA Rate Amount Qty 21.3 .71 30 7.92 .99 8 76.5 2.55 30 8.1 .27 30 27.9 .93 30 400 400 1 76.5 2.55 30 8.1 .27 30 27.9 .93 30 2.5 .25 10 8.9 .89 10 7.92 .99 8 6.4 .64 10 21.3 .71 30 400 400 1 Total: 1101.24
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422993 Min 01422993 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 X - RAY - SINGLE VIEW 2 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19 C T HEAD PLAIN 16 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 22-FEB-19 UREA (BUN /UR) 21 22-FEB-19 URIC ACID (UA /URATES /UR) 22 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 23 22-FEB-19 KETOTIFEN,1MG,TABLET 24 26-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 25 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 26-FEB-19
Page 5934 of 6486
P K SURYAWANSHI Rate Amount Qty 400 400 1 550 550 1 24.3 12.15 2 31.46 15.73 2 400 400 1 2.4 .16 15 54 .6 90 27.9 .93 30 33 1.1 30 26.7 .89 30 10.8 .36 30 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 5250 5250 1 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 22.8 1.52 15 12.15 12.15 1 400 400 1 Total: 10939.71
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422994 Min 01422994 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 12-FEB-19 X - RAY - SINGLE VIEW 3 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 SOLIFENACIN,5MG,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 BLOOD FOR T-3,T-4,TSH 9 20-FEB-19 X - RAY - TWO VIEWS 10 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 20-FEB-19 WITH IN BHILAI & DURG CITY LIMITS TO JL 12 22-FEB-19 COMPLETE HAEMOGRAM 13 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 22-FEB-19 BLOOD FOR T-3,T-4,TSH 16 27-FEB-19 COMPLETE HAEMOGRAM 17 27-FEB-19 URINE ROUTINE AND MICROSCOPIC 18 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 20 27-FEB-19 CREATININE /CRT 21 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 27-FEB-19 HEPATITIS C TEST /HCV 24 27-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 25 27-FEB-19 ABC TEST HIV 26 27-FEB-19 VDRL TEST 27 27-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 28 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 27-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 30 27-FEB-19 SICKLING TEST 31 27-FEB-19
Page 5935 of 6486
SUSHILA SURYAWANSHI Rate Amount Qty 12.15 12.15 1 15.73 15.73 1 550 550 1 400 400 1 2.4 .16 15 26.7 .89 30 403.2 13.44 30 400 400 1 2400 2400 1 860 860 1 400 400 1 560 560 1 750 750 1 400 400 1 1300 1300 1 2400 2400 1 750 750 1 380 380 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1700 1700 1 1000 1000 1 1250 1250 1 600 600 1 330 330 1 400 400 1 1750 1750 1 165 165 1 Total: 22630.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422997 Min 01422997 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 09-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 16 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 5936 of 6486
RAMAJEE PRASAD Rate Amount Qty 70.2 2.34 30 18 .9 20 5.4 .18 30 3.7 .37 10 15.73 15.73 1 400 400 1 192.3 6.41 30 18.9 .63 30 76.5 2.55 30 2.22 .37 6 35.2 3.52 10 26.7 .89 30 60.9 2.03 30 21.3 .71 30 12 .4 30 7.8 .26 30 36 .6 60 21.6 .36 60 400 400 1 Total: 1424.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422998 Min 01422998 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5937 of 6486
Name
SHIV KUMARI Rate Amount Qty 12 .4 30 55.8 .93 60 66 1.1 60 15.6 .26 60 21.3 .71 30 400 400 1 Total: 570.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423002 Min 01423002 Appmt Dt Slno Description 06-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5938 of 6486
Name
PUSHPA WAKODIKAR Qty Rate Amount 10 .64 6.4 1 400 400 406.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423003 Min 01423003 Slno Description Appmt Dt UREA (BUN /UR) 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 04-FEB-19 SERUM COPPER (CU++) 4 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 5 04-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 6 04-FEB-19 ALKALINE PHOSPHATASE (ALP) 7 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 8 04-FEB-19 HB,TLC,DLC 9 04-FEB-19 PLATELET COUNT 10 04-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 11 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 15 09-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 16 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 09-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 18 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 09-FEB-19 PRAZOSIN,2.5MG,TABLET 22 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 25 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 27 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 28 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 29 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 30 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 31 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 32 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 16-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 34 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 35 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 36 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 37 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 38 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 39 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 40 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 41 28-FEB-19
Page 5939 of 6486
Name
RAMKUMAR Rate Amount Qty 275 275 1 275 275 1 550 550 1 500 500 1 275 275 1 275 275 1 275 275 1 4790 4790 1 300 300 1 330 330 1 330 330 1 400 400 1 275 275 1 275 275 1 21.3 .71 30 15.6 1.04 15 7.8 .26 30 123.53 123.53 1 39.72 6.62 6 16.2 1.08 15 10.65 .71 15 19.5 1.3 15 400 400 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 3.4 .34 10 64.8 1.08 60 8.1 .27 30 69.6 1.16 60 36.3 1.21 30 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 Total: 41501.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423004 Min 01423004 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 09-FEB-19 CREATININE /CRT 4 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 5940 of 6486
Name
TIJAN BAI Rate Amount Qty 3.84 .64 6 33.12 1.84 18 275 275 1 275 275 1 275 275 1 400 400 1 5.76 .64 9 33.12 1.84 18 400 400 1 54 .6 90 9 .3 30 400 400 1 Total: 2163.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423005 Min 01423005 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 17-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 3 17-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 17-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 17-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 17-FEB-19 OBSERVATION IN CASUALTY 7 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 17-FEB-19
Page 5941 of 6486
Name
MANMADHO RAO Rate Amount Qty 21.12 3.52 6 .64 .64 1 9.81 9.81 1 20.3 2.03 10 64.1 6.41 10 11.89 11.89 1 420 420 1 24.52 24.52 1 400 400 1 Total: 972.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423009 Min 01423009 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 13-FEB-19 CREATININE /CRT 3 13-FEB-19 COMPLETE HAEMOGRAM 4 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 13-FEB-19 UREA (BUN /UR) 6 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 13-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 8 13-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 20-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 5942 of 6486
Name
ANAND DAHARWAL Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 750 750 1 550 550 1 275 275 1 400 400 1 275 275 1 13.48 3.37 4 9.86 9.86 1 400 400 1 Total: 4523.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423010 Min 01423010 Appmt Dt Slno Description 13-FEB-19 1 COMPLETE HAEMOGRAM 13-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 5943 of 6486
Name
RANJANA DAHARWAL Qty Rate Amount 1 750 750 1 400 400 1150 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423014 Min 01423014 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 5944 of 6486
Name
LILIMA PANDA Rate Amount Qty 12.6 .42 30 2.5 .25 10 9.9 .99 10 18.9 .63 30 21.3 .71 30 8.9 .89 10 18.6 .62 30 55.8 .93 60 400 400 1 Total: 548.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423015 Min 01423015 Slno Description Appmt Dt DRY REAGENT BASED,GLUCOMETER TEST STRIPS 1 01-FEB-19 DEXTROSE,25%,100ML,POLY PKT,INJECTION 2 01-FEB-19 ECG 3 01-FEB-19 OBSERVATION IN CASUALTY 4 01-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 01-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 01-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 7 01-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 8 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 11 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 18-FEB-19 CREATININE /CRT 14 18-FEB-19 UREA (BUN /UR) 15 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 18-FEB-19
Page 5945 of 6486
Name
JAYANT KUMAR DEWANGAN Rate Amount Qty 9.62 9.62 1 19.1 19.1 1 450 450 1 420 420 1 9.81 9.81 1 24.52 24.52 1 22.71 22.71 1 23.39 23.39 1 400 400 1 275 275 1 1300 1300 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 Total: 5629.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423025 Min 01423025 Appmt Dt Slno Description 06-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5946 of 6486
Name
MAHADEO TEKAM Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423028 Min 01423028 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5947 of 6486
Name
.SON BAI Rate Amount Qty 18.6 .62 30 72 .6 120 117 1.3 90 55.8 .93 60 21.3 .71 30 400 400 1 Total: 684.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423032 Min 01423032 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5948 of 6486
Name
DEEPAK KUMAR SHARMA Rate Amount Qty 7.8 .26 30 400 400 1 36.3 1.21 30 27.9 .93 30 12 .4 30 400 400 1 Total: 884
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423033 Min 01423033 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5949 of 6486
Name
SARASWATULA VENKATA RAMA SARMA Rate Amount Qty 36 .6 60 34.8 1.16 30 10.65 .71 15 47.4 .79 60 12 .4 30 32.4 1.08 30 26.7 .89 30 400 400 1 Total: 599.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423035 Min 01423035 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 5950 of 6486
Name
LEELAMBER KARRAHE Rate Amount Qty 27.9 .93 30 8.1 .27 30 5.12 .64 8 8.9 .89 10 21.3 .71 30 400 400 1 21.3 .71 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 928.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423036 Min 01423036 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5951 of 6486
Name
UMA KARRAHE Rate Amount Qty 10.8 .36 30 18 .6 30 27.9 .93 30 400 400 1 27.9 .93 30 10.8 .36 30 18 .6 30 400 400 1 Total: 913.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423041 Min 01423041 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 5952 of 6486
Name
RADHE SHYAM VERMA Rate Amount Qty 12 .4 30 21.3 .71 30 167.4 5.58 30 117 1.3 90 18.9 .63 30 21.6 .36 60 72 .6 120 7.5 .25 30 400 400 1 Total: 837.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423043 Min 01423043 Slno Description Appmt Dt CREAM,ACICLOVIR,5%,5GM/TUBE 1 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 04-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 3 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 5953 of 6486
Name
A P VISHWAKARMA Rate Amount Qty 35.63 35.63 1 35.2 17.6 2 127.5 12.75 10 11.25 .75 15 7.4 .37 20 85.52 85.52 1 400 400 1 Total: 702.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423044 Min 01423044 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5954 of 6486
Name
SUNITA VISHWAKARMA Rate Amount Qty 5.7 .38 15 167.4 5.58 30 39 1.3 30 29.7 .99 30 47.4 .79 60 64.6 3.23 20 34.8 1.16 30 400 400 1 Total: 788.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423046 Min 01423046 Appmt Dt Slno Description 12-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12-FEB-19 2 ETORICOXIB,STRIP PKT,90MG,TABLET 12-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5955 of 6486
Name
PRABHA DEVI AGRAWAL Qty Rate Amount 10 .89 8.9 10 2.6 26 30 6.19 185.7 1 400 400 Total: 620.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423049 Min 01423049 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 5956 of 6486
Name
RAJENDRA PRASAD GUPTA Rate Amount Qty 8.9 .89 10 400 400 1 17.8 .89 20 33 1.1 30 400 400 1 Total: 859.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423055 Min 01423055 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5957 of 6486
Name
SURESH KUMAR SONI Rate Amount Qty 37.04 37.04 1 400 400 1 17.4 1.16 15 5.34 .89 6 10.08 1.12 9 21.12 3.52 6 18 .6 30 400 400 1 Total: 908.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423056 Min 01423056 Slno Description Appmt Dt DIACERIN,STRIP PKT,50MG,CAPSULE 1 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 11-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 3 11-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5958 of 6486
Name
ANITA SONI Rate Amount Qty 251.5 5.03 50 18.2 2.6 7 28.69 28.69 1 37.04 37.04 1 400 400 1 Total: 735.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423058 Min 01423058 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 26-FEB-19
Page 5959 of 6486
Name
RAJRANI Rate Amount Qty 36 .6 60 27.9 .93 30 400 400 1 400 400 1 275 275 1 275 275 1 Total: 1413.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423070 Min 01423070 Appmt Dt Slno Description 18-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5960 of 6486
Name
KAUSHALYA BAI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423073 Min 01423073 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 26-FEB-19
Page 5961 of 6486
Name
JAGDISH PRASAD Rate Amount Qty 20.84 5.21 4 400 400 1 1750 1750 1 4.1 .41 10 66 1.1 60 36 .6 60 32.4 1.08 30 7.5 .25 30 12 .4 30 34.8 1.16 30 Total: 2363.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423077 Min 01423077 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 18-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5962 of 6486
Name
ULLAS VIMAL MAHISWAR Rate Amount Qty 4.97 .71 7 12.81 12.81 1 7.4 .37 20 31.61 31.61 1 8.96 .64 14 400 400 1 Total: 465.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423087 Min 01423087 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 06-FEB-19 PRAZOSIN,2.5MG,TABLET 2 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 06-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 06-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5963 of 6486
Name
RAJESHWAR SINGH THAKUR Rate Amount Qty 60.9 2.03 30 156 1.3 120 17.4 .58 30 11.4 .38 30 42.6 .71 60 400 400 1 Total: 688.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423091 Min 01423091 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 5964 of 6486
Name
MUTHAKANA BRAHMAIAH Rate Amount Qty 33 1.1 30 117 1.3 90 36 .6 60 55.2 .92 60 4.8 .16 30 12 .4 30 21.3 .71 30 55.8 .93 60 400 400 1 Total: 735.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423092 Min 01423092 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 5965 of 6486
Name
M ARUNA Rate Amount Qty 245.6 6.14 40 10.42 5.21 2 400 400 1 2.4 .16 15 8.7 .58 15 21.3 .71 30 18 .6 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1185.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423095 Min 01423095 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 13 05-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 14 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 06-FEB-19 X - RAY - SINGLE VIEW 21 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 23 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 24 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 08-FEB-19 C T SMALL PARTS /HR 27 08-FEB-19 INHALANT,STRIP PACK,CAPSULE 28 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 29 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 16-FEB-19
Page 5966 of 6486
Name
RAJENDRA KUMAR TAMRAKAR Rate Amount Qty 21.6 .36 60 36 .6 60 17 1.7 10 27.9 .93 30 1.85 .37 5 26.6 2.66 10 3.84 .64 6 167.4 5.58 30 34.8 1.16 30 400 400 1 27.9 .93 30 34.8 1.16 30 34 1.7 20 57.4 5.74 10 13.35 .89 15 21.6 .36 60 167.4 5.58 30 36 .6 60 400 400 1 400 400 1 550 550 1 13.35 .89 15 17 1.7 10 37.24 2.66 14 400 400 1 400 400 1 6000 6000 1 25.5 1.7 15 1.85 .37 5 8.9 .89 10 66.2 6.62 10 400 400 1 Total: 9849.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423096 Min 01423096 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5967 of 6486
Name
SHOBHA TAMRAKAR Rate Amount Qty 27.9 .93 30 36 .6 60 33 1.1 30 23.1 .77 30 7.5 .25 30 400 400 1 Total: 527.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423097 Min 01423097 Appmt Dt Slno Description 01-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 01-FEB-19 2 CLOTRIMAZOLE 200+CLINDAMYCIN 100,VAG,TAB 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5968 of 6486
Name
AMBIKA DUBEY Qty Rate Amount 1 9.86 9.86 3 14.03 42.09 60 .93 55.8 1 400 400 Total: 507.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423100 Min 01423100 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 22-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 5969 of 6486
Name
HEMLATA CHAUDHARI Rate Amount Qty 6 .6 10 3.5 .7 5 6.82 6.82 1 11.2 1.12 10 66.2 6.62 10 2.5 .25 10 4.2 .42 10 3.7 .37 10 8.9 .89 10 400 400 1 Total: 513.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423101 Min 01423101 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 5970 of 6486
Name
AJAY CHOUDHARI Rate Amount Qty 33 1.1 30 55.8 .93 60 156 1.3 120 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 727
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423103 Min 01423103 Appmt Dt Slno Description 14-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 14-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5971 of 6486
Name
PRABHAWATI SINGH Qty Rate Amount 30 .62 18.6 30 .63 18.9 30 .89 26.7 1 400 400 Total: 464.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423104 Min 01423104 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5972 of 6486
Name
GYANCHAND Rate Amount Qty 60.9 2.03 30 7.5 .25 30 34.8 1.16 30 12 .4 30 36 .6 60 27.9 .93 30 400 400 1 Total: 579.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423105 Min 01423105 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 5973 of 6486
Name
KANTI CHANDRA Rate Amount Qty 4.8 .16 30 53.4 .89 60 23.6 1.18 20 27.9 .93 30 43.2 1.44 30 7.8 .26 30 7.5 .25 30 11.85 .79 15 7.65 .51 15 32.4 1.08 30 400 400 1 Total: 620.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423106 Min 01423106 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 IVABRADINE,5MG,,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 16-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 5974 of 6486
Name
BHASKAR NIMBALKAR Rate Amount Qty 26.7 .89 30 9.95 447.75 45 12 .4 30 32.4 1.08 30 69.6 1.16 60 31.2 1.04 30 400 400 1 Total: 1019.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423107 Min 01423107 Appmt Dt Slno Description 16-FEB-19 1 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5975 of 6486
Name
PUSPA NIMBALKAR Qty Rate Amount 2 28.69 57.38 1 400 400 457.38 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423108 Min 01423108 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5976 of 6486
Name
S.K. JAIN Rate Amount Qty 6.4 .64 10 55.2 1.84 30 4.1 .41 10 8.9 .89 10 400 400 1 Total: 474.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423109 Min 01423109 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 5977 of 6486
Name
SUDHA JAIN Rate Amount Qty 34.8 1.16 30 18 .6 30 400 400 1 Total: 452.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423121 Min 01423121 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 14-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 5978 of 6486
ANITA DEY Rate Amount Qty 90.88 45.44 2 20.84 5.21 4 34.8 1.16 30 36.3 1.21 30 15.3 .51 30 25.07 25.07 1 41.1 1.37 30 26.7 .89 30 7.5 .25 30 7.5 .25 30 37.04 37.04 1 400 400 1 2.5 .25 10 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 Total: 1153.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423124 Min 01423124 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 5979 of 6486
Name
SATYANARAYAN SINGH Rate Amount Qty 10.65 .71 15 4.8 .16 30 72.6 1.21 60 12 .4 30 54 .6 90 27.9 .93 30 21.6 .36 60 400 400 1 Total: 603.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423126 Min 01423126 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 5980 of 6486
Name
KRISHNA KUMAR YADAV Rate Amount Qty 16.2 .27 60 36 .6 60 32.4 1.08 30 21.3 .71 30 21.6 .36 60 47.4 .79 60 7.8 .26 30 400 400 1 Total: 582.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423127 Min 01423127 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5981 of 6486
Name
ANJALEE YADAV Rate Amount Qty 123.8 6.19 20 13.7 1.37 10 8.9 .89 10 8.4 .42 20 400 400 1 Total: 554.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423128 Min 01423128 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 5982 of 6486
Name
LAV KUMAR Rate Amount Qty 9 .3 30 23.7 .79 30 24 .4 60 32.4 1.08 30 69.6 1.16 60 66 1.1 60 400 400 1 Total: 624.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423131 Min 01423131 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 5983 of 6486
Name
KANTI BAI Rate Amount Qty 15.3 .51 30 21.3 .71 30 45 .6 75 55.8 .93 60 36.3 1.21 30 22.2 .37 60 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423133 Min 01423133 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5984 of 6486
Name
NEETA VERMA Rate Amount Qty 12.15 12.15 1 1.85 .37 5 26.6 2.66 10 4.45 .89 5 400 400 1 Total: 445.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423146 Min 01423146 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 14 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 5985 of 6486
Name
KHEM CHAND THAKRE Rate Amount Qty 3.3 .66 5 7.5 .25 30 21.3 .71 30 23.7 .79 30 400 400 1 18 .9 20 12.8 .64 20 17.8 .89 20 140.4 2.34 60 22.4 1.12 20 6.4 .64 10 18 .9 20 17.8 .89 20 140.4 2.34 60 22.4 1.12 20 400 400 1 Total: 1272.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423147 Min 01423147 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5986 of 6486
Name
LILAWATI THAKRE Rate Amount Qty 10.42 5.21 2 55.2 .92 60 18 .6 30 23.7 .79 30 400 400 1 Total: 507.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423149 Min 01423149 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 08-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 08-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 3 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 5987 of 6486
Name
MANJULA BAIDYA Rate Amount Qty 11.2 1.12 10 43.96 43.96 1 736.2 8.18 90 66.2 6.62 10 53.4 .89 60 400 400 1 Total: 1310.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423151 Min 01423151 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 5988 of 6486
Name
SMT. SUNITA Rate Amount Qty 105.9 3.53 30 18.6 .62 30 17.4 1.16 15 400 400 1 55.8 .93 60 400 400 1 Total: 997.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423153 Min 01423153 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 SOLIFENACIN,5MG,,TABLET 13 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 5989 of 6486
Name
BHAGOLI RAM Rate Amount Qty 9 .9 10 8.9 .89 10 1.85 .37 5 2.9 .58 5 6.4 .64 10 400 400 1 16.2 .18 90 20.1 .67 30 26.7 .89 30 7.5 .25 30 54 .9 60 400 400 1 806.4 13.44 60 60.9 2.03 30 400 400 1 Total: 2220.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423154 Min 01423154 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 27-FEB-19
Page 5990 of 6486
Name
LAGNI BAI Qty 1 1 1
Rate Amount 275 275 275 275 400 400 Total: 950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423155 Min 01423155 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 5991 of 6486
Name
NARESH KUMAR SINHA Rate Amount Qty 27.9 .93 30 19.8 .66 30 400 400 1 Total: 447.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423156 Min 01423156 Slno Description Appmt Dt DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5992 of 6486
Name
DAMAYANTIN SINHA Rate Amount Qty 10.38 1.73 6 2.56 .64 4 400 400 1 Total: 412.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423157 Min 01423157 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 5993 of 6486
Name
N P VERMA Rate Amount Qty 21.3 .71 30 23.7 .79 30 400 400 1 Total: 445
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423159 Min 01423159 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 UREA (BUN /UR) 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 5 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 02-FEB-19 URIC ACID (UA /URATES /UR) 7 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 9 02-FEB-19 SERUM COPPER (CU++) 10 02-FEB-19 ALKALINE PHOSPHATASE (ALP) 11 02-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 12 02-FEB-19 HB,TLC,DLC 13 02-FEB-19 PLATELET COUNT 14 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 15 02-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 16 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 06-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 18 06-FEB-19
Page 5994 of 6486
Name
DAYASHANKAR Rate Amount Qty 9.6 .64 15 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 550 550 1 275 275 1 500 500 1 275 275 1 275 275 1 300 300 1 330 330 1 4790 4790 1 330 330 1 400 400 1 4790 4790 1 Total: 14724.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423161 Min 01423161 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5995 of 6486
Name
MADHURI N. BHITTE Rate Amount Qty 15 .25 60 6.4 .64 10 400 400 1 Total: 421.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423164 Min 01423164 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 5996 of 6486
Name
DR. PRAVEER KUMAR BANERJEE Rate Amount Qty 72 .6 120 19.59 19.59 1 7.5 .25 30 78 1.3 60 13.95 .93 15 21.3 .71 30 21.6 .36 60 400 400 1 Total: 633.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423168 Min 01423168 Appmt Dt Slno Description 05-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 05-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 05-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5997 of 6486
Name
M RAVI KUMAR NAIDU Qty Rate Amount 30 .4 12 30 6.41 192.3 30 1.1 33 1 400 400 Total: 637.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423169 Min 01423169 Appmt Dt Slno Description 12-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5998 of 6486
Name
POONAM NAIDU Qty Rate Amount 20 .89 17.8 40 6.19 247.6 20 1.37 27.4 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423170 Min 01423170 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5999 of 6486
Name
KAMAL KANT DWIVEDI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 8.1 .27 30 21.3 .71 30 12 .4 30 400 400 1 Total: 694.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423171 Min 01423171 Appmt Dt Slno Description 06-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6000 of 6486
Name
SUSHMA DWIVEDI Qty Rate Amount 30 .4 12 30 .71 21.3 1 5.21 5.21 1 400 400 Total: 438.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423177 Min 01423177 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 6001 of 6486
Name
RAJENDRA SINGH CHANDEL Rate Amount Qty 17.4 1.16 15 27.9 .93 30 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423178 Min 01423178 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6002 of 6486
Name
RAJANI CHANDEL Qty Rate Amount 30 .93 27.9 60 .6 36 30 .71 21.3 1 400 400 Total: 485.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423180 Min 01423180 Slno Description Appmt Dt DICLOFENAC SODIUM,25MG/ML,INJECTION 1 08-FEB-19 OBSERVATION IN CASUALTY 2 08-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 08-FEB-19 ECG 4 08-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 08-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 6003 of 6486
Name
JYOTI ADAVADKAR Rate Amount Qty 5.77 5.77 1 420 420 1 24.52 24.52 1 450 450 1 11.89 11.89 1 9.81 9.81 1 16.8 1.12 15 8.9 .89 10 .8 .16 5 400 400 1 Total: 1348.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423181 Min 01423181 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6004 of 6486
Name
KASHMIR SINGH Rate Amount Qty 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423182 Min 01423182 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 22-FEB-19 PRAZOSIN,2.5MG,TABLET 4 22-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6005 of 6486
Name
GURMEET KAUR Rate Amount Qty 34.8 1.16 30 18.9 .63 30 317.7 3.53 90 156 1.3 120 11.1 .37 30 400 400 1 Total: 938.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423185 Min 01423185 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 26-FEB-19 CREATININE /CRT 9 26-FEB-19 UREA (BUN /UR) 10 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 11 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 26-FEB-19
Page 6006 of 6486
Name
C CHANDRASHEKHAR Rate Amount Qty 550 550 1 23.7 .79 30 117 1.3 90 43.2 .36 120 72 .6 120 1050 1050 1 7.5 .25 30 1300 1300 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 Total: 5963.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423187 Min 01423187 Appmt Dt Slno Description 23-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 23-FEB-19 2 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 23-FEB-19 3 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6007 of 6486
Name
BIHAU RAM Qty Rate Amount 12 .64 7.68 24 1.84 44.16 8 .6 4.8 1 400 400 Total: 456.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423188 Min 01423188 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 6008 of 6486
Name
FULESHAWARI BAI Rate Amount Qty 12 .4 30 21.3 .71 30 400 400 1 Total: 433.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423189 Min 01423189 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 21-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 6009 of 6486
Name
D YELLAJI Rate Amount Qty 7.5 .25 30 62.4 1.04 60 172.8 1.44 120 26.7 .89 30 184.2 6.14 30 15.3 .51 30 123.53 370.59 3 400 400 1 Total: 1239.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423190 Min 01423190 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 09-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 6010 of 6486
Name
D.NUKARATNAM Rate Amount Qty 21.3 .71 30 .48 .16 3 8.9 .89 10 8.1 .27 30 27.6 .92 30 36 .6 60 400 400 1 26 2.6 10 8.9 .89 10 400 400 1 Total: 937.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423192 Min 01423192 Slno Description Appmt Dt ECG 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 01-FEB-19 OBSERVATION IN CASUALTY 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19
Page 6011 of 6486
Name
PRAMOD KUMAR CHOUDHARY Rate Amount Qty 450 450 1 .16 .16 1 .89 .89 1 9.62 9.62 1 420 420 1 55.8 .93 60 6.3 .42 15 9.3 .62 15 66 1.1 60 7.5 .25 30 21.3 .71 30 60.9 2.03 30 167.4 5.58 30 32.4 1.08 30 400 400 1 Total: 1707.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423193 Min 01423193 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6012 of 6486
Name
TARA CHOUDHARY Rate Amount Qty 18.6 .62 30 167.4 5.58 30 36 .6 60 27.9 .93 30 400 400 1 Total: 649.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423204 Min 01423204 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 16-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 16-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 9 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 26-FEB-19
Page 6013 of 6486
Name
HABIB AHMED QURESHI Rate Amount Qty 19.72 9.86 2 57.84 57.84 1 7.4 .37 20 26.96 3.37 8 400 400 1 400 400 1 275 275 1 1300 1300 1 1300 1300 1 275 275 1 Total: 4061.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423206 Min 01423206 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 18-FEB-19 GUM ANALGESIC GEL 17 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 24 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 27 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 28 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 29 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 31 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 22-FEB-19
Page 6014 of 6486
Name
MOHD ZAHID RASHID Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 4.8 .16 30 36 .6 60 27.9 .93 30 12 .4 30 69.6 1.16 60 400 400 1 185.7 6.19 30 192.3 6.41 30 26.7 .89 30 400 400 1 11.1 .37 30 19.2 .64 30 53.4 .89 60 28.69 28.69 1 4.1 .41 10 6.4 .64 10 8.9 .89 10 70.2 2.34 30 400 400 1 3.7 .37 10 26.6 2.66 10 400 400 1 27.9 .93 30 36 .6 60 12 .4 30 2.4 .16 15 13.35 .89 15 69.6 1.16 60 400 400 1 Total: 2969.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423211 Min 01423211 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 6015 of 6486
Name
SARVJEET SINGH Rate Amount Qty 10.8 .36 30 27.9 .93 30 3.75 .25 15 32.4 1.08 30 12 .4 30 34.8 1.16 30 167.4 5.58 30 36 .6 60 400 400 1 Total: 725.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423212 Min 01423212 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 6016 of 6486
Name
SATNAM KAUR Rate Amount Qty 15.6 1.04 15 13.95 .93 15 6.9 .23 30 14.2 .71 20 21.3 .71 30 400 400 1 Total: 471.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423224 Min 01423224 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 6017 of 6486
Name
RAJENDRA PRASAD Rate Amount Qty 25.2 .42 60 15 .25 60 400 400 1 Total: 440.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423228 Min 01423228 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 6018 of 6486
Name
KAPIL RAM THAKUR Rate Amount Qty 18 .6 30 27.9 .93 30 400 400 1 Total: 445.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423229 Min 01423229 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 6019 of 6486
Name
KISHNI THAKUR Rate Amount Qty 21.3 .71 30 13.95 .93 15 400 400 1 Total: 435.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423230 Min 01423230 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 6020 of 6486
Name
JAFAR ULLAH KHAN Rate Amount Qty 32.4 1.08 30 12 .4 30 33 1.1 30 34.8 1.16 30 1.85 .37 5 23.7 .79 30 400 400 1 Total: 537.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423234 Min 01423234 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 6021 of 6486
Name
ASHOK KUMAR Rate Amount Qty 36.3 1.21 30 167.4 5.58 30 72 .6 120 21.6 .36 60 400 400 1 Total: 697.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423236 Min 01423236 Slno Description Appmt Dt DIACERIN,STRIP PKT,50MG,CAPSULE 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 25-FEB-19 CREATININE /CRT 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 6022 of 6486
Name
RAVINDER PAL SINGH BHATIA Rate Amount Qty 301.8 5.03 60 7.5 .25 30 13.7 1.37 10 400 400 1 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 27.9 .93 30 26.7 .89 30 400 400 1 Total: 3702.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423237 Min 01423237 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 20-FEB-19 MYCOPHENOLATE MOFETIL,500MG,TABLET 14 20-FEB-19 DEFLAZACORT 6MG,,TABLET 15 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 20-FEB-19 CALCIUM (CA) 17 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 25-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 20 25-FEB-19 ALKALINE PHOSPHATASE (ALP) 21 25-FEB-19 COMPLETE HAEMOGRAM 22 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 24 25-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 25 25-FEB-19 PLATELET COUNT 26 25-FEB-19 ESR 27 25-FEB-19 HB,TLC,DLC 28 25-FEB-19 CRP 29 25-FEB-19 RA FACTOR /RH FACTOR 30 25-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 31 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 32 25-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 33 25-FEB-19 BMD/DEXA SCAN 34 25-FEB-19 X - RAY - SINGLE VIEW 35 25-FEB-19 MAMOGRAPHY 36 25-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 37 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 25-FEB-19
Page 6023 of 6486
Name
RAVINDER KAUR BHATIA Rate Amount Qty 6.4 .64 10 1.25 .25 5 4.45 .89 5 400 400 1 18.9 .63 30 13.7 1.37 10 185.7 6.19 30 400 400 1 26.7 .89 30 2.4 .16 15 139.2 1.16 120 12 .4 30 33 1.1 30 688.8 22.96 30 83.1 2.77 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 750 750 1 8.9 .89 10 26.8 .67 40 26 2.6 10 330 330 1 165 165 1 300 300 1 600 600 1 600 600 1 550 550 1 400 400 1 1750 1750 1 1500 1500 1 550 550 1 2000 2000 1 1000 1000 1 400 400 1 Total: 14747.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423239 Min 01423239 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 20-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 10 20-FEB-19 UREA (BUN /UR) 11 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 6024 of 6486
Name
SHYAMA SHARMA Rate Amount Qty 6.4 .64 10 55.8 .93 60 16.2 .27 60 27.4 1.37 20 8.9 .89 10 150.9 5.03 30 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 34.8 1.16 30 400 400 1 Total: 4450.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423244 Min 01423244 Appmt Dt Slno Description 15-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6025 of 6486
Name
SOMCHAND DEWANGAN Qty Rate Amount 30 1.08 32.4 30 .93 27.9 30 .23 6.9 1 400 400 Total: 467.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423245 Min 01423245 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 07-FEB-19 CREATININE /CRT 3 07-FEB-19 UREA (BUN /UR) 4 07-FEB-19 URIC ACID (UA /URATES /UR) 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 09-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 9 09-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 09-FEB-19 TACROLIMUS,1MG, TAB/CAP 13 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 09-FEB-19
Page 6026 of 6486
Name
CHANDRA KANTA DEWANGAN Rate Amount Qty 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 21.3 .71 30 13.95 .93 15 31.99 1919.4 60 30.15 .67 45 6.4 .64 10 18 .6 30 672.6 11.21 60 400 400 1 Total: 4878.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423248 Min 01423248 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 DRESSING SIMPLE 4 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 24-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 8 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 24-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 24-FEB-19 SYRINGE,DISPOSABLE,2ML 11 24-FEB-19 ONDANSETRON,2MG/ML,INJECTION 12 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 13 24-FEB-19 ECG 14 24-FEB-19 OBSERVATION IN CASUALTY 15 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 24-FEB-19
Page 6027 of 6486
Name
ANIL KUMAR DAYAL Rate Amount Qty 12.8 .64 20 8.9 .89 10 400 400 1 3000 300 10 41.06 41.06 1 400 400 1 24.52 24.52 1 2.8 .7 4 8.9 .89 10 20.06 20.06 1 3.68 1.84 2 7.52 7.52 1 9.62 9.62 1 450 450 1 420 420 1 400 400 1 Total: 5209.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423249 Min 01423249 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 24-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 24-FEB-19 ECG 4 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 24-FEB-19 ONDANSETRON,2MG/ML,INJECTION 6 24-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 24-FEB-19
Page 6028 of 6486
Name
VANDANA DAYAL Rate Amount Qty 420 420 1 2.8 .7 4 9.62 9.62 1 450 450 1 8.9 .89 10 7.52 7.52 1 24.52 24.52 1 400 400 1 Total: 1323.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423253 Min 01423253 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6029 of 6486
Name
SMT. LAXMI SONI Qty Rate Amount 30 1.16 34.8 1 400 400 434.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423254 Min 01423254 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 6030 of 6486
Name
RAMAPATI SINGH Rate Amount Qty 36 .6 60 15.96 2.66 6 13.95 .93 15 7.5 .25 30 21.3 .71 30 21.6 .36 60 400 400 1 Total: 516.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423255 Min 01423255 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 6031 of 6486
Name
SHEELA SINGH Rate Amount Qty 3.84 .64 6 1.85 .37 5 2.28 .38 6 400 400 1 18.9 .63 30 27.9 .62 45 400 400 1 Total: 854.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423256 Min 01423256 Appmt Dt Slno Description 18-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 18-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6032 of 6486
Name
DURGA PRASAD SANDILYA Qty Rate Amount 30 .63 18.9 30 .71 21.3 60 .36 21.6 1 400 400 Total: 461.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423258 Min 01423258 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 6033 of 6486
Name
NISHITH KUMAR ACHINT Rate Amount Qty 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423259 Min 01423259 Appmt Dt Slno Description 14-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 14-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14-FEB-19 3 VITAMIN A CHEWABLE,50000IU,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6034 of 6486
Name
HEMLATA ACHINT Qty Rate Amount 30 .38 11.4 30 .38 11.4 30 .75 22.5 1 400 400 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423263 Min 01423263 Appmt Dt Slno Description 08-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 08-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6035 of 6486
Name
RUDLAL Qty Rate Amount 5 .64 3.2 5 .37 1.85 10 .89 8.9 1 400 400 Total: 413.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423264 Min 01423264 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 6036 of 6486
Name
GOMTI Rate Amount Qty 7.5 .25 30 5.21 5.21 1 26.7 .89 30 20.06 20.06 1 18.6 .62 30 27.9 .93 30 400 400 1 Total: 505.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423265 Min 01423265 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 6037 of 6486
Name
FATAN LAL SAHU Rate Amount Qty 11.85 .79 15 7.8 .26 30 12 .4 30 34.8 1.16 30 9.9 .66 15 7.5 .25 30 3.75 .25 15 18 .6 30 400 400 1 Total: 505.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423266 Min 01423266 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6038 of 6486
Name
SMT TARA SAHU Rate Amount Qty 27.9 .62 45 20.84 5.21 4 400 400 1 Total: 448.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423267 Min 01423267 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 6039 of 6486
Name
JAGARAPU ARJUNA PRASAD Rate Amount Qty 15.6 .26 60 4.8 .16 30 32.4 1.08 30 21.3 .71 30 72.6 1.21 60 55.8 .93 60 400 400 1 Total: 602.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423268 Min 01423268 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 6040 of 6486
Name
JAGARAPU SARASWATHI DEVI Rate Amount Qty 54 .6 90 7.5 .25 30 9 .3 30 33 1.1 30 27.9 .93 30 21.3 .71 30 117 1.3 90 400 400 1 Total: 669.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423271 Min 01423271 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 6041 of 6486
Name
J K DEWANGAN Rate Amount Qty 27.9 .93 30 18 .6 30 7.5 .25 30 400 400 1 3.75 .25 15 18 .6 30 27.9 .93 30 400 400 1 Total: 903.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423272 Min 01423272 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 6042 of 6486
Name
GANGOTRI DEWANGAN Rate Amount Qty 23.7 .79 30 400 400 1 18.6 .62 30 23.7 .79 30 400 400 1 Total: 866
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423273 Min 01423273 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 27-FEB-19 PRAZOSIN,2.5MG,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 6043 of 6486
Name
S NARSINGH Rate Amount Qty 14.85 .99 15 72 .6 120 47.4 .79 60 39 1.3 30 10.8 .36 30 400 400 1 Total: 584.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423276 Min 01423276 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 6044 of 6486
Name
BUDDHI SAGAR Rate Amount Qty 6.9 .23 30 22.8 .38 60 18.9 .63 30 27.9 .93 30 27.9 .62 45 400 400 1 Total: 504.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423278 Min 01423278 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 26-FEB-19 URIC ACID (UA /URATES /UR) 2 26-FEB-19 CREATININE /CRT 3 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 26-FEB-19
Page 6045 of 6486
Name
SAHEB RAO DHADSE Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 2800
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423280 Min 01423280 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14-FEB-19 2 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6046 of 6486
Name
AMRIKALAL Qty Rate Amount 30 .71 21.3 10 .41 4.1 30 .93 27.9 1 400 400 Total: 453.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423281 Min 01423281 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6047 of 6486
Name
SUSHMA DEVI Rate Amount Qty 10.8 .36 30 55.8 .93 60 72 .6 120 7.65 .51 15 8.1 .27 30 400 400 1 Total: 554.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423282 Min 01423282 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 6048 of 6486
Name
ERNEST MILTON LAL Rate Amount Qty 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 123.53 247.06 2 12 .4 30 15.6 .26 60 400 400 1 Total: 797.66
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423283 Min 01423283 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 6049 of 6486
BINDU MILTON LAL Rate Amount Qty 70.2 2.34 30 96.44 48.22 2 2.5 .25 10 6.4 .64 10 70.2 2.34 30 3.7 .37 10 12.8 .64 20 22.5 .75 30 400 400 1 Total: 684.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423288 Min 01423288 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6050 of 6486
Name
BHARAT SINGH Qty Rate Amount 60 .93 55.8 30 .71 21.3 30 1.08 32.4 1 400 400 Total: 509.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423289 Min 01423289 Appmt Dt Slno Description 15-FEB-19 1 RANITIDINE HCL,STRIP PKT,150MG,TABLET 15-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6051 of 6486
Name
TRIVENI BAI Qty 8 8 4 1
Rate Amount .77 6.16 .64 5.12 .37 1.48 400 400 Total: 412.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423290 Min 01423290 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 X - RAY - TWO VIEWS 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 11-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 6052 of 6486
Name
RAJ KAPOOR TAMRAKAR Rate Amount Qty 9.9 .66 15 1720 860 2 400 400 1 26 2.6 10 48.9 4.89 10 400 400 1 185.7 6.19 30 26.7 .89 30 13.5 .3 45 33 1.1 30 20.84 5.21 4 26 2.6 10 400 400 1 Total: 3310.54
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423291 Min 01423291 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 12-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 12-FEB-19 URIC ACID (UA /URATES /UR) 10 12-FEB-19 CREATININE /CRT 11 12-FEB-19 UREA (BUN /UR) 12 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 17 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 19 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 21 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 6053 of 6486
RAMDULARI TAMRAKAR Rate Amount Qty 50.14 25.07 2 55.8 .93 60 8.1 .27 30 400 400 1 275 275 1 20.06 20.06 1 14.85 .99 15 8.9 .89 10 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 .8 .16 5 400 400 1 92.1 6.14 15 29.7 .99 30 87.92 43.96 2 8.1 .27 30 20.06 20.06 1 8.9 .89 10 55.8 .93 60 400 400 1 Total: 4736.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423294 Min 01423294 Appmt Dt Slno Description 26-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 26-FEB-19 3 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6054 of 6486
Name
DEVI PRASAD VISHWAKARMA Qty Rate Amount 60 1.1 66 60 .79 47.4 60 .37 22.2 1 400 400 Total: 535.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423296 Min 01423296 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 08-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 6055 of 6486
Name
IQBAL KHAN Rate Amount Qty 7.5 .25 30 33 1.1 30 11.85 .79 15 12 .4 30 34.8 1.16 30 82.76 165.52 2 400 400 1 19.18 1.37 14 6.23 .89 7 400 400 1 Total: 1090.08
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423297 Min 01423297 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 15-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 2 15-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 28-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 7 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 28-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 28-FEB-19
Page 6056 of 6486
SHAMA PARVEEN Rate Amount Qty 26 2.6 10 156.51 313.02 2 50.14 25.07 2 8.9 .89 10 400 400 1 1.85 .37 5 25.69 25.69 1 25.07 25.07 1 3.84 .64 6 35.2 3.52 10 8.9 .89 10 16.8 1.12 15 400 400 1 1750 1750 1 Total: 3065.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423300 Min 01423300 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6057 of 6486
Name
RADHE SHYAM SARVA Qty Rate Amount 30 1.1 33 1 400 400 433 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423302 Min 01423302 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 6058 of 6486
Name
PURAN PRASAD SHARMA Rate Amount Qty 13.08 2.18 6 8.9 .89 10 16.8 1.12 15 35.2 3.52 10 400 400 1 Total: 473.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423305 Min 01423305 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 6059 of 6486
Name
SUPARNA DE Rate Amount Qty 185.7 6.19 30 21.3 .71 30 12 .4 30 55.8 .93 60 14.85 .99 15 33 1.1 30 400 400 1 Total: 722.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423306 Min 01423306 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6060 of 6486
Name
SOHAN SINGH Rate Amount Qty 7.5 .25 30 55.8 .93 60 66 1.1 60 8.1 .27 30 21.3 .71 30 400 400 1 Total: 558.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423308 Min 01423308 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 PROTHROMBIN TIME (PT) 8 05-FEB-19
Page 6061 of 6486
Name
ASIM KUMAR BISWAS Rate Amount Qty 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 330 330 1 Total: 3805
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423311 Min 01423311 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 19-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 20 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 6062 of 6486
Name
NEMI CHAND PATKAR Rate Amount Qty 31.61 31.61 1 25.62 12.81 2 11.1 .37 30 400 400 1 72 .6 120 13.8 .23 60 29.7 .99 30 55.8 .93 60 34.8 1.16 30 7.5 .25 30 117 1.3 90 334.8 5.58 60 400 400 1 12.15 12.15 1 4.45 .89 5 9 .9 10 1.85 .37 5 70.2 2.34 30 400 400 1 12.15 12.15 1 3.7 .37 10 9 .9 10 400 400 1 Total: 2456.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423312 Min 01423312 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 07-FEB-19 ONDANSETRON,2MG/ML,INJECTION 2 07-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 3 07-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 4 07-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 5 07-FEB-19 INDOOR DEPARTMENTAL CONSULTATION (PER DA 6 07-FEB-19 ECG 7 07-FEB-19 OBSERVATION IN CASUALTY 8 07-FEB-19 ECG 9 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 11-FEB-19 X - RAY - TWO VIEWS 12 11-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 13 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 14-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 18 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 23 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 24 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 25 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 26 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 28 19-FEB-19 X - RAY - SINGLE VIEW 29 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 30 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 31 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 19-FEB-19
Page 6063 of 6486
Name
KALYANI BAI PATKAR Rate Amount Qty 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 35.52 35.52 1 100 100 1 600 600 1 450 450 1 420 420 1 450 450 1 9.62 9.62 1 400 400 1 860 860 1 21.3 .71 30 15 .25 60 400 400 1 27.9 .93 30 34.8 1.16 30 96 9.6 10 4.45 .89 5 66.2 6.62 10 36 .6 60 78 1.3 60 167.4 5.58 30 32.4 .36 90 9.6 .64 15 1.9 .38 5 400 400 1 12.15 12.15 1 550 550 1 3.7 .37 10 400 400 1 400 400 1 Total: 6125.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423313 Min 01423313 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 09-FEB-19
Page 6064 of 6486
Name
RAJENDRA KUMAR VERMA Rate Amount Qty 55.8 .93 60 400 400 1 144 .6 240 64.8 1.08 60 24 .4 60 34.8 1.16 30 145.2 1.21 120 16.2 .27 60 16.2 .27 60 64.8 .36 180 Total: 965.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423315 Min 01423315 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 6065 of 6486
Name
SUBHASH CHAND AGRAWAL Rate Amount Qty 27.9 .93 30 76.5 2.55 30 21.3 .71 30 192.3 6.41 30 60.9 2.03 30 185.7 6.19 30 6.9 .23 30 400 400 1 Total: 971.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423316 Min 01423316 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6066 of 6486
Name
BIMLA AGRAWAL Rate Amount Qty 21.3 .71 30 21.3 .71 30 3.75 .25 15 13.35 .89 15 400 400 1 Total: 459.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423323 Min 01423323 Appmt Dt Slno Description 07-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6067 of 6486
Name
BABU RAM VERMA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423324 Min 01423324 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 6068 of 6486
Name
JYOTI VERMA Rate Amount Qty 72 .6 120 58.5 1.3 45 334.8 5.58 60 21.3 .71 30 55.8 .93 60 400 400 1 Total: 942.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423326 Min 01423326 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 6069 of 6486
Name
KAMLA SAHU Rate Amount Qty 8.9 .89 10 66.2 6.62 10 21.3 .71 30 41.85 .93 45 1.85 .37 5 400 400 1 1.85 .37 5 21.3 .71 30 41.85 .93 45 400 400 1 Total: 1005.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423338 Min 01423338 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 20-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 6070 of 6486
Name
USHA CHOUBEY Rate Amount Qty 11.25 .75 15 11.1 .37 30 31.61 31.61 1 35.2 17.6 2 18 .6 30 400 400 1 Total: 507.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423339 Min 01423339 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 15 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 6071 of 6486
Name
MD. AZAD Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 16.2 1.08 15 17.4 1.16 15 16.5 1.1 15 4.05 .27 15 20.06 20.06 1 9 .6 15 26.7 .89 30 11.2 1.12 10 400 400 1 8.1 .27 30 36.3 1.21 30 21.3 .71 30 18 .6 30 400 400 1 Total: 3129.81
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423341 Min 01423341 Appmt Dt Slno Description 25-FEB-19 1 BRIMONIDINE TARTRATE,0.15% 25-FEB-19 2 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 25-FEB-19 3 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6072 of 6486
TIWARY RK Qty 2 2 2 1
Rate Amount 74.45 148.9 156.51 313.02 25.07 50.14 400 400 Total: 912.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423342 Min 01423342 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 6073 of 6486
Name
VEENA TIWARI Rate Amount Qty 26.7 .89 30 3.84 .64 6 34.8 1.16 30 36 .6 60 8.1 .27 30 66 1.1 60 27.9 .93 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 647.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423343 Min 01423343 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 ECG 7 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 27-FEB-19
Page 6074 of 6486
Name
RABI ROY Rate Amount Qty 368.4 6.14 60 21.3 .71 30 12 .4 30 33 1.1 30 8.1 .27 30 55.8 .93 60 450 450 1 400 400 1 26.7 .89 30 Total: 1375.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423346 Min 01423346 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 URIC ACID (UA /URATES /UR) 2 04-FEB-19 CREATININE /CRT 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 6075 of 6486
Name
BANDANA JOSHI Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 33 1.1 30 14.85 .99 15 1300 1300 1 275 275 1 275 275 1 21.3 .71 30 14.85 .99 15 33 1.1 30 400 400 1 Total: 3592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423351 Min 01423351 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 6076 of 6486
Name
DHAL SINGH BANCHHOR Rate Amount Qty 26.7 .89 30 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 492.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423353 Min 01423353 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 6077 of 6486
Name
BEDU RAM SAHU Rate Amount Qty 6.4 .64 10 8.9 .89 10 400 400 1 Total: 415.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423354 Min 01423354 Appmt Dt Slno Description 25-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 25-FEB-19 2 GRANULE,VITAMIN D-3,1GM/PKT 25-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6078 of 6486
Name
SATYABHAMA Qty Rate Amount 30 .62 18.6 4 5.21 20.84 60 .38 22.8 1 400 400 Total: 462.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423357 Min 01423357 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 6079 of 6486
Name
MOHD. UMAR KHAN Rate Amount Qty 18 .6 30 27.9 .93 30 12 .4 30 18.6 .62 30 18.9 .63 30 17.4 1.16 15 400 400 1 Total: 512.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423358 Min 01423358 Appmt Dt Slno Description 19-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 19-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6080 of 6486
Name
NAFIS AKHTAR BANO Qty Rate Amount 60 .37 22.2 60 .93 55.8 60 1.1 66 1 400 400 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423359 Min 01423359 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 6081 of 6486
Name
DHAL SINGH Rate Amount Qty 29.7 .99 30 6.9 .23 30 55.8 .93 60 18.9 .63 30 400 400 1 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423360 Min 01423360 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 14-FEB-19
Page 6082 of 6486
Name
SAVITRI BAI Rate Amount Qty 55.8 .93 60 36 .6 60 4.5 .3 15 39 1.3 30 17.4 1.16 15 400 400 1 15 .25 60 21.3 .71 30 400 400 1 275 275 1 275 275 1 Total: 1539
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423363 Min 01423363 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 6083 of 6486
Name
G RAJARATNAM Rate Amount Qty 6.9 .23 30 7.65 .51 15 21.3 .71 30 55.8 .93 60 400 400 1 Total: 491.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423365 Min 01423365 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6084 of 6486
Name
SHANKAR LAL UMARE Rate Amount Qty 167.4 5.58 30 21.3 .71 30 12 .4 30 27.9 .93 30 8.1 .27 30 400 400 1 192.3 6.41 30 400 400 1 Total: 1229
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423367 Min 01423367 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6085 of 6486
Name
TORANGIR Rate Amount Qty 13.35 .89 15 32.4 1.08 30 12 .4 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 520.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423368 Min 01423368 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 6086 of 6486
Name
GITA BAI Rate Amount Qty 275 275 1 275 275 1 18 .6 30 27.6 .92 30 118.5 3.95 30 21.3 .71 30 3.75 .25 15 78 1.3 60 400 400 1 Total: 1217.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423371 Min 01423371 Appmt Dt Slno Description 20-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6087 of 6486
Name
SUNIL DUTT BAJPAI Qty Rate Amount 15 .25 3.75 30 1.1 33 30 .93 27.9 1 400 400 Total: 464.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423377 Min 01423377 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 10 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 6088 of 6486
Name
KERA BAI Rate Amount Qty 20.06 20.06 1 7.7 .77 10 16.8 1.12 15 400 400 1 4.8 .6 8 44.16 1.84 24 7.68 .64 12 400 400 1 7.68 .64 12 4.8 .6 8 44.16 1.84 24 400 400 1 Total: 1357.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423378 Min 01423378 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 6089 of 6486
Name
RAKESH KUMAR Rate Amount Qty 192.3 6.41 30 118.5 3.95 30 55.8 .93 60 156 1.3 120 2.4 .16 15 21.3 .71 30 400 400 1 Total: 946.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423380 Min 01423380 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 6090 of 6486
Name
ISHWARI PRASAD MADHARIYA Rate Amount Qty 9.45 .63 15 10.65 .71 15 13.95 .93 15 400 400 1 27.9 .93 30 21.3 .71 30 400 400 1 Total: 883.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423382 Min 01423382 Slno Description Appmt Dt AMIODARONE HCL,STRIP PKT,200MG,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 7 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 6091 of 6486
Name
MOTI RAM TANDAN Rate Amount Qty 61.8 4.12 15 21.3 .71 30 12 .4 30 32.4 1.08 30 167.4 5.58 30 36 .6 60 157.8 2.63 60 36.3 1.21 30 105.9 3.53 30 55.8 .93 60 400 400 1 Total: 1086.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423383 Min 01423383 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6092 of 6486
Name
KALAWATI TANDAN Rate Amount Qty 2.22 .37 6 8.9 .89 10 35.2 3.52 10 6.4 .64 10 400 400 1 Total: 452.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423384 Min 01423384 Appmt Dt Slno Description 20-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6093 of 6486
Name
AV SURESH KUMAR Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423385 Min 01423385 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 OBSERVATION IN CASUALTY 4 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 23-FEB-19 ECG 6 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 23-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 24-FEB-19 RIFAXIMIN 200 MG,,TABLET 10 24-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 11 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 24-FEB-19
Page 6094 of 6486
Name
A.S. PADMA Rate Amount Qty 36 .6 60 10.8 .36 30 400 400 1 420 420 1 9.62 9.62 1 450 450 1 24.52 24.52 1 7.52 7.52 1 10.08 1.12 9 27.99 9.33 3 4.2 .7 6 8.9 .89 10 400 400 1 Total: 1809.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423390 Min 01423390 Appmt Dt Slno Description 06-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6095 of 6486
Name
VIDYAWATI Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423391 Min 01423391 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 6096 of 6486
Name
FULJENCIA TIRKEY Rate Amount Qty 27.9 .93 30 16.5 1.1 15 7.65 .51 15 18.9 .63 30 400 400 1 Total: 470.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423392 Min 01423392 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6097 of 6486
Name
EMMANUEL TIRKEY Rate Amount Qty 14.85 .99 15 55.8 .93 60 400 400 1 Total: 470.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423396 Min 01423396 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 16-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 3 16-FEB-19 URINE ROUTINE AND MICROSCOPIC 4 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 16-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 6 16-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 26-FEB-19 TIBOLONE,STRIP PKT,2.5MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 27-FEB-19 MAMOGRAPHY 11 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 27-FEB-19
Page 6098 of 6486
Name
M ESHWARI Rate Amount Qty 1750 1750 1 35.2 3.52 10 85.8 8.58 10 380 380 1 400 400 1 650 650 1 41.06 41.06 1 464.4 15.48 30 400 400 1 43.96 43.96 1 2000 2000 1 275 275 1 400 400 1 275 275 1 Total: 7200.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423397 Min 01423397 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 DRESSING SIMPLE 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 X - RAY - TWO VIEWS 7 19-FEB-19 ESR 8 19-FEB-19 HB,TLC,DLC 9 19-FEB-19 URIC ACID (UA /URATES /UR) 10 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 6099 of 6486
Name
BANSHI LAL HIRWANI Rate Amount Qty 4.45 .89 5 10.95 .73 15 13.7 1.37 10 300 300 1 400 400 1 400 400 1 860 860 1 165 165 1 300 300 1 275 275 1 275 275 1 275 275 1 8.9 .89 10 13.7 1.37 10 2.5 .25 10 400 400 1 Total: 3704.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423398 Min 01423398 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 6100 of 6486
Name
CHETNA HIRWANI Rate Amount Qty 104.4 1.74 60 54 .9 60 400 400 1 Total: 558.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423403 Min 01423403 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 20-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 6101 of 6486
Name
BINAY BHUSON KAITH Rate Amount Qty 36.3 1.21 30 1.48 .37 4 3.84 .64 6 15.96 2.66 6 21.3 .71 30 8.1 .27 30 400 400 1 Total: 486.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423407 Min 01423407 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 6102 of 6486
Name
VIRENDRA KUMAR GUPTA Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 400 400 1 167.4 5.58 30 3.75 .25 15 60.9 2.03 30 21.3 .71 30 36 .6 60 42.6 .71 60 55.8 .93 60 8.1 .27 30 400 400 1 Total: 3045.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423408 Min 01423408 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 07-FEB-19 BLOOD FOR T-3,T-4,TSH 7 07-FEB-19
Page 6103 of 6486
Name
RASHMI GUPTA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 18.6 .62 30 400 400 1 2400 2400 1 Total: 5068.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423410 Min 01423410 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 6104 of 6486
Name
PRABHA YADU Rate Amount Qty 55.8 .93 60 16.2 .27 60 9 .3 30 18 .6 30 3.75 .25 15 400 400 1 Total: 502.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423413 Min 01423413 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 15-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 15-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 15-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 6105 of 6486
Name
RUPENDRA NATH Rate Amount Qty 26.7 .89 30 156.6 1.74 90 30.15 .67 45 54 .9 60 59.4 .66 90 69.05 69.05 1 400 400 1 Total: 795.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423415 Min 01423415 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6106 of 6486
Name
KRISHNA KANTA DHALI Rate Amount Qty 17.4 1.16 15 3.75 .25 15 27.9 .93 30 8.1 .27 30 33 1.1 30 167.4 5.58 30 72 .6 120 400 400 1 Total: 729.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423416 Min 01423416 Appmt Dt Slno Description 14-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 14-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6107 of 6486
Name
RINKU DHALI Qty Rate Amount 15 2.55 38.25 30 .93 27.9 30 .25 7.5 1 400 400 Total: 473.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423417 Min 01423417 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 08-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6108 of 6486
Name
KRIPA RAM SAHU Qty Rate Amount 60 .93 55.8 30 1.1 33 10 .64 6.4 1 400 400 Total: 495.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423418 Min 01423418 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 6109 of 6486
Name
DHANAI BAI Rate Amount Qty 2.28 .38 6 17.4 .58 30 66 1.1 60 12.15 .27 45 1.85 .37 5 400 400 1 Total: 499.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423421 Min 01423421 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6110 of 6486
Name
UJIYAR SINGH Rate Amount Qty 21.3 .71 30 12 .4 30 167.4 5.58 30 13.95 .93 15 26.7 .89 30 400 400 1 Total: 641.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423422 Min 01423422 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 6111 of 6486
Name
YAMINI BAI Rate Amount Qty 54 .6 90 21.3 .71 30 23.7 .79 30 7.5 .25 30 167.4 5.58 30 400 400 1 Total: 673.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423423 Min 01423423 Appmt Dt Slno Description 19-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6112 of 6486
Name
SABU C MATHEW Qty Rate Amount 30 .93 27.9 30 .27 8.1 30 1.16 34.8 1 400 400 Total: 470.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423424 Min 01423424 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 6113 of 6486
Name
SUMOL MATHEW Rate Amount Qty 29.7 .99 30 18 .6 30 12 .4 30 36.3 1.21 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 568
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423425 Min 01423425 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 23-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 2 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 23-FEB-19 ECG 4 23-FEB-19 ONDANSETRON,2MG/ML,INJECTION 5 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 23-FEB-19 OBSERVATION IN CASUALTY 7 23-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 8 23-FEB-19
Page 6114 of 6486
Name
RAJENDRA SINGH Qty 1 1 1 1 1 1 1 1
Rate Amount 600 600 9.81 9.81 9.62 9.62 450 450 7.52 7.52 24.52 24.52 420 420 22.71 22.71 Total: 1544.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423427 Min 01423427 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 19-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 2 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 19-FEB-19 ESCITALOPRAM,10MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 6115 of 6486
Name
LIYAKAT ALI Rate Amount Qty 126 2.1 60 82.2 2.74 30 9.9 .66 15 27.75 1.85 15 400 400 1 Total: 645.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423428 Min 01423428 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 OBSERVATION IN CASUALTY 5 26-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 OBSERVATION IN CASUALTY 14 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 28-FEB-19 UREA (BUN /UR) 17 28-FEB-19 CREATININE /CRT 18 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 28-FEB-19
Page 6116 of 6486
Name
RASHIDA PARVEEN Rate Amount Qty 24.52 24.52 1 .64 .64 1 600 600 1 .93 .93 1 420 420 1 24.52 24.52 1 .64 .64 1 .93 .93 1 4 .4 10 11.6 1.16 10 9.9 .99 10 18.6 .93 20 8.9 .89 10 420 420 1 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 Total: 3595.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423429 Min 01423429 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 6117 of 6486
Name
DASHRATH PRASAD Rate Amount Qty 123.8 6.19 20 8.9 .89 10 26 2.6 10 15.63 5.21 3 400 400 1 Total: 574.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423435 Min 01423435 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 19-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 6118 of 6486
Name
VATSALA DEVI SONI Rate Amount Qty 1.85 .37 5 110.4 .92 120 21.3 .71 30 78 1.3 60 43.2 1.44 30 29.7 .99 30 42.6 .71 60 72 .6 120 16.2 .27 60 400 400 1 Total: 815.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423436 Min 01423436 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 6119 of 6486
Name
VIJAY KUMAR KHAPARDE Rate Amount Qty 32.4 1.08 30 400 400 1 12 .4 30 32.4 1.08 30 66 1.1 60 34.8 1.16 30 400 400 1 27.9 .93 30 400 400 1 Total: 1405.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423442 Min 01423442 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 6120 of 6486
Name
DEOCHARAN LAL Rate Amount Qty 54 .9 60 12.15 12.15 1 26.7 .89 30 16.2 .18 90 400 400 1 Total: 509.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423443 Min 01423443 Appmt Dt Slno Description 26-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6121 of 6486
Name
SHIVBATI BAI Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423444 Min 01423444 Slno Description Appmt Dt ONDANSETRON,2MG/ML,INJECTION 1 25-FEB-19 SYRINGE,DISPOSABLE,2ML 2 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 25-FEB-19 CIPROFLOXACIN,200MG/100ML,INJECTION 4 25-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 25-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 6 25-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 7 25-FEB-19 ECG 8 25-FEB-19 OBSERVATION IN CASUALTY 9 25-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 26-FEB-19
Page 6122 of 6486
Name
ARJUNLAL VERMA Rate Amount Qty 7.52 7.52 1 3.68 1.84 2 24.52 24.52 1 16.1 16.1 1 11.89 11.89 1 35.52 35.52 1 9.62 9.62 1 450 450 1 420 420 1 9.81 9.81 1 36 .6 60 12 .4 30 33 1.1 30 21.6 .36 60 21.3 .71 30 Total: 1112.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423446 Min 01423446 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 6123 of 6486
Name
RATAN KUMAR SINGH Rate Amount Qty 12 .4 30 27.9 .93 30 118.5 3.95 30 5.21 5.21 1 21.3 .71 30 14.85 .99 15 400 400 1 Total: 599.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423450 Min 01423450 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 6124 of 6486
Name
NILESH BUX Rate Amount Qty 12 .4 30 32.4 1.08 30 167.4 5.58 30 23.7 .79 30 54 .6 90 69.6 1.16 60 66 1.1 60 400 400 1 Total: 825.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423451 Min 01423451 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 PRAZOSIN,2.5MG,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 6125 of 6486
Name
SANDHYA ANITA BUX Rate Amount Qty 17.8 .89 20 21.3 .71 30 54 .6 90 21.6 .36 60 78 1.3 60 55.8 .93 60 400 400 1 Total: 648.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423453 Min 01423453 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 07-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 2 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 07-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 07-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 11 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 12 07-FEB-19 ECG 13 07-FEB-19 OBSERVATION IN CASUALTY 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19
Page 6126 of 6486
Name
REKHA AGRAWAL Rate Amount Qty 600 600 1 3.66 3.66 1 66.2 6.62 10 6.4 .64 10 12.15 12.15 1 3.7 .37 10 10.05 .67 15 18 .9 20 24.52 24.52 1 8.9 .89 10 25.54 25.54 1 9.62 9.62 1 450 450 1 420 420 1 400 400 1 Total: 2058.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423454 Min 01423454 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 08-FEB-19 GAMMA BENZENE HEXACHLORIDE,1%,LOTION, 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 6127 of 6486
Name
SURAJ RAM PATIL Rate Amount Qty 5.55 .37 15 57.84 115.68 2 36.8 1.84 20 103.68 103.68 1 400 400 1 Total: 661.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423455 Min 01423455 Appmt Dt Slno Description 08-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 08-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6128 of 6486
Name
RAM KUMARI PATIL Qty Rate Amount 10 .25 2.5 10 .89 8.9 10 2.6 26 1 400 400 Total: 437.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423460 Min 01423460 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 6129 of 6486
Name
PANKAJ KUMAR AGARWAL Rate Amount Qty 54 .6 90 21.3 .71 30 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 664
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423461 Min 01423461 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 6130 of 6486
Name
MEENAKSHI AGARWAL Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423464 Min 01423464 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 6131 of 6486
PRADEEP KUMAR SUTAONE Rate Amount Qty 26.6 2.66 10 3.7 .37 10 31.46 15.73 2 6.4 .64 10 400 400 1 26.55 26.55 1 400 400 1 3.8 .38 10 1.85 .37 5 400 400 1 Total: 1300.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423468 Min 01423468 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 6132 of 6486
Name
PEKHANLAL SAHU Rate Amount Qty 192.3 6.41 30 52.78 2.03 26 8.12 2.03 4 8.1 .27 30 27.9 .93 30 38.25 2.55 15 400 400 1 Total: 727.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423469 Min 01423469 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 2 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 6133 of 6486
Name
SAROJ SAHU Rate Amount Qty 21.3 .71 30 284.4 1.58 180 39 1.3 30 18 .6 30 10.8 .36 30 400 400 1 Total: 773.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423474 Min 01423474 Slno Description Appmt Dt DIAGNOSTIC UGI ENDOSCOPY 1 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 20-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 20-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 27-FEB-19
Page 6134 of 6486
Name
VASUDEO Rate Amount Qty 2110 2110 1 400 400 1 184.2 6.14 30 35.6 .89 40 31.36 1.12 28 2.34 196.56 84 1750 1750 1 400 400 1 Total: 5107.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423475 Min 01423475 Appmt Dt Slno Description 23-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 23-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 23-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6135 of 6486
Name
U CHANDRA KALA Qty Rate Amount 30 .93 27.9 45 .71 31.95 30 .25 7.5 1 400 400 Total: 467.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423476 Min 01423476 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 02-FEB-19 T M T (TREAD MILL EXERCISE TEST) 9 02-FEB-19 ECG 10 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 02-FEB-19
Page 6136 of 6486
Name
RAM SHANKAR SAHU Rate Amount Qty 33 1.1 30 41.85 .93 45 34.8 1.16 30 400 400 1 275 275 1 12 .4 30 275 275 1 1300 1300 1 3430 3430 1 450 450 1 8.1 .27 30 275 275 1 Total: 6534.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423477 Min 01423477 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6137 of 6486
Name
LAXMI BAI Rate Amount Qty 36 .6 60 8.1 .27 30 400 400 1 26 2.6 10 7.5 .25 30 400 400 1 Total: 877.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423480 Min 01423480 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 6138 of 6486
Name
REKHA AGRAWAL Rate Amount Qty 41.06 41.06 1 6.4 .64 10 21.3 .71 30 400 400 1 21.3 .71 30 12 .4 30 6.9 .23 30 23.7 .79 30 400 400 1 Total: 932.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423481 Min 01423481 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 06-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 8 06-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 9 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 09-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 14 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 09-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 16 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 17 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 09-FEB-19 SOLIFENACIN,5MG,,TABLET 19 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 20 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 21 12-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 22 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 23 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 24 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 25 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 16-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 28 16-FEB-19
Page 6139 of 6486
Name
S C AGRAWAL Rate Amount Qty 17 1.7 10 26.7 .89 30 21.3 .71 30 55.8 .93 60 29.7 .99 30 192.3 6.41 30 18.9 .63 30 191.4 3.19 60 30.6 .51 60 7.5 .25 30 60.9 2.03 30 400 400 1 26.7 .89 30 69.05 69.05 1 54 .9 60 100.71 100.71 1 208.8 1.74 120 400 400 1 403.2 13.44 30 192.3 6.41 30 60.9 2.03 30 2.6 .26 10 43.96 43.96 1 16.8 1.12 15 35.2 3.52 10 400 400 1 400 400 1 1610 1610 1 Total: 5076.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423482 Min 01423482 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 6140 of 6486
Name
VISHRAM SAHU Rate Amount Qty 32.4 1.08 30 12 .4 30 33 1.1 30 14.85 .99 15 55.8 .93 60 15.6 .26 60 17.4 1.16 15 1.85 .37 5 400 400 1 Total: 582.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423483 Min 01423483 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 6141 of 6486
Name
BIRAJO SAHU Rate Amount Qty 11.4 .38 30 3.84 .64 6 17.4 1.16 15 76.5 2.55 30 18 .6 30 167.4 5.58 30 8.1 .27 30 400 400 1 Total: 702.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423484 Min 01423484 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6142 of 6486
Name
DAU RAM Rate Amount Qty 27.9 .93 30 8.1 .27 30 21.3 .71 30 72.6 1.21 60 14.85 .99 15 400 400 1 Total: 544.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423487 Min 01423487 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 6143 of 6486
SARITA BARNWAL Rate Amount Qty 3.7 .37 10 4.45 .89 5 26.6 2.66 10 15.73 15.73 1 400 400 1 26.7 .89 30 557.1 6.19 90 20.84 5.21 4 167.4 5.58 30 110.4 .92 120 66 1.1 60 15.6 1.04 15 21.3 .71 30 23.7 .79 30 400 400 1 Total: 1859.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423490 Min 01423490 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 C T HEAD PLAIN 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 6144 of 6486
Name
CHANDRABHAN KUSRE Rate Amount Qty 4.1 .41 10 8.9 .89 10 400 400 1 5250 5250 1 400 400 1 17.8 .89 20 8.2 .41 20 23.4 .78 30 .8 .16 5 400 400 1 16.2 .27 60 55.8 .93 60 21.3 .71 30 400 400 1 Total: 7006.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423491 Min 01423491 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 6145 of 6486
Name
PANCHSHILA KUSRE Rate Amount Qty 36 .6 60 78 .78 100 6 .4 15 371.4 6.19 60 34.8 1.16 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 960.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423492 Min 01423492 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 6146 of 6486
Name
CHHAT NARAYAN Rate Amount Qty 12 .4 30 27.9 .93 30 59.4 .99 60 32.4 1.08 30 26.7 .89 30 34.8 1.16 30 23.1 .77 30 9.9 .66 15 400 400 1 Total: 626.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423493 Min 01423493 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 01-FEB-19 COMPLETE HAEMOGRAM 2 01-FEB-19 PROTHROMBIN TIME (PT) 3 01-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 4 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 01-FEB-19 BLOOD FOR T-3,T-4,TSH 7 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 01-FEB-19 BLOOD FOR CARDIAC ENZYMES (CK /CK-MB /LD 9 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 01-FEB-19 X - RAY - SINGLE VIEW 12 01-FEB-19 ABC TEST HIV 13 01-FEB-19 VDRL TEST 14 01-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 15 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 01-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 17 09-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 18 09-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 19 09-FEB-19 OBSERVATION IN CASUALTY 20 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 22 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 25 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 27 09-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 28 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 30 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 31 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 32 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 33 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 19-FEB-19
Page 6147 of 6486
Name
SONKUNWAR Rate Amount Qty 275 275 1 750 750 1 330 330 1 330 330 1 1300 1300 1 18.6 .62 30 2400 2400 1 1300 1300 1 1600 1600 1 550 550 1 400 400 1 550 550 1 1250 1250 1 600 600 1 1050 1050 1 275 275 1 9.81 9.81 1 5.77 5.77 1 35.52 35.52 1 420 420 1 .75 .25 3 2.1 .7 3 2.67 .89 3 3.2 .64 5 39.72 6.62 6 8.9 .89 10 26 2.6 10 31.9 3.19 10 400 400 1 35.2 3.52 10 1.85 .37 5 6.4 .64 10 17 1.7 10 400 400 1 Total: 14425.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423494 Min 01423494 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 2 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 5 02-FEB-19 COMPLETE HAEMOGRAM 6 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 7 02-FEB-19 CALCIUM (CA) 8 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 02-FEB-19 CREATININE /CRT 10 02-FEB-19 UREA (BUN /UR) 11 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 13 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 14 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 15 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 04-FEB-19 PRAZOSIN,2.5MG,TABLET 17 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 20 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 22 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 06-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 24 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 13-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 27 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 16-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 20-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 31 20-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 32 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 33 23-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 34 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 35 27-FEB-19
Page 6148 of 6486
Name
ROSHAN LAL SUDHAKAR Rate Amount Qty 400 400 1 275 275 1 4790 4790 1 400 400 1 4790 4790 1 750 750 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 16.2 .27 60 118.5 3.95 30 11.4 .38 30 22.2 .37 60 53.4 .89 60 156 1.3 120 7.5 .25 30 32.4 1.08 30 211.8 3.53 60 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 Total: 50414.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423496 Min 01423496 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6149 of 6486
Name
MADAN GOPAL PANDEY Rate Amount Qty 8.1 .27 30 33 1.1 30 400 400 1 Total: 441.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423497 Min 01423497 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6150 of 6486
Name
SAVITA PANDEY Rate Amount Qty 27.9 .93 30 400 400 1 185.7 6.19 30 26 2.6 10 400 400 1 Total: 1039.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423504 Min 01423504 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 6151 of 6486
Name
VIRENDRADUTT SHARMA Rate Amount Qty 371.4 6.19 60 12 .4 30 35.1 2.34 15 1.48 .37 4 2.56 .64 4 26.7 .89 30 34.8 1.16 30 14.85 .99 15 55.8 .93 60 72 .6 120 27.6 .92 30 400 400 1 Total: 1054.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423505 Min 01423505 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6152 of 6486
Name
SHOBHA SHARMA Rate Amount Qty 14.85 .99 15 26.7 .89 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 9.3 .62 15 400 400 1 Total: 560.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423511 Min 01423511 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 13-FEB-19 OBSERVATION IN CASUALTY 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 12 13-FEB-19 ECG 13 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19 X - RAY - THREE VIEWS 16 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 17 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 16-FEB-19 C T HEAD PLAIN 21 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 16-FEB-19
Page 6153 of 6486
Name
BIJOY KUMAR PADHI Rate Amount Qty 4.8 .16 30 420 420 1 9 .3 30 34.8 1.16 30 12 .4 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 117 1.3 90 72 .6 120 26.7 .89 30 9.62 9.62 1 450 450 1 .66 .66 1 400 400 1 1500 1500 1 20.06 20.06 1 6.4 .64 10 .8 .16 5 8.9 .89 10 5250 5250 1 400 400 1 400 400 1 Total: 9221.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423515 Min 01423515 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19
Page 6154 of 6486
Name
GOPAL SINGH CHANDEL Rate Amount Qty 1.48 .37 4 3.04 .38 8 5.12 .64 8 400 400 1 167.4 5.58 30 90 .6 150 43.2 .36 120 26.96 3.37 8 5.34 .89 6 1.85 .37 5 39 1.3 30 23.7 .79 30 21.3 .71 30 7.4 .37 20 3.75 .25 15 19.72 9.86 2 400 400 1 Total: 1259.26
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423516 Min 01423516 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 6155 of 6486
SARASWATI DEVI Rate Amount Qty 21.3 .71 30 14.85 .99 15 32.4 1.08 30 55.8 .93 60 400 400 1 48.22 48.22 1 35.2 3.52 10 1.85 .37 5 6.4 .64 10 17 1.7 10 400 400 1 Total: 1033.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423520 Min 01423520 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 6156 of 6486
Name
MANBATI Rate Amount Qty 1.85 .37 5 6.4 .64 10 26.6 2.66 10 400 400 1 20.55 1.37 15 185.7 6.19 30 20.55 1.37 15 7.5 .25 30 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 1262.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423523 Min 01423523 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6157 of 6486
Name
GIRIJA DEVI Rate Amount Qty 16.5 1.1 15 13.95 .93 15 400 400 1 27.9 .93 30 33 1.1 30 400 400 1 Total: 891.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423524 Min 01423524 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 6158 of 6486
Name
BHARAT BHOOSHAN SURYAWANSHI Rate Amount Qty 39 1.3 30 32.4 1.08 30 18 .6 30 10.8 .36 30 66 1.1 60 69.6 1.16 60 24 .4 60 27.9 .93 30 400 400 1 Total: 687.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423526 Min 01423526 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 16-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 16-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 3 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 16-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 21-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 6159 of 6486
Name
VIJAY PRAKASH TIWARI Rate Amount Qty 31.61 31.61 1 12.81 12.81 1 45.44 45.44 1 5.55 .37 15 15 .75 20 400 400 1 7.5 .25 30 21.3 .71 30 1.48 .37 4 43.2 .36 120 15.96 2.66 6 72 .6 120 234 1.3 180 167.4 5.58 30 400 400 1 Total: 1473.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423527 Min 01423527 Appmt Dt Slno Description 07-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6160 of 6486
Name
NANDINI TIWARI Qty 6 6 5 1
Rate Amount .64 3.84 .38 2.28 .37 1.85 400 400 Total: 407.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423529 Min 01423529 Appmt Dt Slno Description 15-FEB-19 1 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6161 of 6486
Name
DEASY RANI JANGDE Qty Rate Amount 4 19.59 78.36 1 400 400 478.36 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423530 Min 01423530 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 6162 of 6486
Name
ANUPAM MANDAL Rate Amount Qty 32.4 1.08 30 11.4 .38 30 60.9 2.03 30 192.3 6.41 30 8.1 .27 30 55.8 .93 60 17.4 1.16 15 7.65 .51 15 400 400 1 Total: 785.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423531 Min 01423531 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 6163 of 6486
Name
PRATIMA MANDAL Rate Amount Qty 55.8 .93 60 11.4 .38 30 2.4 .16 15 167.4 5.58 30 72 .6 120 18.9 .63 30 21.3 .71 30 21.6 .36 60 78 1.3 60 400 400 1 Total: 848.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423536 Min 01423536 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6164 of 6486
Name
SUNDER LAL CHOUHAN Rate Amount Qty 21.3 .71 30 78 1.3 60 18.9 .63 30 10.8 .36 30 36 .6 60 400 400 1 Total: 565
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423537 Min 01423537 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 15-FEB-19 CREATININE /CRT 12 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 15-FEB-19 UREA (BUN /UR) 15 15-FEB-19 PLATELET COUNT 16 16-FEB-19 HB,TLC,DLC 17 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 16-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 19 16-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 20 16-FEB-19
Page 6165 of 6486
Name
SURESHWARI CHOUHAN Rate Amount Qty 7.5 .25 30 78 1.3 60 21.3 .71 30 16.2 .36 45 36 .6 60 400 400 1 2.5 .25 10 4.45 .89 5 400 400 1 400 400 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 4.2 .42 10 17.42 8.71 2 Total: 4067.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423539 Min 01423539 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 6166 of 6486
Name
SHAKUNTALA BAI Rate Amount Qty 22.2 .37 60 27.9 .93 30 400 400 1 Total: 450.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423540 Min 01423540 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 05-FEB-19 IVABRADINE,5MG,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 6167 of 6486
Name
VIJAY KUMAR SONI Rate Amount Qty 17.4 .58 30 31.2 1.04 30 298.5 9.95 30 33 1.1 30 12 .4 30 34.8 1.16 30 11.85 .79 15 400 400 1 Total: 838.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423541 Min 01423541 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 7 26-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 6168 of 6486
Name
GEETA SONI Rate Amount Qty 10.8 .36 30 27.9 .93 30 21.3 .71 30 3.75 .25 15 400 400 1 7.4 .37 20 17.37 17.37 1 57.84 57.84 1 400 400 1 Total: 946.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423544 Min 01423544 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 6169 of 6486
Name
KAMLESH RAO Rate Amount Qty 27.9 .93 30 7.8 .26 30 26.7 .89 30 11.4 .38 30 32.4 1.08 30 12 .4 30 21.3 .71 30 36 .6 60 21.6 .36 60 21.3 .71 30 400 400 1 Total: 618.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423545 Min 01423545 Slno Description Appmt Dt DIAZEPAM,STRIP PKT,5MG,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 GUM ASTRINGENT PAINT 4 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 16 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19
Page 6170 of 6486
Name
CHANDRA SHEKHAR RAO Rate Amount Qty 34.5 1.15 30 400 400 1 15 .25 60 31.54 31.54 1 22.8 .38 60 400 400 1 11.4 .38 30 54 .6 90 26.7 .89 30 72.6 1.21 60 21.3 .71 30 32.4 1.08 30 55.8 .93 60 22.2 .37 60 8.1 .27 30 21.3 .71 30 211.8 3.53 60 400 400 1 Total: 1841.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423546 Min 01423546 Appmt Dt Slno Description 26-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6171 of 6486
Name
CHANDRIKA PANDEY Qty Rate Amount 10 .25 2.5 1 400 400 402.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423547 Min 01423547 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 6172 of 6486
Name
SUNITA PANDEY Rate Amount Qty 8.1 .27 30 72 .6 120 14.85 .99 15 400 400 1 2.5 .25 10 8.9 .89 10 400 400 1 Total: 906.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423548 Min 01423548 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 6173 of 6486
Name
PRABHA BAI Rate Amount Qty 12.6 .9 14 6.23 .89 7 400 400 1 Total: 418.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423551 Min 01423551 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 6174 of 6486
Name
G SHRINIVAS RAO Rate Amount Qty 55.8 .93 60 16.2 .27 60 66 1.1 60 26.7 .89 30 400 400 1 Total: 564.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423555 Min 01423555 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 04-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6175 of 6486
Name
A.KAMESHWAR RAO Rate Amount Qty 54 .9 60 208.8 1.74 120 79.2 .66 120 26.7 .89 30 2.4 .16 15 400 400 1 Total: 771.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423556 Min 01423556 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 6176 of 6486
Name
A SHAKUNTALA Rate Amount Qty 16.2 .27 60 18 .6 30 12 .4 30 21.3 .71 30 66 1.1 60 27.9 .93 30 400 400 1 Total: 561.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423557 Min 01423557 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 6177 of 6486
Name
SHATRUHAN SINGH Rate Amount Qty 55.8 .93 60 21.3 .71 30 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423558 Min 01423558 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 19-FEB-19 PRAZOSIN,2.5MG,TABLET 5 19-FEB-19 PRAZOSIN,2.5MG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 6178 of 6486
Name
KALSIA BAI Rate Amount Qty 275 275 1 400 400 1 275 275 1 76.5 2.55 30 10.4 1.3 8 28.6 1.3 22 55.8 .93 60 54 .6 90 34.8 1.16 30 32.4 1.08 30 22.2 .37 60 400 400 1 Total: 1664.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423559 Min 01423559 Appmt Dt Slno Description 19-FEB-19 1 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 19-FEB-19 2 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 19-FEB-19 3 HYPERTONIC SALINE EYE DROPS, 5% W/V, 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6179 of 6486
Name
SHEELA PANDEY Qty 1 1 1 1
Rate Amount 16.81 16.81 6.82 6.82 33.58 33.58 400 400 Total: 457.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423560 Min 01423560 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6180 of 6486
Name
SURESH KUMAR SHRIVASTAVA Qty Rate Amount 60 .27 16.2 30 .89 26.7 60 1.21 72.6 1 400 400 Total: 515.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423564 Min 01423564 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6181 of 6486
Name
DR VIJAY KUMAR BANSAL Rate Amount Qty 70.4 3.52 20 78 2.6 30 55.2 .92 60 167.4 5.58 30 60.9 2.03 30 400 400 1 Total: 831.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423565 Min 01423565 Appmt Dt Slno Description 07-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 07-FEB-19 3 ASCORBIC ACID,STRIP PKT,100MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6182 of 6486
Name
ARCHANA BANSAL Qty Rate Amount 30 1.1 33 30 .71 21.3 30 .38 11.4 1 400 400 Total: 465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423566 Min 01423566 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 7 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 8 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 9 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 19-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 15 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 19-FEB-19
Page 6183 of 6486
Name
ARVIND KUMAR SHARMA Rate Amount Qty 43.2 .36 120 117 1.3 90 167.4 5.58 30 7.5 .25 30 72 .6 120 400 400 1 4.28 2.14 2 24.45 24.45 1 19.77 19.77 1 73.6 1.84 40 400 400 1 400 400 1 275 275 1 6.4 .64 10 16.81 16.81 1 275 275 1 Total: 2302.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423567 Min 01423567 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 6184 of 6486
Name
LALITA DEVI SHARMA Rate Amount Qty 8.1 .27 30 18.6 .62 30 400 400 1 Total: 426.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423569 Min 01423569 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 6185 of 6486
BEDRAM BAGHEL Rate Amount Qty 31.46 15.73 2 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 2.28 .38 6 3.84 .64 6 1.85 .37 5 400 400 1 Total: 936.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423570 Min 01423570 Appmt Dt Slno Description 16-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6186 of 6486
Name
SHAKUNTALA BAGHEL Qty Rate Amount 60 .93 55.8 15 .99 14.85 15 1.16 17.4 1 400 400 Total: 488.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423581 Min 01423581 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 23-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 6187 of 6486
Name
ANURAG NAGAR Rate Amount Qty 36 .6 60 60.9 2.03 30 55.8 .93 60 192.3 6.41 30 21.3 .71 30 185.7 6.19 30 400 400 1 Total: 952
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423583 Min 01423583 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 6188 of 6486
Name
HIRA LAL MARKENDE Rate Amount Qty 9.3 .93 10 4.2 .42 10 400 400 1 Total: 413.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423591 Min 01423591 Slno Description Appmt Dt DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 1 14-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 6189 of 6486
Name
SURESH KUMAR AGRAWAL Rate Amount Qty 94.42 188.84 2 156.51 313.02 2 400 400 1 Total: 901.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423594 Min 01423594 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 6190 of 6486
Name
SHIVCHARAN RAZAK Rate Amount Qty 21.3 .71 30 26.7 .89 30 7.5 .25 30 32.4 1.08 30 66 1.1 60 29.7 .99 30 55.8 .93 60 400 400 1 Total: 639.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423595 Min 01423595 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 20-FEB-19 PRAZOSIN,2.5MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 6191 of 6486
Name
JANKI DEVI Rate Amount Qty 33 1.1 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 7.5 .25 30 10.08 1.12 9 4 .16 25 34.8 1.16 30 39 1.3 30 400 400 1 Total: 630.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423596 Min 01423596 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 01-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 28-FEB-19 PRAZOSIN,2.5MG,TABLET 13 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 6192 of 6486
Name
L GAJPATHI RAO Rate Amount Qty 2.34 196.56 84 2110 2110 1 400 400 1 20.06 20.06 1 24.92 .89 28 31.36 1.12 28 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 55.8 .93 60 7.65 .51 15 78 1.3 60 6.9 .23 30 400 400 1 Total: 3739.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423597 Min 01423597 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 6193 of 6486
Name
L BHANUMATI Rate Amount Qty 34.8 1.16 30 10.8 .36 30 11.4 .38 30 14.85 .99 15 78 1.3 60 167.4 5.58 30 27.9 .93 30 400 400 1 Total: 745.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423598 Min 01423598 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 6194 of 6486
Name
SHOBHA BHALLA Rate Amount Qty .71 214.42 302 10.8 .36 30 54 .6 90 72.6 1.21 60 55.8 .93 60 552.3 18.41 30 400 400 1 Total: 1359.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423602 Min 01423602 Slno Description Appmt Dt LINEZOLID,600MG STRIP PACK,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 3 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 6195 of 6486
Name
RAJKUMARI VERMA Rate Amount Qty 157.8 15.78 10 6.4 .64 10 1.3 .26 5 57.84 115.68 2 400 400 1 Total: 681.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423607 Min 01423607 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 6196 of 6486
Name
S.ANAND RAO Rate Amount Qty 8.9 .89 10 60.9 2.03 30 192.3 6.41 30 34.8 1.16 30 76.5 2.55 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 837.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423608 Min 01423608 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6197 of 6486
Name
PRAMILA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423611 Min 01423611 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 25-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 9 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 13 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 6198 of 6486
Name
RAM SINGH Rate Amount Qty 400 400 1 55.8 .93 60 29.7 .99 30 211.8 3.53 60 33 1.1 30 36 .6 60 27.6 .92 30 12.6 .42 30 280 280 1 2.4 .16 15 34.8 1.16 30 400 400 1 3.6 .6 6 33.12 1.84 18 5.76 .64 9 400 400 1 20.25 20.25 1 400 400 1 Total: 2386.43
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423612 Min 01423612 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 25-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 URIC ACID (UA /URATES /UR) 13 28-FEB-19 CREATININE /CRT 14 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 28-FEB-19
Page 6199 of 6486
SHEELA Rate Amount Qty 25.07 25.07 1 18.21 18.21 1 21.6 .36 60 1.48 .37 4 5.74 .41 14 21.3 .71 30 76.5 2.55 30 8.1 .27 30 55.8 .93 60 78 1.3 60 36 .6 60 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 2247.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423619 Min 01423619 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 25-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6200 of 6486
Name
G RAJU Qty Rate Amount 60 .93 55.8 30 .23 6.9 30 .62 18.6 1 400 400 Total: 481.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423620 Min 01423620 Slno Description Appmt Dt LEFLUNOMIDE,10 MG,STIRP PACK.,TABLET 1 26-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 6201 of 6486
Name
VIJAYA KUMARI RAJU Rate Amount Qty 192.9 6.43 30 125.1 2.78 45 400 400 1 Total: 718
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423621 Min 01423621 Slno Description Appmt Dt RECTAL POLYP EXCISION 1 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 2 04-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 3 04-FEB-19 ALKALINE PHOSPHATASE (ALP) 4 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 5 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19 SERUM COPPER (CU++) 9 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 04-FEB-19 UREA (BUN /UR) 11 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12 04-FEB-19 CREATININE /CRT 13 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 14 04-FEB-19 PLATELET COUNT 15 04-FEB-19 PRAZOSIN,2.5MG,TABLET 16 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 17 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 18 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 19 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 04-FEB-19 HB,TLC,DLC 21 04-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 22 04-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 23 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 07-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 25 07-FEB-19 SEVELAMER ,800 MG,,TABLET 26 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 30 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 31 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 32 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 33 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 34 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 35 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 36 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 37 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 38 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 39 28-FEB-19
Page 6202 of 6486
Name
BIKASH CHANDRA PAUL Rate Amount Qty 4920 4920 1 275 275 1 275 275 1 275 275 1 4790 4790 1 11.4 .38 30 36.3 1.21 30 21.3 .71 30 500 500 1 550 550 1 275 275 1 46.2 .77 60 275 275 1 275 275 1 330 330 1 156 1.3 120 30.6 .51 60 30.6 .34 90 33.3 .37 90 400 400 1 300 300 1 165 165 1 330 330 1 400 400 1 4790 4790 1 16.73 1003.8 60 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 Total: 52034.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423622 Min 01423622 Slno Description Appmt Dt URINE ROUTINE AND MICROSCOPIC 1 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 URINE ROUTINE AND MICROSCOPIC 5 06-FEB-19 ECG 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 08-FEB-19 UREA (BUN /UR) 10 08-FEB-19 CREATININE /CRT 11 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 12 08-FEB-19 HB,TLC,DLC 13 08-FEB-19 PLATELET COUNT 14 08-FEB-19 X - RAY - SINGLE VIEW 15 08-FEB-19 BLOOD FOR T-3,T-4,TSH 16 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 17 15-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 18 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 23 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 19-FEB-19
Page 6203 of 6486
SEEMA PAUL Rate Amount Qty 380 380 1 1750 1750 1 400 400 1 400 400 1 380 380 1 450 450 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 300 300 1 330 330 1 550 550 1 2400 2400 1 25.07 25.07 1 16.81 16.81 1 400 400 1 21.3 .71 30 54 .6 90 16.2 .36 45 23.7 .79 30 400 400 1 Total: 11097.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423623 Min 01423623 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 21-FEB-19 CREATININE /CRT 7 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 21-FEB-19
Page 6204 of 6486
Name
GOVIND BOSE Rate Amount Qty 11.85 .79 15 36 .6 60 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 Total: 4272.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423624 Min 01423624 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 21-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 15 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 19 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 20 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 21 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 22 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 25 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 26 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 27 28-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 28 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 28-FEB-19
Page 6205 of 6486
SUPRIYA BOSE Rate Amount Qty 1.11 .37 3 15.73 15.73 1 400 400 1 44.16 1.84 24 3.28 .41 8 7.12 .89 8 400 400 1 275 275 1 275 275 1 400 400 1 1170 1170 1 400 400 1 200.6 20.06 10 9.6 .64 15 11.2 1.12 10 55.2 1.84 30 400 400 1 1.64 .41 4 18.03 18.03 1 20.29 20.29 1 6.82 6.82 1 14.08 3.52 4 7.98 .38 21 400 400 1 18.03 18.03 1 25.07 25.07 1 6.82 6.82 1 24.45 24.45 1 400 400 1 Total: 5011.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423627 Min 01423627 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 6206 of 6486
Name
VIRENDRA KUMAR Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 10.8 .36 30 12 .4 30 27.9 .93 30 1.85 .37 5 33 1.1 30 54 .6 90 400 400 1 Total: 606.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423632 Min 01423632 Appmt Dt Slno Description 07-FEB-19 1 HYPERTONIC SALINE EYE DROPS, 5% W/V, 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6207 of 6486
Name
ASTOMI SHIL Qty 1 1
Rate Amount 33.58 33.58 400 400 433.58 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423634 Min 01423634 Appmt Dt Slno Description 18-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 18-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6208 of 6486
Name
USHA RAI Qty Rate Amount 30 .4 12 60 1.1 66 30 .93 27.9 1 400 400 Total: 505.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423643 Min 01423643 Appmt Dt Slno Description 04-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6209 of 6486
Name
SAHASDAS CHATURVEDI Qty Rate Amount 60 .37 22.2 60 .93 55.8 60 1.1 66 1 400 400 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423649 Min 01423649 Slno Description Appmt Dt CREATININE /CRT 1 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 28-FEB-19 UREA (BUN /UR) 3 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 28-FEB-19 URIC ACID (UA /URATES /UR) 7 28-FEB-19
Page 6210 of 6486
Name
AMAR NATH DEWANGAN Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 3075
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423650 Min 01423650 Appmt Dt Slno Description 28-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6211 of 6486
Name
GITA BAI DEWANGAN Qty Rate Amount 4 20.29 81.16 1 400 400 481.16 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423653 Min 01423653 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6212 of 6486
Name
GANI MOHD.SHEIKH Rate Amount Qty 21.3 .71 30 72.6 1.21 60 3.45 .23 15 55.8 .93 60 17.4 .58 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 614.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423658 Min 01423658 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 6213 of 6486
Name
PHIDIUS EKKA Rate Amount Qty 15.6 .26 60 36 .6 60 9 .3 30 34.8 1.16 30 8.1 .27 30 55.8 .93 60 12 .4 30 400 400 1 Total: 571.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423659 Min 01423659 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 21-FEB-19 PRAZOSIN,2.5MG,TABLET 5 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 6214 of 6486
Name
KAMLESH KUMAR SHRIVASTAVA Rate Amount Qty 21.3 .71 30 42.6 .71 60 55.8 .93 60 22.2 .37 60 156 1.3 120 211.8 3.53 60 400 400 1 Total: 909.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423661 Min 01423661 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 6215 of 6486
Name
BALRAM SINHA Rate Amount Qty 1.85 .37 5 7.6 .38 20 400 400 1 Total: 409.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423663 Min 01423663 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 9 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 6216 of 6486
Name
V JAGANNATHAN Rate Amount Qty 34.8 1.16 30 311.4 5.19 60 32.4 1.08 30 63.8 3.19 20 25.2 .42 60 53.4 .89 60 7.5 .25 30 19.8 .66 30 17.25 1.15 15 5 .25 20 400 400 1 Total: 970.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423672 Min 01423672 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 6217 of 6486
Name
T SUSEELA Rate Amount Qty 55.8 .93 60 36 .6 60 27.9 .62 45 10.65 .71 15 17.4 1.16 15 27.6 .92 30 400 400 1 Total: 575.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423673 Min 01423673 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 06-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 06-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 3 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 6218 of 6486
Name
GARIB DAS KURREY Rate Amount Qty 41.06 41.06 1 82.76 82.76 1 17.3 1.73 10 7.7 .77 10 400 400 1 Total: 548.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423674 Min 01423674 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6219 of 6486
Name
ASHOK KUMAR DEY Rate Amount Qty 167.4 5.58 30 34.8 1.16 30 12 .4 30 18.6 .62 30 36 .6 60 27.9 .93 30 400 400 1 Total: 696.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423675 Min 01423675 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6220 of 6486
Name
ALOKA DEY Rate Amount Qty 17.4 1.16 15 27.9 .93 30 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423676 Min 01423676 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 6221 of 6486
Name
SANJAY KUMAR KOPULWAR Rate Amount Qty 153 2.55 60 92.85 6.19 15 400 400 1 Total: 645.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423678 Min 01423678 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 6222 of 6486
Name
BARMESHWAR SHARMA Rate Amount Qty 55.8 .93 60 400 400 1 20.1 .67 30 100.71 100.71 1 16.2 .18 90 54 .9 60 26.7 .89 30 400 400 1 Total: 1073.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423680 Min 01423680 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 6223 of 6486
Name
RAJINDER Rate Amount Qty 7.5 .25 30 21.3 .71 30 400 400 1 Total: 428.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423681 Min 01423681 Slno Description Appmt Dt BLOOD FOR CARDIAC ENZYMES (CK /CK-MB /LD 1 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 COMPLETE HAEMOGRAM 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 04-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 9 04-FEB-19 GUM ANALGESIC GEL 10 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 11 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 07-FEB-19 PLATELET COUNT 18 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 14-FEB-19 PLATELET COUNT 20 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 15-FEB-19 GUM ANALGESIC GEL 23 15-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 24 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 25 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 27 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 28 15-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 29 15-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 30 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 31 15-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 32 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 33 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 15-FEB-19
Page 6224 of 6486
Name
K.SARASWATI Rate Amount Qty 1600 1600 1 550 550 1 275 275 1 750 750 1 400 400 1 275 275 1 26.7 .89 30 10.42 5.21 2 24.38 12.19 2 28.69 28.69 1 67 .67 100 36 .6 60 18.6 .62 30 27.9 .93 30 8.1 .27 30 400 400 1 400 400 1 330 330 1 400 400 1 330 330 1 27.9 .93 30 36 .6 60 28.69 28.69 1 24.38 12.19 2 10.42 5.21 2 26.7 .89 30 8.1 .27 30 18.6 .62 30 13.43 13.43 1 85.52 85.52 1 19.72 9.86 2 13.48 3.37 4 3.7 .37 10 400 400 1 Total: 6674.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423686 Min 01423686 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 6225 of 6486
Name
G KANNA BABU Rate Amount Qty 18.9 .63 30 7.5 .25 30 13.7 1.37 10 400 400 1 17.4 1.16 15 27.9 .93 30 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 1322.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423687 Min 01423687 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 6226 of 6486
Name
G.SAROJINI Rate Amount Qty 20.55 1.37 15 7.5 .25 30 400 400 1 17.4 1.16 15 5.12 .64 8 1.11 .37 3 6.9 .23 30 400 400 1 Total: 858.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423688 Min 01423688 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 6227 of 6486
Name
PALLAB KUMAR DAM Rate Amount Qty 27.9 .93 30 117 1.3 90 34.8 1.16 30 167.4 5.58 30 72 .6 120 21.6 .36 60 34.8 1.16 30 27.9 .93 30 117 1.3 90 21.6 .36 60 72 .6 120 167.4 5.58 30 400 400 1 Total: 1281.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423690 Min 01423690 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 6228 of 6486
Name
PHOOL BAI Rate Amount Qty 29.7 .99 30 3.75 .25 15 55.8 .93 60 8.1 .27 30 167.4 5.58 30 76.5 2.55 30 32.4 .36 90 18 .3 60 36 .6 60 400 400 1 Total: 827.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423692 Min 01423692 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 20-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 6229 of 6486
Name
PRABHA VERMA Rate Amount Qty 20.84 5.21 4 6.7 .67 10 41.7 2.78 15 18.6 .62 30 400 400 1 Total: 487.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423697 Min 01423697 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 19-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6230 of 6486
Name
VANDANA SAHU Qty Rate Amount 30 .23 6.9 15 .25 3.75 30 .93 27.9 1 400 400 Total: 438.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423699 Min 01423699 Appmt Dt Slno Description 11-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6231 of 6486
Name
RIZWANA AFROZ SIDDIQUI Qty Rate Amount 5 1.1 5.5 1 400 400 405.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423701 Min 01423701 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 6232 of 6486
Name
SHOBHA BAMBODE Rate Amount Qty 1.48 .37 4 5.12 .64 8 3.04 .38 8 400 400 1 11.4 .38 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 906.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423714 Min 01423714 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 6233 of 6486
Name
HEMLAL Rate Amount Qty 12 .4 30 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 66 1.1 60 400 400 1 Total: 573.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423716 Min 01423716 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 6234 of 6486
Name
VIDYANAND SINGH Rate Amount Qty 167.4 5.58 30 21.3 .71 30 54 .6 90 47.4 .79 60 400 400 1 Total: 690.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423717 Min 01423717 Slno Description Appmt Dt BLOOD FOR T-3,T-4,TSH 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 UREA (BUN /UR) 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 05-FEB-19 CREATININE /CRT 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 05-FEB-19
Page 6235 of 6486
Name
ANURADHA SINGH Qty 1 1 1 1 1 1 1 1
Rate Amount 2400 2400 400 400 275 275 1300 1300 550 550 275 275 275 275 275 275 Total: 5750
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423718 Min 01423718 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 21-FEB-19 URIC ACID (UA /URATES /UR) 4 21-FEB-19 CREATININE /CRT 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 UREA (BUN /UR) 12 21-FEB-19
Page 6236 of 6486
Name
ALOK CHATTERJEE Rate Amount Qty 275 275 1 400 400 1 1300 1300 1 275 275 1 275 275 1 18 .6 30 55.8 .93 60 32.4 1.08 30 47.4 .79 60 275 275 1 7.5 .25 30 275 275 1 Total: 3236.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423723 Min 01423723 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 6237 of 6486
Name
CHAMPI BAI HIRWANI Rate Amount Qty 3.53 112.96 32 14.85 .99 15 18.5 .37 50 65 1.3 50 55.8 .93 60 17.4 1.16 15 400 400 1 7.68 .64 12 4.8 .6 8 44.16 1.84 24 400 400 1 Total: 1141.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423729 Min 01423729 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 2 23-FEB-19 ECG 3 23-FEB-19 OBSERVATION IN CASUALTY 4 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 24-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 24-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 24-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 24-FEB-19 RIFAXIMIN 200 MG,,TABLET 9 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 24-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 24-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 12 24-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 13 24-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 24-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 24-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 24-FEB-19
Page 6238 of 6486
Name
SATISH KUMAR SHRIVASTAVA Rate Amount Qty 24.52 24.52 1 9.62 9.62 1 450 450 1 420 420 1 23.7 .79 30 26.48 6.62 4 12 .4 30 34.8 1.16 30 83.97 9.33 9 8.9 .89 10 10.08 1.12 9 43.2 1.44 30 15.6 .26 60 1.4 .7 2 32.4 1.08 30 6.4 .64 10 400 400 1 Total: 1603.07
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423730 Min 01423730 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19
Page 6239 of 6486
JYOTI SHRIVASTAVA Rate Amount Qty 25.07 25.07 1 400 400 1 275 275 1 275 275 1 400 400 1 Total: 1375.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423731 Min 01423731 Slno Description Appmt Dt KETOTIFEN,1MG,TABLET 1 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 6240 of 6486
Name
BAL RAM SAHU Rate Amount Qty 45.6 1.52 30 27 .9 30 400 400 1 Total: 472.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423734 Min 01423734 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 6241 of 6486
Name
D LAXMAN RAO Rate Amount Qty 27.9 .93 30 21.3 .71 30 10.8 .36 30 36 .6 60 14.85 .99 15 400 400 1 Total: 510.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423740 Min 01423740 Slno Description Appmt Dt HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 7 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 13 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 17 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 20 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 21 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 23 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 28-FEB-19
Page 6242 of 6486
Name
DEVENDRA Rate Amount Qty 4790 4790 1 400 400 1 3.84 .64 6 3.7 .37 10 5.34 .89 6 39.72 6.62 6 4790 4790 1 400 400 1 11.4 .38 30 15.6 .26 60 18.9 .63 30 21.3 .71 30 211.8 3.53 60 22.2 .37 60 12 .4 30 400 400 1 4790 4790 1 1.11 .37 3 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 Total: 31506.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423742 Min 01423742 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 28-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 28-FEB-19 DEFLAZACORT 6MG,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 6243 of 6486
Name
KIRAN VAIDYA Rate Amount Qty 19.38 3.23 6 5.7 .38 15 41.7 2.78 15 83.1 2.77 30 400 400 1 Total: 549.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423747 Min 01423747 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6244 of 6486
Name
GEETA DEVI Rate Amount Qty 17.4 1.16 15 13.95 .93 15 400 400 1 Total: 431.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423748 Min 01423748 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 6245 of 6486
Name
LAKHAN KUMAR SAHU Rate Amount Qty 55.8 .93 60 8.1 .27 30 21.3 .71 30 36 .6 60 32.4 .36 90 400 400 1 Total: 553.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423751 Min 01423751 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 28-FEB-19 X - RAY - TWO VIEWS 5 28-FEB-19
Page 6246 of 6486
Name
SMITA KIRWAI Rate Amount Qty 7.3 .73 10 4.45 .89 5 4.1 .41 10 400 400 1 860 860 1 Total: 1275.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423752 Min 01423752 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6247 of 6486
Name
SHYAMLAL SINHA Qty Rate Amount 30 .71 21.3 60 .93 55.8 30 .63 18.9 1 400 400 Total: 496
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423753 Min 01423753 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 6248 of 6486
Name
GEETA SINHA Rate Amount Qty 12.6 .63 20 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 400 400 1 21.3 .71 30 12 .4 30 32.4 1.08 30 21.3 .71 30 54 .6 90 10.8 .36 30 167.4 5.58 30 400 400 1 Total: 1424.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423757 Min 01423757 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 6249 of 6486
PREMLATA MISHRA Rate Amount Qty 21.8 2.18 10 12.88 1.84 7 23.52 1.12 21 400 400 1 11.85 .79 15 18 .6 30 50.14 25.07 2 21.3 .71 30 7.5 .25 30 4.8 .16 30 18.6 .62 30 400 400 1 Total: 990.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423766 Min 01423766 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 6250 of 6486
Name
SOHGIN SAHU Rate Amount Qty 121.5 12.15 10 11.4 .38 30 70.2 2.34 30 9 .9 10 1.85 .37 5 6.4 .64 10 7.9 .79 10 12.1 1.21 10 400 400 1 Total: 640.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423767 Min 01423767 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6251 of 6486
Name
MANI KANT CHOUDHARY Rate Amount Qty 14.85 .99 15 55.8 .93 60 16.2 .27 60 76.5 2.55 30 26.7 .89 30 400 400 1 Total: 590.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423768 Min 01423768 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 06-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 22-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 6252 of 6486
Name
PUNITA CHOUDHARY Rate Amount Qty 13.95 .93 15 400 400 1 66.2 6.62 10 27.9 .93 30 20.84 5.21 4 11.4 .38 30 26.7 .89 30 30.15 .67 45 6.4 .64 10 400 400 1 Total: 1003.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423771 Min 01423771 Appmt Dt Slno Description 15-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6253 of 6486
Name
K L BALASUBRAMANIAM Qty Rate Amount 15 .64 9.6 1 400 400 409.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423773 Min 01423773 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 6254 of 6486
Name
GOPAL KRISHNA NANHORYA Rate Amount Qty 21.3 .71 30 55.8 .93 60 60.9 2.03 30 18.9 .63 30 7.5 .25 30 400 400 1 Total: 564.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423774 Min 01423774 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 6255 of 6486
Name
SHEELA NANHORYA Rate Amount Qty 43.96 43.96 1 21.3 .71 30 55.8 .93 60 14.85 .99 15 400 400 1 Total: 535.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423790 Min 01423790 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 27-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 27-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 6256 of 6486
Name
MALTI GUPTA Rate Amount Qty 26.7 .89 30 54 .9 60 16.2 .18 90 100.71 100.71 1 400 400 1 Total: 597.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423793 Min 01423793 Name Appmt Dt Slno Description 23-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6257 of 6486
RAM SHOBHA Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423794 Min 01423794 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 URIC ACID (UA /URATES /UR) 6 22-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 6258 of 6486
Name
PHOOL MATI Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 3.84 .64 6 2.5 .25 10 275 275 1 380 380 1 275 275 1 7.44 .93 8 10.65 .71 15 400 400 1 Total: 3329.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423801 Min 01423801 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 6259 of 6486
Name
RAM NARESH SINGH Rate Amount Qty 100.71 100.71 1 16.2 .18 90 54 .9 60 400 400 1 55.8 .93 60 36 .6 60 3.75 .25 15 400 400 1 Total: 1066.46
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423802 Min 01423802 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 6260 of 6486
SHANTI DEVI Rate Amount Qty 3.9 .26 15 31.46 15.73 2 4.45 .89 5 3.75 .25 15 26.6 2.66 10 400 400 1 9 .9 10 8.9 .89 10 400 400 1 29.7 .99 30 6.9 .23 30 27.9 .93 30 400 400 1 Total: 1352.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423803 Min 01423803 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6261 of 6486
Name
SUDARSHAN PRASAD Rate Amount Qty 54 .6 90 7.5 .25 30 20.84 5.21 4 55.8 .93 60 400 400 1 Total: 538.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423804 Min 01423804 Appmt Dt Slno Description 19-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 2 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 19-FEB-19 3 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6262 of 6486
Name
MARAKSHI Qty Rate Amount 60 .25 15 30 .71 21.3 60 .51 30.6 1 400 400 Total: 466.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423817 Min 01423817 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 28-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 6263 of 6486
Name
RAJENDRA PRASAD VERMA Rate Amount Qty 3.7 .37 10 45.44 45.44 1 400 400 1 Total: 449.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423818 Min 01423818 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 6264 of 6486
Name
JAHUTRI VERMA Rate Amount Qty 47.4 .79 60 21.3 .71 30 400 400 1 Total: 468.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423819 Min 01423819 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 18-FEB-19 BRIMONIDINE TARTRATE,0.15% 2 18-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 3 18-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 6265 of 6486
Name
BHAGWATI PD CHANDRAKAR Rate Amount Qty 51.38 25.69 2 148.9 74.45 2 156.51 156.51 1 40.58 20.29 2 400 400 1 Total: 797.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423820 Min 01423820 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 6266 of 6486
Name
PUSHPA BAI Rate Amount Qty 7.1 .71 10 27.4 1.37 20 8.9 .89 10 123.8 6.19 20 27.9 .93 30 36 .6 60 7.5 .25 30 1.85 .37 5 400 400 1 Total: 640.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423829 Min 01423829 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 6267 of 6486
Name
G SAMAIYYA Rate Amount Qty 18 .6 30 47.4 .79 60 400 400 1 Total: 465.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423830 Min 01423830 Appmt Dt Slno Description 26-FEB-19 1 CINNARIZINE,25MG,STRIP PACK,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6268 of 6486
Name
G. SAROJA Qty Rate Amount 20 .42 8.4 1 400 400 408.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01623488 Min 01623488 Appmt Dt Slno Description 27-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 27-FEB-19 2 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 27-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6269 of 6486
Name
RABI NARAYAN PANDA Qty Rate Amount 10 .37 3.7 15 1.12 16.8 10 .64 6.4 1 400 400 Total: 426.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01623489 Min 01623489 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 01-FEB-19 ACENOCOUMAROL,2MG,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 27-FEB-19 DRESSING SIMPLE 6 27-FEB-19 TETANUS IMMUNOGLOBULIN 7 27-FEB-19 OBSERVATION IN CASUALTY 8 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 27-FEB-19
Page 6270 of 6486
Name
SUSMITA PANDA Rate Amount Qty 43.2 1.44 30 36.3 1.21 30 999 6.75 148 400 400 1 600 600 1 300 300 1 1.37 1.37 1 420 420 1 .64 .64 1 Total: 2800.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01708091 Min 01708091 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 14-FEB-19 ECG 14 14-FEB-19 CREATININE /CRT 15 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 14-FEB-19
Page 6271 of 6486
Name
RADHA MOHAN MEHTA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 167.4 5.58 30 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 10.8 .36 30 21.3 .71 30 33 1.1 30 55.8 .93 60 14.85 .99 15 450 450 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 4508.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01708092 Min 01708092 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 6272 of 6486
Name
BHAGYAMANI DEVI Rate Amount Qty 3.7 .37 10 35.2 17.6 2 9.3 .62 15 34.8 1.16 30 12 .4 30 36.3 1.21 30 8.1 .27 30 400 400 1 Total: 539.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01917323 Min 01917323 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 6273 of 6486
Name
NARAYAN PRASAD DIXIT Rate Amount Qty 21.6 .36 60 55.8 .93 60 400 400 1 Total: 477.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02426945 Min 02426945 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6274 of 6486
Name
NAWAL KISHORE PRASAD Rate Amount Qty 8.1 .27 30 33 1.1 30 400 400 1 Total: 441.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02426946 Min 02426946 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6275 of 6486
Name
ASHA PRASAD Rate Amount Qty 23.7 .79 30 8.1 .27 30 400 400 1 Total: 431.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02431426 Min 02431426 Appmt Dt Slno Description 08-FEB-19 1 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6276 of 6486
Name
RADHA KRISHAN SARDA Qty Rate Amount 1 20.25 20.25 1 400 400 420.25 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02431532 Min 02431532 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 6277 of 6486
Name
ALI HASAN Rate Amount Qty 21.3 .71 30 12 .4 30 7.5 .25 30 26.7 .89 30 21.6 .36 60 54 .6 90 39 1.3 30 400 400 1 Total: 582.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02431533 Min 02431533 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 07-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 X - RAY - TWO VIEWS 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 15-FEB-19 CREATININE /CRT 17 15-FEB-19 UREA (BUN /UR) 18 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 22 15-FEB-19 ESCITALOPRAM,10MG,,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 6278 of 6486
Name
SAFIKAN Rate Amount Qty 3.28 .41 8 55.5 1.85 30 400 400 1 860 860 1 8.9 .89 10 4.1 .41 10 400 400 1 8.2 .41 20 247.6 6.19 40 7.6 .38 20 17.8 .89 20 400 400 1 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 7.5 .25 30 21.6 .36 60 72 .6 120 34.8 1.16 30 55.5 1.85 30 400 400 1 Total: 5804.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03401824 Min 03401824 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 6279 of 6486
Name
KANAK NANDI Rate Amount Qty 26.7 .89 30 371.4 6.19 60 40.12 20.06 2 55.8 .93 60 400 400 1 Total: 894.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03418089 Min 03418089 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6280 of 6486
Name
SARFARAZ AHMAD Rate Amount Qty 104.4 1.74 60 54 .9 60 12.15 12.15 1 79.2 .66 120 26.7 .89 30 400 400 1 Total: 676.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/03611728 Min 03611728 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6281 of 6486
ALEN SINGH SAHU Rate Amount Qty 26.7 .89 30 54 .9 60 16.2 .18 90 15.73 15.73 1 400 400 1 Total: 512.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03611729 Min 03611729 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6282 of 6486
Name
SAROJ SAHU Rate Amount Qty 26.7 .89 30 59.4 .66 90 100.71 100.71 1 156.6 1.74 90 400 400 1 Total: 743.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03619401 Min 03619401 Appmt Dt Slno Description 02-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 02-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 02-FEB-19 3 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6283 of 6486
Name
GARIMELLA VENKAT RAMAN RAJA Qty Rate Amount 30 2.03 60.9 30 .27 8.1 30 6.41 192.3 1 400 400 Total: 661.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03619402 Min 03619402 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6284 of 6486
Name
G.V.RAMANI Rate Amount Qty 27.9 .93 30 74.4 .62 120 34.8 1.16 30 400 400 1 18.6 .62 30 400 400 1 Total: 955.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04401437 Min 04401437 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 PRAZOSIN,2.5MG,TABLET 4 22-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 6285 of 6486
Name
ASHA KUMARI Rate Amount Qty 72 .6 120 42.6 .71 60 8.1 .27 30 39 1.3 30 24 .4 60 14.85 .99 15 13.35 .89 15 9.3 .62 15 21.3 .71 30 400 400 1 Total: 644.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/04402669 Min 04402669 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 11-FEB-19 UREA (BUN /UR) 2 11-FEB-19 CREATININE /CRT 3 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 11-FEB-19 BLOOD FOR TSH 9 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 18-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 12 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 6286 of 6486
DINA NATH PANDEY Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 400 400 1 1300 1300 1 800 800 1 400 400 1 27.9 .93 30 12 .6 20 192.3 6.41 30 400 400 1 25.07 25.07 1 400 400 1 Total: 6632.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04402670 Min 04402670 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 11-FEB-19 URIC ACID (UA /URATES /UR) 5 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 11-FEB-19 CREATININE /CRT 7 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 13 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19
Page 6287 of 6486
Name
KAUSHALYA PANDEY Rate Amount Qty 7.5 .25 30 21.3 .71 30 27.9 .93 30 21.3 .71 30 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 3.8 .38 10 100.71 100.71 1 54 .9 60 26.7 .89 30 20.1 .67 30 400 400 1 Total: 3510.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04403069 Min 04403069 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 6288 of 6486
Name
KALIM AHMAD Rate Amount Qty 40.12 20.06 2 247.6 6.19 40 17.8 .89 20 7.6 .38 20 400 400 1 28.8 1.44 20 17.8 .89 20 5 .25 20 37.2 .93 40 400 400 1 6.4 .64 10 400 400 1 21.3 .71 30 55.8 .93 60 400 400 1 Total: 2085.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04403070 Min 04403070 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 6289 of 6486
Name
SHAKILA PRAWIN Rate Amount Qty 20.84 5.21 4 12.8 .64 20 247.6 6.19 40 17.8 .89 20 400 400 1 8.1 .27 30 400 400 1 Total: 1107.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04405672 Min 04405672 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 6290 of 6486
Name
N K CHANDRAKAR Rate Amount Qty 11.85 .79 15 22.2 .37 60 400 400 1 Total: 434.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04405673 Min 04405673 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 19 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 12-FEB-19
Page 6291 of 6486
Name
SMT ANITA CHANDRAKAR Rate Amount Qty 27.9 .93 30 12 .4 30 21.3 .71 30 8.1 .27 30 18 .6 30 39 1.3 30 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 8.9 .89 10 13.7 1.37 10 39 1.3 30 27.9 .93 30 8.1 .27 30 12 .4 30 21.3 .71 30 18 .6 30 400 400 1 Total: 3325.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04405700 Min 04405700 Slno Description Appmt Dt GUM ASTRINGENT PAINT 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6292 of 6486
Name
GOPAL PURI GOSWAMI Rate Amount Qty 31.54 31.54 1 60.9 2.03 30 192.3 6.41 30 6.4 .64 10 7.7 .77 10 400 400 1 Total: 698.84
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/04405701 Min 04405701 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 BUDESONIDE,200MCG,CAPSULE 12 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 6293 of 6486
SANTOSH GOSWAMI Rate Amount Qty 8.1 .27 30 27.9 .93 30 36 .6 60 7.5 .25 30 21.3 .71 30 2.5 .25 10 50.14 25.07 2 400 400 1 39.6 .66 60 16.2 .18 90 26.7 .89 30 104.4 1.74 60 54 .9 60 400 400 1 Total: 1194.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04408770 Min 04408770 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 6294 of 6486
Name
KALPNA MAJUMDAR Rate Amount Qty 7.65 .51 15 21.3 .71 30 33 1.1 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 525.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04409739 Min 04409739 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6295 of 6486
Name
KRISHNA GEETA SWARNKAR Rate Amount Qty 371.4 6.19 60 11.4 .38 30 26.7 .89 30 41.1 1.37 30 400 400 1 Total: 850.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/04708732 Min 04708732 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 02-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19
Page 6296 of 6486
HARBHAJAN KOUR Rate Amount Qty 12 .4 30 7.65 .51 15 42.6 .71 60 16.2 .27 60 47.4 .79 60 39 1.3 30 31.46 15.73 2 34.8 1.16 30 43.2 1.44 30 400 400 1 Total: 674.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04717619 Min 04717619 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6297 of 6486
Name
SUSHIL KUMAR MARWAHA Rate Amount Qty 21.3 .71 30 36 .6 60 8.1 .27 30 55.8 .93 60 12 .4 30 7.5 .25 30 400 400 1 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04717620 Min 04717620 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 6298 of 6486
Name
SAVITRI MARWAHA Rate Amount Qty 33 1.1 30 371.4 6.19 60 5.21 5.21 1 26.7 .89 30 12 .4 30 167.4 5.58 30 334.8 5.58 60 78 1.3 60 27.9 .93 30 400 400 1 Total: 1456.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04720256 Min 04720256 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 6299 of 6486
Name
RAM RAJ SINGH Rate Amount Qty 29.7 .99 30 60.9 2.03 30 17.4 1.16 15 32.4 1.08 30 400 400 1 Total: 540.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04739796 Min 04739796 Appmt Dt Slno Description 09-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 09-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 09-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6300 of 6486
Name
AMODE KUMAR JHA Qty Rate Amount 15 .99 14.85 30 6.41 192.3 30 2.03 60.9 1 400 400 Total: 668.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04739797 Min 04739797 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 09-FEB-19 SOLIFENACIN,5MG,,TABLET 2 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 SOLIFENACIN,5MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 6301 of 6486
Name
LALITA JHA Rate Amount Qty 72.6 1.21 60 403.2 13.44 30 27.9 .93 30 400 400 1 403.2 13.44 30 400 400 1 Total: 1706.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04742302 Min 04742302 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 19-FEB-19 CREATININE /CRT 6 19-FEB-19 UREA (BUN /UR) 7 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 26-FEB-19 X - RAY - TWO VIEWS 14 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 6302 of 6486
Name
HARI KISHAN SINGH KAIN Rate Amount Qty 27.4 1.37 20 8.9 .89 10 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 1300 1300 1 17 1.7 10 400 400 1 400 400 1 860 860 1 13.95 .93 15 21.3 .71 30 66 1.1 60 400 400 1 Total: 5964.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04742303 Min 04742303 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 HEPATITIS C TEST /HCV 6 19-FEB-19 ABC TEST HIV 7 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 19-FEB-19 UREA (BUN /UR) 9 19-FEB-19 CREATININE /CRT 10 19-FEB-19 C T THORAX 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 19-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 16 19-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 17 19-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 18 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 19 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 21 25-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 22 25-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19
Page 6303 of 6486
Name
HEERA DEVI Rate Amount Qty 1.75 .25 7 92.68 6.62 14 6.23 .89 7 12.6 .9 14 400 400 1 1700 1700 1 1250 1250 1 275 275 1 275 275 1 275 275 1 9000 9000 1 400 400 1 275 275 1 400 400 1 550 550 1 275 275 1 1300 1300 1 1000 1000 1 104.4 1.74 60 54 .9 60 52.96 6.62 8 39.6 .66 60 69.05 69.05 1 400 400 1 Total: 18208.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/05406573 Min 05406573 Slno Description Appmt Dt SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 6304 of 6486
Name
DR P PANIGRAHI Rate Amount Qty 58 29 2 18 .9 20 15 .25 60 18 .6 30 10.8 .36 30 167.4 5.58 30 400 400 1 Total: 687.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/05406574 Min 05406574 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6305 of 6486
Name
SNEHALATA Rate Amount Qty 23.1 .77 30 13.64 6.82 2 33.6 1.12 30 70.4 3.52 20 12.3 .41 30 400 400 1 Total: 553.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/05410853 Min 05410853 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CREATININE /CRT 4 07-FEB-19 UREA (BUN /UR) 5 07-FEB-19 PLATELET COUNT 6 07-FEB-19 HB,TLC,DLC 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19
Page 6306 of 6486
Name
ARVIND KUMAR SHRIVASTAVA Rate Amount Qty 26.7 .89 30 14.85 .99 15 27.9 .93 30 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 21.3 .71 30 Total: 1670.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/05410854 Min 05410854 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 6307 of 6486
Name
VINOO SHRIVASTAVA Rate Amount Qty 118.5 3.95 30 47.4 .79 60 55.8 .93 60 10.8 .36 30 72 .6 120 34.8 1.16 30 400 400 1 Total: 739.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/06404513 Min 06404513 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 8 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 16-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 11 16-FEB-19 OBSERVATION IN CASUALTY 12 16-FEB-19 ECG 13 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 16 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 16-FEB-19
Page 6308 of 6486
Name
RADHEY LAL SHARMA Rate Amount Qty 7.5 .25 30 21.3 .71 30 32.4 1.08 30 27.9 .62 45 66 1.1 60 77.85 5.19 15 400 400 1 600 600 1 .4 .4 1 24.52 24.52 1 9.62 9.62 1 420 420 1 450 450 1 4.45 .89 5 1.3 .26 5 .8 .16 5 400 400 1 Total: 2544.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/06408193 Min 06408193 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 6309 of 6486
Name
G.D. GUPTA Rate Amount Qty 34.8 1.16 30 12 .4 30 47.4 .79 60 15.6 .26 60 16.2 .27 60 29.7 .99 30 400 400 1 Total: 555.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/06408194 Min 06408194 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 6310 of 6486
Name
SMT. MAMTA GUPTA Rate Amount Qty 12.3 .41 30 7.5 .25 30 18.9 .63 30 8.1 .27 30 20.06 20.06 1 400 400 1 Total: 466.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/08404126 Min 08404126 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 6311 of 6486
Name
VISHAL DAS BANDHE Rate Amount Qty 27.9 .93 30 60.9 2.03 30 34.8 1.16 30 167.4 5.58 30 12.8 .64 20 7.5 .25 30 72 .6 120 400 400 1 Total: 783.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/08404127 Min 08404127 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 6312 of 6486
Name
SMT BODHA BAIBANDHE Rate Amount Qty 6.4 .64 10 7.5 .25 30 10.8 .36 30 27.9 .93 30 72 .6 120 400 400 1 Total: 524.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/08404258 Min 08404258 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6313 of 6486
Name
P D KULDEEP Rate Amount Qty 12 .4 30 8.1 .27 30 66 1.1 60 55.8 .93 60 23.7 .79 30 21.3 .71 30 9 .3 30 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/08404259 Min 08404259 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6314 of 6486
Name
URMILA KULDEEP Rate Amount Qty 7.92 .99 8 54 .6 90 9 .3 30 7.5 .25 30 400 400 1 Total: 478.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/09400474 Min 09400474 Appmt Dt Slno Description 07-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 07-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6315 of 6486
Name
MANI RANI RASTOGI Qty Rate Amount 30 .93 27.9 15 .99 14.85 30 .27 8.1 1 400 400 Total: 450.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400078 Min 10400078 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6316 of 6486
Name
LAUDHAR PRASAD Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/10400079 Min 10400079 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 14-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 18-FEB-19 ECG 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 18-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 6317 of 6486
SMT KEWALE Rate Amount Qty 3.8 .38 10 48.22 48.22 1 400 400 1 25.69 25.69 1 450 450 1 400 400 1 6.23 .89 7 19.77 19.77 1 400 400 1 Total: 1753.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400080 Min 10400080 Slno Description Appmt Dt CREATININE /CRT 1 20-FEB-19 UREA (BUN /UR) 2 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 20-FEB-19
Page 6318 of 6486
Name
A K TIWARI Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 55.8 .93 60 275 275 1 275 275 1 12 .4 30 16.2 .27 60 33 1.1 30 400 400 1 550 550 1 Total: 3467
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/10400081 Min 10400081 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 20-FEB-19 CREATININE /CRT 7 20-FEB-19 UREA (BUN /UR) 8 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 20-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 20-FEB-19
Page 6319 of 6486
SMT DEEPA TIWARI Rate Amount Qty 10.65 .71 15 59.25 3.95 15 27.9 .93 30 550 550 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 12 .4 30 6.82 6.82 1 25.07 25.07 1 Total: 4791.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400259 Min 10400259 Appmt Dt Slno Description 06-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6320 of 6486
Name
MANJU RASTOGI Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400303 Min 10400303 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 6321 of 6486
Name
VINOD KUMAR ARORA Rate Amount Qty 53.4 .89 60 13.95 .93 15 76.5 2.55 30 32.4 1.08 30 53.4 .89 60 13.95 .93 15 76.5 2.55 30 32.4 1.08 30 400 400 1 Total: 752.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400304 Min 10400304 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 6322 of 6486
Name
SEEMA ARORA Rate Amount Qty 26.7 .89 30 18.6 .62 30 11.85 .79 15 10.65 .71 15 400 400 1 Total: 467.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400372 Min 10400372 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 21-FEB-19 CREATININE /CRT 8 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 21-FEB-19 ECG 10 21-FEB-19 UREA (BUN /UR) 11 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 21-FEB-19
Page 6323 of 6486
Name
SUSHIL KUMAR SARASWAT Rate Amount Qty 66 1.1 60 21.3 .71 30 12 .4 30 27.9 .62 45 400 400 1 400 400 1 550 550 1 275 275 1 400 400 1 450 450 1 275 275 1 275 275 1 275 275 1 Total: 3427.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400373 Min 10400373 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 6324 of 6486
Name
URMILA SARASWAT Rate Amount Qty 9 .3 30 26.7 .89 30 18 .6 30 34.8 1.16 30 7.5 .25 30 27.9 .93 30 400 400 1 21.3 .71 30 27.9 .93 30 36 .6 60 9 .3 30 400 400 1 Total: 1018.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400481 Min 10400481 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 14-FEB-19 X - RAY - TWO VIEWS 3 15-FEB-19 C T HEAD PLAIN 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19
Page 6325 of 6486
Name
BIMLA PATHAK Rate Amount Qty 9.6 .64 15 400 400 1 860 860 1 5250 5250 1 400 400 1 Total: 6919.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400488 Min 10400488 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6326 of 6486
Name
E K S NAIR Rate Amount Qty 117 1.3 90 72 .6 120 32.4 .36 90 21.3 .71 30 7.5 .25 30 400 400 1 Total: 650.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400489 Min 10400489 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6327 of 6486
Name
LATHIKA NAIR Rate Amount Qty 8.9 .89 10 21.3 .71 30 12 .4 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 503.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400508 Min 10400508 Appmt Dt Slno Description 08-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 23-FEB-19 3 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6328 of 6486
Name
CHINMOY MAJI Qty Rate Amount 30 .71 21.3 1 400 400 90 2.1 189 1 400 400 Total: 1010.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400509 Min 10400509 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 6329 of 6486
Name
NIVEDITA MAJI Rate Amount Qty 3.75 .25 15 21.3 .71 30 10.8 .36 30 16.2 .27 60 55.8 .93 60 36 .6 60 400 400 1 Total: 543.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/14400595 Min 14400595 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 6330 of 6486
Name
AVINASH KUMAR VERMA Rate Amount Qty 1.85 .37 5 4.45 .89 5 6.4 .64 10 35.2 3.52 10 400 400 1 Total: 447.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/14400596 Min 14400596 Appmt Dt Slno Description 14-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 14-FEB-19 2 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 6331 of 6486
Name
SWARNLATA VERMA Qty Rate Amount 1 400 400 1 1750 1750 2150 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/14401020 Min 14401020 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 6332 of 6486
Name
BODH KRISHNA JHA Rate Amount Qty 21.3 .71 30 78 1.3 60 18 .3 60 54 .6 90 60.9 2.03 30 400 400 1 Total: 632.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/15403186 Min 15403186 Slno Description Appmt Dt FLUOXETINE HCL,20MG,CAPSULE/TABLET. 1 05-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 2 05-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 6333 of 6486
Name
PARMATMA RAM Rate Amount Qty 99.6 3.32 30 82.2 1.37 60 15.3 .51 30 32.4 1.08 30 27.9 .93 30 36 .6 60 66 1.1 60 400 400 1 Total: 759.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/16400743 Min 16400743 Slno Description Appmt Dt GUM ANALGESIC GEL 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 6334 of 6486
Name
AMITABH GHOSH HAZRA Rate Amount Qty 28.69 28.69 1 400 400 1 66 1.1 60 24 .4 60 21.3 .71 30 23.7 .79 30 400 400 1 Total: 963.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/16400744 Min 16400744 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 6335 of 6486
Name
NANDA GHOSH Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 55.8 .93 60 16.2 .27 60 400 400 1 Total: 944
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/16401404 Min 16401404 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 6336 of 6486
Name
HRIDAYA MOHAN Rate Amount Qty 23.7 .79 30 10.65 .71 15 400 400 1 Total: 434.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400037 Min 17400037 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 6337 of 6486
Name
SAVITRI DEVI Rate Amount Qty 46.2 .77 60 4.8 .16 30 7.5 .25 30 11.4 .38 30 400 400 1 Total: 469.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400124 Min 17400124 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 28-FEB-19 INHALANT,STRIP PACK,CAPSULE 9 28-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 10 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 6338 of 6486
Name
SAMPATI THAPLIYAL Rate Amount Qty 3.5 .25 14 92.68 6.62 14 2.59 .37 7 12.46 .89 14 400 400 1 8.9 .89 10 10.95 .73 15 123.53 123.53 1 25.5 1.7 15 32.61 32.61 1 35.2 3.52 10 1.85 .37 5 400 400 1 Total: 1149.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400185 Min 17400185 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 CREATININE /CRT 9 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 19-FEB-19
Page 6339 of 6486
Name
RAM VINOD SINGH Rate Amount Qty 87.92 43.96 2 12.8 .64 20 20.84 5.21 4 54 .6 90 26.7 .89 30 7.5 .25 30 34.8 1.16 30 400 400 1 275 275 1 1300 1300 1 275 275 1 400 400 1 275 275 1 Total: 3169.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400186 Min 17400186 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 02-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 7 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 02-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 15 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 07-FEB-19
Page 6340 of 6486
Name
BINDA SINGH Rate Amount Qty 26.7 .89 30 7.5 .25 30 185.7 6.19 30 12.8 .64 20 18.6 .62 30 63 .6 105 73.8 .82 90 21.3 .71 30 21.3 .71 30 9 .3 30 400 400 1 1.6 .16 10 20.06 20.06 1 400 400 1 39.54 19.77 2 12.8 .64 20 400 400 1 Total: 1713.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400205 Min 17400205 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 6341 of 6486
Name
SHAKUNTALA YADAV Rate Amount Qty 55.8 .93 60 66 1.1 60 12 .4 30 21.3 .71 30 1.48 .37 4 400 400 1 Total: 556.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400212 Min 17400212 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 6342 of 6486
Name
A. K. KHARALKAR Rate Amount Qty 1.6 .16 10 60.9 2.03 30 60.9 2.03 30 78 1.3 60 36 .6 60 8.9 .89 10 6.4 .64 10 27.9 .93 30 55.2 .92 60 400 400 1 Total: 735.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400213 Min 17400213 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 6343 of 6486
Name
SHOBHA Rate Amount Qty 27.6 .92 30 21.3 .71 30 21.3 .71 30 17.4 .58 30 18 .6 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 554.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400216 Min 17400216 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 7 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 6344 of 6486
DEO PRAKASH ADIL Rate Amount Qty 87.92 43.96 2 25.69 25.69 1 400 400 1 27.9 .93 30 8.1 .27 30 400 400 1 29 29 1 44.16 1.84 24 25.07 25.07 1 7.68 .64 12 4.8 .6 8 400 400 1 Total: 1460.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400217 Min 17400217 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 13-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 2 13-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 13-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 6345 of 6486
Name
RADHA DEVI ADIL Rate Amount Qty 87.92 43.96 2 73.35 4.89 15 10.95 .73 15 82.76 165.52 2 4.1 .41 10 8.9 .89 10 400 400 1 Total: 750.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400249 Min 17400249 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 X - RAY - SINGLE VIEW 5 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 23-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 28-FEB-19 UREA (BUN /UR) 17 28-FEB-19 CREATININE /CRT 18 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 19 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 28-FEB-19 C T THORAX 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 6346 of 6486
Name
ARUN KUMAR RAJABHOJ Rate Amount Qty 33 1.1 30 12 .4 30 9.3 .62 15 400 400 1 550 550 1 400 400 1 70.2 2.34 30 2.7 .18 15 12.15 12.15 1 1.85 .37 5 400 400 1 16.8 1.12 15 9 .9 10 12.15 12.15 1 66.2 6.62 10 400 400 1 275 275 1 275 275 1 26 2.6 10 8.9 .89 10 5 .25 20 9000 9000 1 400 400 1 Total: 12385.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400250 Min 17400250 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 17 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 6347 of 6486
Name
CHITRALEKHA RAJABHOJ Rate Amount Qty 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 3.84 .64 6 66 1.1 60 1.85 .37 5 11.85 .79 15 2.28 .38 6 400 400 1 1.85 .37 5 2.7 .18 15 400 400 1 8.9 .89 10 5 .25 20 26 2.6 10 12.15 12.15 1 3.7 .37 10 18 .9 20 400 400 1 Total: 1772.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400256 Min 17400256 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 6348 of 6486
Name
JHARNA SHUKLA Rate Amount Qty 3.84 .64 6 1.85 .37 5 22.2 .37 60 55.8 .93 60 23.7 .79 30 2.28 .38 6 400 400 1 Total: 509.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400270 Min 17400270 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 25-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 26-FEB-19
Page 6349 of 6486
Name
KULESHAHARI VERMA Rate Amount Qty 420 420 1 24.52 24.52 1 5.77 5.77 1 7.5 .25 30 20.84 5.21 4 Total: 478.63
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400295 Min 17400295 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6350 of 6486
RAM SHARAN SHRIVAS Rate Amount Qty 8.1 .27 30 26.7 .89 30 54 .9 60 7.5 .25 30 15.73 15.73 1 60.9 2.03 30 23.7 .79 30 400 400 1 Total: 596.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400296 Min 17400296 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 6351 of 6486
Name
KALYANI BAI SHRIVAS Rate Amount Qty 10.8 .36 30 54 .6 90 27.9 .93 30 21.3 .71 30 1.48 .37 4 400 400 1 Total: 515.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400309 Min 17400309 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6352 of 6486
Name
ASHOK KUMAR SARKAR Qty Rate Amount 60 .27 16.2 1 400 400 416.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400310 Min 17400310 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6353 of 6486
Name
RUPASREE SARKAR Qty Rate Amount 30 .71 21.3 60 .27 16.2 60 .93 55.8 1 400 400 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400333 Min 17400333 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 DRESSING SIMPLE 2 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 X - RAY - TWO VIEWS 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19 X - RAY - TWO VIEWS 8 28-FEB-19
Page 6354 of 6486
Name
JAGDISH RAM SAHU Rate Amount Qty 400 400 1 300 300 1 13.7 1.37 10 860 860 1 400 400 1 17.8 .89 20 400 400 1 860 860 1 Total: 3251.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400334 Min 17400334 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6355 of 6486
Name
LATA SAHU Rate Amount Qty 211.8 3.53 60 33 1.1 30 17.4 .58 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 747.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400337 Min 17400337 Appmt Dt Slno Description 20-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 20-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6356 of 6486
Name
MANHARAN LAL KASHYAP Qty Rate Amount 4 5.21 20.84 30 .27 8.1 60 .79 47.4 1 400 400 Total: 476.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400343 Min 17400343 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6357 of 6486
Name
BHUWAN SINGH KOMIYA Rate Amount Qty 55.8 .93 60 33 1.1 30 36 .6 60 167.4 5.58 30 7.5 .25 30 400 400 1 Total: 699.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400344 Min 17400344 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 6358 of 6486
USHA KIRAN KOMIYA Rate Amount Qty 29.7 .99 30 9.3 .62 15 26.6 2.66 10 1.85 .37 5 15.73 15.73 1 55.8 .93 60 400 400 1 Total: 538.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400349 Min 17400349 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6359 of 6486
Name
R S MAURYA Rate Amount Qty 78 1.3 60 167.4 5.58 30 21.3 .71 30 7.5 .25 30 38.25 2.55 15 9 .3 30 400 400 1 Total: 721.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400350 Min 17400350 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6360 of 6486
Name
CHANDRAWATI MAURYA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400354 Min 17400354 Appmt Dt Slno Description 21-FEB-19 1 X - RAY - TWO VIEWS 21-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 21-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 4 LORNOXICAM 8 MG,STRIP PACK,,TABLET
Page 6361 of 6486
Name
PRATIMA GUPTA Qty Rate Amount 2 860 1720 1 400 400 10 .89 8.9 10 1.37 13.7 Total: 2142.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400362 Min 17400362 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 02-FEB-19
Page 6362 of 6486
M L WADHWANI Rate Amount Qty 36 .6 60 39 1.3 30 9 .3 30 8.1 .27 30 23.7 .79 30 55.8 .93 60 12.6 .42 30 33 1.1 30 7.5 .25 30 1.85 .37 5 15.73 15.73 1 400 400 1 Total: 642.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400363 Min 17400363 Appmt Dt Slno Description 02-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6363 of 6486
Name
INDIRA WADHWANI Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400370 Min 17400370 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 6364 of 6486
Name
RAMJI PRASAD Rate Amount Qty 15.6 .26 60 33 1.1 30 12 .4 30 34.8 1.16 30 27.9 .93 30 29.7 .99 30 167.4 5.58 30 400 400 1 Total: 720.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400371 Min 17400371 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6365 of 6486
Name
FULWATI Rate Amount Qty 8.1 .27 30 7.5 .25 30 16.8 1.12 15 7.7 .77 10 400 400 1 Total: 440.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400427 Min 17400427 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 6366 of 6486
Name
BHIKHAM SINGH THAKUR Rate Amount Qty 8.1 .27 30 27.9 .93 30 29.7 .99 30 4.8 .16 30 32.4 1.08 30 21.3 .71 30 26.7 .89 30 12 .4 30 400 400 1 Total: 562.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400440 Min 17400440 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 6367 of 6486
Name
RANJIT KUMAR MAZUMDAR Rate Amount Qty 33 1.1 30 24 .4 60 32.4 1.08 30 69.6 1.16 60 26.7 .89 30 13.95 .93 15 18.6 .62 30 4.8 .16 30 7.5 .25 30 400 400 1 Total: 630.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400453 Min 17400453 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 6368 of 6486
Name
PARMESHWAR KORI Rate Amount Qty 12 .4 30 34.8 1.16 30 7.5 .25 30 18 .6 30 27.9 .93 30 33 1.1 30 32.4 1.08 30 400 400 1 6.82 6.82 1 400 400 1 Total: 972.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400454 Min 17400454 Appmt Dt Slno Description 18-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6369 of 6486
Name
KUSUM KORI Qty Rate Amount 30 .71 21.3 30 .99 29.7 60 .93 55.8 1 400 400 Total: 506.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400463 Min 17400463 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 10 26-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 11 26-FEB-19 ESCITALOPRAM,10MG,,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 6370 of 6486
Name
PRADEEP ANJOR RAO BHONSLE Rate Amount Qty 34.8 1.16 30 10.8 .36 30 18 .6 30 23.7 .79 30 33 1.1 30 4.8 .16 30 26.7 .89 30 12 .4 30 400 400 1 21.12 2.64 8 105.3 3.51 30 111 1.85 60 400 400 1 Total: 1201.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400464 Min 17400464 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 6371 of 6486
Name
MADHURI BHONSLE Rate Amount Qty 36 .6 60 4.8 .16 30 26.7 .89 30 34.8 1.16 30 12 .4 30 27.9 .93 30 167.4 5.58 30 10.8 .36 30 400 400 1 Total: 720.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400465 Min 17400465 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 6372 of 6486
Name
LAXMINATH TAMRAKAR Rate Amount Qty 53.4 .89 60 192.3 6.41 30 60.9 2.03 30 400 400 1 34.8 1.16 30 6.9 .23 30 72 .6 120 55.8 .93 60 400 400 1 Total: 1276.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400466 Min 17400466 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 5 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 6373 of 6486
MONGARA DEVI Rate Amount Qty 13.35 .89 15 3.75 .25 15 9 .3 30 27.9 .93 30 96.44 48.22 2 36 .6 60 40.12 20.06 2 400 400 1 Total: 626.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400468 Min 17400468 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 6374 of 6486
Name
K SHANTA Rate Amount Qty 55.8 .93 60 9 .3 30 18 .6 30 7.5 .25 30 21.3 .71 30 371.4 6.19 60 26.7 .89 30 12 .4 30 400 400 1 Total: 921.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400485 Min 17400485 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 6375 of 6486
ASHOK KUMAR SONI Rate Amount Qty 25.07 25.07 1 400 400 1 15.6 .26 60 21.3 .71 30 33 1.1 30 12 .4 30 400 400 1 Total: 906.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400486 Min 17400486 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 6376 of 6486
Name
LATA SONI Rate Amount Qty 16.81 16.81 1 400 400 1 211.8 3.53 60 14.85 .99 15 33 1.1 30 36 .6 60 55.8 .93 60 21.3 .71 30 400 400 1 Total: 1189.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400489 Min 17400489 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 6377 of 6486
Name
MOTI LAL VERMA Qty 7 7 1
Rate Amount 18.2 2.6 6.23 .89 400 400 Total: 424.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400490 Min 17400490 Appmt Dt Slno Description 14-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14-FEB-19 3 CEFEXIME,STRIP PKT,200MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6378 of 6486
Name
SAVITRI VERMA Qty Rate Amount 10 .64 6.4 5 .37 1.85 10 6.62 66.2 1 400 400 Total: 474.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400491 Min 17400491 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 6379 of 6486
Name
SHAMBHOO SHARAN VERMA Rate Amount Qty 12 .4 30 32.4 1.08 30 34.8 1.16 30 157.8 2.63 60 26.7 .89 30 4.8 .16 30 55.8 .93 60 66 1.1 60 8.1 .27 30 400 400 1 Total: 798.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400492 Min 17400492 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 6380 of 6486
Name
MANJU VERMA Rate Amount Qty 13.5 .3 45 78 1.3 60 21.3 .71 30 41.85 .93 45 400 400 1 Total: 554.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400493 Min 17400493 Appmt Dt Slno Description 09-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6381 of 6486
Name
KAMALAKAR ARAS Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400494 Min 17400494 Appmt Dt Slno Description 09-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 09-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 09-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6382 of 6486
Name
KALPANA ARAS Qty Rate Amount 30 .36 10.8 60 .6 36 30 .25 7.5 1 400 400 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400496 Min 17400496 Slno Description Appmt Dt BLOOD INDICES (MCV /MCH /MCHC) 1 06-FEB-19 HB,TLC,DLC 2 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 06-FEB-19 PLATELET COUNT 4 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 09-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 09-FEB-19 ESCITALOPRAM,10MG,,TABLET 7 09-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 8 09-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 9 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 6383 of 6486
Name
DHANI RAM SONI Rate Amount Qty 165 165 1 300 300 1 400 400 1 330 330 1 32.4 1.08 30 19.8 .66 30 55.5 1.85 30 130.42 130.42 1 29 29 1 23.7 .79 30 27.9 .93 30 400 400 1 58 29 2 400 400 1 Total: 2371.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400497 Min 17400497 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6384 of 6486
Name
MOHINI SONI Qty 6 6 1
Rate Amount 15.96 2.66 2.22 .37 400 400 Total: 418.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400517 Min 17400517 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 RACECADOTRIL,100MG,CAPSULE 2 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6385 of 6486
Name
MEENAKSHI VERMA Rate Amount Qty 8.9 .89 10 23.88 5.97 4 20.06 20.06 1 400 400 1 18.6 .62 30 400 400 1 Total: 871.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400525 Min 17400525 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 6386 of 6486
PURUSHOTTAMLAL TAMRAKAR Rate Amount Qty 6.82 6.82 1 60.9 2.03 30 38.25 2.55 15 18 .6 30 8.1 .27 30 13.95 .93 15 60.9 2.03 30 38.25 2.55 15 18 .6 30 8.1 .27 30 13.95 .93 15 25.07 25.07 1 400 400 1 Total: 710.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400526 Min 17400526 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 CREAM,CLOTRIMAZOLE,1%,15-20GM 12-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6387 of 6486
Name
SUBHADRA TAMRAKAR Qty Rate Amount 30 .93 27.9 1 9.86 9.86 10 .64 6.4 1 400 400 Total: 444.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400527 Min 17400527 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6388 of 6486
Name
RAMBHAU PARATE Rate Amount Qty 55.8 .93 60 18.9 .63 30 400 400 1 18.9 .63 30 55.8 .93 60 400 400 1 Total: 949.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400528 Min 17400528 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 6389 of 6486
Name
SAROJ PARATE Rate Amount Qty 17.4 1.16 15 27.9 .93 30 7.65 .51 15 400 400 1 27.9 .93 30 21.3 .71 30 7.65 .51 15 400 400 1 Total: 909.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400530 Min 17400530 Appmt Dt Slno Description 19-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 19-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6390 of 6486
Name
SHAIL SAHU Qty Rate Amount 30 1.1 33 15 .99 14.85 60 .93 55.8 1 400 400 Total: 503.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400535 Min 17400535 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 URIC ACID (UA /URATES /UR) 6 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 07-FEB-19 UREA (BUN /UR) 8 07-FEB-19 CREATININE /CRT 9 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 07-FEB-19 TRIGLYCERIDES (TGL) 13 07-FEB-19 CHOLESTEROL (CHOL) 14 07-FEB-19
Page 6391 of 6486
Name
YATISH KUMAR PALRKAR Rate Amount Qty 26.7 .89 30 18.9 .63 30 21.3 .71 30 20.06 20.06 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 3361.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400536 Min 17400536 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 4 07-FEB-19 UREA (BUN /UR) 5 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 07-FEB-19 URIC ACID (UA /URATES /UR) 8 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 07-FEB-19 TRIGLYCERIDES (TGL) 10 07-FEB-19 CHOLESTEROL (CHOL) 11 07-FEB-19 CREATININE /CRT 12 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 07-FEB-19
Page 6392 of 6486
Name
SUNITA PALRKAR Rate Amount Qty 27.9 .93 30 21.3 .71 30 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3599.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400544 Min 17400544 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 23-FEB-19
Page 6393 of 6486
Name
HIRA LAL SAO Rate Amount Qty 13.8 .23 60 21.3 .71 30 211.8 3.53 60 13.95 .93 15 400 400 1 275 275 1 275 275 1 400 400 1 Total: 1610.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400545 Min 17400545 Slno Description Appmt Dt DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 1 09-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 6394 of 6486
Name
ANJU DEVI Rate Amount Qty 161.1 5.37 30 24.6 .82 30 400 400 1 21.3 .71 30 11.85 .79 15 29.7 .99 30 33 1.1 30 8.7 .58 15 13.35 .89 15 400 400 1 Total: 1103.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400560 Min 17400560 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 25-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 6395 of 6486
Name
MOHD. ABUTARIQUE Rate Amount Qty 12.81 12.81 1 11.25 .75 15 400 400 1 Total: 424.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400561 Min 17400561 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 6 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 6396 of 6486
Name
FIROZ JAHAN Rate Amount Qty 21.3 .71 30 8.1 .27 30 3.84 .64 6 400 400 1 8.9 .89 10 7.3 .73 10 13.7 1.37 10 400 400 1 Total: 863.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400563 Min 17400563 Slno Description Appmt Dt TOLTERODINE TARTARATE SR,4 MG,TAB/CAP, 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 6397 of 6486
Name
SUBHAS SINGH RAO Rate Amount Qty 175.5 5.85 30 400 400 1 36 .6 60 2.4 .16 15 32.4 1.08 30 34.8 1.16 30 76.5 2.55 30 55.8 .93 60 60.9 2.03 30 43.96 43.96 1 27.9 .93 30 46.2 .77 60 400 400 1 Total: 1392.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400564 Min 17400564 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 6398 of 6486
Name
MADHU SINGH Rate Amount Qty 83.4 2.78 30 10.42 5.21 2 400 400 1 18.6 .62 30 17.4 .58 30 11.4 .38 30 400 400 1 Total: 941.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400568 Min 17400568 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 6399 of 6486
Name
SAVITA AJMERIA Rate Amount Qty 34.8 1.16 30 8.1 .27 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400569 Min 17400569 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 27-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 6400 of 6486
Name
SAPAN KUMAR BOSE Rate Amount Qty 9.28 1.16 8 9.45 .63 15 33 1.1 30 27.9 .93 30 5.4 .36 15 18 .6 30 6.9 .23 30 400 400 1 7.5 .25 30 45.44 45.44 1 400 400 1 Total: 962.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400581 Min 17400581 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 6401 of 6486
Name
SWADESH KUMAR SHUKLA Rate Amount Qty 54 .6 90 10.8 .36 30 7.5 .25 30 400 400 1 7.5 .25 30 54 .6 90 10.8 .36 30 400 400 1 Total: 944.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400582 Min 17400582 Slno Description Appmt Dt FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 1 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 7 12-FEB-19 URINE ROUTINE AND MICROSCOPIC 8 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 21-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 15 21-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 16 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 18 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19 21-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 20 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 21-FEB-19
Page 6402 of 6486
NIRMALA VERMA Rate Amount Qty 57.6 9.6 6 9.86 9.86 1 1.11 .37 3 18 .6 30 32.4 1.08 30 27.9 .93 30 650 650 1 380 380 1 400 400 1 10.65 .71 15 7.5 .25 30 400 400 1 27.9 .93 30 18 .6 30 40.58 20.29 2 156.51 313.02 2 32.4 1.08 30 9.86 9.86 1 25.07 25.07 1 94.42 94.42 1 400 400 1 Total: 2956.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400589 Min 17400589 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6403 of 6486
Name
ANUKANT DURGE Rate Amount Qty 21.3 .71 30 11.4 .38 30 167.4 5.58 30 27.6 .92 30 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400593 Min 17400593 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 6404 of 6486
Name
MANHARAN LAL VERMA Rate Amount Qty 11.85 .79 15 33 1.1 30 32.4 1.08 30 12 .4 30 21.3 .71 30 400 400 1 Total: 510.55
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400611 Min 17400611 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 5 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 13-FEB-19 OBSERVATION IN CASUALTY 10 13-FEB-19 FENTANYL CITRATE,50MCG/ML,INJECTION 11 13-FEB-19 ECG 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19
Page 6405 of 6486
RATAN KUMAR DUTTA Rate Amount Qty 78 .78 100 400 400 1 25.07 25.07 1 400 400 1 24.52 24.52 1 20.06 20.06 1 8.9 .89 10 3.2 .64 5 .8 .16 5 420 420 1 30.21 30.21 1 900 450 2 400 400 1 Total: 2710.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400612 Min 17400612 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 15 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 22 21-FEB-19 GUM ANALGESIC GEL 23 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 21-FEB-19
Page 6406 of 6486
Name
DOLAN DUTTA Rate Amount Qty 6.23 .89 7 3.5 .25 14 6.4 .64 10 1.85 .37 5 26.6 2.66 10 9 .3 30 0 .6 0 55.8 .93 60 8.1 .27 30 12 .4 30 21.3 .71 30 14.85 .99 15 18.2 2.6 7 400 400 1 9 .3 30 36 .6 60 27.9 .93 30 12 .4 30 34.8 1.16 30 13.35 .89 15 8.1 .27 30 35.2 3.52 10 28.69 28.69 1 12.8 .64 20 4.45 .89 5 3.75 .25 15 400 400 1 Total: 1209.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400618 Min 17400618 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 6407 of 6486
Name
P SURYANARAYANA Rate Amount Qty 87.92 43.96 2 26.7 .89 30 184.2 6.14 30 21.3 .71 30 23.7 .79 30 78 1.3 60 72 .6 120 10.8 .36 30 167.4 5.58 30 400 400 1 Total: 1072.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400619 Min 17400619 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 6408 of 6486
Name
P MEENA Rate Amount Qty 21.3 .71 30 33 1.1 30 55.8 .93 60 400 400 1 17.8 .89 20 10 .25 40 20.84 5.21 4 25.6 .64 40 400 400 1 Total: 984.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400626 Min 17400626 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 23-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 6409 of 6486
Name
MANOJ KATIYAR Rate Amount Qty 7.7 .77 10 5.12 .64 8 1.48 .37 4 400 400 1 1.48 .37 4 5.12 .64 8 6.16 .77 8 400 400 1 Total: 827.06
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400631 Min 17400631 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 11-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 6410 of 6486
AJAY KUMAR MAHOBE Rate Amount Qty 40.58 20.29 2 50.14 25.07 2 25.69 25.69 1 400 400 1 27.9 .93 30 51.68 3.23 16 11.4 .38 30 6.9 .23 30 36 .6 60 33 1.1 30 18.9 .63 30 17.4 1.16 15 400 400 1 Total: 1119.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400637 Min 17400637 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 C T HEAD PLAIN 12 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19
Page 6411 of 6486
Name
P L CHOUDHARY Rate Amount Qty 30.6 .34 90 34.8 1.16 30 32.4 1.08 30 60.9 2.03 30 23.7 .79 30 55.2 .92 60 66 1.1 60 400 400 1 9.57 3.19 3 2.67 .89 3 400 400 1 5250 5250 1 400 400 1 Total: 6765.84
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400639 Min 17400639 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 23-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 6412 of 6486
DAUWA RAM SAHU Rate Amount Qty 9 .3 30 78 1.3 60 36 .6 60 12 .4 30 21.3 .71 30 400 400 1 18 .9 20 3.7 .37 10 400 400 1 25.07 25.07 1 18.21 18.21 1 400 400 1 Total: 1421.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400640 Min 17400640 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 6413 of 6486
Name
SATYAWATI SAHU Rate Amount Qty 9.6 .64 15 185.7 6.19 30 400 400 1 Total: 595.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400641 Min 17400641 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6414 of 6486
Name
ESRAT KUMAR SINGH Rate Amount Qty 9 .3 30 54 .6 90 400 400 1 Total: 463
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400642 Min 17400642 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 22-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 6415 of 6486
Name
KIRAN SINGH Rate Amount Qty 32.4 1.08 30 21.3 .71 30 8.1 .27 30 29.7 .99 30 76.5 2.55 30 55.8 .93 60 78 1.3 60 18.6 .62 30 167.4 5.58 30 26.7 .89 30 72 .6 120 55.2 .92 60 400 400 1 Total: 1041.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400643 Min 17400643 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 6416 of 6486
Name
RAMESH SURPAITHANKAR Rate Amount Qty 47.4 .79 60 8.1 .27 30 400 400 1 Total: 455.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400644 Min 17400644 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 6417 of 6486
Name
USHA SURPAITHANKAR Rate Amount Qty 27.9 .93 30 76.5 2.55 30 400 400 1 Total: 504.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400658 Min 17400658 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 6418 of 6486
Name
IMTIYAZ AHMAD ANSARI Rate Amount Qty 54 .6 90 66 1.1 60 78 1.3 60 167.4 5.58 30 32.4 .36 90 12 .4 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 873.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400659 Min 17400659 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6419 of 6486
Name
SALMA KHATOON Rate Amount Qty 23.2 1.16 20 65.6 .82 80 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400662 Min 17400662 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 COMPLETE HAEMOGRAM 5 05-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 05-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 10 06-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 13-FEB-19 MRCP (COST OF CONTRAST EXTRA) 13 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 19-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 19 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 22 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 23 19-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 24 19-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 25 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 26 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 28 20-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 29 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 20-FEB-19
Page 6420 of 6486
Name
PUSHPA PANDEY Rate Amount Qty 17.8 .89 20 66.2 6.62 10 1300 1300 1 400 400 1 750 750 1 122.8 6.14 20 1500 1500 1 2.5 .25 10 400 400 1 1750 1750 1 282.4 7.06 40 400 400 1 10000 10000 1 34.8 1.16 30 12.8 .64 20 7.5 .25 30 54 .6 90 26.7 .89 30 27.9 .93 30 66 1.1 60 32.4 1.08 30 24 .4 60 23.7 .79 30 8.5 .34 25 6.8 .34 20 4.8 .16 30 400 400 1 17.8 .89 20 282.4 7.06 40 400 400 1 Total: 18421.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400673 Min 17400673 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6421 of 6486
Name
DEVENDRA KUMAR SHRISTAVA Rate Amount Qty 47.4 .79 60 21.3 .71 30 7.5 .25 30 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 536.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400674 Min 17400674 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 02-FEB-19 UREA (BUN /UR) 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 URIC ACID (UA /URATES /UR) 5 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 04-FEB-19
Page 6422 of 6486
Name
SARITA SHRIVASTAVA Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 26.7 .89 30 7.5 .25 30 78 1.3 60 66 1.1 60 23.7 .79 30 21.3 .71 30 32.4 1.08 30 15.6 .26 60 54 .6 90 400 400 1 Total: 3800.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400676 Min 17400676 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6423 of 6486
Name
P KUMARI Rate Amount Qty 21.3 .71 30 12.15 .27 45 55.8 .93 60 2.22 .37 6 400 400 1 Total: 491.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400678 Min 17400678 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 19-FEB-19 CREATININE /CRT 2 19-FEB-19 UREA (BUN /UR) 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 6424 of 6486
Name
SUNITA MAHAJAN Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 18 .6 30 21.3 .71 30 400 400 1 Total: 3239.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400697 Min 17400697 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6425 of 6486
Name
YOGENDRA NARAYAN MISHRA Qty Rate Amount 30 .23 6.9 60 .93 55.8 30 .71 21.3 1 400 400 Total: 484
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400698 Min 17400698 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 09-FEB-19 MYOCARDIAL PERFUSION 2 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 09-FEB-19 GUM ASTRINGENT PAINT 4 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 6426 of 6486
Name
KALPANA MISHRA Rate Amount Qty 6 .6 10 13720 13720 1 400 400 1 31.54 31.54 1 9.6 .64 15 55.2 1.84 30 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 14678.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400700 Min 17400700 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 2 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 6427 of 6486
Name
RENU DIWAN Qty 1 1
Rate Amount 400 400 1750 1750 2150 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400701 Min 17400701 Appmt Dt Slno Description 14-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6428 of 6486
Name
PREETAM SINGH NETAM Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400703 Min 17400703 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 14-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 2 14-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 14-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6429 of 6486
Name
INDIRA V P Rate Amount Qty 63.58 63.58 1 11.25 .75 15 17.6 17.6 1 37.04 37.04 1 400 400 1 Total: 529.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400708 Min 17400708 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 6430 of 6486
Name
T RAGHAVENDRA Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 689.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400712 Min 17400712 Appmt Dt Slno Description 09-FEB-19 1 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6431 of 6486
Name
V N AGRAWAL Qty 1 1
Rate Amount 43.96 43.96 400 400 443.96 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400715 Min 17400715 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6432 of 6486
Name
RAKHI NANDI Rate Amount Qty 11.85 .79 15 6.9 .23 30 400 400 1 Total: 418.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400716 Min 17400716 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 25-FEB-19 URIC ACID (UA /URATES /UR) 12 25-FEB-19 CREATININE /CRT 13 25-FEB-19 UREA (BUN /UR) 14 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 25-FEB-19
Page 6433 of 6486
Name
TAPAS KUMAR NAG Rate Amount Qty 7.4 .37 20 25.62 12.81 2 400 400 1 18.9 .63 30 8.9 .89 10 12 .4 30 18 .6 30 23.7 .79 30 8.1 .27 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 550 550 1 275 275 1 400 400 1 Total: 4547.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400717 Min 17400717 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 14-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 15 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 20-FEB-19 CREATININE /CRT 19 20-FEB-19 UREA (BUN /UR) 20 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 20-FEB-19 BLOOD FOR T-3,T-4,TSH 22 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 24 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 25 20-FEB-19
Page 6434 of 6486
Name
USHA RANI NAG Rate Amount Qty 4.8 .16 30 24.6 .41 60 53.4 .89 60 21.3 .71 30 400 400 1 18 .3 60 20.84 5.21 4 21.3 .71 30 55.8 .93 60 7.5 .25 30 400 400 1 19.8 .66 30 18.6 .62 30 33 1.1 30 73.8 .82 90 7.5 .25 30 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 2400 2400 1 400 400 1 1300 1300 1 275 275 1 Total: 7330.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400732 Min 17400732 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 03-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 03-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 03-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 09-FEB-19
Page 6435 of 6486
Name
SITA RAM KORI Rate Amount Qty 4.1 .41 10 8.9 .89 10 66.2 6.62 10 10.95 .73 15 400 400 1 36 .6 60 55.8 .93 60 7.5 .25 30 8.1 .27 30 29.7 .99 30 400 400 1 7.3 .73 10 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 1457.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400736 Min 17400736 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 26-FEB-19
Page 6436 of 6486
Name
RAJESH KUMAR MASIH Rate Amount Qty 192.3 6.41 30 4.8 .16 30 400 400 1 275 275 1 400 400 1 275 275 1 Total: 1547.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400737 Min 17400737 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 6437 of 6486
SINTHIYA MASIH Rate Amount Qty 12.6 .9 14 15.73 15.73 1 5.32 .38 14 400 400 1 26.7 .89 30 17.4 .58 30 27.9 .93 30 21.3 .71 30 36 .6 60 167.4 5.58 30 9 .3 30 400 400 1 Total: 1139.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400742 Min 17400742 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 16-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 6438 of 6486
Name
BADAL SINGH THAKUR Rate Amount Qty 43.96 43.96 1 7.65 .51 15 66 1.1 60 55.8 .93 60 27.6 .92 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 157.8 2.63 60 400 400 1 Total: 838.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400743 Min 17400743 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 6439 of 6486
Name
VANDANA Rate Amount Qty 17.4 1.16 15 13.95 .93 15 36 .6 60 167.4 5.58 30 18 .3 60 12 .4 30 400 400 1 Total: 664.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400744 Min 17400744 Appmt Dt Slno Description 19-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 19-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6440 of 6486
Name
P. K. DHAR Qty Rate Amount 30 .63 18.9 30 .93 27.9 30 .99 29.7 1 400 400 Total: 476.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400745 Min 17400745 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 6441 of 6486
Name
MEENA RANI DHAR Rate Amount Qty 12.8 .64 20 66 1.1 60 55.8 .93 60 8.1 .27 30 18.6 .62 30 400 400 1 Total: 561.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400747 Min 17400747 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6442 of 6486
Name
INDRAWATI DEVI Rate Amount Qty 27.9 .93 30 17.4 1.16 15 18.9 .63 30 6.4 .64 10 5 .25 20 400 400 1 Total: 475.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400761 Min 17400761 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 6443 of 6486
Name
MAMTA SHRIVASTAVA Rate Amount Qty 55.8 .93 60 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 18.9 .63 30 10.65 .71 15 11.25 .75 15 33 1.1 30 400 400 1 Total: 597.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400762 Min 17400762 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 6444 of 6486
Name
SHRIRAM LARENDRA Rate Amount Qty 60.9 2.03 30 21.3 .71 30 33 1.1 30 23.7 .79 30 400 400 1 Total: 538.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400763 Min 17400763 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 6445 of 6486
Name
ANUSUIYA DEVI Rate Amount Qty 12 .4 30 34.8 1.16 30 7.5 .25 30 11.4 .38 30 400 400 1 15.96 2.66 6 3.84 .64 6 2.22 .37 6 400 400 1 Total: 887.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400768 Min 17400768 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 6446 of 6486
Name
KHUSHI RAM SONI Rate Amount Qty 54 .6 90 39 1.3 30 167.4 5.58 30 11.85 .79 15 32.4 .36 90 3.75 .25 15 9.45 .63 15 400 400 1 Total: 717.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400773 Min 17400773 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 6447 of 6486
Name
RADHESHYAM YADAV Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 16.2 .27 60 21.3 .71 30 55.8 .93 60 400 400 1 Total: 1146.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400774 Min 17400774 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 6448 of 6486
Name
MEENA BAI Rate Amount Qty 41.1 1.37 30 6.4 .64 10 7.5 .25 30 9 .6 15 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 508.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400777 Min 17400777 Slno Description Appmt Dt HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 1 02-FEB-19 ACID PHOSPHATASE - TOTAL (ACP T/ACP) 2 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 3 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 UREA (BUN /UR) 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19 COMPLETE HAEMOGRAM 8 02-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 9 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 10 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 09-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 13 09-FEB-19
Page 6449 of 6486
Name
RES LALRAI Qty 1 1 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 4790 4790 275 275 275 275 550 550 400 400 275 275 275 275 750 750 275 275 4790 4790 400 400 400 400 4790 4790 Total: 18245
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400784 Min 17400784 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 3 07-FEB-19 C T ABDOMEN AND PELVIS 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19
Page 6450 of 6486
Name
KUSUM BHARTI Qty 1 1 1 1 1
Rate Amount 1300 1300 400 400 1500 1500 12000 12000 400 400 Total: 15600
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400785 Min 17400785 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6451 of 6486
Name
SHIV KUMAR YADU Rate Amount Qty 6.9 .23 30 7.5 .25 30 55.8 .93 60 36 .6 60 10.8 .36 30 400 400 1 Total: 517
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400788 Min 17400788 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 PRAZOSIN,2.5MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 06-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 8 06-FEB-19 RIFAXIMIN 200 MG,,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 6452 of 6486
Name
P JAYALATA Rate Amount Qty 34.8 1.16 30 21.3 .71 30 40.12 20.06 2 32.4 1.08 30 78 1.3 60 400 400 1 26.7 .89 30 184.2 6.14 30 9.33 139.95 15 400 400 1 Total: 1357.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400797 Min 17400797 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 6453 of 6486
Name
JYOTI SWARNKAR Rate Amount Qty 21.3 .71 30 11.85 .79 15 26.7 .89 30 47.4 1.58 30 400 400 1 Total: 507.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400804 Min 17400804 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6454 of 6486
Name
SHYAM NARAYAN SINGH YADAV Rate Amount Qty 7.5 .25 30 26.7 .89 30 54 .9 60 100.71 100.71 1 400 400 1 Total: 588.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400808 Min 17400808 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19
Page 6455 of 6486
Name
RAJENDRA PAL SINGH RAJPUT Rate Amount Qty 21.3 .71 30 26.7 .89 30 4.8 .16 30 192.3 6.41 30 18.9 .63 30 16.2 .27 60 12 .4 30 32.4 1.08 30 7.65 .51 15 42.6 .71 60 55.8 .93 60 167.4 5.58 30 72 .6 120 400 400 1 Total: 1070.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400816 Min 17400816 Appmt Dt Slno Description 07-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 07-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 3 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6456 of 6486
Name
SYED AHSAN ULLAH Qty Rate Amount 30 6.19 185.7 15 .89 13.35 10 .41 4.1 1 400 400 Total: 603.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400840 Min 17400840 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 6457 of 6486
Name
SAME LAL SAHU Rate Amount Qty 60.9 2.03 30 47.4 .79 60 211.8 3.53 60 29.7 .99 30 37.8 .63 60 400 400 1 Total: 787.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/2428523 Min 2428523 Appmt Dt Slno Description 15-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 15-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6458 of 6486
Name
KIRAN KHURANA Qty Rate Amount 10 1.37 13.7 30 .63 18.9 30 6.19 185.7 1 400 400 Total: 618.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/2433407 Min 2433407 Appmt Dt Slno Description 28-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 28-FEB-19 2 METOPROLOL TARTRATE,50MG,,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6459 of 6486
Name
PRADEEP KUMAR TIWARI Qty Rate Amount 6 .64 3.84 30 1.21 36.3 30 .93 27.9 1 400 400 Total: 468.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/3406190 Min 3406190 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 25-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 14 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 6460 of 6486
Name
D K SAMAJDER Rate Amount Qty 26.7 .89 30 11.4 .38 30 981.6 8.18 120 32.4 1.08 30 55.8 .93 60 7.5 .25 30 167.4 5.58 30 117 1.3 90 72 .6 120 21.6 .36 60 118.5 3.95 30 400 400 1 60.9 2.03 30 192.3 6.41 30 16.56 1.84 9 4.38 .73 6 5.34 .89 6 400 400 1 Total: 2691.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/3416073 Min 3416073 Appmt Dt Slno Description 02-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 02-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 02-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6461 of 6486
Name
NARENDRA MOHAN VERMA Qty Rate Amount 30 1.37 41.1 30 .89 26.7 30 6.19 185.7 1 400 400 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/3416074 Min 3416074 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 2 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 6462 of 6486
Name
SHEILA VERMA Rate Amount Qty 26.7 .89 30 29.7 .99 30 25.2 .42 60 21.3 .71 30 36 .6 60 41.1 1.37 30 400 400 1 Total: 580
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/4444791 Min 4444791 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 6463 of 6486
Name
DR ANANT MUKUND KEKRE Rate Amount Qty 72 .6 120 18.6 .62 30 6.4 .64 10 12 .4 30 34.8 1.16 30 400 400 1 Total: 543.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/4445425 Min 4445425 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 6464 of 6486
Name
NITISH GUHA Rate Amount Qty 85.52 85.52 1 7.4 .37 20 25.62 12.81 2 400 400 1 12 .4 30 34.8 1.16 30 55.8 .93 60 14.85 .99 15 400 400 1 Total: 1035.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/4445426 Min 4445426 Appmt Dt Slno Description 27-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6465 of 6486
Name
SUNITA GUHA Qty Rate Amount 60 .6 36 1 400 400 436 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/4706540 Min 4706540 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 25-FEB-19 SOLIFENACIN,5MG,,TABLET 4 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 6466 of 6486
JAGDISH NARAYAN SINGH Rate Amount Qty 25.07 25.07 1 400 400 1 43.96 43.96 1 806.4 13.44 60 60.9 2.03 30 21.3 .71 30 32.4 1.08 30 27.9 .93 30 3.75 .25 15 400 400 1 Total: 1821.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5417181 Min 5417181 Slno Description Appmt Dt DEFLAZACORT 6MG,,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 27-FEB-19 DEFLAZACORT 6MG,,TABLET 5 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 6467 of 6486
Name
NABARUNA CHUODHURI Rate Amount Qty 41.55 2.77 15 400 400 1 83.4 2.78 30 185.7 6.19 30 22.16 2.77 8 21.3 .71 30 41.85 .93 45 7.5 .25 30 400 400 1 Total: 1203.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5417655 Min 5417655 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 08-FEB-19 PRAZOSIN,2.5MG,TABLET 3 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 6468 of 6486
Name
AVANISH KUMAR JAISWAL Rate Amount Qty 7.5 .25 30 2.4 .16 15 156 1.3 120 72.6 1.21 60 400 400 1 20.25 20.25 1 400 400 1 Total: 1058.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5417656 Min 5417656 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 20-FEB-19 X - RAY - TWO VIEWS 4 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 22-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 7 22-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 8 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 22-FEB-19 URIC ACID (UA /URATES /UR) 10 22-FEB-19
Page 6469 of 6486
Name
BHARTI JAISWAL Rate Amount Qty 400 400 1 1050 1050 1 4.8 .16 30 860 860 1 400 400 1 185.7 6.19 30 150.9 5.03 30 20.25 20.25 1 400 400 1 275 275 1 Total: 3746.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5418083 Min 5418083 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 6470 of 6486
Name
SAVITRI DEVI Rate Amount Qty 54 .6 90 27.9 .93 30 78 1.3 60 7.5 .25 30 167.4 5.58 30 10.8 .36 30 400 400 1 Total: 745.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5418243 Min 5418243 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 05-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 4 07-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 7 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 6471 of 6486
Name
VINAY SHUKLA Rate Amount Qty 400 400 1 275 275 1 275 275 1 130.42 130.42 1 57.4 5.74 10 400 400 1 736.2 8.18 90 9.33 195.93 21 400 400 1 Total: 2869.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5418244 Min 5418244 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 05-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 05-FEB-19 URIC ACID (UA /URATES /UR) 7 05-FEB-19 CREATININE /CRT 8 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 05-FEB-19
Page 6472 of 6486
Name
ANITA SHUKLA Rate Amount Qty 7.4 .37 20 26.96 3.37 8 41.06 41.06 1 19.72 9.86 2 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3445.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5711791 Min 5711791 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 6473 of 6486
Name
TEEJ BAI Rate Amount Qty 26.7 .89 30 32.4 1.08 30 69.6 1.16 60 33 1.1 30 21.6 .36 60 167.4 5.58 30 36 .6 60 11.85 .79 15 43.96 43.96 1 12 .4 30 400 400 1 54 .6 90 400 400 1 Total: 1308.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5711792 Min 5711792 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 19-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 10 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 6474 of 6486
Name
BHAGWAN DAS Rate Amount Qty 17.8 .89 20 4.1 .41 10 400 400 1 8.9 .89 10 10.95 .73 15 123.53 123.53 1 24 .6 40 16.8 .42 40 25.2 .63 40 1750 1750 1 16.2 1.08 15 6.4 .64 10 8.9 .89 10 43.96 43.96 1 3.9 .26 15 400 400 1 Total: 2860.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/6407607 Min 6407607 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6475 of 6486
BRAMHA NAND RAI Rate Amount Qty 7.5 .25 30 27.9 .93 30 15.73 15.73 1 6.4 .64 10 400 400 1 Total: 457.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/6409422 Min 6409422 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 04-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 4 04-FEB-19 PLATELET COUNT 5 04-FEB-19 RETICULOCYTE COUNT 6 04-FEB-19 ECG 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 04-FEB-19 HB,TLC,DLC 9 04-FEB-19
Page 6476 of 6486
Name
DEEPAK CHANDRAKANT DESHMUKH Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 330 330 1 330 330 1 165 165 1 450 450 1 400 400 1 300 300 1 Total: 3825
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/7400868 Min 7400868 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6477 of 6486
Name
SHAILENDRA KUMAR SHRIVASTAVA Rate Amount Qty 24 .4 60 15.6 .26 60 156 1.3 120 21.6 .36 60 132 1.1 120 69.6 1.16 60 400 400 1 Total: 818.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/7400869 Min 7400869 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 12-FEB-19 ENTACAVIR 0.5MG,,TABLET 5 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 6478 of 6486
ASHA SHRIVASTAVA Rate Amount Qty 70.2 2.34 30 78 1.3 60 7.5 .25 30 27.9 .93 30 673.5 22.45 30 96.44 48.22 2 400 400 1 Total: 1353.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/8406884 Min 8406884 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 07-FEB-19
Page 6479 of 6486
Name
SUMITRA CHANDRAKAR Rate Amount Qty 550 550 1 400 400 1 1750 1750 1 Total: 2700
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/8407369 Min 8407369 Appmt Dt Slno Description 01-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 01-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6480 of 6486
Name
GIRIJESH UPADHYAY Qty Rate Amount 30 .63 18.9 120 .6 72 30 .93 27.9 1 400 400 Total: 518.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/8407370 Min 8407370 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 6481 of 6486
Name
SHASHIKALA UPADHYAY Rate Amount Qty 23.7 .79 30 27 .6 45 400 400 1 Total: 450.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/9400894 Min 9400894 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 6482 of 6486
Name
SURENDRA KU JAIN Rate Amount Qty 32.4 1.08 30 55.8 .93 60 27.6 .92 30 192.3 6.41 30 60.9 2.03 30 21.3 .71 30 12 .4 30 66 1.1 60 29.7 .99 30 400 400 1 Total: 898
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/9400976 Min 9400976 Appmt Dt Slno Description 06-FEB-19 1 MYCOPHENOLATE MOFETIL,500MG,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6483 of 6486
Name
G. OJHA Qty Rate Amount 90 22.96 2066.4 1 400 400 2466.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/9400992 Min 9400992 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 URIC ACID (UA /URATES /UR) 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 18-FEB-19 ECG 8 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 18-FEB-19 URIC ACID (UA /URATES /UR) 11 27-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 12 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 27-FEB-19 X - RAY - TWO VIEWS 15 27-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 27-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 17 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 27-FEB-19
Page 6484 of 6486
Name
K.K. SINGHAL Rate Amount Qty 860 860 1 400 400 1 275 275 1 185.7 6.19 30 18.9 .63 30 400 400 1 400 400 1 450 450 1 10.65 .71 15 20.84 5.21 4 275 275 1 150.9 5.03 30 185.7 6.19 30 400 400 1 860 860 1 43.96 43.96 1 13.7 1.37 10 37.8 .63 60 Total: 4988.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/9400993 Min 9400993 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 18-FEB-19 ECG 8 18-FEB-19
Page 6485 of 6486
URMILA SINGHAL Rate Amount Qty 26.7 .89 30 15.73 15.73 1 400 400 1 400 400 1 8.1 .27 30 20.84 5.21 4 26.7 .89 30 450 450 1 Total: 1348.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/9401654 Min 9401654 Slno Description Appmt Dt CARBIMAZOLE,5MG,BTL PACK,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Total: 9641954.9
Page 6486 of 6486
Name
HIMACHAL ROY CHOUDHURY Rate Amount Qty 47.4 1.58 30 55.8 .93 60 72.6 1.21 60 34.8 1.16 30 24 .4 60 21.3 .71 30 37.8 .63 60 167.4 5.58 30 400 400 1 Total: 861.1
Page 1 of 6486
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01118992 Min 01118992 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 2 of 6486
Name
DR ACHINTYA KUMAR PODDAR Rate Amount Qty 334.8 5.58 60 34.8 1.16 30 12 .4 30 29.7 .99 30 16.2 .27 60 27.9 .93 30 10.8 .36 30 36 .6 60 400 400 1 Total: 902.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01118993 Min 01118993 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3 of 6486
Name
DR ADITI PODDAR Rate Amount Qty 21.3 .71 30 4.8 .16 30 10.65 .71 15 334.8 5.58 60 17.4 1.16 15 400 400 1 Total: 788.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01123711 Min 01123711 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 4 of 6486
Name
RITA SAHA Rate Amount Qty 57.84 115.68 2 3.7 .37 10 7.6 .38 20 36.8 1.84 20 400 400 1 Total: 563.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01202500 Min 01202500 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19
Page 5 of 6486
Name
V M NARAYANA PILLAI Rate Amount Qty 7.5 .25 30 39 2.6 15 400 400 1 104.4 1.74 60 54 .9 60 6.4 .64 10 26.6 2.66 10 21.6 .18 120 400 400 1 27.4 1.37 20 17.8 .89 20 16.8 .42 40 400 400 1 Total: 1521.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01206288 Min 01206288 Appmt Dt Slno Description 25-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 2 PREDNISOLONE,5MG,STRIP PACK,,TABLET 25-FEB-19 3 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6 of 6486
Name
JOHNSON Qty Rate Amount 30 .89 26.7 30 .67 20.1 60 .9 54 1 400 400 Total: 500.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01206289 Min 01206289 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 7 of 6486
Name
STELLA JOHNSON Rate Amount Qty 45 .6 75 13.35 .89 15 185.7 6.19 30 21.3 .71 30 8.7 .58 15 18.6 .62 30 3.75 .25 15 55.8 .93 60 8.1 .27 30 18.9 .63 30 400 400 1 Total: 779.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01213081 Min 01213081 Appmt Dt Slno Description 15-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 8 of 6486
Name
K S K KURUP Qty Rate Amount 30 1.08 32.4 30 .25 7.5 30 .71 21.3 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01213082 Min 01213082 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 9 of 6486
Name
RADHA KURUP Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01214982 Min 01214982 Slno Description Appmt Dt NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 10 of 6486
Name
B YOGESWARAN Rate Amount Qty 157.8 2.63 60 66 1.1 60 12 .4 30 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 698.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01214983 Min 01214983 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 11 of 6486
Name
M REETHA Rate Amount Qty 17.4 .58 30 12 .4 30 21.3 .71 30 32.4 1.08 30 66 1.1 60 36 .6 60 41.4 .92 45 400 400 1 Total: 626.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01221779 Min 01221779 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 IVABRADINE,5MG,,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 12 of 6486
Name
S NAMBIRAJAN Rate Amount Qty 17.4 1.16 15 3.75 .25 15 9.95 149.25 15 11.85 .79 15 6 .4 15 400 400 1 Total: 588.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01223081 Min 01223081 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 13 of 6486
Name
S. RAJU Rate Amount Qty 72.6 1.21 60 15.6 .26 60 18 .6 30 27.9 .93 30 12 .4 30 400 400 1 Total: 546.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01309143 Min 01309143 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 14 of 6486
Name
BEHARI LAL DHINGRA Rate Amount Qty 34.8 1.16 30 23.7 .79 30 26.7 .89 30 4.8 .16 30 40.12 20.06 2 400 400 1 Total: 530.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400024 Min 01400024 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 15 of 6486
Name
S D SONDHI Rate Amount Qty 21.6 .36 60 43.96 43.96 1 11.4 .38 30 78 1.3 60 1300 1300 1 275 275 1 275 275 1 400 400 1 72 .6 120 400 400 1 Total: 2876.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400025 Min 01400025 Slno Description Appmt Dt CREATININE /CRT 1 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 UREA (BUN /UR) 8 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 16 of 6486
Name
UMA SONDHI Rate Amount Qty 275 275 1 11.4 .38 30 275 275 1 27.9 .93 30 33 1.1 30 9 .3 30 27.9 .93 30 275 275 1 400 400 1 12 .4 30 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 1813.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400040 Min 01400040 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 3 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 17 of 6486
V N MUJUMDAR Qty 1 1 1 1 1
Rate Amount 74.45 74.45 400 400 18.03 18.03 25.07 25.07 400 400 Total: 917.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400046 Min 01400046 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 18 of 6486
Name
G S MURTHY Rate Amount Qty 275 275 1 32.4 1.08 30 19.8 .66 30 123.53 247.06 2 400 400 1 275 275 1 400 400 1 Total: 1649.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400113 Min 01400113 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 4 12-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 12-FEB-19 OBSERVATION IN CASUALTY 6 12-FEB-19 ECG 7 12-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 8 12-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 9 12-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 11 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 RIFAXIMIN 200 MG,,TABLET 14 13-FEB-19 RACECADOTRIL,100MG,CAPSULE 15 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 13-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 19 13-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 23 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 24 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 25 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 26 21-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 27 21-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 28 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 21-FEB-19
Page 19 of 6486
Name
N C RAY CHAUDHURY Rate Amount Qty 21.3 .71 30 15.3 .51 30 7.5 .25 30 11.89 11.89 1 9.81 9.81 1 420 420 1 450 450 1 9.62 9.62 1 22.71 22.71 1 24.52 24.52 1 15.6 .26 60 21.3 .71 30 400 400 1 55.98 9.33 6 53.73 5.97 9 16.8 1.12 15 66.2 6.62 10 8.9 .89 10 2.8 .7 4 52.26 8.71 6 400 400 1 5.34 .89 6 83.97 9.33 9 14.2 .71 20 16.8 1.12 15 66.2 6.62 10 2.1 .7 3 34.84 8.71 4 400 400 1 Total: 2709.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400114 Min 01400114 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 04-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 20 of 6486
Name
GITA RAY CHAUDHURY Rate Amount Qty 24.6 .82 30 82.2 2.74 30 400 400 1 18 .6 30 16.2 .27 60 21.3 .71 30 4.5 .3 15 12 .4 30 15.6 .26 60 33 1.1 30 21.3 .71 30 7.65 .51 15 400 400 1 Total: 1056.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400183 Min 01400183 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 4 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 21 of 6486
Name
P M WAHI Rate Amount Qty 19.8 .66 30 7.5 .25 30 32.4 1.08 30 77.85 5.19 15 252 2.1 120 60.9 2.03 30 400 400 1 Total: 850.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400184 Min 01400184 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 07-FEB-19 X - RAY - TWO VIEWS 8 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 22 of 6486
Name
KAMLA WAHI Rate Amount Qty 2.3 .23 10 4.8 .16 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 27.9 .93 30 72.6 1.21 60 1720 860 2 30.6 .34 90 400 400 1 400 400 1 Total: 2737.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400198 Min 01400198 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 23 of 6486
S K BANDYOPADHYAY Rate Amount Qty 3.7 .37 10 15.73 15.73 1 400 400 1 Total: 419.43
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400199 Min 01400199 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 01-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19 AMISULPRIDE, 100MG,,TABLET 16 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 21-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 19 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 20 21-FEB-19 FLUOXETINE HCL,20MG,CAPSULE/TABLET. 21 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 21-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 23 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 24 26-FEB-19 BRIMONIDINE TARTRATE,0.15% 25 26-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 26 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 26-FEB-19
Page 24 of 6486
MANJUSHREE BANERJEE Rate Amount Qty 26.7 .89 30 156.6 1.74 90 79.2 .66 120 30.15 .67 45 15 .25 60 54 .9 60 69.05 69.05 1 400 400 1 12.46 .89 14 18.76 .67 28 92.68 6.62 14 400 400 1 12.46 .89 14 14.07 .67 21 400 400 1 62.56 7.82 8 53.4 .89 60 54 .9 60 7.65 .51 15 39.6 2.64 15 99.6 3.32 30 400 400 1 25.69 25.69 1 25.07 25.07 1 74.45 74.45 1 19.77 19.77 1 400 400 1 Total: 3042.92
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400280 Min 01400280 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 25 of 6486
K S SASTRY Rate Amount Qty 7.5 .25 30 31.46 15.73 2 17.4 .58 30 104.4 1.74 60 400 400 1 Total: 560.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400281 Min 01400281 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 26 of 6486
Name
K R RAJESHWARI Rate Amount Qty 7.5 .25 30 71 .71 100 400 400 1 Total: 478.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400290 Min 01400290 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 27 of 6486
Name
MALA METHANI Rate Amount Qty 20.84 5.21 4 25.2 .63 40 247.6 6.19 40 27.4 1.37 20 17.8 .89 20 400 400 1 Total: 738.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400309 Min 01400309 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 27-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 28 of 6486
Name
N RUDRA Rate Amount Qty 20.06 20.06 1 63 2.1 30 11.4 .38 30 21.3 .71 30 66 1.1 60 55.8 .93 60 167.4 5.58 30 72 .6 120 10.8 .36 30 400 400 1 Total: 887.76
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400385 Min 01400385 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 14-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 9 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 29 of 6486
G S NIGAM Rate Amount Qty 26.7 .89 30 27 .9 30 75.21 25.07 3 36.42 18.21 2 400 400 1 7.5 .25 30 8.1 .27 30 55.8 .93 60 30.6 .34 90 12 .4 30 14.85 .99 15 18 .6 30 9 .3 30 34.8 1.16 30 400 400 1 Total: 1155.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400386 Min 01400386 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 CREATININE /CRT 4 19-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 19-FEB-19 PRAZOSIN,2.5MG,TABLET 8 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 19-FEB-19
Page 30 of 6486
Name
LAXMI NIGAM Rate Amount Qty 19.8 .66 30 21.3 .71 30 7.5 .25 30 275 275 1 275 275 1 400 400 1 16.2 .27 60 78 1.3 60 32.4 1.08 30 1300 1300 1 Total: 2425.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400410 Min 01400410 Slno Description Appmt Dt NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 1 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 17 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 31 of 6486
Name
M S MADAN Rate Amount Qty 236.7 2.63 90 40.8 .34 120 139.2 1.16 120 11.4 .38 30 17.4 .58 30 66 1.1 60 31.2 1.04 30 32.4 1.08 30 4.8 .16 30 400 400 1 62.4 1.04 60 4.8 .16 30 26.7 .89 30 32.4 1.08 30 66 1.1 60 11.4 .38 30 236.7 2.63 90 139.2 1.16 120 40.8 .34 120 400 400 1 Total: 2000.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400411 Min 01400411 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 14 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 32 of 6486
Name
SANTOSH MADAN Rate Amount Qty 11.4 .38 30 4.8 .16 30 78.9 2.63 30 66 1.1 60 32.4 1.08 30 8.1 .27 30 7.5 .25 30 17.4 .58 30 34.8 1.16 30 400 400 1 26.7 .89 30 7.5 .25 30 371.4 6.19 60 157.8 2.63 60 34.8 1.16 30 32.4 1.08 30 8.1 .27 30 66 1.1 60 11.4 .38 30 400 400 1 Total: 1777.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400419 Min 01400419 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 11 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 16 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 17 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 19 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 21 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 22 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 27-FEB-19
Page 33 of 6486
Name
B R SINGH Rate Amount Qty 38.25 2.55 15 371.4 6.19 60 26.7 .89 30 185.7 6.19 30 38.25 2.55 15 14.85 .99 15 12 .4 30 32.4 1.08 30 34.8 1.16 30 400 400 1 24.45 24.45 1 12.8 .64 20 8.9 .89 10 5 .25 20 44.16 1.84 24 6.42 2.14 3 19.77 19.77 1 400 400 1 24.45 24.45 1 44.16 1.84 24 19.77 19.77 1 6.42 2.14 3 400 400 1 Total: 2170.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400420 Min 01400420 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19
Page 34 of 6486
Name
RAMOLA RAJ KAUR Rate Amount Qty 76.5 2.55 30 7.5 .25 30 2.4 .16 15 185.7 6.19 30 21.3 .71 30 46.2 .77 60 55.8 .93 60 27.9 .93 30 31.2 1.04 30 32.4 1.08 30 400 400 1 Total: 886.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400431 Min 01400431 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 06-FEB-19 PRAZOSIN,2.5MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 35 of 6486
Name
K T NINAN Rate Amount Qty 36 .6 60 21.6 .36 60 55.8 .93 60 60.9 2.03 30 21.3 .71 30 12 .4 30 15.6 1.04 15 22.2 .37 60 39 1.3 30 400 400 1 Total: 684.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400468 Min 01400468 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 22-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19 CREATININE /CRT 13 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 26-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 18 26-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 19 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 20 26-FEB-19 URIC ACID (UA /URATES /UR) 21 26-FEB-19 UREA (BUN /UR) 22 26-FEB-19 COMPLETE HAEMOGRAM 23 26-FEB-19
Page 36 of 6486
Name
V K SANTA Rate Amount Qty 71 .71 100 7.8 .26 30 26.7 .89 30 21.3 .71 30 12 .4 30 66 1.1 60 3.9 .26 15 36 .6 60 8.1 .27 30 29.7 .99 30 55.8 .93 60 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 400 400 1 550 550 1 275 275 1 1300 1300 1 275 275 1 275 275 1 750 750 1 Total: 5938.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400532 Min 01400532 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 17-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 17-FEB-19
Page 37 of 6486
Name
SATI MANDAL Rate Amount Qty 21.3 .71 30 27.9 .93 30 9.3 .62 15 400 400 1 21.9 .73 30 8.2 .41 20 17.8 .89 20 400 400 1 Total: 906.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400539 Min 01400539 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 15-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 38 of 6486
Name
P C BANSAL Rate Amount Qty 21.3 .71 30 8.1 .27 30 55.8 .93 60 12 .4 30 36 .6 60 24 .4 60 400 400 1 Total: 557.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400540 Min 01400540 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19
Page 39 of 6486
Name
KUSUM LATA BANSAL Rate Amount Qty 860 860 1 400 400 1 13 2.6 5 3.2 .64 5 4.45 .89 5 Total: 1280.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400577 Min 01400577 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 40 of 6486
Name
N V LATHA Rate Amount Qty 27.9 .93 30 8.9 .89 10 21.3 .71 30 66 1.1 60 400 400 1 51.68 3.23 16 7.6 .38 20 400 400 1 Total: 983.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400588 Min 01400588 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 41 of 6486
Name
S C SONI Rate Amount Qty 54 .6 90 10.8 .36 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 533.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400604 Min 01400604 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 4 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 12 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 15 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 04-FEB-19 URIC ACID (UA /URATES /UR) 17 04-FEB-19 UREA (BUN /UR) 18 04-FEB-19 BRIMONIDINE TARTRATE,0.15% 19 12-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 20 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 23 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 24 26-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 25 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 26 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 28 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 29 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 30 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 31 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 32 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 33 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 34 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 35 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 36 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 37 26-FEB-19
Page 42 of 6486
Name
B R SAKURE Rate Amount Qty 34.8 1.16 30 275 275 1 400 400 1 85.52 85.52 1 185.7 6.19 30 11.4 .38 30 26.7 .89 30 192.3 6.41 30 550 550 1 12 .4 30 400 400 1 15.6 1.04 15 13.95 .93 15 167.4 5.58 30 87.92 43.96 2 60.9 2.03 30 275 275 1 275 275 1 148.9 74.45 2 40.58 20.29 2 400 400 1 3.7 .37 10 60.9 2.03 30 123.53 247.06 2 85.52 85.52 1 185.7 6.19 30 26.7 .89 30 192.3 6.41 30 12 .4 30 34.8 1.16 30 15.6 1.04 15 13.95 .93 15 167.4 5.58 30 60.9 2.03 30 192.3 6.41 30 11.4 .38 30 400 400 1 Total: 5368.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400608 Min 01400608 Slno Description Appmt Dt ESR 1 12-FEB-19 COMPLETE HAEMOGRAM 2 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 12-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 12-FEB-19 URIC ACID (UA /URATES /UR) 5 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 12-FEB-19
Page 43 of 6486
Name
Z L DHAR Qty 1 1 1 1 1 1
Rate Amount 165 165 750 750 400 400 1300 1300 275 275 275 275 Total: 3165
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400609 Min 01400609 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 HB,TLC,DLC 2 12-FEB-19 PLATELET COUNT 3 12-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 4 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 12-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 12-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 7 12-FEB-19
Page 44 of 6486
Name
KHEMA DHAR Qty 1 1 1 1 1 1 1
Rate Amount 400 400 300 300 330 330 275 275 275 275 1300 1300 1500 1500 Total: 4380
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400632 Min 01400632 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 07-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 45 of 6486
Name
B S DHOPTE Rate Amount Qty 11.1 .37 30 63.22 31.61 2 25.62 12.81 2 11.25 .75 15 400 400 1 Total: 511.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400640 Min 01400640 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 46 of 6486
Name
LAXMI SINGHANIA Rate Amount Qty 12.6 .42 30 11.85 .79 15 123.6 4.12 30 185.7 6.19 30 14.85 .99 15 400 400 1 Total: 748.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400670 Min 01400670 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 47 of 6486
Name
HASHI DUTTA Rate Amount Qty 26.7 .89 30 2.4 .16 15 7.5 .25 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 508.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400689 Min 01400689 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 25-FEB-19 SOLIFENACIN,5MG,,TABLET 9 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 10 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 48 of 6486
Name
SHIV DEV GUPTA Rate Amount Qty 55.8 .93 60 7.5 .25 30 95.7 3.19 30 33 1.1 30 22.2 .37 60 10.2 .51 20 192.3 6.41 30 60.9 2.03 30 403.2 13.44 30 128.1 4.27 30 5.1 .51 10 400 400 1 Total: 1414
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400690 Min 01400690 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 26-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 49 of 6486
Name
SHENH LATA GUPTA Rate Amount Qty 11.1 .37 30 19.2 .64 30 3.7 .37 10 33 1.1 30 7.5 .25 30 13.8 .23 60 25.62 12.81 2 400 400 1 Total: 513.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400714 Min 01400714 Slno Description Appmt Dt INHALER FOR INHALING DRY POWDER CAPSULE 1 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 4 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 50 of 6486
Name
KALPANA SHAHA Rate Amount Qty 69.05 69.05 1 208.8 1.74 120 400 400 1 49.2 .82 60 2.4 .16 15 27.9 .93 30 400 400 1 Total: 1157.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400743 Min 01400743 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 TOLTERODINE TARTARATE SR,4 MG,TAB/CAP, 10 20-FEB-19 SOLIFENACIN,5MG,,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 51 of 6486
Name
K S CHAWLA Rate Amount Qty 85.52 85.52 1 7.4 .37 20 7.6 .38 20 35.2 17.6 2 4.45 .89 5 400 400 1 36 .6 60 60.9 2.03 30 400 400 1 175.5 5.85 30 403.2 13.44 30 400 400 1 Total: 2015.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400744 Min 01400744 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 52 of 6486
Name
CHARANJEET KAUR Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 18 .3 60 36 .6 60 153 2.55 60 78 1.3 60 27.9 .93 30 400 400 1 Total: 778.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400768 Min 01400768 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 53 of 6486
Name
M L TANEJA Rate Amount Qty 46.2 .77 60 21.3 .71 30 32.4 1.08 30 15.6 .26 60 167.4 5.58 30 36 .6 60 33 1.1 30 400 400 1 Total: 751.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400769 Min 01400769 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 54 of 6486
Name
SANTOSH TANEJA Rate Amount Qty 8.7 .58 15 12 .4 30 7.5 .25 30 118.5 3.95 30 27.9 .93 30 54 .6 90 13.35 .89 15 21.3 .71 30 400 400 1 Total: 663.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400786 Min 01400786 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 55 of 6486
Name
SHRINIVAS SARDA Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 21.3 .71 30 27.9 .93 30 22.2 .37 60 400 400 1 Total: 1124.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400791 Min 01400791 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 56 of 6486
Name
B PARWATI Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 Total: 472
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400794 Min 01400794 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 16-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 57 of 6486
Name
S N CHAKRAVORTY Rate Amount Qty 10.8 .36 30 27.9 .93 30 60.9 2.03 30 7.5 .25 30 2.4 .16 15 20.06 20.06 1 123.53 123.53 1 32.4 1.08 30 400 400 1 Total: 685.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400797 Min 01400797 Appmt Dt Slno Description 27-FEB-19 1 AMISULPRIDE, 100MG,,TABLET 27-FEB-19 2 SERTRALINE,100MG,STRIP PACK.,TABLET 27-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 58 of 6486
Name
SARAMMA IDICHANDY Qty Rate Amount 15 7.82 117.3 30 3.56 106.8 30 .25 7.5 1 400 400 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400811 Min 01400811 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 28-FEB-19 CREATININE /CRT 13 28-FEB-19 URIC ACID (UA /URATES /UR) 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 28-FEB-19
Page 59 of 6486
NASIMA KAMAL KHAN Rate Amount Qty 25.07 25.07 1 27.9 .93 30 6.82 6.82 1 9 .3 30 7.5 .25 30 40.12 20.06 2 26.7 .89 30 400 400 1 1.53 .51 3 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 4294.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400819 Min 01400819 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 6 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 60 of 6486
Name
J KAUR Rate Amount Qty 21.3 .71 30 55.8 .93 60 287.1 3.19 90 15 .25 60 26.7 .89 30 53.4 3.56 15 7.8 .26 30 32.4 1.08 30 26.7 .89 30 23.7 .79 30 400 400 1 Total: 949.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400825 Min 01400825 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 61 of 6486
Name
GOURI SENGUPTA Rate Amount Qty 21.3 .71 30 7.5 .25 30 36 .6 60 13.95 .93 15 400 400 1 Total: 478.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400836 Min 01400836 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 20-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 62 of 6486
Name
CHANDRAKANT BHUSNUR Rate Amount Qty 20.1 .67 30 26.7 .89 30 54 .9 60 156.6 1.74 90 400 400 1 Total: 657.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400860 Min 01400860 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 63 of 6486
R B K PILLAI Rate Amount Qty 15.73 15.73 1 6.4 .64 10 35.2 3.52 10 2.22 .37 6 400 400 1 Total: 459.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400862 Min 01400862 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 11-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 64 of 6486
Name
S K PAHWA Rate Amount Qty 21.3 .71 30 26.7 .89 30 7.5 .25 30 17.4 .58 30 15.96 2.66 6 1.48 .37 4 21.3 .71 30 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 571.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400863 Min 01400863 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 65 of 6486
Name
MANORAMA PAHWA Rate Amount Qty 12 .4 30 21.3 .71 30 36.3 1.21 30 17.4 .58 30 20.06 20.06 1 7.5 .25 30 400 400 1 Total: 514.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400869 Min 01400869 Appmt Dt Slno Description 14-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 14-FEB-19 2 MRI PER REGION (COST OF CONTRAST EXTRA)
Page 66 of 6486
Name
N L GULATI Qty 1 1
Rate Amount 400 400 9000 9000 9400 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400875 Min 01400875 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 67 of 6486
Name
M S V KURUP Rate Amount Qty 32.4 1.08 30 29.7 .99 30 15.6 .26 60 21.3 .71 30 12 .4 30 16.2 .27 60 36.3 1.21 30 9 .3 30 400 400 1 6.4 .64 10 18 .9 20 3.7 .37 10 26.6 2.66 10 400 400 1 Total: 1027.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400895 Min 01400895 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 68 of 6486
Name
P V PILLAI Rate Amount Qty 22.2 .37 60 26.7 .89 30 7.5 .25 30 38.25 2.55 15 39 2.6 15 2.4 .16 15 185.7 6.19 30 400 400 1 Total: 721.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400916 Min 01400916 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 10 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19
Page 69 of 6486
Name
M LEELA BAI Rate Amount Qty 7.5 .25 30 12.3 .41 30 21.3 .71 30 12 .4 30 15.6 .26 60 66 1.1 60 78 1.3 60 18 .6 30 400 400 1 1750 1750 1 400 400 1 400 400 1 Total: 3180.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400919 Min 01400919 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 13-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 70 of 6486
Name
P C MUKHERJEE Rate Amount Qty 82.76 82.76 1 53.4 .89 60 15 .25 60 60.9 2.03 30 192.3 6.41 30 400 400 1 54 .9 60 46.2 .77 60 400 400 1 Total: 1304.56
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01400934 Min 01400934 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 05-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 3 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 5 05-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 6 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19 PRAZOSIN,2.5MG,TABLET 10 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 16 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 09-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 19 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 09-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 22 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 23 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 11-FEB-19 X - RAY - SINGLE VIEW 26 11-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 27 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 28 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 29 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 31 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 32 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 33 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 16-FEB-19
Page 71 of 6486
S N BISWAS Rate Amount Qty 1.85 .37 5 55.2 1.84 30 57.4 5.74 10 10.95 .73 15 13.49 13.49 1 29 29 1 35.2 3.52 10 400 400 1 10.65 .71 15 78 1.3 60 2.4 .16 15 32.4 1.08 30 60.9 2.03 30 53.4 .89 60 27.9 .93 30 42.6 .71 60 400 400 1 12.46 .89 14 13.49 13.49 1 55.2 1.84 30 2.59 .37 7 10.95 .73 15 49.28 3.52 14 400 400 1 400 400 1 550 550 1 13.49 13.49 1 25.07 25.07 1 3.7 .37 10 12.46 .89 14 49.28 3.52 14 10.95 .73 15 6.82 6.82 1 400 400 1 Total: 3327.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400935 Min 01400935 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 72 of 6486
Name
ARUNA BISWAS Rate Amount Qty 78 .78 100 4.8 .16 30 400 400 1 Total: 482.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400937 Min 01400937 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 73 of 6486
Name
PRATIMA SRIVASTAVA Rate Amount Qty 18 .6 30 11.4 .38 30 26.7 .89 30 9.86 9.86 1 7.5 .25 30 400 400 1 Total: 473.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400946 Min 01400946 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 UREA (BUN /UR) 3 04-FEB-19 PLATELET COUNT 4 04-FEB-19 HB,TLC,DLC 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 C T SMALL PARTS /HR 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 12-FEB-19 PROTEIN 24 HR URINE (24 HR UR PROT) 11 12-FEB-19 URINE ROUTINE AND MICROSCOPIC 12 12-FEB-19 PLATELET COUNT 13 12-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 14 12-FEB-19 HB,TLC,DLC 15 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 21 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 22 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 19-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 26 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 21-FEB-19 24 HR URINARY ALBUMIN (24 HR UR ALB) 28 21-FEB-19
Page 74 of 6486
Name
P L MANWAR Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 1300 1300 1 6000 6000 1 400 400 1 55.8 .93 60 275 275 1 380 380 1 330 330 1 165 165 1 300 300 1 400 400 1 12 .4 30 34.8 1.16 30 27.9 .93 30 36 .6 60 29.7 .99 30 27.6 .92 30 39 1.3 30 400 400 1 400 400 1 550 550 1 400 400 1 500 500 1 Total: 14942.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400947 Min 01400947 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 75 of 6486
Name
RAJKUMARI MANWAR Rate Amount Qty 38.25 2.55 15 21.3 .71 30 14.85 .99 15 55.8 .93 60 400 400 1 17.4 1.16 15 400 400 1 Total: 947.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400954 Min 01400954 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 23-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 3 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 23-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 76 of 6486
Name
R S TRIVEDI Rate Amount Qty 8.9 .89 10 35.2 3.52 10 13.49 13.49 1 1.85 .37 5 10.95 .73 15 400 400 1 Total: 470.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400962 Min 01400962 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 77 of 6486
Name
B C DASGUPTA Rate Amount Qty 21.3 .71 30 12 .4 30 32.4 1.08 30 185.7 6.19 30 36 .6 60 17.4 .58 30 400 400 1 Total: 704.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400984 Min 01400984 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 78 of 6486
Name
V P SHARMA Rate Amount Qty 371.4 6.19 60 47.4 .79 60 16.2 .27 60 29.7 .99 30 15 .25 60 400 400 1 Total: 879.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400985 Min 01400985 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 26-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 2 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 79 of 6486
Name
V MANIKYAMBA Rate Amount Qty 7.7 .77 10 17.42 8.71 2 16.8 1.12 15 66.2 6.62 10 400 400 1 Total: 508.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400993 Min 01400993 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 19-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 7 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 80 of 6486
Name
S SENGUPTA Rate Amount Qty 12 .4 30 2.4 .16 15 5.21 5.21 1 192.3 6.41 30 18.6 .62 30 15 .25 60 128.1 4.27 30 21.3 .71 30 400 400 1 Total: 794.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01400994 Min 01400994 Slno Description Appmt Dt TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 12-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 14-FEB-19 PRAZOSIN,2.5MG,TABLET 11 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 81 of 6486
Name
C SENGUPTA Rate Amount Qty 156.51 156.51 1 400 400 1 3.7 .37 10 1.5 .25 6 400 400 1 66 1.1 60 55.8 .93 60 9.3 .62 15 4.8 .16 30 6.9 .23 30 39 1.3 30 21.3 .71 30 18.9 .63 30 29.7 .99 30 400 400 1 Total: 1613.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401004 Min 01401004 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 82 of 6486
Name
KAMALA BALI Rate Amount Qty 12 .4 30 21.3 .71 30 76.5 2.55 30 32.4 1.08 30 400 400 1 32.4 1.08 30 27.9 .93 30 76.5 2.55 30 21.3 .71 30 12 .4 30 400 400 1 Total: 1112.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401005 Min 01401005 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 83 of 6486
Name
R P BALI Rate Amount Qty 55.8 .93 60 43.96 43.96 1 66 1.1 60 32.4 1.08 30 400 400 1 55.8 .93 60 66 1.1 60 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 1173.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401007 Min 01401007 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 PRAZOSIN,2.5MG,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 84 of 6486
Name
JAGANNATH KHURANA Rate Amount Qty 60.9 2.03 30 34.8 1.16 30 123.53 247.06 2 26.7 .89 30 78 1.3 60 27.9 .93 30 400 400 1 Total: 875.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401008 Min 01401008 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 85 of 6486
Name
JEET KHURANA Rate Amount Qty 21.3 .71 30 87.92 43.96 2 13.35 .89 15 9 .3 30 55.8 .93 60 7.65 .51 15 15 .25 60 400 400 1 Total: 610.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401020 Min 01401020 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 86 of 6486
Name
JAYA KUMARI Rate Amount Qty 34.8 1.16 30 167.4 5.58 30 53.4 .89 60 18 .6 30 66 1.1 60 41.85 .93 45 32.4 1.08 30 2.4 .16 15 400 400 1 Total: 816.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401021 Min 01401021 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 87 of 6486
Name
O N FODAR Rate Amount Qty 10.8 .36 30 36 .6 60 167.4 5.58 30 78 1.3 60 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 18.9 .63 30 7.5 .25 30 26.7 .89 30 12 .4 30 60.9 2.03 30 14.85 .99 15 400 400 1 Total: 928.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401022 Min 01401022 Appmt Dt Slno Description 16-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 16-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 88 of 6486
Name
ASHA FODAR Qty Rate Amount 30 .25 7.5 15 1.04 15.6 30 .93 27.9 1 400 400 Total: 451
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401028 Min 01401028 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 08-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 9 13-FEB-19 BRIMONIDINE TARTRATE,0.15% 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 12 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 14 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19
Page 89 of 6486
Name
G D SINHA Rate Amount Qty 12 .4 30 34.8 1.16 30 2.4 .16 15 47.4 .79 60 21.3 .71 30 86.4 1.44 60 7.65 .51 15 400 400 1 29 29 1 148.9 74.45 2 400 400 1 21.3 .71 30 47.4 .79 60 7.65 .51 15 12 .4 30 34.8 1.16 30 2.4 .16 15 86.4 1.44 60 400 400 1 Total: 1801.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401029 Min 01401029 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 09-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 2 09-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 09-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 21-FEB-19
Page 90 of 6486
Name
BANDANA SINHA Rate Amount Qty 39.6 2.64 15 213.6 3.56 60 63 2.1 30 52.65 3.51 15 400 400 1 26.7 .89 30 83.4 2.78 30 26.7 .89 30 37.8 .63 60 11.4 .38 30 7.5 .25 30 185.7 6.19 30 400 400 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 3798.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401036 Min 01401036 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 91 of 6486
Name
R K BHADURI Rate Amount Qty 9.3 .62 15 118.5 3.95 30 11.4 .38 30 18.9 .63 30 400 400 1 Total: 558.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401053 Min 01401053 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 92 of 6486
Name
K V V PILLAI Rate Amount Qty 13.95 .93 15 10.65 .71 15 6 .4 15 16.2 1.08 15 66.2 6.62 10 3.75 .25 15 26.7 .89 30 400 400 1 7.5 .25 30 26.7 .89 30 27.9 .93 30 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 1071.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401059 Min 01401059 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 93 of 6486
Name
RANJANA GHATE Rate Amount Qty 59.4 .66 90 156.6 1.74 90 54 .9 60 26.7 .89 30 400 400 1 Total: 696.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401066 Min 01401066 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 PRAZOSIN,2.5MG,TABLET 3 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 12-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 94 of 6486
M R KANIKDALEY Rate Amount Qty 38.25 2.55 15 55.8 .93 60 78 1.3 60 1.74 1200.6 690 39.6 .66 60 15.73 15.73 1 400 400 1 Total: 1827.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401068 Min 01401068 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 01-FEB-19 PRAZOSIN,2.5MG,TABLET 5 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 01-FEB-19
Page 95 of 6486
Name
D B ROY CHOUDHURY Rate Amount Qty 21.3 .71 30 12 .4 30 41.06 41.06 1 6.9 .23 30 117 1.3 90 18.6 .62 30 54 .6 90 10.8 .36 30 78 1.3 60 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1020.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401104 Min 01401104 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 96 of 6486
Name
P M THOMAS Rate Amount Qty 104.4 1.74 60 54 .9 60 26.7 .89 30 12.15 12.15 1 400 400 1 32.4 1.08 30 10.8 .36 30 6.4 .64 10 21.3 .71 30 8.1 .27 30 27.9 .93 30 7.8 .26 30 12 .4 30 7.5 .25 30 1.85 .37 5 400 400 1 Total: 1133.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401115 Min 01401115 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 97 of 6486
Name
GRACY MATHEW Rate Amount Qty 16.2 .27 60 66 1.1 60 27.9 .93 30 21.3 .71 30 36 .6 60 7.5 .25 30 26.7 .89 30 32.4 1.08 30 32.4 .36 90 400 400 1 Total: 666.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401128 Min 01401128 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 17-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 17-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 17-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 17-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 98 of 6486
Name
N MURALIDHARAN Rate Amount Qty 15.3 .34 45 32.4 1.08 30 34.8 1.16 30 7.9 .79 10 400 400 1 5.21 5.21 1 7.5 .25 30 400 400 1 Total: 903.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401129 Min 01401129 Appmt Dt Slno Description 17-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 17-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 99 of 6486
Name
R SANTHA Qty Rate Amount 30 .71 21.3 30 .25 7.5 30 .79 23.7 1 400 400 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401130 Min 01401130 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 2 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 100 of 6486
Name
S R SENGUPTA Rate Amount Qty 400 400 1 1610 1610 1 1750 1750 1 14.2 .71 20 5 .25 20 400 400 1 192.3 6.41 30 10.65 .71 15 12 .4 30 8.1 .27 30 55.8 .93 60 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 5511.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401131 Min 01401131 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 101 of 6486
Name
ARUNA SENGUPTA Rate Amount Qty 36 .6 60 10.8 .36 30 7.5 .25 30 55.8 .93 60 10.65 .71 15 400 400 1 Total: 520.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401137 Min 01401137 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 102 of 6486
Name
CHANDMANI DEVI Rate Amount Qty 10.8 .36 30 21.3 .71 30 18 .6 30 39 1.3 30 13.95 .93 15 18.9 .63 30 400 400 1 Total: 521.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401149 Min 01401149 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 103 of 6486
Name
T C JOSHI Rate Amount Qty 16.2 .27 60 55.8 .93 60 12 .4 30 34.8 1.16 30 18.6 .62 30 66 1.1 60 400 400 1 55.8 .93 60 12 .4 30 16.2 .27 60 123.53 123.53 1 72.6 1.21 60 34.8 1.16 30 18.6 .62 30 400 400 1 Total: 1336.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401150 Min 01401150 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 104 of 6486
Name
GEETA RANI JOSHI Rate Amount Qty 8.1 .27 30 87.92 43.96 2 27.9 .93 30 32.4 1.08 30 21.3 .71 30 12 .4 30 400 400 1 32.4 1.08 30 12 .4 30 8.1 .27 30 27.9 .93 30 20.84 5.21 4 34.8 1.16 30 400 400 1 Total: 1125.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401158 Min 01401158 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 CREATININE /CRT 3 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 01-FEB-19 URIC ACID (UA /URATES /UR) 10 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 01-FEB-19
Page 105 of 6486
Name
V N PALSODKAR Rate Amount Qty 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 27.9 .93 30 18 .6 30 10.8 .36 30 275 275 1 23.1 .77 30 18.9 .63 30 12 .4 30 29.7 .99 30 21.3 .71 30 Total: 3511.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401159 Min 01401159 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 01-FEB-19 CREATININE /CRT 10 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 01-FEB-19
Page 106 of 6486
Name
UJWALA PALSODKAR Rate Amount Qty 32.4 .36 90 21.3 .71 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 26.7 .89 30 78 1.3 60 36 .6 60 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 2837.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401163 Min 01401163 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 18-FEB-19 UREA (BUN /UR) 3 18-FEB-19 CREATININE /CRT 4 18-FEB-19 URIC ACID (UA /URATES /UR) 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 18-FEB-19
Page 107 of 6486
Name
SUKRITE AHLUWALIA Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 3075
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401167 Min 01401167 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ECG 4 08-FEB-19 OBSERVATION IN CASUALTY 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 11 12-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 12 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 13 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 16 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 12-FEB-19
Page 108 of 6486
Name
ANNAMMA VARGHESE Rate Amount Qty 600 600 1 .16 .16 1 .89 .89 1 450 450 1 420 420 1 55.8 .93 60 16.2 .27 60 400 400 1 54 .9 60 20.1 .67 30 12.15 12.15 1 59.4 .66 90 156.6 1.74 90 26.7 .89 30 4.8 .16 30 17.4 .58 30 400 400 1 Total: 2694.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401168 Min 01401168 Appmt Dt Slno Description 06-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 06-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 06-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 109 of 6486
Name
S K V PILLAI Qty Rate Amount 10 2.66 26.6 6 .37 2.22 30 .27 8.1 1 400 400 Total: 436.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401204 Min 01401204 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 110 of 6486
Name
THANKAMMA ABRAHAM Rate Amount Qty 7.5 .25 30 17.4 1.16 15 18 .6 30 8.1 .27 30 12 .4 30 400 400 1 Total: 463
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401205 Min 01401205 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 08-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 5 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 10 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 18-FEB-19
Page 111 of 6486
Name
N P TULASIDASS Rate Amount Qty 34.8 1.16 30 7.65 .51 15 9.6 .64 15 7.3 .73 10 139.8 9.32 15 66.2 6.62 10 27.9 .93 30 6.9 .23 30 400 400 1 150.9 5.03 30 185.7 6.19 30 20.84 5.21 4 400 400 1 20.55 1.37 15 13.35 .89 15 400 400 1 Total: 1891.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401208 Min 01401208 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 112 of 6486
Name
M S DAS Rate Amount Qty 123.53 247.06 2 26.7 .89 30 7.5 .25 30 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 775.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401209 Min 01401209 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 113 of 6486
Name
DIPTI DAS Rate Amount Qty 27.9 .93 30 21.3 .71 30 12 .4 30 7.5 .25 30 4.8 .16 30 12.8 .64 20 20.84 5.21 4 400 400 1 Total: 507.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401239 Min 01401239 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 114 of 6486
Name
G PRABHAKARAN Rate Amount Qty 34.8 1.16 30 13.95 .93 15 6.9 .23 30 12 .4 30 33 1.1 30 20.06 20.06 1 30.6 .34 90 400 400 1 Total: 551.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401240 Min 01401240 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 115 of 6486
Name
J S PANDEY Rate Amount Qty 31.95 .71 45 66 1.1 60 60.9 2.03 30 26.7 .89 30 400 400 1 Total: 585.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401241 Min 01401241 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 116 of 6486
Name
SUMEDHA JAYANT Rate Amount Qty 4.08 .51 8 18.6 .62 30 .8 .16 5 5.21 5.21 1 26.7 .89 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 490.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401243 Min 01401243 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 22-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 117 of 6486
Name
V SREEDEVI Rate Amount Qty 3.75 .25 15 6.23 .89 7 2.59 .37 7 400 400 1 6.23 .89 7 92.68 6.62 14 13.49 13.49 1 2.59 .37 7 400 400 1 Total: 927.56
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401250 Min 01401250 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 118 of 6486
P K BALACHANDRAN Rate Amount Qty 50.14 25.07 2 400 400 1 60.9 2.03 30 192.3 6.41 30 9 .6 15 34.8 1.16 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 1183.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401251 Min 01401251 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19 BLOOD FOR T-3,T-4,TSH 8 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 28-FEB-19
Page 119 of 6486
Name
K R LEELA Rate Amount Qty 9.3 .62 15 400 400 1 55.8 .93 60 16.2 .27 60 29.7 .99 30 211.8 3.53 60 400 400 1 2400 2400 1 33 1.1 30 42.6 .71 60 Total: 3598.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401266 Min 01401266 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 13-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 7 13-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 8 13-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 13-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 120 of 6486
Name
SOSAMMA THOMAS Rate Amount Qty 6.4 .64 10 3.7 .37 10 21.3 .71 30 55.8 .93 60 10.8 .36 30 7.4 .37 20 85.52 85.52 1 17.37 17.37 1 25.62 12.81 2 28.69 28.69 1 400 400 1 Total: 662.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401268 Min 01401268 Appmt Dt Slno Description 21-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 121 of 6486
Name
VALSALA THILAKAN Qty Rate Amount 30 .71 21.3 30 .25 7.5 30 .93 27.9 1 400 400 Total: 456.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401269 Min 01401269 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 122 of 6486
Name
S K MEHTA Rate Amount Qty 167.4 5.58 30 21.3 .71 30 12 .4 30 211.8 3.53 60 8.1 .27 30 7.5 .25 30 29.7 .99 30 55.8 .93 60 21.6 .36 60 36.3 1.21 30 36 .6 60 25.2 .42 60 400 400 1 Total: 1032.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401277 Min 01401277 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 123 of 6486
Name
C V RAO Rate Amount Qty 12 .4 30 34.8 1.16 30 53.4 .89 60 9.9 .66 15 400 400 1 Total: 510.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401289 Min 01401289 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 HB,TLC,DLC 2 08-FEB-19 PLATELET COUNT 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19
Page 124 of 6486
Name
U N BANERJEE Rate Amount Qty 400 400 1 300 300 1 330 330 1 7.5 .25 30 167.4 5.58 30 60.9 2.03 30 27.9 .93 30 27.9 .93 30 Total: 1321.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401291 Min 01401291 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 125 of 6486
Name
S P RAO Rate Amount Qty 23.1 .77 30 18 .6 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 15.3 .51 30 400 400 1 Total: 584.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401292 Min 01401292 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 126 of 6486
Name
S LEELAVATHI Rate Amount Qty 6.4 .64 10 17.4 1.16 15 23.7 .79 30 7.5 .25 30 400 400 1 Total: 455
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401308 Min 01401308 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 PRAZOSIN,2.5MG,TABLET 6 08-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 127 of 6486
Name
AKTHAR BEGUM Rate Amount Qty 15.3 .51 30 55.8 .93 60 66 1.1 60 33.3 .37 90 18 .6 30 39 1.3 30 88.2 1.47 60 400 400 1 Total: 715.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401317 Min 01401317 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 25-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 16 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 25-FEB-19 PRAZOSIN,2.5MG,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 128 of 6486
Name
S B DEWANJEE Rate Amount Qty .8 .16 5 35.2 17.6 2 11.1 .37 30 8.4 .42 20 400 400 1 4.8 .16 30 12.3 .41 30 47.4 .79 60 31.2 1.04 30 29.7 .99 30 32.4 1.08 30 123.53 123.53 1 21.3 .71 30 18.9 .63 30 39 1.3 30 368.4 6.14 60 26.7 .89 30 78 1.3 60 400 400 1 Total: 1689.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401337 Min 01401337 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 129 of 6486
Name
V D BHATT Rate Amount Qty 7.5 .25 30 2.4 .16 15 8.1 .27 30 36.3 1.21 30 21.3 .71 30 400 400 1 Total: 475.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401338 Min 01401338 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 8 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 13 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 130 of 6486
Name
SUNULA BEN BHATT Rate Amount Qty 26.7 .89 30 2.4 .16 15 55.8 .93 60 8.1 .27 30 72.6 1.21 60 400 400 1 8.9 .89 10 92.05 18.41 5 26 2.6 10 2.5 .25 10 400 400 1 7.5 .25 30 47.4 1.58 30 39 2.6 15 185.7 6.19 30 400 400 1 Total: 1774.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401389 Min 01401389 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 131 of 6486
Name
P V JANARDANAN Rate Amount Qty 21.3 .71 30 16.2 .27 60 400 400 1 Total: 437.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401413 Min 01401413 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 132 of 6486
Name
SUMAN SHUKLA Rate Amount Qty 9.6 .64 15 8.9 .89 10 66.2 6.62 10 1.85 .37 5 400 400 1 Total: 486.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401419 Min 01401419 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 9 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19
Page 133 of 6486
Name
SARDA SEKHARAN Rate Amount Qty 27.9 .93 30 30.6 .34 90 12 .4 30 32.4 1.08 30 9 .3 30 21.3 .71 30 66 1.1 60 9 .3 30 30.6 .34 90 12 .4 30 32.4 1.08 30 27.9 .93 30 21.3 .71 30 66 1.1 60 400 400 1 Total: 798.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401431 Min 01401431 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 9 16-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 134 of 6486
Name
P K SUBRAMANIAM Rate Amount Qty 12 .4 30 29.7 .99 30 27.9 .93 30 36 .6 60 32.4 1.08 30 167.4 5.58 30 34.8 1.16 30 400 400 1 156.51 313.02 2 40.58 20.29 2 400 400 1 Total: 1493.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401432 Min 01401432 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 135 of 6486
Name
P R RUGMANI Rate Amount Qty 27.9 .93 30 21.3 .71 30 12 .4 30 23.7 .79 30 54 .6 90 9 .3 30 400 400 1 7.5 .25 30 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 Total: 1052.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401448 Min 01401448 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 136 of 6486
Name
K C SONI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 69.6 1.16 60 47.4 .79 60 72.6 1.21 60 12 .4 30 7.5 .25 30 400 400 1 Total: 862.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401449 Min 01401449 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 137 of 6486
Name
MANJUSA SONI Rate Amount Qty 19.8 .66 30 21.3 .71 30 21.6 .36 60 54 .6 90 24 .4 60 7.5 .25 30 400 400 1 Total: 548.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401451 Min 01401451 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 138 of 6486
Name
DAYA GROVER Rate Amount Qty 13.7 1.37 10 64.8 1.08 60 16.2 .27 60 15.6 .26 60 66 1.1 60 1.48 .37 4 42.6 .71 60 15 .25 60 34.8 .58 60 26.6 2.66 10 3.84 .64 6 400 400 1 Total: 700.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401466 Min 01401466 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 27-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 139 of 6486
Name
D N BHOWMIK Rate Amount Qty 10.42 5.21 2 7.92 .99 8 26.7 .89 30 36 .6 60 7.5 .25 30 6.9 .23 30 27.9 .62 45 21.3 .71 30 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 604.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401467 Min 01401467 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 17-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 17-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 17-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 17-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 19-FEB-19 X - RAY - TWO VIEWS 9 19-FEB-19 SOLIFENACIN,5MG,,TABLET 10 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 13 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 14 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 15 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 140 of 6486
Name
SHEFALI BHOWMIK Rate Amount Qty 7.6 .38 20 17.8 .89 20 10 .25 40 24 .6 40 12.8 .64 20 20.84 5.21 4 400 400 1 400 400 1 2580 860 3 806.4 13.44 60 12 .4 30 21.3 .71 30 9.9 .66 15 41.06 41.06 1 5.21 5.21 1 13.35 .89 15 26 2.6 10 400 400 1 Total: 4808.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401497 Min 01401497 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 12 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19
Page 141 of 6486
Name
SP CHAKRABORTY Rate Amount Qty 30.6 .34 90 53.4 .89 60 54 .6 90 26 2.6 10 7.5 .25 30 34.8 1.16 30 8.1 .27 30 14.85 .99 15 32.4 1.08 30 400 400 1 16.2 .18 90 26.6 2.66 10 66.2 6.62 10 53.4 .89 60 400 400 1 Total: 1224.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401498 Min 01401498 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 12-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 142 of 6486
Name
ANJALI CHAKRABORTY Rate Amount Qty 29.7 .99 30 25.2 .42 60 12.3 .41 30 54 .6 90 185.7 6.19 30 35.1 2.34 15 55.8 .93 60 33 1.1 30 211.8 3.53 60 400 400 1 Total: 1042.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401508 Min 01401508 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 20-FEB-19 PRAZOSIN,2.5MG,TABLET 8 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 20-FEB-19
Page 143 of 6486
Name
K RANI Rate Amount Qty 36 .6 60 117 1.3 90 275 275 1 275 275 1 21.3 .71 30 14.85 .99 15 211.8 3.53 60 78 1.3 60 21.3 .71 30 55.8 .93 60 167.4 5.58 30 Total: 1273.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401538 Min 01401538 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 144 of 6486
Name
SHANTAMMA VASU Rate Amount Qty 148.9 74.45 2 400 400 1 55.8 .93 60 29.7 .99 30 34.8 1.16 30 6.9 .23 30 32.4 1.08 30 21.3 .71 30 36 .6 60 18 .3 60 400 400 1 Total: 1183.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401544 Min 01401544 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 145 of 6486
Name
RADHIKA DUBEY Rate Amount Qty 7.5 .25 30 3.7 .37 10 27.9 .93 30 66 1.1 60 6.4 .64 10 400 400 1 Total: 511.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401549 Min 01401549 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 19-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 2 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 146 of 6486
Name
M P JHA Rate Amount Qty 21.3 .71 30 88.2 1.47 60 9.3 .62 15 53.4 .89 60 12 .4 30 22.2 .37 60 400 400 1 Total: 606.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401553 Min 01401553 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 147 of 6486
Name
HARBHAJAN SINGH Rate Amount Qty 27 .9 30 5.55 .37 15 12.15 12.15 1 13.35 .89 15 13.35 .89 15 27 .9 30 12.15 12.15 1 5.55 .37 15 400 400 1 Total: 516.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401554 Min 01401554 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 12-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 27-FEB-19 GUM ANALGESIC GEL 6 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 148 of 6486
Name
SWARN KAUR Rate Amount Qty 156.6 1.74 90 100.71 100.71 1 12.15 12.15 1 400 400 1 35.2 3.52 10 28.69 28.69 1 11.4 .38 30 7.5 .25 30 400 400 1 Total: 1152.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401555 Min 01401555 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 9 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19 GUM ANALGESIC GEL 18 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 25-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 21 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 22 25-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19
Page 149 of 6486
Name
S S THAKUR Rate Amount Qty 26.7 .89 30 20.1 .67 30 6.4 .64 10 3.75 .25 15 400 400 1 12 .4 30 46.8 .78 60 400 400 1 46.8 .78 60 32.4 1.08 30 21.3 .71 30 26.7 .89 30 60.9 2.03 30 400 400 1 66.2 6.62 10 5.4 .18 30 400 400 1 28.69 28.69 1 3.7 .37 10 3.7 .37 10 100.71 100.71 1 12.81 12.81 1 85.52 85.52 1 400 400 1 Total: 2610.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401558 Min 01401558 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 26-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 26-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 150 of 6486
Name
S K SHRIVASTAVA Rate Amount Qty 192.3 6.41 30 27 .9 30 8.1 .18 45 60.9 2.03 30 400 400 1 16.2 .18 90 53.4 .89 60 54 .9 60 39.6 .66 60 156.6 1.74 90 400 400 1 Total: 1408.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401590 Min 01401590 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 19-FEB-19 PRAZOSIN,2.5MG,TABLET 7 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 151 of 6486
Name
R D MASHARKAR Rate Amount Qty 211.8 3.53 60 53.4 .89 60 11.4 .38 30 32.4 1.08 30 55.8 .93 60 118.5 3.95 30 78 1.3 60 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 1043.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401596 Min 01401596 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19
Page 152 of 6486
Name
DAYAL SINGH Rate Amount Qty 82.76 165.52 2 192.3 6.41 30 26.7 .89 30 31.2 1.04 30 32.4 1.08 30 60.9 2.03 30 6.9 .23 30 21.3 .71 30 33 1.1 30 55.8 .93 60 36 .6 60 21.6 .36 60 400 400 1 Total: 1083.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401597 Min 01401597 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 153 of 6486
Name
JOGINDAR KAUR Rate Amount Qty 7.5 .25 30 16.2 .27 60 32.4 1.08 30 21.3 .71 30 26.7 .89 30 55.8 .93 60 400 400 1 Total: 559.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401607 Min 01401607 Appmt Dt Slno Description 20-FEB-19 1 X - RAY - SINGLE VIEW 20-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 154 of 6486
Name
S P BHAGOLIWAL Qty 1 1
Rate Amount 550 550 400 400 950 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401608 Min 01401608 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 155 of 6486
Name
S K BHAGOLIWAL Rate Amount Qty 32.4 1.08 30 4.8 .16 30 8.1 .27 30 55.8 .93 60 72.6 1.21 60 18 .3 60 36 .6 60 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401633 Min 01401633 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 156 of 6486
Name
SATYADEVI SHRIVASTAVA Rate Amount Qty 55.8 .93 60 29.7 .99 30 21.3 .71 30 63 .6 105 2.4 .16 15 32.4 1.08 30 39 1.3 30 26.7 .89 30 400 400 1 Total: 670.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401645 Min 01401645 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 157 of 6486
G.B.JOHN Rate Amount Qty 7.5 .25 30 31.46 15.73 2 6.4 .64 10 4.8 .16 30 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 27.9 .93 30 27 .9 30 400 400 1 Total: 784.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401647 Min 01401647 Name Appmt Dt Slno Description 04-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 158 of 6486
TARAK BASAK Qty 2 1
Rate Amount 25.07 50.14 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401654 Min 01401654 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 159 of 6486
Name
VYAKULAM Rate Amount Qty 211.8 3.53 60 8.9 .89 10 17.75 .71 25 36 .6 60 55.8 .93 60 15.3 .51 30 44.4 .37 120 34.8 1.16 30 3.75 .25 15 8.7 .58 15 400 400 1 Total: 837.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401708 Min 01401708 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 23-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 160 of 6486
Name
N.S.R.KRISHNAMURITY Rate Amount Qty 60.9 2.03 30 43.96 43.96 1 27.9 .93 30 8.1 .27 30 400 400 1 2.5 .25 10 185.7 6.19 30 13 2.6 5 400 400 1 Total: 1142.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401709 Min 01401709 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 23-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 161 of 6486
Name
N RAJYASHREE Rate Amount Qty 20.06 20.06 1 12 .4 30 21.3 .71 30 23.7 .79 30 7.5 .25 30 33 1.1 30 400 400 1 185.7 6.19 30 20.55 1.37 15 400 400 1 Total: 1123.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401722 Min 01401722 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 22-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 22-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 13 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 162 of 6486
Name
M G KUTTY Rate Amount Qty 7.4 .37 20 85.52 85.52 1 26.7 .89 30 35.2 17.6 2 22.05 1.47 15 7.5 .25 30 33 1.1 30 34.8 1.16 30 12 .4 30 14.85 .99 15 117 1.3 90 55.8 .93 60 22.2 .37 60 36 .6 60 21.6 .36 60 400 400 1 Total: 931.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401724 Min 01401724 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 13-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19
Page 163 of 6486
Name
SITA MAHA LAXMI Rate Amount Qty 21.3 .71 30 20.1 .67 30 7.8 .26 30 26.7 .89 30 54 .9 60 79.2 .66 120 156.6 1.74 90 27.9 .93 30 12.15 12.15 1 32.4 1.08 30 12 .4 30 400 400 1 Total: 850.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401730 Min 01401730 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 164 of 6486
Name
V K VASU PILLAI Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 55.8 .93 60 18 .6 30 39 1.3 30 400 400 1 Total: 580
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401731 Min 01401731 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 165 of 6486
Name
M N PADMAKUMARI AMMA Rate Amount Qty 13.95 .93 15 18.9 .63 30 400 400 1 Total: 432.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401732 Min 01401732 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 166 of 6486
Name
K C MALHOTRA Rate Amount Qty 167.4 5.58 30 21.6 .36 60 54 .6 90 52.1 5.21 10 12 .4 30 21.3 .71 30 7.5 .25 30 8.2 .41 20 400 400 1 Total: 744.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401753 Min 01401753 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 COMPLETE HAEMOGRAM 8 07-FEB-19 BLOOD FOR T-3,T-4,TSH 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 167 of 6486
Name
CHINNAMMA PAILY Rate Amount Qty 12 .4 30 7.5 .25 30 32.4 1.08 30 21.6 .36 60 55.8 .93 60 400 400 1 36 .6 60 750 750 1 2400 2400 1 21.3 .71 30 26.7 .89 30 25.2 .42 60 400 400 1 Total: 4188.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401755 Min 01401755 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 168 of 6486
Name
M P SAROJINI AMMA Rate Amount Qty 39 1.3 30 29.7 .99 30 27.9 .93 30 32.4 1.08 30 12 .4 30 21.3 .71 30 15.6 .26 60 400 400 1 40.12 20.06 2 400 400 1 Total: 1018.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401766 Min 01401766 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 169 of 6486
Name
ARATI MUKHERJEE Rate Amount Qty 55.8 .93 60 55.8 .93 60 400 400 1 Total: 511.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401788 Min 01401788 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 GUM ANALGESIC GEL 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 23-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 20 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 22 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 24 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 25 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 26-FEB-19
Page 170 of 6486
Name
KAMALA DONGRE Rate Amount Qty 1.85 .37 5 28.69 28.69 1 12.8 .64 20 4.45 .89 5 2.5 .25 10 400 400 1 7.5 .25 30 2.4 .16 15 78 1.3 60 15.96 2.66 6 1.48 .37 4 26.7 .89 30 36 .6 60 66 1.1 60 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 7.8 .26 30 400 400 1 18.9 .63 30 36 .6 60 25.2 .42 60 7.5 .25 30 34.8 1.16 30 27.9 .93 30 26.7 .89 30 6.4 .64 10 400 400 1 Total: 1803.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401792 Min 01401792 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 28-FEB-19 UREA (BUN /UR) 8 28-FEB-19 CREATININE /CRT 9 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19
Page 171 of 6486
Name
SANTILATA SARKAR Rate Amount Qty 27.9 .93 30 17.4 1.16 15 6.9 .23 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 21.3 .71 30 6.9 .23 30 27.9 .93 30 8.9 .89 10 Total: 3867.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401809 Min 01401809 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 172 of 6486
Name
GURU PRASAD Rate Amount Qty 60.9 2.03 30 4.8 .16 30 400 400 1 Total: 465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401817 Min 01401817 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 173 of 6486
Name
M SAKARIAH Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 12 .4 30 26.7 .89 30 27.9 .93 30 400 400 1 Total: 533.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401824 Min 01401824 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 14-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 14-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 174 of 6486
Name
S K SHARMA Rate Amount Qty 11.4 .38 30 27.9 .93 30 31.61 31.61 1 13.43 13.43 1 41.06 41.06 1 7.5 .25 30 33 1.1 30 12 .4 30 23.7 .79 30 1.85 .37 5 8.9 .89 10 185.7 6.19 30 27.4 1.37 20 400 400 1 Total: 825.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401825 Min 01401825 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 175 of 6486
Name
NIRMALA SHRAMA Rate Amount Qty 37.8 .63 60 7.5 .25 30 26.7 .89 30 19.2 .64 30 185.7 6.19 30 12 .4 30 36 .6 60 32.4 1.08 30 15.3 .51 30 33 1.1 30 8.1 .27 30 47.4 .79 60 400 400 1 Total: 861.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401843 Min 01401843 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 08-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 7 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 16 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 18 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19
Page 176 of 6486
C D RAJU Rate Amount Qty 70.2 2.34 30 5.4 .18 30 1.85 .37 5 15.73 15.73 1 400 400 1 185.7 6.19 30 150.9 5.03 30 19.2 .64 30 26.7 .89 30 400 400 1 50.14 25.07 2 13.64 6.82 2 11.1 .37 30 25.62 12.81 2 400 400 1 12.3 .41 30 15 .25 60 19.8 .66 30 21.3 .71 30 400 400 1 Total: 2244.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401844 Min 01401844 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 19 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 20 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 21 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 21-FEB-19
Page 177 of 6486
Name
C SATYAWATI Rate Amount Qty 8.7 .58 15 26.6 2.66 10 27 .9 30 5.55 .37 15 12.15 12.15 1 400 400 1 7.5 .25 30 9.6 .64 15 185.7 6.19 30 400 400 1 55.8 .93 60 27.6 .92 30 39 1.3 30 29.7 .99 30 21.3 .71 30 7.5 .25 30 400 400 1 15 .25 60 95.7 3.19 30 19.8 .66 30 31.95 .71 45 26.7 .89 30 400 400 1 Total: 2252.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401854 Min 01401854 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 06-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 178 of 6486
N SHREEDHARAN Rate Amount Qty 35.2 3.52 10 15.73 15.73 1 27.9 .93 30 29.7 .99 30 9.3 .62 15 8.1 .27 30 43.96 43.96 1 400 400 1 Total: 569.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401855 Min 01401855 Appmt Dt Slno Description 06-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 06-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 179 of 6486
Name
N PADMA Qty Rate Amount 4 5.21 20.84 30 .93 27.9 30 .27 8.1 1 400 400 Total: 456.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401894 Min 01401894 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 16-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 13 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 16-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 16 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 16-FEB-19
Page 180 of 6486
Name
R K DUTTA Rate Amount Qty 25.62 12.81 2 7.4 .37 20 400 400 1 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 400 400 1 11.2 1.12 10 14.85 .99 15 4.8 .16 30 11.4 .38 30 26.7 .89 30 21.3 .71 30 34.8 1.16 30 32.4 1.08 30 118.5 3.95 30 55.8 .93 60 192.3 6.41 30 7.5 .25 30 400 400 1 Total: 2057.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401895 Min 01401895 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 25-FEB-19 URIC ACID (UA /URATES /UR) 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 20 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 25-FEB-19
Page 181 of 6486
Name
MINATI DUTTA Rate Amount Qty 18.9 .63 30 26.7 .89 30 11.4 .38 30 54 .6 90 2.4 .16 15 123.53 247.06 2 21.3 .71 30 12 .4 30 10.8 .36 30 14.85 .99 15 22.2 .37 60 55.8 .93 60 12.8 .64 20 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 185.7 6.19 30 20.55 1.37 15 13.35 .89 15 Total: 3254.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401901 Min 01401901 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 21-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 3 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 6 21-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 182 of 6486
Name
N N MOHANTY Rate Amount Qty 7.5 .25 30 9.3 .62 15 18.21 18.21 1 60.9 2.03 30 55.8 .93 60 85.52 85.52 1 25.69 25.69 1 400 400 1 Total: 662.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401905 Min 01401905 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 8 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 183 of 6486
Name
D RAMKRISHNA Rate Amount Qty 6.9 .23 30 12 .4 30 21.3 .71 30 7.5 .25 30 17.4 .58 30 400 400 1 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 400 400 1 Total: 933.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401906 Min 01401906 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 15 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19
Page 184 of 6486
Name
D JAGADAMBA Rate Amount Qty 400 400 1 275 275 1 1300 1300 1 1300 1300 1 275 275 1 32.4 .36 90 117 1.3 90 54 .6 90 8.1 .27 30 14.85 .99 15 55.8 .93 60 400 400 1 55.8 .93 60 16.2 .27 60 6.6 .66 10 117 1.3 90 54 .6 90 32.4 .36 90 400 400 1 Total: 4914.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401918 Min 01401918 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 185 of 6486
Name
H V PARALKAR Rate Amount Qty 23.7 .79 30 66 1.1 60 23.1 .77 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 541.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01401921 Min 01401921 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 16 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19
Page 186 of 6486
S K SHRIVASTAVA Rate Amount Qty 156.6 1.74 90 10.8 .9 12 43.2 .9 48 8.32 1.04 8 17.4 .58 30 22.8 .38 60 7.5 .25 30 400 400 1 185.7 6.19 30 13.7 1.37 10 25.07 25.07 1 6.82 6.82 1 400 400 1 27.9 .93 30 32.4 1.08 30 11.4 .38 30 118.5 3.95 30 400 400 1 Total: 1888.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401922 Min 01401922 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 187 of 6486
Name
PREM LATA SHRIVASTAVA Rate Amount Qty 6.4 .64 10 275 275 1 275 275 1 400 400 1 150.9 5.03 30 400 400 1 7.5 .25 30 55.2 .92 60 32.4 1.08 30 34.8 1.16 30 118.5 3.95 30 27.9 .93 30 400 400 1 18.9 .63 30 400 400 1 Total: 2602.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401925 Min 01401925 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 188 of 6486
Name
KISHAN SINGH Rate Amount Qty 6.9 .23 30 12 .4 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 447.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401926 Min 01401926 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 189 of 6486
Name
NEELA SINGH Rate Amount Qty 9.6 .64 15 7.5 .25 30 10.65 .71 15 4.2 .42 10 14.6 .73 20 185.7 6.19 30 400 400 1 Total: 632.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401928 Min 01401928 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 07-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 07-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 4 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 190 of 6486
Name
SUNALINI Rate Amount Qty 17.4 1.16 15 70.2 .78 90 11.4 .38 30 14.16 1.18 12 31.2 1.04 30 21.6 1.44 15 39 1.3 30 18 .6 30 400 400 1 311.4 5.19 60 400 400 1 Total: 1334.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401937 Min 01401937 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 23-FEB-19 URIC ACID (UA /URATES /UR) 2 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 191 of 6486
Name
JAYANTI RANI KONAR Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 14.85 .99 15 33 1.1 30 55.8 .93 60 7.5 .25 30 1.48 .37 4 400 400 1 Total: 3058.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401941 Min 01401941 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 192 of 6486
Name
K T MATHEW Rate Amount Qty 1.85 .37 5 35.2 3.52 10 400 400 1 3.7 .37 10 8.9 .89 10 17 1.7 10 400 400 1 1.85 .37 5 400 400 1 4.45 .89 5 1.85 .37 5 400 400 1 Total: 1674.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401942 Min 01401942 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 193 of 6486
Name
GRACY KUTTY Rate Amount Qty 66 1.1 60 29.7 .99 30 12 .4 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 400 400 1 Total: 564.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401958 Min 01401958 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 194 of 6486
Name
KUNJUNJAMMA THOMAS Rate Amount Qty 8.9 .89 10 55.8 .93 60 7.5 .25 30 20.06 20.06 1 8.9 .89 10 55.8 .93 60 7.5 .25 30 20.06 20.06 1 400 400 1 Total: 584.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401965 Min 01401965 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 195 of 6486
Name
N G K NAIR Rate Amount Qty 7.5 .25 30 27.9 .93 30 8.1 .27 30 36.3 1.21 30 4.8 .16 30 39 1.3 30 18 .6 30 60.9 2.03 30 34.8 1.16 30 400 400 1 12.8 .64 20 557.1 6.19 90 400 400 1 Total: 1607.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401966 Min 01401966 Appmt Dt Slno Description 23-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 23-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 23-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 196 of 6486
Name
K K PADMINI DEVI Qty Rate Amount 30 .93 27.9 15 .62 9.3 30 .71 21.3 1 400 400 Total: 458.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401967 Min 01401967 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 197 of 6486
Name
P K CHATTERJEE Rate Amount Qty 25.2 .42 60 7.5 .25 30 23.56 .62 38 8.1 .27 30 43.96 43.96 1 400 400 1 Total: 508.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401968 Min 01401968 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 198 of 6486
Name
AMITA CHATTERJEE Rate Amount Qty 7.8 .26 30 27.9 .93 30 8.9 .89 10 21.3 .71 30 21.3 .71 30 7.5 .25 30 54 .6 90 167.4 5.58 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 760.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01401983 Min 01401983 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 199 of 6486
Name
MAYA MAITRA Qty 6 6 6 6 1
Rate Amount 4.62 .77 3.84 .64 6.72 1.12 21.12 3.52 400 400 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402018 Min 01402018 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 12 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 11-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 14 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 11-FEB-19
Page 200 of 6486
Name
KUNJAMMA BABY Rate Amount Qty 32.4 1.08 30 12 .4 30 105.9 3.53 30 4.8 .16 30 42.6 .71 60 21.3 .71 30 22.2 .37 60 55.8 .93 60 400 400 1 105.9 3.53 30 21.3 .71 30 22.2 .37 60 55.8 .93 60 42.6 .71 60 32.4 1.08 30 12 .4 30 4.8 .16 30 400 400 1 Total: 1394
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402022 Min 01402022 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 201 of 6486
Name
DALBIR SINGH Rate Amount Qty 26.7 .89 30 192.3 6.41 30 60.9 2.03 30 32.4 1.08 30 30.6 .34 90 22.2 .37 60 32.4 .36 90 7.5 .25 30 400 400 1 Total: 805
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402047 Min 01402047 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 19-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 202 of 6486
Name
S C MALIK Rate Amount Qty 60.87 20.29 3 20.84 5.21 4 6.4 .64 10 2.4 .16 15 36.3 1.21 30 40.2 .67 60 156.51 469.53 3 26.7 .89 30 400 400 1 Total: 1063.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402059 Min 01402059 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 203 of 6486
Name
B CHUDAMANI Rate Amount Qty 72 .6 120 7.5 .25 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 556.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402086 Min 01402086 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 17 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 22-FEB-19
Page 204 of 6486
Name
V S PARASHAR Rate Amount Qty 275 275 1 400 400 1 275 275 1 1300 1300 1 1300 1300 1 20.84 5.21 4 3.84 .64 6 1.48 .37 4 26.48 6.62 4 26.7 .89 30 29.7 .99 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 400 400 1 18.76 .67 28 3.78 .18 21 12.6 .9 14 6.23 .89 7 400 400 1 Total: 4579.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402093 Min 01402093 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 205 of 6486
Name
R V PMRANDARE Rate Amount Qty 26.7 .89 30 27.9 .93 30 14.85 .99 15 211.8 7.06 30 38.25 2.55 15 400 400 1 Total: 719.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402099 Min 01402099 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 206 of 6486
Name
ALEYAMMA KURIAN Rate Amount Qty 14.85 .99 15 41.85 .93 45 156.6 1.74 90 54 .9 60 34.8 1.16 30 400 400 1 Total: 702.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402102 Min 01402102 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 207 of 6486
Name
K K CHOPRA Rate Amount Qty 11.4 .38 30 21.3 .71 30 105.9 3.53 30 12 .4 30 60.9 2.03 30 123.53 123.53 1 400 400 1 Total: 735.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402104 Min 01402104 Appmt Dt Slno Description 28-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 28-FEB-19 2 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 28-FEB-19 3 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 208 of 6486
Name
D P GHOSAL Qty Rate Amount 12 .64 7.68 24 1.84 44.16 8 .6 4.8 1 400 400 Total: 456.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402105 Min 01402105 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19
Page 209 of 6486
Name
SHIBANI GHOSAL Rate Amount Qty 400 400 1 16.2 .27 60 43.96 43.96 1 20.06 20.06 1 26.7 .89 30 1750 1750 1 32.4 1.08 30 21.3 .71 30 Total: 2310.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402110 Min 01402110 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 210 of 6486
Name
K B SINGH Rate Amount Qty 72 .6 120 55.8 .93 60 16.2 .27 60 14.85 .99 15 117 1.3 90 32.4 1.08 30 400 400 1 Total: 708.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402131 Min 01402131 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 211 of 6486
Name
N G PILLAI Rate Amount Qty 7.8 .26 30 3.84 .64 6 26.7 .89 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 492.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402132 Min 01402132 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 212 of 6486
Name
LEELAVATHI M Rate Amount Qty 403.2 13.44 30 400 400 1 15.6 1.04 15 55.8 .93 60 33 1.1 30 18.6 .62 30 32.4 1.08 30 21.3 .71 30 23.1 .77 30 14.85 .99 15 43.96 43.96 1 400 400 1 Total: 1461.81
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402138 Min 01402138 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ECG 5 15-FEB-19 OBSERVATION IN CASUALTY 6 15-FEB-19 ECG 7 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 213 of 6486
RAMKALI DEVI DIWAKER Rate Amount Qty 25.07 25.07 1 6.4 .64 10 18.6 .62 30 400 400 1 450 450 1 420 420 1 450 450 1 24.52 24.52 1 .8 .16 5 400 400 1 Total: 2195.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402141 Min 01402141 Appmt Dt Slno Description 19-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19-FEB-19 2 SOLIFENACIN,5MG,,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 214 of 6486
Name
D S MISHRA Qty Rate Amount 30 2.03 60.9 30 13.44 403.2 30 .93 27.9 1 400 400 Total: 892
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402142 Min 01402142 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 4 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 5 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 12 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 18-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 215 of 6486
Name
SHOBHA MISHRA Rate Amount Qty 275 275 1 400 400 1 44.16 1.84 24 19.77 19.77 1 6.42 2.14 3 24.45 24.45 1 400 400 1 19.77 19.77 1 400 400 1 26.7 .89 30 54 .9 60 104.4 1.74 60 7.5 .25 30 17.4 .58 30 400 400 1 Total: 2199.57
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402157 Min 01402157 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 02-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 07-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 07-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 08-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 14 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 15 14-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 16 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 17 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 14-FEB-19 BLOOD FOR TSH 19 14-FEB-19 PLATELET COUNT 20 14-FEB-19 HB,TLC,DLC 21 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 14-FEB-19
Page 216 of 6486
PANKUMARI Rate Amount Qty 50.14 25.07 2 20.55 1.37 15 150.9 5.03 30 400 400 1 7.8 .26 30 26.7 .89 30 9.9 .99 10 .5 .25 2 400 400 1 380 380 1 60.18 20.06 3 2110 2110 1 400 400 1 4.66 2.33 2 9.3 .93 10 15.6 .26 60 60.18 20.06 3 26.7 .89 30 800 800 1 330 330 1 300 300 1 9.6 .64 15 400 400 1 Total: 5972.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402184 Min 01402184 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 217 of 6486
Name
KUNJAMMA JOHN Rate Amount Qty 54 .6 90 4.5 .3 15 12 .4 30 43.2 1.44 30 34.8 1.16 30 13.95 .93 15 400 400 1 Total: 562.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402203 Min 01402203 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 25-FEB-19 GUM ASTRINGENT PAINT 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 218 of 6486
Name
A L MUNSHI Rate Amount Qty 60.9 2.03 30 18 .6 30 9 .3 30 33 1.1 30 12 .4 30 34.8 1.16 30 8.1 .27 30 400 400 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 31.54 31.54 1 400 400 1 Total: 1063.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402204 Min 01402204 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 25-FEB-19 URIC ACID (UA /URATES /UR) 9 25-FEB-19 UREA (BUN /UR) 10 25-FEB-19 CREATININE /CRT 11 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 219 of 6486
Name
GAYATRI MUNSHI Rate Amount Qty 26 2.6 10 27.9 .93 30 400 400 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 27.9 .93 30 400 400 1 Total: 4506.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402207 Min 01402207 Slno Description Appmt Dt CREATININE /CRT 1 22-FEB-19 UREA (BUN /UR) 2 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 22-FEB-19 URIC ACID (UA /URATES /UR) 6 22-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 SOLIFENACIN,5MG,,TABLET 13 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 15 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 22-FEB-19
Page 220 of 6486
Name
P N TANDAN Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 13.43 13.43 1 7.4 .37 20 12.81 12.81 1 10.8 .36 30 1.6 .16 10 8.9 .89 10 403.2 13.44 30 66 1.1 60 47.4 .79 60 21.3 .71 30 15.6 .26 60 12 .4 30 Total: 2395.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402208 Min 01402208 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 SOLIFENACIN,5MG,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 221 of 6486
Name
LATA TANDON Rate Amount Qty 47.4 .79 60 403.2 13.44 30 400 400 1 Total: 850.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402260 Min 01402260 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 222 of 6486
Name
G D MONDAL Rate Amount Qty 39 1.3 30 26.7 .89 30 18.9 .63 30 32.4 1.08 30 13.95 .93 15 8.1 .27 30 400 400 1 2.67 .89 3 15.6 2.6 6 400 400 1 Total: 957.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402304 Min 01402304 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 223 of 6486
Name
D SAMANTA Rate Amount Qty 7.8 .26 30 32.4 1.08 30 36 .6 60 34.8 1.16 30 12 .4 30 18.9 .63 30 26.7 .89 30 76.5 2.55 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 717.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402305 Min 01402305 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 224 of 6486
Name
MINOTI SAMANTA Rate Amount Qty 33 1.1 30 32.4 1.08 30 21.3 .71 30 55.8 .93 60 36 .6 60 10.8 .36 30 22.2 .37 60 400 400 1 Total: 611.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402312 Min 01402312 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 CREATININE /CRT 3 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 UREA (BUN /UR) 8 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 225 of 6486
Name
D N SHIMPI Rate Amount Qty 275 275 1 400 400 1 275 275 1 550 550 1 1300 1300 1 23.8 1.7 14 2.59 .37 7 275 275 1 275 275 1 400 400 1 Total: 3776.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402314 Min 01402314 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 226 of 6486
Name
S S P KESHARI Rate Amount Qty 27 .9 30 16.2 .18 90 400 400 1 Total: 443.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402315 Min 01402315 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 8 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 227 of 6486
Name
KISHORI KESHARI Rate Amount Qty 22.8 .38 60 32.4 1.08 30 15.6 1.04 15 7.5 .25 30 21.3 .71 30 400 400 1 9.6 .64 15 25.69 25.69 1 20.84 5.21 4 26.7 .89 30 400 400 1 Total: 982.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402316 Min 01402316 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 25-FEB-19 PRAZOSIN,2.5MG,TABLET 15 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 16 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 228 of 6486
Name
P S MEHTA Rate Amount Qty 13.7 1.37 10 123.8 6.19 20 400 400 1 69.05 69.05 1 54 .9 60 100.71 100.71 1 39.6 .66 60 400 400 1 20.06 20.06 1 21.3 .71 30 78 1.3 60 36 .6 60 76.5 2.55 30 27.9 .93 30 156 1.3 120 22.2 .37 60 167.4 5.58 30 400 400 1 Total: 2206.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402317 Min 01402317 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 X - RAY - SINGLE VIEW 5 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 229 of 6486
Name
USHA P MEHTA Rate Amount Qty 400 400 1 13.7 1.37 10 8.9 .89 10 123.8 6.19 20 550 550 1 247.6 6.19 40 27.4 1.37 20 17.8 .89 20 400 400 1 34.8 1.16 30 7.5 .25 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 2292.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402324 Min 01402324 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 230 of 6486
Name
NANWANI SUNDRI Rate Amount Qty 14.85 .99 15 55.8 .93 60 21.3 .71 30 16.2 .27 60 400 400 1 Total: 508.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402331 Min 01402331 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 14-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 231 of 6486
Name
K C SINGHA Rate Amount Qty 26.7 .89 30 7.5 .25 30 10.8 .18 60 12.15 12.15 1 400 400 1 18.9 .63 30 12 .4 30 14.85 .99 15 17.4 .58 30 400 400 1 Total: 920.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402332 Min 01402332 Slno Description Appmt Dt HB,TLC,DLC 1 16-FEB-19 PLATELET COUNT 2 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 16-FEB-19
Page 232 of 6486
Name
MALATI SINGHA Qty 1 1 1
Rate Amount 300 300 330 330 400 400 Total: 1030
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402342 Min 01402342 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 233 of 6486
Name
MITA SEN Rate Amount Qty 18 .6 30 16.5 1.1 15 27.9 .93 30 12 .4 30 18.6 .62 30 15.6 .26 60 34.8 1.16 30 400 400 1 Total: 543.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402352 Min 01402352 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 3 28-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 234 of 6486
Name
MITALI MUKHERJEE Rate Amount Qty 39 1.3 30 36 .6 60 4.27 192.15 45 3.19 143.55 45 7.5 .25 30 12.3 .41 30 37.8 .63 60 27.9 .62 45 400 400 1 Total: 896.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402367 Min 01402367 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 235 of 6486
Name
P K K NAIR Rate Amount Qty 21.3 .71 30 12 .4 30 27.9 .93 30 118.5 3.95 30 32.4 1.08 30 400 400 1 Total: 612.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402397 Min 01402397 Appmt Dt Slno Description 07-FEB-19 1 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 07-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 236 of 6486
Name
P S CHOUDHARY Qty Rate Amount 18 2.34 42.12 6 .64 3.84 5 .37 1.85 1 400 400 Total: 447.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402416 Min 01402416 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 237 of 6486
Name
C P MESHRAM Rate Amount Qty 12 .4 30 21.3 .71 30 33 1.1 30 8.9 .89 10 400 400 1 Total: 475.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402417 Min 01402417 Appmt Dt Slno Description 28-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 238 of 6486
Name
SHAKUNTALA MESHRAM Qty Rate Amount 60 .93 55.8 30 1.1 33 30 .71 21.3 1 400 400 Total: 510.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402440 Min 01402440 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 18-FEB-19 COMPLETE HAEMOGRAM 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 10 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 12 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 21-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 17 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 239 of 6486
K NALINI Rate Amount Qty 3.7 .37 10 8.9 .89 10 4.2 .7 6 9.6 .64 15 66.2 6.62 10 400 400 1 380 380 1 750 750 1 400 400 1 48.22 48.22 1 3.7 .37 10 10.05 .67 15 18 .9 20 5.4 .18 30 70.2 2.34 30 400 400 1 55.2 .92 60 12 .4 30 21.3 .71 30 13.95 .93 15 26.7 .89 30 48.22 48.22 1 400 400 1 Total: 3155.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402443 Min 01402443 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 240 of 6486
Name
BABULAL TAUNK Rate Amount Qty 13.8 .23 60 7.8 .26 30 60.9 2.03 30 43.96 43.96 1 17.8 .89 20 24 .4 60 69.6 1.16 60 64.8 1.08 60 33 1.1 30 400 400 1 Total: 735.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402444 Min 01402444 Appmt Dt Slno Description 06-FEB-19 1 ASCORBIC ACID,STRIP PKT,100MG,TABLET 06-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 06-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 241 of 6486
Name
JOTI TAUNK Qty 6 6 5 1
Rate Amount .38 2.28 .64 3.84 .37 1.85 400 400 Total: 407.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402450 Min 01402450 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 RIFAXIMIN 200 MG,,TABLET 3 11-FEB-19 RACECADOTRIL,100MG,CAPSULE 4 11-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 242 of 6486
Name
KALPANA BISWAL Rate Amount Qty 92.68 6.62 14 12.46 .89 14 9.33 130.62 14 83.58 5.97 14 52.26 8.71 6 2.4 .16 15 400 400 1 Total: 774
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402464 Min 01402464 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 243 of 6486
Name
JANAKI IYER Rate Amount Qty 19.2 .64 30 185.7 6.19 30 400 400 1 Total: 604.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402477 Min 01402477 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 244 of 6486
Name
M S BHASKARAN Rate Amount Qty 5.21 5.21 1 4.2 .42 10 7.92 .99 8 6.2 .62 10 18.9 .63 30 36 .6 60 60.9 2.03 30 13.95 .93 15 400 400 1 Total: 553.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402478 Min 01402478 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 245 of 6486
Name
OMANA BHASKARAN Rate Amount Qty 7.4 .37 20 12.81 166.53 13 29.7 .99 30 78 1.3 60 16.2 .27 60 55.8 .93 60 400 400 1 Total: 753.63
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402498 Min 01402498 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 246 of 6486
DULAL PAL Rate Amount Qty 32.4 1.08 30 27.9 .93 30 53.4 .89 60 123.53 123.53 1 21.3 .71 30 1.85 .37 5 4.8 .16 30 48.22 48.22 1 400 400 1 Total: 713.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402518 Min 01402518 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 247 of 6486
Name
D C SARKAR Rate Amount Qty 13.95 .93 15 12 .4 30 400 400 1 Total: 425.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402519 Min 01402519 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 248 of 6486
Name
SHEFALI SARKAR Rate Amount Qty 7.5 .25 30 8.1 .27 30 23.7 .79 30 21.3 .71 30 400 400 1 Total: 460.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402526 Min 01402526 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 16-FEB-19 UREA (BUN /UR) 4 16-FEB-19 CREATININE /CRT 5 16-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 16-FEB-19 CHOLESTEROL (CHOL) 7 16-FEB-19 TRIGLYCERIDES (TGL) 8 16-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 9 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 16-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 12 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 16-FEB-19
Page 249 of 6486
Name
PUSHPA BANSAL Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 550 550 1 6.9 .23 30 2.4 .16 15 21.3 .71 30 36 .6 60 78 1.3 60 27.9 .93 30 21.3 .71 30 Total: 3343.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402531 Min 01402531 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 250 of 6486
Name
G.THULASEEDHARAN Rate Amount Qty 55.8 .93 60 167.4 5.58 30 18 .3 60 14.85 .99 15 400 400 1 Total: 656.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402532 Min 01402532 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 251 of 6486
Name
D.VASUMATHY Rate Amount Qty 12 .4 30 27.9 .93 30 54 .6 90 39 1.3 30 400 400 1 Total: 532.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402533 Min 01402533 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 252 of 6486
Name
P C JAIN Rate Amount Qty 6.4 .64 10 20.84 5.21 4 26.7 .89 30 21.3 .71 30 31.2 1.04 30 32.4 1.08 30 8.1 .27 30 23.7 .79 30 34.8 1.16 30 15.6 .26 60 400 400 1 Total: 621.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402534 Min 01402534 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 253 of 6486
Name
SHASHI TARA JAIN Rate Amount Qty 6.4 .64 10 15.96 2.66 6 1.48 .37 4 36 .6 60 8.1 .27 30 18.6 .62 30 34.8 1.16 30 76.5 2.55 30 400 400 1 Total: 597.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402535 Min 01402535 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 7 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 15-FEB-19 ABC TEST HIV 9 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 15-FEB-19
Page 254 of 6486
Name
K C POULOSE Rate Amount Qty 39 1.3 30 167.4 5.58 30 36 .6 60 21.3 .71 30 11.85 .79 15 400 400 1 1000 1000 1 275 275 1 1250 1250 1 400 400 1 275 275 1 Total: 3875.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402536 Min 01402536 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 8 14-FEB-19 PRAZOSIN,2.5MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 255 of 6486
Name
EVAPHAROSIA POULOSE Rate Amount Qty 10.8 .36 30 36 .6 60 39 1.3 30 22.2 .37 60 29.7 .99 30 211.8 3.53 60 34.8 1.16 30 94.8 .79 120 156 1.3 120 400 400 1 Total: 1035.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402539 Min 01402539 Appmt Dt Slno Description 16-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 256 of 6486
Name
G MAHARANA Qty Rate Amount 30 .93 27.9 30 .27 8.1 15 .99 14.85 1 400 400 Total: 450.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402540 Min 01402540 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 16-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 257 of 6486
Name
INDU REKHA Rate Amount Qty 7.8 .26 30 55.8 .93 60 9 .3 30 15.4 .77 20 20.06 20.06 1 36 .6 60 32.4 1.08 30 400 400 1 Total: 576.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402561 Min 01402561 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 258 of 6486
Name
VEENA PATHAK Rate Amount Qty 78 1.3 60 36 .6 60 36 .4 90 13.35 .89 15 1.85 .37 5 32.4 1.08 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 669.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402596 Min 01402596 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 21-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 3 21-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 GUM ANALGESIC GEL 10 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 259 of 6486
Name
RAJRANI DWIVEDI Rate Amount Qty 20.55 1.37 15 26.8 .67 40 63.58 63.58 1 37.04 37.04 1 11.1 .37 30 17.6 17.6 1 185.7 6.19 30 13.35 .89 15 2.5 .25 10 28.69 28.69 1 20.06 20.06 1 1.9 .38 5 8.9 .89 10 3.75 .75 5 400 400 1 Total: 841.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402601 Min 01402601 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 260 of 6486
Name
D K BISWAS Rate Amount Qty 1.48 .37 4 7.5 .25 30 13.8 .23 60 60.9 2.03 30 36 .6 60 167.4 5.58 30 15.6 .26 60 27.9 .62 45 32.4 1.08 30 18 .3 60 47.4 .79 60 21.3 .71 30 400 400 1 Total: 849.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402602 Min 01402602 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 261 of 6486
Name
PARUL BISWAS Rate Amount Qty 7.5 .25 30 1.48 .37 4 36 .6 60 167.4 5.58 30 21.3 .71 30 32.4 1.08 30 31.2 1.04 30 36.3 1.21 30 33 1.1 30 400 400 1 Total: 766.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402614 Min 01402614 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 262 of 6486
N B AHUJA Rate Amount Qty 25.07 25.07 1 34.8 1.16 30 32.4 1.08 30 72.6 1.21 60 15.6 .26 60 16.2 .27 60 55.8 .93 60 10.8 .36 30 14.85 .99 15 400 400 1 Total: 678.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402634 Min 01402634 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 263 of 6486
Name
DAYA SHANKER MATHUR Rate Amount Qty 21.3 .71 30 26.7 .89 30 7.5 .25 30 185.7 6.19 30 12 .4 30 18.6 .62 30 6.9 .23 30 32.4 1.08 30 400 400 1 Total: 711.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402635 Min 01402635 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 08-FEB-19 IVABRADINE,5MG,,TABLET 3 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 264 of 6486
Name
SUSHMA MATHUR Rate Amount Qty 20.84 5.21 4 21.3 .71 30 298.5 9.95 30 3.9 .26 15 31.2 1.04 30 12 .4 30 21.3 .71 30 400 400 1 Total: 809.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402639 Min 01402639 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 265 of 6486
Name
KRISHAN KANTA BATRA Rate Amount Qty 16.2 .27 60 12 .4 30 15 .25 60 22.8 .38 60 400 400 1 Total: 466
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402654 Min 01402654 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 28-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 2 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 28-FEB-19
Page 266 of 6486
Name
MANOJ KUMAR NANDI Rate Amount Qty 400 400 1 280 280 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 Total: 736.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402655 Min 01402655 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 05-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 267 of 6486
Name
REKHA NANDI Rate Amount Qty 9.3 .62 15 1.3 .26 5 1.85 .37 5 5 .25 20 .32 .16 2 7 .7 10 6.4 .64 10 7.1 .71 10 6.3 .63 10 66.2 6.62 10 8.9 .89 10 400 400 1 Total: 519.67
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01402663 Min 01402663 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 26-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 268 of 6486
SHANTA VERMA Rate Amount Qty 50.14 25.07 2 400 400 1 21.3 .71 30 12 .4 30 7.65 .51 15 6.9 .23 30 21.3 .71 30 400 400 1 Total: 919.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402677 Min 01402677 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 269 of 6486
Name
HIRANDAND AHUJA Rate Amount Qty 55.8 .93 60 21.6 .36 60 400 400 1 Total: 477.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402693 Min 01402693 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 270 of 6486
Name
V P ANNAMMA Rate Amount Qty 33 1.1 30 23.7 .79 30 8.1 .27 30 12 .4 30 7.5 .25 30 36 .6 60 34.8 1.16 30 11.4 .38 30 400 400 1 Total: 566.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402694 Min 01402694 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 19-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 16 19-FEB-19 ECG 17 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 18 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 19 19-FEB-19 ONDANSETRON,2MG/ML,INJECTION 20 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 21 19-FEB-19 OBSERVATION IN CASUALTY 22 19-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 23 19-FEB-19
Page 271 of 6486
Name
K ABRAHAM Rate Amount Qty 26.7 .89 30 55.8 .93 60 11.4 .38 30 20.1 .67 30 36 .6 60 34.8 1.16 30 2.4 .16 15 12 .4 30 5.21 5.21 1 14.85 .99 15 16.2 .27 60 400 400 1 5.34 .89 6 10.08 1.12 9 21.12 3.52 6 9.62 9.62 1 450 450 1 3.52 3.52 1 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 420 420 1 35.52 35.52 1 Total: 1634.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402696 Min 01402696 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 24-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 24-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 24-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 12 24-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 24-FEB-19
Page 272 of 6486
Name
MEERA MAHADIK Rate Amount Qty 39 1.3 30 21.3 .71 30 60.9 2.03 30 2.4 .16 15 123.53 123.53 1 18 .6 30 400 400 1 13.4 .67 20 66.2 6.62 10 8.9 .89 10 2.5 .25 10 22 4.4 5 9 .9 10 400 400 1 Total: 1187.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402703 Min 01402703 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 273 of 6486
Name
R L THAKKAR Rate Amount Qty 12 .4 30 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 15.6 .26 60 72.6 1.21 60 27.9 .93 30 400 400 1 15 .25 60 21.3 .71 30 400 400 1 Total: 1252.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402734 Min 01402734 Slno Description Appmt Dt DICLOFENAC SODIUM,25MG/ML,INJECTION 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 3 07-FEB-19 UREA (BUN /UR) 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 OBSERVATION IN CASUALTY 6 07-FEB-19 ECG 7 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 08-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 13 08-FEB-19 ECG 14 08-FEB-19 OBSERVATION IN CASUALTY 15 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 10-FEB-19 OBSERVATION IN CASUALTY 19 10-FEB-19 ONDANSETRON,2MG/ML,INJECTION 20 10-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 21 10-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 22 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 12-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 24 13-FEB-19 OBSERVATION IN CASUALTY 25 13-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 26 14-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 27 15-FEB-19 OBSERVATION IN CASUALTY 28 15-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 29 15-FEB-19 URIC ACID (UA /URATES /UR) 30 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 31 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 33 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 34 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 35 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 37 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 38 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 39 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 40 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 41 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 42 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 43 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 44 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 45 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 46 20-FEB-19
Page 274 of 6486
Name
AJAY ANAND Qty 1 10 1 1 1 1 1 10 1 1 1 1 1 1 1 10 1 1 1 1 1 10 1 1 1 5 1 1 1 1 1 7 14 1 1 30 30 15 30 30 30 30 30 20 10 1
Rate Amount 5.77 5.77 8.9 .89 9000 9000 275 275 275 275 420 420 450 450 26 2.6 400 400 1300 1300 550 550 3.19 3.19 5.77 5.77 450 450 420 420 6.4 .64 400 400 .16 .16 420 420 7.52 7.52 3.66 3.66 13.7 1.37 400 400 3.66 3.66 420 420 15.95 3.19 24.52 24.52 420 420 5.77 5.77 275 275 275 275 6.23 .89 19.18 1.37 400 400 275 275 26.7 .89 12 .4 2.4 .16 11.4 .38 39 1.3 60.9 2.03 21.3 .71 27.9 .93 63.8 3.19 1.6 .16 275 275
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402734 Min 01402734 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 47 20-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 48 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 49 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 50 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 51 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 52 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 53 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 54 26-FEB-19
Page 275 of 6486
Name
AJAY ANAND Rate Amount Qty 400 400 1 11.5 1.15 10 8.9 .89 10 26 2.6 10 400 400 1 8.9 .89 10 26 2.6 10 400 400 1 Total: 18804.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402742 Min 01402742 Slno Description Appmt Dt DIACERIN,STRIP PKT,50MG,CAPSULE 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 PRAZOSIN,2.5MG,TABLET 4 27-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 27-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 6 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 276 of 6486
Name
M M BISWAS Rate Amount Qty 150.9 5.03 30 36 .6 60 55.8 .93 60 78 1.3 60 43.96 43.96 1 48.76 12.19 4 20.84 5.21 4 26.7 .89 30 400 400 1 Total: 860.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402771 Min 01402771 Appmt Dt Slno Description 09-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 277 of 6486
Name
P S GUJRAL Qty 1 1
Rate Amount 6.82 6.82 400 400 406.82 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402819 Min 01402819 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 4 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 19-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 GUM ANALGESIC GEL 10 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 16 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 17 22-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 18 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 22-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 20 26-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 21 26-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 278 of 6486
Name
D N MANAPURE Rate Amount Qty 16.8 1.12 15 43.96 43.96 1 400 400 1 42.9 21.45 2 51.38 25.69 2 400 400 1 11.4 .38 30 22.5 .75 30 26.7 .89 30 28.69 28.69 1 34 1.7 20 5.55 .37 15 26.8 .67 40 15 .25 60 400 400 1 37.04 37.04 1 25.62 12.81 2 11.25 .75 15 400 400 1 28.69 28.69 1 37.04 37.04 1 45.44 45.44 1 400 400 1 Total: 2510.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402837 Min 01402837 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 17-FEB-19
Page 279 of 6486
Name
FULSUNDARI DEVI Rate Amount Qty 8.1 .27 30 13.95 .93 15 400 400 1 Total: 422.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402846 Min 01402846 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 26-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 26-FEB-19 GUM ANALGESIC GEL 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 280 of 6486
Name
M N ANANDAVALLEY AMMA Rate Amount Qty 22.2 .37 60 27.9 .93 30 14.85 .99 15 400 400 1 5.25 .75 7 20.1 .67 30 123.53 123.53 1 28.69 28.69 1 12.46 .89 14 400 400 1 Total: 1054.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402856 Min 01402856 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 20-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 281 of 6486
Name
SUDHA DEVI JAIN Rate Amount Qty 6.4 .64 10 185.7 6.19 30 20.84 5.21 4 7.5 .25 30 8.9 .89 10 6.9 .23 30 55.8 .93 60 33 1.1 30 142.2 1.58 90 400 400 1 Total: 867.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402863 Min 01402863 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 282 of 6486
Name
S J MORE Rate Amount Qty 26.7 .89 30 34.8 1.16 30 18.6 .62 30 76.5 2.55 30 60.9 2.03 30 32.4 1.08 30 23.7 .79 30 167.4 5.58 30 10.8 .36 30 54 .6 90 15.6 .26 60 400 400 1 Total: 921.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402870 Min 01402870 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 283 of 6486
Name
ANNAPURNA Rate Amount Qty 20.06 20.06 1 12 .4 30 7.8 .26 30 34.8 1.16 30 36 .6 60 9 .3 30 6.4 .64 10 55.8 .93 60 400 400 1 Total: 581.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402900 Min 01402900 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 26-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 12 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 284 of 6486
Name
D R CHAKRABORTY Rate Amount Qty 27 .9 30 729 12.15 60 27.9 .93 30 8.1 .27 30 100.71 100.71 1 400 400 1 8.1 .27 30 16.2 .18 90 26.7 .89 30 7.5 .25 30 104.4 1.74 60 39.6 .66 60 27.9 .93 30 400 400 1 Total: 1923.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402901 Min 01402901 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 285 of 6486
Name
BULA CHAKRABORTY Rate Amount Qty 7.5 .25 30 21.3 .71 30 27.9 .93 30 8.1 .27 30 54 .6 90 21.6 .36 60 400 400 1 14.85 .99 15 20.84 5.21 4 36 .6 60 21.6 .36 60 26.7 .89 30 167.4 5.58 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1299.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402950 Min 01402950 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 01-FEB-19 URIC ACID (UA /URATES /UR) 3 01-FEB-19 CREATININE /CRT 4 01-FEB-19 UREA (BUN /UR) 5 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 11 04-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 12 04-FEB-19 PYRAZINAMIDE,750MG,,TABLET 13 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 04-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 15 04-FEB-19 PYRAZINAMIDE,750MG,,TABLET 16 04-FEB-19 PRAZOSIN,2.5MG,TABLET 17 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 04-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 19 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 21 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 22 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 23 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 24 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 12-FEB-19
Page 286 of 6486
Name
A K DEY Rate Amount Qty 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 47.4 .79 60 21.3 .71 30 43.96 43.96 1 17.37 17.37 1 39.8 1.99 20 7.5 .25 30 177.9 5.93 30 79.6 1.99 40 78 1.3 60 26.7 .89 30 124.5 4.15 30 400 400 1 100.71 201.42 2 12.15 12.15 1 54 .9 60 104.4 1.74 60 400 400 1 Total: 5461
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402971 Min 01402971 Slno Description Appmt Dt CREATININE /CRT 1 26-FEB-19 UREA (BUN /UR) 2 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 26-FEB-19 URIC ACID (UA /URATES /UR) 4 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 26-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 6 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 26-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 13 26-FEB-19
Page 287 of 6486
Name
LAXMI DHURANDHAR Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 55.8 .93 60 7.92 .99 8 7.5 .25 30 211.8 3.53 60 400 400 1 275 275 1 Total: 3908.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402974 Min 01402974 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 288 of 6486
Name
B SAMRAJYAM Rate Amount Qty 3.56 .89 4 6.4 .64 10 6.72 1.12 6 55.2 1.84 30 400 400 1 25.62 12.81 2 400 400 1 5.34 .89 6 33.12 1.84 18 6.72 1.12 6 5.76 .64 9 400 400 1 Total: 1348.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402975 Min 01402975 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 289 of 6486
Name
K S THAKUR Rate Amount Qty 8.9 .89 10 10.8 .36 30 18 .6 30 32.4 1.08 30 23.7 .79 30 7.5 .25 30 1.6 .16 10 26 2.6 10 400 400 1 Total: 528.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01402986 Min 01402986 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 290 of 6486
Name
RAJESWARI Rate Amount Qty 36 .6 60 10.8 .36 30 117 1.3 90 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 654.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403015 Min 01403015 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 18-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 291 of 6486
Name
HARJINDER SINGH Rate Amount Qty 9.45 .63 15 15.3 .34 45 16.2 1.08 15 36.3 1.21 30 30.45 2.03 15 10.65 .71 15 13.95 .93 15 7.92 .99 8 400 400 1 Total: 540.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403208 Min 01403208 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 292 of 6486
Name
AMRITA LAL ROY Rate Amount Qty 18.9 .63 30 27.9 .93 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 476.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403209 Min 01403209 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 12-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 7 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 293 of 6486
Name
PRABHA ROY Rate Amount Qty 20.84 5.21 4 27.75 1.85 15 55.8 .93 60 7.5 .25 30 36.3 1.21 30 21.3 .71 30 48.76 12.19 4 4.1 .41 10 400 400 1 Total: 622.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403210 Min 01403210 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 294 of 6486
Name
KOSHY THOMAS Rate Amount Qty 111.6 .93 120 15.3 .51 30 26.7 .89 30 12.6 .42 30 60.18 20.06 3 400 400 1 Total: 626.38
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403211 Min 01403211 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 04-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 04-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 PRAZOSIN,2.5MG,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 11 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19
Page 295 of 6486
MARY KOSHY Rate Amount Qty 26.7 .89 30 7.65 .51 15 34.8 1.16 30 21.3 .71 30 184.2 6.14 30 96.44 48.22 2 16.2 .27 60 78 1.3 60 55.8 .93 60 36 .6 60 30.6 .34 90 32.4 1.08 30 12 .4 30 400 400 1 Total: 1032.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403235 Min 01403235 Appmt Dt Slno Description 25-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 296 of 6486
Name
U.SURENDRAN Qty Rate Amount 60 .9 54 1 400 400 454 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403240 Min 01403240 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 ECG 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 21-FEB-19
Page 297 of 6486
Name
BHAGWANTI SATDEV Rate Amount Qty 400 400 1 450 450 1 8.1 .27 30 21.3 .71 30 20.84 5.21 4 Total: 900.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403241 Min 01403241 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 21-FEB-19 UREA (BUN /UR) 13 21-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 14 21-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 15 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 21-FEB-19
Page 298 of 6486
Name
G.P. SATDEV Rate Amount Qty 72 .6 120 7.5 .25 30 21.3 .71 30 117 1.3 90 32.4 .36 90 167.4 5.58 30 5.55 .37 15 7.5 .25 30 60.9 2.03 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 21.3 .71 30 Total: 3890.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403244 Min 01403244 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 299 of 6486
Name
S.N. AHUJA Rate Amount Qty 32.4 1.08 30 118.5 3.95 30 13.95 .93 15 34.8 1.16 30 400 400 1 Total: 599.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403267 Min 01403267 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 19-FEB-19 X - RAY - SINGLE VIEW 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 300 of 6486
Name
KAMRUZZAMA Rate Amount Qty 400 400 1 11.1 .37 30 27 .9 30 550 550 1 400 400 1 7.8 .26 30 32.4 1.08 30 82.76 82.76 1 13.95 .93 15 21.3 .71 30 400 400 1 Total: 1946.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403268 Min 01403268 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 301 of 6486
Name
NOORJAHAN BEGUM Rate Amount Qty 275 275 1 275 275 1 12 .4 30 17.4 1.16 15 18 .6 30 7.5 .25 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 1126.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403271 Min 01403271 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 14-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 SOLIFENACIN,5MG,,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 302 of 6486
K.P.THANKAMANI AMMA Rate Amount Qty 15.73 15.73 1 12.15 12.15 1 104.4 1.74 60 400 400 1 55.8 .93 60 16.2 .27 60 55.2 .92 60 21.3 .71 30 36 .6 60 400 400 1 403.2 13.44 30 400 400 1 Total: 1919.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403297 Min 01403297 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 26-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 303 of 6486
Name
RUGMANI SANKARAN Qty Rate Amount 30 .93 27.9 1 400 400 30 .93 27.9 1 400 400 Total: 855.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403298 Min 01403298 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 SUTURE REMOVAL 2 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 304 of 6486
Name
KUNDAN SINGH Rate Amount Qty 400 400 1 490 490 1 192.3 6.41 30 60.9 2.03 30 18 .3 60 72 .6 120 400 400 1 Total: 1633.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403312 Min 01403312 Appmt Dt Slno Description 09-FEB-19 1 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 09-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 09-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 305 of 6486
Name
T P BABY Qty Rate Amount 10 .73 7.3 10 .89 8.9 20 .64 12.8 1 400 400 Total: 429
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403315 Min 01403315 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 306 of 6486
Name
T G SREEDHARAN NAIR Rate Amount Qty 20.84 5.21 4 5 .25 20 4.66 2.33 2 18.6 .93 20 23.2 1.16 20 400 400 1 Total: 472.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403336 Min 01403336 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 4 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 307 of 6486
Name
MANAK CHAND JAIN Rate Amount Qty 41.1 1.37 30 7.5 .25 30 371.4 6.19 60 301.8 5.03 60 34.2 .38 90 20.84 5.21 4 25.2 .42 60 400 400 1 156.6 1.74 90 54 .9 60 400 400 1 Total: 1812.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403350 Min 01403350 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 308 of 6486
Name
P.C.ROY Rate Amount Qty 64.8 1.08 60 12 .4 30 34.8 1.16 30 66 1.1 60 16.2 .27 60 27.6 .92 30 400 400 1 Total: 621.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403351 Min 01403351 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 309 of 6486
Name
ARCHANA ROY Rate Amount Qty 403.2 13.44 30 26.7 .89 30 20.84 5.21 4 25.2 .42 60 7.5 .25 30 32.4 1.08 30 6.9 .23 30 55.8 .93 60 72.6 1.21 60 400 400 1 Total: 1051.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403352 Min 01403352 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 5 13-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 310 of 6486
Name
SAHIB SINGH Rate Amount Qty 7.5 .25 30 101.4 3.38 30 26.7 .89 30 40.2 .67 60 48.76 12.19 4 26.86 13.43 2 11.1 .37 30 57.84 115.68 2 400 400 1 Total: 778.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403354 Min 01403354 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 16 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 18 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 19-FEB-19
Page 311 of 6486
Name
ASHOK KRISHNA CHOUDHARY Rate Amount Qty 34.8 1.16 30 7.65 .51 15 41.06 41.06 1 36 .6 60 20.84 5.21 4 55.8 .93 60 32.4 1.08 30 43.96 43.96 1 400 400 1 24 .4 60 36 .6 60 39 1.3 30 27.9 .93 30 32.4 1.08 30 1.48 .37 4 15.96 2.66 6 26.7 .89 30 23.1 .77 30 60.9 2.03 30 27 .9 30 400 400 1 Total: 1386.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403355 Min 01403355 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 312 of 6486
Name
SONDHYA CHOUDHARY Rate Amount Qty 21.3 .71 30 11.85 .79 15 400 400 1 Total: 433.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403367 Min 01403367 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 313 of 6486
Name
ASHOK KUMAR BHALLA Rate Amount Qty 38.25 2.55 15 80.24 20.06 4 2.4 .16 15 7.5 .25 30 60.9 2.03 30 53.4 .89 60 21.3 .71 30 400 400 1 Total: 663.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403368 Min 01403368 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 28-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 28-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 6 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 28-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 10 28-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 11 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 314 of 6486
Name
SUNITA BHALLA Rate Amount Qty 12 .4 30 51.38 25.69 2 54 .9 60 16.2 .18 90 10.42 5.21 2 31.61 31.61 1 11.1 .37 30 7.5 .25 30 85.52 85.52 1 35.2 17.6 2 63.58 63.58 1 19.72 9.86 2 400 400 1 Total: 798.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403380 Min 01403380 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 315 of 6486
Name
B.L.GUPTA Rate Amount Qty 32.4 1.08 30 14.85 .99 15 27.9 .93 30 7.5 .25 30 34.8 1.16 30 400 400 1 Total: 517.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403381 Min 01403381 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 GUM ANALGESIC GEL 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 11 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 13 11-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 14 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 11-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 17 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 12-FEB-19 DRESSING SIMPLE 21 12-FEB-19 DRESSING SIMPLE 22 15-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 23 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 22-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 26 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 22-FEB-19
Page 316 of 6486
Name
SATHYA VATHY GUPTA Rate Amount Qty 368.4 6.14 60 32.4 1.08 30 53.4 .89 60 21.3 .71 30 27.9 .93 30 4.8 .16 30 400 400 1 28.69 28.69 1 400 400 1 4.65 .93 5 61.4 6.14 10 1.25 .25 5 4.65 .93 5 139.8 9.32 15 3.2 .64 5 8.9 .89 10 157.8 15.78 10 3.55 .71 5 400 400 1 400 400 1 1500 300 5 2100 300 7 157.8 15.78 10 400 400 1 26.7 .89 30 3.9 .26 15 400 400 1 Total: 7110.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403400 Min 01403400 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 28-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 13 28-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 14 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 28-FEB-19
Page 317 of 6486
Name
S K BHATTACHARYA Rate Amount Qty 29.7 .99 30 33 1.1 30 12 .4 30 21.3 .71 30 3.84 .64 6 55.8 .93 60 6.9 .23 30 9 .6 15 400 400 1 275 275 1 400 400 1 275 275 1 1500 1500 1 1300 1300 1 1300 1300 1 Total: 5621.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403427 Min 01403427 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 318 of 6486
Name
K.MADHAVAN PILLAI Rate Amount Qty 36 .4 90 54 .6 90 34.8 1.16 30 60.9 2.03 30 13.35 .89 15 12 .4 30 192.3 6.41 30 400 400 1 Total: 803.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403428 Min 01403428 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 319 of 6486
Name
K.P DEVAKI AMMA Rate Amount Qty 21.3 .71 30 7.5 .25 30 43.2 .36 120 54 .6 90 78 1.3 60 400 400 1 Total: 604
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403442 Min 01403442 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 09-FEB-19 PRAZOSIN,2.5MG,TABLET 12 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 09-FEB-19 CREATININE /CRT 17 09-FEB-19 UREA (BUN /UR) 18 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 09-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 20 12-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 21 12-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 22 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 25 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 26 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 28 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 29 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 30 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 31 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 21-FEB-19
Page 320 of 6486
MARY THOMAS Rate Amount Qty 650 650 1 400 400 1 62.8 3.14 20 17.8 .89 20 368.2 18.41 20 5 .25 20 20.06 20.06 1 5 .25 20 275 275 1 400 400 1 55.8 .93 60 78 1.3 60 36 .6 60 275 275 1 12 .4 30 66 1.1 60 275 275 1 275 275 1 34.8 1.16 30 20.29 20.29 1 25.69 25.69 1 18.21 18.21 1 400 400 1 13.35 .89 15 15.73 15.73 1 27 .9 30 400 400 1 55.8 .93 60 12 .4 30 21.3 .71 30 66 1.1 60 400 400 1 Total: 4786.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403446 Min 01403446 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 321 of 6486
Name
A V LAXMI Rate Amount Qty 123.53 247.06 2 167.4 5.58 30 12.6 .42 30 26.7 .89 30 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 920.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403447 Min 01403447 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 26-FEB-19 INHALANT,STRIP PACK,CAPSULE 12 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 13 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 322 of 6486
T P THOMAS Rate Amount Qty 104.4 1.74 60 100.71 100.71 1 54 .9 60 26.7 .89 30 400 400 1 17.4 .58 30 60.9 2.03 30 8.1 .27 30 400 400 1 8.9 .89 10 66.2 6.62 10 25.5 1.7 15 48.22 48.22 1 20.06 20.06 1 3.7 .37 10 400 400 1 Total: 1744.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403479 Min 01403479 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 323 of 6486
Name
RANJEET SINGH Rate Amount Qty 21.3 .71 30 32.4 1.08 30 8.1 .27 30 38.25 2.55 15 400 400 1 Total: 500.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403480 Min 01403480 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 324 of 6486
Name
MADHAVI SINGH Rate Amount Qty 32.4 1.08 30 9.3 .62 15 20.84 5.21 4 12.6 .42 30 400 400 1 Total: 475.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403491 Min 01403491 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 PRAZOSIN,2.5MG,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 325 of 6486
Name
P K BHAWANI AMMA Rate Amount Qty 55.8 .93 60 72 .6 120 156 1.3 120 34.8 1.16 30 16.2 .27 60 32.4 1.08 30 400 400 1 Total: 767.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403497 Min 01403497 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 19-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 326 of 6486
Name
CHINNAMMA JACOB Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 4.8 .16 30 26.7 .89 30 7.5 .25 30 55.8 .93 60 66 1.1 60 30.6 .34 90 400 400 1 Total: 658.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403506 Min 01403506 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 02-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 02-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 6 02-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 7 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19
Page 327 of 6486
Name
SHANKAR SINGH BISEN Rate Amount Qty 15 .25 60 30.6 .34 90 47.4 .79 60 21.3 .71 30 12 .4 30 128.1 4.27 30 15.3 .51 30 25.2 .42 60 2.4 .16 15 400 400 1 Total: 697.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403515 Min 01403515 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 328 of 6486
Name
ALEYAMMA YOHANNAN Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 55.8 .93 60 18 .3 60 29.7 .99 30 36 .6 60 3.75 .25 15 400 400 1 Total: 650.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403528 Min 01403528 Appmt Dt Slno Description 15-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 329 of 6486
Name
A S JANARDHANAN Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403567 Min 01403567 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 330 of 6486
Name
M.K.CHINCHMALAT PURE Rate Amount Qty 20.06 20.06 1 6.9 .23 30 29.7 .99 30 23.7 .79 30 6.4 .64 10 32.4 1.08 30 4.8 .16 30 34.8 1.16 30 400 400 1 Total: 558.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403579 Min 01403579 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 14 23-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 15 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 16 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 17 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 19 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 22 26-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 23 26-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 24 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 25 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 26-FEB-19
Page 331 of 6486
Name
KUNJOONJAMMA ABRAHAM Rate Amount Qty 7.7 .77 10 6.4 .64 10 400 400 1 3.84 .64 6 400 400 1 117 1.3 90 55.8 .93 60 118.5 3.95 30 34.8 1.16 30 12 .4 30 7.5 .25 30 72 .6 120 400 400 1 18.03 18.03 1 20.29 20.29 1 18.03 18.03 1 7.98 .38 21 1.64 .41 4 1.64 .41 4 14.08 3.52 4 400 400 1 36.06 18.03 2 24.45 24.45 1 2.97 .99 3 13.64 6.82 2 400 400 1 Total: 2594.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403580 Min 01403580 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 4 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 332 of 6486
Name
SARWAN SINGH Rate Amount Qty 29.7 .99 30 11.1 .37 30 400 400 1 69.05 69.05 1 12.15 12.15 1 26.7 .89 30 54 .9 60 104.4 1.74 60 400 400 1 Total: 1107.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403586 Min 01403586 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 333 of 6486
Name
MANOJ KANTI BISWAS Rate Amount Qty 5.21 5.21 1 27.9 .93 30 23.7 .79 30 33 1.1 30 7.5 .25 30 400 400 1 Total: 497.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403653 Min 01403653 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 334 of 6486
Name
MANJU PAL Rate Amount Qty 21.6 .36 60 117 1.3 90 7.5 .25 30 36 .6 60 21.3 .71 30 13.35 .89 15 12.3 .41 30 400 400 1 Total: 629.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403666 Min 01403666 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 335 of 6486
Name
P A RAJU Rate Amount Qty 32.4 1.08 30 30.6 .34 90 34.8 1.16 30 7.65 .51 15 9 .3 30 18 .6 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 566.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403704 Min 01403704 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 336 of 6486
Name
P VALSALA Rate Amount Qty 156 1.3 120 29.7 .99 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 36 .6 60 32.4 .36 90 400 400 1 Total: 739.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403764 Min 01403764 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 15-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 16 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19
Page 337 of 6486
Name
MAYA MAZUMDAR Rate Amount Qty 7.5 .25 30 6.4 .64 10 185.7 6.19 30 10.65 .71 15 400 400 1 12.15 12.15 1 3.7 .37 10 2.7 .18 15 7.5 .25 30 26.7 .89 30 2.4 .16 15 21.3 .71 30 27.9 .93 30 5.4 .18 30 12.15 12.15 1 104.4 1.74 60 3.7 .37 10 400 400 1 Total: 1240.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403792 Min 01403792 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 10-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 338 of 6486
Name
A RAMACHANDRAN Rate Amount Qty 66.2 6.62 10 400 400 1 2.5 .25 10 19.2 .64 30 99.3 6.62 15 8.9 .89 10 400 400 1 8.9 .89 10 55.2 1.84 30 6.4 .64 10 400 400 1 Total: 1466.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403793 Min 01403793 Slno Description Appmt Dt MEGESTROL ACETATE,40MG,,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 339 of 6486
K R MADHURA MEENAKHY Rate Amount Qty 13.63 3271.2 240 400 400 1 18.6 .62 30 21.3 .71 30 25.07 25.07 1 6.9 .23 30 400 400 1 Total: 4143.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403806 Min 01403806 Appmt Dt Slno Description 04-FEB-19 1 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 3 X - RAY - TWO VIEWS 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 340 of 6486
Name
RAMESH CHANDRA JAIN Qty Rate Amount 40 .25 10 1 400 400 1 860 860 1 400 400 Total: 1670
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403807 Min 01403807 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 2 X - RAY - TWO VIEWS 04-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 04-FEB-19 4 PARACETAMOL,STRIP PKT,500MG,TABLET
Page 341 of 6486
Name
C M JAIN Qty Rate Amount 1 400 400 1 860 860 15 6.19 92.85 15 .64 9.6 Total: 1362.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403816 Min 01403816 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 342 of 6486
Name
TUSHAR KANTI DAS Rate Amount Qty 26.7 .89 30 27.9 .93 30 371.4 6.19 60 4.8 .16 30 8.1 .27 30 400 400 1 Total: 838.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403817 Min 01403817 Appmt Dt Slno Description 05-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 343 of 6486
Name
INDRANI DAS Qty Rate Amount 60 .6 36 30 .89 26.7 30 .93 27.9 1 400 400 Total: 490.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403818 Min 01403818 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 09-FEB-19 PRAZOSIN,2.5MG,TABLET 4 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 5 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 09-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 14 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 344 of 6486
Name
RAMESH CHANDRA Rate Amount Qty 8.9 .89 10 21.3 .71 30 21.3 .71 30 39 1.3 30 21.3 .71 30 167.4 5.58 30 36 .6 60 22.2 .37 60 55.8 .93 60 400 400 1 73.35 4.89 15 8.9 .89 10 26 2.6 10 20.84 5.21 4 14.6 .73 20 400 400 1 Total: 1336.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403819 Min 01403819 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 09-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 17 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 18 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 27-FEB-19 PLATELET COUNT 22 27-FEB-19 HB,TLC,DLC 23 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 24 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 25 27-FEB-19
Page 345 of 6486
Name
MANJU SAXENA Rate Amount Qty 12 .4 30 6.9 .23 30 66 1.1 60 4.8 .16 30 32.4 1.08 30 7.5 .25 30 20.06 20.06 1 55.8 .93 60 400 400 1 7.3 .73 10 13 2.6 5 6.19 129.99 21 5.25 .25 21 6.4 .64 10 4.45 .89 5 400 400 1 95.7 3.19 30 13 2.6 5 400 400 1 400 400 1 275 275 1 330 330 1 300 300 1 275 275 1 1300 1300 1 Total: 4560.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403863 Min 01403863 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 08-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 346 of 6486
Name
KU ILA MUKHERJEE Rate Amount Qty 54 .9 60 26.7 .89 30 12.15 12.15 1 100.71 100.71 1 400 400 1 Total: 593.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403866 Min 01403866 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 347 of 6486
Name
CHANDA SHUKLA Rate Amount Qty 12 .4 30 15.6 .26 60 36 .6 60 18.6 .62 30 27.9 .93 30 9 .3 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 548.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403871 Min 01403871 Appmt Dt Slno Description 01-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 348 of 6486
Name
DHRUBA BHATTACHARJEE Qty Rate Amount 30 .25 7.5 30 .71 21.3 30 .62 18.6 1 400 400 Total: 447.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403901 Min 01403901 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 349 of 6486
Name
DESH BANDHU ARYA Rate Amount Qty 10.65 .71 15 2.4 .16 15 7.5 .25 30 27.9 .93 30 400 400 1 Total: 448.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403913 Min 01403913 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 350 of 6486
Name
KANCHAN ADHIKARI Rate Amount Qty 13.7 1.37 10 7.5 .25 30 185.7 6.19 30 400 400 1 55.8 .93 60 66 1.1 60 34.8 1.16 30 16.2 .27 60 400 400 1 29.7 .99 30 400 400 1 Total: 1609.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403926 Min 01403926 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 PRAZOSIN,2.5MG,TABLET 3 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 02-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 BLOOD FOR T-3,T-4,TSH 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 07-FEB-19 UREA (BUN /UR) 15 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 07-FEB-19 URIC ACID (UA /URATES /UR) 17 07-FEB-19 CREATININE /CRT 18 07-FEB-19
Page 351 of 6486
Name
S D CHANDRAKAR Rate Amount Qty 9.3 .62 15 7.5 .25 30 78 1.3 60 21.6 .36 60 36 .6 60 167.4 5.58 30 72.6 1.21 60 47.4 .79 60 400 400 1 2400 2400 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 6864.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403942 Min 01403942 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 352 of 6486
Name
MANJULATA SRIVASTAVA Rate Amount Qty 27.9 .93 30 15.6 .26 60 21.3 .71 30 33 1.1 30 118.5 3.95 30 7.5 .25 30 400 400 1 Total: 623.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403949 Min 01403949 Slno Description Appmt Dt UREA (BUN /UR) 1 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 04-FEB-19 PRAZOSIN,2.5MG,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 04-FEB-19 SOLIFENACIN,5MG,,TABLET 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 URIC ACID (UA /URATES /UR) 13 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 18 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 19 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 20 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 08-FEB-19
Page 353 of 6486
Name
H D SHARMA Rate Amount Qty 275 275 1 33.3 .37 90 423.6 3.53 120 27.9 .93 30 72.6 1.21 60 156 1.3 120 12 .4 30 21.3 .71 30 18.9 .63 30 60.9 2.03 30 403.2 13.44 30 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 275 275 1 275 275 1 43.96 131.88 3 368.4 6.14 60 400 400 1 Total: 5754.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403969 Min 01403969 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 04-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 18 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 21 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 22 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 354 of 6486
Name
SAROJ BANGA Rate Amount Qty 41.06 41.06 1 57.84 57.84 1 19.72 9.86 2 19.72 9.86 2 11.25 .75 15 400 400 1 27.9 .93 30 2.4 .16 15 32.4 1.08 30 36 .6 60 9 .3 30 21.3 .71 30 400 400 1 37.8 .63 60 400 400 1 33 1.1 30 4.8 .16 30 19.72 9.86 2 32.4 1.08 30 27.9 .93 30 15.6 .26 60 9 .3 30 21.3 .71 30 400 400 1 Total: 2080.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403970 Min 01403970 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 13 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 15 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 355 of 6486
Name
S N BANGA Rate Amount Qty 7.5 .25 30 13.48 3.37 4 19.72 9.86 2 19.72 9.86 2 400 400 1 2.4 .16 15 20.06 20.06 1 7.8 .26 30 32.4 1.08 30 76.5 2.55 30 13.35 .89 15 400 400 1 2.6 .26 10 19.72 9.86 2 76.5 2.55 30 32.4 1.08 30 2.4 .16 15 7.8 .26 30 400 400 1 Total: 1554.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01403972 Min 01403972 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 IVABRADINE,5MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19
Page 356 of 6486
Name
PUSHPA JAIN Rate Amount Qty 78 1.3 60 36 .6 60 597 9.95 60 34.8 1.16 30 26.7 .89 30 12 .4 30 32.4 1.08 30 10.2 .34 30 7.5 .25 30 1.6 .16 10 400 400 1 9000 9000 1 400 400 1 Total: 10636.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01403979 Min 01403979 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 357 of 6486
M S YADAWA Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 23.7 .79 30 25.07 25.07 1 1.85 .37 5 66 1.1 60 192.3 6.41 30 60.9 2.03 30 12 .4 30 26.7 .89 30 156.51 156.51 1 148.9 74.45 2 400 400 1 Total: 1181.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404001 Min 01404001 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 358 of 6486
Name
P C MAITY Rate Amount Qty 3.75 .25 15 27.9 .93 30 8.1 .27 30 8.9 .89 10 400 400 1 Total: 448.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404038 Min 01404038 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 359 of 6486
Name
P I ITTY Rate Amount Qty 15.6 .26 60 72.6 1.21 60 55.8 .93 60 16.2 .27 60 12 .4 30 34.8 1.16 30 400 400 1 Total: 607
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404039 Min 01404039 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 360 of 6486
Name
SARAMMA ITTY Rate Amount Qty 110.4 .92 120 72 .6 120 23.7 .79 30 33 1.1 30 34.8 1.16 30 400 400 1 Total: 673.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404058 Min 01404058 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 BICALUTAMIDE,50MG,CAPSULE/,TABLET 6 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 361 of 6486
Name
C K THOMAS PAUL Rate Amount Qty 36.3 1.21 30 23.1 .77 30 32.4 1.08 30 34.8 1.16 30 12 .4 30 312 10.4 30 27.9 .93 30 20.84 5.21 4 400 400 1 Total: 899.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404059 Min 01404059 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 362 of 6486
Name
MOLY THOMAS Rate Amount Qty 43.2 .36 120 7.5 .25 30 21.3 .71 30 66 1.1 60 12 .4 30 55.8 .93 60 167.4 5.58 30 72 .6 120 26.7 .89 30 400 400 1 Total: 871.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404065 Min 01404065 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 27-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 16 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 17 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 27-FEB-19
Page 363 of 6486
Name
GAURI KASHYAP Rate Amount Qty 8.9 .89 10 36.8 1.84 20 9.6 .64 15 400 400 1 70.2 2.34 30 6.4 .64 10 1.85 .37 5 12.15 12.15 1 2.7 .18 15 8.9 .89 10 17 1.7 10 35.2 3.52 10 400 400 1 55.8 .93 60 7.5 .25 30 118.5 3.95 30 18.9 .63 30 32.4 1.08 30 400 400 1 Total: 1642.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404083 Min 01404083 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 07-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 2 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12 08-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 13 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 15 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 16 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 08-FEB-19
Page 364 of 6486
Name
AJIT SINGH SOHAL Rate Amount Qty 12.81 12.81 1 17.37 17.37 1 19.72 9.86 2 7.6 .38 20 11.1 .37 30 400 400 1 7.5 .25 30 78 1.3 60 42.6 .71 60 211.8 3.53 60 123.53 247.06 2 25.62 12.81 2 34.74 17.37 2 19.72 9.86 2 237 3.95 60 47.4 .79 60 400 400 1 Total: 1820.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404088 Min 01404088 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 365 of 6486
Name
T SURYANARAYANA Rate Amount Qty 167.4 5.58 30 34.8 1.16 30 11.4 .38 30 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 695.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404089 Min 01404089 Slno Description Appmt Dt PLATELET COUNT 1 14-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 2 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 14-FEB-19 HB,TLC,DLC 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 366 of 6486
Name
T KAMALA RATNAM Rate Amount Qty 330 330 1 330 330 1 400 400 1 300 300 1 12 .4 30 26.7 .89 30 11.85 .79 15 40.12 20.06 2 36 .6 60 27.6 .92 30 21.3 .71 30 400 400 1 Total: 1935.57
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404096 Min 01404096 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 03-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 03-FEB-19 PRAZOSIN,2.5MG,TABLET 3 03-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 03-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 03-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 03-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 03-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 03-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 03-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 03-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 11 03-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 03-FEB-19
Page 367 of 6486
PRASANNA KUMAR PANDYA Rate Amount Qty 31.2 1.04 30 21.6 1.44 15 39 1.3 30 42.6 .71 60 30.6 .34 90 39.72 6.62 6 192.3 6.41 30 60.9 2.03 30 32.4 1.08 30 55.2 .92 60 9.44 1.18 8 15.73 15.73 1 400 400 1 Total: 970.69
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404097 Min 01404097 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 19-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 368 of 6486
SUDHA PANDYA Qty 1 1 1 6 1
Rate Amount 25.07 25.07 18.21 18.21 6.82 6.82 2.22 .37 400 400 Total: 452.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404103 Min 01404103 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 369 of 6486
Name
P VARA LAXMI Rate Amount Qty 29.7 .99 30 55.8 .93 60 400 400 1 Total: 485.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404108 Min 01404108 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 01-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 ONDANSETRON,2MG/ML,INJECTION 5 15-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 15-FEB-19 FENTANYL CITRATE,50MCG/ML,INJECTION 7 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 15-FEB-19 SYRINGE,DISPOSABLE,2ML 9 15-FEB-19 OBSERVATION IN CASUALTY 10 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 11 15-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 12 15-FEB-19
Page 370 of 6486
Name
N UMAPATHI RAO Qty 8 1 1 1 1 1 1 1 4 1 1 1
Rate Amount 26.96 3.37 63.58 63.58 57.84 57.84 400 400 7.52 7.52 11.89 11.89 30.21 30.21 .16 .16 7.36 1.84 420 420 24.52 24.52 9.81 9.81 Total: 1059.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404109 Min 01404109 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 19-FEB-19 C T HEAD PLAIN 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 16 25-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 17 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 18 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 20 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 24 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 25 25-FEB-19 CREATININE /CRT 26 25-FEB-19 URIC ACID (UA /URATES /UR) 27 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 28 25-FEB-19
Page 371 of 6486
Name
N LAKSHMI Rate Amount Qty 9.6 .64 15 1.6 .16 10 400 400 1 3.84 .64 6 2.67 .89 3 4.2 .7 6 400 400 1 1.12 .16 7 8.96 .64 14 5250 5250 1 400 400 1 117 1.3 90 55.8 .93 60 32.4 1.08 30 21.3 .71 30 98.49 1.47 67 33.81 1.47 23 71 .71 100 53.4 .89 60 11.2 1.12 10 334.8 5.58 60 72 .6 120 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 10183.19
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404111 Min 01404111 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 372 of 6486
PRAMILA JAIN Rate Amount Qty 31.95 .71 45 2.22 .37 6 35.2 3.52 10 15.73 15.73 1 16.2 .27 60 47.4 .79 60 21.3 .71 30 7.5 .25 30 400 400 1 Total: 577.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404118 Min 01404118 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 373 of 6486
Name
A K CHATTOPADHYAY Rate Amount Qty 7.5 .25 30 21.3 .71 30 400 400 1 Total: 428.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404132 Min 01404132 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 15-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 15-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 7 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 15-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 374 of 6486
Name
K APPARAO Rate Amount Qty 18 .6 30 10.8 .36 30 7.5 .25 30 21.3 .71 30 23.1 .77 30 237 3.95 60 157.8 2.63 60 32.4 1.08 30 123.6 4.12 30 400 400 1 Total: 1031.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404133 Min 01404133 Appmt Dt Slno Description 15-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 375 of 6486
Name
K ARUNA Qty Rate Amount 30 .25 7.5 45 .62 27.9 60 .93 55.8 1 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404141 Min 01404141 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 19-FEB-19 PRAZOSIN,2.5MG,TABLET 7 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 376 of 6486
Name
G O K PILLAI Rate Amount Qty 60.9 2.03 30 153 2.55 60 21.3 .71 30 12 .4 30 32.4 1.08 30 23.1 .77 30 156 1.3 120 15.6 1.04 15 400 400 1 Total: 874.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404149 Min 01404149 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 16-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 377 of 6486
Name
BASANT LAL DEWANGAN Rate Amount Qty 12.15 12.15 1 26.7 .89 30 20.1 .67 30 54 .9 60 400 400 1 55.8 .93 60 12 .4 30 4.08 .51 8 13.35 .89 15 7.5 .25 30 123.53 123.53 1 400 400 1 Total: 1129.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404150 Min 01404150 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 16-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 378 of 6486
Name
BASANTI BAI Rate Amount Qty 10.8 .36 30 1.85 .37 5 13.35 .89 15 34.8 1.16 30 66 1.1 60 15.6 1.04 15 54 .6 90 39 1.3 30 55.8 .93 60 12 .4 30 400 400 1 Total: 703.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404153 Min 01404153 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 379 of 6486
Name
M S BAGGA Rate Amount Qty 18 .6 30 22.2 .37 60 17.37 17.37 1 35.2 17.6 2 10.8 .36 30 400 400 1 Total: 503.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404164 Min 01404164 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 380 of 6486
Name
E V VILASINI Rate Amount Qty 21.3 .71 30 32.4 1.08 30 39 1.3 30 18 .6 30 7.5 .25 30 400 400 1 Total: 518.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404165 Min 01404165 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 12-FEB-19 PRAZOSIN,2.5MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 381 of 6486
Name
N RAMAN KUTTY Rate Amount Qty 18.6 .62 30 4.8 .16 30 167.4 5.58 30 55.8 .93 60 21.3 .71 30 32.4 1.08 30 36.3 1.21 30 22.2 .37 60 156 1.3 120 400 400 1 Total: 914.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404184 Min 01404184 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 25-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 382 of 6486
Name
SOHAN BAI VARMA Rate Amount Qty 403.2 13.44 30 288 9.6 30 400 400 1 Total: 1091.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404203 Min 01404203 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 383 of 6486
Name
URMILA DASHORE Rate Amount Qty 21.3 .71 30 9 .6 15 27.9 .93 30 4.8 .16 30 5.21 5.21 1 7.5 .25 30 9 .3 30 400 400 1 Total: 484.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404204 Min 01404204 Appmt Dt Slno Description 21-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 384 of 6486
Name
LAXMI NARAYAN DASHORE Qty Rate Amount 30 .27 8.1 60 .93 55.8 30 .25 7.5 1 400 400 Total: 471.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404212 Min 01404212 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 385 of 6486
Name
RAMILA SOLANKI Rate Amount Qty 21.3 .71 30 185.7 6.19 30 400 400 1 Total: 607
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404213 Min 01404213 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 386 of 6486
Name
P K VERMA Rate Amount Qty 10.8 .36 30 60.9 2.03 30 27.6 .92 30 12 .4 30 7.5 .25 30 400 400 1 Total: 518.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404222 Min 01404222 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 15-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 387 of 6486
Name
KAMALA NAIR Rate Amount Qty 371.4 6.19 60 92.68 6.62 14 57.84 57.84 1 10.22 .73 14 16.2 .27 60 400 400 1 Total: 948.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404237 Min 01404237 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 08-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 2 08-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 08-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 12-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 10 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 13-FEB-19
Page 388 of 6486
Name
A SETHUMADHAVAN Rate Amount Qty 148.9 74.45 2 40.58 20.29 2 11.25 .75 15 37.04 37.04 1 400 400 1 20.06 20.06 1 26.7 .89 30 79.8 2.66 30 54 .9 60 100.71 100.71 1 104.4 1.74 60 400 400 1 32.4 1.08 30 18 .6 30 167.4 5.58 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 2083.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404238 Min 01404238 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 389 of 6486
Name
NALINI SETHUMADHAVN Rate Amount Qty 7.5 .25 30 69.6 1.16 60 76.5 2.55 30 55.8 .93 60 400 400 1 55.8 .93 60 76.5 2.55 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 1184
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404257 Min 01404257 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 390 of 6486
Name
SANTOSH JAGGI Rate Amount Qty 21.3 .71 30 55.8 .93 60 33 1.1 30 19.8 .66 30 13.35 .89 15 7.5 .25 30 400 400 1 Total: 550.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404262 Min 01404262 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 391 of 6486
Name
MAKHANLAL KASER Rate Amount Qty 6.9 .23 30 21.3 .71 30 20.06 20.06 1 13.7 1.37 10 185.7 6.19 30 400 400 1 Total: 647.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404263 Min 01404263 Appmt Dt Slno Description 14-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 14-FEB-19 2 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G
Page 392 of 6486
Name
LAXMI KASER Qty 1 1
Rate Amount 400 400 275 275 675 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404266 Min 01404266 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 393 of 6486
Name
M C BHATTACHARYA Rate Amount Qty 26.7 .89 30 7.5 .25 30 4.8 .16 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 55.8 .93 60 15.6 .26 60 400 400 1 Total: 589.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404267 Min 01404267 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 394 of 6486
Name
ANNAPURNA BHATTACHARYA Rate Amount Qty 34.8 1.16 30 157.8 2.63 60 33 1.1 30 15.6 .26 60 3.75 .25 15 18 .3 60 36 .6 60 18.6 .62 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 761.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404269 Min 01404269 Appmt Dt Slno Description 28-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 28-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 395 of 6486
Name
BHAROTI BHATTACHARYA Qty Rate Amount 30 .36 10.8 30 .25 7.5 60 .6 36 1 400 400 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404271 Min 01404271 Slno Description Appmt Dt MAMOGRAPHY 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 396 of 6486
Name
RAJINDER KAUR Rate Amount Qty 2000 2000 1 400 400 1 1750 1750 1 400 400 1 423.6 7.06 60 400 400 1 Total: 5373.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404273 Min 01404273 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 397 of 6486
Name
K K SREEKUMARI Rate Amount Qty 13.95 .93 15 21.3 .71 30 21.6 .36 60 78 1.3 60 36 .6 60 400 400 1 Total: 570.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404286 Min 01404286 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 IVABRADINE,5MG,,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 398 of 6486
Name
ARUN NARAYAN WATHODKAR Rate Amount Qty 13.95 .93 15 15.6 1.04 15 43.2 1.44 30 21.3 .71 30 597 9.95 60 12 .4 30 400 400 1 Total: 1103.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404287 Min 01404287 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 399 of 6486
Name
SUHASINI ARUN WATHODKAR Rate Amount Qty 23.7 .79 30 66 1.1 60 7.5 .25 30 12 .4 30 34.8 1.16 30 78 1.3 60 18 .6 30 400 400 1 Total: 640
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404308 Min 01404308 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 400 of 6486
Name
DEVJANI PANDEY Rate Amount Qty 54 .6 90 33 1.1 30 400 400 1 Total: 487
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404309 Min 01404309 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 13-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 SUTURE REMOVAL 5 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 401 of 6486
Name
SUBIR KUMAR CHAKRABORTY Rate Amount Qty 123.53 247.06 2 400 400 1 82.12 41.06 2 400 400 1 490 490 1 247.06 123.53 2 6.4 .64 10 36 .6 60 27.9 .93 30 21.3 .71 30 118.5 3.95 30 7.5 .25 30 400 400 1 Total: 2483.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404310 Min 01404310 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 402 of 6486
Name
ANJALI CHAKRABORTY Rate Amount Qty 123.53 247.06 2 55.8 .93 60 21.3 .71 30 87.92 43.96 2 400 400 1 Total: 812.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404320 Min 01404320 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 403 of 6486
Name
PRIYO BALA DAYAL Rate Amount Qty 9 .3 30 36.3 1.21 30 55.8 .93 60 23.7 .79 30 8.1 .27 30 54 .6 90 400 400 1 Total: 586.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404323 Min 01404323 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 404 of 6486
Name
C B DESHPANDE Rate Amount Qty 26.7 .89 30 60.9 2.03 30 54 .6 90 66 1.1 60 27.9 .93 30 12 .4 30 18.6 .62 30 43.2 1.44 30 400 400 1 Total: 709.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404324 Min 01404324 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 405 of 6486
Name
SHUBHADA DESHPANDE Rate Amount Qty 66 1.1 60 55.8 .93 60 7.8 .26 30 12 .4 30 400 400 1 Total: 541.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404345 Min 01404345 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 05-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 406 of 6486
Name
J L VERMA Rate Amount Qty 167.4 5.58 30 6.9 .23 30 21.3 .71 30 7.5 .25 30 15 .25 60 11.4 .38 30 22.5 .75 30 10.8 .36 30 400 400 1 Total: 662.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404346 Min 01404346 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 407 of 6486
Name
GEETA DEVI VERMA Rate Amount Qty 7.5 .25 30 18 .4 45 27.9 .93 30 17.37 17.37 1 11.1 .37 30 400 400 1 Total: 481.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404362 Min 01404362 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 408 of 6486
Name
P SURYA PRABHA Rate Amount Qty 7.5 .25 30 13.35 .89 15 39 2.6 15 9.3 .62 15 14.85 .99 15 27.9 .93 30 400 400 1 Total: 511.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404369 Min 01404369 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 409 of 6486
Name
V B DESHPANDE Rate Amount Qty 63 2.1 30 4.8 .16 30 46.8 .78 60 400 400 1 26.4 2.64 10 400 400 1 Total: 941
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404370 Min 01404370 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 410 of 6486
Name
VRUNDA DESHPANDE Rate Amount Qty 22.2 .37 60 15.6 .26 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404373 Min 01404373 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 26-FEB-19
Page 411 of 6486
Name
S S SAH Rate Amount Qty 55.8 .93 60 167.4 5.58 30 39 1.3 30 36 .6 60 18 .3 60 33 1.1 30 275 275 1 275 275 1 400 400 1 7.5 .25 30 12 .4 30 21.3 .71 30 Total: 1340
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404374 Min 01404374 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 412 of 6486
Name
KAMALA DEVI Rate Amount Qty 14.85 .99 15 76.5 2.55 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 568.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404404 Min 01404404 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 413 of 6486
Name
ANNAMMA GEORGE Rate Amount Qty 14.85 .99 15 4.45 .89 5 3.2 .64 5 1.85 .37 5 18 .6 30 34.8 1.16 30 12 .4 30 76.5 2.55 30 55.8 .93 60 400 400 1 Total: 621.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404407 Min 01404407 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 PRAZOSIN,2.5MG,TABLET 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 414 of 6486
Name
P K SHRIVASTAVA Rate Amount Qty 12.8 .64 20 60.9 2.03 30 55.8 .93 60 78 1.3 60 117 1.3 90 72 .6 120 21.6 .36 60 400 400 1 Total: 818.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404408 Min 01404408 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 415 of 6486
BINA SHRIVASTAVA Rate Amount Qty 31.46 15.73 2 18.9 .63 30 31.95 .71 45 39 1.3 30 36 .6 60 4.5 .3 15 21.3 .71 30 7.5 .25 30 400 400 1 Total: 590.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404421 Min 01404421 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 416 of 6486
Name
L L MALVIYA Rate Amount Qty 78 1.3 60 1.48 .37 4 15.96 2.66 6 8.1 .27 30 36 .6 60 34.8 1.16 30 12 .4 30 400 400 1 Total: 586.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404428 Min 01404428 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 417 of 6486
Name
LILY MISHRA Rate Amount Qty 66 1.1 60 18 .6 30 21.3 .71 30 2.4 .16 15 27.9 .93 30 26.7 .89 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 598.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404433 Min 01404433 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 18-FEB-19 X - RAY - SINGLE VIEW 3 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 UREA (BUN /UR) 7 18-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 8 18-FEB-19 CHOLESTEROL (CHOL) 9 18-FEB-19 TRIGLYCERIDES (TGL) 10 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 18-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 18-FEB-19 CREATININE /CRT 14 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 418 of 6486
Name
GURUCHARAN SINGH Rate Amount Qty 550 550 1 400 400 1 550 550 1 275 275 1 275 275 1 8.1 .27 30 275 275 1 275 275 1 275 275 1 275 275 1 4.8 .16 30 8.4 .42 20 27.9 .93 30 275 275 1 21.3 .71 30 400 400 1 Total: 3895.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404477 Min 01404477 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 419 of 6486
Name
BHARATHY BHASKARAN Rate Amount Qty 21.3 .71 30 27.9 .93 30 15.3 .51 30 18 .6 30 60.9 2.03 30 32.4 1.08 30 12 .4 30 7.5 .25 30 2.4 .16 15 400 400 1 Total: 597.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404500 Min 01404500 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 420 of 6486
Name
J L PATEL Rate Amount Qty 20.06 20.06 1 36 .6 60 27.9 .93 30 8.1 .27 30 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 574.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404501 Min 01404501 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 421 of 6486
Name
KAMALA DEVI PATEL Rate Amount Qty 13.95 .93 15 76.5 2.55 30 2.4 .16 15 18.6 .62 30 78 1.3 60 21.3 .71 30 32.4 1.08 30 12 .4 30 400 400 1 20.55 1.37 15 185.7 6.19 30 400 400 1 Total: 1261.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404502 Min 01404502 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 422 of 6486
Name
AMAR NATH BASAK Rate Amount Qty 26.7 .89 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 4.5 .3 15 400 400 1 Total: 487.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404510 Min 01404510 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 UREA (BUN /UR) 10 27-FEB-19 CREATININE /CRT 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 27-FEB-19 URIC ACID (UA /URATES /UR) 16 27-FEB-19
Page 423 of 6486
Name
A K THAKUR Rate Amount Qty 167.4 5.58 30 3.95 106.65 27 27.9 .93 30 54 .6 90 55.2 .92 60 11.85 3.95 3 7.5 .25 30 26.7 .89 30 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 Total: 3932.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404511 Min 01404511 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 18-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 27-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 16 27-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 17 27-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 18 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 19 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 23 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 27-FEB-19
Page 424 of 6486
USHA THAKUR Rate Amount Qty 70.2 2.34 30 40.12 20.06 2 7.5 .25 30 16.2 .27 60 55.8 .93 60 83.4 2.78 30 20.84 5.21 4 11.4 .38 30 51.68 3.23 16 400 400 1 3.7 .37 10 55.2 1.84 30 4.1 .41 10 6.4 .64 10 20.06 20.06 1 17.6 17.6 1 96.44 48.22 2 70.2 2.34 30 4.1 .41 10 12.8 .64 20 3.7 .37 10 26.7 .89 30 41.06 41.06 1 400 400 1 Total: 1519.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404524 Min 01404524 Appmt Dt Slno Description 07-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 07-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 425 of 6486
Name
V K SAXENA Qty Rate Amount 30 1.08 32.4 60 1.1 66 30 .71 21.3 1 400 400 Total: 519.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404525 Min 01404525 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 426 of 6486
Name
SUDHA RANI SAXENA Rate Amount Qty 27.9 .93 30 13.35 .89 15 400 400 1 Total: 441.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404543 Min 01404543 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 427 of 6486
Name
SHIB NARAYANA SAHA Rate Amount Qty 21.3 .71 30 27.9 .93 30 78 .78 100 26.7 .89 30 400 400 1 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404544 Min 01404544 Appmt Dt Slno Description 26-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 2 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 26-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 428 of 6486
Name
MANJU RANI SAHA Qty Rate Amount 30 .4 12 90 .82 73.8 30 .89 26.7 1 400 400 Total: 512.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404553 Min 01404553 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 3 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 429 of 6486
Name
S N BISWAS Rate Amount Qty 16.2 .18 90 54 .9 60 2.6 .26 10 20.1 .67 30 26.7 .89 30 400 400 1 Total: 519.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404554 Min 01404554 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 04-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 10 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 18-FEB-19 GUM ANALGESIC GEL 16 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 22-FEB-19 DIRECT SMEAR /GRAMSTAIN- PUS /VAGINAL SW 21 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 22 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 23 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 22-FEB-19 GUM ANALGESIC GEL 25 22-FEB-19
Page 430 of 6486
Name
ASHIMA BISWAS Rate Amount Qty 12.92 3.23 4 9.88 .38 26 19.2 .64 30 7.5 .25 30 26.7 .89 30 21.3 .71 30 21.6 .18 120 20.1 .67 30 26.7 .89 30 100.71 100.71 1 54 .9 60 400 400 1 66.2 6.62 10 20.06 20.06 1 20.06 20.06 1 57.38 28.69 2 16.8 1.12 15 9.6 .64 15 400 400 1 400 400 1 300 300 1 16.8 1.12 15 20.06 20.06 1 6.4 .64 10 28.69 28.69 1 Total: 2082.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404558 Min 01404558 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 431 of 6486
Name
V SREE LAKSHMI Rate Amount Qty 7.5 .25 30 26.7 .89 30 34.8 1.16 30 32.4 1.08 30 9 .6 15 41.85 .93 45 2.4 .16 15 400 400 1 Total: 554.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404567 Min 01404567 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 432 of 6486
Name
SRI RAM DIWALE Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404569 Min 01404569 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 01-FEB-19 UREA (BUN /UR) 7 01-FEB-19 URIC ACID (UA /URATES /UR) 8 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 01-FEB-19
Page 433 of 6486
Name
P S KHULLAR Rate Amount Qty 7.5 .25 30 192.3 6.41 30 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 14.85 .99 15 66 1.1 60 18.9 .63 30 Total: 3099.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404570 Min 01404570 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 URIC ACID (UA /URATES /UR) 4 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 06-FEB-19 CREATININE /CRT 7 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 16 06-FEB-19 PRAZOSIN,2.5MG,TABLET 17 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 19 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 22 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 23 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 26 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27 26-FEB-19
Page 434 of 6486
Name
VIJAYA RANI KHULLAR Rate Amount Qty 27 .9 30 12.15 12.15 1 400 400 1 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 117 1.3 90 21.3 .71 30 167.4 5.58 30 54 .6 90 31.2 1.04 30 78 1.3 60 55.8 .93 60 10.05 .67 15 26.7 .89 30 54 .9 60 16.2 .18 90 12.15 12.15 1 400 400 1 400 400 1 275 275 1 275 275 1 Total: 5809.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404577 Min 01404577 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 435 of 6486
Name
R JAGANNADHA RAO Rate Amount Qty 12 .4 30 33 1.1 30 11.85 .79 15 12.6 .42 30 21.3 .71 30 18 .6 30 400 400 1 Total: 508.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404581 Min 01404581 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 436 of 6486
Name
ZAMIRUDDIN Rate Amount Qty 148.9 74.45 2 400 400 1 6.4 .64 10 2.5 .25 10 8.9 .89 10 400 400 1 Total: 966.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404582 Min 01404582 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 437 of 6486
Name
NAFISA BANO Rate Amount Qty 26 2.6 10 13.35 .89 15 14.85 .99 15 27.9 .93 30 21.3 .71 30 400 400 1 Total: 503.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404600 Min 01404600 Appmt Dt Slno Description 25-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 25-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 438 of 6486
Name
SUSHMA MEHRA Qty Rate Amount 15 .16 2.4 30 1.04 31.2 60 .93 55.8 1 400 400 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404601 Min 01404601 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 22-FEB-19 UREA (BUN /UR) 4 22-FEB-19 CREATININE /CRT 5 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 22-FEB-19
Page 439 of 6486
Name
J S JORAVANSHI Rate Amount Qty 7.5 .25 30 21.3 .71 30 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 400 400 1 1300 1300 1 Total: 3378.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404602 Min 01404602 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 440 of 6486
Name
M. JORAVANSHI Rate Amount Qty 32.4 1.08 30 2.4 .16 15 21.3 .71 30 16.8 1.12 15 18.6 .62 30 11.4 .38 30 10.65 .71 15 8.1 .27 30 400 400 1 Total: 521.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404603 Min 01404603 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 441 of 6486
Name
MARYKUTTY JOHN Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404616 Min 01404616 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 442 of 6486
Name
R P MISHARA Rate Amount Qty 10.8 .36 30 47.4 .79 60 66 1.1 60 13.35 .89 15 6.9 .23 30 34.8 1.16 30 12 .4 30 400 400 1 Total: 591.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404617 Min 01404617 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 21-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 6 21-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 7 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 443 of 6486
Name
KUSUM MISHRA Rate Amount Qty 21.3 .71 30 26.7 .89 30 12 .4 30 32.4 1.08 30 9.9 .66 15 73.5 2.45 30 106.8 3.56 30 79.2 2.64 30 400 400 1 Total: 761.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404620 Min 01404620 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 444 of 6486
Name
BRINDARAN AGRAWAL Rate Amount Qty 54 .6 90 117 1.3 90 5.21 5.21 1 21.3 .71 30 7.5 .25 30 12 .4 30 400 400 1 Total: 617.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404622 Min 01404622 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 445 of 6486
Name
BISMILLAH KHAN Rate Amount Qty 60.9 2.03 30 123.53 123.53 1 18 .6 30 4.8 .16 30 26.7 .89 30 6.9 .23 30 27.9 .93 30 7.5 .25 30 400 400 1 16.81 16.81 1 400 400 1 Total: 1093.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404623 Min 01404623 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 446 of 6486
Name
ZAHIDA BEGUM Rate Amount Qty 21.3 .71 30 10.8 .36 30 12 .4 30 7.5 .25 30 26.7 .89 30 18 .6 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 545.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404629 Min 01404629 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 7 21-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 21-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 447 of 6486
Name
G D KAUSHAL Rate Amount Qty 167.4 5.58 30 23.7 .79 30 12 .4 30 21.3 .71 30 33 1.1 30 400 400 1 63.58 63.58 1 13.48 3.37 4 45.44 45.44 1 3.7 .37 10 7.5 .25 30 400 400 1 Total: 1191.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404634 Min 01404634 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 01-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 2 01-FEB-19 PLATELET COUNT 3 01-FEB-19 RETICULOCYTE COUNT 4 01-FEB-19 HB,TLC,DLC 5 01-FEB-19 BLOOD FOR T-3,T-4,TSH 6 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 01-FEB-19 URIC ACID (UA /URATES /UR) 8 01-FEB-19 CREATININE /CRT 9 01-FEB-19 UREA (BUN /UR) 10 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 01-FEB-19 ESR 14 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 16 07-FEB-19 SOLIFENACIN,5MG,,TABLET 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19
Page 448 of 6486
Name
BHOLA PRASAD Rate Amount Qty 550 550 1 330 330 1 330 330 1 165 165 1 300 300 1 2400 2400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 165 165 1 60.9 2.03 30 192.3 6.41 30 403.2 13.44 30 400 400 1 Total: 8371.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404635 Min 01404635 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 04-FEB-19 UREA (BUN /UR) 5 04-FEB-19 CREATININE /CRT 6 04-FEB-19 URIC ACID (UA /URATES /UR) 7 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 04-FEB-19 OBSERVATION IN CASUALTY 15 19-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 16 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 19-FEB-19 ECG 18 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 19-FEB-19 ECG 22 20-FEB-19 OBSERVATION IN CASUALTY 23 20-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 24 20-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 25 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 26 20-FEB-19 RACECADOTRIL,100MG,CAPSULE 27 21-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 28 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 29 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 30 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 31 21-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 32 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 33 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 21-FEB-19
Page 449 of 6486
Name
SHANTI DEVI Rate Amount Qty 1.85 .37 5 12.15 12.15 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 9 .3 30 167.4 5.58 30 21.3 .71 30 7.5 .25 30 13.95 .93 15 420 420 1 600 600 1 24.52 24.52 1 900 450 2 10.08 1.12 9 21.12 3.52 6 400 400 1 450 450 1 420 420 1 9.62 9.62 1 35.52 35.52 1 9.81 9.81 1 53.73 5.97 9 17.37 17.37 1 66.2 6.62 10 16.8 1.12 15 8.9 .89 10 7 .7 10 83.97 9.33 9 400 400 1 Total: 7537.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404638 Min 01404638 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 8 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 9 21-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 10 21-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 21-FEB-19 ECG 13 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 21-FEB-19 CREATININE /CRT 15 21-FEB-19 UREA (BUN /UR) 16 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 21-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 20 21-FEB-19
Page 450 of 6486
Name
BANSI DHAR PATNI Rate Amount Qty 60.9 2.03 30 21.3 .71 30 7.5 .25 30 55.8 .93 60 8.1 .27 30 36 .6 60 18 .3 60 74.45 74.45 1 74.45 74.45 1 40.58 20.29 2 156.51 313.02 2 6.6 .66 10 450 450 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 94.42 188.84 2 Total: 3405.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404642 Min 01404642 Slno Description Appmt Dt PHENOBARBITONE,STRIP PKT,30MG,TABLET 1 01-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 451 of 6486
Name
B D SAHU Rate Amount Qty 71.1 .79 90 189 2.1 90 7.5 .25 30 13.8 .23 60 400 400 1 Total: 681.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404646 Min 01404646 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 05-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 5 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 05-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 17 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 452 of 6486
Name
H K SAHA Rate Amount Qty 19.72 9.86 2 41.85 .93 45 7.4 .37 20 26.96 3.37 8 85.52 85.52 1 185.7 6.19 30 83.4 2.78 30 21.3 .71 30 400 400 1 15.96 2.66 6 1.48 .37 4 87.92 43.96 2 26.7 .89 30 18.9 .63 30 13.95 .93 15 7.5 .25 30 25.2 .42 60 21.3 .71 30 32.4 1.08 30 8.1 .27 30 31.95 .71 45 400 400 1 Total: 1563.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404647 Min 01404647 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 453 of 6486
Name
SWAPNA SAHA Rate Amount Qty 33.12 1.84 18 5.76 .64 9 4.62 .77 6 400 400 1 27.9 .93 30 117 1.3 90 21.6 .36 60 167.4 5.58 30 8.1 .27 30 72.6 1.21 60 21.3 .71 30 13.35 .89 15 3.75 .25 15 12 .4 30 400 400 1 Total: 1308.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404654 Min 01404654 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 454 of 6486
Name
S L JAIN Rate Amount Qty 33.12 1.84 18 3.84 .64 6 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 873.92
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404655 Min 01404655 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 455 of 6486
RAVIKANTA JAIN Rate Amount Qty 860 860 1 400 400 1 4.48 .64 7 50.14 25.07 2 400 400 1 301.8 5.03 60 400 400 1 Total: 2416.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404664 Min 01404664 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 456 of 6486
Name
R C CHANDRAKAR Rate Amount Qty 27.9 .93 30 76.5 2.55 30 17.4 .58 30 27.9 .93 30 27.6 1.84 15 21.3 .71 30 12 .4 30 33 1.1 30 400 400 1 Total: 643.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404685 Min 01404685 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 457 of 6486
Name
HARSURINDER Rate Amount Qty 8.7 .58 15 3.75 .25 15 21.3 .71 30 54 .6 90 7.8 .26 30 78 1.3 60 10.8 .36 30 12 .4 30 400 400 1 Total: 596.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404688 Min 01404688 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 03-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 03-FEB-19 ECG 3 03-FEB-19 OBSERVATION IN CASUALTY 4 03-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 06-FEB-19 X - RAY - TWO VIEWS 9 06-FEB-19
Page 458 of 6486
Name
D KALIDAS Rate Amount Qty .89 .89 1 600 600 1 450 450 1 420 420 1 12.6 .42 30 38.43 12.81 3 400 400 1 400 400 1 860 860 1 Total: 3181.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404689 Min 01404689 Appmt Dt Slno Description 05-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 459 of 6486
Name
D V LAXMI Qty Rate Amount 10 2.66 26.6 6 .37 2.22 6 .64 3.84 1 400 400 Total: 432.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404712 Min 01404712 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 460 of 6486
Name
N K SWAR Rate Amount Qty 6.82 6.82 1 7.98 .38 21 3.69 .41 9 35.2 3.52 10 400 400 1 Total: 453.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404716 Min 01404716 Slno Description Appmt Dt DIACERIN,STRIP PKT,50MG,CAPSULE 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 09-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 461 of 6486
Name
MARIDUBHASINI Rate Amount Qty 150.9 5.03 30 9.6 .64 15 7.4 .37 20 41.06 41.06 1 39 2.6 15 6 .6 10 12.81 12.81 1 55.2 1.84 30 400 400 1 Total: 721.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404731 Min 01404731 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 BLOOD FOR TSH 7 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 05-FEB-19 UREA (BUN /UR) 10 05-FEB-19 CREATININE /CRT 11 05-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 12 05-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 13 05-FEB-19 URIC ACID (UA /URATES /UR) 14 05-FEB-19
Page 462 of 6486
Name
P K DEY Rate Amount Qty 19.72 9.86 2 7.4 .37 20 1300 1300 1 550 550 1 26.96 3.37 8 400 400 1 800 800 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 5029.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404739 Min 01404739 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 463 of 6486
Name
SURENDRA KUMAR KSHATRIYA Rate Amount Qty 1.85 .37 5 3.8 .38 10 400 400 1 Total: 405.65
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404748 Min 01404748 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 27-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 464 of 6486
K S BABY Rate Amount Qty 8.1 .27 30 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 36 .6 60 6.4 .64 10 12 .4 30 21.3 .71 30 400 400 1 25.07 25.07 1 6.82 6.82 1 400 400 1 Total: 1176.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404750 Min 01404750 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 5 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 465 of 6486
Name
KUSUM LATA SHARMA Rate Amount Qty 21.3 .71 30 7.5 .25 30 32.4 1.08 30 26.7 .89 30 123.6 4.12 30 66 1.1 60 400 400 1 Total: 677.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404757 Min 01404757 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 466 of 6486
Name
L K MISHRA Rate Amount Qty 26.7 .89 30 5.4 .18 30 400 400 1 Total: 432.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404759 Min 01404759 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 467 of 6486
Name
S C CHHIBBER Rate Amount Qty 21.3 .71 30 23.7 .79 30 3.75 .25 15 32.4 1.08 30 66 1.1 60 8.9 .89 10 400 400 1 23.7 .79 30 400 400 1 Total: 979.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404760 Min 01404760 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 13-FEB-19 ECG 2 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 13-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 13-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 468 of 6486
Name
NIRMALA CHHIBBER Rate Amount Qty 420 420 1 450 450 1 9.62 9.62 1 .66 .66 1 600 600 1 2.52 .42 6 2.67 .89 3 400 400 1 Total: 1885.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404763 Min 01404763 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 469 of 6486
Name
P V HARI Rate Amount Qty 11.1 .37 30 54 .9 60 12.15 12.15 1 15 .25 60 400 400 1 Total: 492.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404770 Min 01404770 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 04-FEB-19
Page 470 of 6486
Name
S K SHRIVASTAVA Rate Amount Qty 36 .6 60 167.4 5.58 30 66 1.1 60 12 .4 30 275 275 1 400 400 1 275 275 1 Total: 1231.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404771 Min 01404771 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 04-FEB-19 ALKALINE PHOSPHATASE (ALP) 5 04-FEB-19 TRIGLYCERIDES (TGL) 6 04-FEB-19 CHOLESTEROL (CHOL) 7 04-FEB-19 CREATININE /CRT 8 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 04-FEB-19 UREA (BUN /UR) 11 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 04-FEB-19
Page 471 of 6486
Name
MANORAMA SHRIVASTAVA Rate Amount Qty 1300 1300 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 36 .6 60 275 275 1 275 275 1 55.8 .93 60 33 1.1 30 21.3 .71 30 12 .4 30 Total: 4333.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404772 Min 01404772 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 2 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 05-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 7 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 11 12-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 12 12-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 13 12-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 14 12-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 15 12-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 16 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 19 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 23 21-FEB-19 ECG 24 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 21-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 26 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 27 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 29 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 30 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 31 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 32 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 33 28-FEB-19 TICAGRELOR 90MG ,TABLET 34 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 35 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 36 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 37 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 28-FEB-19
Page 472 of 6486
Name
G R MALI Rate Amount Qty 11.1 .37 30 19.59 19.59 1 87.92 43.96 2 3.84 .64 6 192.3 6.41 30 17.6 17.6 1 63.58 63.58 1 26.96 3.37 8 60.9 2.03 30 400 400 1 13.64 6.82 2 40.58 20.29 2 48.9 24.45 2 94.42 188.84 2 51.38 25.69 2 39.18 19.59 2 247.06 123.53 2 400 400 1 12.15 12.15 1 26.7 .89 30 54 .9 60 400 400 1 43.96 175.84 4 450 450 1 400 400 1 1610 1610 1 1750 1750 1 400 400 1 60.9 2.03 30 192.3 6.41 30 123.53 247.06 2 41.85 .93 45 12 .4 30 30.77 1846.2 60 69.6 1.16 60 54 .6 90 7.5 .25 30 400 400 1 Total: 10123.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404776 Min 01404776 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 X - RAY - SINGLE VIEW 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 05-FEB-19 PRAZOSIN,2.5MG,TABLET 8 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 12-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 12 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 14 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 15 12-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 16 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19
Page 473 of 6486
Name
R K SINGH Rate Amount Qty 400 400 1 550 550 1 400 400 1 550 550 1 1300 1300 1 12.6 .9 14 12.15 12.15 1 156 1.3 120 15.6 .26 60 62.4 1.04 60 33.3 .37 90 27.9 .93 30 12 .4 30 18.6 .62 30 211.8 3.53 60 42.6 .71 60 34.8 1.16 30 400 400 1 Total: 4239.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404777 Min 01404777 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 474 of 6486
Name
PURNIMA SINGH Rate Amount Qty 20.06 20.06 1 72 .6 120 43.2 .36 120 17.4 .58 30 34.8 1.16 30 17.4 .58 30 72.6 1.21 60 7.5 .25 30 400 400 1 72 .6 120 7.5 .25 30 72.6 1.21 60 43.2 .36 120 12 .4 30 20.06 20.06 1 34.8 1.16 30 400 400 1 Total: 1347.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404780 Min 01404780 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 475 of 6486
Name
S V KULKARNI Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404798 Min 01404798 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 08-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 6 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 476 of 6486
S R GOSWAMI Rate Amount Qty 15.73 15.73 1 60.9 2.03 30 11.1 .37 30 6.4 .64 10 5.21 5.21 1 4.27 192.15 45 42.6 .71 60 21.3 .71 30 198.6 6.62 30 12 .4 30 400 400 1 Total: 965.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404799 Min 01404799 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 477 of 6486
Name
SIKHA GOSWAMI Rate Amount Qty 2.4 .16 15 5.21 5.21 1 27.9 .93 30 13.8 .23 60 72.6 1.21 60 400 400 1 Total: 521.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404800 Min 01404800 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 09-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 21-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 ECG 12 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 28-FEB-19
Page 478 of 6486
Name
BIKASH MOHAN DAS Rate Amount Qty 4.45 .89 5 35.2 17.6 2 7.4 .37 20 6.7 .67 10 400 400 1 35.2 17.6 2 85.52 85.52 1 7.4 .37 20 17.8 .89 20 13.4 .67 20 400 400 1 450 450 1 400 400 1 21.3 .71 30 275 275 1 8.1 .27 30 167.4 5.58 30 27.9 .93 30 275 275 1 Total: 2637.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404801 Min 01404801 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19
Page 479 of 6486
Name
MANJUSRI DAS Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 400 400 1 18 .6 30 9 .3 30 6.9 .23 30 7.5 .25 30 Total: 2291.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404803 Min 01404803 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 7 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 21-FEB-19 IVABRADINE,5MG,,TABLET 10 21-FEB-19 X - RAY - TWO VIEWS 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 16 21-FEB-19
Page 480 of 6486
Name
S L BEDI Rate Amount Qty 55.8 .93 60 15.6 .26 60 18.9 .63 30 2.4 .16 15 7.65 .51 15 53.4 .89 60 29.7 .99 30 60.9 2.03 30 192.3 6.41 30 9.95 149.25 15 860 860 1 400 400 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 10.65 .71 15 Total: 1935.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404812 Min 01404812 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 09-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 09-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 13 09-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19 X - RAY - SINGLE VIEW 17 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 20-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 22 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 24 20-FEB-19
Page 481 of 6486
J JANKIRAMAIAH Rate Amount Qty 2.4 .16 15 12 .4 30 60.9 2.03 30 34.8 1.16 30 15.6 .26 60 32.4 1.08 30 66 1.1 60 26.7 .89 30 400 400 1 6.82 6.82 1 156.51 156.51 1 27.9 .93 30 123.53 123.53 1 87.92 43.96 2 25.07 25.07 1 400 400 1 550 550 1 6.4 .64 10 400 400 1 27 .9 30 26.7 .89 30 70.2 2.34 30 6.4 .64 10 185.7 6.19 30 Total: 2750.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404813 Min 01404813 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19
Page 482 of 6486
Name
J LALITHA Rate Amount Qty 11.4 .38 30 21.3 .71 30 2.4 .16 15 27.9 .93 30 118.5 3.95 30 18.6 .62 30 23.1 .77 30 400 400 1 123.53 123.53 1 400 400 1 Total: 1146.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404816 Min 01404816 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 483 of 6486
Name
P P GOVINDAN Rate Amount Qty 12 .4 30 34.8 1.16 30 32.4 1.08 30 36.3 1.21 30 27.9 .62 45 21.6 .36 60 18 .6 30 400 400 1 Total: 583
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404817 Min 01404817 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 484 of 6486
Name
P R PADMINI Rate Amount Qty 54 .6 90 72.6 1.21 60 21.3 .71 30 21.6 .36 60 8.9 .89 10 55.8 .93 60 400 400 1 Total: 634.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404818 Min 01404818 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 09-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19
Page 485 of 6486
Name
K C THOMAS Rate Amount Qty 192.3 6.41 30 32.4 1.08 30 21.3 .71 30 12 .4 30 54 .6 90 2.5 .25 10 27.9 .93 30 60.9 2.03 30 167.4 5.58 30 400 400 1 Total: 970.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404819 Min 01404819 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 486 of 6486
Name
MARY THOMAS Rate Amount Qty 1.85 .37 5 9.3 .62 15 21.6 .36 60 54 .6 90 12 .4 30 26.7 .89 30 167.4 5.58 30 27.9 .93 30 21.3 .71 30 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 781.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404826 Min 01404826 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 487 of 6486
Name
A K KUNDU Rate Amount Qty 6.9 .23 30 43.96 43.96 1 26.7 .89 30 100.71 100.71 1 104.4 1.74 60 400 400 1 Total: 682.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404827 Min 01404827 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 488 of 6486
Name
SIBANI KUNDU Rate Amount Qty 26.7 .89 30 40.12 20.06 2 21.3 .71 30 8.1 .27 30 33 1.1 30 55.8 .93 60 400 400 1 Total: 585.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404840 Min 01404840 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 12-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 489 of 6486
Name
PRABHAKAR Rate Amount Qty 53.4 .89 60 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 60.9 2.03 30 368.4 6.14 60 60.18 20.06 3 87.92 43.96 2 400 400 1 Total: 1105.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404841 Min 01404841 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 URIC ACID (UA /URATES /UR) 9 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 15-FEB-19 HEPATITIS C TEST /HCV 13 15-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 14 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 16 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 20-FEB-19
Page 490 of 6486
Name
KAMALA DEVI Rate Amount Qty 7.5 .25 30 14.85 .99 15 16.2 .27 60 55.8 .93 60 11.4 .38 30 36 .6 60 39 2.6 15 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 1700 1700 1 1000 1000 1 400 400 1 111.6 5.58 20 400 400 1 Total: 6317.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404843 Min 01404843 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 01-FEB-19 DRESSING SIMPLE 7 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 07-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 16 07-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 17 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 18 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 20 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 24 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 20-FEB-19
Page 491 of 6486
Name
B KISHORI RAO Rate Amount Qty 1720 860 2 400 400 1 12.8 .64 20 17.8 .89 20 26 2.6 10 39.72 6.62 6 1500 300 5 185.7 6.19 30 7.5 .25 30 54 .9 60 13.95 .93 15 21.3 .71 30 12 .4 30 32.4 1.08 30 26.7 .89 30 156.51 313.02 2 94.42 188.84 2 87.92 43.96 2 400 400 1 123.8 6.19 20 5 .25 20 12.8 .64 20 17.8 .89 20 26 2.6 10 400 400 1 Total: 5645.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404852 Min 01404852 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 492 of 6486
Name
N RAVINDRAN PILLAI Rate Amount Qty 27.9 .93 30 8.1 .27 30 21.3 .71 30 36 .6 60 12 .4 30 7.5 .25 30 4.5 .3 15 400 400 1 Total: 517.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404853 Min 01404853 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 8 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 493 of 6486
Name
K KAMALAMMA Rate Amount Qty 36 .6 60 7.5 .25 30 21.3 .71 30 25.2 .42 60 55.8 .93 60 7.5 .25 30 26.7 .89 30 100.71 100.71 1 79.2 .66 120 208.8 1.74 120 400 400 1 6.23 .89 7 18.2 2.6 7 1.75 .25 7 400 400 1 Total: 1394.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404873 Min 01404873 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 494 of 6486
Name
MINATI CHOUDHARY Rate Amount Qty 66 1.1 60 27.9 .93 30 21.6 .36 60 234 1.3 180 21.3 .71 30 167.4 5.58 30 12 .4 30 17.4 .58 30 72 .6 120 400 400 1 Total: 1039.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404877 Min 01404877 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 495 of 6486
Name
SHOBHA DOGRA Rate Amount Qty 1.28 .16 8 27.9 .93 30 4.05 .27 15 400 400 1 8.1 .27 30 2.4 .16 15 55.8 .93 60 400 400 1 Total: 899.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404879 Min 01404879 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 16-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 496 of 6486
Name
G C PATIL Rate Amount Qty 60.9 2.03 30 21.3 .71 30 32.4 1.08 30 12 .4 30 6.72 1.12 6 10.8 .36 30 26.7 .89 30 27.9 .93 30 66 1.1 60 54 .6 90 400 400 1 Total: 718.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404880 Min 01404880 Appmt Dt Slno Description 16-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 16-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 497 of 6486
Name
SUSHILA PATIL Qty Rate Amount 10 .64 6.4 30 .25 7.5 30 .27 8.1 1 400 400 Total: 422
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404882 Min 01404882 Slno Description Appmt Dt ABC TEST HIV 1 05-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 2 05-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 05-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 10 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19 GUM ANALGESIC GEL 16 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 06-FEB-19
Page 498 of 6486
Name
NATWAR DATTA JHA Rate Amount Qty 1250 1250 1 21.45 21.45 1 12 .6 20 55.8 .93 60 4.8 .16 30 29.7 .99 30 34.8 1.16 30 26.7 .89 30 192.3 6.41 30 1000 1000 1 275 275 1 60.9 2.03 30 400 400 1 275 275 1 400 400 1 28.69 28.69 1 6.4 .64 10 400 400 1 Total: 4473.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404883 Min 01404883 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 499 of 6486
Name
MEENA JHA Rate Amount Qty 21.6 .36 60 21.3 .71 30 54 .6 90 29.7 .99 30 7.5 .25 30 167.4 5.58 30 12 .4 30 32.4 1.08 30 55.8 .93 60 16.2 .27 60 400 400 1 Total: 817.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404885 Min 01404885 Appmt Dt Slno Description 19-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 500 of 6486
Name
M MANI Qty Rate Amount 60 1.1 66 1 400 400 466 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404890 Min 01404890 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 6 19-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 7 19-FEB-19 ECG 8 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 501 of 6486
Name
N P GUPTA Rate Amount Qty 18 .6 30 78 1.3 60 27.9 .93 30 12 .4 30 21.3 .71 30 128.1 4.27 30 15.3 .51 30 450 450 1 400 400 1 60.9 2.03 30 7.5 .25 30 15.3 .51 30 43.2 1.44 30 400 400 1 Total: 1677.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404906 Min 01404906 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 502 of 6486
Name
B P CHAKRAVORTY Rate Amount Qty 17.4 1.16 15 13.95 .93 15 20.06 20.06 1 10.8 .36 30 18 .6 30 400 400 1 Total: 480.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404913 Min 01404913 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 503 of 6486
Name
G C DAS Rate Amount Qty 2.4 .16 15 13.95 .93 15 12 .4 30 400 400 1 34.8 1.16 30 15.6 .26 60 16.2 .27 60 12 .4 30 400 400 1 Total: 906.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404914 Min 01404914 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 20-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 20-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 9 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 504 of 6486
Name
SALILA DEVI Rate Amount Qty 32.4 1.08 30 126 2.1 60 21.3 .71 30 7.5 .25 30 27.9 .93 30 21.3 .71 30 19.8 .66 30 78 .78 100 311.4 5.19 60 11.4 .38 30 400 400 1 Total: 1057
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404917 Min 01404917 Slno Description Appmt Dt GLYCATED HAEMOGLOBIN (HBA1C) 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 06-FEB-19 CREATININE /CRT 4 06-FEB-19 UREA (BUN /UR) 5 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 06-FEB-19 URIC ACID (UA /URATES /UR) 7 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 06-FEB-19
Page 505 of 6486
Name
DR A Y SAMUEL Qty 1 1 1 1 1 1 1 1 1
Rate Amount 1050 1050 275 275 275 275 275 275 275 275 400 400 275 275 1300 1300 550 550 Total: 4675
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404937 Min 01404937 Appmt Dt Slno Description 22-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 506 of 6486
Name
S K HALDER Qty Rate Amount 30 .27 8.1 30 .6 18 30 .93 27.9 1 400 400 Total: 454
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404938 Min 01404938 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 507 of 6486
Name
ARATI HALDER Rate Amount Qty 27.9 .93 30 16.2 .27 60 66 1.1 60 21.3 .71 30 400 400 1 Total: 531.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404939 Min 01404939 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 508 of 6486
Name
S C PILLAI Rate Amount Qty 22.2 .37 60 55.8 .93 60 21.3 .71 30 12 .4 30 400 400 1 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404948 Min 01404948 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 509 of 6486
Name
RAMSWAROOP KESHARWANI Rate Amount Qty 6.9 .23 30 55.8 .93 60 167.4 5.58 30 47.4 .79 60 9 .3 30 12 .4 30 21.3 .71 30 54 .6 90 400 400 1 Total: 773.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404949 Min 01404949 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 510 of 6486
Name
RAMDULARI KESHARWANI Rate Amount Qty 3.75 .25 15 8.1 .27 30 55.8 .93 60 14.85 .99 15 76.5 2.55 30 21.3 .71 30 36 .6 60 78 1.3 60 54 .9 60 400 400 1 Total: 748.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404954 Min 01404954 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 511 of 6486
Name
A P SHUKLA Rate Amount Qty 12 .4 30 54 .6 90 15 .25 60 287.1 3.19 90 7.8 .26 30 47.4 .79 60 26.7 .89 30 34.8 1.16 30 87.92 43.96 2 400 400 1 Total: 972.72
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01404955 Min 01404955 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 4 05-FEB-19 BRIMONIDINE TARTRATE,0.15% 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 05-FEB-19 PRAZOSIN,2.5MG,TABLET 14 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 05-FEB-19
Page 512 of 6486
PRABHA WATI DEVI Rate Amount Qty 50.14 25.07 2 34.8 1.16 30 7.5 .25 30 40.58 20.29 2 148.9 74.45 2 41.1 1.37 30 26.7 .89 30 18.9 .63 30 21.9 .73 30 371.4 6.19 60 6.16 .77 8 7.68 .64 12 44.16 1.84 24 78 1.3 60 55.8 .93 60 117 1.3 90 54 .6 90 10.8 .36 30 400 400 1 Total: 1535.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404960 Min 01404960 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 513 of 6486
Name
S K BANERJEE Rate Amount Qty 400 400 1 275 275 1 275 275 1 4 .4 10 55.8 5.58 10 12 .6 20 400 400 1 167.4 5.58 30 34.8 1.16 30 12 .4 30 36 .6 60 8.1 .27 30 400 400 1 Total: 2080.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404961 Min 01404961 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 02-FEB-19 PLATELET COUNT 4 02-FEB-19 HB,TLC,DLC 5 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 02-FEB-19
Page 514 of 6486
Name
SONA BANERJEE Qty 1 1 1 1 1 1
Rate Amount 550 550 400 400 275 275 330 330 300 300 275 275 Total: 2130
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404963 Min 01404963 Appmt Dt Slno Description 13-FEB-19 1 CINNARIZINE,25MG,STRIP PACK,TABLET 13-FEB-19 2 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 13-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 515 of 6486
Name
MAYA BHATTACHARYA Qty Rate Amount 14 .42 5.88 14 .25 3.5 14 .89 12.46 1 400 400 Total: 421.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404966 Min 01404966 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 516 of 6486
Name
GOVIND AMBIKAR Rate Amount Qty 32.4 1.08 30 55.8 .93 60 8.1 .27 30 54 .6 90 10.8 .36 30 12 .4 30 14.85 .99 15 34.8 1.16 30 400 400 1 Total: 622.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404976 Min 01404976 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 05-FEB-19 CREATININE /CRT 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 UREA (BUN /UR) 8 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19
Page 517 of 6486
Name
BULBUL SEN Rate Amount Qty 275 275 1 275 275 1 275 275 1 550 550 1 400 400 1 1300 1300 1 275 275 1 275 275 1 12.6 .42 30 55.8 .93 60 20.84 5.21 4 400 400 1 Total: 4114.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404992 Min 01404992 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 14-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 518 of 6486
Name
LAJPALKAUR Rate Amount Qty 39.6 .66 60 4.8 .16 30 45.9 .51 90 384.3 4.27 90 400 400 1 Total: 874.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404995 Min 01404995 Slno Description Appmt Dt UREA (BUN /UR) 1 14-FEB-19 CREATININE /CRT 2 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 X - RAY - SINGLE VIEW 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 16 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 19 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 22 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 23 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 24 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 25 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 26 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 27 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 28 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 29 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 28-FEB-19
Page 519 of 6486
Name
P VELUGONDAIAH Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 60.9 2.03 30 55.8 .93 60 7.5 .25 30 21.6 .36 60 54 .6 90 167.4 5.58 30 400 400 1 17.8 .89 20 247.6 6.19 40 16.8 .42 40 25.6 .64 40 400 400 1 12 .3 40 81.2 2.03 40 17.8 .89 20 5 .25 20 10.4 .26 40 8 .4 20 21.6 1.08 20 23.2 1.16 20 22 1.1 20 111.6 5.58 20 24 .6 40 400 400 1 Total: 4261.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01404996 Min 01404996 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 GUM ANALGESIC GEL 8 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 13 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 27-FEB-19
Page 520 of 6486
Name
RAMALAXMAMMA Rate Amount Qty 6.9 .23 30 1.48 .37 4 6.4 .64 10 9.9 .66 15 33 1.1 30 400 400 1 4.45 .89 5 28.69 28.69 1 55.2 1.84 30 4.1 .41 10 6.4 .64 10 400 400 1 280 280 1 400 400 1 Total: 1636.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405007 Min 01405007 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 521 of 6486
Name
ANNIE JONES Rate Amount Qty 36 .6 60 27.9 .93 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 492.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405008 Min 01405008 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 522 of 6486
Name
D S JONES Rate Amount Qty 26.7 .89 30 12 .4 30 34.8 1.16 30 32.4 1.08 30 8.1 .27 30 66 1.1 60 60.9 2.03 30 400 400 1 Total: 640.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405012 Min 01405012 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 523 of 6486
Name
SHARDA CHARAN PANDEY Rate Amount Qty 32.4 1.08 30 72.6 1.21 60 20.06 20.06 1 34.8 1.16 30 400 400 1 Total: 559.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405022 Min 01405022 Appmt Dt Slno Description 04-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 04-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 524 of 6486
Name
K M VYAS Qty Rate Amount 30 .25 7.5 30 .36 10.8 60 .6 36 1 400 400 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405023 Min 01405023 Appmt Dt Slno Description 04-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 2 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 04-FEB-19 3 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 525 of 6486
Name
SHOBHANA VYAS Qty Rate Amount 60 .89 53.4 30 6.14 184.2 2 20.06 40.12 1 400 400 Total: 677.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405025 Min 01405025 Slno Description Appmt Dt CLOBAZAM,STRIP PKT,10MG,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 526 of 6486
Name
BHAGYAWATI Rate Amount Qty 97.8 4.89 20 32.4 1.08 30 400 400 1 Total: 530.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405028 Min 01405028 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 28-FEB-19 SOLIFENACIN,5MG,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 527 of 6486
Name
HUKUM SINGH VERMA Rate Amount Qty 60.9 2.03 30 400 400 1 60.9 2.03 30 403.2 13.44 30 400 400 1 Total: 1325
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405029 Min 01405029 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 528 of 6486
Name
SANTOSH Rate Amount Qty 16.2 .27 60 27.9 .93 30 9.9 .66 15 400 400 1 6.6 .66 10 27.9 .93 30 16.2 .27 60 400 400 1 Total: 904.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405036 Min 01405036 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 PRAZOSIN,2.5MG,TABLET 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 529 of 6486
Name
C K KHANGAN Rate Amount Qty 18.9 .63 30 21.3 .71 30 78 1.3 60 66 1.1 60 55.8 .93 60 60.9 2.03 30 400 400 1 Total: 700.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405037 Min 01405037 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 530 of 6486
Name
SUNITA KHANGAN Rate Amount Qty 3.2 .64 5 .8 .16 5 20.06 20.06 1 8.9 .89 10 1.85 .37 5 400 400 1 Total: 434.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405044 Min 01405044 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 531 of 6486
Name
M S BANSAL Rate Amount Qty 21.6 1.08 20 60.9 2.03 30 55.2 .92 60 185.7 6.19 30 12 .4 30 6.4 .64 10 7.5 .25 30 33 1.1 30 11.85 .79 15 400 400 1 Total: 794.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405056 Min 01405056 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 15-FEB-19
Page 532 of 6486
Name
J P SHARMA Rate Amount Qty 54 .9 60 26.7 .89 30 400 400 1 167.4 5.58 30 36 .6 60 7.5 .25 30 8.1 .27 30 27.9 .93 30 21.3 .71 30 32.4 1.08 30 400 400 1 167.4 5.58 30 7.5 .25 30 32.4 1.08 30 21.3 .71 30 27.9 .93 30 8.1 .27 30 36 .6 60 400 400 1 Total: 1881.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405057 Min 01405057 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 LEFLUNOMIDE,10 MG,STIRP PACK.,TABLET 4 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 05-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 533 of 6486
Name
SAROJ SHARMA Rate Amount Qty 5.21 5.21 1 55.8 .93 60 53.4 .89 60 385.8 6.43 60 11.4 .38 30 40.12 20.06 2 77.52 3.23 24 400 400 1 Total: 1029.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405063 Min 01405063 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 534 of 6486
Name
LAJWANTI DEVI Rate Amount Qty 27.6 .92 30 13.8 .23 60 167.4 5.58 30 1.85 .37 5 12 .4 30 7.8 .26 30 66 1.1 60 400 400 1 Total: 696.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405075 Min 01405075 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 535 of 6486
Name
RAM SINGH Rate Amount Qty 72 .6 120 27.9 .93 30 334.8 5.58 60 78 1.3 60 12 .4 30 21.3 .71 30 32.4 .36 90 400 400 1 Total: 978.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405076 Min 01405076 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 536 of 6486
Name
MANMOHAN KAUR Rate Amount Qty 6.4 .64 10 17.4 .58 30 66 1.1 60 27.9 .93 30 21.3 .71 30 27 .6 45 400 400 1 Total: 566
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405086 Min 01405086 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 15-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 537 of 6486
SAVITRI DEVI Rate Amount Qty 46.2 .77 60 12.6 .42 30 32.4 1.08 30 14.85 .99 15 13.8 .23 60 15.73 15.73 1 400 400 1 Total: 535.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405133 Min 01405133 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 538 of 6486
Name
ROBERT Rate Amount Qty 35.2 3.52 10 33 1.1 30 7.5 .25 30 27.9 .93 30 2.22 .37 6 32.4 1.08 30 34.8 1.16 30 18 .6 30 3.84 .64 6 400 400 1 Total: 594.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405134 Min 01405134 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 7 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 539 of 6486
Name
ALPHONSA ROBERT Rate Amount Qty 26.7 .89 30 36 .6 60 55.8 .93 60 12 .4 30 191.4 3.19 60 17.4 .58 30 2.5 .25 10 15.96 2.66 6 2.22 .37 6 20.84 5.21 4 400 400 1 Total: 780.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405168 Min 01405168 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 540 of 6486
Name
RADHA N NAIR Rate Amount Qty 1.85 .37 5 16.2 .27 60 42.12 2.34 18 3.84 .64 6 400 400 1 Total: 464.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405172 Min 01405172 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 20-FEB-19 PRAZOSIN,2.5MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 541 of 6486
Name
SHAKUNTALA JAIN Rate Amount Qty 39 1.3 30 55.8 .93 60 18.9 .63 30 2.52 .42 6 3.84 .64 6 400 400 1 .37 .37 1 14.85 .99 15 18.9 .63 30 55.8 .93 60 156 1.3 120 400 400 1 Total: 1165.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405183 Min 01405183 Appmt Dt Slno Description 09-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 09-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 09-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 542 of 6486
Name
S K BHATTACHARJEE Qty Rate Amount 30 .25 7.5 45 .6 27 60 .93 55.8 1 400 400 Total: 490.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405189 Min 01405189 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 543 of 6486
Name
VIJAY KANT BHATT Rate Amount Qty 60.9 2.03 30 24 .4 60 18 .6 30 78 1.3 60 12 .4 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 621.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405196 Min 01405196 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 544 of 6486
Name
MADHAVI Rate Amount Qty 23.7 .79 30 8.1 .27 30 72.6 1.21 60 29.7 .99 30 21.3 .71 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 758.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405198 Min 01405198 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 21-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 6 21-FEB-19 URIC ACID (UA /URATES /UR) 7 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 21-FEB-19
Page 545 of 6486
Name
KARTAR KUAR Rate Amount Qty 8.9 .89 10 2.5 .25 10 20.84 5.21 4 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 26 2.6 10 275 275 1 Total: 3408.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405200 Min 01405200 Appmt Dt Slno Description 11-FEB-19 1 TENELIGLIPTIN,20MG,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 546 of 6486
Name
B SATYAVATI Qty Rate Amount 30 5.58 167.4 1 400 400 567.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405204 Min 01405204 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 547 of 6486
Name
G N YOGI Rate Amount Qty 55.8 .93 60 4.8 .16 30 32.4 1.08 30 21.3 .71 30 27.9 .93 30 26.7 .89 30 72.6 1.21 60 78 1.3 60 12 .4 30 400 400 1 Total: 731.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405209 Min 01405209 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 548 of 6486
Name
SUMITRA ROYCHOUDHARY Rate Amount Qty 21.3 .71 30 12 .4 30 26.7 .89 30 1.6 .16 10 72.6 1.21 60 16.2 .27 60 55.8 .93 60 18 .6 30 400 400 1 Total: 624.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405219 Min 01405219 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 549 of 6486
Name
SMITA V GADKAR Rate Amount Qty 36 .6 60 55.8 .93 60 117 1.3 90 29.7 .99 30 76.5 2.55 30 21.3 .71 30 22.2 .37 60 400 400 1 Total: 758.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405245 Min 01405245 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 15-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 550 of 6486
Name
PHOOL TARA DEVI Rate Amount Qty 8.1 .27 30 18 .6 30 161.1 5.37 30 27.9 .93 30 3.2 .16 20 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 672
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405248 Min 01405248 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 551 of 6486
Name
B L RINAHITE Rate Amount Qty 26.7 .89 30 12 .4 30 34.8 1.16 30 23.7 .79 30 16.5 1.1 15 400 400 1 Total: 513.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405249 Min 01405249 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 552 of 6486
Name
INDIRA RINAHITE Rate Amount Qty 15.6 .26 60 26.7 .89 30 7.5 .25 30 12 .4 30 66 1.1 60 400 400 1 Total: 527.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405250 Min 01405250 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 16-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 3 16-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 4 16-FEB-19 PHENYTOIN,50MG/ML,2ML AMP,INJECTION 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 17-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 17-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 17-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 17-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 17-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 17-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 16 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 553 of 6486
Name
K R SAHU Rate Amount Qty 420 420 1 24.52 24.52 1 35.52 35.52 1 9.81 9.81 1 8.1 8.1 1 46.4 1.16 40 8 .4 20 22 1.1 20 7.9 .79 10 61.4 6.14 10 35.6 .89 40 66.2 6.62 10 400 400 1 1750 1750 1 400 400 1 11.85 .79 15 12.6 .9 14 400 400 1 Total: 3719.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405252 Min 01405252 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 4 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 554 of 6486
Name
K A SIDDIQUI Rate Amount Qty 26.7 .89 30 184.2 6.14 30 400 400 1 1.3 .26 5 123.53 123.53 1 400 400 1 Total: 1135.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405253 Min 01405253 Slno Description Appmt Dt CLOMIPRAMINE,25MG,TABLET 1 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 8 26-FEB-19 SERUM AMMONIA (NH3) 9 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 26-FEB-19 ALKALINE PHOSPHATASE (ALP) 11 26-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 12 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 13 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 26-FEB-19 PLATELET COUNT 15 26-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 16 26-FEB-19 HB,TLC,DLC 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 26-FEB-19
Page 555 of 6486
Name
AAQLA BEGAM Rate Amount Qty 85.6 2.14 40 6.4 .16 40 400 400 1 36.84 6.14 6 5.34 .89 6 39.72 6.62 6 400 400 1 1750 1750 1 500 500 1 1300 1300 1 275 275 1 1500 1500 1 1300 1300 1 275 275 1 330 330 1 330 330 1 300 300 1 400 400 1 Total: 9233.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405256 Min 01405256 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 8 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 556 of 6486
Name
D DAS Rate Amount Qty 21.3 .71 30 13.95 .93 15 36 .6 60 7.8 .26 30 12 .4 30 60.9 2.03 30 185.7 6.19 30 15.3 .51 30 4.27 192.15 45 7.5 .25 30 400 400 1 Total: 952.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405257 Min 01405257 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 557 of 6486
Name
GOURI RANI DAS Rate Amount Qty 3.9 .26 15 185.7 6.19 30 1.6 .16 10 9 .6 15 32.4 1.08 30 21.3 .71 30 20.06 20.06 1 9 .3 30 400 400 1 Total: 682.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405262 Min 01405262 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 558 of 6486
Name
N V S SARMA Rate Amount Qty 7.5 .25 30 8.1 .27 30 18 .6 30 26.7 .89 30 185.7 6.19 30 39 1.3 30 400 400 1 Total: 685
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405263 Min 01405263 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 01-FEB-19 X - RAY - TWO VIEWS 10 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 15 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 25-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 19 25-FEB-19
Page 559 of 6486
Name
N JAYASRI Rate Amount Qty 3.96 .99 4 185.7 6.19 30 9.6 .64 15 7.5 .25 30 10.8 .36 30 36 .6 60 29.7 .99 30 27.9 .93 30 6.9 .23 30 1720 860 2 400 400 1 2.5 .25 10 6.4 .64 10 400 400 1 13.8 .23 60 55.8 .93 60 400 400 1 400 400 1 1750 1750 1 Total: 5466.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405277 Min 01405277 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 21-FEB-19 SOLIFENACIN,5MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 22-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 16 22-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 17 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 22-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 19 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 22 22-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 23 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 24 22-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 25 22-FEB-19
Page 560 of 6486
Name
SHAMBHU NATH DUTTA Rate Amount Qty 63.58 63.58 1 4.8 .6 8 1.28 .64 2 44.16 1.84 24 19.72 9.86 2 400 400 1 60.9 2.03 30 192.3 6.41 30 403.2 13.44 30 400 400 1 9.9 .66 15 41.1 1.37 30 18.6 .62 30 76.5 2.55 30 7.5 .25 30 1750 1750 1 1610 1610 1 400 400 1 69.05 69.05 1 4.8 .16 30 54 .9 60 20.1 .67 30 79.2 .66 120 156.6 1.74 90 100.71 100.71 1 Total: 5988
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405297 Min 01405297 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 18-FEB-19 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 4 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 18-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 6 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 18-FEB-19 PRAZOSIN,2.5MG,TABLET 8 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 561 of 6486
Name
J SYAMALA Rate Amount Qty 27.9 .62 45 400 400 1 21.3 .71 30 98.1 3.27 30 21.3 .71 30 189 2.1 90 27.9 .62 45 39 1.3 30 7.5 .25 30 400 400 1 Total: 1232
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405302 Min 01405302 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 562 of 6486
Name
AJIT KUMAR DEY Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405324 Min 01405324 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 563 of 6486
Name
M L DEY Rate Amount Qty 6.9 .23 30 13.95 .93 15 5.21 5.21 1 37.8 .63 60 60.9 2.03 30 400 400 1 Total: 524.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405334 Min 01405334 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 564 of 6486
Name
RADHESHYAM DEWANGAN Rate Amount Qty 26.7 .89 30 2.4 .16 15 118.5 3.95 30 87.92 43.96 2 34.8 1.16 30 12 .4 30 32.4 1.08 30 18 .6 30 15.6 .26 60 400 400 1 Total: 748.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405335 Min 01405335 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 565 of 6486
Name
RAMKALI DEWANGAN Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405339 Min 01405339 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 566 of 6486
Name
SUSHIL SEHRA Rate Amount Qty 36 .6 60 9 .3 30 26.7 .89 30 1.85 .37 5 12 .4 30 7.8 .26 30 27.9 .93 30 400 400 1 18 .6 30 7.8 .26 30 12 .4 30 9 .3 30 26.7 .89 30 27.9 .93 30 69.6 1.16 60 400 400 1 Total: 1092.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405359 Min 01405359 Slno Description Appmt Dt SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 1 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 567 of 6486
J S CHATTREE Rate Amount Qty 58 29 2 50.14 25.07 2 400 400 1 23.7 .79 30 39 1.3 30 53.4 .89 60 12 .4 30 34.8 1.16 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 1139.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405362 Min 01405362 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 03-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 03-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 X - RAY - SINGLE VIEW 12 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 16 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19
Page 568 of 6486
Name
R N VIDYARTHI Rate Amount Qty 6.4 .64 10 1.25 .25 5 4.45 .89 5 400 400 1 34.8 1.16 30 60.9 2.03 30 18.9 .63 30 8.1 .27 30 32.4 1.08 30 7.8 .26 30 400 400 1 550 550 1 66.2 6.62 10 400 400 1 4.45 .89 5 12.15 12.15 1 1.85 .37 5 4.45 .89 5 1.25 .25 5 4.5 .9 5 400 400 1 Total: 2419.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405376 Min 01405376 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 569 of 6486
Name
THANKAMMA JOHN Rate Amount Qty 27.9 .93 30 39 1.3 30 21.3 .71 30 8.1 .27 30 400 400 1 Total: 496.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405382 Min 01405382 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 570 of 6486
Name
K V RADHAMMA Rate Amount Qty 2.28 .38 6 1.85 .37 5 27.9 .93 30 21.3 .71 30 36.3 1.21 30 21.6 .36 60 8.1 .27 30 3.84 .64 6 3.75 .25 15 13.35 .89 15 7.65 .51 15 400 400 1 Total: 547.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405384 Min 01405384 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 11-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 16-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 17 16-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 18 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 16-FEB-19
Page 571 of 6486
Name
SANTOSH KUMAR JAIN Rate Amount Qty 192.3 6.41 30 26.7 .89 30 60.9 2.03 30 32.4 1.08 30 33 1.1 30 27.9 .93 30 15.6 .26 60 157.8 2.63 60 400 400 1 60.9 2.03 30 34.8 1.16 30 33 1.1 30 27.9 .93 30 26.7 .89 30 15.6 .26 60 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 400 400 1 Total: 1599.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405385 Min 01405385 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 24-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 24-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 24-FEB-19
Page 572 of 6486
Name
NIRMALA JAIN Rate Amount Qty 53.4 .89 60 156.6 1.74 90 39.6 .66 60 16.2 .18 90 66.2 6.62 10 26.6 2.66 10 18.76 .67 28 400 400 1 6.4 .64 10 19.43 .67 29 400 400 1 12.6 .9 14 66.2 6.62 10 16.75 .67 25 400 400 1 Total: 1698.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405392 Min 01405392 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 07-FEB-19 UREA (BUN /UR) 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 08-FEB-19 CREATININE /CRT 7 08-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 8 08-FEB-19 COMPLETE HAEMOGRAM 9 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 15 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 20-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 22 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 23 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 24 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 25 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 28 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 29 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 30 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 31 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 20-FEB-19
Page 573 of 6486
Name
BABAN UPADHYAY Rate Amount Qty 275 275 1 400 400 1 275 275 1 275 275 1 400 400 1 550 550 1 275 275 1 275 275 1 750 750 1 8.9 .89 10 8.9 .89 10 275 275 1 275 275 1 20.06 20.06 1 16.2 .18 90 54 .9 60 400 400 1 192.3 6.41 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 123.6 4.12 30 111.6 5.58 20 87.92 43.96 2 7.6 .38 20 5 .25 20 17.8 .89 20 23.1 .77 30 7.5 .25 30 60.9 2.03 30 18.6 .93 20 400 400 1 Total: 5698.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405397 Min 01405397 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 574 of 6486
Name
J K GANPAT Rate Amount Qty 185.7 6.19 30 34.8 1.16 30 32.4 1.08 30 54 .6 90 10.8 .36 30 12 .4 30 27.9 .93 30 400 400 1 Total: 757.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405398 Min 01405398 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 575 of 6486
Name
DEEPAK KUMAR SAHU Rate Amount Qty 72.6 1.21 60 26.7 .89 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 16.2 .27 60 14.85 .99 15 27.9 .93 30 400 400 1 Total: 637.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405399 Min 01405399 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 15 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 16 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 17 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 25-FEB-19 CREATININE /CRT 22 25-FEB-19 URIC ACID (UA /URATES /UR) 23 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 24 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 25 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 27 25-FEB-19
Page 576 of 6486
Name
VINITA SAHU Rate Amount Qty 27.9 .93 30 12 .4 30 32.4 1.08 30 11.4 .38 30 7.5 .25 30 7.65 .51 15 66 1.1 60 34.8 1.16 30 40.12 20.06 2 371.4 6.19 60 400 400 1 32.4 1.08 30 7.65 .51 15 7.5 .25 30 11.4 .38 30 371.4 6.19 60 40.12 20.06 2 26.7 .89 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 12 .4 30 27.9 .93 30 66 1.1 60 Total: 4414.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405403 Min 01405403 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 577 of 6486
Name
HARINARAYAN SINGH CHAUHAN Rate Amount Qty 23.7 .79 30 371.4 6.19 60 21.3 .71 30 12 .4 30 55.2 .92 60 36 .6 60 400 400 1 Total: 919.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405404 Min 01405404 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 578 of 6486
Name
SUMAN Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 47.4 .79 60 12 .4 30 400 400 1 Total: 526.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405411 Min 01405411 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 579 of 6486
Name
PARASNATH SHRIVASTAVA Rate Amount Qty 76.5 2.55 30 55.8 .93 60 1.6 .16 10 60.9 2.03 30 400 400 1 Total: 594.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405420 Min 01405420 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 05-FEB-19 PRAZOSIN,2.5MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 580 of 6486
Name
N C SARKAR, Rate Amount Qty 7.5 .25 30 21.3 .71 30 12 .4 30 17.4 .58 30 105.9 3.53 30 39 1.3 30 400 400 1 Total: 603.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405421 Min 01405421 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 581 of 6486
Name
BAKUL SARKAR Rate Amount Qty 12 .4 30 21.3 .71 30 27.9 .93 30 123.53 123.53 1 7.5 .25 30 17.4 .58 30 12.3 .41 30 13.35 .89 15 400 400 1 Total: 635.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405424 Min 01405424 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 582 of 6486
Name
MAHAVIR THAKUR Rate Amount Qty 66 1.1 60 30.6 .34 90 6.9 .23 30 32.4 1.08 30 400 400 1 Total: 535.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405425 Min 01405425 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 583 of 6486
Name
KAMALA THAKUR Rate Amount Qty 7.5 .25 30 27.9 .93 30 26.7 .89 30 41.1 1.37 30 400 400 1 Total: 503.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405428 Min 01405428 Appmt Dt Slno Description 18-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 18-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 584 of 6486
Name
KOMALAVALLY AMMA Qty Rate Amount 6 .64 3.84 4 .89 3.56 18 1.84 33.12 1 400 400 Total: 440.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405432 Min 01405432 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 08-FEB-19 SOLIFENACIN,5MG,,TABLET 5 08-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 08-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 08-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 585 of 6486
Name
N K DASAN Rate Amount Qty 7.5 .25 30 8.1 .27 30 23.7 .79 30 15.3 .51 30 403.2 13.44 30 11.4 .38 30 60.9 2.03 30 23.1 .77 30 256.2 4.27 60 400 400 1 Total: 1209.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405465 Min 01405465 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 11-FEB-19 CREATININE /CRT 16 11-FEB-19 URIC ACID (UA /URATES /UR) 17 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 11-FEB-19
Page 586 of 6486
Name
P S SINHA Rate Amount Qty 21.6 .36 60 1.85 .37 5 18 .6 30 66.2 6.62 10 18.9 .63 30 31.2 1.04 30 7.5 .25 30 60.9 2.03 30 66 1.1 60 21.3 .71 30 32.4 1.08 30 23.7 .79 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3169.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405466 Min 01405466 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 587 of 6486
Name
CHAMPA BAI SINHA Rate Amount Qty 1.48 .37 4 55.2 .92 60 32.4 1.08 30 7.5 .25 30 18 .6 30 21.3 .71 30 76.5 2.55 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 697.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405469 Min 01405469 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 10 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19
Page 588 of 6486
Name
K K INDIRA Rate Amount Qty 4.1 .41 10 6.4 .64 10 2.5 .25 10 62.4 1.04 60 18.9 .63 30 21.3 .71 30 32.4 1.08 30 30.6 .34 90 55.8 .93 60 18.6 .62 30 55.2 1.84 30 16.2 .27 60 317.7 3.53 90 400 400 1 Total: 1042.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405479 Min 01405479 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 589 of 6486
Name
D R SAHU Rate Amount Qty 55.8 .93 60 9 .3 30 117 1.3 90 34.8 1.16 30 8.1 .27 30 32.4 1.08 30 400 400 1 Total: 657.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405480 Min 01405480 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 590 of 6486
Name
URIMILA SAHU Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405483 Min 01405483 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 22 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 28-FEB-19 ECG 24 28-FEB-19
Page 591 of 6486
Name
K L SHRIVASTAVA Rate Amount Qty 12.6 .63 20 6.4 .64 10 247.6 6.19 40 400 400 1 7.5 .25 30 21.3 .71 30 32.4 1.08 30 36 .6 60 27.9 .93 30 21.3 .71 30 33 1.1 30 400 400 1 12.6 .63 20 247.6 6.19 40 6.4 .64 10 400 400 1 27.9 .93 30 36 .6 60 7.5 .25 30 33 1.1 30 32.4 1.08 30 34.8 1.16 30 400 400 1 450 450 1 Total: 2934.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405484 Min 01405484 Slno Description Appmt Dt CLOBAZAM,STRIP PKT,10MG,TABLET 1 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 9 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 21-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 13 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 28-FEB-19 ECG 16 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 19 28-FEB-19
Page 592 of 6486
Name
NEENA SHRIVASTAVA Rate Amount Qty 73.35 4.89 15 20.84 5.21 4 26 2.6 10 400 400 1 66 1.1 60 9.9 .66 15 13.8 .23 60 400 400 1 1170 1170 1 4.1 .41 10 46.8 2.34 20 400 400 1 20.84 5.21 4 19.8 .66 30 14.85 .99 15 450 450 1 400 400 1 66 1.1 60 13.8 .23 60 Total: 3616.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405491 Min 01405491 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 26-FEB-19 KETOTIFEN,1MG,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 26-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 593 of 6486
Name
ASHOK VAIDYA Rate Amount Qty 14.85 .99 15 20.84 5.21 4 7.5 .25 30 36 .6 60 66.2 6.62 10 22.8 1.52 15 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 Total: 665.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405492 Min 01405492 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 594 of 6486
Name
NALINI ASHOK VAIDYA Rate Amount Qty 21.3 .71 30 34.8 1.16 30 7.5 .25 30 66 1.1 60 78 1.3 60 54 .6 90 12 .4 30 32.4 1.08 30 13.8 .23 60 31.2 1.04 30 55.8 .93 60 400 400 1 Total: 806.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405497 Min 01405497 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 595 of 6486
Name
PIARA SINGH Rate Amount Qty 2.4 .16 15 12 .4 30 32.4 1.08 30 34.8 1.16 30 47.4 .79 60 33 1.1 30 26.7 .89 30 30.6 .34 90 36 .6 60 400 400 1 35.2 3.52 10 16.8 1.12 15 400 400 1 Total: 1107.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405498 Min 01405498 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 596 of 6486
Name
AMARJEET KAUR Rate Amount Qty 8.9 .89 10 6.9 .23 30 33 1.1 30 17.4 1.16 15 3.75 .25 15 8.1 .27 30 400 400 1 Total: 478.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405509 Min 01405509 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 597 of 6486
Name
K P SWARNKAR Rate Amount Qty 23.7 .79 30 34.8 1.16 30 32.4 1.08 30 15.6 .26 60 400 400 1 17.6 17.6 1 41.06 41.06 1 400 400 1 Total: 965.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405570 Min 01405570 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 598 of 6486
Name
KARRI LAKSHMINARAYANA Rate Amount Qty 32.4 1.08 30 12 .4 30 15.6 .26 60 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 896.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405587 Min 01405587 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 07-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 07-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 07-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 599 of 6486
RAMDEO SINGH Rate Amount Qty 15 .25 60 25.07 25.07 1 11.4 .38 30 22.5 .75 30 7.8 .26 30 13.43 13.43 1 12.81 12.81 1 400 400 1 Total: 508.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405588 Min 01405588 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 07-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 6 07-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 600 of 6486
Name
GITA DEVI Rate Amount Qty 22.5 .75 30 11.4 .38 30 15 .25 60 6.82 6.82 1 12.6 .42 30 7.8 .26 30 74.08 37.04 2 25.62 12.81 2 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 632.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405604 Min 01405604 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 601 of 6486
Name
BADRILAL DASHORE Rate Amount Qty 72.6 1.21 60 55.8 .93 60 20.06 20.06 1 185.7 6.19 30 21.3 .71 30 32.4 1.08 30 4.8 .16 30 26.7 .89 30 400 400 1 Total: 819.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405605 Min 01405605 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 602 of 6486
Name
LAXMI BAI DASHORE Rate Amount Qty 14.85 .99 15 12 .4 30 66 1.1 60 30.6 .34 90 36 .6 60 9 .3 30 21.3 .71 30 400 400 1 Total: 589.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405607 Min 01405607 Appmt Dt Slno Description 07-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 2 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 07-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 603 of 6486
Name
SUSHILA SAKURE Qty Rate Amount 6 .64 3.84 6 1.12 6.72 18 1.84 33.12 1 400 400 Total: 443.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405612 Min 01405612 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 604 of 6486
Name
JAGDISH PRASAD GUPTA Rate Amount Qty 33 1.1 30 11.4 .38 30 7.5 .25 30 21.3 .71 30 32.4 1.08 30 60.9 2.03 30 400 400 1 Total: 566.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405613 Min 01405613 Appmt Dt Slno Description 04-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 04-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 605 of 6486
Name
LATA GUPTA Qty Rate Amount 10 .64 6.4 30 .89 26.7 30 .25 7.5 1 400 400 Total: 440.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405639 Min 01405639 Appmt Dt Slno Description 07-FEB-19 1 ASCORBIC ACID,STRIP PKT,100MG,TABLET 07-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 606 of 6486
Name
SHEEKHA DUTTA Qty 6 6 5 1
Rate Amount .38 2.28 .64 3.84 .37 1.85 400 400 Total: 407.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405640 Min 01405640 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 13-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 3 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 13-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 607 of 6486
Name
R S PALIWAL Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 157.8 2.63 60 32.4 1.08 30 12 .4 30 30.6 .34 90 8.1 .27 30 15.6 1.04 15 400 400 1 26.55 26.55 1 400 400 1 Total: 1178.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405641 Min 01405641 Appmt Dt Slno Description 13-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 608 of 6486
Name
SEVANTI BAI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405654 Min 01405654 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 07-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 12-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 18 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 21 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 23 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 25 18-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 26 18-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 27 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 29 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 31 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 32 23-FEB-19 RIFAXIMIN 200 MG,,TABLET 33 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 23-FEB-19
Page 609 of 6486
Name
P P SHARMA Rate Amount Qty 18 .6 30 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 6.4 .64 10 8.1 .27 30 27.9 .93 30 167.4 5.58 30 12 .4 30 400 400 1 35.2 3.52 10 6.4 .64 10 41.06 41.06 1 400 400 1 6.4 .64 10 400 400 1 13.95 .93 15 7.5 .25 30 13.35 .89 15 18 .6 30 17.4 1.16 15 4.05 .27 15 16.2 1.08 15 400 400 1 6.4 .64 10 9.86 9.86 1 45.44 45.44 1 400 400 1 3.2 .64 5 8.9 .89 10 20.06 20.06 1 .8 .16 5 93.3 9.33 10 400 400 1 Total: 3081.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405656 Min 01405656 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 02-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 4 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 13 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 610 of 6486
Name
G C DUTTA Rate Amount Qty 13.49 13.49 1 6.82 6.82 1 400 400 1 13.49 13.49 1 6.82 6.82 1 3.7 .37 10 400 400 1 8.1 .27 30 18.6 .62 30 60.9 2.03 30 26.7 .89 30 400 400 1 13.49 13.49 1 6.82 6.82 1 400 400 1 Total: 1778.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405657 Min 01405657 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 11-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 12 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 13 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19
Page 611 of 6486
Name
ANIMA RANI DUTTA Rate Amount Qty 8.9 .89 10 2.5 .25 10 1.25 .25 5 43.96 43.96 1 66.2 6.62 10 6.4 .64 10 400 400 1 123.53 247.06 2 34.8 1.16 30 23.7 .79 30 15.3 .51 30 23.6 1.18 20 27.6 .92 30 76.5 2.55 30 400 400 1 Total: 1377.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405698 Min 01405698 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 612 of 6486
Name
R C MURKUTE Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 1.48 .37 4 400 400 1 8.9 .89 10 27.9 .93 30 21.3 .71 30 16.2 .27 60 33 1.1 30 14.85 .99 15 400 400 1 Total: 1576.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405699 Min 01405699 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 613 of 6486
Name
KANTA MURKUTE Rate Amount Qty 78 1.3 60 76.5 2.55 30 14.85 .99 15 17.4 .58 30 36 .6 60 167.4 5.58 30 37.8 .63 60 34.8 1.16 30 12 .4 30 400 400 1 Total: 874.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405709 Min 01405709 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 614 of 6486
Name
H C GULATI Rate Amount Qty 275 275 1 275 275 1 400 400 1 1.64 .41 4 1.78 .89 2 7.5 .25 30 10.42 5.21 2 4.8 .16 30 12 .4 30 13.95 .93 15 18 .6 30 10.8 .36 30 400 400 1 Total: 1430.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405736 Min 01405736 Slno Description Appmt Dt CARBAMAZEPINE,STRIP PKT,200MG,TABLET 1 07-FEB-19 CLOZAPINE,100MG,TABLET 2 07-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 07-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 615 of 6486
Name
RAM PRATAP SINGH Rate Amount Qty 132.3 1.47 90 161.1 5.37 30 15.3 .51 30 39.6 2.64 15 .75 .25 3 400 400 1 Total: 749.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405762 Min 01405762 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 616 of 6486
Name
KEWAL CHAND LUNAWAT Rate Amount Qty 72.6 1.21 60 36 .6 60 12 .4 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 556.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405776 Min 01405776 Slno Description Appmt Dt CREATININE /CRT 1 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 UREA (BUN /UR) 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 21-FEB-19 BLOOD FOR CARDIAC ENZYMES (CK /CK-MB /LD 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 21-FEB-19 UREA (BUN /UR) 14 21-FEB-19 CREATININE /CRT 15 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 21-FEB-19
Page 617 of 6486
Name
S R VARMA Rate Amount Qty 275 275 1 400 400 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 36 .6 60 55.2 .92 60 33 1.1 30 23.7 .79 30 1600 1600 1 400 400 1 275 275 1 275 275 1 275 275 1 14.85 .99 15 Total: 4509.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405787 Min 01405787 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 12-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 618 of 6486
Name
N C DUTTA Rate Amount Qty 192.3 6.41 30 12 .4 30 7.5 .25 30 13.95 .93 15 21.3 .71 30 43.2 1.44 30 7.65 .51 15 34.8 1.16 30 400 400 1 Total: 732.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405796 Min 01405796 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19
Page 619 of 6486
Name
SULOCHANA JAIN Rate Amount Qty 13.95 .93 15 12 .4 30 21.3 .71 30 36 .6 60 7.5 .25 30 167.4 5.58 30 21.6 .36 60 400 400 1 275 275 1 275 275 1 400 400 1 13.95 .93 15 167.4 5.58 30 18 .6 30 400 400 1 Total: 2229.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405801 Min 01405801 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 PRAZOSIN,2.5MG,TABLET 7 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 07-FEB-19 PRAZOSIN,2.5MG,TABLET 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 620 of 6486
Name
P R ARUMUGHAN Rate Amount Qty 400 400 1 1750 1750 1 12 .4 30 34.8 1.16 30 27.9 .93 30 16.2 .27 60 117 1.3 90 153 2.55 60 39 1.3 30 53.4 .89 60 400 400 1 Total: 3003.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405802 Min 01405802 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 621 of 6486
Name
T A NIRMALA Rate Amount Qty 21.3 .71 30 11.4 .38 30 55.8 .93 60 22.2 .37 60 167.4 5.58 30 72 .6 120 21.6 .36 60 400 400 1 Total: 771.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405807 Min 01405807 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 622 of 6486
Name
MAHENDRA SINGH YADAV Rate Amount Qty 34.8 1.16 30 12 .4 30 6.9 .23 30 8.1 .27 30 36.3 1.21 30 55.8 .93 60 400 400 1 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405832 Min 01405832 Appmt Dt Slno Description 12-FEB-19 1 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 12-FEB-19 2 NITRAZEPAM,10MG,TABLE,STRIP PACK. 12-FEB-19 3 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 623 of 6486
Name
KUSUM SUNDARY BAJPAI Qty Rate Amount 30 2.45 73.5 30 2.64 79.2 60 .82 49.2 1 400 400 Total: 601.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405836 Min 01405836 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 25-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 2 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 5 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 624 of 6486
J SAIKUMARI Rate Amount Qty 96.44 48.22 2 6.99 2.33 3 3.7 .37 10 26.7 .89 30 48.76 12.19 4 18.6 .62 30 20.84 5.21 4 400 400 1 Total: 622.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405838 Min 01405838 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 3 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 625 of 6486
Name
B R SWARNKAR Qty Rate Amount 30 .93 27.9 30 .25 7.5 1 37.04 37.04 1 400 400 Total: 472.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405848 Min 01405848 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 626 of 6486
Name
JAGADIS CHANDRA RAY Rate Amount Qty 21.3 .71 30 60.9 2.03 30 27.9 .93 30 32.4 1.08 30 12 .4 30 9 .6 15 400 400 1 Total: 563.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405849 Min 01405849 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 627 of 6486
Name
KARABI RAY Rate Amount Qty 7.5 .25 30 21.3 .71 30 33 1.1 30 27.9 .93 30 12 .4 30 400 400 1 Total: 501.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405852 Min 01405852 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 21-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 628 of 6486
PRAKASH BHARTIYA Rate Amount Qty 60.9 2.03 30 400 400 1 192.3 6.41 30 20.06 20.06 1 43.96 131.88 3 60.9 2.03 30 400 400 1 25.07 25.07 1 6.82 6.82 1 60.9 2.03 30 400 400 1 Total: 1758.83
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405853 Min 01405853 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 04-FEB-19 UREA (BUN /UR) 6 04-FEB-19 CREATININE /CRT 7 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 25-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 629 of 6486
SAROJ BHARTIYA Rate Amount Qty 16.2 .27 60 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 25.07 25.07 1 19.77 19.77 1 400 400 1 Total: 3261.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405857 Min 01405857 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 630 of 6486
Name
P V BHAVANI Rate Amount Qty 17.6 17.6 1 7.4 .37 20 400 400 1 Total: 425
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405863 Min 01405863 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 631 of 6486
Name
KUNJUMOL Rate Amount Qty 7.5 .25 30 29.7 .99 30 21.3 .71 30 32.4 1.08 30 12 .4 30 22.2 .37 60 400 400 1 Total: 525.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405864 Min 01405864 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 02-FEB-19 IVABRADINE,5MG,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 IVABRADINE,5MG,,TABLET 7 19-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 21-FEB-19 CREATININE /CRT 16 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 21-FEB-19
Page 632 of 6486
Name
R K JAIN Rate Amount Qty 26.7 .89 30 34.8 1.16 30 12 .4 30 43.2 1.44 30 597 9.95 60 400 400 1 597 9.95 60 86.4 1.44 60 12 .4 30 34.8 1.16 30 26.7 .89 30 400 400 1 6.4 .64 10 4.1 .41 10 400 400 1 275 275 1 275 275 1 275 275 1 4.45 .89 5 55.2 1.84 30 Total: 3565.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405872 Min 01405872 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 633 of 6486
Name
P SITARAMAIAH Rate Amount Qty 6.4 .64 10 37.8 .63 60 400 400 1 Total: 444.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405880 Min 01405880 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 RACECADOTRIL,100MG,CAPSULE 9 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 22-FEB-19 RIFAXIMIN 200 MG,,TABLET 11 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 634 of 6486
Name
V ANAND KUMAR NAIDU Rate Amount Qty 7.5 .25 30 368.4 6.14 60 26.7 .89 30 167.4 5.58 30 36 .6 60 27.9 .93 30 21.6 .36 60 400 400 1 53.73 5.97 9 10.08 1.12 9 83.97 9.33 9 39.72 6.62 6 400 400 1 Total: 1643
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405884 Min 01405884 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 635 of 6486
Name
OM PRAKASH DHARNI Rate Amount Qty 18.9 .63 30 60.9 2.03 30 7.5 .25 30 12 .4 30 13.48 3.37 4 47.4 .79 60 72.6 1.21 60 34.8 1.16 30 400 400 1 Total: 667.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405900 Min 01405900 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 07-FEB-19 PLATELET COUNT 9 07-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19
Page 636 of 6486
UDAI VIR SINGH CHAUHAN Rate Amount Qty 6.9 .23 30 8.1 .27 30 6.4 .64 10 21.3 .71 30 400 400 1 50.14 25.07 2 1750 1750 1 1300 1300 1 330 330 1 380 380 1 400 400 1 Total: 4652.84
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405901 Min 01405901 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 8 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 637 of 6486
SHASHI PRABHA Rate Amount Qty 12.6 .42 30 7.5 .25 30 21.3 .71 30 15.6 1.04 15 76.5 2.55 30 31.95 .71 45 400 400 1 156.51 313.02 2 50.14 25.07 2 400 400 1 Total: 1328.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405910 Min 01405910 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 10 19-FEB-19 CONSULTATION IN HEALTH CENTRE 11 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 19-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 15 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 16 19-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 17 19-FEB-19 ECG 18 19-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 19 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 21 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 19-FEB-19
Page 638 of 6486
Name
JYOTISH CHANDRA SINHA Rate Amount Qty 3.2 .64 5 66.2 6.62 10 6.23 .89 7 18.76 .67 28 400 400 1 12.46 .89 14 1.75 .25 7 52.2 1.74 30 400 400 1 25.54 25.54 1 400 400 1 12.6 .9 14 12.46 .89 14 18.76 .67 28 19.8 .66 30 24.52 24.52 1 100 100 1 450 450 1 9.62 9.62 1 1.75 .25 7 4.06 .58 7 400 400 1 Total: 2439.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405911 Min 01405911 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 639 of 6486
Name
MANDIRA SINHA Rate Amount Qty 2.28 .38 6 72.6 1.21 60 16.2 .27 60 14.85 .99 15 21.3 .71 30 2.22 .37 6 400 400 1 Total: 529.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405915 Min 01405915 Appmt Dt Slno Description 19-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 640 of 6486
Name
KAMALA DEVI Qty Rate Amount 30 .93 27.9 30 .71 21.3 30 .27 8.1 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405918 Min 01405918 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 641 of 6486
Name
RANENDRA CHANDRA BAGCHI Rate Amount Qty 2.4 .16 15 26.7 .89 30 60.9 2.03 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 575.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405919 Min 01405919 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 642 of 6486
Name
BAKUL BAGCHI Rate Amount Qty 7.5 .25 30 11.4 .38 30 27.9 .93 30 21.3 .71 30 32.4 1.08 30 21.3 .71 30 20.06 20.06 1 26.7 .89 30 400 400 1 Total: 568.56
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405924 Min 01405924 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 BRIMONIDINE TARTRATE,0.15% 2 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19
Page 643 of 6486
NARSINGH RAJPOOT Rate Amount Qty 4.8 .16 30 148.9 74.45 2 50.14 25.07 2 72.6 1.21 60 55.8 .93 60 34.8 1.16 30 29.7 .99 30 30.6 .34 90 32.4 1.08 30 12 .4 30 400 400 1 Total: 871.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405936 Min 01405936 Appmt Dt Slno Description 15-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 15-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 644 of 6486
Name
RAMENDRA KUMAR SOM Qty Rate Amount 4 5.21 20.84 30 6.19 185.7 20 .64 12.8 1 400 400 Total: 619.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405937 Min 01405937 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 645 of 6486
Name
SMRITI REKHA SOM Rate Amount Qty 7.5 .25 30 55.8 .93 60 8.1 .27 30 72.6 1.21 60 400 400 1 Total: 544
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405943 Min 01405943 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 646 of 6486
C K BALAN Rate Amount Qty 211.8 3.53 60 31.2 1.04 30 60.9 2.03 30 55.8 .93 60 30.6 .34 90 12 .4 30 34.8 1.16 30 36.3 1.21 30 400 400 1 54 .9 60 96.44 48.22 2 400 400 1 Total: 1423.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405951 Min 01405951 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 647 of 6486
Name
K V KURUVILLA Rate Amount Qty 32.4 1.08 30 27.9 .93 30 33 1.1 30 2.4 .16 15 21.3 .71 30 23.1 .77 30 400 400 1 Total: 540.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01405960 Min 01405960 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 648 of 6486
KHERUNNISHA Rate Amount Qty 23.7 .79 30 21.3 .71 30 185.7 6.19 30 25.07 25.07 1 400 400 1 Total: 655.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405969 Min 01405969 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 649 of 6486
Name
SHAMLAL Rate Amount Qty 32.4 .36 90 7.5 .25 30 54 .6 90 39 1.3 30 55.8 .93 60 8.1 .27 30 17.4 1.16 15 400 400 1 Total: 614.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405980 Min 01405980 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 650 of 6486
Name
SURINDER JIT KAUR Rate Amount Qty 22.2 .37 60 27.9 .93 30 38.25 2.55 15 10.65 .71 15 400 400 1 Total: 499
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405982 Min 01405982 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 11-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 651 of 6486
Name
Y JOSEPH Rate Amount Qty 7.5 .25 30 14.85 .99 15 6.4 .64 10 185.7 6.19 30 150.9 5.03 30 21.3 .71 30 55.8 .93 60 54 .6 90 400 400 1 Total: 896.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405983 Min 01405983 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 11-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 9 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 17 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 13-FEB-19
Page 652 of 6486
Name
Y KANTI Rate Amount Qty 12.3 .41 30 2.4 .16 15 7.5 .25 30 26.7 .89 30 8.1 .27 30 72.6 1.21 60 55.8 .93 60 20.84 5.21 4 150.9 5.03 30 185.7 6.19 30 26.7 .89 30 6.4 .64 10 400 400 1 26.7 .89 30 12.15 12.15 1 54 .9 60 16.2 .18 90 3.7 .37 10 7.5 .25 30 400 400 1 Total: 1496.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405993 Min 01405993 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 653 of 6486
Name
K P NAIR Rate Amount Qty 34.8 1.16 30 12 .4 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 515.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01405994 Min 01405994 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 16-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 654 of 6486
Name
SYAMALA Rate Amount Qty 99 1.1 90 22.2 .37 60 21.6 .36 60 10.65 .71 15 400 400 1 Total: 553.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406007 Min 01406007 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 655 of 6486
Name
T P C GUPTA Rate Amount Qty 24 .4 60 21.3 .71 30 23.7 .79 30 7.5 .25 30 72 .6 120 167.4 5.58 30 78 1.3 60 400 400 1 Total: 793.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406008 Min 01406008 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 11 28-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 12 28-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 13 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 28-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 16 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 17 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 28-FEB-19 OBSERVATION IN CASUALTY 20 28-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 656 of 6486
MS MOHINI GUPTA Rate Amount Qty 6.4 .64 10 55.8 .93 60 8.1 .27 30 29.7 .99 30 66 1.1 60 20.84 5.21 4 21.3 .71 30 18 .6 30 32.4 1.08 30 400 400 1 100 100 1 24.52 24.52 1 5.21 5.21 1 8.9 .89 10 3.8 .38 10 4.95 .99 5 48.22 48.22 1 1.85 .37 5 66.2 6.62 10 420 420 1 600 600 1 400 400 1 Total: 2342.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406011 Min 01406011 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 24-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 8 24-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 9 24-FEB-19 ONDANSETRON,2MG/ML,INJECTION 10 24-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 11 24-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 12 24-FEB-19 OBSERVATION IN CASUALTY 13 24-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 24-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 25-FEB-19 HB,TLC,DLC 18 25-FEB-19 URINE ROUTINE AND MICROSCOPIC 19 25-FEB-19 PLATELET COUNT 20 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 21 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 657 of 6486
Name
M C KOTHARI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 100.71 100.71 1 156.6 1.74 90 400 400 1 66.2 6.62 10 9.81 9.81 1 35.52 35.52 1 7.52 7.52 1 24.52 24.52 1 100 100 1 420 420 1 6.4 .64 10 4.45 .89 5 400 400 1 400 400 1 300 300 1 380 380 1 330 330 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 4448.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406012 Min 01406012 Appmt Dt Slno Description 15-FEB-19 1 BUDESONIDE,200MCG,CAPSULE 15-FEB-19 2 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 15-FEB-19 3 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 658 of 6486
Name
RATNA KANTA KOTHARI Qty Rate Amount 60 1.74 104.4 1 100.71 100.71 60 .9 54 1 400 400 Total: 659.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406018 Min 01406018 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 06-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 8 26-FEB-19 MAMOGRAPHY 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 26-FEB-19
Page 659 of 6486
Name
K N PONNAMMA Rate Amount Qty 16.2 .27 60 12.15 12.15 1 55.8 .93 60 76.5 2.55 30 35.2 3.52 10 2.22 .37 6 400 400 1 1750 1750 1 2000 2000 1 400 400 1 Total: 4748.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406021 Min 01406021 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 660 of 6486
Name
J K K BHOWMICK Rate Amount Qty 18.9 .63 30 21.3 .71 30 36 .6 60 55.8 .93 60 8.1 .27 30 31.2 1.04 30 33 1.1 30 32.4 1.08 30 400 400 1 Total: 636.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406022 Min 01406022 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 18-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 661 of 6486
Name
SHIKHA BHOWMICK Rate Amount Qty 26.7 .89 30 7.65 .51 15 43.2 1.44 30 21.3 .71 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 545.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406030 Min 01406030 Appmt Dt Slno Description 04-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 04-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 662 of 6486
Name
KEYA SENGUPTA Qty Rate Amount 30 .6 18 30 .25 7.5 15 .77 11.55 1 400 400 Total: 437.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406033 Min 01406033 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 663 of 6486
SANT NARAYAN TIWARI Rate Amount Qty 1.85 .37 5 15.73 15.73 1 32.4 1.08 30 23.7 .79 30 72.6 1.21 60 400 400 1 Total: 546.28
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406034 Min 01406034 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 664 of 6486
PREM LATA TIWARI Rate Amount Qty 26.7 .89 30 1.85 .37 5 15.73 15.73 1 12 .4 30 8.1 .27 30 31.2 1.04 30 66 1.1 60 55.8 .93 60 7.8 .26 30 400 400 1 Total: 625.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406037 Min 01406037 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 12-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 7 12-FEB-19
Page 665 of 6486
Name
A K SINHA Rate Amount Qty 7.12 .89 8 44.16 1.84 24 8.96 1.12 8 7.68 .64 12 5.84 .73 8 400 400 1 1170 1170 1 Total: 1643.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406038 Min 01406038 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 07-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 666 of 6486
Name
MADHURI SINHA Rate Amount Qty 10.8 .36 30 26.96 3.37 8 118.5 3.95 30 27.9 .93 30 167.4 5.58 30 17.8 .89 20 36 .6 60 12 .4 30 12.8 .64 20 16.8 .42 40 100.6 5.03 20 400 400 1 Total: 947.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406071 Min 01406071 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 667 of 6486
Name
P M C SEKHAR Rate Amount Qty 6.4 .64 10 1.85 .37 5 2.5 .25 10 26.6 2.66 10 400 400 1 29.7 .99 30 21.3 .71 30 26.7 .89 30 12 .4 30 33 1.1 30 18.9 .63 30 18 .3 60 55.8 .93 60 400 400 1 Total: 1052.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406074 Min 01406074 Appmt Dt Slno Description 26-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 26-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 26-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 668 of 6486
Name
V S N NAIR Qty Rate Amount 20 1.37 27.4 40 6.19 247.6 20 .89 17.8 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406080 Min 01406080 Appmt Dt Slno Description 13-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 669 of 6486
Name
Y N BISEN Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406091 Min 01406091 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 670 of 6486
Name
H C ANAND Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 1.2 .4 3 32.4 1.08 30 72.6 1.21 60 400 400 1 Total: 601.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406094 Min 01406094 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 11-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 11-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 671 of 6486
Name
PRAHLAD GADGE Rate Amount Qty 7.5 .25 30 27.9 .93 30 21.3 .71 30 88.2 1.47 60 35.2 17.6 2 400 400 1 Total: 580.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406095 Min 01406095 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 9 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 21 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 22 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 23 20-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 24 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 20-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 26 23-FEB-19 HYDROXYUREA,500MG,STRIP PACK,,CAPSULE 27 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 23-FEB-19
Page 672 of 6486
SUSHILA Rate Amount Qty 17.42 8.71 2 5.34 .89 6 10.08 1.12 9 3.75 .25 15 21.12 3.52 6 6 .4 15 2.6 .26 10 25.5 2.55 10 21.6 1.44 15 7 .7 10 31.46 15.73 2 3.7 .37 10 5.4 .18 30 66.2 6.62 10 20.06 20.06 1 43.96 43.96 1 400 400 1 26.7 .89 30 12 .4 30 7.5 .25 30 76.5 2.55 30 43.96 43.96 1 7.8 .26 30 43.2 1.44 30 400 400 1 27.9 .93 30 284.4 4.74 60 400 400 1 Total: 2021.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406111 Min 01406111 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 14-FEB-19 CREATININE /CRT 2 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 14-FEB-19 HB,TLC,DLC 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 PLATELET COUNT 6 14-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 7 14-FEB-19 X - RAY - SINGLE VIEW 8 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 673 of 6486
Name
PANDURANG ASHTIKAR Rate Amount Qty 400 400 1 275 275 1 550 550 1 300 300 1 400 400 1 330 330 1 330 330 1 550 550 1 55.8 .93 60 400 400 1 Total: 3590.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406164 Min 01406164 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 674 of 6486
Name
SUDHA MAHULE Rate Amount Qty 18 .6 30 12.8 .64 20 21.3 .71 30 29.7 .99 30 22.2 .37 60 76.5 2.55 30 55.8 .93 60 400 400 1 Total: 636.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406176 Min 01406176 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 675 of 6486
Name
SUROCHITA GUHA ROY Rate Amount Qty 7.4 .37 20 35.2 17.6 2 400 400 1 Total: 442.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406183 Min 01406183 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 PRAZOSIN,2.5MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 676 of 6486
Name
S HUSSAIN Rate Amount Qty 32.4 1.08 30 23.1 .77 30 21.3 .71 30 30.6 .34 90 11.4 .38 30 16.2 .27 60 156 1.3 120 400 400 1 Total: 691
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406184 Min 01406184 Appmt Dt Slno Description 25-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 25-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 677 of 6486
Name
JAMALUNNISA Qty Rate Amount 2 9.86 19.72 20 .37 7.4 8 3.37 26.96 1 400 400 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406185 Min 01406185 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 28-FEB-19 BRIMONIDINE TARTRATE,0.15% 3 28-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 4 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 15 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 678 of 6486
NILIMA DAS Rate Amount Qty 16.2 .27 60 185.7 6.19 30 148.9 74.45 2 150.9 5.03 30 9.3 .62 15 21.3 .71 30 12 .4 30 9 .3 30 20.84 5.21 4 29.7 .99 30 36 .6 60 78 1.3 60 50.14 25.07 2 55.8 .93 60 156.51 156.51 1 40.58 20.29 2 400 400 1 Total: 1420.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406186 Min 01406186 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 679 of 6486
Name
N C DAS Rate Amount Qty 72.6 1.21 60 27.9 .93 30 8.1 .27 30 12 .4 30 9.3 .62 15 36 .6 60 26.7 .89 30 400 400 1 Total: 592.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406192 Min 01406192 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 680 of 6486
Name
SHANTI BAI Rate Amount Qty 36 .6 60 7.5 .25 30 23.7 .79 30 8.1 .27 30 400 400 1 Total: 475.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406195 Min 01406195 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 16-FEB-19 FLUOXETINE HCL,20MG,CAPSULE/TABLET. 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 681 of 6486
Name
R K MISHRA Rate Amount Qty 1.11 .37 3 3.84 .64 6 4.8 .16 30 99.6 3.32 30 400 400 1 55.8 .93 60 16.2 .27 60 7.5 .25 30 400 400 1 Total: 988.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406219 Min 01406219 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 04-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 04-FEB-19 BRIMONIDINE TARTRATE,0.15% 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 15-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 15-FEB-19
Page 682 of 6486
Name
S V SUBBA RAO Rate Amount Qty 41.06 41.06 1 185.7 6.19 30 7.7 .77 10 35.2 3.52 10 63.58 63.58 1 6.4 .64 10 41.1 1.37 30 13.64 6.82 2 74.45 223.35 3 400 400 1 7.5 .25 30 26.7 .89 30 20.06 20.06 1 21.3 .71 30 66 1.1 60 30.6 .34 90 12 .4 30 32.4 1.08 30 400 400 1 Total: 1634.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406220 Min 01406220 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 683 of 6486
Name
S SATYAVATI Rate Amount Qty 21.3 .71 30 6.9 .23 30 12 .4 30 36 .6 60 55.8 .93 60 167.4 5.58 30 400 400 1 Total: 699.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406222 Min 01406222 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 08-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 08-FEB-19 HB,TLC,DLC 8 08-FEB-19 PARASITES (MP /MF) 9 08-FEB-19 PLATELET COUNT 10 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 684 of 6486
Name
FATEH SINGH NIKOSE Rate Amount Qty 32.4 1.08 30 6.4 .64 10 27.9 .93 30 7.5 .25 30 66.2 6.62 10 400 400 1 380 380 1 300 300 1 165 165 1 330 330 1 6.4 .64 10 60.9 2.03 30 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 2243
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406223 Min 01406223 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 685 of 6486
Name
TARA NIKOSE Rate Amount Qty 26.7 .89 30 6.4 .64 10 41.1 1.37 30 8.1 .27 30 400 400 1 Total: 482.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406247 Min 01406247 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 10 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 686 of 6486
Name
J DESHMUKH Rate Amount Qty 1.48 .37 4 9 .3 30 55.8 .93 60 10.65 .71 15 7.5 .25 30 55.2 1.84 30 8.9 .89 10 6.4 .64 10 400 400 1 21.45 21.45 1 25.69 25.69 1 400 400 1 Total: 1002.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406255 Min 01406255 Slno Description Appmt Dt ABC TEST HIV 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 06-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 7 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 13-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 15 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 13-FEB-19 PRAZOSIN,2.5MG,TABLET 17 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 18 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 22 18-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 23 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 18-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 25 25-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 26 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 25-FEB-19
Page 687 of 6486
Name
KUSHAL PADHIYAR Rate Amount Qty 1250 1250 1 275 275 1 275 275 1 400 400 1 1000 1000 1 275 275 1 2370 2370 1 275 275 1 400 400 1 211.8 3.53 60 211.8 3.53 60 18.6 .62 30 26.7 .89 30 32.4 1.08 30 30.6 .34 90 12 .4 30 39 1.3 30 15.3 .51 30 55.8 .93 60 69.6 1.16 60 400 400 1 51.38 25.69 2 39.54 19.77 2 400 400 1 19.77 19.77 1 25.69 25.69 1 400 400 1 Total: 8579.98
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406256 Min 01406256 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 14-FEB-19 URIC ACID (UA /URATES /UR) 7 14-FEB-19 CREATININE /CRT 8 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 14 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 15 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 16 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 688 of 6486
HANSA DEVI Rate Amount Qty 33 1.1 30 54 .6 90 1300 1300 1 21.3 .71 30 9 .3 30 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 25.07 25.07 1 400 400 1 13.49 13.49 1 19.77 19.77 1 24.45 24.45 1 25.07 25.07 1 400 400 1 Total: 4375.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406280 Min 01406280 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 689 of 6486
Name
R B SINGH Rate Amount Qty 400 400 1 275 275 1 275 275 1 111.6 5.58 20 30 .6 50 400 400 1 Total: 1491.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406284 Min 01406284 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 22-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 9 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 690 of 6486
Name
P K PADMASHALI Rate Amount Qty 7.65 .51 15 21.3 .71 30 7.5 .25 30 15.6 .26 60 60.9 2.03 30 118.5 3.95 30 12 .4 30 47.4 .79 60 18 .4 45 90 .6 150 400 400 1 Total: 798.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406285 Min 01406285 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 14-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 4 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 691 of 6486
Name
MANDAKINI Rate Amount Qty 11.4 .38 30 33 1.1 30 10.08 1.12 9 736.2 8.18 90 21.12 3.52 6 400 400 1 Total: 1211.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406293 Min 01406293 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 692 of 6486
Name
KAMLA KESHARWANI Rate Amount Qty 8.1 .27 30 21.3 .71 30 7.5 .25 30 55.8 .93 60 40.12 20.06 2 1.6 .16 10 26.7 .89 30 400 400 1 Total: 561.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406304 Min 01406304 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 693 of 6486
Name
KARAMJIT SINGH Rate Amount Qty 17.4 1.16 15 8.1 .27 30 17.4 .58 30 60.9 2.03 30 400 400 1 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406310 Min 01406310 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 16-FEB-19 X - RAY - TWO VIEWS 11 16-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 694 of 6486
AESHA KHATOON Rate Amount Qty 167.4 5.58 30 48.22 48.22 1 21.36 .89 24 27.9 .93 30 33 1.1 30 21.3 .71 30 5.34 .89 6 400 400 1 4.1 .41 10 400 400 1 860 860 1 8.4 .42 20 8.9 .89 10 5 .25 20 27.4 1.37 20 400 400 1 Total: 2438.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406323 Min 01406323 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 695 of 6486
Name
R N GOSWAMY Rate Amount Qty 21.3 .71 30 118.5 3.95 30 15.6 .26 60 23.7 .79 30 12 .4 30 400 400 1 Total: 591.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406329 Min 01406329 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 696 of 6486
Name
B K DAS Rate Amount Qty 18.9 .63 30 21.3 .71 30 32.4 1.08 30 66 1.1 60 23.7 .79 30 26.7 .89 30 400 400 1 Total: 589
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406330 Min 01406330 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 697 of 6486
Name
ALO DAS Rate Amount Qty 36 .6 60 7.5 .25 30 400 400 1 Total: 443.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406333 Min 01406333 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 05-FEB-19 UREA (BUN /UR) 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 ECG 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 698 of 6486
Name
RAM ACHAL PANDEY Rate Amount Qty 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 450 450 1 400 400 1 1.85 .37 5 9.6 .64 15 7.5 .25 30 33 1.1 30 66.2 6.62 10 27.9 .93 30 6.9 .23 30 400 400 1 Total: 4752.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406334 Min 01406334 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 9 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 05-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 12 05-FEB-19 UREA (BUN /UR) 13 05-FEB-19 URIC ACID (UA /URATES /UR) 14 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 17 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 22 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 23 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 27-FEB-19
Page 699 of 6486
Name
LALMANI DEVI Rate Amount Qty 6.3 .42 15 275 275 1 400 400 1 20.84 5.21 4 20.06 20.06 1 15 .25 60 22.5 .75 30 2.4 .16 15 12.3 .41 30 275 275 1 1300 1300 1 1050 1050 1 275 275 1 275 275 1 39 1.3 30 32.4 1.08 30 13.8 .92 15 54 .6 90 4.8 .16 30 21.3 .71 30 55.8 .93 60 33 1.1 30 29.7 .99 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 4667.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406339 Min 01406339 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 700 of 6486
Name
A R MURDESHWAR Rate Amount Qty 66.2 6.62 10 10.95 .73 15 400 400 1 Total: 477.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406341 Min 01406341 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 7 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 701 of 6486
N K RAI Rate Amount Qty 7.7 .77 10 15.73 15.73 1 1.85 .37 5 27.9 .93 30 3.2 .64 5 400 400 1 48.22 48.22 1 185.7 6.19 30 8.9 .89 10 6.99 2.33 3 400 400 1 Total: 1106.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406342 Min 01406342 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 702 of 6486
Name
URMILA DEVI RAI Rate Amount Qty 27.9 .93 30 8.1 .27 30 12 .4 30 17.4 1.16 15 18 .6 30 4.96 .62 8 400 400 1 Total: 488.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406352 Min 01406352 Slno Description Appmt Dt HYPERTONIC SALINE EYE DROPS, 5% W/V, 1 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 24-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 24-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 24-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 10 24-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 11 24-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 24-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 24-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 15 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 25-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 17 25-FEB-19 BRIMONIDINE TARTRATE,0.15% 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 703 of 6486
SHIV SHANKAR RAO Rate Amount Qty 33.58 33.58 1 400 400 1 7.5 .25 30 4.8 .16 30 27.9 .93 30 400 400 1 3.56 .89 4 14.08 3.52 4 7.98 .38 21 18.03 18.03 1 19.77 19.77 1 25.07 25.07 1 1.64 .41 4 400 400 1 18.03 18.03 1 48.22 48.22 1 33.58 33.58 1 74.45 74.45 1 400 400 1 Total: 1938.19
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406353 Min 01406353 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 TRIGLYCERIDES (TGL) 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 06-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 14-FEB-19 PRAZOSIN,2.5MG,TABLET 10 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 704 of 6486
GAIJA LAXMI Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 50.14 25.07 2 18.21 18.21 1 400 400 1 17.4 1.16 15 18.6 .62 30 78 1.3 60 211.8 3.53 60 55.8 .93 60 7.5 .25 30 400 400 1 Total: 3382.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406362 Min 01406362 Appmt Dt Slno Description 26-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 705 of 6486
Name
Y S N MURTHY Qty Rate Amount 30 2.03 60.9 30 1.1 33 30 .27 8.1 1 400 400 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406365 Min 01406365 Appmt Dt Slno Description 04-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 04-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 706 of 6486
Name
GUNVANTA DEVI Qty Rate Amount 10 .16 1.6 30 .89 26.7 60 1.21 72.6 1 400 400 Total: 500.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406366 Min 01406366 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 09-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 09-FEB-19
Page 707 of 6486
Name
S K PARGANIHA Rate Amount Qty 7.5 .25 30 60.9 2.03 30 32.4 1.08 30 17.4 .58 30 10.8 .36 30 9 .3 30 26.7 .89 30 34.8 1.16 30 400 400 1 15.3 .51 30 Total: 614.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406367 Min 01406367 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 09-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19
Page 708 of 6486
Name
CHANDRAKANTA PARGANIHA Rate Amount Qty 36 .6 60 7.5 .25 30 20.84 5.21 4 17.4 .58 30 23.7 .79 30 76.5 2.55 30 34.8 1.16 30 15.3 .51 30 4.8 .16 30 74.4 .62 120 400 400 1 Total: 711.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406382 Min 01406382 Appmt Dt Slno Description 22-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 709 of 6486
Name
R SARASWATHI Qty Rate Amount 30 .36 10.8 30 .71 21.3 30 .93 27.9 1 400 400 Total: 460
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406385 Min 01406385 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 15-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 710 of 6486
Name
M S N MURTHY Rate Amount Qty 4.5 .3 15 34.16 4.27 8 12 .4 30 20.84 5.21 4 26.7 .89 30 21.3 .71 30 7.5 .25 30 85.4 4.27 20 400 400 1 Total: 612.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406388 Min 01406388 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 28-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 711 of 6486
PUNJABI DEVI Rate Amount Qty 13.35 .89 15 4.1 .41 10 8.9 .89 10 50.14 25.07 2 92.1 6.14 15 87.92 43.96 2 400 400 1 Total: 656.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406389 Min 01406389 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 712 of 6486
Name
B S DIGWA Rate Amount Qty 22.8 .38 60 15 .25 60 400 400 1 Total: 437.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406402 Min 01406402 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 URIC ACID (UA /URATES /UR) 12 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 21-FEB-19 COMPLETE HAEMOGRAM 16 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 21-FEB-19 CREATININE /CRT 18 21-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 19 21-FEB-19
Page 713 of 6486
Name
DR R P BINDU Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 60.9 2.03 30 371.4 6.19 60 167.4 5.58 30 13.95 .93 15 7.65 .51 15 8.1 .27 30 18 .6 30 18.9 .63 30 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 750 750 1 400 400 1 275 275 1 1500 1500 1 Total: 6183.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406403 Min 01406403 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 714 of 6486
Name
RADHARANI Rate Amount Qty 33.12 1.84 18 5.76 .64 9 6.72 1.12 6 27.9 .93 30 21.3 .71 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 537.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406412 Min 01406412 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 06-FEB-19 OBSERVATION IN CASUALTY 3 06-FEB-19 ECG 4 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 19-FEB-19
Page 715 of 6486
Name
ASHOK KUMAR DEY Rate Amount Qty .16 .16 1 .26 .26 1 420 420 1 450 450 1 20.06 20.06 1 8.9 .89 10 .8 .16 5 400 400 1 39 1.3 30 27.9 .93 30 36 .6 60 192.3 6.41 30 7.5 .25 30 9 .3 30 400 400 1 78 1.3 60 400 400 1 Total: 2489.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406413 Min 01406413 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 11-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 12 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19
Page 716 of 6486
Name
DIPIKA DEY Rate Amount Qty 7.68 .64 12 4.8 .6 8 44.16 1.84 24 400 400 1 .48 .16 3 6 .6 10 7.3 .73 10 9.6 .64 15 55.2 1.84 30 400 400 1 21.3 .71 30 6.9 .23 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 1398.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406416 Min 01406416 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 717 of 6486
Name
PREM RAJ BUDHRAJA Rate Amount Qty 27.9 .93 30 4.8 .16 30 34.8 1.16 30 12 .4 30 14.85 .99 15 400 400 1 Total: 494.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406417 Min 01406417 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 27-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 27-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 27-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 27-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 718 of 6486
Name
ACHLA BUDHRAJA Rate Amount Qty 12 .4 30 18 .6 30 4.8 .16 30 23.25 .93 25 34.8 1.16 30 7.8 .26 30 4.65 .93 5 21.3 .71 30 21.3 .71 30 400 400 1 Total: 547.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406419 Min 01406419 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 3 08-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 08-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 5 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 719 of 6486
Name
ASHA PATERIA Rate Amount Qty 8.1 .27 30 400 400 1 33.73 33.73 1 11.25 .75 15 17.37 17.37 1 7.6 .38 20 400 400 1 Total: 878.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406424 Min 01406424 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 720 of 6486
Name
DEEP CHAND JAIN Rate Amount Qty 33 1.1 30 60.9 2.03 30 26.7 .89 30 21.3 .71 30 40.12 20.06 2 27.9 .93 30 36 .6 60 9 .3 30 25.2 .42 60 400 400 1 Total: 680.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406425 Min 01406425 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 721 of 6486
Name
PREM LATA JAIN Rate Amount Qty 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 428.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406428 Min 01406428 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 722 of 6486
Name
RAMESH KUMAR JAIN Rate Amount Qty 18 .6 30 12 .4 30 55.8 .93 60 33 1.1 30 34.8 1.16 30 78 1.3 60 400 400 1 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406429 Min 01406429 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 CILOSTAZOL,CAPSULE/100MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 723 of 6486
Name
KRANTI DEVI JAIN Rate Amount Qty 27.9 .93 30 12 .4 30 34.8 1.16 30 432.6 7.21 60 400 400 1 Total: 907.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406430 Min 01406430 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 28-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 4 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 724 of 6486
Name
JAGDISH NARAIN PANDEY Rate Amount Qty 11.4 .38 30 46.8 .78 60 34.8 1.16 30 315.6 2.63 120 66 1.1 60 7.8 .26 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 916.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406431 Min 01406431 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 28-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 5 28-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 725 of 6486
Name
KALAWATI PANDEY Rate Amount Qty 27.9 .93 30 66 1.1 60 7.8 .26 30 118.5 3.95 30 157.8 2.63 60 26.6 2.66 10 41.85 .93 45 14.85 .99 15 12 .4 30 20.84 5.21 4 400 400 1 Total: 894.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406440 Min 01406440 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 726 of 6486
Name
BALKRISHANA BHANDARE Rate Amount Qty 9.9 .99 10 72.6 1.21 60 16.2 .27 60 27.9 .93 30 400 400 1 Total: 526.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406441 Min 01406441 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 727 of 6486
Name
CHHAYA BHANDARE Rate Amount Qty 27.9 .93 30 6.4 .64 10 8.1 .27 30 33 1.1 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 554.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406443 Min 01406443 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 DRESSING SIMPLE 2 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 728 of 6486
Name
N RAJESWARI Rate Amount Qty 400 400 1 600 300 2 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 1436.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406453 Min 01406453 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 15-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 14 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 729 of 6486
Name
MAHABIR PRASAD SINHA Rate Amount Qty 36 .6 60 12 .4 30 17.4 1.16 15 21.3 .71 30 27.9 .93 30 400 400 1 7.1 .71 10 4 .4 10 7.1 .71 10 17.8 .89 20 28.8 1.44 20 400 400 1 36 .6 60 21.3 .71 30 12 .4 30 27.9 .93 30 400 400 1 Total: 1476.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406473 Min 01406473 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 09-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 2 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 09-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19
Page 730 of 6486
N NAGESWARA RAO Rate Amount Qty 82.76 165.52 2 33.46 33.46 1 27.9 .93 30 12.8 .64 20 27.4 1.37 20 17.6 17.6 1 7.5 .25 30 400 400 1 50.14 25.07 2 400 400 1 12 .4 30 50.14 25.07 2 12.6 .42 30 17.8 .89 20 66 1.1 60 21.3 .71 30 400 400 1 Total: 1722.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406479 Min 01406479 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 731 of 6486
Name
C K SONDHI Rate Amount Qty 60.9 2.03 30 21.3 .71 30 76.5 2.55 30 192.3 6.41 30 27.9 .93 30 400 400 1 7.5 .25 30 45.44 45.44 1 400 400 1 26.96 3.37 8 400 400 1 5 .25 20 26 2.6 10 400 400 1 Total: 2089.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406480 Min 01406480 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 5 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 7 11-FEB-19 GUM ASTRINGENT PAINT 8 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 12-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 18 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 732 of 6486
Name
KUSUM SONDHI Rate Amount Qty 8.1 .27 30 17.4 .58 30 21.3 .71 30 400 400 1 2110 2110 1 400 400 1 50.55 3.37 15 31.54 31.54 1 6.4 .64 10 34 1.7 20 1.85 .37 5 26 2.6 10 4.45 .89 5 400 400 1 26.7 .89 30 43.96 131.88 3 400 400 1 4.66 2.33 2 13.35 .89 15 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 4525.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406485 Min 01406485 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 733 of 6486
Name
R K NANDURKAR Rate Amount Qty 36 .6 60 167.4 5.58 30 .93 146.94 158 12 .4 30 21.3 .71 30 8.9 .89 10 400 400 1 Total: 792.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406486 Min 01406486 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 734 of 6486
Name
SUNITA NANDURKAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406487 Min 01406487 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 735 of 6486
Name
O P BADOLA Rate Amount Qty 22.2 .37 60 26.7 .89 30 192.3 6.41 30 76.5 2.55 30 34.8 1.16 30 19.8 .66 30 60.9 2.03 30 36 .6 60 400 400 1 Total: 869.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406488 Min 01406488 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 736 of 6486
Name
GODAMBARI DEVI Rate Amount Qty 18 .6 30 167.4 5.58 30 32.4 1.08 30 21.3 .71 30 66 1.1 60 11.1 .37 30 1.85 .37 5 9.3 .62 15 2.4 .16 15 400 400 1 Total: 729.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406493 Min 01406493 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 20-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 28-FEB-19 CREATININE /CRT 14 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 28-FEB-19 UREA (BUN /UR) 20 28-FEB-19
Page 737 of 6486
Name
NIRANJAN PAL Rate Amount Qty 76.5 2.55 30 32.4 1.08 30 4.8 .16 30 23.1 .77 30 18.9 .63 30 21.3 .71 30 400 400 1 18.9 .63 30 13.7 1.37 10 185.7 6.19 30 400 400 1 32.4 1.08 30 76.5 2.55 30 275 275 1 4.8 .16 30 400 400 1 21.3 .71 30 18.9 .63 30 21.3 .71 30 275 275 1 Total: 2320.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406515 Min 01406515 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 738 of 6486
Name
SHOBHA DEVI SINVHAL Rate Amount Qty 26.7 .89 30 185.7 6.19 30 400 400 1 Total: 612.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406516 Min 01406516 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 16-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 16-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 4 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 16-FEB-19
Page 739 of 6486
Name
S C JAIN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 1750 1750 1 1610 1610 1 400 400 1 Total: 4013.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406518 Min 01406518 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 740 of 6486
Name
RAJENDRA KUMAR SHUKLA Rate Amount Qty 26.7 .89 30 40.12 20.06 2 400 400 1 Total: 466.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406519 Min 01406519 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 16-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 741 of 6486
SNEHLATA SHUKLA Rate Amount Qty 27.9 .93 30 26.7 .89 30 7.5 .25 30 50.14 25.07 2 52 2.6 20 9 .3 30 9 .3 30 26.7 .89 30 27.9 .93 30 40.12 20.06 2 400 400 1 Total: 676.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406525 Min 01406525 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 742 of 6486
Name
SEEMA BHOWMICK Rate Amount Qty 55.8 .93 60 8.1 .27 30 72.6 1.21 60 8.9 .89 10 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 582.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406544 Min 01406544 Appmt Dt Slno Description 12-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 743 of 6486
Name
SUBHASH CHANDRA DATTA Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406545 Min 01406545 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 744 of 6486
Name
MAYA RANI DATTA Rate Amount Qty 39 1.3 30 21.3 .71 30 18.9 .63 30 16.2 .36 45 18 .6 30 400 400 1 Total: 513.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406548 Min 01406548 Appmt Dt Slno Description 07-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 07-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 745 of 6486
Name
G SUBBA RAO Qty Rate Amount 30 .58 17.4 30 .25 7.5 15 .93 13.95 1 400 400 Total: 438.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406549 Min 01406549 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 746 of 6486
Name
G VAJRESWARI Rate Amount Qty 69.6 1.16 60 19.8 .66 30 27.9 .93 30 36.3 1.21 30 400 400 1 Total: 553.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406553 Min 01406553 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 26-FEB-19 PRAZOSIN,2.5MG,TABLET 15 26-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 16 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 747 of 6486
Name
P R CHANDRAKAR Rate Amount Qty 78 1.3 60 22.2 .37 60 27.9 .93 30 14.85 .99 15 167.4 5.58 30 17.4 1.16 15 26.7 .89 30 48 .4 120 400 400 1 21.3 .71 30 26.7 .89 30 14.85 .99 15 27.9 .93 30 22.2 .37 60 78 1.3 60 48 .4 120 167.4 5.58 30 400 400 1 Total: 1608.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406554 Min 01406554 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 748 of 6486
Name
RUPA CHANDRAKAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 33 1.1 30 54 .6 90 55.2 .92 60 7.5 .25 30 17.8 .89 20 21.3 .71 30 17.4 1.16 15 14.85 .99 15 400 400 1 55.2 .92 60 55.8 .93 60 14.85 .99 15 8.1 .27 30 13.35 .89 15 54 .6 90 33 1.1 30 21.3 .71 30 3.75 .25 15 18.6 .62 30 400 400 1 Total: 1362.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406562 Min 01406562 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 749 of 6486
MANJULA SINHA Rate Amount Qty 13.7 1.37 10 8.9 .89 10 66.2 6.62 10 15.73 15.73 1 12.15 12.15 1 400 400 1 Total: 516.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406573 Min 01406573 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 08-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 08-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 5 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 750 of 6486
Name
SARJEET SINGH Rate Amount Qty 72.6 1.21 60 55.8 .93 60 16.2 .27 60 44.1 1.47 30 23.7 .79 30 35.55 .79 45 400 400 1 Total: 647.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406574 Min 01406574 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 751 of 6486
Name
KAMAL SANTOSH Rate Amount Qty 3.75 .25 15 8.7 .58 15 21.3 .71 30 76.5 2.55 30 211.8 3.53 60 55.8 .93 60 400 400 1 Total: 777.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406579 Min 01406579 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 752 of 6486
Name
SATISH CHANDRA JAIN Rate Amount Qty 47.4 .79 60 6.9 .23 30 400 400 1 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406580 Min 01406580 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 753 of 6486
Name
SULOCHANA JAIN Rate Amount Qty 23.7 .79 30 33 1.1 30 32.4 1.08 30 12 .4 30 69.6 1.16 60 400 400 1 Total: 570.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406586 Min 01406586 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 16-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 16-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 754 of 6486
Name
SHASHI GOEL Rate Amount Qty 16.2 .27 60 55.8 .93 60 400 400 1 100.71 100.71 1 17.4 .58 30 7.5 .25 30 79.2 .66 120 104.4 1.74 60 54 .9 60 26.7 .89 30 69.05 69.05 1 400 400 1 Total: 1330.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406587 Min 01406587 Slno Description Appmt Dt OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 755 of 6486
H K OBEROI Rate Amount Qty 26.86 13.43 2 31.46 15.73 2 18 .6 30 27.9 .93 30 6.9 .23 30 35.2 17.6 2 400 400 1 Total: 546.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406588 Min 01406588 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 756 of 6486
Name
HARMINDER OBEROI Rate Amount Qty 27.9 .93 30 8.1 .27 30 6.82 6.82 1 9.6 .64 15 20.84 5.21 4 400 400 1 Total: 473.26
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406591 Min 01406591 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 5 16-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 6 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 16-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 PRAZOSIN,2.5MG,TABLET 11 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 18-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 16 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 18-FEB-19 GUM ANALGESIC GEL 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 24 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 28 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 29 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 30 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 32 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 34 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 35 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 22-FEB-19
Page 757 of 6486
GULAB RAM SAHU Rate Amount Qty 806.4 13.44 60 60.9 2.03 30 192.3 6.41 30 400 400 1 26.98 13.49 2 24.45 24.45 1 50.14 25.07 2 6.82 6.82 1 94.42 94.42 1 400 400 1 78 1.3 60 34.8 1.16 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 11.1 .37 30 78 1.3 60 36 .6 60 3.84 .64 6 33.12 1.84 18 28.69 28.69 1 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 5 .25 20 12.8 .64 20 16.8 .42 40 33.12 1.84 18 33.12 1.84 18 3.84 .64 6 3.84 .64 6 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 4266.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406595 Min 01406595 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 758 of 6486
Name
BALBIR PRASAD AGRAWAL Rate Amount Qty 54 .9 60 11.1 .37 30 400 400 1 60.9 2.03 30 8.1 .27 30 192.3 6.41 30 400 400 1 Total: 1126.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406600 Min 01406600 Slno Description Appmt Dt SERTRALINE,100MG,STRIP PACK.,TABLET 1 15-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 15-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 15-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 6 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 759 of 6486
Name
USHA PRASAD Rate Amount Qty 106.8 3.56 30 384.3 4.27 90 30.6 .51 60 32.4 1.08 30 11.4 .38 30 288 9.6 30 19.8 .66 30 21.3 .71 30 400 400 1 Total: 1294.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406601 Min 01406601 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 760 of 6486
Name
M G R PRASAD Rate Amount Qty 12 .4 30 34.8 1.16 30 185.7 6.19 30 7.5 .25 30 34.5 1.15 30 400 400 1 Total: 674.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406607 Min 01406607 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 X - RAY - TWO VIEWS 7 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 19-FEB-19
Page 761 of 6486
Name
MANAKI YADAV Rate Amount Qty 27 .6 45 7.5 .25 30 66 1.1 60 55.8 .93 60 400 400 1 19.2 .64 30 1720 860 2 185.7 6.19 30 9.45 .63 15 400 400 1 13.35 .89 15 Total: 2904
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406614 Min 01406614 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 GUM ANALGESIC GEL 3 13-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 19-FEB-19 GUM ANALGESIC GEL 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 762 of 6486
Name
ANTARYAMI SENAPATI Rate Amount Qty 6.4 .64 10 4.45 .89 5 28.69 28.69 1 25.62 12.81 2 11.1 .37 30 55.2 1.84 30 4.1 .41 10 400 400 1 55.2 1.84 30 4.1 .41 10 6.4 .64 10 5.34 .89 6 28.69 28.69 1 400 400 1 Total: 1035.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406615 Min 01406615 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 06-FEB-19 UREA (BUN /UR) 2 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 06-FEB-19 CREATININE /CRT 4 06-FEB-19 URIC ACID (UA /URATES /UR) 5 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19
Page 763 of 6486
Name
ANJALI SENAPATI Rate Amount Qty 275 275 1 275 275 1 46.2 .77 60 275 275 1 275 275 1 1300 1300 1 400 400 1 27.9 .93 30 Total: 2874.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406633 Min 01406633 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 9 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 764 of 6486
A B DAS Rate Amount Qty 27.9 .93 30 60.9 2.03 30 7.5 .25 30 2.4 .16 15 12 .4 30 7.8 .26 30 21.3 .71 30 400 400 1 12.3 .41 30 9.9 .66 15 400 400 1 25.07 25.07 1 400 400 1 Total: 1387.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406634 Min 01406634 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 18-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 765 of 6486
Name
ANUVA DAS Rate Amount Qty 2.4 .16 15 12.3 .41 30 12.8 .64 20 20.84 5.21 4 21.3 .71 30 6.9 .23 30 27.9 .93 30 18.6 .62 30 400 400 1 Total: 523.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406636 Min 01406636 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 766 of 6486
Name
SANJIVANI R JOSHI Rate Amount Qty 9.6 .64 15 6.9 .23 30 2.22 .37 6 21.3 .71 30 12 .4 30 6.6 .66 10 6.4 .64 10 27.9 .93 30 36.3 1.21 30 400 400 1 Total: 529.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406639 Min 01406639 Appmt Dt Slno Description 14-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 767 of 6486
Name
MOOLENDRA PRASAD Qty Rate Amount 30 .63 18.9 1 400 400 418.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406653 Min 01406653 Slno Description Appmt Dt DIGOXIN,STRIP PKT,0.25MG,TABLET 1 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 768 of 6486
Name
SHAKUNTALA JYOTISHI Rate Amount Qty 23.6 1.18 20 12 .4 30 33 1.1 30 18.9 .63 30 72 .6 120 29.7 .99 30 26.7 .89 30 39 1.3 30 9 .3 30 400 400 1 Total: 663.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406658 Min 01406658 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 PRAZOSIN,2.5MG,TABLET 9 11-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19
Page 769 of 6486
HARDAS MUKHOPADHYAY Rate Amount Qty 87.92 43.96 2 31.46 15.73 2 6 .6 10 9.6 .64 15 55.2 1.84 30 11.2 1.12 10 400 400 1 55.8 .93 60 156 1.3 120 123.53 123.53 1 34.8 1.16 30 60.9 2.03 30 26.7 .89 30 36 .6 60 400 400 1 Total: 1495.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406662 Min 01406662 Appmt Dt Slno Description 13-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 13-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 13-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 770 of 6486
Name
G DEORAJ Qty Rate Amount 60 .37 22.2 60 .79 47.4 30 .4 12 1 400 400 Total: 481.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406666 Min 01406666 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 771 of 6486
Name
BHISHAM LAL BANCHOR Rate Amount Qty 8.1 .27 30 27.9 .93 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406667 Min 01406667 Appmt Dt Slno Description 13-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 772 of 6486
Name
KHEMIN BANCHHOR Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406673 Min 01406673 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 07-FEB-19 URIC ACID (UA /URATES /UR) 3 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 COMPLETE HAEMOGRAM 11 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 07-FEB-19
Page 773 of 6486
Name
N K GHOSH Rate Amount Qty 12.81 12.81 1 31.61 31.61 1 275 275 1 1300 1300 1 275 275 1 12 .4 30 34.8 1.16 30 211.8 3.53 60 60.9 2.03 30 400 400 1 750 750 1 275 275 1 275 275 1 550 550 1 Total: 4463.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406674 Min 01406674 Appmt Dt Slno Description 07-FEB-19 1 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 07-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 07-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 07-FEB-19 4 BLOOD FOR T-3,T-4,TSH
Page 774 of 6486
Name
M GHOSH Qty 1 0 1 1
Rate Amount 29 29 .62 0 400 400 2400 2400 Total: 2829
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406697 Min 01406697 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 PRAZOSIN,2.5MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 775 of 6486
Name
D K CHAKRABORTY Rate Amount Qty 32.4 1.08 30 39 1.3 30 7.5 .25 30 13.95 .93 15 34.8 1.16 30 33 1.1 30 26.7 .89 30 400 400 1 66 1.1 60 400 400 1 Total: 1053.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406702 Min 01406702 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 776 of 6486
Name
UMA DASGUPTA Rate Amount Qty 25.2 .63 40 17.8 .89 20 21.9 .73 30 13.7 1.37 10 400 400 1 Total: 478.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406703 Min 01406703 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 777 of 6486
Name
HARVINDER SINGH BINDRA Rate Amount Qty 90 .6 150 60.9 2.03 30 9.3 .62 15 12 .4 30 23.1 .77 30 32.4 1.08 30 43.2 .36 120 167.4 5.58 30 47.4 .79 60 66 1.1 60 8.1 .27 30 17.4 1.16 15 400 400 1 Total: 977.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406704 Min 01406704 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 778 of 6486
Name
PARAMJIT KAUR BINDRA Rate Amount Qty 20.4 .34 60 9 .3 30 10.8 .36 30 72.6 1.21 60 55.8 .93 60 36 .6 60 157.8 2.63 60 12 .4 30 24 .4 60 400 400 1 Total: 798.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406705 Min 01406705 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 779 of 6486
Name
JAGESHWAR MAHTO Rate Amount Qty 38.25 2.55 15 16.2 .27 60 34.8 1.16 30 12 .4 30 400 400 1 Total: 501.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406709 Min 01406709 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 780 of 6486
Name
J N BHARGAVA Rate Amount Qty 16.5 1.1 15 34.8 1.16 30 26.7 .89 30 7.5 .25 30 27.9 .93 30 400 400 1 Total: 513.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406710 Min 01406710 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 781 of 6486
Name
VEENA BHARGAVA Rate Amount Qty 20.06 20.06 1 6.4 .64 10 7.5 .25 30 18 .6 30 400 400 1 Total: 451.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406715 Min 01406715 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 782 of 6486
Name
SHANTI SWAROOP Rate Amount Qty 32.4 1.08 30 23.1 .77 30 7.5 .25 30 34.8 1.16 30 12 .4 30 400 400 1 Total: 509.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406716 Min 01406716 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 783 of 6486
Name
KAMALESH JAIN Rate Amount Qty 14.85 .99 15 27.9 .93 30 400 400 1 Total: 442.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406720 Min 01406720 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 784 of 6486
Name
Y JAGANNADHA RAO Rate Amount Qty 12.81 12.81 1 9.86 9.86 1 7.4 .37 20 13.48 3.37 4 400 400 1 Total: 443.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406721 Min 01406721 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 14-FEB-19 PRAZOSIN,2.5MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 785 of 6486
Name
Y V V LAKSHMI Rate Amount Qty 16.8 1.12 15 54 .6 90 26.7 .89 30 12 .4 30 17.4 1.16 15 76.5 2.55 30 39 1.3 30 400 400 1 Total: 642.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406726 Min 01406726 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 786 of 6486
Name
JITENDRA PRAKASH SALHOTRA Rate Amount Qty 18.6 .62 30 66 1.1 60 34.8 1.16 30 12 .4 30 23.7 .79 30 400 400 1 Total: 555.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406732 Min 01406732 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 15-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 15-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 787 of 6486
SHIVE CHARAN DASS GOEL Rate Amount Qty 25.07 25.07 1 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 12.81 12.81 1 400 400 1 Total: 491.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406733 Min 01406733 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 15-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 788 of 6486
Name
BINA GOEL Rate Amount Qty 2.22 .37 6 18.21 18.21 1 17.37 17.37 1 3.7 .37 10 400 400 1 Total: 441.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406734 Min 01406734 Slno Description Appmt Dt ECG 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 X - RAY - SINGLE VIEW 3 12-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 12-FEB-19 OBSERVATION IN CASUALTY 6 12-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 7 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 10 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 12 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 13 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 16 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 17 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 21 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 789 of 6486
Name
GULAB RAO SONARE Rate Amount Qty 450 450 1 400 400 1 550 550 1 100 100 1 .51 .51 1 420 420 1 9.62 9.62 1 5.55 .37 15 6.4 .64 10 12.15 12.15 1 54 .9 60 59.4 .66 90 156.6 1.74 90 26 2.6 10 8.9 .89 10 18.9 .63 30 20.84 5.21 4 6.4 .64 10 400 400 1 66 1.1 60 15.6 .26 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 3254.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406735 Min 01406735 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 OBSERVATION IN CASUALTY 5 24-FEB-19 ECG 6 24-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 7 24-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 8 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 790 of 6486
Name
TULSI BAI SONARE Rate Amount Qty 8.9 .89 10 2.5 .25 10 26 2.6 10 400 400 1 420 420 1 450 450 1 6.67 6.67 1 5.77 5.77 1 55.8 .93 60 14.85 .99 15 32.4 1.08 30 8.1 .27 30 400 400 1 Total: 1830.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406736 Min 01406736 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 07-FEB-19
Page 791 of 6486
Name
B N SINGH Rate Amount Qty 8.1 .27 30 275 275 1 400 400 1 2.55 2.55 1 275 275 1 Total: 960.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406737 Min 01406737 Appmt Dt Slno Description 07-FEB-19 1 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 07-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 07-FEB-19 3 CARVEDILOL,STRIP PACK,6.25MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 792 of 6486
Name
INDU SINGH Qty Rate Amount 30 1.44 43.2 30 .4 12 60 .71 42.6 1 400 400 Total: 497.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406749 Min 01406749 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 UREA (BUN /UR) 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 URIC ACID (UA /URATES /UR) 6 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 01-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 17 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 04-FEB-19 PRAZOSIN,2.5MG,TABLET 19 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 22 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 04-FEB-19
Page 793 of 6486
Name
LATKHOR SINGH SAHU Rate Amount Qty 400 400 1 185.7 6.19 30 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 26.7 .89 30 19.2 .64 30 13.7 1.37 10 22.8 .38 60 6.82 6.82 1 37.8 .63 60 27.6 .92 30 21.3 .71 30 118.5 3.95 30 18.9 .63 30 78 1.3 60 55.8 .93 60 117 1.3 90 60.9 2.03 30 400 400 1 Total: 4285.72
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406750 Min 01406750 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 15 21-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 16 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 17 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 21-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19
Page 794 of 6486
GANGABAI Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 12 .4 30 8.4 .42 20 46.2 .77 60 21.3 .71 30 32.4 1.08 30 8.1 .27 30 55.8 .93 60 20.55 1.37 15 36 .6 60 400 400 1 189 2.1 90 18.21 18.21 1 25.07 25.07 1 7.5 .25 30 90.88 45.44 2 400 400 1 Total: 2596.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406763 Min 01406763 Appmt Dt Slno Description 25-FEB-19 1 DILTIAZEM 90 MG XL/XR,,TABLET 25-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 795 of 6486
Name
VIJAY BHARGAVA Qty Rate Amount 30 3.95 118.5 30 .25 7.5 30 .93 27.9 1 400 400 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406773 Min 01406773 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 796 of 6486
Name
I S CHAKREL Rate Amount Qty 7.5 .25 30 33 1.1 30 92.85 6.19 15 6.4 .64 10 55.8 .93 60 7.65 .51 15 400 400 1 Total: 603.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406779 Min 01406779 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 797 of 6486
Name
Z JACOB Rate Amount Qty 47.1 3.14 15 32.4 1.08 30 12 .4 30 60.9 2.03 30 8.1 .27 30 18 .6 30 167.4 5.58 30 7.5 .25 30 400 400 1 27.9 .93 30 8.1 .27 30 12 .4 30 60.9 2.03 30 34.8 1.16 30 6.4 .64 10 400 400 1 Total: 1303.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406780 Min 01406780 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 798 of 6486
Name
SUSHMA JACOB Rate Amount Qty 21.3 .71 30 20.84 5.21 4 7.5 .25 30 371.4 6.19 60 27.9 .93 30 18.9 .63 30 32.4 1.08 30 34.8 1.16 30 400 400 1 18.9 .63 30 32.4 1.08 30 34.8 1.16 30 18.6 .62 30 27.9 .93 30 185.7 6.19 30 400 400 1 Total: 1653.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406801 Min 01406801 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 05-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 3 05-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 799 of 6486
Name
VINAY KUMAR AGRARWAL Rate Amount Qty 27.9 .93 30 76.5 2.55 30 161.1 5.37 30 73.5 2.45 30 400 400 1 Total: 739
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406807 Min 01406807 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 7 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 14 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 28-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 16 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 17 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 800 of 6486
Name
S K SHUKLA Rate Amount Qty 54 .9 60 25.2 .42 60 15 .25 60 156.6 1.74 90 26.7 .89 30 400 400 1 184.1 18.41 10 13 2.6 5 4.45 .89 5 400 400 1 33 1.1 30 34.8 1.16 30 32.4 1.08 30 15.6 .26 60 2.4 .16 15 15.3 .51 30 105.9 3.53 30 55.8 .93 60 400 400 1 Total: 1974.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406808 Min 01406808 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 05-FEB-19 BRIMONIDINE TARTRATE,0.15% 4 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 05-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 15-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19
Page 801 of 6486
SATYA BHAMA SHUKLA Rate Amount Qty 21.3 .71 30 53.4 .89 60 287.1 3.19 90 148.9 74.45 2 50.14 25.07 2 313.02 156.51 2 400 400 1 167.4 5.58 30 29.7 .99 30 33 1.1 30 72 .6 120 32.4 1.08 30 12 .4 30 26.7 .89 30 17.4 1.16 15 7.5 .25 30 47.4 1.58 30 400 400 1 Total: 2119.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406815 Min 01406815 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 802 of 6486
Name
V K BICHPURIA Rate Amount Qty 66 1.1 60 12 .4 30 55.8 .93 60 17.4 .58 30 12 .4 30 21.3 .71 30 23.1 .77 30 400 400 1 Total: 607.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406826 Min 01406826 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 803 of 6486
Name
MAYA RAM SAHU Rate Amount Qty 34.8 1.16 30 43.2 1.44 30 8.1 .27 30 32.4 1.08 30 33 1.1 30 23.7 .79 30 30.6 .34 90 400 400 1 Total: 605.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406828 Min 01406828 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 804 of 6486
Name
D L PARDHI Rate Amount Qty 27.9 .93 30 10.65 .71 15 12.6 .42 30 26.7 .89 30 7.5 .25 30 24 .4 60 54 .6 90 55.8 .93 60 95.7 3.19 30 400 400 1 Total: 714.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406829 Min 01406829 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 805 of 6486
Name
SAGAN DEVI PARDHI Rate Amount Qty 26 2.6 10 40.12 20.06 2 41.1 1.37 30 26.7 .89 30 371.4 6.19 60 4.8 .16 30 55.8 .93 60 7.5 .25 30 400 400 1 7.5 .25 30 400 400 1 Total: 1380.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406851 Min 01406851 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 02-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 16 12-FEB-19 CREATININE /CRT 17 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 18 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 22 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 24 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 25 12-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 26 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 27 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 28 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 29 12-FEB-19
Page 806 of 6486
Name
SURENDRA KUMAR SINGH Rate Amount Qty 400 400 1 167.4 5.58 30 275 275 1 275 275 1 1300 1300 1 20.29 20.29 1 7.5 .25 30 9.3 .62 15 55.8 .93 60 34.8 1.16 30 8.1 .27 30 117 1.3 90 32.4 .36 90 54 .6 90 275 275 1 14.26 .62 23 275 275 1 275 275 1 275 275 1 400 400 1 7.5 .25 30 167.4 5.58 30 117 1.3 90 72 .6 120 32.4 .36 90 550 550 1 34.8 1.16 30 55.8 .93 60 8.1 .27 30 Total: 5315.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406852 Min 01406852 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19
Page 807 of 6486
Name
PADMA SINGH Rate Amount Qty 7.5 .25 30 21.3 .71 30 275 275 1 275 275 1 400 400 1 1300 1300 1 275 275 1 Total: 2553.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406853 Min 01406853 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 808 of 6486
Name
R D AGARWAL Rate Amount Qty 12 .4 30 60.9 2.03 30 78 1.3 60 21.3 .71 30 33 1.1 30 55.2 .92 60 400 400 1 Total: 660.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406859 Min 01406859 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 809 of 6486
Name
RAMESH KUMAR PANDEY Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 7.5 .25 30 11.4 .38 30 26.7 .89 30 22.5 .75 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 784
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406860 Min 01406860 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 810 of 6486
Name
ASHA PANDEY Rate Amount Qty 185.7 6.19 30 9.6 .64 15 28.5 .38 75 400 400 1 26.7 .89 30 32.4 1.08 30 55.8 .93 60 167.4 5.58 30 36 .6 60 8.1 .27 30 400 400 1 Total: 1350.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406866 Min 01406866 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 PRAZOSIN,2.5MG,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 811 of 6486
Name
K K KUNJULAKSHMI AMMA Rate Amount Qty 34.8 1.16 30 55.8 .93 60 78 1.3 60 18 .6 30 71 .71 100 7.5 .25 30 32.4 1.08 30 400 400 1 Total: 697.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406867 Min 01406867 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 812 of 6486
Name
RAMACHANDRAN PILLAI Rate Amount Qty 27.9 .93 30 32.4 1.08 30 21.3 .71 30 4.8 .16 30 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406878 Min 01406878 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 813 of 6486
Name
CHAMAN LAL NAYYAR Rate Amount Qty 12 .4 30 24.6 .82 30 35.55 .79 45 17.37 17.37 1 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 531.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406897 Min 01406897 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 814 of 6486
Name
K C SARASWATHY Rate Amount Qty 18 .3 60 55.8 .93 60 21.3 .71 30 18 .6 30 7.5 .25 30 400 400 1 Total: 520.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406910 Min 01406910 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 COMPLETE HAEMOGRAM 5 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 05-FEB-19
Page 815 of 6486
Name
SARABJIT SINGH Rate Amount Qty 12 .4 30 34.8 1.16 30 1300 1300 1 400 400 1 750 750 1 33 1.1 30 Total: 2529.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406911 Min 01406911 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 12-FEB-19 URIC ACID (UA /URATES /UR) 6 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 12-FEB-19 X - RAY - TWO VIEWS 9 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 12-FEB-19
Page 816 of 6486
Name
SANGEETA KAUR Rate Amount Qty 23.7 .79 30 32.4 1.08 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 185.7 6.19 30 26 2.6 10 860 860 1 400 400 1 275 275 1 Total: 2780.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406926 Min 01406926 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 817 of 6486
Name
AJIT KUMAR MANDAL Rate Amount Qty 55.8 .93 60 26 2.6 10 400 400 1 Total: 481.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406927 Min 01406927 Appmt Dt Slno Description 25-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 818 of 6486
Name
PRATIVA MANDAL Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406932 Min 01406932 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 01-FEB-19
Page 819 of 6486
A CHAKRAVORTY Qty 1 1 6 6 1
Rate Amount 550 550 400 400 3.84 .64 39.72 6.62 15.73 15.73 Total: 1009.29
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01406934 Min 01406934 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 12-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 820 of 6486
G S CHANDEL Rate Amount Qty 14.85 .99 15 26.7 .89 30 54 .9 60 21.3 .71 30 16.2 .18 90 104.4 1.74 60 59.4 .66 90 11.1 .37 30 31.46 15.73 2 400 400 1 Total: 739.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406935 Min 01406935 Appmt Dt Slno Description 15-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 821 of 6486
Name
SUDHA CHANDEL Qty Rate Amount 15 .89 13.35 30 1.04 31.2 30 .93 27.9 1 400 400 Total: 472.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406936 Min 01406936 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 22 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 25 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 26 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 28 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 29 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 25-FEB-19
Page 822 of 6486
Name
S C DUTTA Rate Amount Qty 55.2 1.84 30 400 400 1 34.8 1.16 30 60.9 2.03 30 32.4 1.08 30 8.1 .27 30 66 1.1 60 55.8 .93 60 7.8 .26 30 400 400 1 9.6 .64 15 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 33.12 1.84 18 5.76 .64 9 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 4154.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406942 Min 01406942 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 823 of 6486
Name
LAKHAN LAL BHARADWAJ Rate Amount Qty 27.4 1.37 20 5.2 .26 20 247.6 6.19 40 17.8 .89 20 400 400 1 14.85 .99 15 55.8 .93 60 7.5 .25 30 400 400 1 Total: 1176.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406943 Min 01406943 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 824 of 6486
Name
REWATI BHARADWAJ Rate Amount Qty 5 .25 20 123.8 6.19 20 12.8 .64 20 13.7 1.37 10 400 400 1 10.8 .36 30 55.8 .93 60 36 .6 60 33 1.1 30 34.8 1.16 30 400 400 1 Total: 1125.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406949 Min 01406949 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 26-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 825 of 6486
Name
A K BASAK Rate Amount Qty 60.9 2.03 30 41.85 .93 45 7.65 .51 15 4.65 .93 5 9.9 .99 10 192.3 6.41 30 21.3 .71 30 12 .4 30 400 400 1 27.9 .93 30 400 400 1 43.96 43.96 1 2.8 .7 4 8.9 .89 10 400 400 1 Total: 1634.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406950 Min 01406950 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 826 of 6486
Name
BHARATI BASAK Rate Amount Qty 21.3 .71 30 32.4 1.08 30 3.75 .25 15 2.4 .16 15 7.65 .51 15 66 1.1 60 8.1 .27 30 400 400 1 43.96 43.96 1 400 400 1 Total: 985.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406957 Min 01406957 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 827 of 6486
Name
SHRIDHAR DIWAN Rate Amount Qty 21.9 .73 30 33 1.1 30 27.9 .93 30 21.3 .71 30 12 .4 30 26.7 .89 30 400 400 1 Total: 542.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406958 Min 01406958 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 828 of 6486
Name
SHACHI DIWAN Rate Amount Qty 14.6 .73 20 6.4 .64 10 21.3 .71 30 5.55 .37 15 12 .4 30 15.4 .77 20 400 400 1 Total: 475.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01406996 Min 01406996 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 829 of 6486
Name
K P MISHRA Rate Amount Qty 26.7 .89 30 2.4 .16 15 7.8 .26 30 12 .4 30 21.3 .71 30 6.9 .23 30 33 1.1 30 400 400 1 Total: 510.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407005 Min 01407005 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 830 of 6486
Name
RAMAPRASAD DEY Rate Amount Qty 55.8 .93 60 66 1.1 60 29.7 .99 30 26.7 .89 30 12 .4 30 2.4 .16 15 21.3 .71 30 400 400 1 Total: 613.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407009 Min 01407009 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 831 of 6486
Name
PREMANKUR MITRA Rate Amount Qty 21.3 .71 30 32.4 1.08 30 27.9 .93 30 38.25 2.55 15 400 400 1 Total: 519.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407023 Min 01407023 Appmt Dt Slno Description 05-FEB-19 1 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 05-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 05-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 832 of 6486
Name
S N SRIVASTAVA Qty Rate Amount 120 8.18 981.6 60 .27 16.2 60 1.21 72.6 1 400 400 Total: 1470.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407024 Min 01407024 Slno Description Appmt Dt UREA (BUN /UR) 1 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 05-FEB-19 CREATININE /CRT 3 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 6 05-FEB-19 X - RAY - SINGLE VIEW 7 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 833 of 6486
Name
VIDYA SRIVASTAVA Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 1300 1300 1 400 400 1 275 275 1 550 550 1 6.4 .64 10 400 400 1 185.7 6.19 30 400 400 1 Total: 5367.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407031 Min 01407031 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 834 of 6486
Name
BELAWATI DEVI Rate Amount Qty 4.8 .16 30 32.4 1.08 30 33 1.1 30 31.2 1.04 30 27.9 .93 30 40.12 20.06 2 17.4 1.16 15 400 400 1 Total: 586.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407032 Min 01407032 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 835 of 6486
Name
A K SARKAR Rate Amount Qty 55.8 .93 60 211.8 3.53 60 32.4 1.08 30 66 1.1 60 32.4 1.08 30 34.8 1.16 30 60.9 2.03 30 13.35 .89 15 66 1.1 60 400 400 1 Total: 973.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407033 Min 01407033 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 836 of 6486
Name
SHOVA SARKAR Rate Amount Qty 17.4 .58 30 21.3 .71 30 20.06 20.06 1 13.95 .93 15 400 400 1 Total: 472.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407035 Min 01407035 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 837 of 6486
Name
DR SAMAR K GHOSH Rate Amount Qty 4.8 .16 30 60.9 2.03 30 36 .6 60 21.6 .36 60 167.4 5.58 30 400 400 1 Total: 690.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407050 Min 01407050 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 19-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 838 of 6486
Name
M L SHAW Rate Amount Qty 237 3.95 60 18.9 .42 45 30.6 .51 60 23.7 .79 30 34.8 1.16 30 32.4 1.08 30 211.8 3.53 60 55.8 .93 60 400 400 1 Total: 1045
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407051 Min 01407051 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 839 of 6486
Name
N SHAW Rate Amount Qty 21.3 .71 30 4.8 .16 30 66 1.1 60 27.9 .93 30 20.84 5.21 4 55.8 .93 60 400 400 1 Total: 596.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407069 Min 01407069 Name Appmt Dt Slno Description 22-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 840 of 6486
TILESHWARI SAHU Qty 2 1
Rate Amount 25.07 50.14 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407070 Min 01407070 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 841 of 6486
Name
C S S MUDLIAR Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 7.8 .26 30 12 .4 30 32.4 1.08 30 7.5 .25 30 12.3 .41 30 33 1.1 30 400 400 1 Total: 600.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407071 Min 01407071 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 842 of 6486
Name
CHHAYA MUDLIAR Rate Amount Qty 10.8 .36 30 36 .6 60 41.85 .93 45 3.84 .64 6 400 400 1 Total: 492.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407075 Min 01407075 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 843 of 6486
Name
F C ARORA Rate Amount Qty 27.9 .93 30 7.5 .25 30 54 .6 90 20.84 5.21 4 400 400 1 Total: 510.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407083 Min 01407083 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 PRAZOSIN,2.5MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 844 of 6486
Name
P C MALATHI Rate Amount Qty 21.3 .71 30 12 .4 30 32.4 1.08 30 6.9 .23 30 66 1.1 60 78 1.3 60 55.8 .93 60 400 400 1 Total: 672.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407086 Min 01407086 Slno Description Appmt Dt IVABRADINE,5MG,,TABLET 1 06-FEB-19 TAB,TRIMETHOPRIM80MG+SULPHAMETHOXAZ400MG 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 845 of 6486
R C NAYYAR Rate Amount Qty 99.5 9.95 10 27.6 .69 40 400 400 1 Total: 527.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407087 Min 01407087 Appmt Dt Slno Description 21-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 846 of 6486
Name
GEETA NAYYAR Qty Rate Amount 30 .89 26.7 30 1.08 32.4 30 .23 6.9 1 400 400 Total: 466
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407089 Min 01407089 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 PRAZOSIN,2.5MG,TABLET 3 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 847 of 6486
Name
K R KAMALA DEVI Rate Amount Qty 27.9 .93 30 66 1.1 60 39 1.3 30 20.84 5.21 4 15.6 .26 60 32.4 1.08 30 400 400 1 Total: 601.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407092 Min 01407092 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 UREA (BUN /UR) 4 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 25-FEB-19 CHOLESTEROL (CHOL) 6 25-FEB-19 TRIGLYCERIDES (TGL) 7 25-FEB-19 CREATININE /CRT 8 25-FEB-19 UREA (BUN /UR) 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 25-FEB-19
Page 848 of 6486
Name
L D KAUSHAL Rate Amount Qty 60.9 2.03 30 275 275 1 26.7 .89 30 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 7.5 .25 30 105.9 3.53 30 55.8 .93 60 36.3 1.21 30 400 400 1 275 275 1 32.4 1.08 30 Total: 3221.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407093 Min 01407093 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CREATININE /CRT 8 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 25-FEB-19
Page 849 of 6486
Name
NIRMALA KAUSHAL Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 105.9 3.53 30 33 1.1 30 55.8 .93 60 26.7 .89 30 275 275 1 12 .4 30 7.5 .25 30 Total: 2490.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407106 Min 01407106 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 850 of 6486
Name
CHAMPALAL BERDIA Rate Amount Qty 66 1.1 60 10.8 .36 30 54 .6 90 34.8 1.16 30 12 .4 30 32.4 1.08 30 27.9 .93 30 16.2 .27 60 400 400 1 Total: 654.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407107 Min 01407107 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 851 of 6486
Name
SHANTA BERDIA Rate Amount Qty 11.1 .37 30 27.9 .93 30 7.5 .25 30 8.1 .27 30 400 400 1 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407109 Min 01407109 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 852 of 6486
Name
LEELAMMA KUNJU KUNJU Rate Amount Qty 27.9 .93 30 16.2 .27 60 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407112 Min 01407112 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 853 of 6486
Name
SOSAMMA OOMMEN Rate Amount Qty 9 .3 30 47.4 .79 60 7.5 .25 30 36 .6 60 21.3 .71 30 400 400 1 Total: 521.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407120 Min 01407120 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 854 of 6486
Name
SARAMMA GEORGE Rate Amount Qty 18.9 .63 30 55.8 .93 60 21.3 .71 30 66 1.1 60 12 .4 30 15.6 .26 60 400 400 1 Total: 589.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407123 Min 01407123 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 28-FEB-19 SOLIFENACIN,5MG,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 855 of 6486
Name
SURJEET SINGH HORA Rate Amount Qty 60.9 2.03 30 21.3 .71 30 72.6 1.21 60 32.4 1.08 30 12 .4 30 8.1 .27 30 400 400 1 43.96 131.88 3 60.9 2.03 30 806.4 13.44 60 400 400 1 Total: 2006.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407124 Min 01407124 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 856 of 6486
Name
KULWANT KAUR HORA Rate Amount Qty 12 .4 30 167.4 5.58 30 12.8 .64 20 21.3 .71 30 15.6 .26 60 400 400 1 Total: 629.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407130 Min 01407130 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 10 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 857 of 6486
Name
H S RAWAT Rate Amount Qty 54 .9 60 16.2 .18 90 26.7 .89 30 400 400 1 10.08 1.12 9 5.76 .64 9 33.12 1.84 18 400 400 1 33.12 1.84 18 3.6 .6 6 5.76 .64 9 400 400 1 Total: 1388.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407131 Min 01407131 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 858 of 6486
Name
KAUSHALYA RAWAT Rate Amount Qty 371.4 6.19 60 400 400 1 34.8 1.16 30 12 .4 30 8.1 .27 30 66 1.1 60 43.96 43.96 1 117 1.3 90 54 .6 90 12 .4 30 11.55 .77 15 167.4 5.58 30 400 400 1 Total: 1698.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407147 Min 01407147 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 859 of 6486
Name
ASHOK NEMA Rate Amount Qty 3.75 .25 15 33 1.1 30 22.2 .37 60 55.8 .93 60 400 400 1 Total: 514.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407149 Min 01407149 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 6 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 860 of 6486
Name
RAJANY RAMADAS Rate Amount Qty 43.33 6.19 7 6.23 .89 7 4.48 .64 7 2.05 .41 5 400 400 1 69.05 69.05 1 100.71 100.71 1 108 .9 120 313.2 1.74 180 400 400 1 185.7 6.19 30 26.7 .89 30 19.2 .64 30 4.1 .41 10 400 400 1 Total: 2082.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407173 Min 01407173 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 861 of 6486
Name
H G DANI Rate Amount Qty 7.5 .25 30 21.3 .71 30 118.5 3.95 30 12 .4 30 18 .6 30 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1230.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407176 Min 01407176 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 862 of 6486
Name
GOURI GOSWAMI Rate Amount Qty 38.76 3.23 12 21.3 .71 30 11.4 .38 30 21 .7 30 26.7 .89 30 19.2 .64 30 400 400 1 Total: 538.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407192 Min 01407192 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 23-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 23-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 PRAZOSIN,2.5MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 863 of 6486
Name
S MUKHOPADHYAY Rate Amount Qty 34.8 1.16 30 15.6 .26 60 36.3 1.21 30 118.5 3.95 30 27.9 .93 30 15.84 .99 16 18.6 .62 30 55.8 .93 60 156 1.3 120 400 400 1 Total: 879.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407193 Min 01407193 Appmt Dt Slno Description 22-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 864 of 6486
Name
SWAPNA MUKHERJEE Qty Rate Amount 30 .25 7.5 30 .27 8.1 30 1.08 32.4 1 400 400 Total: 448
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407194 Min 01407194 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 865 of 6486
Name
H U SIDDIQUE Rate Amount Qty 60.9 2.03 30 11.4 .38 30 7.5 .25 30 23.7 .79 30 24 .4 60 21.3 .71 30 15.6 1.04 15 66 1.1 60 18.9 .63 30 400 400 1 Total: 649.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407199 Min 01407199 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 866 of 6486
Name
SESHA KUMARI Rate Amount Qty 39 1.3 30 10.8 .36 30 36 .6 60 30.6 .34 90 16.2 .27 60 55.8 .93 60 12 .4 30 34.8 1.16 30 400 400 1 Total: 635.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407202 Min 01407202 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 867 of 6486
Name
P M BAWANEY Rate Amount Qty 66 1.1 60 34.8 1.16 30 7.65 .51 15 60.9 2.03 30 8.9 .89 10 12 .4 30 400 400 1 Total: 590.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407203 Min 01407203 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 5 08-FEB-19 TICAGRELOR 90MG ,TABLET 6 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 868 of 6486
Name
PRAMILA BAWANEY Rate Amount Qty 57.84 115.68 2 11.1 .37 30 19.72 9.86 2 400 400 1 280 280 1 30.77 1846.2 60 4.2 .42 10 400 400 1 4.2 .42 10 6.4 .64 10 185.7 6.19 30 400 400 1 Total: 3673.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407205 Min 01407205 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 02-FEB-19 BLOOD FOR T-3,T-4,TSH 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 23-FEB-19 PRAZOSIN,2.5MG,TABLET 14 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 869 of 6486
Name
VINAY DHUNDHEL Rate Amount Qty 18.6 .62 30 2400 2400 1 400 400 1 43.2 1.44 30 4.8 .16 30 21.3 .71 30 31.2 1.04 30 12 .4 30 170.4 .71 240 47.4 .79 60 69.6 1.16 60 400 400 1 55.8 .93 60 117 1.3 90 9.3 .62 15 400 400 1 Total: 4200.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407208 Min 01407208 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 870 of 6486
S B RAI Qty 1 1 2 1 1
Rate Amount 275 275 275 275 50.14 25.07 6.82 6.82 400 400 Total: 1006.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407209 Min 01407209 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 15-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 26-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 19 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 871 of 6486
BASMATI RAI Rate Amount Qty 25.07 25.07 1 18.21 18.21 1 400 400 1 167.4 5.58 30 17.4 1.16 15 16.2 .36 45 15.6 .26 60 42.6 .71 60 32.4 1.08 30 14.85 .99 15 400 400 1 3.84 .64 6 169 1.3 130 23.25 .93 25 400 400 1 13.35 .89 15 39 2.6 15 7.5 .25 30 21.3 .71 30 185.7 6.19 30 400 400 1 Total: 2412.67
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407214 Min 01407214 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 04-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 9 04-FEB-19 PRAZOSIN,2.5MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 20-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 15 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 16 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 17 28-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 18 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 28-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 872 of 6486
DR H L ARORA Rate Amount Qty 32.4 1.08 30 39.6 .66 60 26.7 .89 30 21.3 .71 30 4.27 192.15 45 21.3 .71 30 150.9 5.03 30 12 .4 30 118.5 3.95 30 39 1.3 30 400 400 1 25.07 25.07 1 6.82 6.82 1 400 400 1 19.72 9.86 2 18.9 .63 30 185.7 6.19 30 150.9 5.03 30 7.4 .37 20 26.96 3.37 8 400 400 1 Total: 2295.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407215 Min 01407215 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 UREA (BUN /UR) 4 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 5 01-FEB-19 24 HR URINARY ALBUMIN (24 HR UR ALB) 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 01-FEB-19 URIC ACID (UA /URATES /UR) 8 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 01-FEB-19 CREATININE /CRT 10 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 13 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 04-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 873 of 6486
Name
DR MAYA ARORA Rate Amount Qty 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 500 500 1 400 400 1 275 275 1 1300 1300 1 275 275 1 60.9 2.03 30 72.6 1.21 60 118.5 3.95 30 2.4 .16 15 26.7 .89 30 30.6 .34 90 31.2 1.04 30 11.4 .38 30 21.3 .71 30 32.4 1.08 30 400 400 1 150.9 5.03 30 400 400 1 Total: 5758.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407218 Min 01407218 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 IVABRADINE,5MG,,TABLET 10 25-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 26-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 14 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 17 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 18 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 19 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 26-FEB-19
Page 874 of 6486
Name
MOTILAL CHAURASIA Rate Amount Qty 36 .6 60 34.8 1.16 30 12 .4 30 86.4 1.44 60 23.7 .79 30 123.53 123.53 1 400 400 1 15.3 .51 30 400 400 1 298.5 9.95 30 26.55 26.55 1 400 400 1 36 .6 60 86.4 1.44 60 12 .4 30 21.3 .71 30 7.65 .51 15 123.53 123.53 1 23.7 .79 30 400 400 1 Total: 2567.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407221 Min 01407221 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 6 11-FEB-19 TRIGLYCERIDES (TGL) 7 11-FEB-19 CHOLESTEROL (CHOL) 8 11-FEB-19 CREATININE /CRT 9 11-FEB-19 UREA (BUN /UR) 10 11-FEB-19 CREATININE /CRT 11 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 17 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 18 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 11-FEB-19
Page 875 of 6486
Name
UMA PANDEY Rate Amount Qty 275 275 1 400 400 1 185.7 6.19 30 13.7 1.37 10 55.8 .93 60 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 32.4 1.08 30 550 550 1 16.2 .27 60 76.5 2.55 30 18.6 .62 30 21.3 .71 30 26.7 .89 30 400 400 1 400 400 1 Total: 4671.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407222 Min 01407222 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 4 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 876 of 6486
Name
SURESH CHAND SEN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 3.9 .26 15 26.6 2.66 10 6.4 .64 10 54 .9 60 400 400 1 Total: 1144.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407223 Min 01407223 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 15-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 877 of 6486
Name
IMARTI BAI SEN Rate Amount Qty 21.3 .71 30 6.4 .64 10 87.92 43.96 2 82.76 248.28 3 27.9 .93 30 8.1 .27 30 400 400 1 Total: 799.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407224 Min 01407224 Appmt Dt Slno Description 12-FEB-19 1 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 878 of 6486
Name
K K BHALLA Qty Rate Amount 10 3.52 35.2 5 .89 4.45 5 .37 1.85 1 400 400 Total: 441.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407225 Min 01407225 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 879 of 6486
Name
KANTA BHALLA Rate Amount Qty 34.8 1.16 30 7.5 .25 30 12 .4 30 76.5 2.55 30 29.7 .99 30 16.2 .27 60 167.4 5.58 30 21.6 .36 60 26.7 .89 30 400 400 1 Total: 792.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407240 Min 01407240 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 880 of 6486
Name
ANIMA ROY Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407253 Min 01407253 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 881 of 6486
Name
AKBAR HUSSAIN ANSARI Rate Amount Qty 3.63 1.21 3 23.7 .79 30 8.1 .27 30 36 .6 60 78 1.3 60 400 400 1 16.5 1.1 15 400 400 1 78 1.3 60 2.5 .25 10 36 .6 60 8.1 .27 30 23.7 .79 30 33 1.1 30 400 400 1 Total: 1547.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407258 Min 01407258 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 882 of 6486
Name
RADHIKA DEVI RANGARI Rate Amount Qty 21.3 .71 30 36 .6 60 32.4 1.08 30 12 .4 30 29.7 .99 30 66 1.1 60 55.8 .93 60 8.1 .27 30 400 400 1 Total: 661.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407272 Min 01407272 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 15-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 883 of 6486
Name
INDIRA DEVI Rate Amount Qty 21.3 .71 30 7.5 .25 30 26.7 .89 30 4.8 .16 30 21.6 .36 60 36 .6 60 27.9 .93 30 21.3 .71 30 88.2 1.47 60 400 400 1 Total: 655.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407279 Min 01407279 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 884 of 6486
Name
V D NILKANTHAN Rate Amount Qty 11.4 .38 30 28.69 28.69 1 400 400 1 Total: 440.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407288 Min 01407288 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 885 of 6486
Name
BUDHI BAI Rate Amount Qty 26.7 .89 30 7.5 .25 30 27.9 .93 30 12.8 .64 20 400 400 1 Total: 474.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407299 Min 01407299 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 14-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 886 of 6486
FULENA SINGH Rate Amount Qty 12 .4 30 9 .3 30 43.96 43.96 1 17.4 1.16 15 18 .6 30 6.4 .64 10 27.9 .93 30 400 400 1 50.14 25.07 2 58 29 2 400 400 1 Total: 1042.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407300 Min 01407300 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 17 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 19 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 20 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 22 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 23 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 24 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 27-FEB-19
Page 887 of 6486
Name
RAJ KISHORI DEVI Rate Amount Qty 36 .6 60 12 .4 30 46.2 .77 60 6.8 .34 20 78 1.3 60 32.4 1.08 30 23.7 .79 30 72.6 1.21 60 15.6 .26 60 34.8 1.16 30 400 400 1 43.96 43.96 1 .48 .16 3 4.45 .89 5 400 400 1 66 1.1 60 27.6 .92 30 27.9 .93 30 36 .6 60 7.8 .26 30 32.4 1.08 30 12 .4 30 5.7 .38 15 34.8 1.16 30 400 400 1 Total: 1857.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407305 Min 01407305 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 01-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 21-FEB-19 SOLIFENACIN,5MG,,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19
Page 888 of 6486
Name
SATYANARAYAN SANGHI Rate Amount Qty 9.6 .64 15 13.35 .89 15 185.7 6.19 30 301.8 5.03 60 400 400 1 3.6 .6 6 5.76 .64 9 33.12 1.84 18 400 400 1 12.81 12.81 1 11.1 .37 30 9.86 9.86 1 8.1 .27 30 33 1.1 30 21.3 .71 30 806.4 13.44 60 400 400 1 Total: 2655.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407306 Min 01407306 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 01-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 4 01-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 01-FEB-19 ECG 11 01-FEB-19 OBSERVATION IN CASUALTY 12 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 01-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 15 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 18 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 21 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 21-FEB-19
Page 889 of 6486
Name
JAMUNA SANGHI Rate Amount Qty 5.34 .89 6 36.84 6.14 6 20.06 20.06 1 9.81 9.81 1 11.89 11.89 1 27.9 .93 30 17.4 1.16 15 17.4 .58 30 7.5 .25 30 24.52 24.52 1 450 450 1 420 420 1 18.6 .62 30 400 400 1 4.8 .6 8 5.84 .73 8 7.68 .64 12 44.16 1.84 24 400 400 1 7.5 .25 30 18.6 .62 30 21.3 .71 30 27.9 .93 30 20.06 20.06 1 400 400 1 Total: 2425.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407307 Min 01407307 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 890 of 6486
Name
HENDRY KUMAR GLAD Rate Amount Qty 16.2 .18 90 54 .9 60 26.7 .89 30 38.76 3.23 12 3.04 .38 8 2.4 .16 15 104.4 1.74 60 12.8 .64 20 400 400 1 Total: 658.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407308 Min 01407308 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 891 of 6486
Name
SHANTA GLAD Rate Amount Qty 66 1.1 60 23.7 .79 30 21.3 .71 30 2.4 .16 15 10.42 5.21 2 7.5 .25 30 400 400 1 Total: 531.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407311 Min 01407311 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 892 of 6486
Name
S N ADHIKARY Rate Amount Qty 25.2 .63 40 17.8 .89 20 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 718
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407312 Min 01407312 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 MEGESTROL ACETATE,40MG,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 23-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 5 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 893 of 6486
Name
RANU ADHIKARY Rate Amount Qty 111.6 .93 120 13.63 3271.2 240 400 400 1 12.6 .63 20 62.8 3.14 20 35.6 .89 40 247.6 6.19 40 400 400 1 Total: 4541.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407314 Min 01407314 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 25-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 ACENOCOUMAROL,2MG,,TABLET 4 25-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 894 of 6486
Name
P USHA SANKAR Rate Amount Qty 7.65 .51 15 25.96 1.18 22 12 .4 30 202.5 6.75 30 43.2 1.44 30 400 400 1 Total: 691.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407325 Min 01407325 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 895 of 6486
Name
K C DUNAIL Rate Amount Qty 32.4 1.08 30 7.4 .37 20 25.62 12.81 2 7.5 .25 30 8.9 .89 10 12 .4 30 26 2.6 10 123.53 247.06 2 2.4 .16 15 21.3 .71 30 400 400 1 13.35 .89 15 39 2.6 15 400 400 1 Total: 1242.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407326 Min 01407326 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19 ECG 7 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 27-FEB-19 CREATININE /CRT 10 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 27-FEB-19
Page 896 of 6486
Name
PARVATI BAI Rate Amount Qty 21.3 .71 30 14.85 .99 15 12 .4 30 55.8 .93 60 33 1.1 30 400 400 1 450 450 1 400 400 1 275 275 1 275 275 1 1300 1300 1 550 550 1 400 400 1 275 275 1 275 275 1 Total: 4736.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407331 Min 01407331 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 897 of 6486
Name
VINAY KUMAR MUKHERJEE Rate Amount Qty 95.7 3.19 30 21.3 .71 30 23.7 .79 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 585.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407342 Min 01407342 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 PRAZOSIN,2.5MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 898 of 6486
Name
SISIR KUMAR GUHA Rate Amount Qty 10.8 .36 30 12 .4 30 32.4 1.08 30 26.7 .89 30 7.5 .25 30 16.2 .27 60 55.8 .93 60 36 .6 60 156 1.3 120 400 400 1 Total: 753.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407343 Min 01407343 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 899 of 6486
Name
AMITA GUHA Rate Amount Qty 8.1 .27 30 9.3 .62 15 34.8 1.16 30 32.4 1.08 30 18.9 .63 30 400 400 1 Total: 503.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407350 Min 01407350 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 900 of 6486
Name
J L RAJA Rate Amount Qty 60.9 2.03 30 26.7 .89 30 21.3 .71 30 13.95 .93 15 400 400 1 Total: 522.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407351 Min 01407351 Appmt Dt Slno Description 13-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 13-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 13-FEB-19 3 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 901 of 6486
Name
NALINI RAJA Qty Rate Amount 30 1.16 34.8 30 .6 18 30 .3 9 1 400 400 Total: 461.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407370 Min 01407370 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 902 of 6486
Name
S P NAIR Rate Amount Qty 39 1.3 30 34.8 1.16 30 32.4 1.08 30 15.3 .51 30 21.3 .71 30 18.6 .62 30 41.85 .93 45 400 400 1 Total: 603.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407371 Min 01407371 Appmt Dt Slno Description 04-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 04-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 903 of 6486
Name
P AMBHALIKA KUMARY Qty Rate Amount 30 .89 26.7 30 .71 21.3 30 .93 27.9 1 400 400 Total: 475.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407372 Min 01407372 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 PRAZOSIN,2.5MG,TABLET 2 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 904 of 6486
Name
C SURYANARAYANA Rate Amount Qty 55.8 .93 60 156 1.3 120 11.1 .37 30 76.5 2.55 30 29.7 .99 30 12 .4 30 34.8 1.16 30 2.4 .16 15 60.9 2.03 30 26.7 .89 30 400 400 1 Total: 865.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407376 Min 01407376 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 18-FEB-19 GUM ANALGESIC GEL 16 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 18-FEB-19
Page 905 of 6486
Name
D P TIWARI Rate Amount Qty 17.6 17.6 1 7.4 .37 20 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 167.4 5.58 30 72 .6 120 7.5 .25 30 9 .3 30 8.96 .64 14 6.23 .89 7 28.69 28.69 1 66.2 6.62 10 400 400 1 Total: 3090.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407384 Min 01407384 Name Appmt Dt Slno Description 02-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 906 of 6486
T K MUKHERJEE Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407387 Min 01407387 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 26-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 26-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 907 of 6486
Name
C T JOY Rate Amount Qty 156.6 1.74 90 100.71 100.71 1 12.15 12.15 1 54 .9 60 400 400 1 Total: 723.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407396 Min 01407396 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 GUM ANALGESIC GEL 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 908 of 6486
Name
S C BANERJEE Rate Amount Qty 27.9 .93 30 13.8 .23 60 32.4 1.08 30 21.3 .71 30 60.9 2.03 30 2.4 .16 15 26.7 .89 30 400 400 1 28.69 28.69 1 400 400 1 Total: 1014.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407397 Min 01407397 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 909 of 6486
Name
SHIKHA BANERJEE Rate Amount Qty 7.5 .25 30 4.8 .16 30 21.3 .71 30 21.3 .71 30 53.4 .89 60 400 400 1 21.3 .71 30 400 400 1 Total: 929.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407400 Min 01407400 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 910 of 6486
Name
RAM PRASAD SHARMA Rate Amount Qty 12 .4 30 54 .6 90 10.8 .36 30 26.7 .89 30 21.3 .71 30 78 1.3 60 55.8 .93 60 29.7 .99 30 33 1.1 30 400 400 1 Total: 721.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407405 Min 01407405 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 23-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 911 of 6486
Name
SRIPARNA DE Rate Amount Qty 4.8 .6 8 5.84 .73 8 44.16 1.84 24 7.68 .64 12 400 400 1 Total: 462.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407409 Min 01407409 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 8 23-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 14 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 912 of 6486
Name
DARBARI LAL DESHMUKH Rate Amount Qty 55.2 1.84 30 6 .6 10 6.4 .64 10 55.2 1.84 30 6.4 .64 10 6 .6 10 400 400 1 45.44 136.32 3 85.52 85.52 1 11.1 .37 30 400 400 1 7.68 .64 12 44.16 1.84 24 4.8 .6 8 5.84 .73 8 400 400 1 Total: 1630.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407410 Min 01407410 Appmt Dt Slno Description 14-FEB-19 1 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 913 of 6486
Name
BEDIYA BAI DESHMUKH Qty Rate Amount 30 .71 21.3 60 .25 15 10 .64 6.4 1 400 400 Total: 442.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407411 Min 01407411 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 914 of 6486
Name
S D RAI Rate Amount Qty 21.3 .71 30 167.4 5.58 30 6.9 .23 30 72.6 1.21 60 10.8 .36 30 18 .6 30 400 400 1 Total: 697
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407419 Min 01407419 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 13-FEB-19 TENOFOVIR,LAMIVUDINE300 & EFAVIRENZ600MG 3 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 915 of 6486
Name
NIRMAL KUMAR SHARMA Rate Amount Qty 21.3 .71 30 66 1.1 60 779.4 25.98 30 9 .3 30 23.7 .79 30 400 400 1 Total: 1299.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407420 Min 01407420 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 916 of 6486
Name
VIMALA SHARMA Rate Amount Qty 11.4 .38 30 8.1 .27 30 400 400 1 7.5 .25 30 423.6 7.06 60 26.7 .89 30 400 400 1 Total: 1277.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407421 Min 01407421 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 INHALANT,STRIP PACK,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 917 of 6486
Name
K D MEHARCHANDANI Rate Amount Qty 55.8 .93 60 23.7 .79 30 15.3 .51 30 6.9 .23 30 400 400 1 1.85 .37 5 17.8 .89 20 17 1.7 10 400 400 1 10.08 1.12 9 5.76 .64 9 33.12 1.84 18 400 400 1 Total: 1387.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407422 Min 01407422 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 GUM ANALGESIC GEL 5 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 20-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 918 of 6486
Name
LATA MEHARCHANDANI Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 400 400 1 7.5 .25 30 28.69 28.69 1 10.42 5.21 2 11.25 .75 15 400 400 1 Total: 925.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407427 Min 01407427 Appmt Dt Slno Description 20-FEB-19 1 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 20-FEB-19 2 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 20-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 919 of 6486
Name
B K DUBEY Qty Rate Amount 10 18.41 184.1 30 .93 27.9 10 .64 6.4 1 400 400 Total: 618.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407428 Min 01407428 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 20-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 2 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 20-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 20-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 920 of 6486
Name
MEENA DUBEY Rate Amount Qty 9.88 .38 26 64.6 3.23 20 20.84 5.21 4 53.4 .89 60 55.8 .93 60 123.53 247.06 2 82.76 165.52 2 400 400 1 Total: 1017.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407433 Min 01407433 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19
Page 921 of 6486
Name
SARACHANDRAN Rate Amount Qty 54 .9 60 20.1 .67 30 156.6 1.74 90 11.1 .37 30 100.71 201.42 2 26.7 .89 30 70.2 2.34 30 400 400 1 26.7 .89 30 21.3 .71 30 12 .4 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 1436.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407434 Min 01407434 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 922 of 6486
Name
SOBHANA SARACHANDRAN Rate Amount Qty 55.8 .93 60 36 .6 60 21.6 .36 60 26.7 .89 30 21.3 .71 30 21.3 .71 30 12 .4 30 400 400 1 Total: 594.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407437 Min 01407437 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 923 of 6486
Name
PRITAMDAS Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 12 .4 30 15.6 1.04 15 3.84 .64 6 15.96 2.66 6 30.6 .34 90 23.7 .79 30 23.1 .77 30 400 400 1 Total: 592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407441 Min 01407441 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 20-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 20-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 924 of 6486
Name
P L GUPTA Rate Amount Qty 54 .9 60 11.4 .38 30 7.5 .25 30 4.1 .41 10 39.6 .66 60 13.95 .93 15 11.4 .38 30 208.8 1.74 120 400 400 1 Total: 750.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407443 Min 01407443 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 925 of 6486
Name
B B PANDEY Rate Amount Qty 192.3 6.41 30 7.5 .25 30 60.9 2.03 30 2.4 .16 15 66 1.1 60 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 36 .6 60 400 400 1 Total: 860.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407446 Min 01407446 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 926 of 6486
Name
DHANJI SHARMA Rate Amount Qty 59.4 .99 60 26.7 .89 30 80.24 20.06 4 400 400 1 12 .4 30 15.6 .26 60 34.8 1.16 30 11.85 .79 15 33 1.1 30 245.6 6.14 40 17.8 .89 20 32.4 1.08 30 400 400 1 Total: 1369.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407447 Min 01407447 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 UREA (BUN /UR) 6 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19
Page 927 of 6486
Name
SARSWATI SHARMA Rate Amount Qty 36 .6 60 66 1.1 60 14.85 .99 15 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 3.75 .25 15 55.8 .93 60 Total: 1801.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407454 Min 01407454 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 16-FEB-19 UREA (BUN /UR) 4 16-FEB-19 CREATININE /CRT 5 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 928 of 6486
Name
S S VIRDI Rate Amount Qty 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 27.6 .92 30 21.3 .71 30 32.4 1.08 30 12 .4 30 55.8 .93 60 54 .6 90 16.2 .27 60 66 1.1 60 400 400 1 Total: 3485.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407455 Min 01407455 Slno Description Appmt Dt UREA (BUN /UR) 1 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 16-FEB-19 CREATININE /CRT 5 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 929 of 6486
Name
MANJIT KAUR Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 1300 1300 1 9 .3 30 10.8 .36 30 21.3 .71 30 66 1.1 60 16.2 .27 60 11.4 .38 30 400 400 1 Total: 3334.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407463 Min 01407463 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 01-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 9 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 13-FEB-19 COMPLETE HAEMOGRAM 13 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 13-FEB-19 URIC ACID (UA /URATES /UR) 15 13-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 16 13-FEB-19 CREATININE /CRT 17 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 13-FEB-19
Page 930 of 6486
Name
NALINI TRIPATHI Rate Amount Qty 66 1.1 60 12 .4 30 55.8 .93 60 4.8 .16 30 26.7 .89 30 83.4 2.78 30 21.3 .71 30 30.6 .34 90 51.68 3.23 16 6.08 .38 16 400 400 1 400 400 1 750 750 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3558.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407467 Min 01407467 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 04-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 931 of 6486
Name
KIRAN AGRAWAL Rate Amount Qty 7.5 .25 30 21.3 .71 30 185.7 6.19 30 26.7 .89 30 19.2 .64 30 17.25 1.15 15 400 400 1 Total: 677.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407474 Min 01407474 Appmt Dt Slno Description 02-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 932 of 6486
Name
D P SINGH Qty Rate Amount 30 .3 9 1 400 400 409 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407475 Min 01407475 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 PROTHROMBIN TIME (PT) 2 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 26-FEB-19 ACENOCOUMAROL,2MG,,TABLET 7 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 933 of 6486
Name
SAVITRI DEVI Rate Amount Qty 400 400 1 330 330 1 9.3 .62 15 7.5 .25 30 7.65 .51 15 47.4 .79 60 6.75 101.25 15 2.4 .16 15 400 400 1 Total: 1305.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407476 Min 01407476 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 13-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 13-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 13-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 8 13-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 9 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 934 of 6486
Name
K K MANDAL Rate Amount Qty 18.9 .63 30 11.4 .38 30 36 .6 60 11.1 .37 30 11.25 .75 15 36 .6 60 25.62 12.81 2 74.08 37.04 2 38.76 3.23 12 21.3 .71 30 60.9 2.03 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 817.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407477 Min 01407477 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 13-FEB-19 PRAZOSIN,2.5MG,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 935 of 6486
Name
MUKTI MANDAL Rate Amount Qty 27.9 .93 30 18 .6 30 18 .6 30 39 1.3 30 27.9 .93 30 400 400 1 Total: 530.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407478 Min 01407478 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 7 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 07-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 07-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 936 of 6486
Name
M L CHANDRA Rate Amount Qty 21.3 .71 30 27.9 .93 30 72 .6 120 78 1.3 60 32.4 .36 90 400 400 1 35.2 17.6 2 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 85.52 85.52 1 400 400 1 Total: 1206.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407479 Min 01407479 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 937 of 6486
Name
RADHA BAI CHANDRA Rate Amount Qty 117 1.3 90 54 .6 90 24 .4 60 21.3 .71 30 55.8 .93 60 8.1 .27 30 21.3 .71 30 400 400 1 Total: 701.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407481 Min 01407481 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 CILOSTAZOL,CAPSULE/100MG,TABLET 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 938 of 6486
Name
SANGITA SINGH Rate Amount Qty 14.85 .99 15 76.5 2.55 30 55.8 .93 60 8.1 .27 30 432.6 7.21 60 32.4 1.08 30 21.3 .71 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 1075.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407490 Min 01407490 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 18-FEB-19 CREATININE /CRT 8 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 15 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 22-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 17 22-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 18 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 22-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 20 22-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 21 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 22-FEB-19
Page 939 of 6486
Name
R K VISHWAKARMA Rate Amount Qty 29.7 .99 30 185.7 6.19 30 26.7 .89 30 37.8 .63 60 400 400 1 275 275 1 275 275 1 275 275 1 7.5 .25 30 21.3 .71 30 27.6 .92 30 55.8 .93 60 36 .6 60 400 400 1 1.82 .26 7 7.5 .25 30 7.8 .26 30 368.4 6.14 60 53.4 .89 60 124.5 4.15 30 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 4866.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407491 Min 01407491 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 9 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 23-FEB-19 ONDANSETRON,2MG/ML,INJECTION 11 23-FEB-19 OBSERVATION IN CASUALTY 12 23-FEB-19
Page 940 of 6486
Name
SAVITRI Rate Amount Qty 167.4 5.58 30 39 1.3 30 10.8 .36 30 400 400 1 275 275 1 275 275 1 2.56 .64 4 400 400 1 11.89 11.89 1 24.52 24.52 1 7.52 7.52 1 420 420 1 Total: 2033.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407497 Min 01407497 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 URIC ACID (UA /URATES /UR) 8 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 06-FEB-19
Page 941 of 6486
Name
ANITA ADHIKARI Rate Amount Qty 185.7 6.19 30 7.5 .25 30 13.7 1.37 10 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 17.4 .58 30 12 .4 30 21.3 .71 30 12.6 .42 30 8.1 .27 30 37.8 .63 60 400 400 1 Total: 2341.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407498 Min 01407498 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 942 of 6486
Name
SUBHASH BIJORIA Rate Amount Qty 16.2 1.08 15 13.95 .93 15 13.8 .92 15 10.65 .71 15 400 400 1 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407508 Min 01407508 Slno Description Appmt Dt KETOTIFEN,1MG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 BARIUM SWALLOW /BA BALL /BARIUM MEAL STU 15 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 08-FEB-19 X - RAY - SINGLE VIEW 17 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 18 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 22 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 22-FEB-19 C T THORAX 24 26-FEB-19 CREATININE /CRT 25 26-FEB-19 UREA (BUN /UR) 26 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 26-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 28 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 29 26-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 30 26-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 31 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 26-FEB-19
Page 943 of 6486
Name
C M GUPTA Rate Amount Qty 30.4 1.52 20 2.4 .16 15 9.45 .63 15 18.6 .62 30 11.85 .79 15 60.9 2.03 30 12 .4 30 21.3 .71 30 36 .6 60 70.2 2.34 30 8.9 .89 10 3.7 .37 10 18 .9 20 400 400 1 1500 1500 1 400 400 1 550 550 1 31.4 3.14 10 185.7 6.19 30 7.5 .25 30 400 400 1 20.06 20.06 1 400 400 1 9000 9000 1 275 275 1 275 275 1 400 400 1 184.2 6.14 30 31.36 1.12 28 2.34 196.56 84 2110 2110 1 37.38 .89 42 Total: 16707.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407519 Min 01407519 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 944 of 6486
Name
B R WASNIK Rate Amount Qty 33 1.1 30 55.8 .93 60 9 .3 30 31.95 .71 45 8.9 .89 10 400 400 1 Total: 538.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407525 Min 01407525 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 945 of 6486
Name
MURLIDHAR BARGATE Rate Amount Qty 7.5 .25 30 33 1.1 30 23.7 .79 30 78 .78 100 400 400 1 Total: 542.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407531 Min 01407531 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 15-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 946 of 6486
GHANSHYAM SHARMA Rate Amount Qty 6.82 6.82 1 25.07 25.07 1 400 400 1 9 .3 30 60.9 2.03 30 21.3 .71 30 27.9 .93 30 18 .6 30 10.8 .36 30 400 400 1 Total: 979.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407532 Min 01407532 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 947 of 6486
Name
MOHINI SHARMA Rate Amount Qty 33 1.1 30 12 .4 30 78 .78 100 11.4 .38 30 400 400 1 Total: 534.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407535 Min 01407535 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 UREA (BUN /UR) 2 08-FEB-19 CREATININE /CRT 3 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 08-FEB-19 CALCIUM (CA) 5 08-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 6 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 08-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 8 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 13 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 948 of 6486
Name
DHANESHWAR PRASAD PANDEY Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 382.5 12.75 30 26.7 .89 30 17.4 1.16 15 10.8 .36 30 32.4 1.08 30 72.6 1.21 60 16.2 .27 60 12 .4 30 400 400 1 Total: 4045.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407536 Min 01407536 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 949 of 6486
Name
GEETA DEVI PANDEY Rate Amount Qty 7.4 .37 20 25.62 12.81 2 400 400 1 33.3 1.11 30 21.6 .36 60 17.4 1.16 15 72 .6 120 400 400 1 Total: 977.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407551 Min 01407551 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 950 of 6486
Name
LAKHAN LAL Rate Amount Qty 121.8 2.03 60 47.4 .79 60 34.8 1.16 30 18 .6 30 400 400 1 Total: 622
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407568 Min 01407568 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 951 of 6486
Name
G LALITHAMBIKA Rate Amount Qty 14.85 .99 15 55.8 .93 60 21.3 .71 30 72.6 1.21 60 22.2 .37 60 400 400 1 Total: 586.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407573 Min 01407573 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 4 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 5 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 28-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 9 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 28-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 952 of 6486
U N PATHAK Rate Amount Qty 6.82 6.82 1 2.46 .41 6 14.08 3.52 4 18.03 18.03 1 20.29 20.29 1 7.98 .38 21 400 400 1 25.07 25.07 1 24.45 24.45 1 6.82 6.82 1 18.03 18.03 1 400 400 1 Total: 944.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407574 Min 01407574 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 PRAZOSIN,2.5MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 953 of 6486
Name
SUSHILA DEVI Rate Amount Qty 10.65 .71 15 40.12 20.06 2 32.4 1.08 30 38.25 2.55 15 16.2 .27 60 29.7 .99 30 156 1.3 120 400 400 1 Total: 723.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407575 Min 01407575 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 954 of 6486
Name
SARASWATHIK PILLAI Rate Amount Qty 21.3 .71 30 4.8 .16 30 60.9 2.03 30 36 .6 60 20.06 20.06 1 26.7 .89 30 400 400 1 Total: 569.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407579 Min 01407579 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 955 of 6486
Name
BIRENDRA PATHAK Rate Amount Qty 13.7 1.37 10 8.9 .89 10 123.8 6.19 20 15.63 5.21 3 55.8 .93 60 21.3 .71 30 1.85 .37 5 400 400 1 Total: 640.98
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407580 Min 01407580 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 7 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 956 of 6486
ANUSUYA PATHAK Rate Amount Qty 15.3 .51 30 42.6 .71 60 36 .6 60 12 .4 30 55.8 .93 60 21.3 .71 30 43.2 1.44 30 25.07 25.07 1 6.6 .66 10 20.84 5.21 4 10.8 .36 30 400 400 1 Total: 689.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407587 Min 01407587 Slno Description Appmt Dt AMIODARONE HCL,STRIP PKT,200MG,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 957 of 6486
Name
MANJU AGRAWAL Rate Amount Qty 61.8 4.12 15 21.6 .36 60 72 .6 120 8.1 .27 30 167.4 5.58 30 23.7 .79 30 34.8 1.16 30 12 .4 30 400 400 1 82.2 2.74 30 400 400 1 3.84 .64 6 33.12 1.84 18 6.72 1.12 6 400 400 1 Total: 1727.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407589 Min 01407589 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 958 of 6486
Name
B K CHAKRABORTY Rate Amount Qty 32.4 1.08 30 21.3 .71 30 18 .6 30 8.1 .27 30 400 400 1 Total: 479.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407605 Min 01407605 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 11 07-FEB-19 11 07-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 12 07-FEB-19 OXYGEN THERAPY 13 07-FEB-19 OBSERVATION IN CASUALTY 14 07-FEB-19 X - RAY - SINGLE VIEW 15 07-FEB-19 ECG 16 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 11-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 19 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 22 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 11-FEB-19
Page 959 of 6486
Name
R M NAIR Rate Amount Qty 55.8 .93 60 34.8 1.16 30 32.4 1.08 30 2.4 .16 15 7.5 .25 30 16.2 .27 60 15.3 .51 30 7.8 .26 30 400 400 1 400 400 1 100 100 1 3.68 1.84 2 25.54 25.54 1 300 300 1 420 420 1 550 550 1 450 450 1 4.45 .89 5 0 .37 0 1.98 .66 3 3.2 .64 5 1.25 .25 5 9 .9 10 1.85 .37 5 400 400 1 Total: 3243.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407606 Min 01407606 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 960 of 6486
Name
REMANI M NAIR Rate Amount Qty 7.5 .25 30 1.48 .37 4 36 .6 60 27.9 .93 30 34.8 1.16 30 15.96 2.66 6 3.84 .64 6 400 400 1 Total: 527.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407617 Min 01407617 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 15-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 15-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 7 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 961 of 6486
Name
MRINAL KANTI BASU Rate Amount Qty 27.9 .93 30 3.7 .37 10 11.4 .38 30 36 .6 60 60.9 2.03 30 65.6 .82 80 8.2 .82 10 7.8 .26 30 21.3 .71 30 400 400 1 Total: 642.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407618 Min 01407618 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 15-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 11 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 15-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 14 15-FEB-19 ENTACAVIR 0.5MG,,TABLET 15 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 962 of 6486
Name
DIPTI BASU Rate Amount Qty 20.06 20.06 1 55.2 1.84 30 6.4 .64 10 400 400 1 20.06 20.06 1 3.84 .64 6 33.12 1.84 18 400 400 1 33 1.1 30 7.5 .25 30 59.4 .99 60 5.21 5.21 1 8.1 .27 30 1270.8 7.06 180 673.5 22.45 30 32.4 1.08 30 400 400 1 Total: 3428.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407619 Min 01407619 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 963 of 6486
Name
GOPAL SHANKAR MATHUR Rate Amount Qty 18 .6 30 32.4 1.08 30 34.8 1.16 30 35.2 17.6 2 23.7 .79 30 15.6 .26 60 400 400 1 Total: 559.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407620 Min 01407620 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 964 of 6486
Name
HEMLATA MATHUR Rate Amount Qty 10.65 .71 15 33 1.1 30 400 400 1 Total: 443.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407623 Min 01407623 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 965 of 6486
Name
M P UPADHYAYA Rate Amount Qty 82.8 .92 90 21.3 .71 30 167.4 5.58 30 72 .6 120 400 400 1 Total: 743.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407624 Min 01407624 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 966 of 6486
GEETA DEVI UPADHYAYA Rate Amount Qty 25.07 25.07 1 400 400 1 18 .6 30 29.7 .99 30 55.8 .93 60 17.4 .58 30 400 400 1 35.2 17.6 2 11.1 .37 30 7.5 .25 30 25.07 25.07 1 400 400 1 Total: 1424.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407632 Min 01407632 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 967 of 6486
Name
PARWATI DEVI Rate Amount Qty 34.8 1.16 30 10.8 .36 30 36 .6 60 55.8 .93 60 36 .6 60 14.85 .99 15 1.48 .37 4 10.8 .36 30 400 400 1 Total: 600.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407659 Min 01407659 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 16-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 3 16-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 COST OF CONTRAST FOR MRI PER VIAL 10 19-FEB-19 CREATININE /CRT 11 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 28-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 13 28-FEB-19 UREA (BUN /UR) 14 28-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 15 28-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 16 28-FEB-19 ABC TEST HIV 17 28-FEB-19 PROTHROMBIN TIME (PT) 18 28-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 19 28-FEB-19 PLATELET COUNT 20 28-FEB-19 HB,TLC,DLC 21 28-FEB-19 X - RAY - SINGLE VIEW 22 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 28-FEB-19 URINE ROUTINE AND MICROSCOPIC 24 28-FEB-19
Page 968 of 6486
Name
RAM LAL SHARMA Rate Amount Qty 12 .4 30 15.6 .26 60 9000 9000 1 1300 1300 1 21.3 .71 30 400 400 1 26.7 .89 30 7.5 .25 30 27.9 .93 30 2640 2640 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 1000 1000 1 1250 1250 1 330 330 1 330 330 1 330 330 1 300 300 1 550 550 1 400 400 1 380 380 1 Total: 19971
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407660 Min 01407660 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 16 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 21 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 25-FEB-19
Page 969 of 6486
Name
MISHIRA DEVI Rate Amount Qty 34.8 1.16 30 16.2 .27 60 36 .6 60 32.4 1.08 30 3.2 .64 5 14.85 .99 15 26.7 .89 30 211.8 3.53 60 400 400 1 20.84 5.21 4 185.7 6.19 30 7.5 .25 30 17.8 .89 20 52 2.6 20 400 400 1 105.9 3.53 30 8.9 .89 10 16.2 .27 60 21.3 .71 30 18 .6 30 66.2 6.62 10 400 400 1 Total: 2096.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407661 Min 01407661 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 970 of 6486
Name
L B P S THAKUR Rate Amount Qty 14.85 .99 15 12 .4 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 503.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407662 Min 01407662 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 971 of 6486
Name
KAMALESH SINGH THAKUR Rate Amount Qty 13.95 .93 15 21.3 .71 30 36 .6 60 78 1.3 60 13.8 .92 15 400 400 1 Total: 563.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407670 Min 01407670 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 25-FEB-19
Page 972 of 6486
Name
KIRAN TRIPATHI Rate Amount Qty 7.5 .25 30 27.9 .62 45 17.4 .58 30 32.4 1.08 30 21.3 .71 30 400 400 1 27.9 .93 30 60.9 2.03 30 Total: 595.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407671 Min 01407671 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 14-FEB-19 GUM ANALGESIC GEL 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 24-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 8 24-FEB-19 OBSERVATION IN CASUALTY 9 24-FEB-19 ONDANSETRON,2MG/ML,INJECTION 10 24-FEB-19 ECG 11 24-FEB-19
Page 973 of 6486
Name
EMMANUEL SINGH Rate Amount Qty 13.35 .89 15 87.92 43.96 2 92.1 6.14 15 28.69 28.69 1 400 400 1 600 600 1 24.52 24.52 1 9.62 9.62 1 420 420 1 7.52 7.52 1 450 450 1 Total: 2133.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407672 Min 01407672 Slno Description Appmt Dt TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 21-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 15 24-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 16 24-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 17 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 19 24-FEB-19 OBSERVATION IN CASUALTY 20 24-FEB-19 ECG 21 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 25-FEB-19
Page 974 of 6486
Name
SUNILA SINGH Rate Amount Qty 159.6 1.33 120 400 400 1 18.6 .62 30 21.3 .71 30 14.85 .99 15 16.2 .27 60 55.8 .93 60 18 .6 30 167.4 5.58 30 1.85 .37 5 2.28 .38 6 3.84 .64 6 15.96 2.66 6 400 400 1 35.52 35.52 1 9.81 9.81 1 600 600 1 .89 .89 1 9.62 9.62 1 420 420 1 450 450 1 4.45 .89 5 1.85 .37 5 Total: 2827.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407679 Min 01407679 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 975 of 6486
Name
A N SINHA Rate Amount Qty 6.9 .23 30 55.8 .93 60 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407680 Min 01407680 Appmt Dt Slno Description 12-FEB-19 1 TENELIGLIPTIN,20MG,,TABLET 12-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 12-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 976 of 6486
Name
PRABHAVATI SINHA Qty Rate Amount 30 5.58 167.4 30 .6 18 30 .71 21.3 1 400 400 Total: 606.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407681 Min 01407681 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 977 of 6486
Name
KHITENDRANATH CHAKRABORTY Rate Amount Qty 27.9 .93 30 16.65 1.11 15 400 400 1 Total: 444.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407682 Min 01407682 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 978 of 6486
Name
SUBRAT KUMAR LAHIRI Rate Amount Qty 78 1.3 60 33 1.1 30 8.1 .27 30 21.3 .71 30 12 .4 30 36 .6 60 8.9 .89 10 400 400 1 Total: 597.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407693 Min 01407693 Slno Description Appmt Dt COMPLEMENT PROFILE (C3, C4) 1 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 23-FEB-19 ESR 4 23-FEB-19 COMPLETE HAEMOGRAM 5 23-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 23-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 23-FEB-19 UREA (BUN /UR) 13 23-FEB-19 CREATININE /CRT 14 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 23-FEB-19
Page 979 of 6486
Name
M N C PILLAI Rate Amount Qty 1050 1050 1 275 275 1 1300 1300 1 165 165 1 750 750 1 1610 1610 1 55.8 .93 60 8.1 .27 30 32.4 1.08 30 21.3 .71 30 192.3 6.41 30 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 Total: 7234.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407694 Min 01407694 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 980 of 6486
Name
P S MANGALA Rate Amount Qty 25.2 .42 60 18.9 .63 30 21.3 .71 30 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 553.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407698 Min 01407698 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 981 of 6486
Name
KAMALA SAHA CHOUDHURI Rate Amount Qty 105.9 3.53 30 36.3 1.21 30 14.85 .99 15 16.2 .27 60 55.8 .93 60 400 400 1 Total: 629.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407700 Min 01407700 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 DRESSING SIMPLE 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 12-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 6 12-FEB-19 DRESSING SIMPLE 7 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 16-FEB-19 DRESSING SIMPLE 13 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 23-FEB-19 DRESSING SIMPLE 16 23-FEB-19
Page 982 of 6486
Name
SAVITA NAIDU Rate Amount Qty 4.45 .89 5 1500 300 5 400 400 1 400 400 1 10.95 .73 15 157.8 15.78 10 1500 300 5 8.9 .89 10 4.1 .41 10 4.45 .89 5 10.95 .73 15 400 400 1 2100 300 7 35.2 3.52 10 400 400 1 1800 300 6 Total: 8736.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407702 Min 01407702 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 983 of 6486
Name
JAGDISH DASS Rate Amount Qty 36 .6 60 26.7 .89 30 27.9 .93 30 33 1.1 30 32.4 1.08 30 21.3 .71 30 60.9 2.03 30 167.4 5.58 30 400 400 1 Total: 805.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407703 Min 01407703 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 984 of 6486
Name
DULARI BAI Rate Amount Qty 2.4 .16 15 3.75 .25 15 10.65 .71 15 27.9 .93 30 9 .3 30 36 .6 60 400 400 1 Total: 489.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407704 Min 01407704 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 985 of 6486
Name
P BHATTACHARYA Rate Amount Qty 2.4 .16 15 60.9 2.03 30 27.6 .92 30 55.8 .93 60 192.3 6.41 30 76.5 2.55 30 12 .4 30 21.3 .71 30 14.85 .99 15 400 400 1 Total: 863.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407705 Min 01407705 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 986 of 6486
Name
MADHURI BHATTACHARYA Rate Amount Qty 3.84 .64 6 6.9 .23 30 27.6 .92 30 18 .6 30 55.8 .93 60 1.85 .37 5 21.3 .71 30 2.4 .16 15 46.8 2.34 20 2.28 .38 6 400 400 1 Total: 586.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407706 Min 01407706 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 07-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 987 of 6486
Name
D K AGRAWAL Rate Amount Qty 66.2 6.62 10 139.8 9.32 15 8.9 .89 10 10.95 .73 15 4.95 .99 5 7.1 .71 10 5.7 .38 15 3.7 .37 10 2 .4 5 400 400 1 27.9 .93 30 36.3 1.21 30 36 .6 60 9 .3 30 400 400 1 Total: 1158.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407707 Min 01407707 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 988 of 6486
Name
SHEELA AGRAWAL Rate Amount Qty 9 .3 30 18 .6 30 6.9 .23 30 36.3 1.21 30 400 400 1 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407708 Min 01407708 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 989 of 6486
Name
R S CHANDRAKAR Rate Amount Qty 55.8 .93 60 15.6 .26 60 33 1.1 30 34.8 1.16 30 8.1 .27 30 400 400 1 11.1 .37 30 400 400 1 Total: 958.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407710 Min 01407710 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 25-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 990 of 6486
Name
SUKHDEO RAO MAKODE Rate Amount Qty 3.84 .64 6 7.7 .77 10 400 400 1 21.3 .71 30 15 .25 60 400 400 1 66 1.1 60 23.1 .77 30 43.96 43.96 1 34.8 1.16 30 12 .4 30 47.4 .79 60 400 400 1 15.96 2.66 6 1.48 .37 4 3.84 .64 6 400 400 1 Total: 1896.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407711 Min 01407711 Appmt Dt Slno Description 05-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 2 METOPROLOL TARTRATE,50MG,,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 991 of 6486
Name
NIRMALA MAKODE Qty Rate Amount 15 .99 14.85 60 1.21 72.6 60 .93 55.8 1 400 400 Total: 543.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407725 Min 01407725 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 23-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 23-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 23-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 23-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 992 of 6486
Name
KAUSHAL NARAD Rate Amount Qty 7.4 .37 20 13.43 13.43 1 94.8 1.58 60 53.4 .89 60 12.81 12.81 1 43.96 43.96 1 8.1 .27 30 40.12 20.06 2 43.96 43.96 1 400 400 1 Total: 717.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407729 Min 01407729 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 993 of 6486
Name
N J CHANDU Rate Amount Qty 39 1.3 30 27.9 .93 30 6.9 .23 30 60.9 2.03 30 17.4 .58 30 11.4 .38 30 400 400 1 Total: 563.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407733 Min 01407733 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 994 of 6486
Name
FULMATI DEVI Rate Amount Qty 43.96 43.96 1 26.7 .89 30 33 1.1 30 32.4 1.08 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 621.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407738 Min 01407738 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 995 of 6486
Name
V K MALHOTRA Rate Amount Qty 36 .6 60 10.8 .36 30 23.7 .79 30 27.9 .93 30 21.3 .71 30 23.1 .77 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 587.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407751 Min 01407751 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 996 of 6486
Name
CHATURBHUJ TURKAR Rate Amount Qty 27.9 .93 30 1.48 .37 4 400 400 1 Total: 429.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407760 Min 01407760 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 14-FEB-19 UREA (BUN /UR) 4 14-FEB-19 CREATININE /CRT 5 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 997 of 6486
Name
CHAMPA SOLANKI Rate Amount Qty 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 55.8 .93 60 12 .4 30 72 .6 120 10.8 .36 30 400 400 1 Total: 2600.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407762 Min 01407762 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 998 of 6486
Name
RAMBUJHAWAN JHA Rate Amount Qty 17.4 1.16 15 55.8 .93 60 16.2 .27 60 66 1.1 60 400 400 1 Total: 555.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407763 Min 01407763 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 26-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 26-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 999 of 6486
Name
BUCHI DAI JHA Rate Amount Qty 3.75 .25 15 4.95 .99 5 36 .6 60 27.9 .93 30 400 400 1 6.82 6.82 1 42.6 .71 60 82.2 2.74 30 7.5 .25 30 4.8 .16 30 400 400 1 Total: 1016.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407781 Min 01407781 Appmt Dt Slno Description 12-FEB-19 1 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 12-FEB-19 2 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12-FEB-19 3 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1000 of 6486
Name
MUKTI NATH RAI Qty Rate Amount 30 .26 7.8 1 12.81 12.81 1 17.37 17.37 1 400 400 Total: 437.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407783 Min 01407783 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 13-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 1001 of 6486
Name
RAJULAL SAHU Rate Amount Qty 16.81 16.81 1 400 400 1 191.4 3.19 60 31.95 .71 45 53.4 .89 60 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1346.76
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407785 Min 01407785 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 9 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 1002 of 6486
SAROJ TOMAR Rate Amount Qty 7.3 .73 10 9.6 .64 15 55.2 1.84 30 8.9 .89 10 400 400 1 4.1 .41 10 4.45 .89 5 400 400 1 29 29 1 25.07 25.07 1 400 400 1 Total: 1343.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407786 Min 01407786 Slno Description Appmt Dt DRESSING SIMPLE 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 09-FEB-19 DRESSING SIMPLE 4 09-FEB-19 CULTURE AND SENSITIVITY SWAB - PUS/EAR 5 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 8 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 11-FEB-19 DRESSING SIMPLE 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 DRESSING SIMPLE 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 27-FEB-19 DRESSING SIMPLE 16 27-FEB-19
Page 1003 of 6486
Name
D S TOMAR Rate Amount Qty 300 300 1 400 400 1 400 400 1 300 300 1 650 650 1 400 400 1 5.34 .89 6 83.88 9.32 9 3.84 .64 6 1500 300 5 400 400 1 66.2 6.62 10 400 400 1 1500 300 5 400 400 1 1500 300 5 Total: 8309.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407787 Min 01407787 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 1004 of 6486
Name
ARTI YADAV Rate Amount Qty 54 .6 90 10.8 .36 30 78 1.3 60 32.4 1.08 30 21.3 .71 30 55.8 .93 60 8.1 .27 30 53.4 .89 60 20.06 20.06 1 11.4 .38 30 400 400 1 Total: 745.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407788 Min 01407788 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1005 of 6486
Name
S L YADAV Qty 6 4 1
Rate Amount 15.96 2.66 1.48 .37 400 400 Total: 417.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407794 Min 01407794 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 1006 of 6486
Name
VEENA DIWAN Rate Amount Qty 32.4 1.08 30 35.55 .79 45 3.75 .25 15 33 1.1 30 400 400 1 Total: 504.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407798 Min 01407798 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19
Page 1007 of 6486
Name
BRINDA BHARTI Rate Amount Qty 185.7 6.19 30 27.9 .93 30 29.7 .99 30 32.4 1.08 30 21.3 .71 30 5.21 5.21 1 7.5 .25 30 9.6 .64 15 26.7 .89 30 400 400 1 10.8 .36 30 36 .6 60 400 400 1 Total: 1192.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407805 Min 01407805 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 1008 of 6486
Name
T C DEWANGAN Rate Amount Qty 37.04 37.04 1 2.5 .25 10 4.1 .41 10 6.4 .64 10 7.7 .77 10 3.7 .37 10 70.2 2.34 30 400 400 1 7.5 .25 30 60.9 2.03 30 47.4 .79 60 72 .6 120 43.2 .36 120 400 400 1 Total: 1162.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407806 Min 01407806 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 02-FEB-19 GUM ANALGESIC GEL 8 02-FEB-19 GUM ANALGESIC GEL 9 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19
Page 1009 of 6486
Name
RAMHIN DEWANGAN Rate Amount Qty 2.5 .25 10 2.5 .25 10 4.1 .41 10 7.7 .77 10 70.2 2.34 30 3.7 .37 10 70.2 2.34 30 28.69 28.69 1 28.69 28.69 1 4.1 .41 10 7.7 .77 10 3.7 .37 10 400 400 1 Total: 633.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407807 Min 01407807 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 1010 of 6486
Name
R N SINGH Rate Amount Qty 34.8 1.16 30 26.7 .89 30 12 .4 30 20.84 5.21 4 11.4 .38 30 7.5 .25 30 400 400 1 Total: 513.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407823 Min 01407823 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 18-FEB-19
Page 1011 of 6486
Name
LILA GHOSH Rate Amount Qty 400 400 1 26.7 .89 30 4.8 .16 30 156.6 1.74 90 31.2 1.04 30 43.96 43.96 1 27 .9 30 Total: 690.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407840 Min 01407840 Slno Description Appmt Dt URINE ROUTINE AND MICROSCOPIC 1 04-FEB-19 COMPLETE HAEMOGRAM 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 1012 of 6486
Name
P H NAWARE Rate Amount Qty 380 380 1 750 750 1 400 400 1 3.56 .89 4 7.7 .77 10 39.72 6.62 6 6.4 .64 10 3.84 .64 6 400 400 1 Total: 1991.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407846 Min 01407846 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1013 of 6486
Name
MUKUL ROY Rate Amount Qty 12 .4 30 21.3 .71 30 8.1 .27 30 27.9 .93 30 8.7 .58 15 66 1.1 60 400 400 1 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407848 Min 01407848 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 06-FEB-19 DRESSING SIMPLE 2 06-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 07-FEB-19 DRESSING SIMPLE 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 1014 of 6486
Name
PRABHA V BHONSLE Rate Amount Qty 400 400 1 3000 300 10 57.84 231.36 4 1500 300 5 400 400 1 3.84 .64 6 5.34 .89 6 2.22 .37 6 39.72 6.62 6 2.28 .38 6 400 400 1 Total: 5984.76
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407850 Min 01407850 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 18-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 1015 of 6486
SAIJA BAI Rate Amount Qty 54 .9 60 15.73 15.73 1 26.7 .89 30 16.2 .18 90 400 400 1 18 .6 30 55.8 .93 60 34.8 1.16 30 16.2 .27 60 3.75 .25 15 400 400 1 Total: 1041.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407853 Min 01407853 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 20-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 1016 of 6486
SHRIRAM POKALE Rate Amount Qty 70.2 2.34 30 15.73 15.73 1 3.7 .37 10 5.4 .18 30 18 .9 20 25.07 25.07 1 400 400 1 8.9 .89 10 7.5 .25 30 55.8 .93 60 11.4 .38 30 6.4 .64 10 400 400 1 Total: 1028.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407854 Min 01407854 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 20-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 20-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1017 of 6486
Name
SUMITRA POKALE Rate Amount Qty 21.3 .71 30 29.7 .99 30 55.8 .93 60 21.3 .71 30 184.2 6.14 30 54 .6 90 185.7 6.19 30 26.7 .89 30 400 400 1 Total: 978.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407857 Min 01407857 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 1018 of 6486
Name
PRABHAT KUMAR SHRIVASTAVA Rate Amount Qty 26.7 .89 30 8.1 .27 30 42.6 .71 60 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 505.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407858 Min 01407858 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 1019 of 6486
Name
ANJANA SHRIVASTAVA Rate Amount Qty 7.5 .25 30 12 .4 30 20.84 5.21 4 6.9 .23 30 9 .3 30 400 400 1 Total: 456.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407859 Min 01407859 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 16-FEB-19 C T HEAD PLAIN 2 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 1020 of 6486
Name
S K BAGCHI Rate Amount Qty 400 400 1 5250 5250 1 11.4 .38 30 34.8 1.16 30 27.9 .93 30 18.6 .62 30 400 400 1 Total: 6142.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407860 Min 01407860 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 1021 of 6486
Name
SHILA BAGCHI Rate Amount Qty 13.35 .89 15 4.8 .16 30 12 .4 30 21.3 .71 30 32.4 1.08 30 72 .6 120 66 1.1 60 55.8 .93 60 78 1.3 60 29.7 .99 30 167.4 5.58 30 400 400 1 Total: 952.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407862 Min 01407862 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1022 of 6486
Name
NIRMAL KUMARRI AGARWAL Rate Amount Qty 8.9 .89 10 7.5 .25 30 21.3 .71 30 12 .4 30 27.9 .93 30 7.8 .26 30 36 .6 60 400 400 1 Total: 521.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407863 Min 01407863 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1023 of 6486
Name
SUKHDEV RAJ Rate Amount Qty 32.4 1.08 30 7.5 .25 30 9 .6 15 27.9 .93 30 26.7 .89 30 21.3 .71 30 18.9 .63 30 400 400 1 Total: 543.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407868 Min 01407868 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 SOLIFENACIN,5MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 1024 of 6486
Name
M L SHARMA Rate Amount Qty 60.9 2.03 30 403.2 13.44 30 400 400 1 Total: 864.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407876 Min 01407876 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1025 of 6486
Name
RAJKUMAR KANDHARI Rate Amount Qty 21.3 .71 30 7.5 .25 30 66 1.1 60 12 .4 30 26.7 .89 30 400 400 1 Total: 533.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407881 Min 01407881 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 18-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 18-FEB-19 BRIMONIDINE TARTRATE,0.15% 7 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 1026 of 6486
Name
SUBHRA DEY Rate Amount Qty 36 .6 60 12 .4 30 34.8 1.16 30 7.5 .25 30 10.8 .36 30 60.87 20.29 3 74.45 223.35 3 26 2.6 10 26.7 .89 30 400 400 1 Total: 838.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407884 Min 01407884 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1027 of 6486
Name
NARAYAN PRASAD KAHAR Rate Amount Qty 9 .6 15 55.8 .93 60 14.85 .99 15 6.4 .64 10 7.5 .25 30 13.35 .89 15 400 400 1 Total: 506.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407885 Min 01407885 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 01-FEB-19 UREA (BUN /UR) 7 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 01-FEB-19 CREATININE /CRT 11 01-FEB-19 ONDANSETRON,2MG/ML,INJECTION 12 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 14 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 07-FEB-19 OBSERVATION IN CASUALTY 16 07-FEB-19 ECG 17 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 18 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 25 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 26 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 28 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 29 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 30 14-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 31 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 33 14-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 34 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 35 14-FEB-19 ECG 36 14-FEB-19 OBSERVATION IN CASUALTY 37 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 39 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 40 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 41 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 42 20-FEB-19 PHYTOMENADIONE(VIT K1),1MG/0.5ML,INJ, 43 24-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 44 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 45 24-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 46 24-FEB-19
Page 1028 of 6486
Name
URMILA BAI KAHAR Qty 1 1 10 10 10 3 1 1 1 1 1 1 1 1 1 1 1 20 10 1 30 15 20 5 1 1 1 30 30 15 1 1 1 1 15 1 1 1 5 1 10 1 1 1 1 15
Rate Amount 650 650 1300 1300 66.2 6.62 6.4 .64 7.7 .77 .48 .16 275 275 275 275 275 275 400 400 275 275 7.52 7.52 .16 .16 9.62 9.62 24.52 24.52 420 420 450 450 14 .7 8.9 .89 400 400 18 .6 13.95 .93 17.8 .89 .8 .16 275 275 275 275 400 400 18 .6 7.5 .25 9.9 .66 9.62 9.62 .89 .89 .16 .16 600 600 13.95 .93 450 450 420 420 400 400 4.45 .89 20.06 20.06 6.4 .64 400 400 10.41 10.41 .16 .16 9.62 9.62 3.75 .25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407885 Min 01407885 Slno Description Appmt Dt OBSERVATION IN CASUALTY 47 24-FEB-19 ECG 48 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 49 24-FEB-19
Page 1029 of 6486
Name
URMILA BAI KAHAR Rate Amount Qty 420 420 1 450 450 1 400 400 1 Total: 9520.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407888 Min 01407888 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1030 of 6486
Name
S R DAS Rate Amount Qty 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 7.8 .26 30 7.5 .25 30 118.5 3.95 30 33 1.1 30 400 400 1 Total: 689.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407889 Min 01407889 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1031 of 6486
Name
BHARATI DAS Rate Amount Qty 8.1 .27 30 66 1.1 60 12 .4 30 21.3 .71 30 400 400 1 Total: 507.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407894 Min 01407894 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 IVABRADINE,5MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 19-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 14 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 1032 of 6486
A C VERMA Rate Amount Qty 25.07 25.07 1 400 400 1 32.4 1.08 30 21.3 .71 30 23.7 .79 30 60.9 2.03 30 192.3 6.41 30 597 9.95 60 400 400 1 31.95 .71 45 25.07 25.07 1 45.44 45.44 1 400 400 1 16.81 16.81 1 25.07 25.07 1 400 400 1 Total: 2697.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407895 Min 01407895 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1033 of 6486
Name
USHA VERMA Rate Amount Qty 20.84 5.21 4 400 400 1 9 .3 30 371.4 6.19 60 36 .6 60 118.5 3.95 30 6.9 .23 30 400 400 1 51.38 25.69 2 400 400 1 Total: 1814.02
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407896 Min 01407896 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 09-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 18-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 1034 of 6486
RAMKUMAR SHARMA Rate Amount Qty 1.85 .37 5 48.22 48.22 1 70.2 2.34 30 400 400 1 51.38 25.69 2 21.45 21.45 1 400 400 1 157.8 2.63 60 400 400 1 Total: 1550.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407897 Min 01407897 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 26-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 9 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 14 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 15 28-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 16 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 1035 of 6486
Name
ARUNESH SHARMA Rate Amount Qty 3.84 .64 6 15.3 .51 30 18.6 .62 30 7.5 .25 30 400 400 1 1750 1750 1 400 400 1 8.9 .89 10 37.04 37.04 1 12.8 .64 20 400 400 1 18.6 .62 30 7.5 .25 30 82.76 165.52 2 123.53 370.59 3 26.13 8.71 3 17.8 .89 20 87.92 43.96 2 400 400 1 Total: 4148.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407898 Min 01407898 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 X-RAY CONVENTIONAL FILM SINGLE VIEW 10 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 22-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 12 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 16 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 1036 of 6486
Name
VINAY KUMAR CHATURVEDI Rate Amount Qty 17 1.7 10 20.06 20.06 1 1.85 .37 5 8.9 .89 10 9.6 .64 15 66.2 6.62 10 400 400 1 2.7 .18 15 400 400 1 600 600 1 12 .4 30 21.45 21.45 1 6.4 .64 10 34.8 1.16 30 66 1.1 60 15.3 .51 30 78 1.3 60 36 .6 60 21.6 .36 60 334.8 5.58 60 400 400 1 Total: 2552.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407899 Min 01407899 Slno Description Appmt Dt DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 1 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 2 20-FEB-19 CONSULTATION IN HEALTH CENTRE 3 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 20-FEB-19 ONDANSETRON,2MG/ML,INJECTION 5 20-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 20-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 27-FEB-19 URINE ROUTINE AND MICROSCOPIC 16 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 27-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 20 27-FEB-19
Page 1037 of 6486
Name
MANJULA CHATURVEDI Rate Amount Qty 22.71 22.71 1 9.81 9.81 1 400 400 1 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 3.52 3.52 1 7 .7 10 8.9 .89 10 35.2 3.52 10 16.8 1.12 15 55.8 .93 60 7.5 .25 30 400 400 1 400 400 1 380 380 1 6.4 .64 10 8.9 .89 10 66.2 6.62 10 4.2 .7 6 Total: 1876.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407905 Min 01407905 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 1038 of 6486
Name
B M K BAJPAI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 27.6 .92 30 21.3 .71 30 8.1 .27 30 41.85 .93 45 192.3 6.41 30 12 .4 30 400 400 1 Total: 1356.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407906 Min 01407906 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 11 28-FEB-19 MEGESTROL ACETATE,40MG,,TABLET 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1039 of 6486
Name
SARLA BAJPAI Rate Amount Qty 123.53 247.06 2 10.8 .36 30 39 1.3 30 53.4 3.56 15 33 1.1 30 27.9 .93 30 167.4 5.58 30 21.3 .71 30 7.5 .25 30 400 400 1 41.06 41.06 1 13.63 3271.2 240 26.7 .89 30 400 400 1 Total: 4746.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407912 Min 01407912 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 09-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 13-FEB-19 SUTURE REMOVAL 15 13-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 16 13-FEB-19
Page 1040 of 6486
Name
Y K RASTOGI Rate Amount Qty 10.95 .73 15 13 1.3 10 6 .6 10 26.05 5.21 5 10.15 2.03 5 3.95 .79 5 2 .4 5 5.8 1.16 5 9.6 .64 15 8.9 .89 10 66.2 6.62 10 13.8 .92 15 400 400 1 400 400 1 490 490 1 41.06 41.06 1 Total: 1507.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407913 Min 01407913 Appmt Dt Slno Description 13-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1041 of 6486
Name
NIRMAL RASTOGI Qty 1 1
Rate Amount 6.82 6.82 400 400 406.82 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407925 Min 01407925 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 1042 of 6486
R S SEN Rate Amount Qty 17.8 .89 20 62.8 3.14 20 63.8 3.19 20 400 400 1 13.7 1.37 10 275 275 1 275 275 1 247.6 6.19 40 400 400 1 50.14 25.07 2 400 400 1 Total: 2205.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407926 Min 01407926 Appmt Dt Slno Description 26-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 26-FEB-19 2 SALBUTAMOL,2MG,STRIP PACK,,TABLET 26-FEB-19 3 CEFEXIME,STRIP PKT,200MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1043 of 6486
Name
VIMLA SEN Qty Rate Amount 20 .9 18 30 .18 5.4 10 6.62 66.2 1 400 400 Total: 489.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407933 Min 01407933 Appmt Dt Slno Description 01-FEB-19 1 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1044 of 6486
Name
K M KALAMKAR Qty 1 1
Rate Amount 43.96 43.96 400 400 443.96 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407935 Min 01407935 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 7 05-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1045 of 6486
Name
DHANARAM SURYAVANSHI Rate Amount Qty 2.4 .16 15 15.96 2.66 6 1.92 .64 3 1.48 .37 4 7.8 .26 30 23.7 .79 30 95.7 3.19 30 16.81 16.81 1 400 400 1 Total: 565.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407936 Min 01407936 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 1046 of 6486
Name
DEEPA DEVI Rate Amount Qty 55.8 .93 60 76.5 2.55 30 17.4 .58 30 105.9 3.53 30 14.85 .99 15 18.6 .62 30 400 400 1 Total: 689.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407949 Min 01407949 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 1047 of 6486
Name
GODAWARI BAI Rate Amount Qty 275 275 1 275 275 1 118.5 3.95 30 27.6 .92 30 34.8 1.16 30 7.44 .93 8 156 1.3 120 54 .6 90 32.4 1.08 30 400 400 1 Total: 1380.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407954 Min 01407954 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 14-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 11 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 19-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 13 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 1048 of 6486
Name
PRABHAKAR G PANSE Rate Amount Qty 34.8 1.16 30 55.8 .93 60 18 .6 30 27.6 .92 30 7.5 .25 30 9.9 .66 15 17.4 .58 30 400 400 1 1.85 .37 5 34 1.7 20 6.3 .42 15 15 .25 60 22.5 .75 30 11.4 .38 30 400 400 1 Total: 1062.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407955 Min 01407955 Appmt Dt Slno Description 05-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 05-FEB-19 2 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 05-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1049 of 6486
Name
PRATIMA PANSE Qty Rate Amount 14 .9 12.6 1 12.15 12.15 7 .37 2.59 1 400 400 Total: 427.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407960 Min 01407960 Appmt Dt Slno Description 21-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 21-FEB-19 2 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 21-FEB-19 3 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1050 of 6486
HEMLATA RADKE Qty 2 2 1 1
Rate Amount 20.29 40.58 25.07 50.14 156.51 156.51 400 400 Total: 647.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407967 Min 01407967 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 1051 of 6486
Name
SREE KRISHNA PAGAY Rate Amount Qty 32.4 .36 90 54 .6 90 39 1.3 30 55.8 .93 60 8.1 .27 30 7.5 .25 30 21.3 .71 30 400 400 1 54 .6 90 32.4 .36 90 21.3 .71 30 8.1 .27 30 39 1.3 30 55.8 .93 60 400 400 1 Total: 1228.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407968 Min 01407968 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 PRAZOSIN,2.5MG,TABLET 6 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 21-FEB-19 PRAZOSIN,2.5MG,TABLET 14 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 16 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19 UREA (BUN /UR) 19 28-FEB-19 CREATININE /CRT 20 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 28-FEB-19
Page 1052 of 6486
Name
JYOTI PAGAY Rate Amount Qty 17.4 .58 30 17.4 1.16 15 27.9 .93 30 36.3 1.21 30 32.4 1.08 30 78 1.3 60 16.2 .27 60 400 400 1 3.84 .64 6 13.35 .89 15 21.3 .71 30 16.2 .27 60 1.85 .37 5 39 1.3 30 32.4 1.08 30 36.3 1.21 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 2717.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407971 Min 01407971 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 04-FEB-19 UREA (BUN /UR) 9 04-FEB-19 CREATININE /CRT 10 04-FEB-19 CHOLESTEROL (CHOL) 11 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 04-FEB-19
Page 1053 of 6486
Name
S R MUKHERJEE Rate Amount Qty 275 275 1 21.3 .71 30 118.5 3.95 30 27.9 .93 30 185.7 6.19 30 400 400 1 12 .4 30 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3440.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407972 Min 01407972 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 UREA (BUN /UR) 13 04-FEB-19 URIC ACID (UA /URATES /UR) 14 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 04-FEB-19
Page 1054 of 6486
Name
RIKTA MUKHERJEE Rate Amount Qty 21.3 .71 30 1300 1300 1 31.2 1.04 30 12.3 .41 30 12 .4 30 72 .6 120 78 1.3 60 12 .4 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 27.9 .93 30 Total: 3891.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407973 Min 01407973 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 1055 of 6486
Name
NANDLAL SHROFF Rate Amount Qty 26.7 .89 30 7.5 .25 30 34.8 1.16 30 12 .4 30 9 .6 15 3 .3 10 400 400 1 Total: 493
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407975 Min 01407975 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 1056 of 6486
Name
SUBHAS KUMAR SINGH Rate Amount Qty 15.6 .26 60 2.4 .16 15 21.3 .71 30 12 .4 30 16.2 .27 60 47.4 .79 60 55.8 .93 60 400 400 1 Total: 570.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407976 Min 01407976 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 1057 of 6486
Name
SUKANA DEVI Rate Amount Qty 55.8 .93 60 33 1.1 30 14.85 .99 15 32.4 1.08 30 21.3 .71 30 26.7 .89 30 15.6 .26 60 400 400 1 Total: 599.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407985 Min 01407985 Appmt Dt Slno Description 28-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 28-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1058 of 6486
Name
N R SINGH Qty Rate Amount 60 .93 55.8 30 .23 6.9 30 1.1 33 1 400 400 Total: 495.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01407986 Min 01407986 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 05-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 1059 of 6486
Name
URMILA DEVI Rate Amount Qty 26.7 .89 30 41.1 1.37 30 38.76 3.23 12 400 400 1 34.8 1.16 30 12 .4 30 39 1.3 30 18 .6 30 9 .3 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 1055.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01407994 Min 01407994 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 1060 of 6486
ALKA DESHPANDE Qty 2 2 1
Rate Amount 13.64 6.82 50.14 25.07 400 400 Total: 463.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408019 Min 01408019 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 20-FEB-19 URINE ROUTINE AND MICROSCOPIC 13 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 15 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19 OBSERVATION IN CASUALTY 19 26-FEB-19 ECG 20 26-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 21 26-FEB-19 INDWELLING CATHETERIZATION /(USING FOLEY 22 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 26-FEB-19
Page 1061 of 6486
Name
RAMESH CHANDER Rate Amount Qty 82.12 41.06 2 43.96 131.88 3 7.5 .25 30 95.7 3.19 30 60.9 2.03 30 92.68 6.62 14 16.2 .27 60 33 1.1 30 11.4 .38 30 400 400 1 8.9 .89 10 2.5 .25 10 380 380 1 400 400 1 1750 1750 1 2.67 .89 3 2.52 .42 6 400 400 1 420 420 1 450 450 1 9.62 9.62 1 980 980 1 .89 .89 1 Total: 5738.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408020 Min 01408020 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 1062 of 6486
Name
INDRA KHETARPAL Rate Amount Qty 4.1 .41 10 8.9 .89 10 400 400 1 Total: 413
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408021 Min 01408021 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 1063 of 6486
Name
T R VERMA Rate Amount Qty 9.9 .99 10 3.8 .38 10 18.6 .93 20 7.1 .71 10 3.6 .36 10 18 .6 30 1.6 .16 10 400 400 1 Total: 462.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408022 Min 01408022 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 1064 of 6486
Name
KAMALA BAI VERMA Rate Amount Qty 9.3 .62 15 21.3 .71 30 34.8 1.16 30 36 .6 60 23.7 .79 30 8.1 .27 30 11.4 .38 30 400 400 1 Total: 544.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408023 Min 01408023 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 18-FEB-19 PRAZOSIN,2.5MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 1065 of 6486
Name
PUSHPALATA PAGEY Rate Amount Qty 27.9 .93 30 26.7 .89 30 4.8 .16 30 16.2 .27 60 78 1.3 60 400 400 1 Total: 553.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408031 Min 01408031 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1066 of 6486
Name
MAHAVIR SINGH TUMREKI Rate Amount Qty 33 1.1 30 27.9 .93 30 8.1 .27 30 32.4 1.08 30 24 .4 60 69.6 1.16 60 400 400 1 Total: 595
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408032 Min 01408032 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1067 of 6486
Name
SAROJ TUMREKI Rate Amount Qty 167.4 5.58 30 32.4 .36 90 8.9 .89 10 21.3 .71 30 16.2 .27 60 55.8 .93 60 72 .6 120 400 400 1 Total: 774
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408035 Min 01408035 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 1068 of 6486
Name
KARTIK CHANDRA DAS Rate Amount Qty 27.9 .93 30 8.9 .89 10 400 400 1 Total: 436.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408036 Min 01408036 Appmt Dt Slno Description 13-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1069 of 6486
Name
AVA DAS Qty Rate Amount 60 1.1 66 1 400 400 466 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408041 Min 01408041 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 1070 of 6486
Name
B C GANGULY Rate Amount Qty 24 .4 60 32.4 1.08 30 69.6 1.16 60 76.5 2.55 30 8.1 .27 30 400 400 1 Total: 610.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408042 Min 01408042 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1071 of 6486
Name
SUBHRA GANGULY Rate Amount Qty 32.4 1.08 30 22.2 .37 60 27.9 .93 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408045 Min 01408045 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1072 of 6486
Name
K K SHRIVASTAVA Rate Amount Qty 8.1 .27 30 21.3 .71 30 12 .4 30 32.4 1.08 30 8.1 .27 30 7.5 .25 30 400 400 1 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408049 Min 01408049 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 28-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1073 of 6486
Name
B S CHANDEL Rate Amount Qty 55.8 .93 60 2.4 .16 15 88.2 1.47 60 108 .6 180 18 .3 60 11.4 .38 30 26.7 .89 30 400 400 1 Total: 710.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408050 Min 01408050 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1074 of 6486
Name
SAROJ CHANDEL Rate Amount Qty 18 .6 30 11.4 .38 30 400 400 1 Total: 429.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408051 Min 01408051 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1075 of 6486
J N INGLE Rate Amount Qty 15.73 15.73 1 1.85 .37 5 35.1 2.34 15 1.92 .64 3 400 400 1 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408052 Min 01408052 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 1076 of 6486
PADAMINI INGLE Rate Amount Qty 8.1 .27 30 21.3 .71 30 35.1 2.34 15 1.85 .37 5 3.2 .64 5 15.73 15.73 1 400 400 1 Total: 485.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408055 Min 01408055 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 28-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 2 28-FEB-19 OBSERVATION IN CASUALTY 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 28-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 10 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 28-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1077 of 6486
Name
RAMANAND Rate Amount Qty 15.6 .26 60 5.21 5.21 1 420 420 1 8.1 .27 30 2.4 .16 15 21.3 .71 30 55.8 .93 60 66 1.1 60 29.7 .99 30 600 600 1 105.9 3.53 30 61.8 4.12 15 12 .4 30 400 400 1 Total: 1803.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408056 Min 01408056 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 1078 of 6486
Name
UMA BAI Rate Amount Qty 31.2 1.04 30 21.3 .71 30 66 1.1 60 55.8 .93 60 400 400 1 Total: 574.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408061 Min 01408061 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 28-FEB-19 CREATININE /CRT 18 28-FEB-19 ABC TEST HIV 19 28-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 20 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 24 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 25 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 28-FEB-19
Page 1079 of 6486
Name
J HUSSAIN RAO Rate Amount Qty 8.1 .27 30 167.4 5.58 30 117 1.3 90 36 .6 60 33 1.1 30 21.6 .36 60 7.5 .25 30 34.8 1.16 30 400 400 1 34.8 1.16 30 33 1.1 30 8.1 .27 30 167.4 5.58 30 7.5 .25 30 400 400 1 275 275 1 275 275 1 275 275 1 1250 1250 1 1000 1000 1 117 1.3 90 275 275 1 275 275 1 21.6 .36 60 36 .6 60 400 400 1 Total: 5675.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408062 Min 01408062 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 1080 of 6486
Name
SUBHALAXMI Rate Amount Qty 12.6 .42 30 400 400 1 21.3 .71 30 27.9 .93 30 8.1 .27 30 33 1.1 30 400 400 1 7.5 .25 30 21.3 .71 30 27.9 .93 30 8.1 .27 30 33 1.1 30 400 400 1 Total: 1400.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408074 Min 01408074 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 20-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 1081 of 6486
Name
S K LALL Rate Amount Qty 19.2 .64 30 95.7 3.19 30 36 .6 60 15 .25 60 19.8 .66 30 26.7 .89 30 400 400 1 Total: 612.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408086 Min 01408086 Slno Description Appmt Dt ECG 1 05-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 13 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 27-FEB-19
Page 1082 of 6486
Name
MINATI GHOSH Rate Amount Qty 450 450 1 2370 2370 1 400 400 1 1300 1300 1 1300 1300 1 17.4 .58 30 13.35 .89 15 7.5 .25 30 21.3 .71 30 18.9 .63 30 400 400 1 55.8 .93 60 36.3 1.21 30 34.8 1.16 30 3.84 .64 6 33.12 1.84 18 400 400 1 400 400 1 Total: 7262.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408093 Min 01408093 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 1083 of 6486
Name
DEY DILIP KUMAR Rate Amount Qty 156 1.3 120 21.6 .36 60 54 .6 90 21.3 .71 30 12 .4 30 400 400 1 Total: 664.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408096 Min 01408096 Appmt Dt Slno Description 21-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 21-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1084 of 6486
Name
GITA RANI METYA Qty Rate Amount 30 .71 21.3 15 .99 14.85 30 .93 27.9 1 400 400 Total: 464.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408116 Min 01408116 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 CREATININE /CRT 4 28-FEB-19 UREA (BUN /UR) 5 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 28-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 9 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 28-FEB-19
Page 1085 of 6486
Name
O P SONI Rate Amount Qty 35.2 17.6 2 3.7 .37 10 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3513.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408117 Min 01408117 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 CREATININE /CRT 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 04-FEB-19
Page 1086 of 6486
Name
PARVATI SONI Rate Amount Qty 550 550 1 1300 1300 1 275 275 1 275 275 1 27.9 .93 30 275 275 1 400 400 1 8.1 .27 30 275 275 1 Total: 3386
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408123 Min 01408123 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 6 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1087 of 6486
Name
VEENA BAKSHI Rate Amount Qty 16.2 .36 45 34.8 1.16 30 26.7 .89 30 7.5 .25 30 23.7 .79 30 11.88 .99 12 10.42 5.21 2 54 .6 90 400 400 1 Total: 585.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408132 Min 01408132 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 18-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 8 18-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 1088 of 6486
Name
ASHUTOSH KUILA Rate Amount Qty 192.3 6.41 30 33 1.1 30 27.9 .93 30 400 400 1 26.96 3.37 8 8.9 .89 10 4.1 .41 10 63.58 63.58 1 13.43 13.43 1 400 400 1 Total: 1170.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408144 Min 01408144 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 8 18-FEB-19 SEVELAMER ,800 MG,,TABLET 9 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 1089 of 6486
Name
TIRATHDAS Rate Amount Qty 18.4 1.84 10 8.9 .89 10 400 400 1 21.6 1.08 20 35.6 .89 40 7.6 .38 20 23.2 1.16 20 122.8 6.14 20 334.6 16.73 20 11.1 .37 30 5 .25 20 400 400 1 Total: 1388.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408153 Min 01408153 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 08-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 1090 of 6486
Name
V P NEMA Rate Amount Qty 72.6 1.21 60 15.6 2.6 6 192.3 6.41 30 36 .6 60 32.4 1.08 30 30.6 .34 90 60.9 2.03 30 400 400 1 27.9 .93 30 400 400 1 Total: 1268.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408168 Min 01408168 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 X - RAY - TWO VIEWS 2 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 15-FEB-19
Page 1091 of 6486
Name
B N SINGH Rate Amount Qty 8.9 .89 10 860 860 1 400 400 1 Total: 1268.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408177 Min 01408177 Slno Description Appmt Dt GUM ANALGESIC GEL 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 4 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 5 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 6 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 09-FEB-19 ECG 8 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 1092 of 6486
Name
D P JOSHI Rate Amount Qty 28.69 28.69 1 3.75 .25 15 400 400 1 19.77 19.77 1 24.45 24.45 1 6.42 2.14 3 44.16 1.84 24 450 450 1 400 400 1 19.77 19.77 1 400 400 1 51.38 25.69 2 400 400 1 1.85 .37 5 6.4 .64 10 28.08 2.34 12 400 400 1 Total: 2684.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408193 Min 01408193 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 5 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1093 of 6486
Name
LAXMI Rate Amount Qty 66 1.1 60 156 1.3 120 44.4 .37 120 55.8 .93 60 78 .78 100 15.6 1.04 15 53.4 .89 60 7.5 .25 30 400 400 1 Total: 876.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408198 Min 01408198 Appmt Dt Slno Description 07-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 2 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 07-FEB-19 3 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1094 of 6486
Name
B MOHINI Qty Rate Amount 5 .89 4.45 10 .73 7.3 10 .41 4.1 1 400 400 Total: 415.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408199 Min 01408199 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 22-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 8 22-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 9 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 12 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 1095 of 6486
Name
K M GIRDHAR Rate Amount Qty 17.6 17.6 1 7.4 .37 20 400 400 1 185.7 6.19 30 7.5 .25 30 20.84 5.21 4 34.8 1.16 30 123.6 4.12 30 43.2 1.44 30 31.2 1.04 30 23.7 .79 30 85.2 .71 120 43.96 43.96 1 12 .4 30 32.4 1.08 30 400 400 1 Total: 1469.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408200 Min 01408200 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 11-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 11-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1096 of 6486
Name
RENU GIRDHAR Rate Amount Qty 4.45 .89 5 45.44 45.44 1 26.96 3.37 8 3.7 .37 10 63.58 63.58 1 13.43 13.43 1 6.7 .67 10 400 400 1 Total: 564.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408204 Min 01408204 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 1097 of 6486
Name
DR GHANSHYAM DAS AGRAWAL Rate Amount Qty 7.5 .25 30 66 1.1 60 400 400 1 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408205 Min 01408205 Appmt Dt Slno Description 14-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1098 of 6486
Name
GITA AGRAWAL Qty Rate Amount 60 .23 13.8 60 .93 55.8 60 .6 36 1 400 400 Total: 505.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408208 Min 01408208 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 1099 of 6486
Name
ARVIND KUMAR SHRIVASTAVA Rate Amount Qty 5.4 .36 15 6 .4 15 18 .6 30 17.4 1.16 15 6.32 .79 8 20.4 2.55 8 400 400 1 Total: 473.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408217 Min 01408217 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 PRAZOSIN,2.5MG,TABLET 3 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 1100 of 6486
Name
S D DUBEY Rate Amount Qty 72 .6 120 27.9 .93 30 78 1.3 60 167.4 5.58 30 78 1.3 60 32.4 .36 90 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1108.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408218 Min 01408218 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 UREA (BUN /UR) 2 01-FEB-19 C T ANGIOGRAPHY 3 01-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 09-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 10 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 1101 of 6486
Name
JANKI DUBEY Rate Amount Qty 400 400 1 275 275 1 18930 18930 1 9000 9000 1 275 275 1 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 33 1.1 30 22.2 .37 60 12 .4 30 400 400 1 Total: 29442.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408220 Min 01408220 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 13-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 13-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 13-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 7 13-FEB-19 OBSERVATION IN CASUALTY 8 13-FEB-19 ECG 9 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 13-FEB-19 CIPROFLOXACIN,200MG/100ML,INJECTION 12 13-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 13 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 13-FEB-19
Page 1102 of 6486
Name
PUSHPA AGRAWAL Rate Amount Qty 17.8 .89 20 20.06 20.06 1 400 400 1 24.52 24.52 1 9.81 9.81 1 17.42 8.71 2 22.71 22.71 1 420 420 1 450 450 1 21.12 3.52 6 10.08 1.12 9 16.1 16.1 1 11.89 11.89 1 5.34 .89 6 Total: 1446.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408234 Min 01408234 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 21-FEB-19 PRAZOSIN,2.5MG,TABLET 5 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 CREATININE /CRT 9 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 22-FEB-19
Page 1103 of 6486
Name
SHEELA SHRIVASTAVA Rate Amount Qty 55.8 .93 60 34.8 1.16 30 12 .4 30 76.5 2.55 30 39 1.3 30 22.2 .37 60 29.7 .99 30 400 400 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 Total: 3195
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408235 Min 01408235 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1104 of 6486
Name
B K SHRIVASTAVA Rate Amount Qty 1.85 .37 5 2.28 .38 6 3.84 .64 6 42.12 2.34 18 400 400 1 Total: 450.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408238 Min 01408238 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1105 of 6486
Name
K L GUPTA Rate Amount Qty 13.95 .93 15 16.5 1.1 15 12 .4 30 21.3 .71 30 400 400 1 Total: 463.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408239 Min 01408239 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1106 of 6486
Name
SUMAN GUPTA Rate Amount Qty 27.6 .92 30 54 .6 90 27.9 .93 30 14.85 .99 15 55.8 .93 60 21.3 .71 30 8.9 .89 10 400 400 1 Total: 610.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408243 Min 01408243 Appmt Dt Slno Description 25-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 2 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 25-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1107 of 6486
Name
CHAMPA LAL PACHRAIYA Qty Rate Amount 4 .37 1.48 6 2.66 15.96 6 .64 3.84 1 400 400 Total: 421.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408244 Min 01408244 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1108 of 6486
Name
SHASHI PRABHA PACHRAIYA Rate Amount Qty 27.9 .93 30 21.3 .71 30 32.4 1.08 30 2.4 .16 15 38.25 2.55 15 400 400 1 2.28 .38 6 3.84 .64 6 1.85 .37 5 400 400 1 Total: 930.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408245 Min 01408245 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1109 of 6486
Name
P SHAKUNTALA Rate Amount Qty 7.5 .25 30 6.4 .64 10 12 .4 30 21.3 .71 30 33 1.1 30 16.2 .27 60 117 1.3 90 72 .6 120 400 400 1 Total: 685.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408246 Min 01408246 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 1110 of 6486
Name
M S MAHAJAN Rate Amount Qty 27.9 .93 30 10.65 .71 15 36 .6 60 34.8 1.16 30 10.8 .36 30 14.85 .99 15 60.9 2.03 30 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408247 Min 01408247 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 11-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 8 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 OBSERVATION IN CASUALTY 11 11-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 12 11-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 13 11-FEB-19 ECG 14 11-FEB-19 BOWEL WASH /ENEMA 15 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 18 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 19 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 14-FEB-19
Page 1111 of 6486
KUSUM MAHAJAN Rate Amount Qty 8.9 .89 10 61.9 6.19 10 8.2 .41 20 400 400 1 8.9 .89 10 7 .7 10 15.73 15.73 1 11.89 11.89 1 24.52 24.52 1 .93 .93 1 420 420 1 9.81 9.81 1 9.62 9.62 1 450 450 1 400 400 1 43.96 43.96 1 400 400 1 25.2 .42 60 19.8 .66 30 12 .4 30 21.3 .71 30 27.9 .93 30 36 .6 60 400 400 1 Total: 2823.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408254 Min 01408254 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 PARACETAMOL,125MG/5ML,60ML/BTL,SYRUP 6 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 15-FEB-19 PRAZOSIN,2.5MG,TABLET 9 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 1112 of 6486
Name
M D SHRIVASTAVA Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 1.11 .37 3 99.24 16.54 6 17.4 1.16 15 18 .6 30 156 1.3 120 16.2 .27 60 211.8 3.53 60 400 400 1 18.6 .93 20 400 400 1 Total: 1759.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408255 Min 01408255 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 16-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19
Page 1113 of 6486
Name
ARTI DEVI Rate Amount Qty 3.84 .64 6 1.85 .37 5 7.5 .25 30 28.08 2.34 12 66 1.1 60 157.8 2.63 60 72 .6 120 55.8 .93 60 211.8 3.53 60 17.4 1.16 15 32.4 1.08 30 10.8 .36 30 400 400 1 Total: 1065.27
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408258 Min 01408258 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 1114 of 6486
KALPAKAM HARIKRISHNAN Rate Amount Qty 15.73 15.73 1 21.3 .71 30 400 400 1 Total: 437.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408269 Min 01408269 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 1115 of 6486
HARSHAD RAI Rate Amount Qty 32.4 1.08 30 27.9 .93 30 15.73 15.73 1 21.3 .71 30 7.5 .25 30 400 400 1 Total: 504.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408273 Min 01408273 Appmt Dt Slno Description 09-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1116 of 6486
Name
ANNAMMA MATHEW Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408298 Min 01408298 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1117 of 6486
Name
RAMU THAKRE Rate Amount Qty 6.9 .23 30 66 1.1 60 40.12 20.06 2 43.96 1318.8 30 400 400 1 Total: 1831.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408299 Min 01408299 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 14 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 1118 of 6486
Name
RAJKANYA THAKRE Rate Amount Qty 4.8 .16 30 26.7 .89 30 7.5 .25 30 33 1.1 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 400 400 1 32.61 32.61 1 400 400 1 32.61 32.61 1 1.85 .37 5 400 400 1 Total: 1519.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408300 Min 01408300 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 09-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19
Page 1119 of 6486
Name
D L SAHU Rate Amount Qty 117 1.3 90 7.5 .25 30 21.3 .71 30 12 .4 30 54 .6 90 167.4 5.58 30 118.5 3.95 30 13.95 .93 15 9 .3 30 400 400 1 Total: 920.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408306 Min 01408306 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1120 of 6486
Name
M H KIKANI Rate Amount Qty 34.8 1.16 30 4.8 .16 30 33 1.1 30 8.1 .27 30 55.8 .93 60 167.4 5.58 30 9 .3 30 18 .6 30 400 400 1 Total: 730.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408307 Min 01408307 Slno Description Appmt Dt HB,TLC,DLC 1 06-FEB-19 PLATELET COUNT 2 06-FEB-19 ESR 3 06-FEB-19 X - RAY - SINGLE VIEW 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19
Page 1121 of 6486
Name
M M KIKANI Qty 1 1 1 1 1
Rate Amount 300 300 330 330 165 165 550 550 400 400 Total: 1745
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408323 Min 01408323 Slno Description Appmt Dt HYPERTONIC SALINE EYE DROPS, 5% W/V, 1 01-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 15-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 1122 of 6486
Name
SHANTI SHUKLA Qty 1 1 6 1 5 5 1
Rate Amount 33.58 33.58 21.45 21.45 2.22 .37 400 400 3.2 .64 2.05 .41 400 400 Total: 862.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408337 Min 01408337 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 01-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 12 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 16 15-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 23 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 24 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 25 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 27 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 28 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 28-FEB-19
Page 1123 of 6486
Name
V K JAIN Rate Amount Qty 30.6 .34 90 123.53 370.59 3 26.7 .89 30 7.65 .51 15 27.9 .93 30 6.9 .23 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 26.6 2.66 10 5.4 .18 30 3.7 .37 10 12.15 12.15 1 400 400 1 12.15 12.15 1 16.2 .18 90 400 400 1 12 .4 30 18 .6 30 26.7 .89 30 27.9 .93 30 30.6 .34 90 32.4 1.08 30 370.59 123.53 3 7.5 .25 30 34.8 1.16 30 6.9 .23 30 400 400 1 Total: 2793.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408338 Min 01408338 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19
Page 1124 of 6486
Name
SUDHA JAIN Rate Amount Qty 2.5 .25 10 8.9 .89 10 400 400 1 26.7 .89 30 7.5 .25 30 17.4 .58 30 21.3 .71 30 12 .4 30 8.1 .27 30 21.6 .36 60 117 1.3 90 23.7 .79 30 72 .6 120 167.4 5.58 30 400 400 1 Total: 1306.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408339 Min 01408339 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 13-FEB-19 CREATININE /CRT 8 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 1125 of 6486
Name
BIMELENDU DUTTA Rate Amount Qty 15.6 1.04 15 55.8 .93 60 211.8 3.53 60 66 1.1 60 12 .4 30 10.65 .71 15 22.2 .37 60 275 275 1 275 275 1 275 275 1 400 400 1 11.4 .38 30 185.7 6.19 30 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 2238.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408340 Min 01408340 Appmt Dt Slno Description 13-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 13-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1126 of 6486
Name
SHILA DUTTA Qty Rate Amount 30 .62 18.6 15 .27 4.05 30 .93 27.9 1 400 400 Total: 450.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408347 Min 01408347 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 13-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 13-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 13-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 1127 of 6486
Name
BALESHWAR MISHRA Rate Amount Qty 192.3 6.41 30 48 .4 120 36 .6 60 167.4 5.58 30 237 3.95 60 32.4 1.08 30 12 .4 30 26.7 .89 30 11.4 .38 30 4.8 .16 30 60.9 2.03 30 7.5 .25 30 82.12 41.06 2 400 400 1 Total: 1318.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408359 Min 01408359 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 15-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19
Page 1128 of 6486
Name
ROOT SINGH Rate Amount Qty 19.2 .64 30 26.7 .89 30 40.12 20.06 2 87.92 43.96 2 13.7 1.37 10 7.5 .25 30 400 400 1 20.06 20.06 1 26.7 .89 30 20.1 .67 30 54 .9 60 21.6 .18 120 400 400 1 Total: 1137.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408360 Min 01408360 Name Appmt Dt Slno Description 15-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1129 of 6486
MAHENDRA KAUR Qty 2 1
Rate Amount 25.07 50.14 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408374 Min 01408374 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1130 of 6486
Name
A K JOSHI Rate Amount Qty 18 .6 30 13.95 .93 15 73.8 .82 90 6.4 .64 10 7.7 .77 10 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 587.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408376 Min 01408376 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1131 of 6486
Name
RAM KARAN GUPTA Rate Amount Qty 334.8 5.58 60 21.6 .36 60 8.1 .27 30 27.9 .93 30 36 .6 60 400 400 1 Total: 828.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408377 Min 01408377 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 1132 of 6486
Name
KUNTI DEVI GUPTA Rate Amount Qty 36 .6 60 21.6 .36 60 78 1.3 60 10.65 .71 15 167.4 5.58 30 400 400 1 Total: 713.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408395 Min 01408395 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1133 of 6486
Name
C P AGRAWAL Rate Amount Qty 9 .3 30 8.1 .27 30 23.7 .79 30 36 .6 60 400 400 1 Total: 476.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408396 Min 01408396 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 12-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 1134 of 6486
C D AGRAWAL Rate Amount Qty 6.9 .23 30 82.76 165.52 2 55.8 .93 60 400 400 1 8.9 .89 10 3.7 .37 10 15.73 15.73 1 26.6 2.66 10 400 400 1 Total: 1083.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408401 Min 01408401 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1135 of 6486
Name
H N CHOUBE Rate Amount Qty 76.5 2.55 30 8.1 .27 30 400 400 1 106.8 3.56 30 400 400 1 Total: 991.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408402 Min 01408402 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1136 of 6486
Name
DHANMANI DEVI Rate Amount Qty 8.1 .27 30 3.75 .25 15 8.7 .58 15 27.9 .93 30 400 400 1 Total: 448.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408404 Min 01408404 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 PRAZOSIN,2.5MG,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 1137 of 6486
Name
MEENA CHOUKSEY Rate Amount Qty 34.8 1.16 30 78 1.3 60 55.8 .93 60 8.1 .27 30 76.5 2.55 30 15.6 1.04 15 400 400 1 Total: 668.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408413 Min 01408413 Appmt Dt Slno Description 18-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1138 of 6486
Name
P N BURMAN Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408415 Min 01408415 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 1139 of 6486
Name
K L TAMRAKAR Rate Amount Qty 55.8 .93 60 18 .6 30 400 400 1 Total: 473.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408416 Min 01408416 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 1140 of 6486
Name
KALPANA TAMRAKAR Rate Amount Qty 185.7 6.19 30 13.7 1.37 10 8.1 .27 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 656.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408420 Min 01408420 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 13 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 17 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 19 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 21 02-FEB-19 BRIMONIDINE TARTRATE,0.15% 22 02-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 23 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 02-FEB-19
Page 1141 of 6486
OMPRAKASH SOHANI Rate Amount Qty 55.8 .93 60 60.9 2.03 30 8.1 .27 30 18 .6 30 32.4 1.08 30 55.8 .93 60 72.6 1.21 60 32.4 1.08 30 18 .6 30 8.1 .27 30 60.9 2.03 30 3.7 .37 10 72.6 1.21 60 32.4 1.08 30 18 .6 30 8.1 .27 30 60.9 2.03 30 55.8 .93 60 72.6 1.21 60 400 400 1 50.14 25.07 2 148.9 74.45 2 40.58 20.29 2 400 400 1 Total: 1786.72
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408438 Min 01408438 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 7 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 04-FEB-19 COMPLETE HAEMOGRAM 14 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 04-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 17 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 20 04-FEB-19 INHALANT,STRIP PACK,CAPSULE 21 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 24 19-FEB-19 UREA (BUN /UR) 25 19-FEB-19 CREATININE /CRT 26 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 29 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 30 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 31 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 32 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 33 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 34 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 35 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 28-FEB-19
Page 1142 of 6486
S J FISCH Rate Amount Qty 78 1.3 60 1.85 .37 5 6.4 .64 10 66.2 6.62 10 25.07 25.07 1 7.5 .25 30 82.76 82.76 1 55.8 .93 60 26.7 .89 30 185.7 6.19 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 750 750 1 400 400 1 48.22 48.22 1 9 .3 30 8.1 .27 30 55.8 .93 60 15.6 .26 60 10.2 1.7 6 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 12 .4 30 32.4 1.08 30 55.8 .93 60 78 1.3 60 9 .3 30 8.1 .27 30 15.6 .26 60 400 400 1 Total: 5344.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408439 Min 01408439 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 07-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 UREA (BUN /UR) 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 19-FEB-19 CREATININE /CRT 15 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 1143 of 6486
Name
J S FISCH Rate Amount Qty 78 1.3 60 18 .6 30 21.3 .71 30 27.9 .93 30 10.8 .36 30 3.7 .37 10 9.86 9.86 1 13.48 3.37 4 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 10.8 .36 30 78 1.3 60 18 .6 30 21.3 .71 30 27.9 .93 30 400 400 1 Total: 3939.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408441 Min 01408441 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1144 of 6486
Name
ANILA SHRIVASTAV Rate Amount Qty 23.1 .77 30 12 .4 30 33 1.1 30 21.3 .71 30 55.8 .93 60 16.2 .27 60 7.8 .26 30 400 400 1 Total: 569.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408442 Min 01408442 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 1145 of 6486
Name
BHANWAR SINGH BANAFAR Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 9 .3 30 30.6 .34 90 13.95 .93 15 1.85 .37 5 39 1.3 30 400 400 1 39 1.3 30 27.9 .93 30 9 .3 30 21.3 .71 30 32.4 1.08 30 12 .4 30 30.6 .34 90 400 400 1 Total: 1132.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408443 Min 01408443 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 INHALANT,STRIP PACK,CAPSULE 4 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1146 of 6486
SUMITRA KUMARI BANAFAR Rate Amount Qty 55.8 .93 60 8.9 .89 10 3.7 .37 10 17 1.7 10 15.73 15.73 1 400 400 1 11.1 .37 30 57.84 115.68 2 55.8 .93 60 400 400 1 Total: 1083.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408461 Min 01408461 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 1147 of 6486
Name
SAMARNATH MISHRA Rate Amount Qty 6 .4 15 43.96 43.96 1 1.28 .16 8 60.9 2.03 30 16.5 1.1 15 26.7 .89 30 34.8 1.16 30 16.2 1.08 15 400 400 1 2.4 .16 15 53.4 .89 60 69.6 1.16 60 24 .4 60 33 1.1 30 32.4 1.08 30 43.96 43.96 1 60.9 2.03 30 400 400 1 Total: 1326
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408464 Min 01408464 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1148 of 6486
Name
YASHWANT SINGH RAWAT Rate Amount Qty 29.7 .99 30 54 .6 90 3.75 .25 15 55.8 .93 60 16.2 .27 60 33 1.1 30 400 400 1 Total: 592.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408465 Min 01408465 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1149 of 6486
Name
SUNITA RAWAT Rate Amount Qty 18.9 .63 30 55.8 .93 60 14.85 .99 15 32.4 1.08 30 66 1.1 60 400 400 1 Total: 587.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408466 Min 01408466 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1150 of 6486
Name
BASONA BANERJEE Rate Amount Qty 12 .4 30 72.6 1.21 60 55.8 .93 60 10.8 .36 30 36 .6 60 20.06 20.06 1 8.1 .27 30 7.65 .51 15 400 400 1 Total: 623.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408468 Min 01408468 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 1151 of 6486
Name
N N PANDEY Rate Amount Qty 21.3 .71 30 167.4 5.58 30 13.95 .93 15 20.84 5.21 4 400 400 1 Total: 623.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408470 Min 01408470 Appmt Dt Slno Description 23-FEB-19 1 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1152 of 6486
Name
S C KHANNA Qty 1 1
Rate Amount 41.06 41.06 400 400 441.06 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408472 Min 01408472 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1153 of 6486
Name
S KANAKA SEN Rate Amount Qty 27.9 .93 30 22.2 .37 60 211.8 3.53 60 18.9 .63 30 21.3 .71 30 23.1 .77 30 400 400 1 Total: 725.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408479 Min 01408479 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 14-FEB-19 DRESSING SIMPLE 5 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1154 of 6486
Name
G C DUTTA Rate Amount Qty 66.2 6.62 10 4.45 .89 5 6.4 .64 10 400 400 1 1500 300 5 100.71 100.71 1 54 .9 60 400 400 1 Total: 2531.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408498 Min 01408498 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 1155 of 6486
Name
SHOBHA WADNERKAR Rate Amount Qty 8.1 .27 30 27.6 .92 30 32.4 1.08 30 21.3 .71 30 211.8 3.53 60 27.9 .93 30 400 400 1 Total: 729.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408507 Min 01408507 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 1156 of 6486
Name
RAMJI TIWARI Rate Amount Qty 10.08 1.12 9 8.1 .27 30 32.4 .36 90 36 .6 60 47.4 .79 60 21.12 3.52 6 12 .4 30 7.5 .25 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 628.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408523 Min 01408523 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 02-FEB-19
Page 1157 of 6486
Name
V K CHARAN Rate Amount Qty 167.4 5.58 30 29.7 .99 30 21.3 .71 30 18.9 .63 30 32.4 1.08 30 33 1.1 30 55.8 .93 60 15.6 .26 60 78 1.3 60 72 .6 120 21.6 .36 60 400 400 1 Total: 945.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408529 Min 01408529 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 18-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19 POP APPLICATION (COST OF ROLL EXTRA) 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 19-FEB-19 PARASITES (MP /MF) 15 19-FEB-19 SYRINGE,DISPOSABLE,2ML 16 19-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 17 19-FEB-19 OBSERVATION IN CASUALTY 18 19-FEB-19
Page 1158 of 6486
Name
J P KUDARIYA Rate Amount Qty 3.7 .37 10 85.52 85.52 1 26.7 .89 30 31.4 3.14 10 55.8 .93 60 8.1 .27 30 21.3 .71 30 39 1.3 30 167.4 5.58 30 36 .6 60 21.6 .36 60 400 400 1 480 480 1 400 400 1 165 165 1 1.84 1.84 1 8.64 8.64 1 420 420 1 Total: 2372
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408530 Min 01408530 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 1159 of 6486
Name
USHA KUDARIYA Rate Amount Qty 10.8 .36 30 100.71 100.71 1 3.7 .37 10 21.3 .71 30 15.6 1.04 15 55.8 .93 60 167.4 5.58 30 36 .6 60 400 400 1 Total: 811.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408539 Min 01408539 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 1160 of 6486
Name
SHAKIL ANWAR KHAN Rate Amount Qty 55.8 .93 60 66 1.1 60 8.1 .27 30 14.85 .99 15 21.3 .71 30 400 400 1 Total: 566.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408540 Min 01408540 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 1161 of 6486
Name
AFSHAN SHAKIL KHAN Rate Amount Qty 27.9 .93 30 36 .6 60 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408542 Min 01408542 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 08-FEB-19 CREATININE /CRT 3 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 08-FEB-19 UREA (BUN /UR) 5 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 08-FEB-19 PRAZOSIN,2.5MG,TABLET 9 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 08-FEB-19
Page 1162 of 6486
Name
ARATI JOSHI Rate Amount Qty 27.9 .93 30 275 275 1 275 275 1 1300 1300 1 275 275 1 20.84 5.21 4 12 .4 30 34.8 1.16 30 39 1.3 30 275 275 1 Total: 2534.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408547 Min 01408547 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 09-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 09-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 09-FEB-19 CULTURE AND SENSITIVITY SWAB - PUS/EAR 12 09-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 13 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 18-FEB-19
Page 1163 of 6486
Name
DR GOVIND PRASAD AGRAWAL Rate Amount Qty 23.1 .77 30 79.8 2.66 30 400 400 1 11.25 .75 15 11.4 .38 30 25.62 12.81 2 63.22 31.61 2 400 400 1 85.52 85.52 1 275 275 1 275 275 1 650 650 1 130.42 130.42 1 20.84 5.21 4 400 400 1 400 400 1 1750 1750 1 Total: 5001.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408548 Min 01408548 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 16-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 23-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 11 23-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 URINE ALBUMIN 14 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 23-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 18 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 28-FEB-19
Page 1164 of 6486
Name
SUSHMA AGRAWAL Rate Amount Qty 21.3 .71 30 36 .6 60 3.75 .25 15 14.85 .99 15 400 400 1 25.62 12.81 2 26.86 13.43 2 7.4 .37 20 400 400 1 400 400 1 275 275 1 368.4 6.14 60 35.6 .89 40 150 150 1 36 .6 60 14.85 .99 15 3.75 .25 15 1000 1000 1 400 400 1 Total: 3619.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408554 Min 01408554 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 CREATININE /CRT 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 11-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 12 11-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 13 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 15 11-FEB-19 UREA (BUN /UR) 16 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 20 11-FEB-19 URIC ACID (UA /URATES /UR) 21 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 22 11-FEB-19
Page 1165 of 6486
Name
SHYAM LAL GUPTA Rate Amount Qty 36 .6 60 27.9 .93 30 8.1 .27 30 7.5 .25 30 26 2.6 10 400 400 1 275 275 1 36 .6 60 55.8 .93 60 8.1 .27 30 26.7 .89 30 7.8 .26 30 11.25 .75 15 38.43 12.81 3 41.06 41.06 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 275 275 1 550 550 1 Total: 4355.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408555 Min 01408555 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 11-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 8 11-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 11-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 1166 of 6486
Name
RADHA GUPTA Rate Amount Qty 7.5 .25 30 32.4 1.08 30 8.1 .27 30 27.9 .93 30 76.5 2.55 30 400 400 1 11.1 .37 30 11.25 .75 15 85.52 85.52 1 12.81 12.81 1 45.44 45.44 1 400 400 1 Total: 1118.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408562 Min 01408562 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 25-FEB-19 BLOOD FOR TSH 15 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 25-FEB-19
Page 1167 of 6486
Name
SURESH KUMAR RAICHA Rate Amount Qty 16.2 .27 60 12 .4 30 36.3 1.21 30 47.4 .79 60 60.9 2.03 30 21.3 .71 30 21.3 .71 30 400 400 1 66 1.1 60 60.9 2.03 30 26.7 .89 30 21.3 .71 30 12 .4 30 16.2 .27 60 800 800 1 47.4 .79 60 400 400 1 Total: 2065.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408563 Min 01408563 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1168 of 6486
Name
RAMA RAICHA Rate Amount Qty 33 1.1 30 34.8 1.16 30 43.96 43.96 1 7.5 .25 30 22.05 1.47 15 400 400 1 20.84 5.21 4 400 400 1 Total: 962.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408566 Min 01408566 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 20-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 11 20-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 12 20-FEB-19 OBSERVATION IN CASUALTY 13 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 20-FEB-19 INHALANT,STRIP PACK,CAPSULE 15 20-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 16 20-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 22 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 25-FEB-19
Page 1169 of 6486
Name
KUMAR F TAHILRAMANI Rate Amount Qty 550 550 1 8.1 .18 45 18 .9 20 3.7 .37 10 8.9 .89 10 12.15 12.15 1 400 400 1 400 400 1 .8 .16 5 1.85 .37 5 6.67 6.67 1 100 100 1 420 420 1 6.4 .64 10 8.5 1.7 5 5.77 5.77 1 22 4.4 5 400 400 1 3.2 .64 5 1.25 .25 5 4.45 .89 5 66.2 6.62 10 400 400 1 Total: 2847.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408568 Min 01408568 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 11-FEB-19 URIC ACID (UA /URATES /UR) 3 11-FEB-19 CREATININE /CRT 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 11 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 11-FEB-19 UREA (BUN /UR) 13 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 1170 of 6486
Name
N R CHANDRAKAR Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 7.5 .25 30 60.9 2.03 30 192.3 6.41 30 2.4 .16 15 25.2 .42 60 16.5 1.1 15 3.9 .26 15 21.3 .71 30 275 275 1 12 .4 30 275 275 1 275 275 1 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 4620.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408578 Min 01408578 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 19-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1171 of 6486
Name
MEERA CHAKRAVORTY Qty Rate Amount 30 1.16 34.8 30 .25 7.5 30 .93 27.9 1 400 400 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408579 Min 01408579 Slno Description Appmt Dt GUM ANALGESIC GEL 1 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 20-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 20-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 11 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19
Page 1172 of 6486
Name
G R CHAKRAVORTY Rate Amount Qty 28.69 28.69 1 4.1 .41 10 46.8 2.34 20 2.5 .25 10 400 400 1 123.53 123.53 1 8.54 4.27 2 21.3 .71 30 33 1.1 30 7.5 .25 30 4.27 119.56 28 60.9 2.03 30 26.7 .89 30 400 400 1 Total: 1283.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408584 Min 01408584 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1173 of 6486
Name
JAWAHARLAL Rate Amount Qty 5 .25 20 247.6 6.19 40 17.8 .89 20 27.4 1.37 20 400 400 1 Total: 697.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408603 Min 01408603 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 06-FEB-19 ECG 2 06-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 1174 of 6486
Name
SARALA DEVI Qty 1 1 1 1 4 1 1 4 1
Rate Amount 420 420 450 450 9.62 9.62 .64 .64 3.56 .89 .89 .89 .16 .16 2.56 .64 400 400 Total: 1287.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408631 Min 01408631 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 1175 of 6486
Name
MANASIJ CHAUDHURI Rate Amount Qty 25.2 .42 60 400 400 1 55.8 .93 60 18 .6 30 34.8 1.16 30 12 .4 30 16.2 .27 60 66 1.1 60 15.6 .26 60 400 400 1 Total: 1043.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408632 Min 01408632 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 1176 of 6486
Name
TANDRA CHAUDHURI Rate Amount Qty 55.8 .93 60 66 1.1 60 12 .4 30 21.6 .36 60 26.7 .89 30 34.8 1.16 30 167.4 5.58 30 117 1.3 90 54 .6 90 400 400 1 Total: 955.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408633 Min 01408633 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1177 of 6486
Name
R S DESHMUKH Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 1.48 .37 4 6.4 .64 10 400 400 1 41.06 41.06 1 400 400 1 Total: 1502.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408634 Min 01408634 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19 CREATININE /CRT 6 06-FEB-19 UREA (BUN /UR) 7 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19
Page 1178 of 6486
Name
SUSHILA DESHMUKH Rate Amount Qty 1.85 .37 5 13.95 .93 15 400 400 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 13.95 .93 15 1.85 .37 5 26.7 .89 30 400 400 1 288 9.6 30 400 400 1 Total: 4071.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408635 Min 01408635 Slno Description Appmt Dt ECG 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 13 20-FEB-19 INHALANT,STRIP PACK,CAPSULE 14 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 20-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 16 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 27-FEB-19
Page 1179 of 6486
Name
RAJ WAHI Rate Amount Qty 450 450 1 400 400 1 55.8 .93 60 26.7 .89 30 12 .4 30 14.85 .99 15 34.8 1.16 30 400 400 1 5 .25 20 8.9 .89 10 13.7 1.37 10 400 400 1 37.04 37.04 1 17 1.7 10 3.7 .37 10 17.6 17.6 1 8.9 .89 10 400 400 1 9.6 .64 15 400 400 1 Total: 2715.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408636 Min 01408636 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 14-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 8 20-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 1180 of 6486
Name
M L WAHI Rate Amount Qty 550 550 1 400 400 1 104.4 1.74 60 54 .9 60 400 400 1 550 550 1 400 400 1 21.45 21.45 1 25.69 25.69 1 400 400 1 Total: 2905.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408637 Min 01408637 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 1181 of 6486
Name
SATYA DEO PRASAD Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 8.1 .27 30 26.7 .89 30 32.4 1.08 30 400 400 1 Total: 562.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408647 Min 01408647 Appmt Dt Slno Description 07-FEB-19 1 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 07-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1182 of 6486
Name
A K VIJ Qty Rate Amount 30 .93 27.9 30 .25 7.5 60 .93 55.8 1 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408648 Min 01408648 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1183 of 6486
Name
S S VIJ Rate Amount Qty 54 .6 90 32.4 1.08 30 21.3 .71 30 66 1.1 60 47.4 .79 60 7.5 .25 30 400 400 1 Total: 628.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408657 Min 01408657 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 1184 of 6486
Name
C K PRABHAKARAN Rate Amount Qty 8.1 .27 30 60.9 2.03 30 400 400 1 Total: 469
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408663 Min 01408663 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 10 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 13 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 1185 of 6486
Name
BAIDYA NATH SINGH Rate Amount Qty 36 .6 60 192.3 6.41 30 60.9 2.03 30 12 .4 30 27.9 .93 30 34.8 1.16 30 23.1 .77 30 55.8 .93 60 29.7 .99 30 76.5 2.55 30 167.4 5.58 30 400 400 1 35.2 17.6 2 11.1 .37 30 400 400 1 Total: 1562.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408683 Min 01408683 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 1186 of 6486
Name
HRIDAYA NAND Rate Amount Qty 275 275 1 275 275 1 33 1.1 30 32.4 1.08 30 15.6 .26 60 54 .6 90 27.6 .92 30 17.4 1.16 15 7.5 .25 30 400 400 1 Total: 1137.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408685 Min 01408685 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1187 of 6486
Name
RAMESH CHANDRA TAUNK Rate Amount Qty 12 .4 30 21.3 .71 30 11.4 .38 30 26.7 .89 30 15.3 .51 30 72.6 1.21 60 8.1 .27 30 400 400 1 Total: 567.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408695 Min 01408695 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 5 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 1188 of 6486
FLORENCE GUHA Rate Amount Qty 55.8 .93 60 8.9 .89 10 400 400 1 8.9 .89 10 96.44 48.22 2 61.4 6.14 10 400 400 1 Total: 1031.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408696 Min 01408696 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 RACECADOTRIL,100MG,CAPSULE 7 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1189 of 6486
Name
RANJAN GUHA Rate Amount Qty 18 .6 30 26.7 .89 30 33 1.1 30 7.8 .26 30 43.2 1.44 30 400 400 1 119.4 5.97 20 16.8 1.12 15 35.2 3.52 10 400 400 1 Total: 1100.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408700 Min 01408700 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 1190 of 6486
Name
RADHA CHANDEL Rate Amount Qty 7.5 .25 30 9 .6 15 13.7 1.37 10 185.7 6.19 30 11.1 .37 30 2.4 .16 15 66 1.1 60 55.8 .93 60 7.5 .25 30 400 400 1 Total: 758.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408709 Min 01408709 Appmt Dt Slno Description 19-FEB-19 1 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1191 of 6486
Name
RATRANI DHIR Qty 2 1
Rate Amount 123.53 247.06 400 400 647.06 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408710 Min 01408710 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 1192 of 6486
Name
YODH RAJ DHIR Rate Amount Qty 123.53 123.53 1 54 .9 60 11.1 .37 30 100.71 100.71 1 12.15 12.15 1 400 400 1 Total: 701.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408712 Min 01408712 Appmt Dt Slno Description 25-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1193 of 6486
Name
KEDAR NATH PRASAD Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408713 Min 01408713 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 1194 of 6486
Name
PRABHA PRASAD Rate Amount Qty 6.9 .23 30 3.75 .25 15 33 1.1 30 10.65 .71 15 32.4 1.08 30 18 .6 30 400 400 1 Total: 504.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408718 Min 01408718 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 1195 of 6486
Name
SHRIDHAR P JOSHI Rate Amount Qty 81 .6 135 34.8 1.16 30 66 1.1 60 117 1.3 90 21.6 .36 60 400 400 1 Total: 720.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408723 Min 01408723 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 1196 of 6486
Name
RAM RATAN SINGH Rate Amount Qty 6.9 .23 30 17.8 .89 20 19.8 .66 30 55.8 .93 60 400 400 1 Total: 500.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408724 Min 01408724 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 1197 of 6486
Name
CHAMPA DEVI Rate Amount Qty 55.8 .93 60 8.9 .89 10 400 400 1 Total: 464.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408725 Min 01408725 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 28-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 1198 of 6486
Name
VEENA MATHUR Rate Amount Qty 7.5 .25 30 55.8 .93 60 211.8 3.53 60 14.85 .99 15 21.3 .71 30 400 400 1 20.84 5.21 4 11.4 .38 30 301.8 5.03 60 400 400 1 Total: 1445.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408726 Min 01408726 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1199 of 6486
Name
V N MATHUR Rate Amount Qty 34.8 1.16 30 12 .4 30 33 1.1 30 23.7 .79 30 30.6 .34 90 2.4 .16 15 43.96 43.96 1 400 400 1 Total: 580.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408727 Min 01408727 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1200 of 6486
Name
JAGESHWAR PRASAD Rate Amount Qty 16.2 .36 45 36 .6 60 55.8 .93 60 33 1.1 30 6.9 .23 30 60.9 2.03 30 4.8 .16 30 7.5 .25 30 400 400 1 Total: 621.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408734 Min 01408734 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19
Page 1201 of 6486
PUSHPALATA BANSAL Rate Amount Qty 29.7 .99 30 55.8 .93 60 8.1 .27 30 7.5 .25 30 15.73 15.73 1 21.3 .71 30 247.6 6.19 40 21.3 .71 30 12 .4 30 33 1.1 30 26.7 .89 30 20.84 5.21 4 47.1 3.14 15 400 400 1 Total: 946.67
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408736 Min 01408736 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 8 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 15 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 16 26-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 19 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 20 28-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 21 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 24 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 26 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 28-FEB-19
Page 1202 of 6486
WASUDEO GHANGHORKAR Rate Amount Qty 30.8 .77 40 12.8 .64 20 10 .25 40 16.8 .42 40 400 400 1 21.3 .71 30 13.95 .93 15 36 .6 60 7.5 .25 30 400 400 1 20.29 20.29 1 14.08 3.52 4 2.46 .41 6 7.98 .38 21 18.03 18.03 1 6.82 6.82 1 33.58 33.58 1 400 400 1 18.03 18.03 1 25.07 25.07 1 33.58 33.58 1 13.95 .93 15 21.3 .71 30 18 .6 30 7.5 .25 30 6.82 6.82 1 400 400 1 Total: 1996.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408737 Min 01408737 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 1203 of 6486
Name
PUSHPA GHANGHORKAR Rate Amount Qty 21.3 .71 30 26.7 .89 30 5.21 5.21 1 7.5 .25 30 400 400 1 26.7 .89 30 21.3 .71 30 5.21 5.21 1 7.5 .25 30 400 400 1 Total: 921.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408745 Min 01408745 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 1204 of 6486
Name
N K KAKRAYANE Rate Amount Qty 12 .4 30 55.8 .93 60 10.65 .71 15 7.5 .25 30 400 400 1 Total: 485.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408746 Min 01408746 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1205 of 6486
Name
RUPKUMARI Rate Amount Qty 27.9 .62 45 8.1 .27 30 78 1.3 60 17.4 .58 30 18 .6 30 55.8 .93 60 400 400 1 Total: 605.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408747 Min 01408747 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 20-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 8 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 20-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 10 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 27-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 27-FEB-19
Page 1206 of 6486
Name
LEKH RAM SAHU Rate Amount Qty 34.8 1.16 30 4.27 192.15 45 12 .4 30 8.1 .27 30 22.95 .51 45 400 400 1 14.2 .71 20 128.1 4.27 30 17.8 .89 20 5.1 .51 10 8 .4 20 400 400 1 400 400 1 1750 1750 1 Total: 3393.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408748 Min 01408748 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1207 of 6486
BELASIYA SAHU Rate Amount Qty 25.07 25.07 1 400 400 1 5.21 5.21 1 21.3 .71 30 33 1.1 30 55.8 .93 60 20.06 20.06 1 400 400 1 Total: 960.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408753 Min 01408753 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 7 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 1208 of 6486
VAISHALI V DHARIYA Rate Amount Qty 8.1 .27 30 27.9 .93 30 3.84 .64 6 33 1.1 30 12 .4 30 400 400 1 20.29 20.29 1 25.07 25.07 1 400 400 1 Total: 930.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408754 Min 01408754 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 07-FEB-19 UREA (BUN /UR) 6 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19
Page 1209 of 6486
Name
NIHAL SINGH DESHMUKH Rate Amount Qty 8.1 .27 30 21.3 .71 30 27.9 .93 30 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 2707.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408764 Min 01408764 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1210 of 6486
Name
DEO CHARAN SAHU Rate Amount Qty 36 .6 60 26.7 .89 30 7.5 .25 30 6.9 .23 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 567.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408765 Min 01408765 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 1211 of 6486
Name
SARASWATI SAHU Rate Amount Qty 76.5 2.55 30 27.9 .93 30 17.4 .58 30 8.1 .27 30 400 400 1 Total: 529.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408794 Min 01408794 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 1212 of 6486
Name
JAMIL KHAN Rate Amount Qty 8.1 .27 30 27.9 .93 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408795 Min 01408795 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 PRAZOSIN,2.5MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 1213 of 6486
Name
NEELAM BANO Rate Amount Qty 167.4 5.58 30 32.4 .36 90 72 .6 120 78 1.3 60 27.9 .93 30 39 1.3 30 400 400 1 Total: 816.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408806 Min 01408806 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1214 of 6486
Name
SUSHILA THAKKAR Rate Amount Qty 104.4 1.74 60 6.4 .64 10 26.7 .89 30 8.1 .27 30 400 400 1 Total: 545.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408808 Min 01408808 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1215 of 6486
Name
NAND KISHORE Rate Amount Qty 30.6 .34 90 18.9 .63 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 47.4 .79 60 7.65 .51 15 400 400 1 Total: 583.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408810 Min 01408810 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 4 21-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1216 of 6486
Name
ARUN KUMAR DUBEY Rate Amount Qty 60.9 2.03 30 21.3 .71 30 12 .4 30 157.8 2.63 60 118.5 3.95 30 15.6 .26 60 27.9 .93 30 400 400 1 Total: 814
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408811 Min 01408811 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 1217 of 6486
Name
INDRA DUBEY Rate Amount Qty 13.7 1.37 10 2.5 .25 10 7.5 .25 30 185.7 6.19 30 400 400 1 21.3 .71 30 36 .6 60 55.8 .93 60 42.6 .71 60 10.8 .36 30 3.75 .25 15 400 400 1 Total: 1179.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408814 Min 01408814 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 06-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 2 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 06-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 1218 of 6486
Name
ANAND SHANKER MISHRA Rate Amount Qty 11.4 .38 30 61.8 4.12 15 21.3 .71 30 78 .78 100 16.2 .27 60 55.8 .93 60 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 698.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408824 Min 01408824 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 1219 of 6486
Name
KAMALESH MUKHERJEE Rate Amount Qty 21.3 .71 30 27.9 .93 30 7.5 .25 30 11.4 .38 30 400 400 1 Total: 468.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408825 Min 01408825 Slno Description Appmt Dt HB,TLC,DLC 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 08-FEB-19 PLATELET COUNT 4 08-FEB-19 CREATININE /CRT 5 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 1220 of 6486
Name
NAMITA MUKHERJEE Rate Amount Qty 300 300 1 400 400 1 1300 1300 1 330 330 1 275 275 1 275 275 1 275 275 1 167.4 5.58 30 7.5 .25 30 21.3 .71 30 18 .6 30 11.4 .38 30 400 400 1 Total: 3780.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408830 Min 01408830 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 1221 of 6486
Name
C R MALLICK Rate Amount Qty 12 .4 30 21.3 .71 30 400 400 1 Total: 433.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408832 Min 01408832 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1222 of 6486
Name
GULAB KHAN Rate Amount Qty 12 .4 30 7.5 .25 30 76.5 2.55 30 55.8 .93 60 36 .6 60 10.8 .36 30 400 400 1 Total: 598.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408833 Min 01408833 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 1223 of 6486
Name
SHAFIQUE NISHAT Rate Amount Qty 167.4 5.58 30 66 1.1 60 72 .6 120 55.8 .93 60 7.5 .25 30 12 .4 30 32.4 1.08 30 21.3 .71 30 15.3 .51 30 15.6 .26 60 400 400 1 Total: 865.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408839 Min 01408839 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1224 of 6486
Name
SANDHYA BOSE Rate Amount Qty 21.3 .71 30 12 .4 30 36 .6 60 8.1 .27 30 29.7 .99 30 27.9 .93 30 33 1.1 30 400 400 1 Total: 568
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408842 Min 01408842 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 21-FEB-19 PRAZOSIN,2.5MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1225 of 6486
Name
K A HARIRAMANI Rate Amount Qty 7.5 .25 30 27.9 .93 30 515.2 .92 560 8.1 .27 30 15.3 .51 30 39 1.3 30 400 400 1 Total: 1013
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408843 Min 01408843 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1226 of 6486
Name
INDRA HARIRAMANI Rate Amount Qty 17.6 17.6 1 11.4 .38 30 7.5 .25 30 21.3 .71 30 400 400 1 Total: 457.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408844 Min 01408844 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 1227 of 6486
Name
S K SARKAR Rate Amount Qty 192.3 6.41 30 13.35 .89 15 39 1.3 30 27 .9 30 12 .4 30 27.9 .93 30 400 400 1 Total: 711.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408847 Min 01408847 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 ECG 9 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 14 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1228 of 6486
Name
D K KHOSLA Rate Amount Qty 13.7 1.37 10 8.9 .89 10 400 400 1 26.7 .89 30 275 275 1 27.9 .93 30 34.8 1.16 30 12 .4 30 450 450 1 275 275 1 400 400 1 15.6 .26 60 44.16 1.84 24 19.77 19.77 1 24.45 24.45 1 400 400 1 Total: 2427.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408853 Min 01408853 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 1229 of 6486
Name
RAM KUMAR GUPTA Rate Amount Qty 12 .4 30 60.9 2.03 30 192.3 6.41 30 36 .6 60 33 1.1 30 30.6 .51 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 793.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408854 Min 01408854 Appmt Dt Slno Description 14-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14-FEB-19 2 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 14-FEB-19 3 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1230 of 6486
PRASANN GUPTA Qty 2 2 1 1
Rate Amount 25.07 50.14 20.29 40.58 21.45 21.45 400 400 Total: 512.17
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408862 Min 01408862 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1231 of 6486
MOHINDER SINGH PAUL Rate Amount Qty 7.8 .26 30 25.07 25.07 1 23.7 .79 30 33 1.1 30 21.3 .71 30 12 .4 30 400 400 1 Total: 522.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408863 Min 01408863 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1232 of 6486
Name
NARINDER KAUR Rate Amount Qty 27.9 .93 30 26.7 .89 30 12 .4 30 7.5 .25 30 21.6 .36 60 36 .6 60 6.4 .64 10 400 400 1 Total: 538.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408864 Min 01408864 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 22-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1233 of 6486
Name
NC PALIT Rate Amount Qty 26.6 2.66 10 54 .9 60 53.4 .89 60 400 400 1 60.9 2.03 30 18.9 .63 30 11.4 .38 30 32.4 1.08 30 21.3 .71 30 27.9 .93 30 118.5 3.95 30 123.53 123.53 1 400 400 1 Total: 1348.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408865 Min 01408865 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1234 of 6486
Name
SUNANDA PALIT Rate Amount Qty 13.95 .93 15 21.3 .71 30 7.5 .25 30 9 .3 30 18 .6 30 400 400 1 Total: 469.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408870 Min 01408870 Name Appmt Dt Slno Description 07-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1235 of 6486
AVTAR SINGH Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408886 Min 01408886 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 23-FEB-19
Page 1236 of 6486
Name
P SCARIA CHERIAN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 400 400 1 1750 1750 1 12 .4 30 21.6 .36 60 36 .6 60 117 1.3 90 55.8 .93 60 21.3 .71 30 33 1.1 30 400 400 1 275 275 1 275 275 1 Total: 4049.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408887 Min 01408887 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 4 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 C T HEAD PLAIN 7 23-FEB-19
Page 1237 of 6486
Name
RACHEL SCARIA Rate Amount Qty 13.95 .93 15 400 400 1 16.2 .27 60 53.75 2.15 25 80.58 .51 158 21.3 .71 30 5250 5250 1 Total: 5835.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408888 Min 01408888 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1238 of 6486
Name
GEORGE VARGHESE Rate Amount Qty 60.9 2.03 30 24 .4 60 400 400 1 Total: 484.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408889 Min 01408889 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1239 of 6486
Name
MARY GEORGE Qty Rate Amount 30 .71 21.3 30 .27 8.1 60 .93 55.8 1 400 400 Total: 485.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408894 Min 01408894 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1240 of 6486
Name
RIKHI RAM THAKUR Rate Amount Qty 66 1.1 60 23.7 .79 30 400 400 1 Total: 489.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408895 Min 01408895 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 SYP,LEVOCETIRIZINE,2.5MG/5ML,30ML BOTTLE 7 28-FEB-19
Page 1241 of 6486
Name
CHAMARIN BAI THAKUR Rate Amount Qty 10.8 .36 30 54 .6 90 34.8 1.16 30 16.2 .27 60 27.9 .93 30 400 400 1 10.71 10.71 1 Total: 554.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408896 Min 01408896 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 1242 of 6486
Name
P L HIRWANI Rate Amount Qty 36.3 1.21 30 4.5 .3 15 36 .6 60 55.8 .93 60 400 400 1 Total: 532.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408897 Min 01408897 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 GUM ASTRINGENT PAINT 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1243 of 6486
Name
INDRANI Rate Amount Qty 55.8 .93 60 105.9 3.53 30 11.4 .38 30 6.4 .64 10 31.54 31.54 1 400 400 1 Total: 611.04
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408900 Min 01408900 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 15-FEB-19 PRAZOSIN,2.5MG,TABLET 11 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19
Page 1244 of 6486
D R K REDDY Rate Amount Qty 31.46 15.73 2 53.4 .89 60 17.4 .58 30 39.6 .66 60 104.4 1.74 60 400 400 1 11.4 .38 30 17.4 .58 30 17.4 1.16 15 27.9 .93 30 78 1.3 60 9 .3 30 400 400 1 Total: 1207.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408901 Min 01408901 Appmt Dt Slno Description 15-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 15-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1245 of 6486
Name
D LAXMI DEVI Qty Rate Amount 30 2.55 76.5 60 .93 55.8 6 .64 3.84 1 400 400 Total: 536.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408906 Min 01408906 Slno Description Appmt Dt UREA (BUN /UR) 1 12-FEB-19 CREATININE /CRT 2 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 12-FEB-19
Page 1246 of 6486
Name
M L CHADDA Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 10.8 .36 30 20.06 20.06 1 11.4 .38 30 55.8 .93 60 7.5 .25 30 36 .6 60 12 .4 30 21.3 .71 30 60.9 2.03 30 26.7 .89 30 Total: 1762.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408907 Min 01408907 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 1247 of 6486
Name
KANWAL CHADDA Rate Amount Qty 34.8 1.16 30 44.1 1.47 30 55.8 .93 60 36 .6 60 7.5 .25 30 8.1 .27 30 185.7 6.19 30 20.55 1.37 15 27.9 .93 30 400 400 1 Total: 820.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408910 Min 01408910 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 1248 of 6486
Name
M R MISHRA Rate Amount Qty 32.4 1.08 30 66 1.1 60 8.1 .27 30 18 .6 30 34.8 1.16 30 400 400 1 Total: 559.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408912 Min 01408912 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 1249 of 6486
Name
MADHURI RANI PAUL Rate Amount Qty 12 .4 30 54 .6 90 78 1.3 60 55.8 .93 60 73.8 .82 90 400 400 1 Total: 673.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408919 Min 01408919 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 1250 of 6486
Name
K A VARUGHESE Rate Amount Qty 23.7 .79 30 7.5 .25 30 60.9 2.03 30 36 .6 60 32.4 1.08 30 10.8 .36 30 33 1.1 30 12 .4 30 21.3 .71 30 400 400 1 Total: 637.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408920 Min 01408920 Appmt Dt Slno Description 05-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 05-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1251 of 6486
Name
ALEYAMMA VARUGHESE Qty Rate Amount 4 5.21 20.84 30 .99 29.7 30 1.1 33 1 400 400 Total: 483.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408921 Min 01408921 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 1252 of 6486
Name
M M DAPKE Rate Amount Qty 52 2.6 20 15 .25 60 6.82 6.82 1 43.96 43.96 1 4.8 .16 30 21.3 .71 30 32.4 1.08 30 7.8 .26 30 13.8 .23 60 27.9 .93 30 400 400 1 Total: 625.78
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408924 Min 01408924 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 X - RAY - SINGLE VIEW 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 24 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 25 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 27 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 22-FEB-19
Page 1253 of 6486
V K PHILIPOSE Rate Amount Qty 15.73 15.73 1 1.48 .37 4 3.56 .89 4 7.2 .9 8 52.96 6.62 8 400 400 1 3.84 .64 6 2.28 .38 6 1.48 .37 4 52.96 6.62 8 400 400 1 550 550 1 400 400 1 9 .9 10 1.85 .37 5 15.73 15.73 1 400 400 1 9 .9 10 400 400 1 34.8 1.16 30 8.1 .27 30 78 1.3 60 18 .6 30 24 .4 60 60.9 2.03 30 27.9 .93 30 33 1.1 30 400 400 1 Total: 3411.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408925 Min 01408925 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1254 of 6486
Name
THANKAMMA PHILIPOSE Qty Rate Amount 30 .71 21.3 30 .93 27.9 60 .6 36 1 400 400 Total: 485.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408926 Min 01408926 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OBSERVATION IN CASUALTY 5 16-FEB-19 DIAZEPAM,10MG/2ML,INJECTION 6 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 16-FEB-19 SYRINGE,DISPOSABLE,2ML 8 16-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 17-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 18-FEB-19 X - RAY - TWO VIEWS 15 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 20-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 17 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 20-FEB-19 X - RAY - TWO VIEWS 19 20-FEB-19 HB,TLC,DLC 20 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 23 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 24 28-FEB-19 ESR 25 28-FEB-19 PLATELET COUNT 26 28-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 27 28-FEB-19 CREATININE /CRT 28 28-FEB-19 UREA (BUN /UR) 29 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 30 28-FEB-19 CALCIUM (CA) 31 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 28-FEB-19
Page 1255 of 6486
Name
M M RACHELAMMA Rate Amount Qty 26.7 .89 30 4.8 .16 30 33 1.1 30 400 400 1 420 420 1 13.45 13.45 1 24.52 24.52 1 5.52 1.84 3 5.77 5.77 1 5.34 .89 6 3.84 .64 6 .8 .16 5 400 400 1 400 400 1 1720 860 2 550 550 1 330 330 1 400 400 1 1720 860 2 300 300 1 400 400 1 6.4 .64 10 1.6 .16 10 550 550 1 165 165 1 330 330 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 400 400 1 Total: 11016.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408933 Min 01408933 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 1256 of 6486
Name
C P P NAIR Rate Amount Qty 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 400 400 1 275 275 1 275 275 1 36 .6 60 16.8 1.12 15 20.06 20.06 1 8.9 .89 10 7.5 .25 30 33 1.1 30 55.8 .93 60 15.6 .26 60 34.8 1.16 30 32.4 1.08 30 39 1.3 30 21.6 .36 60 400 400 1 Total: 2092.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408934 Min 01408934 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 22-FEB-19 HAEMOGLOBIN / (HB %) 3 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 1257 of 6486
Name
SNT B OMANA AMMA Rate Amount Qty 275 275 1 275 275 1 130 130 1 400 400 1 21.3 .71 30 66 1.1 60 400 400 1 Total: 1567.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408937 Min 01408937 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1258 of 6486
Name
P O OOMMEN Rate Amount Qty 6.7 .67 10 12.15 12.15 1 27 .9 30 5.55 .37 15 8.1 .18 45 400 400 1 Total: 459.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408940 Min 01408940 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1259 of 6486
Name
LEELAMMA MATHEW Rate Amount Qty 12.15 12.15 1 3.7 .37 10 5.4 .18 30 66.2 6.62 10 400 400 1 Total: 487.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408942 Min 01408942 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 21-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 9 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 11 21-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 1260 of 6486
Name
SUMAN SINGH Rate Amount Qty 12 .4 30 18.9 .63 30 21.3 .71 30 36 .6 60 167.4 5.58 30 7.5 .25 30 26.7 .89 30 43.2 1.44 30 64.5 2.15 30 15.3 .51 30 42.6 .71 60 23.6 1.18 20 400 400 1 Total: 879
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408944 Min 01408944 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 1261 of 6486
Name
GURBAKHSH KAUR Rate Amount Qty 12 .4 30 132 1.1 120 69.6 1.16 60 167.4 5.58 30 36 .6 60 10.8 .36 30 400 400 1 Total: 827.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408945 Min 01408945 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 1262 of 6486
Name
M JEROME Rate Amount Qty 66.2 6.62 10 7.3 .73 10 400 400 1 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408947 Min 01408947 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 1263 of 6486
Name
NIRMALA NAIDU Rate Amount Qty 72.6 1.21 60 16.2 .27 60 47.4 .79 60 31.2 1.04 30 32.4 1.08 30 21.3 .71 30 7.5 .25 30 4.8 .16 30 400 400 1 Total: 633.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408958 Min 01408958 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1264 of 6486
Name
BRIJENDRA SWARUP SHARMA Rate Amount Qty 55.8 .93 60 12 .4 30 4.8 .16 30 26.7 .89 30 400 400 1 6.82 6.82 1 400 400 1 Total: 906.12
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408959 Min 01408959 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 09-FEB-19 PRAZOSIN,2.5MG,TABLET 3 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 1265 of 6486
N P SINGH Rate Amount Qty 27.9 .93 30 211.8 3.53 60 39 1.3 30 60.9 2.03 30 25.07 25.07 1 400 400 1 Total: 764.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408960 Min 01408960 Appmt Dt Slno Description 13-FEB-19 1 OLOPATADINE,0.1%,EYE DROP,5ML PACK 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1266 of 6486
Name
KAMINI RASTOGI Qty 1 1
Rate Amount 18.21 18.21 400 400 418.21 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01408965 Min 01408965 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 1267 of 6486
SURESH CHANDRA Rate Amount Qty 39 1.3 30 16.2 .27 60 27.9 .93 30 15.73 15.73 1 12 .4 30 400 400 1 Total: 510.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408966 Min 01408966 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 URIC ACID (UA /URATES /UR) 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 04-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 04-FEB-19
Page 1268 of 6486
Name
REKHA Rate Amount Qty 1.25 .25 5 275 275 1 400 400 1 10.65 .71 15 78 1.3 60 8.1 .27 30 27.9 .93 30 15.95 3.19 5 4.45 .89 5 13 2.6 5 7.5 .25 30 19.2 .64 30 185.7 6.19 30 10.65 .71 15 26.7 .89 30 400 400 1 Total: 1484.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408967 Min 01408967 Appmt Dt Slno Description 01-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1269 of 6486
Name
BALA RAM DEWANGAN Qty Rate Amount 30 1.1 33 1 400 400 433 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408968 Min 01408968 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 1270 of 6486
Name
PUNIYA BAI Rate Amount Qty 7.5 .25 30 36 .6 60 8.9 .89 10 8.1 .27 30 400 400 1 6.4 .64 10 55.2 1.84 30 6.72 1.12 6 400 400 1 Total: 928.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408971 Min 01408971 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 IVABRADINE,5MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 1271 of 6486
Name
JAGDISH CHAND CHOPRA Rate Amount Qty 11.4 .38 30 7.5 .25 30 53.4 .89 60 9.95 149.25 15 400 400 1 Total: 621.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408972 Min 01408972 Slno Description Appmt Dt CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 1 21-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 2 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1272 of 6486
Name
USHA CHOPRA Rate Amount Qty 128.1 4.27 30 30.6 .51 60 9.9 .66 15 7.5 .25 30 400 400 1 Total: 576.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408974 Min 01408974 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 1273 of 6486
Name
MARIAMMA VARGHESE Rate Amount Qty 22.2 .37 60 21.3 .71 30 26.7 .89 30 55.8 .93 60 400 400 1 Total: 526
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408980 Min 01408980 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1274 of 6486
Name
REMA NAIR Rate Amount Qty 27.6 .92 30 36 .6 60 400 400 1 Total: 463.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408981 Min 01408981 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 1275 of 6486
Name
MUKTA RATHOD Rate Amount Qty 18 .6 30 26.7 .89 30 7.5 .25 30 27.6 .92 30 33 1.1 30 400 400 1 Total: 512.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408988 Min 01408988 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 12 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 PARASITES (MP /MF) 16 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 17 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 19 23-FEB-19 HB,TLC,DLC 20 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 23-FEB-19 PLATELET COUNT 22 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19
Page 1276 of 6486
Name
MARKANDEY RAI Rate Amount Qty 12 .4 30 167.4 5.58 30 7.5 .25 30 32.4 1.08 30 34.8 1.16 30 23.7 .79 30 39 1.3 30 21.6 .36 60 72 .6 120 400 400 1 5.12 .64 8 12.15 12.15 1 2.22 .37 6 52.96 6.62 8 400 400 1 165 165 1 9.38 .67 14 400 400 1 12.15 12.15 1 300 300 1 3.7 .37 10 330 330 1 39.72 6.62 6 400 400 1 Total: 2942.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408989 Min 01408989 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 10 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 1277 of 6486
Name
URMILA RAI Rate Amount Qty 6.4 .64 10 11.2 1.12 10 18 .6 30 7.5 .25 30 35.2 3.52 10 17.4 .58 30 21.3 .71 30 27.9 .93 30 36.3 1.21 30 18.6 .62 30 8.1 .27 30 400 400 1 Total: 607.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408993 Min 01408993 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 1278 of 6486
Name
M S THAKUR Rate Amount Qty 27.9 .93 30 60.9 2.03 30 31.2 1.04 30 4.8 .16 30 12 .4 30 21.3 .71 30 33 1.1 30 8.1 .27 30 400 400 1 Total: 599.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01408999 Min 01408999 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1279 of 6486
Name
SUDESH NAGPAL Rate Amount Qty 12 .4 30 21.3 .71 30 27.9 .93 30 78 1.3 60 185.7 6.19 30 5.8 .58 10 400 400 1 Total: 730.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409000 Min 01409000 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 07-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 07-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 5 07-FEB-19 ECG 6 07-FEB-19 OXYGEN THERAPY 7 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 18 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 1280 of 6486
Name
VASUMATHI BALAN Rate Amount Qty 420 420 1 4.45 .89 5 24.52 24.52 1 100 100 1 25.54 25.54 1 450 450 1 300 300 1 26.6 2.66 10 2.7 .18 15 9 .9 10 1.85 .37 5 400 400 1 10.8 .36 30 26.7 .89 30 27 .9 30 27.9 .93 30 18 .6 30 15.6 .26 60 21.3 .71 30 12 .4 30 400 400 1 Total: 2323.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409001 Min 01409001 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 22-FEB-19
Page 1281 of 6486
Name
BAPU RAO DODKE Rate Amount Qty 400 400 1 43.2 .36 120 108 .6 180 111.6 .93 120 16.2 .27 60 9.9 .99 10 9.6 .16 60 42.6 .71 60 132 1.1 120 334.8 5.58 60 Total: 1207.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409002 Min 01409002 Appmt Dt Slno Description 22-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 ATORVASTATIN,10 MG,STRIP PACK,TABLET
Page 1282 of 6486
Name
RESHAMI DODKE Qty Rate Amount 180 .6 108 1 400 400 120 .93 111.6 60 .71 42.6 Total: 662.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409003 Min 01409003 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 15-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 9 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19
Page 1283 of 6486
Name
D P SHRIVASTAVA Rate Amount Qty 100.71 100.71 1 54 .9 60 12.15 12.15 1 26.7 .89 30 400 400 1 1.25 .25 5 3.2 .64 5 9 .9 10 1.3 .26 5 66.2 6.62 10 8.9 .89 10 400 400 1 Total: 1083.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409004 Min 01409004 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 2 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 1284 of 6486
Name
BIDYAWATI DEVI Rate Amount Qty 1.25 .25 5 22 4.4 5 9 .9 10 4.45 .89 5 66.2 6.62 10 400 400 1 6 .6 10 9.6 .64 15 11.2 1.12 10 55.2 1.84 30 400 400 1 42.6 .71 60 27.9 .93 30 8.1 .27 30 12 .4 30 18 .6 30 21.3 .71 30 400 400 1 Total: 1514.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409005 Min 01409005 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 21-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 21-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1285 of 6486
Name
LALIT DAS Rate Amount Qty 21.3 .71 30 33 1.1 30 189 2.1 90 9.9 .66 15 60.9 2.03 30 256.2 4.27 60 400 400 1 Total: 970.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409010 Min 01409010 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 28-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1286 of 6486
Name
V SHANTA Rate Amount Qty 26.7 .89 30 43.96 43.96 1 123.6 4.12 30 21.3 .71 30 12 .4 30 7.65 .51 15 27.9 .93 30 400 400 1 Total: 663.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409015 Min 01409015 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 27-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 2 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 BICALUTAMIDE,50MG,CAPSULE/,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 1287 of 6486
Name
DR MAHESH CHANDRA TAYAL Rate Amount Qty 3.45 .23 15 48.76 12.19 4 4.8 .16 30 21.3 .71 30 11.4 .38 30 20.84 5.21 4 57 .38 150 26.7 .89 30 312 10.4 30 400 400 1 Total: 906.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409019 Min 01409019 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 21-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 21-FEB-19 ECG 11 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 21-FEB-19 CREATININE /CRT 18 21-FEB-19
Page 1288 of 6486
Name
MAHESH CHANDRA SHARMA Rate Amount Qty 10.65 .71 15 33 1.1 30 55.8 .93 60 78 1.3 60 18 .4 45 104.4 1.74 60 400 400 1 55.8 .93 60 78 1.3 60 12 .4 30 450 450 1 10.65 .71 15 400 400 1 275 275 1 275 275 1 1300 1300 1 33 1.1 30 275 275 1 Total: 3864.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409020 Min 01409020 Appmt Dt Slno Description 13-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 13-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1289 of 6486
Name
USHA SHARMA Qty Rate Amount 60 1.21 72.6 30 .71 21.3 30 .25 7.5 1 400 400 Total: 501.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409023 Min 01409023 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 06-FEB-19 COMPLETE HAEMOGRAM 2 06-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 1290 of 6486
Name
R B SHARMA Rate Amount Qty 400 400 1 750 750 1 31.4 3.14 10 247.6 6.19 40 25.2 .63 40 400 400 1 36 .6 60 78 1.3 60 17.4 .58 30 15.6 .26 60 32.4 1.08 30 34.8 1.16 30 12 .4 30 400 400 1 Total: 2480.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409024 Min 01409024 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 C T HEAD PLAIN 9 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 1291 of 6486
Name
SHAKUN SHARMA Rate Amount Qty 29.7 .99 30 17.4 .58 30 33 1.1 30 27.9 .93 30 400 400 1 26.7 .89 30 6.6 .66 10 400 400 1 5250 5250 1 123.53 370.59 3 400 400 1 12.8 .64 20 400 400 1 Total: 7374.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409030 Min 01409030 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 1292 of 6486
Name
K PAWAR Rate Amount Qty 123.53 123.53 1 4.8 .16 30 60.9 2.03 30 167.4 5.58 30 34.8 1.16 30 12 .4 30 31.2 1.04 30 36.3 1.21 30 55.8 .93 60 36 .6 60 400 400 1 Total: 962.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409031 Min 01409031 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1293 of 6486
Name
KAVITA PAWAR Rate Amount Qty 18.6 .62 30 6.9 .23 30 23.7 .79 30 167.4 5.58 30 21.3 .71 30 72 .6 120 32.4 .36 90 117 1.3 90 400 400 1 Total: 859.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409041 Min 01409041 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 2 07-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 3 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 14-FEB-19 SOLIFENACIN,5MG,,TABLET 7 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 1294 of 6486
BAIJ NATH YADAV Rate Amount Qty 50.14 25.07 2 94.42 283.26 3 156.51 313.02 2 50.14 25.07 2 400 400 1 14.85 .99 15 403.2 13.44 30 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 55.8 .93 60 153 2.55 60 12 .4 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 2469.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409046 Min 01409046 Appmt Dt Slno Description 22-FEB-19 1 SALBUTAMOL,2MG,STRIP PACK,,TABLET 22-FEB-19 2 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 22-FEB-19 3 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1295 of 6486
Name
C T CHERIAN Qty Rate Amount 90 .18 16.2 60 .9 54 1 100.71 100.71 1 400 400 Total: 570.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409048 Min 01409048 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 22-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 22-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19 X - RAY - SINGLE VIEW 13 28-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 14 28-FEB-19 X - RAY - TWO VIEWS 15 28-FEB-19 OBSERVATION IN CASUALTY 16 28-FEB-19 X - RAY - SINGLE VIEW 17 28-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 18 28-FEB-19
Page 1296 of 6486
Name
PARAMJEET KAUR Rate Amount Qty 31.95 .71 45 1.6 .16 10 20.84 5.21 4 13.43 13.43 1 63.58 63.58 1 20.06 20.06 1 6.4 .64 10 33 1.1 30 26.7 .89 30 32.4 1.08 30 400 400 1 400 400 1 550 550 1 24.52 24.52 1 10320 860 12 420 420 1 550 550 1 5.85 5.85 1 Total: 12920.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409049 Min 01409049 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 1297 of 6486
Name
GAJENDRA SINGH Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409051 Min 01409051 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1298 of 6486
Name
DHANUSH SINGH THAKUR Rate Amount Qty 36 .6 60 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 13.95 .93 15 18.6 .62 30 21.3 .71 30 12 .4 30 400 400 1 Total: 762.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409052 Min 01409052 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 1299 of 6486
Name
KAUSHILYA THAKUR Rate Amount Qty 54 .9 60 104.4 1.74 60 400 400 1 Total: 558.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409062 Min 01409062 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1300 of 6486
Name
K APPA RAO Rate Amount Qty 2.4 .16 15 21.3 .71 30 12 .4 30 26.7 .89 30 47.4 .79 60 400 400 1 Total: 509.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409063 Min 01409063 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1301 of 6486
Name
K SITA Rate Amount Qty 8.9 .89 10 2.4 .16 15 3.75 .25 15 27.9 .93 30 9 .3 30 400 400 1 Total: 451.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409074 Min 01409074 Appmt Dt Slno Description 19-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 2 PRAZOSIN,2.5MG,TABLET 19-FEB-19 3 MOXONIDIN 0.2MG,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1302 of 6486
Name
ANJANA MUKHERJEE Qty Rate Amount 30 .93 27.9 30 1.3 39 90 3.53 317.7 1 400 400 Total: 784.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409084 Min 01409084 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 13-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 1303 of 6486
Name
SHEFALI DAS Rate Amount Qty 6.9 .23 30 21.3 .71 30 12 .4 30 30.6 .34 90 32.4 1.08 30 400 400 1 Total: 503.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409086 Min 01409086 Appmt Dt Slno Description 13-FEB-19 1 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 13-FEB-19 2 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 13-FEB-19 3 RISPERIDONE,STRIP PKT,2MG,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1304 of 6486
Name
MITA LASKAR Qty Rate Amount 15 2.45 36.75 30 .51 15.3 90 1.37 123.3 1 400 400 Total: 575.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409089 Min 01409089 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 27-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 14 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1305 of 6486
Name
B N MUKHERJEE Rate Amount Qty 12 .4 30 34.8 1.16 30 27.9 .93 30 30.6 .34 90 400 400 1 123.53 123.53 1 400 400 1 123.53 370.59 3 2.4 .16 15 26.7 .89 30 31.2 1.04 30 34.8 1.16 30 12 .4 30 30.6 .34 90 55.8 .93 60 400 400 1 Total: 1992.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409090 Min 01409090 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 1306 of 6486
Name
GEETAMUKHERJEE Rate Amount Qty 123.53 123.53 1 400 400 1 15.6 1.04 15 66 1.1 60 26.7 .89 30 32.4 1.08 30 34.8 1.16 30 123.53 247.06 2 400 400 1 Total: 1346.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409093 Min 01409093 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1307 of 6486
Name
SHALINI MASIH Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 47.4 .79 60 167.4 5.58 30 36 .6 60 400 400 1 Total: 718
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409097 Min 01409097 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 1308 of 6486
Name
R S SODHI Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 Total: 472
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409106 Min 01409106 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 11 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1309 of 6486
GOMA ZARBADE Rate Amount Qty 1.85 .37 5 15.73 15.73 1 26.6 2.66 10 400 400 1 12.15 12.15 1 400 400 1 15.73 15.73 1 26.6 2.66 10 400 400 1 4.45 .89 5 92.05 18.41 5 7.1 .71 10 400 400 1 Total: 1802.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409107 Min 01409107 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 11-FEB-19 X - RAY - SINGLE VIEW 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 11-FEB-19
Page 1310 of 6486
Name
ASHA DEVI Rate Amount Qty 5.4 .9 6 1.85 .37 5 400 400 1 159.6 1.33 120 400 400 1 1750 1750 1 550 550 1 400 400 1 Total: 3666.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409110 Min 01409110 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1311 of 6486
Name
ANIL KUMAR RASTOGI Rate Amount Qty 118.5 3.95 30 12 .4 30 34.8 1.16 30 60.9 2.03 30 32.4 1.08 30 55.8 .93 60 400 400 1 Total: 714.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409111 Min 01409111 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 1312 of 6486
Name
KAMINI RASTOGI Rate Amount Qty 34.8 1.16 30 21.3 .71 30 36 .6 60 85.2 .71 120 55.8 .93 60 400 400 1 Total: 633.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409114 Min 01409114 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1313 of 6486
Name
J GHOSH Rate Amount Qty 34.8 1.16 30 12 .4 30 13.95 .93 15 17.8 .89 20 33 1.1 30 7.5 .25 30 400 400 1 Total: 519.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409120 Min 01409120 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 1314 of 6486
Name
A C SHARMA Rate Amount Qty 8.1 .27 30 32.4 1.08 30 6.4 .64 10 1.48 .37 4 26.6 2.66 10 18 .6 30 72.6 1.21 60 18 .3 60 12 .4 30 34.8 1.16 30 60.9 2.03 30 400 400 1 Total: 691.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409121 Min 01409121 Appmt Dt Slno Description 05-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 2 METOPROLOL TARTRATE,50MG,,TABLET 05-FEB-19 3 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1315 of 6486
Name
LATA SHARMA Qty Rate Amount 30 .93 27.9 60 1.21 72.6 30 .37 11.1 1 400 400 Total: 511.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409123 Min 01409123 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1316 of 6486
Name
R M DUBEY Rate Amount Qty 60.9 2.03 30 8.1 .27 30 47.4 .79 60 12 .4 30 26.7 .89 30 30.6 .34 90 105.9 3.53 30 400 400 1 Total: 691.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409125 Min 01409125 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 1317 of 6486
Name
N BHASKARAN NAIR Rate Amount Qty 60.9 2.03 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 540.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409126 Min 01409126 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 1318 of 6486
Name
OMANA KUNJAMMA Rate Amount Qty 26.7 .89 30 9 .3 30 14.85 .99 15 55.8 .93 60 11.1 .37 30 34.8 1.16 30 400 400 1 Total: 552.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409129 Min 01409129 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 1319 of 6486
Name
KISHAN HARI INGLE Rate Amount Qty 8.1 .27 30 192.3 6.41 30 60.9 2.03 30 400 400 1 192.3 6.41 30 8.1 .27 30 60.9 2.03 30 400 400 1 Total: 1322.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409137 Min 01409137 Appmt Dt Slno Description 06-FEB-19 1 ACYCLOVIR,STRIP PKT,800MG,TABLET 06-FEB-19 2 CREAM,ACICLOVIR,5%,5GM/TUBE 06-FEB-19 3 CREAM,CLOTRIMAZOLE,1%,15-20GM 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1320 of 6486
Name
S P MISHRA Qty Rate Amount 10 12.75 127.5 1 35.63 35.63 2 9.86 19.72 1 400 400 Total: 582.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409138 Min 01409138 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 06-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 1321 of 6486
Name
DHARMO DEVI MISHRA Rate Amount Qty 26.96 3.37 8 63.58 63.58 1 400 400 1 Total: 490.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409139 Min 01409139 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 13-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 1322 of 6486
Name
VIDULA GANDHI Rate Amount Qty 55.8 .93 60 20.84 5.21 4 16.2 .27 60 7.5 .25 30 10.95 .73 15 22.5 .75 30 11.4 .38 30 400 400 1 Total: 545.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409151 Min 01409151 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1323 of 6486
Name
K H KHARCHE Rate Amount Qty 6.4 .64 10 185.7 6.19 30 3.7 .37 10 55.2 1.84 30 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 1087.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409152 Min 01409152 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 20-FEB-19 CREATININE /CRT 15 20-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 16 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 20-FEB-19
Page 1324 of 6486
Name
PADMINI KHARCHE Rate Amount Qty 21.3 .71 30 66 1.1 60 26.7 .89 30 31.2 1.04 30 32.4 1.08 30 55.8 .93 60 36 .6 60 12.8 .64 20 8.1 .27 30 7.5 .25 30 400 400 1 400 400 1 3300 275 12 275 275 1 275 275 1 9.86 9.86 1 7.4 .37 20 Total: 4965.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409155 Min 01409155 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 21-FEB-19
Page 1325 of 6486
Name
KAMALA Rate Amount Qty 7.5 .25 30 21.3 .71 30 4.8 .16 30 368.4 6.14 60 53.4 .89 60 33 1.1 30 21.3 .71 30 8.1 .27 30 275 275 1 275 275 1 400 400 1 Total: 1467.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409157 Min 01409157 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 1326 of 6486
Name
S N MODI Rate Amount Qty 26 2.6 10 8.9 .89 10 400 400 1 3.7 .37 10 8.1 .27 30 55.8 .93 60 400 400 1 8.1 .27 30 33 1.1 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1596.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409162 Min 01409162 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 1327 of 6486
Name
A P TARE Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 7.5 .25 30 16.5 1.1 15 43.2 1.44 30 26.7 .89 30 400 400 1 Total: 573.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409188 Min 01409188 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 1328 of 6486
Name
R G MANSUKHANI Rate Amount Qty 14.85 .99 15 185.7 6.19 30 34.8 1.16 30 55.8 .93 60 167.4 5.58 30 36 .6 60 400 400 1 27.9 .93 30 8.1 .27 30 400 400 1 Total: 1330.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409194 Min 01409194 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 1329 of 6486
Name
L N VISHWAKARMA Rate Amount Qty 12 .4 30 371.4 6.19 60 60.9 2.03 30 26.7 .89 30 34.8 1.16 30 32.4 1.08 30 33 1.1 30 18 .6 30 400 400 1 Total: 989.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409195 Min 01409195 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 IVABRADINE,5MG,,TABLET 3 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 IVABRADINE,5MG,,TABLET 10 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 17 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19
Page 1330 of 6486
Name
SUSHEELA VISHWAKARMA Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 597 9.95 60 23.7 .79 30 27 .6 45 27.6 .92 30 167.4 5.58 30 4.8 .16 30 26.7 .89 30 597 9.95 60 4.8 .16 30 32.4 1.08 30 34.8 1.16 30 167.4 5.58 30 27.6 .92 30 27 .6 45 23.7 .79 30 26.7 .89 30 400 400 1 Total: 2282.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409202 Min 01409202 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 16-FEB-19 PRAZOSIN,2.5MG,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 11 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 20-FEB-19
Page 1331 of 6486
Name
K VENUGOPAL Rate Amount Qty 2.4 .16 15 34.8 1.16 30 36.3 1.21 30 211.8 3.53 60 55.8 .93 60 22.2 .37 60 156 1.3 120 400 400 1 60.9 2.03 30 400 400 1 1750 1750 1 192.3 6.41 30 Total: 3322.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409206 Min 01409206 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1332 of 6486
Name
P A RAGHVAN Rate Amount Qty 21.3 .71 30 7.5 .25 30 400 400 1 Total: 428.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409207 Min 01409207 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 11-FEB-19
Page 1333 of 6486
Name
D K DAS TALUKDAR Rate Amount Qty 275 275 1 400 400 1 18.9 .63 30 7.5 .25 30 550 550 1 12 .4 30 14.85 .99 15 27.9 .93 30 21.3 .71 30 Total: 1327.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409220 Min 01409220 Appmt Dt Slno Description 11-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1334 of 6486
Name
GAURI DAVE Qty Rate Amount 30 .79 23.7 1 400 400 423.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409221 Min 01409221 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1335 of 6486
Name
M M DAVE Rate Amount Qty 21.3 .71 30 32.4 .36 90 43.96 43.96 1 8.1 .27 30 12 .4 30 27.9 .93 30 167.4 5.58 30 54 .6 90 400 400 1 Total: 767.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409224 Min 01409224 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 1336 of 6486
Name
S K CHATTERJEE Rate Amount Qty 15.6 .26 60 12 .4 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 492.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409227 Min 01409227 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1337 of 6486
Name
SUBBALAKSHMI Rate Amount Qty 27.9 .93 30 5 .25 20 63.8 3.19 20 17.8 .89 20 83.97 9.33 9 62.8 3.14 20 400 400 1 Total: 661.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409230 Min 01409230 Appmt Dt Slno Description 26-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1338 of 6486
Name
K P NAIR Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409231 Min 01409231 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 1339 of 6486
Name
BHARGAVI NAIR Rate Amount Qty 16.2 .18 90 12.15 12.15 1 26.7 .89 30 54 .9 60 156.6 1.74 90 400 400 1 Total: 665.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409232 Min 01409232 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19
Page 1340 of 6486
Name
V P TIWARI Rate Amount Qty 400 400 1 400 400 1 6.4 .64 10 185.7 6.19 30 34.8 1.16 30 7.5 .25 30 55.2 .92 60 36 .6 60 55.8 .93 60 211.8 3.53 60 14.85 .99 15 60.9 2.03 30 8.9 .89 10 400 400 1 Total: 1877.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409233 Min 01409233 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 15-FEB-19 PRAZOSIN,2.5MG,TABLET 3 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1341 of 6486
Name
HEM NARAYAN PACHORI Rate Amount Qty 55.8 .93 60 317.7 3.53 90 39 1.3 30 117 1.3 90 32.4 1.08 30 10.8 .36 30 36 .6 60 21.3 .71 30 400 400 1 Total: 1030
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409234 Min 01409234 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 PRAZOSIN,2.5MG,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 1342 of 6486
Name
SAROJ PACHORI Rate Amount Qty 7.5 .25 30 55.8 .93 60 29.7 .99 30 12 .4 30 78 1.3 60 83.7 5.58 15 400 400 1 Total: 666.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409236 Min 01409236 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 1343 of 6486
Name
ANURADHA GERA Rate Amount Qty 32.4 1.08 30 12 .4 30 118.5 3.95 30 55.8 .93 60 1.6 .16 10 400 400 1 Total: 620.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409239 Min 01409239 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 5 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 01-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 17 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 26-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 21 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 1344 of 6486
Name
S R DEWANGAN Rate Amount Qty 55.8 .93 60 8.1 .27 30 76.5 2.55 30 34.8 1.16 30 189 2.1 90 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 7.5 .25 30 18.9 .63 30 311.4 5.19 60 400 400 1 7.5 .25 30 26.7 .89 30 8.1 .27 30 55.8 .93 60 76.5 2.55 30 34.8 1.16 30 192.3 6.41 30 60.9 2.03 30 189 2.1 90 18.9 .63 30 400 400 1 Total: 2452.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409240 Min 01409240 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 1345 of 6486
Name
KHORBAHRIN BAI DEWANGAN Rate Amount Qty 7.65 .51 15 55.8 .93 60 185.7 6.19 30 17.4 1.16 15 400 400 1 Total: 666.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409252 Min 01409252 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 1346 of 6486
Name
M C NAYAK Rate Amount Qty 27.9 .93 30 8.1 .27 30 21.3 .71 30 16.5 1.1 15 400 400 1 Total: 473.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409253 Min 01409253 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 15-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1347 of 6486
Name
MOHANI NAYAK Rate Amount Qty 87.92 43.96 2 82.76 165.52 2 7.5 .25 30 167.4 5.58 30 21.3 .71 30 117 1.3 90 36 .6 60 21.6 .36 60 400 400 1 Total: 1024.24
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409256 Min 01409256 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 1348 of 6486
TIRTH PRASAD NEMA Rate Amount Qty 25.07 25.07 1 21.45 21.45 1 400 400 1 Total: 446.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409273 Min 01409273 Appmt Dt Slno Description 22-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 22-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1349 of 6486
Name
GIRDHARI LAL VERMA Qty Rate Amount 30 .3 9 30 .93 27.9 30 .71 21.3 1 400 400 Total: 458.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409274 Min 01409274 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1350 of 6486
ALENA BAI VERMA Rate Amount Qty 27.9 .93 30 15.73 15.73 1 66 1.1 60 32.4 1.08 30 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 570.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409291 Min 01409291 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 X - RAY - TWO VIEWS 2 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1351 of 6486
Name
P R INDURKAR Rate Amount Qty 400 400 1 860 860 1 4.38 .73 6 2.67 .89 3 7.8 2.6 3 8.96 .64 14 10.22 .73 14 400 400 1 Total: 1694.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409292 Min 01409292 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1352 of 6486
Name
JYOTI INDURKAR Qty 1 1 1 1 1
Rate Amount 400 400 57.84 57.84 1750 1750 57.84 57.84 400 400 Total: 2665.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409293 Min 01409293 Slno Description Appmt Dt URSODEOXYCHOLIC ACID,150MG,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 3 02-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 11 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19
Page 1353 of 6486
Name
B P AGRAWAL Rate Amount Qty 635.4 7.06 90 26.7 .89 30 15.6 .26 60 87.92 43.96 2 7.5 .25 30 21.3 .71 30 32.4 1.08 30 36 .6 60 55.8 .93 60 8.1 .27 30 18.6 .62 30 78 1.3 60 400 400 1 Total: 1423.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409295 Min 01409295 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 1354 of 6486
Name
A K BHOWMICK Rate Amount Qty 8.1 .27 30 13.95 .93 15 20.06 20.06 1 1.6 .16 10 400 400 1 Total: 443.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409300 Min 01409300 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1355 of 6486
Name
DUBE LAL MARAI Rate Amount Qty 29.7 .99 30 8.1 .27 30 41.85 .93 45 66 1.1 60 30.6 .34 90 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 643.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409301 Min 01409301 Slno Description Appmt Dt URINE ROUTINE AND MICROSCOPIC 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 1356 of 6486
Name
RUKHMANI BAI Rate Amount Qty 380 380 1 400 400 1 55.8 .93 60 44.1 1.47 30 32.4 1.08 30 17.4 1.16 15 6.9 .23 30 11.4 .38 30 36 .6 60 400 400 1 Total: 1384
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409305 Min 01409305 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 1357 of 6486
Name
RAM SEWAK VERMA Rate Amount Qty 6.4 .64 10 185.7 6.19 30 400 400 1 Total: 592.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409321 Min 01409321 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 21-FEB-19 URIC ACID (UA /URATES /UR) 10 21-FEB-19 CREATININE /CRT 11 21-FEB-19 UREA (BUN /UR) 12 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 21-FEB-19
Page 1358 of 6486
Name
JOHN DANIEL Rate Amount Qty 78 1.3 60 400 400 1 7.5 .25 30 21.3 .71 30 8.1 .27 30 275 275 1 36 .6 60 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3775.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409322 Min 01409322 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 14-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 1359 of 6486
Name
U S DANIEL Rate Amount Qty 12 .4 30 21.3 .71 30 26.7 .89 30 52.8 17.6 3 7.5 .25 30 211.8 3.53 60 28.69 28.69 1 55.8 .93 60 66 1.1 60 15.3 .51 30 400 400 1 Total: 897.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409323 Min 01409323 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 1360 of 6486
Name
BISHNU PADA SAHA Rate Amount Qty 860 860 1 400 400 1 12.8 .64 20 8.9 .89 10 400 400 1 Total: 1681.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409324 Min 01409324 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 1361 of 6486
Name
JHARNA RANI SAHA Rate Amount Qty 7.5 .25 30 4.8 .16 30 26.7 .89 30 12 .4 30 14.85 .99 15 55.8 .93 60 76.5 2.55 30 400 400 1 Total: 598.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409325 Min 01409325 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 1362 of 6486
Name
K G GOPALAKRISHNAN NAIR Rate Amount Qty 39.6 .66 60 53.4 .89 60 400 400 1 Total: 493
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409334 Min 01409334 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1363 of 6486
Name
G K MEHTA Rate Amount Qty 27.9 .93 30 23.1 .77 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 94.42 94.42 1 400 400 1 Total: 624.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409335 Min 01409335 Appmt Dt Slno Description 04-FEB-19 1 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1364 of 6486
Name
PRATIBHA MEHTA Qty Rate Amount 1 156.51 156.51 30 .93 27.9 30 .27 8.1 1 400 400 Total: 592.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409340 Min 01409340 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 07-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 1365 of 6486
Name
A C CHABLANI Rate Amount Qty 104.4 1.74 60 69.05 69.05 1 400 400 1 Total: 573.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409352 Min 01409352 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 1366 of 6486
Name
SAROJ GARG Rate Amount Qty 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 593.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409356 Min 01409356 Appmt Dt Slno Description 07-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 07-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 07-FEB-19 3 SOLIFENACIN,5MG,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1367 of 6486
Name
L K VISHWANADHAM Qty Rate Amount 30 2.03 60.9 30 6.41 192.3 30 13.44 403.2 1 400 400 Total: 1056.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409364 Min 01409364 Appmt Dt Slno Description 23-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 23-FEB-19 2 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 23-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1368 of 6486
K B SHRIVASTAVA Qty Rate Amount 4 20.29 81.16 4 25.07 100.28 30 .16 4.8 1 400 400 Total: 586.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409369 Min 01409369 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1369 of 6486
Name
SAROJAM Rate Amount Qty 12 .4 30 55.8 .93 60 9.45 .63 15 21.3 .71 30 66 1.1 60 400 400 1 Total: 564.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409381 Min 01409381 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 1370 of 6486
Name
TOMY THOMAS Rate Amount Qty 12 .4 30 26.7 .89 30 60.9 2.03 30 23.7 .79 30 72.6 1.21 60 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 663.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409383 Min 01409383 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 1371 of 6486
Name
KAMLESH KUMAR VERMA Rate Amount Qty 32.4 1.08 30 8.1 .27 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 517.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409394 Min 01409394 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 08-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 5 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 1372 of 6486
Name
K RAGHUNATHAN Rate Amount Qty 47.4 .79 60 27 .6 45 66 1.1 60 9 .3 30 94.8 1.58 60 11.1 .37 30 40.12 20.06 2 400 400 1 Total: 695.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409399 Min 01409399 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 20-FEB-19 ECG 4 20-FEB-19 OBSERVATION IN CASUALTY 5 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 21-FEB-19
Page 1373 of 6486
Name
SANTOSH WAHI Rate Amount Qty .89 .89 1 .64 .64 1 9.62 9.62 1 450 450 1 420 420 1 34.8 1.16 30 18 .6 30 55.2 .92 60 55.8 .93 60 400 400 1 1.15 .23 5 .8 .16 5 Total: 1446.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409404 Min 01409404 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1374 of 6486
Name
TRIVENI Rate Amount Qty 275 275 1 275 275 1 17.4 1.16 15 211.8 3.53 60 10.8 .36 30 36 .6 60 55.8 .93 60 400 400 1 Total: 1281.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409419 Min 01409419 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 1375 of 6486
Name
NALINI DEVI NADAMWAR Rate Amount Qty 26.7 .89 30 18.6 .62 30 8.1 .27 30 33 1.1 30 21.3 .71 30 400 400 1 Total: 507.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409421 Min 01409421 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1376 of 6486
Name
RAJLAKSHMI Rate Amount Qty 26.7 .89 30 20.84 5.21 4 4.8 .16 30 34.8 1.16 30 211.8 3.53 60 153 2.55 60 55.8 .93 60 400 400 1 Total: 907.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409436 Min 01409436 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 09-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 09-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 6 11-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 7 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 8 11-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 9 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 13 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 15 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 21-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 18 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 21-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 20 21-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 21 21-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 22 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 21-FEB-19
Page 1377 of 6486
Name
PARVATI DEVI Rate Amount Qty 6.4 .64 10 2.6 .26 10 3.8 .38 10 57.84 115.68 2 400 400 1 5.2 .26 20 57.84 115.68 2 82.12 41.06 2 157.8 15.78 10 7.6 .38 20 5 .25 20 400 400 1 48.76 12.19 4 26.7 .89 30 40.2 .67 60 11.1 .37 30 6.4 .64 10 101.4 3.38 30 66.2 6.62 10 41.06 41.06 1 52.8 17.6 3 15.6 .26 60 400 400 1 Total: 2112.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409439 Min 01409439 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1378 of 6486
Name
D A KARMARKAR Rate Amount Qty 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 444.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409448 Min 01409448 Appmt Dt Slno Description 05-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 05-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1379 of 6486
Name
S D DEWANGAN Qty Rate Amount 30 1.1 33 30 1.08 32.4 30 .71 21.3 1 400 400 Total: 486.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409449 Min 01409449 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 1380 of 6486
Name
MADHULATA DEWANGAN Rate Amount Qty 12 .4 30 34.8 1.16 30 7.8 .26 30 167.4 5.58 30 54 .6 90 21.6 .36 60 27.9 .93 30 400 400 1 Total: 725.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409452 Min 01409452 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 18-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 1381 of 6486
Name
MS BHIMA DILLIWAR Rate Amount Qty 7.5 .25 30 19.8 .66 30 22.2 .37 60 36.3 1.21 30 400 400 1 Total: 485.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409453 Min 01409453 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1382 of 6486
C P VISHWAKARMA Rate Amount Qty 15.73 15.73 1 27.9 .93 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 473.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409454 Min 01409454 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1383 of 6486
Name
SAVITA VISHWAKARMA Rate Amount Qty 55.8 .93 60 36 .6 60 18.6 .62 30 7.5 .25 30 21.3 .71 30 400 400 1 Total: 539.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409456 Min 01409456 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 1384 of 6486
Name
NEETA SIDANA Rate Amount Qty 35.2 3.52 10 4.1 .41 10 400 400 1 20.55 1.37 15 6.23 .89 7 400 400 1 Total: 866.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409460 Min 01409460 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 05-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19
Page 1385 of 6486
Name
HARE RAM ROY Rate Amount Qty 275 275 1 1300 1300 1 1500 1500 1 275 275 1 275 275 1 400 400 1 53.4 .89 60 7.5 .25 30 18.9 .63 30 21.3 .71 30 12 .4 30 32.4 1.08 30 16.2 .27 60 27.9 .93 30 400 400 1 Total: 4614.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409464 Min 01409464 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 1386 of 6486
Name
MS C SHRADDHA RAO Rate Amount Qty 860 860 1 400 400 1 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 1682.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409472 Min 01409472 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 12 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19
Page 1387 of 6486
Name
SHIV DAS SAHU Rate Amount Qty 7.5 .25 30 3.8 .38 10 26.7 .89 30 34.8 1.16 30 12 .4 30 27.9 .93 30 167.4 5.58 30 40.12 20.06 2 78 1.3 60 36 .6 60 400 400 1 100.71 100.71 1 54 .9 60 26.7 .89 30 400 400 1 Total: 1415.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409473 Min 01409473 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 12-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 12-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 15-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 1388 of 6486
Name
PUNIYA BAI SAHU Rate Amount Qty 3.7 .37 10 26.6 2.66 10 12.15 12.15 1 26.7 .89 30 54 .9 60 104.4 1.74 60 59.4 .66 90 400 400 1 26.96 3.37 8 63.58 63.58 1 400 400 1 Total: 1177.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409476 Min 01409476 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 1389 of 6486
Name
BABA PRASAD Rate Amount Qty 9 .3 30 7.5 .25 30 47.4 .79 60 27.9 .93 30 7.65 .51 15 18 .6 30 17.4 1.16 15 400 400 1 Total: 534.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409477 Min 01409477 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 3 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 06-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 12 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19
Page 1390 of 6486
PHULWA DEVI Rate Amount Qty 25.69 25.69 1 25.07 25.07 1 13.49 13.49 1 18.62 2.66 7 400 400 1 17.4 .58 30 7.5 .25 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 14.85 .99 15 73.8 .82 90 55.8 .93 60 400 400 1 25.07 25.07 1 400 400 1 Total: 1556.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409482 Min 01409482 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 1391 of 6486
Name
MANGI LAL Rate Amount Qty 100.71 100.71 1 54 .9 60 400 400 1 60.9 2.03 30 12 .4 30 72 .6 120 11.4 .38 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 1172.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409484 Min 01409484 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 PRAZOSIN,2.5MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1392 of 6486
Name
SADHANA PRAKASH Rate Amount Qty 55.8 .93 60 3.75 .25 15 32.4 1.08 30 66 1.1 60 34.8 1.16 30 39 1.3 30 400 400 1 Total: 631.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409487 Min 01409487 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 01-FEB-19 PRAZOSIN,2.5MG,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 01-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 18-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19
Page 1393 of 6486
BHALCHANDRA N THOKE Rate Amount Qty 60.9 2.03 30 15.73 15.73 1 39 1.3 30 32.4 1.08 30 18 .6 30 21.6 .36 60 72.6 1.21 60 27.9 .93 30 66.2 6.62 10 6.4 .64 10 17 1.7 10 8.9 .89 10 21.3 .71 30 400 400 1 8.9 .89 10 96.44 48.22 2 400 400 1 3.7 .37 10 400 400 1 Total: 1716.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409488 Min 01409488 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 01-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 2 01-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 1394 of 6486
Name
NEELIMA B THOKE Rate Amount Qty 148.9 74.45 2 58 29 2 51.38 25.69 2 400 400 1 7.4 .37 20 25.62 12.81 2 26.7 .89 30 27.9 .93 30 27.9 .62 45 21.3 .71 30 400 400 1 Total: 1195.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409491 Min 01409491 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 12-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 1395 of 6486
Name
B K BHATLI Rate Amount Qty 4.1 .41 10 26.98 13.49 2 400 400 1 Total: 431.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409502 Min 01409502 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1396 of 6486
Name
GURCHARAN SINGH DHALIWAL Rate Amount Qty 10.8 .36 30 6.9 .23 30 400 400 1 Total: 417.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409512 Min 01409512 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 X - RAY - TWO VIEWS 10 05-FEB-19 COMPLETE HAEMOGRAM 11 05-FEB-19 C T ABDOMEN AND PELVIS 12 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 17 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 26-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 1397 of 6486
Name
SHANKER LAL SAHU Rate Amount Qty 26.7 .89 30 9.9 .66 15 30.45 2.03 15 5.7 .38 15 3.75 .25 15 17.4 1.16 15 16.2 1.08 15 66.2 6.62 10 400 400 1 1720 860 2 750 750 1 12000 12000 1 400 400 1 400 400 1 12.8 .64 20 17.8 .89 20 63.8 3.19 20 7.4 .37 20 400 400 1 53.4 .89 60 19.8 .66 30 400 400 1 Total: 16821.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409513 Min 01409513 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 1398 of 6486
Name
ANASUIYA Rate Amount Qty 55.8 .93 60 22.2 .37 60 21.3 .71 30 92.85 6.19 15 6.4 .64 10 400 400 1 Total: 598.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409531 Min 01409531 Appmt Dt Slno Description 01-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 01-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 01-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1399 of 6486
Name
B K PRASAD Qty Rate Amount 60 .23 13.8 8 2.03 16.24 22 2.03 44.66 1 400 400 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409536 Min 01409536 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 1400 of 6486
Name
C G VERGHESE Rate Amount Qty 55.8 .93 60 3.75 .25 15 18 .6 30 167.4 5.58 30 400 400 1 Total: 644.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409566 Min 01409566 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 1401 of 6486
Name
ANGAD SINGH Rate Amount Qty 62.8 3.14 20 247.6 6.19 40 16.8 .42 40 25.2 .63 40 63.8 3.19 20 17.8 .89 20 400 400 1 21.3 .71 30 16.5 1.1 15 55.8 .93 60 16.2 .27 60 400 400 1 Total: 1343.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409567 Min 01409567 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1402 of 6486
PHOOLA DEVI Rate Amount Qty 32.4 1.08 30 27.9 .93 30 33 1.1 30 12 .4 30 34.8 1.16 30 400 400 1 25.07 25.07 1 400 400 1 Total: 965.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409568 Min 01409568 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 3 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 PRAZOSIN,2.5MG,TABLET 9 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 01-FEB-19 UREA (BUN /UR) 12 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 01-FEB-19 URIC ACID (UA /URATES /UR) 16 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 17 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 19 18-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 20 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 1403 of 6486
Name
PARSHU RAM SHARMA Rate Amount Qty 20.06 20.06 1 53.4 .89 60 155.7 5.19 30 27.6 .92 30 21.3 .71 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 78 1.3 60 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 20.06 20.06 1 26.7 .89 30 54 .9 60 100.71 100.71 1 12.15 12.15 1 400 400 1 21.3 .71 30 400 400 1 Total: 4858.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409571 Min 01409571 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 16 28-FEB-19
Page 1404 of 6486
Name
KANIZ SUGRA Rate Amount Qty 26.6 2.66 10 7.5 .25 30 34.8 1.16 30 1.85 .37 5 27.9 .93 30 15.6 1.04 15 18 .6 30 400 400 1 3.84 .64 6 400 400 1 275 275 1 7.68 .64 12 275 275 1 400 400 1 44.16 1.84 24 4.8 .6 8 Total: 1942.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409572 Min 01409572 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 26-FEB-19
Page 1405 of 6486
Name
RAM LAL GAJPAL Qty 1 1 1 1 1
Rate Amount 400 400 275 275 1300 1300 275 275 1300 1300 Total: 3550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409573 Min 01409573 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19
Page 1406 of 6486
Name
TRIVENI GAJPAL Qty 1 1 1 1 1
Rate Amount 275 275 275 275 1300 1300 1300 1300 400 400 Total: 3550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409575 Min 01409575 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 1407 of 6486
Name
CHHABI DAS Rate Amount Qty 27.9 .93 30 167.4 5.58 30 14.85 .99 15 21.3 .71 30 78 1.3 60 21.6 .36 60 54 .6 90 400 400 1 Total: 785.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409576 Min 01409576 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 PRAZOSIN,2.5MG,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 07-FEB-19 URIC ACID (UA /URATES /UR) 10 07-FEB-19 CREATININE /CRT 11 07-FEB-19 UREA (BUN /UR) 12 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19
Page 1408 of 6486
Name
C K MEHROTRA Rate Amount Qty 371.4 6.19 60 400 400 1 16.2 .27 60 156 1.3 120 21.3 .71 30 118.5 3.95 30 43.96 43.96 1 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 4752.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409577 Min 01409577 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 06-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 06-FEB-19 PRAZOSIN,2.5MG,TABLET 10 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 06-FEB-19
Page 1409 of 6486
Name
MANJU MEHROTRA Rate Amount Qty 20.55 1.37 15 334.8 5.58 60 90 .6 150 36 .3 120 7.5 .25 30 185.7 6.19 30 34.8 1.16 30 21.3 .71 30 20.84 5.21 4 156 1.3 120 55.8 .93 60 76.5 2.55 30 400 400 1 Total: 1439.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409578 Min 01409578 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1410 of 6486
Name
RAM NATH VERMA Rate Amount Qty 27.9 .93 30 26.7 .89 30 30.6 .34 90 11.4 .38 30 32.4 1.08 30 12 .4 30 21.3 .71 30 31.2 1.04 30 400 400 1 Total: 593.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409583 Min 01409583 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 1411 of 6486
Name
SHEELA DEVI Rate Amount Qty 6.4 .64 10 400 400 1 185.7 6.19 30 31.4 3.14 10 26.7 .89 30 400 400 1 Total: 1050.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409584 Min 01409584 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 U S FOLLICULAR STUDY 3 TO 5 DAYS SERIAL 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 04-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 5 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 16-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 16-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 15 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 19 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 24 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 26 25-FEB-19
Page 1412 of 6486
Name
SHRICHAND Rate Amount Qty 400 400 1 2850 2850 1 7.4 .37 20 25.62 12.81 2 26.86 13.43 2 55.2 1.84 30 6.4 .64 10 85.52 85.52 1 400 400 1 9.6 .64 15 185.7 6.19 30 400 400 1 400 400 1 1750 1750 1 650 650 1 60.9 2.03 30 6.4 .64 10 78 1.3 60 55.2 .92 60 27.9 .93 30 26.7 .89 30 36 .6 60 400 400 1 275 275 1 400 400 1 275 275 1 Total: 8893.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409585 Min 01409585 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 08-FEB-19 ECG 2 08-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 08-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 4 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 8 08-FEB-19 RACECADOTRIL,100MG,CAPSULE 9 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 1413 of 6486
Name
YASMIN GAFFAR Qty 1 1 1 1 1 9 1 6 6 6 1
Rate Amount 420 420 450 450 9.62 9.62 11.89 11.89 3.52 3.52 10.08 1.12 .89 .89 55.98 9.33 35.82 5.97 39.72 6.62 400 400 Total: 1437.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409586 Min 01409586 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 02-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 02-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 02-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 17 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 05-FEB-19 RACECADOTRIL,100MG,CAPSULE 19 18-FEB-19 RIFAXIMIN 200 MG,,TABLET 20 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 22 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 24 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 26 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 27 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 29 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 20-FEB-19
Page 1414 of 6486
Name
REKHA GUPTA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 72 .6 120 167.4 5.58 30 21.3 .71 30 8.9 .89 10 12 .4 30 117 1.3 90 7.5 .25 30 26 2.6 10 400 400 1 15 .25 60 26 2.6 10 20.06 20.06 1 371.4 6.19 60 400 400 1 8.7 .58 15 400 400 1 47.76 5.97 8 9.33 111.96 12 55.8 .93 60 66 1.1 60 72 .6 120 167.4 5.58 30 21.3 .71 30 185.7 6.19 30 12 .4 30 7.5 .25 30 117 1.3 90 400 400 1 Total: 3530.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409588 Min 01409588 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 05-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 05-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 05-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 X - RAY - SINGLE VIEW 7 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 10 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 23-FEB-19 ECG 13 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 23-FEB-19
Page 1415 of 6486
Name
BALAKRISHNA PADHY Rate Amount Qty 11.25 .75 15 31.61 31.61 1 19.72 9.86 2 25.62 12.81 2 90.88 45.44 2 400 400 1 550 550 1 400 400 1 20.06 20.06 1 12.15 12.15 1 6.3 .9 7 26.7 .89 30 450 450 1 66.2 6.62 10 Total: 2110.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409589 Min 01409589 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 21-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 13 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 21-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 15 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19
Page 1416 of 6486
Name
MEERA PADHY Rate Amount Qty 3.7 .37 10 23.7 .79 30 27.9 .93 30 21.3 .71 30 18.9 .63 30 6.4 .64 10 35.2 3.52 10 400 400 1 27.9 .93 30 21.3 .71 30 82.95 .79 105 18.9 .63 30 25.62 12.81 2 19.72 9.86 2 31.61 31.61 1 6.82 6.82 1 400 400 1 Total: 1171.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409594 Min 01409594 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1417 of 6486
Name
K C AGARWAL Rate Amount Qty 27.9 .93 30 12 .4 30 33 1.1 30 34.8 1.16 30 400 400 1 Total: 507.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409596 Min 01409596 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 CREATININE /CRT 4 04-FEB-19 UREA (BUN /UR) 5 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1418 of 6486
Name
SUBRAMANIAM Rate Amount Qty 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 7.5 .25 30 36 .6 60 78 1.3 60 10.8 .36 30 23.7 .79 30 400 400 1 Total: 4181
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409611 Min 01409611 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1419 of 6486
Name
LALITA JHA Rate Amount Qty 29.7 .99 30 21.3 .71 30 27.9 .93 30 34.8 1.16 30 400 400 1 34.8 1.16 30 27.9 .93 30 29.7 .99 30 21.3 .71 30 400 400 1 Total: 1027.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409612 Min 01409612 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1420 of 6486
Name
R K DAS Rate Amount Qty 8.1 .27 30 72.6 1.21 60 26.7 .89 30 23.7 .79 30 400 400 1 Total: 531.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409613 Min 01409613 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1421 of 6486
Name
SURYA LAXMI DAS Rate Amount Qty 7.5 .25 30 26.7 .89 30 47.4 .79 60 36 .6 60 21.6 .36 60 66 1.1 60 400 400 1 Total: 605.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409616 Min 01409616 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 1422 of 6486
Name
H V SHARMA Rate Amount Qty 23.1 .77 30 192.3 6.41 30 60.9 2.03 30 12 .4 30 32.4 1.08 30 69.6 1.16 60 27.9 .93 30 14.85 .99 15 19.8 .66 30 400 400 1 Total: 852.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409617 Min 01409617 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1423 of 6486
Name
SUMAN SHARMA Rate Amount Qty 21.3 .71 30 76.5 2.55 30 46.5 .62 75 27.9 .93 30 39 1.3 30 400 400 1 Total: 611.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409619 Min 01409619 Appmt Dt Slno Description 14-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1424 of 6486
Name
SANGITA SHARMA Qty Rate Amount 15 .62 9.3 1 400 400 409.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409620 Min 01409620 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1425 of 6486
Name
GIRAWAR KUMAR ADIL Rate Amount Qty 32.4 .36 90 192.3 6.41 30 60.9 2.03 30 21.3 .71 30 32.4 1.08 30 27.9 .93 30 117 1.3 90 167.4 5.58 30 400 400 1 Total: 1051.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409626 Min 01409626 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 1426 of 6486
Name
LAXMI NAGPAL Rate Amount Qty 12.15 .27 45 49.5 1.1 45 400 400 1 Total: 461.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409629 Min 01409629 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 21-FEB-19 URIC ACID (UA /URATES /UR) 4 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 21-FEB-19
Page 1427 of 6486
Name
M L SHARMA Rate Amount Qty 400 400 1 8.9 .89 10 185.7 6.19 30 275 275 1 13.7 1.37 10 Total: 883.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409630 Min 01409630 Appmt Dt Slno Description 19-FEB-19 1 GUM ASTRINGENT PAINT 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1428 of 6486
Name
PUSHPALATA SHARMA Qty Rate Amount 1 31.54 31.54 1 400 400 431.54 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409631 Min 01409631 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 3 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1429 of 6486
Name
GOBARDHAN DAS GUPTA Qty Rate Amount 30 1.1 33 30 .25 7.5 45 4.27 192.15 1 400 400 Total: 632.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409632 Min 01409632 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 1430 of 6486
Name
MANORAMA GUPTA Rate Amount Qty 13.8 .23 60 7.5 .25 30 26.7 .89 30 36 .6 60 21.6 .36 60 29.7 .99 30 167.4 5.58 30 55.8 .93 60 400 400 1 Total: 758.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409633 Min 01409633 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 25-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 26-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 1431 of 6486
Name
KABIR KUMAR GAVEL Rate Amount Qty 25.62 12.81 2 63.22 31.61 2 11.1 .37 30 400 400 1 4.45 .89 5 192.3 6.41 30 60.9 2.03 30 12.81 12.81 1 35.2 3.52 10 1.85 .37 5 400 400 1 117 1.3 90 21.6 .36 60 36 .6 60 400 400 1 Total: 1782.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409634 Min 01409634 Slno Description Appmt Dt SPOT URINE ACR(ALBUMIN CREATININE RATIO) 1 25-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 2 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 28-FEB-19 PRAZOSIN,2.5MG,TABLET 5 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 1432 of 6486
Name
RATNA GAVEL Rate Amount Qty 750 750 1 650 650 1 400 400 1 66 1.1 60 39 1.3 30 52.2 1.16 45 18.9 .63 30 12 .4 30 32.4 1.08 30 55.8 .93 60 117 1.3 90 317.7 3.53 90 400 400 1 Total: 2911
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409635 Min 01409635 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 GUM ASTRINGENT PAINT 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1433 of 6486
Name
SUMAN SHRIVASTAVA Rate Amount Qty 4.45 .89 5 31.54 31.54 1 6.4 .64 10 4.8 .16 30 1.25 .25 5 55.8 .93 60 66 1.1 60 13.8 .23 60 400 400 1 Total: 584.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409636 Min 01409636 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1434 of 6486
Name
M M SHARMA Rate Amount Qty 7.5 .25 30 27.9 .93 30 18 .6 30 167.4 5.58 30 10.8 .36 30 400 400 1 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409638 Min 01409638 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1435 of 6486
Name
M V G S S N SHARMA Rate Amount Qty 191.4 3.19 60 400 400 1 60.9 2.03 30 17.4 .58 30 46.2 .77 60 16.2 .27 60 400 400 1 Total: 1132.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409639 Min 01409639 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 1436 of 6486
Name
M S KANTAM Rate Amount Qty 17.4 .58 30 47.4 .79 60 400 400 1 20.84 5.21 4 47.4 .79 60 66 1.1 60 6.9 .23 30 400 400 1 Total: 1005.94
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409642 Min 01409642 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 23-FEB-19
Page 1437 of 6486
ANUP SINGH Rate Amount Qty 27.9 .93 30 36.3 1.21 30 25.07 25.07 1 400 400 1 400 400 1 275 275 1 Total: 1164.27
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409643 Min 01409643 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 19-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 19-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 7 19-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 8 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 9 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 1438 of 6486
HARPAL KAUR Rate Amount Qty 26.7 .89 30 33 1.1 30 27.9 .93 30 41.06 41.06 1 37.04 37.04 1 25.07 25.07 1 16.81 16.81 1 24.45 24.45 1 63.8 3.19 20 368.4 6.14 60 2.4 .16 15 21.3 .71 30 400 400 1 Total: 1087.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409645 Min 01409645 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 15-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 4 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 1439 of 6486
Name
R N CHATURVEDI Rate Amount Qty 18.9 .63 30 8.9 .89 10 26 2.6 10 184.1 18.41 10 7.5 .25 30 400 400 1 Total: 645.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409649 Min 01409649 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1440 of 6486
Name
JAMES TIRKEY Rate Amount Qty 12 .4 30 18.6 .62 30 21.3 .71 30 7.5 .25 30 18.9 .63 30 23.7 .79 30 400 400 1 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409653 Min 01409653 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 3 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1441 of 6486
Name
MADHU KANTA THAKKAR Rate Amount Qty 13.7 1.37 10 247.6 6.19 40 161.1 5.37 30 12.6 .63 20 20.84 5.21 4 400 400 1 45.44 45.44 1 7.4 .37 20 25.62 12.81 2 400 400 1 Total: 1334.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409663 Min 01409663 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 1442 of 6486
Name
N VASUDHA Rate Amount Qty 26.7 .89 30 12 .4 30 6.4 .64 10 3.75 .25 15 27.9 .93 30 167.4 5.58 30 10.8 .36 30 54 .6 90 21.3 .71 30 400 400 1 Total: 730.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409665 Min 01409665 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1443 of 6486
Name
CHHAYA PITALE Rate Amount Qty 29.7 .99 30 55.8 .93 60 26 2.6 10 400 400 1 15 .25 60 27.9 .93 30 29.7 .99 30 400 400 1 Total: 984.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409670 Min 01409670 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1444 of 6486
Name
DR M K SHARMA Rate Amount Qty 6.82 6.82 1 55.8 .93 60 26.7 .89 30 12.8 .64 20 400 400 1 Total: 502.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409671 Min 01409671 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 1445 of 6486
Name
ASHA SHARMA Rate Amount Qty 26.7 .89 30 12.8 .64 20 400 400 1 Total: 439.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409676 Min 01409676 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1446 of 6486
Name
SHAMBHU SHARAN TIWARI Rate Amount Qty 36.3 1.21 30 12 .4 30 27.9 .93 30 16.2 .27 60 400 400 1 Total: 492.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409677 Min 01409677 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1447 of 6486
Name
SANTOSH TIWARI Rate Amount Qty 29.7 .99 30 21.3 .71 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 523
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409678 Min 01409678 Appmt Dt Slno Description 19-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1448 of 6486
Name
SUBODH KUMAR CHAKRAVARTY Qty Rate Amount 30 1.1 33 1 400 400 433 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409679 Min 01409679 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 MEGESTROL ACETATE,40MG,,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 1449 of 6486
Name
KALPITA CHAKRAVARTY Rate Amount Qty 12.8 .64 20 400 400 1 7.5 .25 30 13.95 .93 15 47.4 1.58 30 33 1.1 30 29.7 .99 30 167.4 5.58 30 36 .6 60 400 400 1 13.63 3271.2 240 400 400 1 Total: 4818.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409680 Min 01409680 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 7 21-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 11 22-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1450 of 6486
D B GANGULY Rate Amount Qty 50.14 25.07 2 23.7 .79 30 32.4 1.08 30 21.3 .71 30 4.2 .42 10 9 .3 30 74.45 223.35 3 156.51 313.02 2 18 .6 30 400 400 1 301.8 5.03 60 301.8 5.03 60 400 400 1 Total: 2098.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409681 Min 01409681 Appmt Dt Slno Description 25-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 25-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 3 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1451 of 6486
Name
SABITA GANGULY Qty 5 5 5 1
Rate Amount 2.6 13 .89 4.45 18.41 92.05 400 400 Total: 509.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409683 Min 01409683 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1452 of 6486
Name
SHARDA TIWARI Rate Amount Qty 26.96 3.37 8 10.8 .36 30 19.72 9.86 2 39 1.3 30 7.5 .25 30 83.4 2.78 30 7.4 .37 20 400 400 1 Total: 594.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409684 Min 01409684 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 1453 of 6486
Name
KAILASH NATH Rate Amount Qty 7.5 .25 30 26.7 .89 30 34.8 1.16 30 55.8 .93 60 16.2 .27 60 32.4 1.08 30 2.4 .16 15 7.5 .25 30 400 400 1 Total: 583.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409685 Min 01409685 Slno Description Appmt Dt ONDANSETRON,2MG/ML,INJECTION 1 10-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 10-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 3 10-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 4 10-FEB-19 OBSERVATION IN CASUALTY 5 10-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 10-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 7 10-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 10-FEB-19 ECG 9 10-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 16 26-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 17 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 20 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 1454 of 6486
Name
KALINDI DEVI Rate Amount Qty 7.52 7.52 1 24.52 24.52 1 11.89 11.89 1 35.52 35.52 1 420 420 1 9.81 9.81 1 9.62 9.62 1 3.52 3.52 1 450 450 1 16.8 1.12 15 40.12 20.06 2 8.9 .89 10 .8 .16 5 35.2 3.52 10 21.3 .71 30 60.18 20.06 3 184.2 6.14 30 2.4 .16 15 55.8 .93 60 13.8 .23 60 26.7 .89 30 400 400 1 Total: 1838.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409694 Min 01409694 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 X - RAY - SINGLE VIEW 7 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 12 07-FEB-19 UREA (BUN /UR) 13 07-FEB-19 CREATININE /CRT 14 07-FEB-19
Page 1455 of 6486
Name
B S JOGE Rate Amount Qty 9.9 .66 15 275 275 1 60.9 2.03 30 21.3 .71 30 21.6 .36 60 55.8 .93 60 550 550 1 1300 1300 1 1300 1300 1 400 400 1 275 275 1 21.3 .71 30 275 275 1 275 275 1 Total: 4840.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409695 Min 01409695 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 07-FEB-19 PRAZOSIN,2.5MG,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1456 of 6486
Name
MADHUMATI JOGE Rate Amount Qty 43.96 131.88 3 34.8 1.16 30 12 .4 30 18 .6 30 76.5 2.55 30 78 1.3 60 55.8 .93 60 400 400 1 Total: 806.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409706 Min 01409706 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 19-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 27-FEB-19
Page 1457 of 6486
Name
M J HUSSAIN Rate Amount Qty 19.72 9.86 2 63.22 31.61 2 11.1 .37 30 11.25 .75 15 400 400 1 400 400 1 275 275 1 275 275 1 1300 1300 1 Total: 2755.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409711 Min 01409711 Slno Description Appmt Dt LINEZOLID,600MG STRIP PACK,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 1458 of 6486
Name
SUDHA MISHRA Rate Amount Qty 157.8 15.78 10 400 400 1 27.9 .93 30 6.4 .64 10 157.8 15.78 10 167.4 5.58 30 16.2 .27 60 76.5 2.55 30 12 .4 30 21.3 .71 30 400 400 1 Total: 1443.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409736 Min 01409736 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 1459 of 6486
P S RAO Rate Amount Qty 4.45 .89 5 6.4 .64 10 27.9 .93 30 34.8 1.16 30 11.2 1.12 10 36 .6 60 167.4 5.58 30 25.07 25.07 1 36.8 1.84 20 12 .4 30 400 400 1 Total: 762.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409737 Min 01409737 Appmt Dt Slno Description 07-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 07-FEB-19 2 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 07-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1460 of 6486
Name
P SATYAVATI Qty Rate Amount 60 .6 36 10 .25 2.5 10 .42 4.2 1 400 400 Total: 442.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409741 Min 01409741 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 1461 of 6486
Name
TARINI DEVI TIWARI Rate Amount Qty 23.7 .79 30 7.5 .25 30 36.3 1.21 30 54 .6 90 21.6 .36 60 400 400 1 Total: 543.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409744 Min 01409744 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 23-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 1462 of 6486
Name
B N JHA Rate Amount Qty 3.7 .37 10 25.62 12.81 2 400 400 1 Total: 429.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409745 Min 01409745 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 X - RAY - SINGLE VIEW 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1463 of 6486
Name
RITA JHA Rate Amount Qty 20.84 5.21 4 7.5 .25 30 550 550 1 400 400 1 400 400 1 Total: 1378.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409757 Min 01409757 Appmt Dt Slno Description 20-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 20-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1464 of 6486
Name
AMAL KANTI ROYCHAUDHURY Qty Rate Amount 30 .4 12 60 .6 36 60 .93 55.8 1 400 400 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409758 Min 01409758 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 20-FEB-19 PRAZOSIN,2.5MG,TABLET 10 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 1465 of 6486
Name
BULA ROYCHAUDHURY Rate Amount Qty 34.8 1.16 30 9.9 .66 15 157.8 2.63 60 7.5 .25 30 36 .6 60 12 .4 30 18.6 .62 30 72.6 1.21 60 14.85 .99 15 78 1.3 60 55.8 .93 60 16.2 .27 60 400 400 1 Total: 914.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409762 Min 01409762 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 1466 of 6486
Name
R N SONI Rate Amount Qty 55.8 .93 60 36 .6 60 24 .4 60 7.5 .25 30 400 400 1 Total: 523.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409763 Min 01409763 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 1467 of 6486
Name
KIRAN SONI Rate Amount Qty 55.8 .93 60 1.6 .16 10 400 400 1 Total: 457.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409764 Min 01409764 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1468 of 6486
Name
CHANDRA PRAKASH Rate Amount Qty 36 .6 60 55.8 .93 60 66 1.1 60 21.3 .71 30 32.4 1.08 30 78 1.3 60 400 400 1 3.7 .37 10 57.84 57.84 1 400 400 1 Total: 1151.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409766 Min 01409766 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1469 of 6486
Name
P SAROJA Rate Amount Qty 21.3 .71 30 21.3 .71 30 55.8 .93 60 2.4 .16 15 7.5 .25 30 78 2.6 30 18.9 .63 30 400 400 1 Total: 605.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409768 Min 01409768 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 11-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 5 11-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 12-FEB-19 IVABRADINE,5MG,,TABLET 11 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 13 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 20 25-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 21 25-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 22 25-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 23 25-FEB-19 CREATININE /CRT 24 25-FEB-19 UREA (BUN /UR) 25 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 28 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 29 25-FEB-19
Page 1470 of 6486
Name
RAM DULARI Rate Amount Qty 16.85 3.37 5 41.06 41.06 1 19.72 9.86 2 11.1 .37 30 85.52 85.52 1 35.2 17.6 2 400 400 1 29.7 .99 30 21.3 .71 30 36 .6 60 597 9.95 60 13.35 .89 15 19.8 .66 30 76.5 2.55 30 400 400 1 3.2 .64 5 1.12 171.36 153 8.9 .89 10 66.2 6.62 10 20.06 20.06 1 3.5 .7 5 1750 1750 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 550 550 1 Total: 6151.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409769 Min 01409769 Slno Description Appmt Dt CREATININE /CRT 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 19-FEB-19 UREA (BUN /UR) 9 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 19-FEB-19
Page 1471 of 6486
Name
JANKI BAI Rate Amount Qty 275 275 1 55.8 .93 60 16.2 .27 60 7.65 .51 15 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 7.5 .25 30 Total: 2887.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409783 Min 01409783 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 1472 of 6486
Name
SHYAM LAL SAHU Rate Amount Qty 34.8 1.16 30 21.6 .36 60 54 .6 90 53.4 .89 60 23.7 .79 30 14.85 .99 15 12 .4 30 32.4 1.08 30 400 400 1 60.9 2.03 30 185.7 6.19 30 192.3 6.41 30 16.8 1.12 15 6 .6 10 400 400 1 Total: 1508.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409784 Min 01409784 Appmt Dt Slno Description 05-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 05-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 05-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1473 of 6486
Name
PRAMILA SAHU Qty Rate Amount 30 .25 7.5 15 .79 11.85 60 .42 25.2 1 400 400 Total: 444.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409791 Min 01409791 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 16-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 1474 of 6486
Name
BINDESHWARI SINGH Rate Amount Qty 6.56 .82 8 234 3.9 60 400 400 1 Total: 640.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409795 Min 01409795 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 1475 of 6486
Name
GURMUKH SINGH Rate Amount Qty 21.6 .36 60 6.9 .23 30 400 400 1 Total: 428.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409796 Min 01409796 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1476 of 6486
Name
RANJIT KAUR Rate Amount Qty 7.65 .51 15 15.6 .26 60 43.96 43.96 1 1.6 .16 10 21.3 .71 30 55.8 .93 60 400 400 1 Total: 545.91
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409805 Min 01409805 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 9 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 1477 of 6486
JYOTISH KUMAR PATRICK Rate Amount Qty 35.2 3.52 10 3.7 .37 10 6.4 .64 10 31.46 15.73 2 400 400 1 11.4 .38 30 1.6 .16 10 43.96 43.96 1 9.9 .99 10 12.8 .64 20 3.7 .37 10 35.2 3.52 10 400 400 1 Total: 995.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409806 Min 01409806 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 1478 of 6486
Name
ANJILEENA PATRICK Rate Amount Qty 27.9 .93 30 123.6 4.12 30 12 .4 30 9.9 .66 15 26.7 .89 30 32.4 1.08 30 31.2 1.04 30 4.8 .16 30 1.85 .37 5 400 400 1 Total: 670.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409814 Min 01409814 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 BRIMONIDINE TARTRATE,0.15% 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 1479 of 6486
Name
RAM KRISHNA SONI Rate Amount Qty 39 1.3 30 36 .6 60 55.8 .93 60 36.3 1.21 30 211.8 3.53 60 29.7 .99 30 400 400 1 148.9 74.45 2 400 400 1 Total: 1357.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409818 Min 01409818 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 16-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 11 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 16 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 17 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 21 26-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 24 28-FEB-19 SOLIFENACIN,5MG,,TABLET 25 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 28-FEB-19
Page 1480 of 6486
Name
C B MEHER Rate Amount Qty 92.85 6.19 15 19.2 .64 30 3.75 .25 15 400 400 1 1.85 .37 5 12.15 12.15 1 26.6 2.66 10 21.3 .71 30 13.95 .93 15 400 400 1 73.35 4.89 15 39 2.6 15 185.7 6.19 30 400 400 1 54 .9 60 100.71 100.71 1 46.2 .77 60 16.2 .18 90 400 400 1 7.4 .37 20 36.8 1.84 20 41.06 41.06 1 400 400 1 192.3 6.41 30 403.2 13.44 30 60.9 2.03 30 400 400 1 Total: 3848.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409819 Min 01409819 Slno Description Appmt Dt U S ABDOMEN + THORAX 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 26-FEB-19 SOLIFENACIN,5MG,,TABLET 5 26-FEB-19
Page 1481 of 6486
Name
PRABHAWATI MEHER Rate Amount Qty 1750 1750 1 275 275 1 275 275 1 400 400 1 403.2 13.44 30 Total: 3103.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409822 Min 01409822 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 1482 of 6486
Name
SUBHASH CHANDRA SONI Rate Amount Qty 7.5 .25 30 34.8 1.16 30 12 .4 30 27.9 .93 30 18.9 .63 30 400 400 1 Total: 501.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409825 Min 01409825 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 3 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 5 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 1483 of 6486
A VANITA NAIDU Rate Amount Qty 13.49 13.49 1 400 400 1 18.03 18.03 1 6.82 6.82 1 24.45 24.45 1 25.07 25.07 1 400 400 1 55.8 .93 60 21.3 .71 30 400 400 1 25.07 25.07 1 400 400 1 Total: 1790.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409831 Min 01409831 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1484 of 6486
Name
V K JAIN Rate Amount Qty 43.96 43.96 1 12.81 12.81 1 7.4 .37 20 18 .6 30 167.4 5.58 30 78 1.3 60 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 66 1.1 60 4.8 .16 30 29.7 .99 30 400 400 1 Total: 923.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409841 Min 01409841 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1485 of 6486
Name
AKSHAYA KUMAR DUTTA Rate Amount Qty 9 .3 30 45 .6 75 27.9 .93 30 7.5 .25 30 400 400 1 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409842 Min 01409842 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 27-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 1486 of 6486
Name
JAYANTI DUTTA Rate Amount Qty 7.5 .25 30 53.4 .89 60 54 .9 60 21.6 .18 120 400 400 1 Total: 536.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409849 Min 01409849 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 1487 of 6486
Name
RAM SWAROOP SHARMA Rate Amount Qty 21.6 .36 60 54 .6 90 117 1.3 90 7.5 .25 30 55.8 .93 60 211.8 3.53 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 946.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409855 Min 01409855 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 15 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 16 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 1488 of 6486
Name
RAM SEWAK MALVIYA Rate Amount Qty 19.8 .66 30 8.1 .27 30 34.8 1.16 30 12 .4 30 167.4 5.58 30 36 .6 60 21.6 .36 60 15.6 .26 60 26.7 .89 30 400 400 1 36 .6 60 167.4 5.58 30 12 .4 30 34.8 1.16 30 157.8 2.63 60 19.8 .66 30 15.6 .26 60 21.6 .36 60 26.7 .89 30 400 400 1 Total: 1633.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409856 Min 01409856 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1489 of 6486
Name
UMA MALVIYA Rate Amount Qty 55.8 .93 60 2.4 .16 15 21.3 .71 30 23.7 .79 30 33 1.1 30 7.65 .51 15 400 400 1 Total: 543.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409857 Min 01409857 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 11 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1490 of 6486
VIDYA SAGAR MISHRA Rate Amount Qty 3.6 .36 10 400 400 1 275 275 1 275 275 1 72 .6 120 5.2 2.6 2 167.4 5.58 30 78 1.3 60 43.2 .36 120 400 400 1 21.45 21.45 1 25.07 25.07 1 400 400 1 Total: 2165.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409871 Min 01409871 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1491 of 6486
Name
TAPAN KUMAR MUKHERJEE Rate Amount Qty 36 .6 60 55.8 .93 60 13.5 .3 45 117 1.3 90 3.2 .16 20 400 400 1 7.5 .25 30 14.85 .99 15 23.7 .79 30 400 400 1 Total: 1071.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409872 Min 01409872 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 10 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 23-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 17 23-FEB-19
Page 1492 of 6486
Name
DEBI MUKHERJEE Rate Amount Qty 7.5 .25 30 40.12 20.06 2 7.2 .16 45 26.7 .89 30 18.9 .63 30 34.8 1.16 30 32.4 1.08 30 8.1 .27 30 29.7 .99 30 76.5 2.55 30 55.8 .93 60 400 400 1 6.4 .64 10 2.5 .25 10 400 400 1 400 400 1 2110 2110 1 Total: 3656.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409877 Min 01409877 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 1493 of 6486
Name
W P BAGHMAR Rate Amount Qty 6.9 .23 30 32.4 1.08 30 8.1 .27 30 167.4 5.58 30 72 .6 120 32.4 .36 90 400 400 1 Total: 719.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409878 Min 01409878 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 26-FEB-19 AMISULPRIDE, 100MG,,TABLET 2 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 1494 of 6486
Name
RAJKUMARI BAGHMAR Rate Amount Qty 55.5 1.85 30 234.6 7.82 30 11.4 .38 30 12 .4 30 27.9 .93 30 39 1.3 30 72 .6 120 21.6 .36 60 400 400 1 Total: 874
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409884 Min 01409884 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 1495 of 6486
Name
B S C CHHIBBER Rate Amount Qty 5.21 5.21 1 54 .6 90 167.4 5.58 30 21.6 .36 60 27.9 .93 30 78 1.3 60 7.5 .25 30 21.3 .71 30 12 .4 30 400 400 1 Total: 794.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409885 Min 01409885 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1496 of 6486
Name
AVINASH CHHIBBER Rate Amount Qty 16.2 .27 60 27.9 .93 30 14.85 .99 15 21.3 .71 30 11.4 .38 30 26.7 .89 30 12 .4 30 400 400 1 Total: 530.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01409886 Min 01409886 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 09-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 09-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 09-FEB-19
Page 1497 of 6486
RAMKRISHNA DWIVEDI Rate Amount Qty 15.73 15.73 1 5.76 .64 9 1.11 .37 3 4.62 .77 6 42.12 2.34 18 400 400 1 1.14 .38 3 Total: 470.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409888 Min 01409888 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 1498 of 6486
Name
G SASTRY Rate Amount Qty 21.6 .36 60 7.5 .25 30 12 .4 30 60.9 2.03 30 192.3 6.41 30 34.8 1.16 30 32.4 1.08 30 78 1.3 60 36 .6 60 400 400 1 Total: 875.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409897 Min 01409897 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 1499 of 6486
Name
A V DESHPANDE Rate Amount Qty 1750 1750 1 400 400 1 3.8 .38 10 400 400 1 6.4 .64 10 4.45 .89 5 66.2 6.62 10 400 400 1 Total: 3030.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409899 Min 01409899 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 1500 of 6486
Name
SHIV RAJ SINGH Rate Amount Qty 27.9 .93 30 17.4 1.16 15 16.2 .27 60 12 .4 30 66 1.1 60 36 .6 60 167.4 5.58 30 400 400 1 Total: 742.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409900 Min 01409900 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 1501 of 6486
Name
URMILA SINGH Rate Amount Qty 76.5 2.55 30 17.4 1.16 15 29.7 .99 30 55.8 .93 60 400 400 1 Total: 579.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409905 Min 01409905 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 20-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1502 of 6486
Name
SUBHASH ARYA Rate Amount Qty 7.8 .26 30 36 .6 60 118.5 3.95 30 32.4 1.08 30 34.8 1.16 30 60.9 2.03 30 123.53 247.06 2 2.5 .25 10 400 400 1 Total: 939.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409906 Min 01409906 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 PRAZOSIN,2.5MG,TABLET 3 20-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 1503 of 6486
Name
RANJANA ARYA Rate Amount Qty 26.7 .89 30 1.85 .37 5 117 1.3 90 73.8 .82 90 400 400 1 Total: 619.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409909 Min 01409909 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19
Page 1504 of 6486
Name
OM NATH PRASAD Rate Amount Qty 6.9 .23 30 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 7.8 .26 30 18 .6 30 49.5 1.1 45 26.7 .89 30 60.9 2.03 30 400 400 1 66.2 6.62 10 8.9 .89 10 20.06 20.06 1 400 400 1 Total: 1172.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409913 Min 01409913 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 PLATELET COUNT 12 16-FEB-19 HB,TLC,DLC 13 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 16-FEB-19
Page 1505 of 6486
Name
RAM JEET SINGH Rate Amount Qty 76.5 2.55 30 13.8 .23 60 36 .6 60 9.3 .62 15 2.4 .16 15 55.8 .93 60 60.9 2.03 30 21.3 .71 30 12 .4 30 31.2 1.04 30 400 400 1 330 330 1 300 300 1 275 275 1 400 400 1 275 275 1 Total: 2299.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409914 Min 01409914 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 1506 of 6486
Name
NIRMALA SINGH Rate Amount Qty 185.7 6.19 30 18.6 .62 30 8.1 .27 30 18.9 .63 30 400 400 1 Total: 631.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409915 Min 01409915 Slno Description Appmt Dt DRY REAGENT BASED,GLUCOMETER TEST STRIPS 1 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 25-FEB-19 ECG 3 25-FEB-19 OBSERVATION IN CASUALTY 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 26-FEB-19 RIFAXIMIN 200 MG,,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 26-FEB-19
Page 1507 of 6486
Name
KRISHNA KANT SHARMA Rate Amount Qty 9.62 9.62 1 24.52 24.52 1 450 450 1 420 420 1 9 .3 30 55.98 9.33 6 6 .4 15 16.2 1.08 15 26.7 .89 30 11.2 1.12 10 18 .6 30 17.4 1.16 15 16.5 1.1 15 Total: 1081.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409920 Min 01409920 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1508 of 6486
Name
MANJEET SINGH SONDHI Rate Amount Qty 12 .4 30 32.4 1.08 30 66 1.1 60 20.06 20.06 1 167.4 5.58 30 21.6 .36 60 54 .6 90 21.3 .71 30 2.22 .37 6 78 1.3 60 4.8 .16 30 26.7 .89 30 400 400 1 Total: 906.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409921 Min 01409921 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 1509 of 6486
Name
RAJINDER PAUL KAUR SONDHI Rate Amount Qty 20.84 5.21 4 26 2.6 10 2.4 .16 15 21.3 .71 30 7.5 .25 30 26.7 .89 30 21.6 .36 60 54 .6 90 167.4 5.58 30 400 400 1 Total: 747.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409923 Min 01409923 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 1510 of 6486
Name
VIMLA RAMANI Rate Amount Qty 371.4 6.19 60 1.6 .16 10 47.4 .79 60 21.3 .71 30 26.7 .89 30 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 896.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409935 Min 01409935 Appmt Dt Slno Description 02-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 02-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 02-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1511 of 6486
Name
TILAK CHAND MESHRAM Qty Rate Amount 30 .4 12 60 .93 55.8 8 1.16 9.28 1 400 400 Total: 477.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409940 Min 01409940 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 1512 of 6486
Name
GEETA GUPTA Rate Amount Qty 21.3 .71 30 18.9 .63 30 15.6 .26 60 18.6 .62 30 18.72 1.04 18 26.7 .89 30 12 .4 30 12.48 1.04 12 400 400 1 2.67 .89 3 3.84 .64 6 400 400 1 Total: 950.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409941 Min 01409941 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 11-FEB-19 X - RAY - SINGLE VIEW 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1513 of 6486
Name
CHATRI R GOPWANI Rate Amount Qty 1750 1750 1 550 550 1 400 400 1 18 .6 30 27.9 .93 30 7.5 .25 30 36.3 1.21 30 400 400 1 Total: 3189.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409942 Min 01409942 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 1514 of 6486
Name
RAMESH GOPWANI Rate Amount Qty 26.7 .89 30 100.71 100.71 1 54 .9 60 24.3 12.15 2 70.2 2.34 30 400 400 1 Total: 675.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409945 Min 01409945 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 20-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 20-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 11 20-FEB-19 BUDESONIDE,200MCG,CAPSULE 12 20-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19
Page 1515 of 6486
Name
B C BAL Rate Amount Qty 27.9 .93 30 21.3 .71 30 32.4 1.08 30 7.8 .26 30 11.4 .38 30 400 400 1 26.7 .89 30 20.1 .67 30 21.6 .18 120 54 .9 60 79.2 .66 120 156.6 1.74 90 100.71 100.71 1 400 400 1 Total: 1359.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409946 Min 01409946 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 13 07-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 14 07-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 17 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 11-FEB-19 URIC ACID (UA /URATES /UR) 19 11-FEB-19 CREATININE /CRT 20 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 11-FEB-19 GUM ANALGESIC GEL 24 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 26 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 27 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 28 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 12-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 30 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 32 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 34 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 35 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 23-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 37 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 38 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 39 23-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 40 26-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 41 26-FEB-19 IVABRADINE,5MG,,TABLET 42 26-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 43 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 44 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 45 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 46 26-FEB-19
Page 1516 of 6486
Name
MINOTI BAL Qty 30 60 60 15 30 15 60 30 1 10 30 15 10 1 1 1 1 1 1 1 1 1 1 1 15 9 6 18 1 1 5 10 1 90 45 30 30 60 1 30 30 60 15 30 30 60
Rate Amount 23.7 .79 15.6 .26 34.8 .58 17.4 1.16 18.6 .62 15.6 1.04 53.4 .89 12 .4 400 400 4.1 .41 55.2 1.84 9.6 .64 7.3 .73 13.49 13.49 24.45 24.45 400 400 550 550 1300 1300 275 275 275 275 275 275 275 275 400 400 28.69 28.69 3.75 .25 5.76 .64 3.6 .6 33.12 1.84 400 400 20.25 20.25 3.2 .64 2.5 .25 400 400 16.2 .18 30.15 .67 26.7 .89 70.2 2.34 54 .9 400 400 31.2 1.04 43.2 1.44 597 9.95 61.8 4.12 18.6 .62 12 .4 69.6 1.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409946 Min 01409946 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 47 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 48 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 49 26-FEB-19
Page 1517 of 6486
Name
MINOTI BAL Rate Amount Qty 32.4 1.08 30 15.6 .26 60 400 400 1 Total: 7234.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409949 Min 01409949 Slno Description Appmt Dt DRESSING SIMPLE 1 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 26-FEB-19 DRESSING SIMPLE 3 26-FEB-19 OBSERVATION IN CASUALTY 4 26-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 5 26-FEB-19 DICLOFENAC SODIUM SR,100MG,TABLET 6 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 28-FEB-19 DRESSING SIMPLE 9 28-FEB-19
Page 1518 of 6486
Name
SARAT KUMAR RATH Rate Amount Qty 300 300 1 400 400 1 900 300 3 420 420 1 8.64 8.64 1 .41 .41 1 3.68 1.84 2 400 400 1 1800 300 6 Total: 4232.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409952 Min 01409952 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 1519 of 6486
Name
P S V PRASAD RAO Rate Amount Qty 16.8 1.12 15 35.2 3.52 10 26.7 .89 30 230.7 7.69 30 400 400 1 Total: 709.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409960 Min 01409960 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 11-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 8 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 19 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 26-FEB-19
Page 1520 of 6486
Name
BRIJ MOHAN BHATIA Rate Amount Qty 22.2 .37 60 55.8 .93 60 29.7 .99 30 34.8 1.16 30 54 .9 60 35.2 3.52 10 16.8 1.12 15 230.7 7.69 30 7.5 .25 30 21.3 .71 30 14.85 .99 15 167.4 5.58 30 16.2 .27 60 55.8 .93 60 117 1.3 90 72 .6 120 21.6 .36 60 400 400 1 25.69 25.69 1 400 400 1 Total: 1798.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409961 Min 01409961 Slno Description Appmt Dt METRONIDAZOLE 500 MG, I.V. INFUSION 1 27-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 27-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 27-FEB-19 RACECADOTRIL,100MG,CAPSULE 5 27-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 27-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 9 27-FEB-19 ECG 10 27-FEB-19 OBSERVATION IN CASUALTY 11 27-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 1521 of 6486
Name
SAHASHI BHATIA Rate Amount Qty 11.89 11.89 1 24.52 24.52 1 35.2 3.52 10 16.8 1.12 15 59.7 5.97 10 9.81 9.81 1 8.9 .89 10 7.52 7.52 1 22.71 22.71 1 450 450 1 420 420 1 34.84 8.71 4 400 400 1 Total: 1501.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409963 Min 01409963 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 1522 of 6486
Name
SAIRA BANO ANSARI Rate Amount Qty 117 1.3 90 167.4 5.58 30 54 .6 90 27.9 .93 30 16.2 .36 45 400 400 1 Total: 782.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409965 Min 01409965 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 1523 of 6486
Name
RAJANI PRABHA GUPTA Rate Amount Qty 2.56 .64 4 33.12 1.84 18 400 400 1 21.3 .71 30 55.8 .93 60 36 .6 60 29.7 .99 30 9 .3 30 6.9 .23 30 400 400 1 Total: 994.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409967 Min 01409967 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 1524 of 6486
Name
CHANDRAKALA DHURANDHER Rate Amount Qty 36 .6 60 3.75 .25 15 8.9 .89 10 21.3 .71 30 400 400 1 Total: 469.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409969 Min 01409969 Slno Description Appmt Dt OLOPATADINE,0.1%,EYE DROP,5ML PACK 1 25-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 1525 of 6486
Name
GIRIJA PATAILA Qty 1 1 1
Rate Amount 18.21 18.21 19.77 19.77 400 400 Total: 437.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409972 Min 01409972 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1526 of 6486
Name
R M SAHA Rate Amount Qty 6.9 .23 30 18.6 .62 30 12 .4 30 29.7 .99 30 27.9 .93 30 10.8 .36 30 36 .6 60 400 400 1 Total: 541.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409973 Min 01409973 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 1527 of 6486
Name
PURNIMA SAHA Rate Amount Qty 12 .4 30 21.3 .71 30 66 1.1 60 8.1 .27 30 55.8 .93 60 167.4 5.58 30 78 1.3 60 72 .6 120 21.6 .36 60 400 400 1 Total: 902.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409978 Min 01409978 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 6 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 7 04-FEB-19 PRAZOSIN,2.5MG,TABLET 8 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 1528 of 6486
Name
S PADMAVATHY KUNJAMMA Rate Amount Qty 860 860 1 400 400 1 8.9 .89 10 8.2 .41 20 9.9 .66 15 184.1 18.41 10 6.82 6.82 1 78 1.3 60 105.9 3.53 30 6.4 .64 10 400 400 1 247.6 6.19 40 19.8 .99 20 12.8 .64 20 16.8 .42 40 400 400 1 Total: 2765.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409989 Min 01409989 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 26-FEB-19 X - RAY - SINGLE VIEW 2 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 CREATININE /CRT 5 26-FEB-19 ECG 6 26-FEB-19 HB,TLC,DLC 7 26-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 8 26-FEB-19 PLATELET COUNT 9 26-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 10 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 26-FEB-19
Page 1529 of 6486
Name
CHHAYA DEVI SATYADEO Rate Amount Qty 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 450 450 1 300 300 1 330 330 1 330 330 1 165 165 1 1300 1300 1 Total: 4650
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409991 Min 01409991 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 1530 of 6486
Name
VAISHALI J RANE Rate Amount Qty 8.9 .89 10 38.25 2.55 15 185.7 6.19 30 17.4 .58 30 400 400 1 Total: 650.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409994 Min 01409994 Slno Description Appmt Dt RISPERIDONE,STRIP PKT,2MG,TABLET 1 07-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 07-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 07-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 1531 of 6486
Name
PRATIMA GHOSH Rate Amount Qty 20.55 1.37 15 55.5 1.85 30 39.6 2.64 15 30.6 .51 60 400 400 1 Total: 546.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409995 Min 01409995 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 1532 of 6486
Name
KAMAL KANT G NAGAR Rate Amount Qty 371.4 6.19 60 41.1 1.37 30 26.7 .89 30 21.3 .71 30 13.95 .93 15 8.1 .27 30 54 .6 90 12 .4 30 400 400 1 Total: 948.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409996 Min 01409996 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1533 of 6486
Name
MAYA NAGAR Rate Amount Qty 13.7 1.37 10 26.7 .89 30 185.7 6.19 30 21.3 .71 30 18 .6 30 55.8 .93 60 33 1.1 30 400 400 1 Total: 754.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01409999 Min 01409999 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 28-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 5 28-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 28-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 CLOMIPRAMINE,25MG,TABLET 9 28-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 10 28-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 11 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 1534 of 6486
Name
KAMAL NARAYAN KASHYAP Rate Amount Qty 21.3 .71 30 12 .4 30 27.9 .93 30 167.4 5.58 30 59.4 .99 60 55.2 .92 60 27.9 .93 30 36 .6 60 128.4 2.14 60 82.2 2.74 30 20.55 1.37 15 87.92 43.96 2 400 400 1 Total: 1126.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410000 Min 01410000 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 1535 of 6486
Name
SAROJ KASHYAP Rate Amount Qty 7.7 .77 10 10.08 1.12 9 18.6 .93 20 41.06 41.06 1 400 400 1 7.5 .25 30 11.85 .79 15 71 .71 100 10.42 5.21 2 400 400 1 Total: 978.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410002 Min 01410002 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 1536 of 6486
Name
ANITA KANUNGO Rate Amount Qty 55.8 .93 60 12 .4 30 8.1 .27 30 36 .6 60 34.8 1.16 30 400 400 1 Total: 546.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410003 Min 01410003 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 25-FEB-19 MRCP (COST OF CONTRAST EXTRA) 7 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 9 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 14 25-FEB-19
Page 1537 of 6486
Name
PRAHLAD SINGH Rate Amount Qty 4.8 .6 8 44.16 1.84 24 7.68 .64 12 400 400 1 400 400 1 7.92 .99 8 10000 10000 1 21.3 .71 30 4.27 192.15 45 54 .6 90 27.9 .93 30 7.5 .25 30 12 .4 30 7.65 .51 15 Total: 11187.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410005 Min 01410005 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 21-FEB-19 COMPLETE HAEMOGRAM 10 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 21-FEB-19
Page 1538 of 6486
Name
R S VERMA Rate Amount Qty 34.8 1.16 30 54 .6 90 167.4 5.58 30 55.8 .93 60 6.9 .23 30 12 .4 30 29.7 .99 30 400 400 1 400 400 1 750 750 1 36 .6 60 29.7 .99 30 275 275 1 167.4 5.58 30 55.8 .93 60 34.8 1.16 30 12 .4 30 275 275 1 8.1 .27 30 Total: 2804.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410012 Min 01410012 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 06-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 14-FEB-19 CHOLESTEROL (CHOL) 5 14-FEB-19 CREATININE /CRT 6 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 14-FEB-19 TRIGLYCERIDES (TGL) 8 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 15-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 17 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 19 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 21 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 22 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 26 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 27 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 28 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 25-FEB-19
Page 1539 of 6486
V RAJLAKSHMI Rate Amount Qty 2.4 .16 15 17.6 17.6 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 12.81 12.81 1 25.07 25.07 1 11.1 .37 30 39 1.3 30 13.95 .93 15 17.4 1.16 15 4.8 .16 30 21.6 .36 60 9 .3 30 32.4 1.08 30 36 .6 60 400 400 1 55.2 1.84 30 6.72 1.12 6 6.4 .64 10 20.06 20.06 1 400 400 1 6.72 1.12 6 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 3350.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410013 Min 01410013 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 1540 of 6486
Name
MOTILAL RAM Rate Amount Qty 1750 1750 1 400 400 1 37.04 37.04 1 2.5 .25 10 6.4 .64 10 55.2 1.84 30 13.7 1.37 10 185.7 6.19 30 18.9 .63 30 21.3 .71 30 12 .4 30 7.8 .26 30 400 400 1 Total: 2910.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410017 Min 01410017 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1541 of 6486
Name
S S DEORAS Rate Amount Qty 9 .3 30 36 .6 60 39 1.3 30 27.9 .93 30 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 573.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410022 Min 01410022 Slno Description Appmt Dt HB,TLC,DLC 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 02-FEB-19 PLATELET COUNT 7 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 02-FEB-19
Page 1542 of 6486
Name
BANANI GHOSH Rate Amount Qty 300 300 1 400 400 1 20.22 3.37 6 26.7 .89 30 34.8 1.16 30 7.8 .26 30 330 330 1 12 .4 30 33 1.1 30 8.1 .27 30 32.4 1.08 30 Total: 1205.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410025 Min 01410025 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 1543 of 6486
Name
KCCS PILLAI Rate Amount Qty 21.3 .71 30 7.5 .25 30 400 400 1 Total: 428.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410026 Min 01410026 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 1544 of 6486
Name
GEETHA CHANDRAN Rate Amount Qty 21.3 .71 30 18.6 .62 30 26.7 .89 30 32.4 1.08 30 400 400 1 Total: 499
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410027 Min 01410027 Appmt Dt Slno Description 21-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 21-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1545 of 6486
Name
V K NAIDU Qty Rate Amount 60 .93 55.8 30 .63 18.9 60 1.1 66 1 400 400 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410028 Min 01410028 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 1546 of 6486
Name
VIMALA NAIDU Rate Amount Qty 8.1 .27 30 14.85 .99 15 33 1.1 30 18.6 .62 30 34.8 1.16 30 12 .4 30 1.85 .37 5 3.75 .25 15 55.8 .93 60 400 400 1 Total: 582.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410030 Min 01410030 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 27-FEB-19
Page 1547 of 6486
Name
SUNITA RANI TANEJA Rate Amount Qty 7.4 .37 20 13.43 13.43 1 400 400 1 16.2 .27 60 26 2.6 10 26.7 .89 30 20.84 5.21 4 18.9 .63 30 55.8 .93 60 400 400 1 275 275 1 400 400 1 275 275 1 Total: 1935.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410034 Min 01410034 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 2 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 1548 of 6486
Name
G L ISAAC Rate Amount Qty 400 400 1 280 280 1 54 .9 60 26.7 .89 30 104.4 1.74 60 39.6 .66 60 400 400 1 Total: 1304.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410038 Min 01410038 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1549 of 6486
Name
KESHARI NANDAN PANDEY Rate Amount Qty 12 .4 30 8.1 .27 30 21.3 .71 30 36 .6 60 60.9 2.03 30 400 400 1 Total: 538.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410039 Min 01410039 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1550 of 6486
Name
MUNNI DEVI PANDEY Rate Amount Qty 12 .4 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 486.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410054 Min 01410054 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1551 of 6486
Name
BALBIR SINGH Rate Amount Qty 34.8 1.16 30 8.1 .27 30 32.4 1.08 30 16.8 1.12 15 18.6 .62 30 35.2 3.52 10 8.9 .89 10 400 400 1 Total: 554.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410058 Min 01410058 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1552 of 6486
MANI Rate Amount Qty 66.2 6.62 10 12.15 12.15 1 15.73 15.73 1 26.7 .89 30 400 400 1 Total: 520.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410073 Min 01410073 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 1553 of 6486
Name
KSHITI SHWAR SHARMA Rate Amount Qty 32.4 1.08 30 7.5 .25 30 72 .6 120 22.2 .37 60 66 1.1 60 21.6 .36 60 400 400 1 Total: 621.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410075 Min 01410075 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 8 19-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 9 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 1554 of 6486
Name
KIRAN SEPAHA Rate Amount Qty 17.4 .58 30 21.3 .71 30 27.9 .93 30 9 .3 30 54 .6 90 167.4 5.58 30 400 400 1 106.8 3.56 30 189 2.1 90 19.8 .66 30 400 400 1 Total: 1412.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410091 Min 01410091 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 1555 of 6486
Name
R HALDAR Rate Amount Qty 33 1.1 30 36 .6 60 21.3 .71 30 7.5 .25 30 12 .4 30 60.9 2.03 30 400 400 1 Total: 570.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410092 Min 01410092 Slno Description Appmt Dt LINEZOLID,600MG STRIP PACK,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 1556 of 6486
Name
KAKALI HALDAR Rate Amount Qty 94.68 15.78 6 4.45 .89 5 63.12 15.78 4 55.8 .93 60 62.4 1.04 60 400 400 1 Total: 680.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410094 Min 01410094 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 1557 of 6486
Name
GULABI Rate Amount Qty 8.1 .27 30 4.27 192.15 45 13.35 .89 15 7.5 .25 30 31.2 1.04 30 55.8 .93 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 787.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410098 Min 01410098 Appmt Dt Slno Description 12-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 28-FEB-19 3 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1558 of 6486
MD SHAFIQUE ANSARI Qty Rate Amount 1 25.07 25.07 1 400 400 1 25.07 25.07 1 400 400 Total: 850.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410099 Min 01410099 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 CREATININE /CRT 4 05-FEB-19 UREA (BUN /UR) 5 05-FEB-19 URIC ACID (UA /URATES /UR) 6 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 05-FEB-19 BLOOD FOR TSH 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19
Page 1559 of 6486
Name
SABRUN NISHA Qty 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 400 400 275 275 275 275 275 275 275 275 275 275 1300 1300 1300 1300 550 550 800 800 400 400 Total: 6125
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410100 Min 01410100 Appmt Dt Slno Description 22-FEB-19 1 DIAGNOSTIC UGI ENDOSCOPY 22-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 22-FEB-19 3 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 22-FEB-19 4 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE
Page 1560 of 6486
Name
GURCHARAN SINGH SANDHU Qty Rate Amount 1 2110 2110 1 400 400 30 .26 7.8 15 .89 13.35 Total: 2531.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410102 Min 01410102 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 4 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1561 of 6486
Name
M R MANKER Rate Amount Qty 72 .6 120 82.8 .92 90 7.5 .25 30 73.8 .82 90 14.85 .99 15 8.9 .89 10 117 1.3 90 400 400 1 Total: 776.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410103 Min 01410103 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 BLOOD FOR T-3,T-4,TSH 2 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 12-FEB-19
Page 1562 of 6486
Name
VIDYA MANKER Rate Amount Qty 400 400 1 2400 2400 1 14.85 .99 15 27.9 .62 45 34.8 1.16 30 27.9 .93 30 18 .6 30 6.4 .64 10 Total: 2929.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410113 Min 01410113 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 7 27-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 8 27-FEB-19 OBSERVATION IN CASUALTY 9 27-FEB-19 ECG 10 27-FEB-19
Page 1563 of 6486
Name
SAIDA NISA Rate Amount Qty 42.12 2.34 18 1.14 .38 3 1.11 .37 3 5.76 .64 9 400 400 1 24.52 24.52 1 7.52 7.52 1 9.62 9.62 1 420 420 1 450 450 1 Total: 1361.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410119 Min 01410119 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 10-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 10-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 4 12-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 12-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 12-FEB-19 OBSERVATION IN CASUALTY 7 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 9 12-FEB-19 ECG 10 12-FEB-19
Page 1564 of 6486
Name
SHARAD KUMAR BHAKRE Rate Amount Qty 21.12 3.52 6 6.4 .64 10 400 400 1 1750 1750 1 9.62 9.62 1 600 600 1 420 420 1 400 400 1 650 650 1 450 450 1 Total: 4707.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410124 Min 01410124 Appmt Dt Slno Description 21-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 21-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1565 of 6486
Name
TARUN KUMAR DAS Qty Rate Amount 30 1.08 32.4 30 1.04 31.2 60 1.21 72.6 1 400 400 Total: 536.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410132 Min 01410132 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 1566 of 6486
Name
DEVI GANDHI Rate Amount Qty 32.4 1.08 30 10.8 .36 30 18 .6 30 8.1 .27 30 55.8 .93 60 21.3 .71 30 7.5 .25 30 83.4 2.78 30 19.2 .64 30 400 400 1 Total: 656.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410147 Min 01410147 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 HB,TLC,DLC 2 04-FEB-19 PLATELET COUNT 3 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 11 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 12 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 13 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 13-FEB-19
Page 1567 of 6486
Name
JIWAN LAL SINHA Rate Amount Qty 400 400 1 300 300 1 330 330 1 1.85 .37 5 11.4 .38 30 7.5 .25 30 46.2 .77 60 21.3 .71 30 32.4 1.08 30 400 400 1 39.6 .66 60 100.71 100.71 1 104.4 1.74 60 54 .9 60 26.7 .89 30 400 400 1 Total: 2276.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410148 Min 01410148 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1568 of 6486
Name
URMILA SINHA Rate Amount Qty 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 436.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410149 Min 01410149 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1569 of 6486
Name
SUSHEEL KUMAR SHARMA Qty Rate Amount 30 .93 27.9 30 .27 8.1 30 .79 23.7 1 400 400 Total: 459.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410155 Min 01410155 Appmt Dt Slno Description 13-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13-FEB-19 2 SOLIFENACIN,5MG,,TABLET 13-FEB-19 3 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1570 of 6486
Name
M E RAJHANSA Qty Rate Amount 30 2.03 60.9 30 13.44 403.2 30 6.41 192.3 1 400 400 Total: 1056.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410156 Min 01410156 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 1571 of 6486
Name
SHALINI RAJHANSA Rate Amount Qty 100.71 100.71 1 20.84 5.21 4 38.4 .64 60 26.7 .89 30 11.4 .38 30 25.2 .42 60 400 400 1 31.2 1.04 30 15.6 .26 60 55.8 .93 60 13.8 .23 60 12 .4 30 34.8 1.16 30 400 400 1 Total: 1186.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410164 Min 01410164 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 27-FEB-19 UREA (BUN /UR) 15 27-FEB-19 CREATININE /CRT 16 27-FEB-19 URIC ACID (UA /URATES /UR) 17 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 27-FEB-19
Page 1572 of 6486
Name
ARUN KUMAR DAS Rate Amount Qty 72 .6 120 21.6 .36 60 18.9 .63 30 7.5 .25 30 27.9 .93 30 136.5 1.3 105 400 400 1 8.1 .27 30 234 1.3 180 18.9 .63 30 7.5 .25 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 21.6 .36 60 72 .6 120 13.95 .93 15 Total: 4685.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410184 Min 01410184 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 07-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 9 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 27-FEB-19
Page 1573 of 6486
Name
B R CHAUHAN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 66 4.4 15 400 400 1 2.4 .16 15 11.1 .37 30 27.9 .93 30 400 400 1 1610 1610 1 400 400 1 Total: 3170.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410190 Min 01410190 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 1574 of 6486
Name
S N BOSE Rate Amount Qty 8.1 .27 30 55.8 .93 60 29.7 .99 30 21.3 .71 30 192.3 6.41 30 60.9 2.03 30 54 .6 90 21.6 .36 60 400 400 1 Total: 843.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410191 Min 01410191 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1575 of 6486
Name
KRISHNA BOSE Rate Amount Qty 12 .4 30 33 1.1 30 6.9 .23 30 21.3 .71 30 400 400 1 Total: 473.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410200 Min 01410200 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 02-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 02-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 GUM ANALGESIC GEL 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 1576 of 6486
Name
MURLIDHAR PURSHOTTAM JAWALE Rate Amount Qty 85.52 85.52 1 16.85 3.37 5 8.51 .37 23 19.72 9.86 2 57.84 115.68 2 2.59 .37 7 400 400 1 7.5 .25 30 4.8 .16 30 400 400 1 57.38 28.69 2 400 400 1 55.8 .93 60 26.7 .89 30 400 400 1 Total: 2001.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410201 Min 01410201 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 13-FEB-19 COMPLETE HAEMOGRAM 5 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 13-FEB-19 ECG 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 13-FEB-19
Page 1577 of 6486
Name
SHOBHA MURLIDHAR JAWALE Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 750 750 1 400 400 1 450 450 1 34.8 1.16 30 55.8 .93 60 6.9 .23 30 66 1.1 60 32.4 1.08 30 Total: 4195.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410202 Min 01410202 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1578 of 6486
Name
AJAY SINGH GUPTA Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410208 Min 01410208 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 1579 of 6486
Name
SATYA RAJ JAMES Rate Amount Qty 8.1 .27 30 12 .4 30 32.4 1.08 30 33 1.1 30 17.4 1.16 15 2.4 .16 15 400 400 1 8.1 .27 30 12 .4 30 32.4 1.08 30 33 1.1 30 21.3 .71 30 2.4 .16 15 400 400 1 Total: 1014.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410209 Min 01410209 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1580 of 6486
Name
V S JAMES Rate Amount Qty 36 .6 60 34.8 1.16 30 32.4 1.08 30 12 .4 30 66 1.1 60 8.1 .27 30 27.9 .93 30 400 400 1 32.4 1.08 30 36 .6 60 34.8 1.16 30 27.9 .93 30 12 .4 30 66 1.1 60 8.1 .27 30 400 400 1 Total: 1234.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410231 Min 01410231 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 05-FEB-19 X - RAY - SINGLE VIEW 11 05-FEB-19
Page 1581 of 6486
M I KHAN Rate Amount Qty 35.2 17.6 2 192.3 6.41 30 31.46 15.73 2 6.4 .64 10 7.4 .37 20 11.25 .75 15 27.9 .93 30 85.52 85.52 1 400 400 1 400 400 1 550 550 1 Total: 1747.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410251 Min 01410251 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 1582 of 6486
Name
T J GEORGE Rate Amount Qty 60.9 2.03 30 400 400 1 36 .6 60 39 1.3 30 167.4 5.58 30 60.9 2.03 30 7.5 .25 30 43.96 43.96 1 400 400 1 Total: 1215.66
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410252 Min 01410252 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 06-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 UREA (BUN /UR) 7 21-FEB-19 URIC ACID (UA /URATES /UR) 8 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 21-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 12 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 1583 of 6486
MARYAMMA GEORGE Rate Amount Qty 15.73 15.73 1 10.8 .18 60 16.75 .67 25 156.6 1.74 90 54 .9 60 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 400 400 1 1300 1300 1 275 275 1 8.1 .27 30 55.8 .93 60 17.8 .89 20 7.5 .25 30 21.3 .71 30 400 400 1 25.07 25.07 1 400 400 1 Total: 5689.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410257 Min 01410257 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 1584 of 6486
Name
NAOSHABA QURAISHI Rate Amount Qty 8.9 .89 10 20.06 20.06 1 400 400 1 Total: 428.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410258 Min 01410258 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 23-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 3 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 23-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 1585 of 6486
Name
W J VICTOR Rate Amount Qty 8.9 .89 10 16.8 1.12 15 22 4.4 5 54 .6 90 7.5 .25 30 27.6 .92 30 39 1.3 30 23.7 .79 30 400 400 1 Total: 599.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410259 Min 01410259 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 1586 of 6486
Name
MAYA VICTOR Rate Amount Qty 7.65 .51 15 21.3 .71 30 7.5 .25 30 27.9 .93 30 16.8 1.12 15 21.6 .36 60 47.4 .79 60 78 1.3 60 36 .6 60 16.2 .27 60 400 400 1 Total: 680.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410261 Min 01410261 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 06-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 2 06-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 3 06-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 4 06-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 5 06-FEB-19 X - RAY - SINGLE VIEW 6 06-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 7 13-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 18-FEB-19 CREATININE /CRT 11 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 13 18-FEB-19 UREA (BUN /UR) 14 18-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 15 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 18-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 17 20-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 18 20-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 19 20-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 20 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 20-FEB-19
Page 1587 of 6486
Name
KALPANA TAMBEKAR Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1.3 .26 5 2.6 .26 10 400 400 1 550 550 1 275 275 1 400 400 1 1300 1300 1 275 275 1 275 275 1 1300 1300 1 211.8 7.06 30 3.9 .26 15 88.95 5.93 15 62.25 4.15 15 13.35 .89 15 400 400 1 Total: 7609.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410277 Min 01410277 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 04-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1588 of 6486
Name
HARJINDER KAUR DHANJAL Rate Amount Qty 20.84 5.21 4 400 400 1 21.6 1.08 20 9.2 .23 40 5.4 .18 30 12 .6 20 18.6 .93 20 400 400 1 Total: 887.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410279 Min 01410279 Appmt Dt Slno Description 22-FEB-19 1 BRIMONIDINE TARTRATE,0.15% 22-FEB-19 2 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 22-FEB-19 3 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1589 of 6486
GIRJA DEVI MISHRA Qty Rate Amount 4 74.45 297.8 2 156.51 313.02 2 25.07 50.14 1 400 400 Total: 1060.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410304 Min 01410304 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 11 27-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 1590 of 6486
Name
LOIS P SINDHU Rate Amount Qty 10.42 5.21 2 10.8 .36 30 36 .6 60 35.55 .79 45 7.5 .25 30 118.5 3.95 30 400 400 1 16.8 1.12 15 6.4 .64 10 3.7 .37 10 41.06 41.06 1 45.44 45.44 1 400 400 1 Total: 1132.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410305 Min 01410305 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 11-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 11-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1591 of 6486
Name
PRABHASHIL SINDHU Rate Amount Qty 30.6 .34 90 24 .4 60 34.8 1.16 30 27.9 .93 30 29.7 .99 30 86.4 1.44 60 3.7 .37 10 42.6 .71 60 400 400 1 Total: 679.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410306 Min 01410306 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1592 of 6486
Name
GOVIND PRASAD CHANPURIYA Rate Amount Qty 403.2 13.44 30 60.9 2.03 30 192.3 6.41 30 400 400 1 47.4 .79 60 54 .6 90 32.4 .36 90 27.9 .93 30 400 400 1 Total: 1618.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410307 Min 01410307 Appmt Dt Slno Description 25-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 25-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1593 of 6486
Name
MAYA DEVI Qty Rate Amount 30 1.1 33 30 .71 21.3 30 .93 27.9 1 400 400 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410311 Min 01410311 Slno Description Appmt Dt LINEZOLID,600MG STRIP PACK,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 1594 of 6486
Name
NAND KISHORE MISHRA Rate Amount Qty 157.8 15.78 10 8.9 .89 10 9.6 .64 15 9.5 .38 25 400 400 1 21.3 .71 30 8.1 .27 30 167.4 5.58 30 400 400 1 Total: 1182.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410315 Min 01410315 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 04-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 GUM ANALGESIC GEL 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 UREA (BUN /UR) 7 07-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 8 07-FEB-19 CREATININE /CRT 9 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 21-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 13 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 15 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 16 21-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 19 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 20 23-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 1595 of 6486
Name
R S WAGHMARE Rate Amount Qty 85.52 85.52 1 63.22 31.61 2 11.25 .75 15 7.5 .25 30 28.69 28.69 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 7.98 .38 21 13.49 13.49 1 21.12 3.52 6 6.82 6.82 1 2.46 .41 6 20.29 20.29 1 400 400 1 13.64 6.82 2 36.06 18.03 2 24.45 24.45 1 400 400 1 Total: 3042.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410316 Min 01410316 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 07-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 2 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 1596 of 6486
Name
METHA WAGHMARE Rate Amount Qty 25.69 25.69 1 5.74 103.32 18 123.53 123.53 1 400 400 1 55.8 .93 60 78 1.3 60 21.3 .71 30 10.8 .36 30 13.8 .23 60 400 400 1 Total: 1232.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410330 Min 01410330 Appmt Dt Slno Description 25-FEB-19 1 BACLOFEN,STRIP PKT,10MG,TABLET 25-FEB-19 2 GRANULE,VITAMIN D-3,1GM/PKT 25-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 25-FEB-19 4 SUTURE REMOVAL
Page 1597 of 6486
Name
FALAN SINGH DESHMUKH Qty Rate Amount 30 3.19 95.7 1 5.21 5.21 1 400 400 1 490 490 Total: 990.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410331 Min 01410331 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1598 of 6486
Name
VIDYA DEVI DESHMUKH Rate Amount Qty 3.75 .25 15 237 3.95 60 27.9 .93 30 14.85 .99 15 400 400 1 Total: 683.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410332 Min 01410332 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1599 of 6486
Name
PRAVIN PRASAD Rate Amount Qty 16.2 .27 60 26.7 .89 30 15 .25 60 55.8 .93 60 400 400 1 Total: 513.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410333 Min 01410333 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 14-FEB-19 MYCOPHENOLATE MOFETIL,500MG,TABLET 11 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 1600 of 6486
Name
USHA PRASAD Rate Amount Qty 29.7 .99 30 20.84 5.21 4 30.6 .34 90 33 1.1 30 21.3 .71 30 32.4 1.08 30 12 .4 30 7.5 .25 30 25.62 12.81 2 20.06 20.06 1 1722 22.96 75 8.1 .27 30 55.8 .93 60 400 400 1 Total: 2418.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410338 Min 01410338 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 1601 of 6486
Name
S K TIWARI Rate Amount Qty 8.1 .27 30 21.3 .71 30 400 400 1 Total: 429.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410339 Min 01410339 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 1602 of 6486
Name
ARTI TIWARI Rate Amount Qty 66 1.1 60 55.8 .93 60 400 400 1 Total: 521.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410356 Min 01410356 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 25-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 6 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 25-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1603 of 6486
Name
VIVEKANAND BOSE Rate Amount Qty 12 .4 30 32.4 1.08 30 34.8 1.16 30 47.4 .79 60 30.6 .34 90 126 2.1 60 9.9 .66 15 60.9 2.03 30 23.7 .79 30 400 400 1 Total: 777.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410357 Min 01410357 Appmt Dt Slno Description 25-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1604 of 6486
Name
SHUKLA BOSE Qty 4 1
Rate Amount 5.21 20.84 400 400 420.84 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410363 Min 01410363 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 1605 of 6486
A V BHOPE Rate Amount Qty 15.73 15.73 1 21.3 .71 30 39 1.3 30 156 1.3 120 36 .6 60 43.2 .36 120 400 400 1 Total: 711.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410364 Min 01410364 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 1606 of 6486
NILIMA BHOPE Rate Amount Qty 15.73 15.73 1 4.45 .89 5 26.6 2.66 10 7.5 .25 30 76.5 2.55 30 400 400 1 Total: 530.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410367 Min 01410367 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 19-FEB-19
Page 1607 of 6486
Name
NAIMUDDIN HANFI Rate Amount Qty 104.4 1.74 60 39.6 .66 60 400 400 1 275 275 1 43.2 .36 120 54 .6 90 167.4 5.58 30 18.9 .63 30 21.3 .71 30 275 275 1 27.9 .93 30 Total: 1426.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410368 Min 01410368 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 2 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19-FEB-19 3 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19-FEB-19 4 TELMISARTAN 40MG,STRIP PACK,,TABLET
Page 1608 of 6486
Name
SHAHIDA TABASSUM Qty Rate Amount 15 .71 10.65 1 275 275 1 275 275 15 .93 13.95 Total: 574.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410374 Min 01410374 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 27-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 27-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 4 27-FEB-19 OBSERVATION IN CASUALTY 5 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 6 27-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 7 27-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 1609 of 6486
Name
BHARAT LAL SWARNAKAR Rate Amount Qty 24.52 24.52 1 21.12 3.52 6 10.08 1.12 9 17.42 8.71 2 420 420 1 7.52 7.52 1 5.41 5.41 1 11.89 11.89 1 400 400 1 Total: 917.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410375 Min 01410375 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 20-FEB-19 C T HEAD PLAIN 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1610 of 6486
Name
JANKI Rate Amount Qty 8.9 .89 10 10.95 .73 15 4.1 .41 10 400 400 1 400 400 1 5250 5250 1 6.4 .64 10 400 400 1 Total: 6480.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410377 Min 01410377 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 27-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 11 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 27-FEB-19 SUTURE REMOVAL 13 27-FEB-19
Page 1611 of 6486
Name
S K MISHRA Rate Amount Qty 9.6 .64 15 9.3 .93 10 8.9 .89 10 1.35 .27 5 16.8 1.12 15 66.2 6.62 10 400 400 1 17.6 17.6 1 400 400 1 400 400 1 211.8 7.06 30 7.5 .25 30 490 490 1 Total: 2039.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410382 Min 01410382 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19
Page 1612 of 6486
Name
DEEPAK KUMAR SAMAZDAR Rate Amount Qty 7.5 .25 30 27 .6 45 13.95 .93 15 13.95 .93 15 36 .6 60 53.4 .89 60 21.3 .71 30 60.9 2.03 30 2.4 .16 15 192.3 6.41 30 400 400 1 Total: 828.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410384 Min 01410384 Appmt Dt Slno Description 13-FEB-19 1 GUM ANALGESIC GEL 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1613 of 6486
Name
ROHIT KUMAR YADAV Qty Rate Amount 1 28.69 28.69 1 400 400 428.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410385 Min 01410385 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 1614 of 6486
Name
LAXMI YADAV Rate Amount Qty 36.3 1.21 30 211.8 3.53 60 32.4 1.08 30 9.3 .62 15 10.8 .36 30 36 .6 60 26.7 .89 30 22.2 .37 60 18.9 .63 30 55.8 .93 60 400 400 1 Total: 860.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410387 Min 01410387 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 1615 of 6486
Name
MITHLESH THAKUR Rate Amount Qty 13.95 .93 15 21.3 .71 30 167.4 5.58 30 12 .4 30 72 .6 120 400 400 1 Total: 686.65
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410389 Min 01410389 Slno Description Appmt Dt CREATININE /CRT 1 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 02-FEB-19 ECG 3 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 12-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 17-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 14 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 17-FEB-19 OBSERVATION IN CASUALTY 17 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 17-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 20 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 23 25-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 24 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 25-FEB-19
Page 1616 of 6486
MAMTA DUBEY Rate Amount Qty 275 275 1 1300 1300 1 450 450 1 275 275 1 400 400 1 275 275 1 25.07 25.07 1 18.21 18.21 1 400 400 1 5.34 .89 6 6.4 .64 10 39.72 6.62 6 2.22 .37 6 600 600 1 .64 .64 1 .37 .37 1 420 420 1 400 400 1 185.7 6.19 30 20.84 5.21 4 13.7 1.37 10 400 400 1 50.14 25.07 2 36.42 18.21 2 400 400 1 Total: 5999.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410390 Min 01410390 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1617 of 6486
Name
MAKHANLAL VERMA Rate Amount Qty 6.15 .41 15 92.85 6.19 15 13.35 .89 15 400 400 1 18 .6 30 13.35 .89 15 92.85 6.19 15 6.15 .41 15 43.96 43.96 1 35.2 3.52 10 2.22 .37 6 14.85 .99 15 27.9 .93 30 400 400 1 Total: 1166.83
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410391 Min 01410391 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 07-FEB-19 URIC ACID (UA /URATES /UR) 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 07-FEB-19 UREA (BUN /UR) 6 07-FEB-19 CREATININE /CRT 7 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 1618 of 6486
RAMLA DEVI VERMA Rate Amount Qty 275 275 1 275 275 1 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 15.73 15.73 1 18 .6 30 3.7 .37 10 400 400 1 Total: 3512.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410394 Min 01410394 Appmt Dt Slno Description 22-FEB-19 1 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 22-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1619 of 6486
Name
HARMINDER SINGH REKHI Qty Rate Amount 1 130.42 130.42 5 .37 1.85 10 3.52 35.2 1 400 400 Total: 567.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410395 Min 01410395 Appmt Dt Slno Description 19-FEB-19 1 INHALER FOR INHALING DRY POWDER CAPSULE 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1620 of 6486
Name
INDERJEET KAUR REKHI Qty Rate Amount 1 69.05 69.05 1 400 400 469.05 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410396 Min 01410396 Appmt Dt Slno Description 14-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1621 of 6486
Name
MADHUKAR TULSIRAM LANJEWAR Qty Rate Amount 10 1.37 13.7 20 .25 5 5 .42 2.1 1 400 400 Total: 420.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410397 Min 01410397 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1622 of 6486
Name
SULBHA LANJEWAR Rate Amount Qty 7.5 .25 30 185.7 6.19 30 8.9 .89 10 100.71 100.71 1 26 2.6 10 400 400 1 Total: 728.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410408 Min 01410408 Slno Description Appmt Dt NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 27-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1623 of 6486
Name
T G GRAHAM Rate Amount Qty 157.8 2.63 60 18 .6 30 46.8 1.04 45 55.8 .93 60 34.8 1.16 30 12 .4 30 32.4 1.08 30 18.9 .63 30 26.7 .89 30 54 .9 60 371.4 6.19 60 18.6 .62 30 20.06 20.06 1 38.25 2.55 15 55.2 .92 60 400 400 1 Total: 1360.71
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410409 Min 01410409 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 8 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 10 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 12 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 26-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 16 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 17 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 1624 of 6486
GODFREY GRAHAM Rate Amount Qty 9.9 .99 10 66.2 6.62 10 20.06 20.06 1 26.7 .89 30 32.4 .36 90 54 .6 90 400 400 1 20.29 20.29 1 6.82 6.82 1 18.03 18.03 1 7.98 .38 21 2.46 .41 6 14.08 3.52 4 400 400 1 25.07 25.07 1 24.45 24.45 1 13.64 6.82 2 36.06 18.03 2 400 400 1 Total: 1578.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410410 Min 01410410 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 1625 of 6486
Name
D H SINGH Rate Amount Qty 18.9 .63 30 3.7 .37 10 6.4 .64 10 76.5 2.55 30 27.9 .93 30 21.3 .71 30 400 400 1 76.5 2.55 30 27.9 .93 30 21.3 .71 30 18.9 .63 30 400 400 1 Total: 1099.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410411 Min 01410411 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 1626 of 6486
Name
LAXMI DEVI Rate Amount Qty 3.7 .37 10 17 1.7 10 26.6 2.66 10 185.7 6.19 30 400 400 1 3.7 .37 10 400 400 1 3.7 .37 10 26 2.6 10 20.84 5.21 4 400 400 1 Total: 1487.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410412 Min 01410412 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 1627 of 6486
Name
SHYAM SUNDER AGARWAL Rate Amount Qty 17.8 .89 20 15.12 .42 36 12.8 .64 20 1.68 .42 4 400 400 1 9.9 .66 15 33 1.1 30 13.8 .23 60 400 400 1 Total: 904.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410413 Min 01410413 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 14 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 20-FEB-19 SOLIFENACIN,5MG,,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 1628 of 6486
Name
SUDHA AGARWAL Rate Amount Qty 22 1.1 20 11.6 1.16 10 4 .4 10 10.8 1.08 10 66.2 6.62 10 .8 .16 5 400 400 1 59.4 .66 90 26.7 .89 30 54 .9 60 156.6 1.74 90 400 400 1 21.3 .71 30 21.3 .71 30 55.8 .93 60 14.85 .99 15 400 400 1 403.2 13.44 30 400 400 1 Total: 2528.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410414 Min 01410414 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 28-FEB-19 COMPLETE HAEMOGRAM 11 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 28-FEB-19 CREATININE /CRT 14 28-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 15 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 28-FEB-19 URIC ACID (UA /URATES /UR) 20 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 21 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 22 28-FEB-19
Page 1629 of 6486
Name
M P SINGH Rate Amount Qty 2.4 .16 15 118.5 3.95 30 41.85 .93 45 17.4 1.16 15 32.4 1.08 30 400 400 1 15 .25 60 21.3 .71 30 400 400 1 400 400 1 750 750 1 275 275 1 275 275 1 275 275 1 118.5 3.95 30 550 550 1 41.85 .93 45 21.3 .71 30 32.4 1.08 30 275 275 1 2.4 .16 15 1300 1300 1 Total: 5365.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410419 Min 01410419 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 18-FEB-19 CREATININE /CRT 2 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 1630 of 6486
Name
VANMALA RAMTEKE Rate Amount Qty 1300 1300 1 275 275 1 400 400 1 275 275 1 275 275 1 6.9 .23 30 36 .6 60 9 .3 30 27.9 .62 45 21.3 .71 30 400 400 1 Total: 3026.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410421 Min 01410421 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1631 of 6486
Name
R L NAIDU Rate Amount Qty 23.7 .79 30 54 .6 90 15.3 .51 30 12 .4 30 21.3 .71 30 400 400 1 Total: 526.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410432 Min 01410432 Slno Description Appmt Dt DEXAMETHASONE SODIUM,4MG/ML,INJECTION 1 03-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 2 03-FEB-19 ECG 3 03-FEB-19 OBSERVATION IN CASUALTY 4 03-FEB-19 BOWEL WASH /ENEMA 5 03-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 03-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 03-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 07-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 11 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 13 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14 07-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 15 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 22-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 19 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 20 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 21 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 22 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 24 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 22-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 26 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 27 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 28 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 29 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 30 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 22-FEB-19
Page 1632 of 6486
RAM SANEHI MISHRA Rate Amount Qty 6.67 6.67 1 3.66 3.66 1 450 450 1 420 420 1 400 400 1 600 600 1 43.96 131.88 3 400 400 1 13 2.6 5 50.14 25.07 2 42.9 21.45 2 11.1 .37 30 31.61 31.61 1 12.81 12.81 1 184.1 18.41 10 4.45 .89 5 400 400 1 7.5 .25 30 17.4 .58 30 104.4 1.74 60 12.15 12.15 1 40.12 20.06 2 3.7 .37 10 20.1 .67 30 26.7 .89 30 9.9 .66 15 7.5 .25 30 43.96 43.96 1 54 .9 60 26 2.6 10 38.4 .64 60 400 400 1 Total: 3974.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410436 Min 01410436 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1633 of 6486
Name
K C GUPTA Rate Amount Qty 26.7 .89 30 5.4 .18 30 400 400 1 Total: 432.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410437 Min 01410437 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 1634 of 6486
Name
MALTI GUPTA Rate Amount Qty 12.15 12.15 1 5.55 .37 15 27.9 .93 30 21.3 .71 30 66.2 6.62 10 192.3 6.41 30 60.9 2.03 30 7.5 .25 30 7.65 .51 15 12 .4 30 400 400 1 16.2 .36 45 7.5 .25 30 21.3 .71 30 32.4 1.08 30 36 .6 60 400 400 1 Total: 1326.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410444 Min 01410444 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 25-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1635 of 6486
Name
BHIMA NAND DAS Qty Rate Amount 30 .93 27.9 30 .4 12 30 .71 21.3 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410450 Min 01410450 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 1636 of 6486
Name
P D BATHRE Rate Amount Qty 23.7 .79 30 26.7 .89 30 7.5 .25 30 167.4 5.58 30 8.1 .27 30 36 .6 60 12 .4 30 21.3 .71 30 400 400 1 Total: 702.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410455 Min 01410455 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 UREA (BUN /UR) 4 02-FEB-19 CREATININE /CRT 5 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 6 02-FEB-19 URIC ACID (UA /URATES /UR) 7 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 04-FEB-19 PRAZOSIN,2.5MG,TABLET 14 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 16 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 17 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 04-FEB-19
Page 1637 of 6486
Name
GANESH PRASAD TIWARI Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 8.1 .27 30 12 .4 30 34.8 1.16 30 66 1.1 60 39 1.3 30 27.9 .93 30 11.4 .38 30 60.9 2.03 30 400 400 1 Total: 4560.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410464 Min 01410464 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 13-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 1638 of 6486
Name
P K HARVEY Rate Amount Qty 156 1.3 120 105.9 3.53 30 66 1.1 60 55.8 .93 60 17.4 1.16 15 12 .4 30 400 400 1 Total: 813.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410465 Min 01410465 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 22-FEB-19
Page 1639 of 6486
Name
C K HARVEY Rate Amount Qty 38.25 2.55 15 12 .4 30 55.8 .93 60 18.9 .63 30 17.4 1.16 15 156 1.3 120 72 .6 120 400 400 1 275 275 1 275 275 1 Total: 1320.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410469 Min 01410469 Slno Description Appmt Dt CLOBAZAM,STRIP PKT,10MG,TABLET 1 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 19-FEB-19
Page 1640 of 6486
Name
AZIBUN NISA Rate Amount Qty 146.7 4.89 30 78 2.6 30 185.7 6.19 30 400 400 1 275 275 1 275 275 1 Total: 1360.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410470 Min 01410470 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 1641 of 6486
Name
SATISH CHANDRA UPADHYAY Rate Amount Qty 60.9 2.03 30 27.9 .62 45 21.3 .71 30 27.9 .93 30 400 400 1 Total: 538
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410471 Min 01410471 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 1642 of 6486
Name
PUNAM UPADHYAY Rate Amount Qty 22.32 .62 36 27.9 .93 30 400 400 1 Total: 450.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410472 Min 01410472 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 PRAZOSIN,2.5MG,TABLET 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 1643 of 6486
Name
RAJA RAM SAHU Rate Amount Qty 39 1.3 30 55.8 .93 60 72.6 1.21 60 17.4 .58 30 21.3 .71 30 78 1.3 60 29.7 .99 30 9 .3 30 32.4 1.08 30 400 400 1 Total: 755.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410473 Min 01410473 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1644 of 6486
Name
TULSI BAI Qty Rate Amount 60 .93 55.8 60 .27 16.2 15 .99 14.85 1 400 400 Total: 486.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410475 Min 01410475 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 1645 of 6486
Name
VIJAY LAXMI Rate Amount Qty 26.7 .89 30 20.06 20.06 1 400 400 1 Total: 446.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410476 Min 01410476 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 04-FEB-19 HB,TLC,DLC 2 04-FEB-19 PLATELET COUNT 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 04-FEB-19 CREATININE /CRT 5 04-FEB-19 UREA (BUN /UR) 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 04-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 9 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 04-FEB-19
Page 1646 of 6486
Name
K R PRASAD Qty 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 275 275 300 300 330 330 1300 1300 275 275 275 275 1300 1300 275 275 330 330 400 400 275 275 Total: 5335
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410492 Min 01410492 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1647 of 6486
Name
MAYA DEVI MISHRA Rate Amount Qty 6.9 .23 30 2.28 .38 6 1.85 .37 5 3.84 .64 6 4.8 .16 30 10.8 .36 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 507.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410493 Min 01410493 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 1648 of 6486
Name
MOHAN LAL DEWANGAN Rate Amount Qty 55.2 1.84 30 6.4 .64 10 6.72 1.12 6 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 905.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410494 Min 01410494 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 1649 of 6486
Name
TIJAN DEWANGAN Rate Amount Qty 32.4 1.08 30 7.5 .25 30 66 1.1 60 17.4 1.16 15 400 400 1 27.9 .93 30 400 400 1 Total: 951.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410499 Min 01410499 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1650 of 6486
Name
BHADRAKALI PRASAD PANDEY Rate Amount Qty 3.7 .37 10 54 .6 90 117 1.3 90 47.4 .79 60 16.2 .27 60 21.6 .36 60 26.7 .89 30 400 400 1 Total: 686.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410500 Min 01410500 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 1651 of 6486
Name
TULSA BAI Rate Amount Qty 7.5 .25 30 21.3 .71 30 26.7 .89 30 6.4 .64 10 400 400 1 Total: 461.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410508 Min 01410508 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 22-FEB-19 X - RAY - TWO VIEWS 5 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19
Page 1652 of 6486
Name
GURBIR SINGH BHALLA Rate Amount Qty 750 750 1 275 275 1 275 275 1 1300 1300 1 860 860 1 400 400 1 39 1.3 30 21.3 .71 30 7.5 .25 30 26 2.6 10 26.7 .89 30 Total: 3980.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410510 Min 01410510 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 08-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 14 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19
Page 1653 of 6486
Name
DR JAINARAYAN AGRAWAL Rate Amount Qty 1.12 .16 7 13.73 192.22 14 400 400 1 208.8 1.74 120 59.4 .66 90 400 400 1 18 .6 30 6.4 .64 10 1.85 .37 5 55.8 .93 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 15.6 .26 60 33 1.1 30 35.2 3.52 10 400 400 1 Total: 1906.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410511 Min 01410511 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1654 of 6486
Name
MANJU AGRAWAL Rate Amount Qty 12.8 .64 20 5 .25 20 8.9 .89 10 18 .9 20 3.7 .37 10 26.6 2.66 10 400 400 1 7.5 .25 30 400 400 1 Total: 882.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410515 Min 01410515 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1655 of 6486
Name
MANISHA Rate Amount Qty 21.3 .71 30 29.7 .99 30 66 1.1 60 36 .6 60 27.9 .93 30 167.4 5.58 30 8.1 .27 30 400 400 1 Total: 756.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410518 Min 01410518 Appmt Dt Slno Description 07-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1656 of 6486
Name
RAM SOHAGIL SAHU Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410519 Min 01410519 Appmt Dt Slno Description 18-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 18-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 3 BISOPROLOL FUMARATE,5MG,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1657 of 6486
Name
VIMLA SAHU Qty Rate Amount 10 .64 6.4 30 .93 27.9 30 2.55 76.5 1 400 400 Total: 510.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410520 Min 01410520 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 1658 of 6486
Name
A K KHANRA Rate Amount Qty 33 1.1 30 10.42 5.21 2 12 .4 30 21.3 .71 30 23.7 .79 30 400 400 1 Total: 500.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410521 Min 01410521 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 1659 of 6486
Name
REBA RANI KHANRA Rate Amount Qty 21.3 .71 30 72.6 1.21 60 12 .4 30 27.9 .93 30 185.7 6.19 30 10.42 5.21 2 13.8 .23 60 14.85 .99 15 400 400 1 Total: 758.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410523 Min 01410523 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1660 of 6486
Name
KUSUM SHARMA Rate Amount Qty 16.2 .27 60 55.8 .93 60 54 .6 90 21.3 .71 30 400 400 1 Total: 547.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410530 Min 01410530 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 03-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 03-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 03-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 03-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19
Page 1661 of 6486
LALLAN PRASAD Rate Amount Qty 1.85 .37 5 21.12 3.52 6 6.4 .64 10 31.46 15.73 2 400 400 1 46.8 2.34 20 11.2 1.12 10 7.5 .25 30 26.7 .89 30 27.9 .93 30 12 .4 30 21.3 .71 30 18 .3 60 400 400 1 Total: 1032.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410531 Min 01410531 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 ECG 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 OBSERVATION IN CASUALTY 4 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 1662 of 6486
KAMLA DEVI Rate Amount Qty .16 .16 1 450 450 1 .89 .89 1 420 420 1 15.73 15.73 1 2.67 .89 3 3.75 .25 15 3.84 .64 6 400 400 1 Total: 1297.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410532 Min 01410532 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 1663 of 6486
Name
RAMGOPAL MISHRA Rate Amount Qty 55.8 .93 60 8.1 .27 30 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410533 Min 01410533 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 1664 of 6486
Name
KUMARI BAI MISHRA Rate Amount Qty 25.2 .63 40 27.4 1.37 20 247.6 6.19 40 17.8 .89 20 400 400 1 Total: 718
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410550 Min 01410550 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 11-FEB-19 PRAZOSIN,2.5MG,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 1665 of 6486
Name
V K AGRAWAL Rate Amount Qty 10.8 .36 30 21.3 .71 30 27.9 .93 30 66 1.1 60 12 .4 30 15.6 1.04 15 7.5 .25 30 156 1.3 120 32.4 1.08 30 400 400 1 Total: 749.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410551 Min 01410551 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 1666 of 6486
Name
VIMLA AGRAWAL Rate Amount Qty 27.9 .93 30 72 .6 120 334.8 5.58 60 43.2 .36 120 21.3 .71 30 400 400 1 Total: 899.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410554 Min 01410554 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1667 of 6486
Name
MADAN SINGH OTTI Rate Amount Qty 32.4 1.08 30 26.7 .89 30 7.5 .25 30 21.3 .71 30 12 .4 30 27.9 .93 30 400 400 1 Total: 527.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410555 Min 01410555 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CREATININE /CRT 6 09-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19 BLOOD FOR T-3,T-4,TSH 12 09-FEB-19 UREA (BUN /UR) 13 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 14 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19
Page 1668 of 6486
Name
RUKHMANI OTTI Rate Amount Qty 24.3 12.15 2 11.1 .37 30 26.7 .89 30 54 .9 60 400 400 1 275 275 1 550 550 1 275 275 1 1300 1300 1 275 275 1 400 400 1 2400 2400 1 275 275 1 18.6 .62 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 6748.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410567 Min 01410567 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 19-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 1669 of 6486
ANNIE RAPHEL Rate Amount Qty 148.9 74.45 2 25.07 25.07 1 400 400 1 8.1 .27 30 26 2.6 10 20.84 5.21 4 8.36 .38 22 8.9 .89 10 18.6 .62 30 21.3 .71 30 51.68 3.23 16 400 400 1 Total: 1137.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410568 Min 01410568 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1670 of 6486
Name
A T RAPHEL Rate Amount Qty 10.65 .71 15 41.85 .93 45 400 400 1 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410572 Min 01410572 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 1671 of 6486
Name
J M SHARIFF Rate Amount Qty 72.6 1.21 60 55.8 .93 60 14.85 .99 15 60.9 2.03 30 37.8 .63 60 55.2 .92 60 36 .6 60 400 400 1 63.58 63.58 1 400 400 1 Total: 1196.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410574 Min 01410574 Slno Description Appmt Dt ONDANSETRON,8MG,STRIP PACK.,TABLET 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 1672 of 6486
Name
K K JAIN Rate Amount Qty 7 .7 10 8.9 .89 10 15.4 .77 20 5 .25 20 400 400 1 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410575 Min 01410575 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19 SILDENAFIL,25 MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1673 of 6486
Name
VEENA JAIN Rate Amount Qty 10.05 .67 15 26.7 .89 30 7.5 .25 30 33 1.1 30 27.9 .93 30 400 400 1 79.2 2.64 30 400 400 1 Total: 984.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410578 Min 01410578 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 22-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1674 of 6486
Name
TEJLAL VISHWAKARMA Qty Rate Amount 30 .27 8.1 1 400 400 30 1.84 55.2 1 400 400 Total: 863.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410579 Min 01410579 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 19-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 19-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 9 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 1675 of 6486
Name
SUSHILA DEVI VISHWAKARMA Rate Amount Qty 34.8 1.16 30 20.1 .67 30 8.1 .27 30 21.3 .71 30 202.8 3.38 60 26.7 .89 30 7.5 .25 30 20.84 5.21 4 48.76 12.19 4 12 .4 30 32.4 1.08 30 54 .9 60 92.68 6.62 14 400 400 1 Total: 981.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410591 Min 01410591 Appmt Dt Slno Description 08-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 3 BACLOFEN,STRIP PKT,10MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1676 of 6486
Name
YASHODA PAWAR Qty 6 6 6 1
Rate Amount .64 3.84 .89 5.34 3.19 19.14 400 400 Total: 428.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410594 Min 01410594 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 19-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 1677 of 6486
Name
M S THAKUR Rate Amount Qty 1.6 .16 10 13.8 .23 60 106.8 3.56 30 26.7 .89 30 400 400 1 Total: 548.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410602 Min 01410602 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 4 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 21-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1678 of 6486
Name
MANJEET SINGH NANDA Rate Amount Qty 26.7 .89 30 123.53 370.59 3 7.5 .25 30 423.6 7.06 60 279.9 9.33 30 31.2 1.04 30 4.27 192.15 45 400 400 1 Total: 1731.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410603 Min 01410603 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 1679 of 6486
Name
AMRIT KAUR NANDA Rate Amount Qty 8.1 .27 30 55.8 .93 60 34.8 1.16 30 45.44 45.44 1 400 400 1 21.3 .71 30 12.6 .42 30 55.8 .93 60 8.1 .27 30 400 400 1 185.7 6.19 30 13.7 1.37 10 400 400 1 Total: 1641.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410606 Min 01410606 Appmt Dt Slno Description 22-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 22-FEB-19 2 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 22-FEB-19 3 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1680 of 6486
Name
KAMALA BHOIR Qty Rate Amount 30 .38 11.4 30 .66 19.8 100 .78 78 1 400 400 Total: 509.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410608 Min 01410608 Appmt Dt Slno Description 07-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 2 ETORICOXIB,STRIP PKT,90MG,TABLET 07-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1681 of 6486
Name
SHAIL TIWARI Qty Rate Amount 20 .25 5 10 2.6 26 40 6.19 247.6 1 400 400 Total: 678.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410615 Min 01410615 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 4 08-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 1682 of 6486
Name
RAM KUMAR GAUTAM Rate Amount Qty 66.2 6.62 10 16.8 1.12 15 12.46 .89 14 2.1 .7 3 8.71 8.71 1 400 400 1 16.2 .27 60 55.8 .93 60 7.5 .25 30 2.4 .16 15 36 .6 60 14.85 .99 15 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 1100.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410619 Min 01410619 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 1683 of 6486
Name
SHIROMANI NICHOLS Rate Amount Qty 1.85 .37 5 53.4 .89 60 21.3 .71 30 7.5 .25 30 55.8 .93 60 54 .6 90 400 400 1 Total: 593.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410620 Min 01410620 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1684 of 6486
Name
VINOD KUMAR NICHOLS Rate Amount Qty 31.2 1.04 30 4.8 .16 30 60.9 2.03 30 21.3 .71 30 54 .6 90 53.4 .89 60 43.2 .36 120 400 400 1 Total: 668.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410623 Min 01410623 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1685 of 6486
Name
BHARAT LAL SHRIVASTAVA Rate Amount Qty 66 1.1 60 12 .4 30 23.1 .77 30 4.8 .16 30 9.3 .62 15 123.53 247.06 2 7.5 .25 30 400 400 1 Total: 769.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410624 Min 01410624 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1686 of 6486
Name
CHANCHAL SHRIVASTAVA Rate Amount Qty 13.35 .89 15 12 .4 30 19.8 .66 30 66 1.1 60 21.3 .71 30 27.9 .93 30 157.8 2.63 60 400 400 1 Total: 718.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410628 Min 01410628 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 04-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 04-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 3 04-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 16 28-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 17 28-FEB-19 ESCITALOPRAM,10MG,,TABLET 18 28-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 1687 of 6486
Name
WAMAN LATA Rate Amount Qty 55.5 1.85 30 79.2 2.64 30 3.51 157.95 45 30.6 .51 60 400 400 1 1.25 .25 5 4.45 .89 5 66.2 6.62 10 9 .9 10 1.85 .37 5 400 400 1 66.2 6.62 10 3.7 .37 10 12.15 12.15 1 8.9 .89 10 3.51 157.95 45 30.6 .51 60 55.5 1.85 30 79.2 2.64 30 400 400 1 Total: 2020.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410637 Min 01410637 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 18-FEB-19 URIC ACID (UA /URATES /UR) 11 18-FEB-19 CREATININE /CRT 12 18-FEB-19 UREA (BUN /UR) 13 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 BLOOD FOR T-3,T-4,TSH 17 18-FEB-19
Page 1688 of 6486
Name
AMARJEET DESHMUKH Rate Amount Qty 7.5 .25 30 10.65 .71 15 13.95 .93 15 66 1.1 60 185.7 6.19 30 7.5 .25 30 13.7 1.37 10 2.4 .16 15 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 2400 2400 1 Total: 6182.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410644 Min 01410644 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 1689 of 6486
Name
PRABHU KUMAR SHRIVASTAVA Rate Amount Qty 66 1.1 60 55.8 .93 60 400 400 1 8.1 .27 30 3.7 .37 10 6.4 .64 10 60.9 2.03 30 21.3 .71 30 12 .4 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 1095.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410645 Min 01410645 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 21-FEB-19 BLOOD FOR T-3,T-4,TSH 9 21-FEB-19
Page 1690 of 6486
Name
ARUNA SHRIVASTAVA Rate Amount Qty 21.3 .71 30 37.2 .93 40 400 400 1 66.2 6.62 10 3.7 .37 10 6.4 .64 10 400 400 1 400 400 1 4800 2400 2 Total: 6134.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410649 Min 01410649 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 4 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 1691 of 6486
Name
SUKH CHAIN JANGHEL Rate Amount Qty 7.8 .26 30 32.4 1.08 30 34.8 1.16 30 61.8 4.12 15 7.65 .51 15 47.4 .79 60 400 400 1 Total: 591.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410654 Min 01410654 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 3 01-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 14-FEB-19 X - RAY - TWO VIEWS 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 1692 of 6486
SUCHA SINGH Rate Amount Qty 11.25 .75 15 11.1 .37 30 85.52 85.52 1 35.2 17.6 2 400 400 1 25.07 25.07 1 400 400 1 36 .6 60 12 .4 30 17.4 1.16 15 27.9 .93 30 4.5 .3 15 400 400 1 860 860 1 400 400 1 24.6 .82 30 400 400 1 Total: 3150.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410655 Min 01410655 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 1693 of 6486
Name
DALBIR KAUR Rate Amount Qty 2.4 .16 15 41.85 .93 45 17.4 1.16 15 66 1.1 60 12 .4 30 400 400 1 Total: 539.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410669 Min 01410669 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 22-FEB-19 CREATININE /CRT 5 25-FEB-19 URIC ACID (UA /URATES /UR) 6 25-FEB-19 UREA (BUN /UR) 7 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 25-FEB-19
Page 1694 of 6486
Name
BAISHAKHIN BAI Rate Amount Qty 47.4 .79 60 6.4 .64 10 33 1.1 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 Total: 3561.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410685 Min 01410685 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 01-FEB-19 URIC ACID (UA /URATES /UR) 9 01-FEB-19 CREATININE /CRT 10 01-FEB-19 UREA (BUN /UR) 11 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 24 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 25 06-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 26 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 27 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 28 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 29 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 30 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 31 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 32 23-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 33 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 34 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 35 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 23-FEB-19
Page 1695 of 6486
Name
RAMKISUN SAHU Rate Amount Qty 12.15 12.15 1 20.1 .67 30 400 400 1 54 .9 60 79.2 .66 120 156.6 1.74 90 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 87.92 43.96 2 400 400 1 275 275 1 7.8 .26 30 275 275 1 400 400 1 2.4 .16 15 7.5 .25 30 117 1.3 90 36 .6 60 32.4 1.08 30 34.8 1.16 30 73.8 .82 90 29.7 .99 30 27.9 .93 30 15.6 .26 60 24 .6 40 78 1.3 60 8.82 .42 21 1.5 .25 6 8.9 .89 10 23.2 1.16 20 400 400 1 Total: 6314.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410686 Min 01410686 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 06-FEB-19 URIC ACID (UA /URATES /UR) 12 06-FEB-19 CREATININE /CRT 13 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 06-FEB-19 UREA (BUN /UR) 15 06-FEB-19
Page 1696 of 6486
Name
RAJBAI SAHU Rate Amount Qty 12 .4 30 21.3 .71 30 26.7 .89 30 368.4 6.14 60 13.95 .93 15 275 275 1 400 400 1 6.9 .23 30 66 1.1 60 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 4140.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410689 Min 01410689 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 1697 of 6486
Name
VASANT KUMAR PATKI Rate Amount Qty 66 1.1 60 55.8 .93 60 21.3 .71 30 26.7 .89 30 7.5 .25 30 8.1 .27 30 123.53 247.06 2 11.4 .38 30 12 .4 30 7.65 .51 15 400 400 1 Total: 863.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410690 Min 01410690 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 02-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 1698 of 6486
Name
VAISHALI PATKI Rate Amount Qty 36 .6 60 21.3 .71 30 14.85 .99 15 12 .4 30 21.3 .71 30 55.2 .92 60 400 400 1 21.3 .71 30 12 .4 30 7.1 .71 10 66.2 6.62 10 55.2 .92 60 14.85 .99 15 1.85 .37 5 6.4 .64 10 36 .6 60 400 400 1 Total: 1181.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410691 Min 01410691 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 23-FEB-19 SOLIFENACIN,5MG,,TABLET 3 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 1699 of 6486
Name
RAMESH PRASAD KHANNA Rate Amount Qty 29.7 .99 30 60.9 2.03 30 403.2 13.44 30 21.3 .71 30 27.9 .93 30 21.3 .71 30 20.55 1.37 15 8.1 .27 30 400 400 1 Total: 992.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410694 Min 01410694 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1700 of 6486
Name
JAYASHREE NAGORI Rate Amount Qty 6.4 .64 10 55.2 1.84 30 400 400 1 Total: 461.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410695 Min 01410695 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 25-FEB-19
Page 1701 of 6486
Name
T K GUHA NEOGI Rate Amount Qty 117 1.3 90 55.8 .93 60 72.6 1.21 60 12 .4 30 21.3 .71 30 5.21 5.21 1 72 .6 120 21.6 .36 60 275 275 1 400 400 1 275 275 1 Total: 1327.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410696 Min 01410696 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 14 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 1702 of 6486
Name
DEEPALI GUHA NEOGI Rate Amount Qty .8 .16 5 20.84 5.21 4 12.3 .41 30 27.9 .93 30 12 .4 30 55.8 .93 60 26.7 .89 30 12 .4 30 21.3 .71 30 211.8 3.53 60 29.7 .99 30 66 1.1 60 55.8 .93 60 21.3 .71 30 167.4 5.58 30 117 1.3 90 21.6 .36 60 72 .6 120 400 400 1 Total: 1352.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410698 Min 01410698 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1703 of 6486
Name
RAJANI BORKAR Rate Amount Qty 7.5 .25 30 21.3 .71 30 18 .6 30 118.5 3.95 30 27.9 .93 30 14.85 .99 15 26 2.6 10 400 400 1 Total: 634.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410701 Min 01410701 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 11-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 DRESSING SIMPLE 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 12-FEB-19 DRESSING SIMPLE 7 12-FEB-19
Page 1704 of 6486
Name
THAKUR RAM VERMA Rate Amount Qty 55.2 1.84 30 4.1 .41 10 41.06 41.06 1 400 400 1 600 300 2 400 400 1 300 300 1 Total: 1800.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410702 Min 01410702 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1705 of 6486
Name
RUKMANI VERMA Rate Amount Qty 14.85 .99 15 8.1 .27 30 39 1.3 30 18 .6 30 27.9 .93 30 400 400 1 Total: 507.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410710 Min 01410710 Appmt Dt Slno Description 26-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1706 of 6486
Name
MANJU SAMANTA Qty Rate Amount 30 .71 21.3 15 .93 13.95 30 .62 18.6 1 400 400 Total: 453.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410717 Min 01410717 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 1707 of 6486
Name
C K MALINI Rate Amount Qty 36 .6 60 21.6 .36 60 25.62 12.81 2 82.12 41.06 2 85.52 85.52 1 78 1.3 60 13.95 .93 15 12 .4 30 21.3 .71 30 7.5 .25 30 7.4 .37 20 400 400 1 82.12 41.06 2 25.62 12.81 2 36.8 1.84 20 7.4 .37 20 400 400 1 Total: 1342.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410719 Min 01410719 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 IVABRADINE,5MG,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 TICAGRELOR 90MG ,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 1708 of 6486
Name
ANIL KUMAR WILSON Rate Amount Qty 69.6 1.16 60 12 .4 30 597 9.95 60 400 400 1 30.77 1846.2 60 400 400 1 Total: 3324.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410720 Min 01410720 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 1709 of 6486
Name
SHANTI WILSON Rate Amount Qty 31.95 .71 45 55.8 .93 60 14.85 .99 15 7.5 .25 30 83.4 2.78 30 34.8 1.16 30 400 400 1 Total: 628.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410731 Min 01410731 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 12-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1710 of 6486
Name
RAVINDRA KUMAR SHIRKE Qty Rate Amount 60 .93 55.8 30 .4 12 30 .23 6.9 1 400 400 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410732 Min 01410732 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 X - RAY - TWO VIEWS 10 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 1711 of 6486
Name
RAJANI BALA SHIRKE Rate Amount Qty 27.9 .93 30 21.3 .71 30 8.1 .27 30 7.5 .25 30 20.84 5.21 4 400 400 1 4.45 .89 5 4.1 .41 10 400 400 1 860 860 1 400 400 1 43.96 43.96 1 17.8 .89 20 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 2890.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410733 Min 01410733 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1712 of 6486
Name
ARUN KUMAR AGRAWAL Rate Amount Qty 6.9 .23 30 1.6 .16 10 36.3 1.21 30 14.85 .99 15 17.8 .89 20 12.6 .63 20 8.4 .42 20 13.7 1.37 10 400 400 1 Total: 512.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410734 Min 01410734 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1713 of 6486
Name
ASHA AGRAWAL Rate Amount Qty 55.8 .93 60 29.7 .99 30 12 .4 30 7.5 .25 30 36 .6 60 21.6 .36 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 600.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410738 Min 01410738 Appmt Dt Slno Description 19-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1714 of 6486
Name
PRAMILA PANDEY Qty Rate Amount 40 6.19 247.6 10 .89 8.9 10 1.37 13.7 1 400 400 Total: 670.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410750 Min 01410750 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 1715 of 6486
Name
GHANSHYAM GANWIR Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 18 .6 30 400 400 1 Total: 497.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410752 Min 01410752 Slno Description Appmt Dt CREATININE /CRT 1 19-FEB-19 UREA (BUN /UR) 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 19-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 7 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 19-FEB-19
Page 1716 of 6486
Name
RAM KUMAR SWARNKAR Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 7.4 .37 20 13.43 13.43 1 25.62 12.81 2 21.3 .71 30 36 .6 60 9 .3 30 Total: 1612.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410753 Min 01410753 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 19-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 1717 of 6486
Name
GAJARA BAI SWARNKAR Rate Amount Qty 10.42 5.21 2 18.9 .63 30 8.1 .27 30 26.86 13.43 2 19.72 9.86 2 26.96 3.37 8 6.4 .64 10 400 400 1 Total: 517.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410761 Min 01410761 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1718 of 6486
Name
SHANKAR SEWAK VERMA Rate Amount Qty 32.4 1.08 30 12 .4 30 7.5 .25 30 18 .6 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 531.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410762 Min 01410762 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 1719 of 6486
RAMPYARI VERMA Rate Amount Qty 15.73 15.73 1 15.96 2.66 6 17.4 1.16 15 6.9 .23 30 27.9 .93 30 400 400 1 Total: 483.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410763 Min 01410763 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 3 21-FEB-19 GUM ANALGESIC GEL 4 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 1720 of 6486
Name
CHITRA ROY Rate Amount Qty 12.3 .41 30 26.7 .89 30 20.25 20.25 1 28.69 28.69 1 60.18 20.06 3 400 400 1 100.71 100.71 1 12.15 12.15 1 400 400 1 Total: 1060.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410770 Min 01410770 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 1721 of 6486
Name
RANJU WANDALKAR Rate Amount Qty 185.7 6.19 30 17.4 1.16 15 12 .4 30 66 1.1 60 26 2.6 10 8.01 .89 9 18.69 .89 21 20.84 5.21 4 400 400 1 26 2.6 10 400 400 1 Total: 1180.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410777 Min 01410777 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19
Page 1722 of 6486
M P SINGH Rate Amount Qty 14.85 .99 15 31.46 15.73 2 23.1 .77 30 32.4 1.08 30 26.6 2.66 10 66.2 6.62 10 400 400 1 60.9 2.03 30 7.5 .25 30 8.1 .27 30 21.3 .71 30 23.7 .79 30 110.4 .92 120 400 400 1 Total: 1226.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410778 Min 01410778 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 1723 of 6486
Name
S N BOSE Rate Amount Qty 33 1.1 30 27.9 .93 30 12 .4 30 21.3 .71 30 400 400 1 9 .3 30 20.84 5.21 4 36 .6 60 27.9 .93 30 25.2 .42 60 12 .4 30 21.3 .71 30 400 400 1 Total: 1046.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410779 Min 01410779 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 1724 of 6486
Name
ALO BOSE Rate Amount Qty 13.95 .93 15 8.7 .58 15 10.65 .71 15 37.8 .63 60 400 400 1 Total: 471.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410781 Min 01410781 Name Appmt Dt Slno Description 26-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1725 of 6486
INDIRA MUDUMBI Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410787 Min 01410787 Appmt Dt Slno Description 18-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1726 of 6486
Name
SHARDA RAMTEKE Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410788 Min 01410788 Slno Description Appmt Dt CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 1727 of 6486
Name
S R RAMTEKE Rate Amount Qty 512.4 4.27 120 7.5 .25 30 54 .6 90 6.9 .23 30 12 .4 30 21.3 .71 30 400 400 1 Total: 1014.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410789 Min 01410789 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 13-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 4 13-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 13-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 6 13-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 7 13-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 8 13-FEB-19 SYRINGE,DISPOSABLE,2ML 9 13-FEB-19 OBSERVATION IN CASUALTY 10 13-FEB-19 ECG 11 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 12 13-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 13 13-FEB-19 ONDANSETRON,2MG/ML,INJECTION 14 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 16 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 18 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 22 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 20-FEB-19 GUM ANALGESIC GEL 24 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 25 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 20-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 27 20-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 28 20-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 29 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 30 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 31 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 32 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 20-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 34 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 35 22-FEB-19 GUM ANALGESIC GEL 36 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 37 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 22-FEB-19
Page 1728 of 6486
Name
A J JENDON Rate Amount Qty 16.8 1.12 15 7 .7 10 8.9 .89 10 13.08 2.18 6 43.55 8.71 5 5.41 5.41 1 23.39 23.39 1 9.81 9.81 1 5.52 1.84 3 420 420 1 450 450 1 9.62 9.62 1 11.89 11.89 1 7.52 7.52 1 24.52 24.52 1 21.3 .71 30 26.7 .89 30 20.84 5.21 4 60.9 2.03 30 32.4 1.08 30 400 400 1 17.6 17.6 1 6.23 .89 7 28.69 28.69 1 10.08 1.12 9 15 .25 60 31.61 31.61 1 11.25 .75 15 85.52 85.52 1 6.4 .64 10 20.84 5.21 4 185.7 6.19 30 400 400 1 30.8 4.4 7 23.52 1.12 21 28.69 28.69 1 13.35 .89 15 400 400 1 Total: 2934.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410794 Min 01410794 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 AMIODARONE HCL,STRIP PKT,200MG,TABLET 04-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1729 of 6486
Name
UJWALA KIROLIKAR Qty Rate Amount 60 1.1 66 30 4.12 123.6 60 .6 36 1 400 400 Total: 625.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410797 Min 01410797 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 02-FEB-19 CREATININE /CRT 3 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 02-FEB-19 UREA (BUN /UR) 7 02-FEB-19 TACROLIMUS,1MG, TAB/CAP 8 04-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 9 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 1730 of 6486
Name
JEET SINGH Rate Amount Qty 550 275 2 1100 550 2 550 275 2 2600 1300 2 400 400 1 550 275 2 550 275 2 11.21 1345.2 120 31.99 2879.1 90 20.1 .67 30 400 400 1 Total: 10944.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410805 Min 01410805 Slno Description Appmt Dt INHALER FOR INHALING DRY POWDER CAPSULE 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 1731 of 6486
Name
JAGMOHAN LAL Rate Amount Qty 138.1 69.05 2 12.15 12.15 1 26.7 .89 30 20.1 .67 30 54 .9 60 400 400 1 Total: 651.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410806 Min 01410806 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1732 of 6486
Name
SEWTI BAI Rate Amount Qty 7.5 .25 30 21.3 .71 30 55.8 .93 60 27 .6 45 23.7 .79 30 400 400 1 Total: 535.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410810 Min 01410810 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 26-FEB-19 CREATININE /CRT 6 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 1733 of 6486
Name
R CHELLAYYAMMA Rate Amount Qty 275 275 1 400 400 1 550 550 1 275 275 1 1300 1300 1 275 275 1 18.9 .63 30 7.5 .25 30 21.3 .71 30 36 .6 60 10.8 .36 30 26.7 .89 30 400 400 1 Total: 3596.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410811 Min 01410811 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1734 of 6486
Name
LOKNATH SAHU Rate Amount Qty 26.55 26.55 1 3.7 .37 10 400 400 1 Total: 430.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410817 Min 01410817 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 06-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 1735 of 6486
Name
CHANDER SHEKHAR CHOUBEY Rate Amount Qty 13.8 .23 60 15 .25 60 211.8 3.53 60 29.7 .99 30 55.8 .93 60 400 400 1 Total: 726.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410818 Min 01410818 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 1736 of 6486
Name
NIRMALA CHOUBEY Rate Amount Qty 27.9 .93 30 21.3 .71 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410819 Min 01410819 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 1737 of 6486
Name
GEETA BICHPURIA Rate Amount Qty 167.4 5.58 30 26.7 .89 30 7.5 .25 30 400 400 1 26.7 .89 30 54 .9 60 33.48 .93 36 22.32 .93 24 400 400 1 Total: 1138.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410820 Min 01410820 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 11-FEB-19 PRAZOSIN,2.5MG,TABLET 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 1738 of 6486
Name
BRAJESH BICHPURIA Rate Amount Qty 36.3 1.21 30 55.8 .93 60 167.4 5.58 30 21.6 .36 60 7.5 .25 30 8.1 .27 30 39 1.3 30 21.3 .71 30 400 400 1 .8 .16 5 20.06 20.06 1 8.9 .89 10 400 400 1 Total: 1186.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410821 Min 01410821 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 1739 of 6486
Name
R C SINGH Rate Amount Qty 1750 1750 1 40.6 2.03 20 400 400 1 66.2 6.62 10 400 400 1 43.96 43.96 1 10.8 .36 30 36 .6 60 400 400 1 87.92 43.96 2 26.7 .89 30 400 400 1 Total: 3662.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410827 Min 01410827 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 1740 of 6486
Name
JIWAN LAL TAMRAKAR Rate Amount Qty 6.9 .23 30 55.8 .93 60 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410828 Min 01410828 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 CREATININE /CRT 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19
Page 1741 of 6486
Name
ARCHANA TAMRAKAR Rate Amount Qty 33.12 1.84 18 3.84 .64 6 275 275 1 400 400 1 275 275 1 275 275 1 Total: 1261.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410841 Min 01410841 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1742 of 6486
Name
RAJKUMAR GUPTA Rate Amount Qty 7.5 .25 30 32.4 1.08 30 192.3 6.41 30 60.9 2.03 30 13.95 .93 15 54 .9 60 26.7 .89 30 36 .6 60 400 400 1 Total: 823.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410844 Min 01410844 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 11-FEB-19 CREATININE /CRT 5 11-FEB-19 UREA (BUN /UR) 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 1743 of 6486
Name
SHOBHA SIMON Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 10.65 .71 15 27.9 .93 30 36 .6 60 10.8 .36 30 3.75 .25 15 400 400 1 Total: 3289.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410845 Min 01410845 Slno Description Appmt Dt CREATININE /CRT 1 11-FEB-19 UREA (BUN /UR) 2 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 1744 of 6486
Name
NISHAT S SIMON Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 10.65 .71 15 9.3 .62 15 78 1.3 60 167.4 5.58 30 36 .6 60 10.8 .36 30 3.75 .25 15 400 400 1 Total: 3515.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410857 Min 01410857 Appmt Dt Slno Description 07-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 2 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 07-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1745 of 6486
Name
ANIL DARVEKAR Qty Rate Amount 30 1.1 33 15 .66 9.9 30 1.16 34.8 1 400 400 Total: 477.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410858 Min 01410858 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 07-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 5 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 8 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 1746 of 6486
Name
ANJALI DARVEKAR Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 21.3 .71 30 88.2 1.47 60 211.8 3.53 60 7.5 .25 30 64.2 2.14 30 66 1.1 60 55.8 .93 60 36 .6 60 12 .4 30 400 400 1 Total: 1028.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410865 Min 01410865 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1747 of 6486
Name
K NAGESHWAR RAO Rate Amount Qty 7.5 .25 30 26.7 .89 30 34.8 1.16 30 12 .4 30 33 1.1 30 400 400 1 Total: 514
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410866 Min 01410866 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 1748 of 6486
Name
K MANJULATA Rate Amount Qty 10.8 .36 30 27 .9 30 26.7 .89 30 54 .6 90 15.3 .51 30 27.9 .93 30 400 400 1 Total: 561.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410871 Min 01410871 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 1749 of 6486
Name
VISHWAMBHAR RAM SAHU Rate Amount Qty 33 1.1 30 55.8 .93 60 32.4 1.08 30 30.6 .34 90 7.5 .25 30 12 .4 30 34.8 1.16 30 36 .6 60 400 400 1 Total: 642.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410872 Min 01410872 Appmt Dt Slno Description 11-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1750 of 6486
Name
INDU SAHU Qty Rate Amount 30 .62 18.6 60 .6 36 30 .36 10.8 1 400 400 Total: 465.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410877 Min 01410877 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 1751 of 6486
Name
M L KASHYAP Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 78 1.3 60 54 .6 90 21.6 .36 60 400 400 1 Total: 959.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410878 Min 01410878 Appmt Dt Slno Description 11-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1752 of 6486
Name
KAMALA KASHYAP Qty Rate Amount 30 .71 21.3 60 .93 55.8 15 .6 9 1 400 400 Total: 486.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410879 Min 01410879 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1753 of 6486
GHANSHYAM SONI Rate Amount Qty 20.06 20.06 1 25.07 25.07 1 54 .6 90 12.8 .64 20 21.6 .36 60 400 400 1 9.6 .64 15 400 400 1 Total: 943.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410880 Min 01410880 Slno Description Appmt Dt GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 1 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1754 of 6486
Name
KIRAN BALA SONI Rate Amount Qty 39.54 19.77 2 20.06 20.06 1 21.6 .36 60 54 .6 90 400 400 1 Total: 535.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410883 Min 01410883 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 19-FEB-19 UREA (BUN /UR) 9 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 15 20-FEB-19 PRAZOSIN,2.5MG,TABLET 16 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 17 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 20-FEB-19
Page 1755 of 6486
Name
JAGDISH PRASAD Rate Amount Qty .75 .25 3 3.84 .64 6 3.84 .64 6 3.84 .64 6 1.11 .37 3 2.67 .89 3 400 400 1 275 275 1 275 275 1 275 275 1 60.9 2.03 30 36 .6 60 14.85 .99 15 18.9 .63 30 22.2 .37 60 156 1.3 120 211.8 3.53 60 400 400 1 Total: 2161.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410884 Min 01410884 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 1756 of 6486
Name
MAYA DEVI Rate Amount Qty 275 275 1 275 275 1 55.8 .93 60 11.1 .37 30 39 1.3 30 9 .3 30 36 .6 60 400 400 1 Total: 1100.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410885 Min 01410885 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 07-FEB-19
Page 1757 of 6486
Name
TULSI RAM SAHU Rate Amount Qty 27.9 .93 30 8.1 .27 30 34.8 1.16 30 27.6 .92 30 36 .6 60 117 1.3 90 12 .4 30 12.6 .42 30 7.5 .25 30 400 400 1 275 275 1 275 275 1 Total: 1233.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410887 Min 01410887 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 1758 of 6486
Name
SHYAM BIHARI PRAJAPATI Rate Amount Qty 34.8 1.16 30 27.9 .93 30 18.9 .63 30 6.9 .23 30 400 400 1 Total: 488.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410888 Min 01410888 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 18-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 2 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 25-FEB-19
Page 1759 of 6486
Name
SAVITA DEVI Rate Amount Qty 35.2 3.52 10 13.08 2.18 6 18.6 .62 30 7.7 .77 10 400 400 1 275 275 1 275 275 1 Total: 1024.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410890 Min 01410890 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 23-FEB-19 CREATININE /CRT 3 23-FEB-19 URIC ACID (UA /URATES /UR) 4 23-FEB-19 UREA (BUN /UR) 5 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 23-FEB-19
Page 1760 of 6486
Name
KAMRUNNISHA BEGUM Rate Amount Qty 860 860 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3385
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410900 Min 01410900 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 1761 of 6486
Name
S K TIWARI Rate Amount Qty 16.2 .36 45 27.9 .93 30 15.96 2.66 6 17.4 .58 30 1.48 .37 4 60.9 2.03 30 400 400 1 9 .3 30 10.8 .36 30 27.9 .93 30 60.9 2.03 30 400 400 1 Total: 1048.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410901 Min 01410901 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 1762 of 6486
Name
SAROJ TIWARI Rate Amount Qty 21.3 .71 30 8.1 .27 30 334.8 5.58 60 117 1.3 90 72 .6 120 21.6 .36 60 33 1.1 30 400 400 1 Total: 1007.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410913 Min 01410913 Appmt Dt Slno Description 15-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 15-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1763 of 6486
Name
PREM LAL Qty Rate Amount 15 .79 11.85 30 .89 26.7 30 .25 7.5 1 400 400 Total: 446.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410914 Min 01410914 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1764 of 6486
Name
PRABHA Rate Amount Qty 7.5 .25 30 13.8 .23 60 33 1.1 30 1.11 .37 3 400 400 1 Total: 455.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410923 Min 01410923 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 1765 of 6486
Name
N P MISHRA Rate Amount Qty 66 1.1 60 16.2 .27 60 34.8 1.16 30 26.7 .89 30 12 .4 30 55.8 .93 60 400 400 1 Total: 611.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410924 Min 01410924 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1766 of 6486
Name
SUSHILA MISHRA Rate Amount Qty 21.3 .71 30 121.8 2.03 60 29.7 .99 30 7.5 .25 30 36 .6 60 66 1.1 60 27.6 .92 30 400 400 1 Total: 709.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410932 Min 01410932 Appmt Dt Slno Description 13-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 13-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 13-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1767 of 6486
Name
MAYA DEVI TIWARI Qty Rate Amount 60 .6 36 30 .79 23.7 30 1.08 32.4 1 400 400 Total: 492.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410933 Min 01410933 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 1768 of 6486
Name
MAYA SARKAR Rate Amount Qty 4.1 .41 10 26.7 .89 30 21.3 .71 30 78 1.3 60 167.4 5.58 30 400 400 1 Total: 697.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410934 Min 01410934 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1769 of 6486
Name
DIPAK KUMAR SARKAR Rate Amount Qty 36 .6 60 34.8 1.16 30 26 2.6 10 39 1.3 30 26.7 .89 30 27.9 .93 30 12 .4 30 23.7 .79 30 400 400 1 Total: 626.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410949 Min 01410949 Appmt Dt Slno Description 11-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 11-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 11-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1770 of 6486
Name
R K CHOUBEY Qty Rate Amount 60 1.1 66 8 1.16 9.28 30 .4 12 1 400 400 Total: 487.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410950 Min 01410950 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 1771 of 6486
Name
MEENA CHOUBEY Rate Amount Qty 13.95 .93 15 9.28 1.16 8 400 400 1 Total: 423.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410959 Min 01410959 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 METOPROLOL TARTRATE,50MG,,TABLET 15-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1772 of 6486
Name
ARUN KUMA SURI Qty Rate Amount 30 .93 27.9 60 1.21 72.6 30 1.16 34.8 1 400 400 Total: 535.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410970 Min 01410970 Appmt Dt Slno Description 11-FEB-19 1 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11-FEB-19 2 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 11-FEB-19 4 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G
Page 1773 of 6486
Name
SHASHI PRABHA JAIN Qty Rate Amount 1 275 275 1 1300 1300 1 400 400 1 275 275 Total: 2250
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410971 Min 01410971 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 11 17-FEB-19 OBSERVATION IN CASUALTY 12 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 13 17-FEB-19 ECG 14 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 17-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 27-FEB-19 CREATININE /CRT 19 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 27-FEB-19
Page 1774 of 6486
Name
DASHRATH LAL VERMA Rate Amount Qty 43.2 .36 120 167.4 5.58 30 55.8 .93 60 118.5 3.95 30 32.4 1.08 30 60.9 2.03 30 4.8 .16 30 34.8 1.16 30 29.7 .99 30 400 400 1 600 600 1 420 420 1 9.62 9.62 1 450 450 1 24.52 24.52 1 550 550 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 6826.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410972 Min 01410972 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1775 of 6486
Name
SUMITRA VERMA Rate Amount Qty 34.8 1.16 30 12 .4 30 26.7 .89 30 400 400 1 26 2.6 10 2.5 .25 10 400 400 1 Total: 902
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410973 Min 01410973 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 14-FEB-19 X - RAY - TWO VIEWS 5 14-FEB-19 X - RAY - TWO VIEWS 6 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 28-FEB-19
Page 1776 of 6486
Name
J P KHARWAR Rate Amount Qty 8.9 .89 10 247.6 6.19 40 13.7 1.37 10 400 400 1 860 860 1 860 860 1 400 400 1 11.4 .38 30 20.84 5.21 4 21.9 .73 30 Total: 2844.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01410974 Min 01410974 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 22-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 22-FEB-19
Page 1777 of 6486
BINDA DEVI Rate Amount Qty 2.28 .38 6 1.85 .37 5 8.1 .27 30 400 400 1 3.7 .37 10 48.22 48.22 1 Total: 464.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410979 Min 01410979 Appmt Dt Slno Description 16-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 2 DEXKETOPROFEN,25MG,TAB STRIP PACK 16-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1778 of 6486
Name
P K BHATTACHARJEE Qty Rate Amount 15 .89 13.35 15 3.14 47.1 30 .63 18.9 1 400 400 Total: 479.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410980 Min 01410980 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 21-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 1779 of 6486
Name
PURNIMA BHATTACHARJEE Rate Amount Qty 3.8 .38 10 1.85 .37 5 3.84 .64 6 15.96 2.66 6 400 400 1 Total: 425.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410986 Min 01410986 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1780 of 6486
Name
K SADHANA Rate Amount Qty 12 .4 30 55.8 .93 60 167.4 5.58 30 36 .6 60 211.8 3.53 60 2.4 .16 15 400 400 1 Total: 885.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410993 Min 01410993 Slno Description Appmt Dt DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 1781 of 6486
Name
A K JAMES Rate Amount Qty 280 280 1 400 400 1 26.7 .89 30 3.7 .37 10 40.12 20.06 2 400 400 1 Total: 1150.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410994 Min 01410994 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 05-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 2 05-FEB-19 CALCIUM (CA) 3 05-FEB-19 X - RAY - TWO VIEWS 4 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 6 05-FEB-19 URIC ACID (UA /URATES /UR) 7 05-FEB-19 CREATININE /CRT 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 05-FEB-19 UREA (BUN /UR) 11 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 05-FEB-19 ANA SCREENING 18 05-FEB-19 RA FACTOR /RH FACTOR 19 05-FEB-19 PLATELET COUNT 20 05-FEB-19 ESR 21 05-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 22 05-FEB-19 HB,TLC,DLC 23 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 05-FEB-19
Page 1782 of 6486
Name
N D JAMES Rate Amount Qty 550 550 1 275 275 1 275 275 1 860 860 1 1300 1300 1 1500 1500 1 275 275 1 275 275 1 17.8 .89 20 275 275 1 275 275 1 26 2.6 10 7.5 .25 30 78 1.3 60 21.3 .71 30 36 .6 60 275 275 1 2430 2430 1 600 600 1 330 330 1 165 165 1 330 330 1 300 300 1 400 400 1 Total: 10876.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410995 Min 01410995 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 14-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19
Page 1783 of 6486
Name
BHUPENDRA SINGH BHATIA Rate Amount Qty 26.7 .89 30 7.5 .25 30 26.6 2.66 10 70.2 .78 90 7.2 .16 45 17.4 1.16 15 54 .9 60 27.9 .93 30 32.4 1.08 30 400 400 1 10.8 .18 60 123.53 370.59 3 4.8 .16 30 400 400 1 Total: 1456.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01410996 Min 01410996 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1784 of 6486
Name
SURANDER KAUR BHATIA Rate Amount Qty 15.3 .51 30 26.7 .89 30 32.4 1.08 30 34.8 1.16 30 66 1.1 60 4.8 .16 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 652
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411000 Min 01411000 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1785 of 6486
Name
H C JOHN Rate Amount Qty 118.5 3.95 30 21.3 .71 30 26.7 .89 30 23.7 .79 30 32.4 1.08 30 30.6 .34 90 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411005 Min 01411005 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 1786 of 6486
Name
CHANDRA KUMARI CHANDRAKER Rate Amount Qty 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 422.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411012 Min 01411012 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 1787 of 6486
Name
SHOBHA MISHRA Rate Amount Qty 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 453.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411013 Min 01411013 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1788 of 6486
Name
S K MISHRA Rate Amount Qty 9.3 .62 15 32.4 1.08 30 14.85 .99 15 118.5 3.95 30 21.3 .71 30 400 400 1 Total: 596.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411016 Min 01411016 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1789 of 6486
Name
H K SARAN Rate Amount Qty 21.3 .71 30 27.9 .93 30 78 1.3 60 7.5 .25 30 36 .6 60 21.6 .36 60 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411017 Min 01411017 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 25-FEB-19 CREATININE /CRT 13 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 25-FEB-19
Page 1790 of 6486
Name
RITA SARAN Rate Amount Qty 8.1 .27 30 1.85 .37 5 3.84 .64 6 27.9 .93 30 3.75 .25 15 400 400 1 21.3 .71 30 72.6 1.21 60 8.1 .27 30 55.8 .93 60 9 .6 15 1300 1300 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 3137.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411018 Min 01411018 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 1791 of 6486
Name
A K GANGULY Rate Amount Qty 66 1.1 60 8.1 .27 30 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411028 Min 01411028 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 13-FEB-19 UREA (BUN /UR) 3 13-FEB-19 CREATININE /CRT 4 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 13-FEB-19 COMPLETE HAEMOGRAM 6 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 13-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 9 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 14-FEB-19
Page 1792 of 6486
Name
ASHOK KUMAR SHUKLA Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 275 275 1 550 550 1 750 750 1 275 275 1 275 275 1 1750 1750 1 400 400 1 Total: 6250
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411035 Min 01411035 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 1793 of 6486
Name
TREESA MATHEW Rate Amount Qty 55.8 .93 60 53.25 .71 75 21.3 .71 30 12 .4 30 400 400 1 Total: 542.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411045 Min 01411045 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 1794 of 6486
Name
NARBADIYA BAI Rate Amount Qty 275 275 1 275 275 1 36 .6 60 21.6 .36 60 13.35 .89 15 78 1.3 60 55.8 .93 60 17.4 1.16 15 400 400 1 Total: 1172.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411050 Min 01411050 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 11-FEB-19 SYRINGE,DISPOSABLE,2ML 10 11-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 11 11-FEB-19 OBSERVATION IN CASUALTY 12 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 16 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 11-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 18 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 15-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 20 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 27 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 28 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 29 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 31 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 32 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 33 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 34 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 35 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 36 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 37 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 38 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 39 23-FEB-19 URIC ACID (UA /URATES /UR) 40 23-FEB-19 UREA (BUN /UR) 41 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 42 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 43 23-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 44 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 45 27-FEB-19
Page 1795 of 6486
Name
RAMADHAR SAHU Rate Amount Qty 69.6 1.16 60 9 .3 30 36 .6 60 117 1.3 90 60.9 2.03 30 12 .4 30 32.4 1.08 30 400 400 1 600 600 1 1.84 1.84 1 5.77 5.77 1 420 420 1 9 .9 10 6.4 .64 10 1.85 .37 5 42.12 2.34 18 400 400 1 12.15 12.15 1 6.4 .64 10 13.2 4.4 3 54 .9 60 26.7 .89 30 400 400 1 20.06 20.06 1 8.9 .89 10 400 400 1 32.4 1.08 30 12 .4 30 34.8 1.16 30 26.7 .89 30 36 .6 60 66.2 6.62 10 1.85 .37 5 9 .3 30 117 1.3 90 60.9 2.03 30 400 400 1 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 78.9 2.63 30 400 400 1 Total: 7241.04
OPD Mediclaim Bill for the month of February-2019
Page 1796 of 6486
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411057 Min 01411057 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1797 of 6486
Name
NIBARAN CHANDRA HALDAR Rate Amount Qty 27.9 .93 30 17.8 .89 20 17.4 1.16 15 167.4 5.58 30 6.9 .23 30 400 400 1 Total: 637.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411064 Min 01411064 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 1798 of 6486
Name
FATTE SINGH Rate Amount Qty 14.08 3.52 4 400 400 1 275 275 1 1300 1300 1 400 400 1 275 275 1 7.8 .26 30 14.85 .99 15 66 1.1 60 8.9 .89 10 32.4 1.08 30 21.3 .71 30 23.7 .79 30 400 400 1 126 2.1 60 400 400 1 Total: 3765.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411065 Min 01411065 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 6 17-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 17-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 8 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 17-FEB-19
Page 1799 of 6486
Name
SAROJ THAKUR Rate Amount Qty 9 .3 30 16.2 .27 60 27.9 .62 45 18 .6 30 400 400 1 82.76 165.52 2 43.96 43.96 1 19.59 19.59 1 400 400 1 Total: 1100.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411066 Min 01411066 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 1800 of 6486
Name
D B DEY Rate Amount Qty 72.6 1.21 60 55.8 .93 60 16.2 .27 60 29.7 .99 30 36 .6 60 60.9 2.03 30 167.4 5.58 30 18.9 .63 30 26.7 .89 30 12 .4 30 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 963.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411069 Min 01411069 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 02-FEB-19 SOLIFENACIN,5MG,,TABLET 4 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 02-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 14-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 14-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 15 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 14-FEB-19 SOLIFENACIN,5MG,,TABLET 17 14-FEB-19
Page 1801 of 6486
MOHAN DAS AGRAWAL Rate Amount Qty 1.85 .37 5 6.4 .64 10 66.2 6.62 10 403.2 13.44 30 60.9 2.03 30 185.7 6.19 30 14.85 .99 15 27.9 .93 30 48.22 48.22 1 400 400 1 20.84 5.21 4 400 400 1 60.9 2.03 30 1750 1750 1 1610 1610 1 400 400 1 403.2 13.44 30 Total: 5860.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411070 Min 01411070 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 1802 of 6486
Name
SHASHI AGRAWAL Rate Amount Qty 185.7 6.19 30 4.8 .16 30 26.7 .89 30 76.5 2.55 30 14.85 .99 15 400 400 1 20.84 5.21 4 400 400 1 Total: 1129.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411073 Min 01411073 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 05-FEB-19 CREATININE /CRT 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 05-FEB-19
Page 1803 of 6486
Name
RAMESHWAR PRASAD PYASI Rate Amount Qty 167.4 5.58 30 400 400 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 12 .4 30 10.8 .36 30 36 .6 60 1300 1300 1 39 1.3 30 27.9 .93 30 Total: 2839.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411074 Min 01411074 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 CREATININE /CRT 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19
Page 1804 of 6486
Name
KAMLA PYASI Rate Amount Qty 76.5 2.55 30 6.9 .23 30 55.8 .93 60 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 2389.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411083 Min 01411083 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 PRAZOSIN,2.5MG,TABLET 10 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 1805 of 6486
Name
NARENDRA SINGH Rate Amount Qty 1.15 .23 5 400 400 1 11.1 .37 30 25.62 12.81 2 400 400 1 7.5 .25 30 32.4 1.08 30 21.3 .71 30 55.8 .93 60 78 1.3 60 36 .6 60 400 400 1 Total: 1468.87
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411084 Min 01411084 Slno Description Appmt Dt SERUM LACTATE DEHYDROGENASE (LDH /LD) 1 01-FEB-19 TRIGLYCERIDES (TGL) 2 01-FEB-19 CHOLESTEROL (CHOL) 3 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 UREA (BUN /UR) 6 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 02-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 16 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 06-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 18 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 06-FEB-19 INHALANT,STRIP PACK,CAPSULE 20 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 22 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 24 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 26 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 28 25-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 29 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 25-FEB-19
Page 1806 of 6486
PRAMILA SINGH Rate Amount Qty 550 550 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 3.7 .37 10 12.6 .9 14 10.78 .77 14 6.4 .64 10 26.6 2.66 10 400 400 1 22.5 .75 30 7.5 .25 30 11.4 .38 30 2.59 .37 7 23.8 1.7 14 400 400 1 46.2 .77 60 6.4 .64 10 54 .9 60 5.55 .37 15 12.8 .64 20 400 400 1 25.07 25.07 1 18.21 18.21 1 400 400 1 Total: 5046.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411090 Min 01411090 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 1807 of 6486
BALDAU LAL SAHU Rate Amount Qty 400 400 1 275 275 1 275 275 1 51.38 25.69 2 21.3 .71 30 27.9 .93 30 6.9 .23 30 400 400 1 7.98 .38 21 25.07 25.07 1 .82 .41 2 3.56 .89 4 14.08 3.52 4 400 400 1 Total: 1908.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411091 Min 01411091 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 06-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 1808 of 6486
Name
KUNJ BAI SAHU Rate Amount Qty 27.9 .93 30 33 1.1 30 17.4 1.16 15 66.2 6.62 10 6.4 .64 10 3.7 .37 10 18 .9 20 400 400 1 Total: 572.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411106 Min 01411106 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 15-FEB-19 CREATININE /CRT 4 15-FEB-19 URIC ACID (UA /URATES /UR) 5 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 15-FEB-19
Page 1809 of 6486
Name
ARUNA SHARMA Qty 1 1 1 1 1 1
Rate Amount 400 400 275 275 1300 1300 275 275 275 275 275 275 Total: 2800
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411114 Min 01411114 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 26-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1810 of 6486
Name
LEELA K NAIR Rate Amount Qty 6 .6 10 55.2 1.84 30 7.3 .73 10 9.6 .64 15 400 400 1 Total: 478.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411124 Min 01411124 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 4 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19
Page 1811 of 6486
Name
JEET RAM SAHU Rate Amount Qty 6.6 .66 10 17.8 .89 20 400 400 1 9000 9000 1 400 400 1 Total: 9824.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411125 Min 01411125 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 09-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 1812 of 6486
Name
PHOOL BAI SAHU Rate Amount Qty 7.5 .25 30 72 .6 120 38.25 2.55 15 167.4 5.58 30 21.3 .71 30 34.8 1.16 30 12 .4 30 10.42 5.21 2 400 400 1 Total: 763.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411126 Min 01411126 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 1813 of 6486
Name
C P THANGA Rate Amount Qty 36 .6 60 15.6 .26 60 21.3 .71 30 7.5 .25 30 12 .4 30 21.3 .71 30 55.8 .93 60 .64 .16 4 400 400 1 Total: 570.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411131 Min 01411131 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 13 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19
Page 1814 of 6486
Name
P K D CHOUDHARY Rate Amount Qty 7.8 .26 30 12 .4 30 21.3 .71 30 36 .6 60 14.85 .99 15 21.3 .71 30 27.9 .93 30 12 .4 30 21.3 .71 30 7.8 .26 30 36 .6 60 14.85 .99 15 21.3 .71 30 27.9 .93 30 400 400 1 Total: 682.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411132 Min 01411132 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 26-FEB-19 PRAZOSIN,2.5MG,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 1815 of 6486
Name
NEMLAL SINHA Rate Amount Qty 60.9 2.03 30 39 1.3 30 27.9 .93 30 36 .6 60 400 400 1 Total: 563.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411133 Min 01411133 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 1816 of 6486
Name
DURGA SINHA Rate Amount Qty 2.22 .37 6 21.12 3.52 6 3.84 .64 6 400 400 1 7.5 .25 30 13.95 .93 15 400 400 1 Total: 848.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411134 Min 01411134 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 1817 of 6486
Name
RAVI ARYA Rate Amount Qty 55.8 .93 60 72.6 1.21 60 21.3 .71 30 9.3 .62 15 6.9 .23 30 400 400 1 Total: 565.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411135 Min 01411135 Appmt Dt Slno Description 19-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1818 of 6486
Name
KAMLESH ARYA Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411136 Min 01411136 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 1819 of 6486
Name
ARCHANA JAIN Rate Amount Qty 7.5 .25 30 8.1 .27 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 469.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411139 Min 01411139 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 3 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 01-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 08-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 10 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 18 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 19 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19
Page 1820 of 6486
Name
ASMITA GANWIR Rate Amount Qty 12.8 .64 20 13.35 .89 15 69.05 69.05 1 52.2 1.74 30 27 .9 30 137.3 13.73 10 400 400 1 12.15 12.15 1 156.6 1.74 90 39.6 .66 60 54 .9 60 6.4 .64 10 26.7 .89 30 400 400 1 11.4 .38 30 7.5 .25 30 21.3 .71 30 185.7 6.19 30 17.4 .58 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 2086.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411140 Min 01411140 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 1821 of 6486
Name
A J GANWIR Rate Amount Qty 8.1 .27 30 17.4 .58 30 60.9 2.03 30 11.4 .38 30 7.5 .25 30 400 400 1 Total: 505.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411143 Min 01411143 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 1822 of 6486
Name
JAYALAKSHMI RAJENDRAN Rate Amount Qty 21.6 .36 60 36 .6 60 26.7 .89 30 19.72 9.86 2 7.5 .25 30 167.4 5.58 30 400 400 1 Total: 678.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411144 Min 01411144 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1823 of 6486
Name
PUSAU RAM Rate Amount Qty 32.4 1.08 30 13.95 .93 15 72.6 1.21 60 16.2 .27 60 15.6 .26 60 14.85 .99 15 400 400 1 Total: 565.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411145 Min 01411145 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 1824 of 6486
Name
KUNTI BAI Rate Amount Qty 11.85 .79 15 22.2 .37 60 7.65 .51 15 33 1.1 30 400 400 1 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411147 Min 01411147 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 18-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 1825 of 6486
Name
SWARN SINGH Rate Amount Qty 27 .9 30 13.95 .93 15 400 400 1 21.12 3.52 6 8.71 8.71 1 4.62 .77 6 10.08 1.12 9 400 400 1 Total: 885.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411148 Min 01411148 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 URINE ROUTINE AND MICROSCOPIC 14 11-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 15 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 19 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 22 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 23 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 24 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 25 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 21-FEB-19
Page 1826 of 6486
Name
NARINDER KAUR Rate Amount Qty 55.8 .93 60 22.2 .37 60 9.3 .62 15 36 .6 60 21.3 .71 30 7.5 .25 30 167.4 5.58 30 10.8 .36 30 117 1.3 90 41.06 41.06 1 26.7 .89 30 400 400 1 400 400 1 380 380 1 165 165 1 275 275 1 275 275 1 400 400 1 117 1.3 90 10.8 .36 30 167.4 5.58 30 9.3 .62 15 22.2 .37 60 21.3 .71 30 36 .6 60 55.8 .93 60 400 400 1 Total: 3649.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411152 Min 01411152 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 21-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1827 of 6486
Name
NARENDRA KUMAR JAIN Rate Amount Qty 104.4 1.74 60 69.05 69.05 1 400 400 1 7.5 .25 30 9 .3 30 13.95 .93 15 36 .6 60 400 400 1 Total: 1039.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411153 Min 01411153 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 01-FEB-19 UREA (BUN /UR) 10 01-FEB-19 CREATININE /CRT 11 01-FEB-19 URIC ACID (UA /URATES /UR) 12 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 1828 of 6486
Name
MANORAMA JAIN Rate Amount Qty 7.5 .25 30 36 .6 60 167.4 5.58 30 39 1.3 30 13.95 .93 15 21.3 .71 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 7.5 .25 30 10.65 .71 15 13.95 .93 15 39 1.3 30 167.4 5.58 30 36 .6 60 400 400 1 Total: 4584.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411154 Min 01411154 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 PRAZOSIN,2.5MG,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1829 of 6486
Name
MAHENDRA KUMAR SHRIVASTAVA Rate Amount Qty 22.2 .37 60 33 1.1 30 117 1.3 90 78 1.3 60 32.4 1.08 30 8.9 .89 10 400 400 1 Total: 691.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411155 Min 01411155 Appmt Dt Slno Description 16-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 16-FEB-19 2 X - RAY - TWO VIEWS
Page 1830 of 6486
Name
PUSHPA SHRIVASTAVA Qty Rate Amount 1 400 400 1 860 860 1260 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411156 Min 01411156 Appmt Dt Slno Description 06-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1831 of 6486
Name
RAJIV RATAN GARGA Qty Rate Amount 10 .64 6.4 1 400 400 406.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411157 Min 01411157 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 1832 of 6486
Name
NEERJA GARGA Rate Amount Qty 18.2 2.6 7 6.23 .89 7 55.23 18.41 3 400 400 1 167.4 5.58 30 27.9 .93 30 12 .4 30 21.3 .71 30 9 .3 30 54 .6 90 400 400 1 13 2.6 5 4.45 .89 5 400 400 1 Total: 1588.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411161 Min 01411161 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 1833 of 6486
Name
RAM BABOO GUPTA Rate Amount Qty 72.6 1.21 60 .8 .16 5 4.1 .41 10 26 2.6 10 37.8 .63 60 3.7 .37 10 60.9 2.03 30 400 400 1 Total: 605.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411163 Min 01411163 Appmt Dt Slno Description 05-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1834 of 6486
Name
GVR MURTY Qty Rate Amount 6 .64 3.84 60 .93 55.8 15 .71 10.65 1 400 400 Total: 470.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411168 Min 01411168 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 05-FEB-19 RACECADOTRIL,100MG,CAPSULE 5 05-FEB-19 RIFAXIMIN 200 MG,,TABLET 6 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 11 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 13 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 14 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 17 19-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 18 19-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 19 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 19-FEB-19 ECG 21 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 22 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 24 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 25 23-FEB-19 RIFAXIMIN 200 MG,,TABLET 26 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 28 23-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 29 23-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 30 23-FEB-19 RACECADOTRIL,100MG,CAPSULE 31 23-FEB-19 OBSERVATION IN CASUALTY 32 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 23-FEB-19
Page 1835 of 6486
Name
BABY TAI BARGAT Rate Amount Qty 39 1.3 30 66 1.1 60 36 .6 60 82.76 165.52 2 35.82 5.97 6 83.97 9.33 9 10.08 1.12 9 7.5 .25 30 23.1 .77 30 32.4 1.08 30 95.7 3.19 30 21.3 .71 30 30.6 .34 90 7.65 .51 15 55.8 .93 60 400 400 1 39.6 2.64 15 73.5 2.45 30 106.8 3.56 30 400 400 1 450 450 1 9.62 9.62 1 5.34 .89 6 6.72 1.12 6 21.12 3.52 6 55.98 9.33 6 .89 .89 1 3.52 3.52 1 11.89 11.89 1 22.71 22.71 1 35.82 5.97 6 420 420 1 400 400 1 Total: 3173.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411169 Min 01411169 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 1836 of 6486
Name
ASHOK KUMAR KHARE Rate Amount Qty 18 .6 30 4.5 .3 15 12 .4 30 13.95 .93 15 34.8 1.16 30 400 400 1 Total: 483.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411176 Min 01411176 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 1837 of 6486
Name
MITHILA MANDAVI Rate Amount Qty 66 1.1 60 8.1 .27 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 523.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411177 Min 01411177 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 19-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 3 19-FEB-19 HB,TLC,DLC 4 19-FEB-19 PLATELET COUNT 5 19-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 6 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 X - RAY - SINGLE VIEW 8 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 19-FEB-19 CREATININE /CRT 10 19-FEB-19 UREA (BUN /UR) 11 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 19-FEB-19
Page 1838 of 6486
Name
E K S PILLAI Rate Amount Qty 1300 1300 1 1300 1300 1 1610 1610 1 300 300 1 330 330 1 330 330 1 400 400 1 550 550 1 550 550 1 275 275 1 275 275 1 275 275 1 30.45 2.03 15 275 275 1 Total: 7800.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411188 Min 01411188 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 1839 of 6486
Name
RAMNATH FATE Rate Amount Qty 117 1.3 90 55.8 .93 60 36 .6 60 167.4 5.58 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1429.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411205 Min 01411205 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 19-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 11 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 19-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 19-FEB-19
Page 1840 of 6486
Name
ASHOK KUMAR TRIVEDI Rate Amount Qty 43.96 43.96 1 9.33 195.93 21 11.2 1.12 10 1.85 .37 5 122.8 6.14 20 17.8 .89 20 400 400 1 368.4 6.14 60 53.4 .89 60 167.4 5.58 30 2.34 196.56 84 31.36 1.12 28 2110 2110 1 400 400 1 16.2 .27 60 117 1.3 90 7.5 .25 30 43.2 .36 120 Total: 4304.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411206 Min 01411206 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1841 of 6486
Name
MADHU TRIVEDI Rate Amount Qty 117 1.3 90 29.7 .99 30 33 1.1 30 55.8 .93 60 400 400 1 Total: 635.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411207 Min 01411207 Appmt Dt Slno Description 18-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 18-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18-FEB-19 3 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1842 of 6486
Name
T S DESHMUKH Qty Rate Amount 30 .6 18 30 .25 7.5 30 .3 9 1 400 400 Total: 434.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411208 Min 01411208 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1843 of 6486
Name
SARLA DESHMUKH Rate Amount Qty 46.2 .77 60 27.9 .93 30 15.6 1.04 15 66 1.1 60 21.6 .36 60 36 .6 60 12 .4 30 2.4 .16 15 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411219 Min 01411219 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 1844 of 6486
Name
PARSHU RAM SINGH Rate Amount Qty 167.4 5.58 30 34.8 1.16 30 17.8 .89 20 6.3 .42 15 24 .6 40 87.92 43.96 2 1.6 .16 10 40.6 2.03 20 400 400 1 Total: 780.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411221 Min 01411221 Name Appmt Dt Slno Description 12-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1845 of 6486
GANGA PRASAD Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411225 Min 01411225 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 1846 of 6486
Name
KANHAIYALAL DESHMUKH Rate Amount Qty 1.48 .37 4 3.84 .64 6 39.72 6.62 6 400 400 1 34.8 1.16 30 29.7 .99 30 55.8 .93 60 3.75 .25 15 72 .6 120 32.4 1.08 30 400 400 1 Total: 1073.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411226 Min 01411226 Slno Description Appmt Dt SUTURE REMOVAL 1 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 13 27-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 14 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19 DRESSING SIMPLE 17 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 28-FEB-19
Page 1847 of 6486
Name
MANORAMA DESHMUKH Rate Amount Qty 490 490 1 400 400 1 9.6 .64 15 20.84 5.21 4 7.5 .25 30 400 400 1 1.64 .41 4 3.84 .64 6 400 400 1 105.9 3.53 30 27.9 .93 30 400 400 1 25.62 12.81 2 13.43 13.43 1 7.4 .37 20 400 400 1 1800 300 6 400 400 1 Total: 4913.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411228 Min 01411228 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 24-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 24-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 24-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 24-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1848 of 6486
Name
RAM KUMARI PATEL Rate Amount Qty 32.4 1.08 30 21.3 .71 30 3.7 .37 10 66.2 6.62 10 26.7 .89 30 400 400 1 2.6 .26 10 400 400 1 Total: 952.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411230 Min 01411230 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 X - RAY - TWO VIEWS 2 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1849 of 6486
Name
BHUMIKA DEWANGAN Rate Amount Qty 400 400 1 860 860 1 21.3 .71 30 400 400 1 8.2 .41 20 17.8 .89 20 400 400 1 Total: 2107.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411235 Min 01411235 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 20-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 20-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 27-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 1850 of 6486
Name
TRILOKI NATH SHARMA Rate Amount Qty 18.2 2.6 7 10.22 .73 14 44.66 3.19 14 400 400 1 8.9 .89 10 6.4 .64 10 31.9 3.19 10 400 400 1 Total: 920.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411241 Min 01411241 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1851 of 6486
Name
SWAYAM PRAKASH Rate Amount Qty 23.7 .79 30 21.3 .71 30 400 400 1 Total: 445
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411242 Min 01411242 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 26-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 1852 of 6486
Name
NEELIMA PRAKASH Rate Amount Qty 34.8 1.16 30 9 .3 30 54 .6 90 23.7 .79 30 73.8 .82 90 400 400 1 Total: 595.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411243 Min 01411243 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 26-FEB-19 CREATININE /CRT 9 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 26-FEB-19
Page 1853 of 6486
Name
LAL CHAND Rate Amount Qty 403.2 13.44 30 60.9 2.03 30 15 .25 60 21.3 .71 30 26.7 .89 30 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 Total: 3452.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411244 Min 01411244 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 26-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 1854 of 6486
Name
BHAGWATI Rate Amount Qty 15.3 .51 30 41.1 1.37 30 400 400 1 Total: 456.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411247 Min 01411247 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 1855 of 6486
Name
RADHESHYAM Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 7.65 .51 15 33 1.1 30 22.2 .37 60 400 400 1 Total: 1116.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411248 Min 01411248 Appmt Dt Slno Description 20-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1856 of 6486
Name
KAUSHILYA DEVI Qty Rate Amount 60 .93 55.8 15 .99 14.85 4 .37 1.48 1 400 400 Total: 472.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411251 Min 01411251 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 1857 of 6486
Name
KUNTALA GUHA ROY Rate Amount Qty 368.4 6.14 60 185.7 6.19 30 55.8 .93 60 39 1.3 30 53.4 .89 60 104.4 1.74 60 18.6 .62 30 7.5 .25 30 2.4 .16 15 100.71 100.71 1 400 400 1 Total: 1335.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411252 Min 01411252 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 14-FEB-19 CREATININE /CRT 4 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 14-FEB-19 URIC ACID (UA /URATES /UR) 6 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 15-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 15-FEB-19 PRAZOSIN,2.5MG,TABLET 14 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 15 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 1858 of 6486
Name
BALESHWAR SINGH VERMA Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 43.96 43.96 1 12 .4 30 15.6 .26 60 7.5 .25 30 16.2 .27 60 18.9 .63 30 7.65 .51 15 78 1.3 60 72.6 1.21 60 17.4 1.16 15 400 400 1 Total: 3489.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411253 Min 01411253 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 03-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 03-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 5 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 1859 of 6486
Name
CHAND BAI Rate Amount Qty 55.2 1.84 30 3.84 .64 6 400 400 1 21.3 .71 30 63.9 .71 90 76.5 2.55 30 13.95 .93 15 7.5 .25 30 400 400 1 Total: 1042.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411259 Min 01411259 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 23-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 23-FEB-19 PRAZOSIN,2.5MG,TABLET 4 23-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 10 28-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 11 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 1860 of 6486
Name
SATYANARAYAN RAO Rate Amount Qty 21.3 .71 30 46.8 .78 60 32.4 1.08 30 39 1.3 30 31.2 1.04 30 66 1.1 60 36 .6 60 55.8 .93 60 400 400 1 322.2 5.37 60 79.2 2.64 30 9.6 .16 60 7.5 .25 30 400 400 1 Total: 1547
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411260 Min 01411260 Slno Description Appmt Dt AMIODARONE HCL,STRIP PKT,200MG,TABLET 1 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1861 of 6486
Name
SANT RAM SHRIVAS Rate Amount Qty 61.8 4.12 15 72.6 1.21 60 23.7 .79 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 30.6 .34 90 400 400 1 Total: 667.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411263 Min 01411263 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 1862 of 6486
Name
PAPIYA CHATTERJEE Rate Amount Qty 8.9 .89 10 34.8 1.16 30 12 .4 30 29.7 .99 30 8.1 .27 30 55.8 .93 60 167.4 5.58 30 36 .6 60 21.6 .36 60 400 400 1 Total: 774.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411278 Min 01411278 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 05-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1863 of 6486
Name
MOHD. SAFI QURESHI Rate Amount Qty 34.8 1.16 30 10.2 .34 30 12 .4 30 32.4 1.08 30 21.3 .71 30 11.85 .79 15 15.3 .51 30 43.2 1.44 30 400 400 1 Total: 581.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411280 Min 01411280 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 23-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 2 23-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 28-FEB-19
Page 1864 of 6486
J C JOSHI Rate Amount Qty 25.07 25.07 1 32.61 32.61 1 46.8 .78 60 13.95 .93 15 36 .6 60 21.3 .71 30 12 .4 30 7.5 .25 30 2.05 .41 5 400 400 1 275 275 1 275 275 1 1300 1300 1 400 400 1 Total: 2847.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411281 Min 01411281 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 1865 of 6486
Name
MAMTA JOSHI Rate Amount Qty 27.9 .93 30 18.9 .63 30 400 400 1 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411283 Min 01411283 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 19-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1866 of 6486
Name
SASHI PARKHE Rate Amount Qty 79.2 2.64 30 111 1.85 60 400 400 1 Total: 590.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411287 Min 01411287 Slno Description Appmt Dt UREA (BUN /UR) 1 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 22-FEB-19 CREATININE /CRT 3 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 23-FEB-19
Page 1867 of 6486
Name
RAMDIN Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 15.6 .26 60 32.4 1.08 30 27.9 .93 30 8.1 .27 30 9 .3 30 156 1.3 120 167.4 5.58 30 72 .6 120 10.8 .36 30 21.3 .71 30 400 400 1 Total: 3720.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411288 Min 01411288 Slno Description Appmt Dt CREATININE /CRT 1 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 22-FEB-19 UREA (BUN /UR) 3 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 14 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 23-FEB-19 ECG 19 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 21 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 1868 of 6486
Name
LALITA BAI Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 167.4 5.58 30 117 1.3 90 90 .6 150 23.7 .79 30 8.9 .89 10 7.5 .25 30 34.8 1.16 30 15.6 .26 60 32.4 1.08 30 12 .4 30 32.4 .36 90 400 400 1 450 450 1 8.9 .89 10 66.2 6.62 10 10.08 1.12 9 400 400 1 Total: 4676.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411297 Min 01411297 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 1869 of 6486
Name
M S TAKLIKAR Rate Amount Qty 55.8 .93 60 10.8 .36 30 32.4 1.08 30 12 .4 30 15.6 .26 60 21.3 .71 30 8.1 .27 30 400 400 1 Total: 556
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411299 Min 01411299 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 1870 of 6486
Name
N K SINHA Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 17.4 1.16 15 32.4 1.08 30 41.85 .93 45 36 .6 60 256.2 4.27 60 26.7 .89 30 400 400 1 Total: 1063.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411300 Min 01411300 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 1871 of 6486
Name
UMA SINHA Rate Amount Qty 36 .6 60 167.4 5.58 30 64.8 1.08 60 24 .4 60 27.9 .62 45 69.6 1.16 60 23.7 .79 30 8.1 .27 30 400 400 1 Total: 821.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411311 Min 01411311 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 15 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 16 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 12-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 18 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 20 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 19-FEB-19
Page 1872 of 6486
Name
JYOTI PRAKASH LODH Rate Amount Qty 7.5 .25 30 55.8 .93 60 36 .6 60 18 .3 60 78 1.3 60 60.9 2.03 30 21.3 .71 30 192.3 6.41 30 400 400 1 6.4 .64 10 92.85 6.19 15 400 400 1 60.9 2.03 30 185.7 6.19 30 21.3 .71 30 192.3 6.41 30 400 400 1 62.8 3.14 20 17.8 .89 20 16.8 .42 40 123.8 6.19 20 5 .25 20 400 400 1 Total: 2855.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411312 Min 01411312 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 1873 of 6486
Name
PRONOTI LODH Rate Amount Qty 21.3 .71 30 14.85 .99 15 18.6 .93 20 37.2 .93 40 39 1.3 30 36 .6 60 9 .3 30 7.5 .25 30 400 400 1 Total: 583.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411318 Min 01411318 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 1874 of 6486
Name
MURARI RAM SAHU Rate Amount Qty 29.7 .99 30 21.3 .71 30 55.8 .93 60 156 1.3 120 211.8 3.53 60 18.9 .63 30 400 400 1 Total: 893.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411319 Min 01411319 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 OBSERVATION IN CASUALTY 3 28-FEB-19 TETANUS IMMUNOGLOBULIN 4 28-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 5 28-FEB-19 X - RAY - SINGLE VIEW 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1875 of 6486
Name
ANUSUIYA SAHU Rate Amount Qty 6.4 .64 10 2.67 .89 3 420 420 1 1.37 1.37 1 5.85 5.85 1 550 550 1 400 400 1 Total: 1386.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411320 Min 01411320 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 3 09-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 16-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 1876 of 6486
Name
LALITA SINGH Rate Amount Qty 82.12 41.06 2 6.4 .64 10 16.81 16.81 1 51.38 25.69 2 19.72 9.86 2 18.9 .63 30 34.8 1.16 30 400 400 1 1.85 .37 5 17 1.7 10 400 400 1 Total: 1048.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411322 Min 01411322 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 13-FEB-19 24 HR URINARY ALBUMIN (24 HR UR ALB) 2 13-FEB-19 CREATININE /CRT 3 13-FEB-19 UREA (BUN /UR) 4 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 13-FEB-19 PLATELET COUNT 7 13-FEB-19 HAEMOGLOBIN / (HB %) 8 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 19-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 11 19-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 12 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 13 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 16 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 19-FEB-19
Page 1877 of 6486
Name
S K DAS Rate Amount Qty 275 275 1 500 500 1 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 130 130 1 400 400 1 21.6 .36 60 21.3 .71 30 12.3 .41 30 10.42 5.21 2 34.8 1.16 30 55.8 .93 60 7.65 .51 15 72 .6 120 117 1.3 90 8.1 .27 30 400 400 1 Total: 3495.97
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411323 Min 01411323 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 19-FEB-19 PRAZOSIN,2.5MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 1878 of 6486
BASANA DAS Rate Amount Qty 55.8 .93 60 66 1.1 60 12 .4 30 25.07 25.07 1 21.3 .71 30 16.2 .27 60 78 1.3 60 400 400 1 Total: 674.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411325 Min 01411325 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19
Page 1879 of 6486
Name
KAUSHAL GUPTA Rate Amount Qty 21.3 .71 30 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 2671.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411326 Min 01411326 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 1880 of 6486
Name
KAVITA RAMWANI Rate Amount Qty 25.2 .42 60 55.8 .93 60 8.1 .27 30 400 400 1 25.2 .42 60 55.8 .93 60 8.1 .27 30 400 400 1 Total: 978.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411342 Min 01411342 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 1881 of 6486
Name
DEVKI VERMA Rate Amount Qty 15.3 .51 30 211.8 3.53 60 32.4 1.08 30 15.96 2.66 6 1.85 .37 5 26.7 .89 30 12 .4 30 34.8 1.16 30 18.6 .62 30 7.5 .25 30 400 400 1 Total: 776.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411344 Min 01411344 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 1882 of 6486
Name
ANITA THAKUR Rate Amount Qty 9.86 9.86 1 17.4 1.16 15 105.9 3.53 30 55.8 .93 60 10.8 .36 30 36 .6 60 400 400 1 Total: 635.76
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411345 Min 01411345 Appmt Dt Slno Description 25-FEB-19 1 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 25-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 3 CEFEXIME,STRIP PKT,200MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1883 of 6486
R S HENRY Qty Rate Amount 1 48.22 48.22 5 .37 1.85 10 6.62 66.2 1 400 400 Total: 516.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411351 Min 01411351 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 PRAZOSIN,2.5MG,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1884 of 6486
Name
K K PATHAK Rate Amount Qty 275 275 1 275 275 1 55.8 .93 60 36 .6 60 39 1.3 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 1134.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411361 Min 01411361 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 1885 of 6486
Name
CHANDRA LEKHA PRAKASH Rate Amount Qty 32.3 3.23 10 11.4 .38 30 72.6 1.21 60 55.8 .93 60 26 2.6 10 20.84 5.21 4 400 400 1 Total: 618.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411362 Min 01411362 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19
Page 1886 of 6486
Name
ALOK SIRIL PRAKASH Rate Amount Qty 6.4 .64 10 45.44 45.44 1 400 400 1 26.7 .89 30 4.1 .41 10 55.2 1.84 30 11.4 .38 30 60.9 2.03 30 7.5 .25 30 27.9 .93 30 6.4 .64 10 400 400 1 3.7 .37 10 400 400 1 4.45 .89 5 3.84 .64 6 1.85 .37 5 400 400 1 Total: 1865.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411363 Min 01411363 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1887 of 6486
Name
ANIL KUMAR SURI Rate Amount Qty 32.4 .36 90 26 2.6 10 7.5 .25 30 21.3 .71 30 54 .6 90 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 629.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411367 Min 01411367 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 INHALANT,STRIP PACK,CAPSULE 8 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 1888 of 6486
R RAMANUJAM Rate Amount Qty 18 .6 30 34.8 1.16 30 130.42 130.42 1 32.4 1.08 30 12 .4 30 3.7 .37 10 400 400 1 17 1.7 10 66.2 6.62 10 1.85 .37 5 4.45 .89 5 48.22 48.22 1 400 400 1 Total: 1169.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411368 Min 01411368 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 12-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 1889 of 6486
Name
R JAYALAKSHMI Rate Amount Qty 33 1.1 30 17 1.7 10 3.7 .37 10 7.5 .25 30 16.2 .27 60 55.8 .93 60 18 .6 30 400 400 1 6.4 .64 10 32.61 32.61 1 400 400 1 Total: 990.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411371 Min 01411371 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1890 of 6486
Name
GANGA RAM DESHMUKH Rate Amount Qty 27.9 .93 30 36 .6 60 31.2 1.04 30 33 1.1 30 69.6 1.16 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 642.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411372 Min 01411372 Appmt Dt Slno Description 15-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1891 of 6486
Name
BHANI BAI Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411373 Min 01411373 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 04-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 ASO 4 04-FEB-19 CRP 5 04-FEB-19 RA FACTOR /RH FACTOR 6 04-FEB-19 URIC ACID (UA /URATES /UR) 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 12 20-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 15 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 22-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 20 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 22 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 23 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 27-FEB-19
Page 1892 of 6486
Name
BALDAU RAM Rate Amount Qty 25.69 25.69 1 18.21 18.21 1 400 400 1 600 600 1 600 600 1 600 600 1 275 275 1 400 400 1 9.6 .64 15 3.75 .25 15 400 400 1 36.42 18.21 2 51.38 25.69 2 400 400 1 6.9 .23 30 34.8 1.16 30 43.96 43.96 1 12 .4 30 400 400 1 73.35 4.89 15 7.5 .25 30 185.7 6.19 30 26 2.6 10 400 400 1 Total: 5010.26
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411374 Min 01411374 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 04-FEB-19 CREATININE /CRT 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 14 12-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 15 12-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 16 12-FEB-19 HAEMOGLOBIN / (HB %) 17 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 25-FEB-19 X - RAY - TWO VIEWS 20 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 22 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 25 28-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 26 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 27 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 28 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 28-FEB-19
Page 1893 of 6486
USHA BAI Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 400 400 1 275 275 1 275 275 1 13.95 .93 15 9 .3 30 9.28 1.16 8 36 .6 60 39 1.3 30 18.9 .63 30 400 400 1 27.9 .93 30 550 550 1 165 165 1 130 130 1 400 400 1 400 400 1 1720 860 2 20.55 1.37 15 185.7 6.19 30 7.5 .25 30 400 400 1 19.77 19.77 1 21.45 21.45 1 25.07 25.07 1 20.29 20.29 1 400 400 1 Total: 7819.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411381 Min 01411381 Slno Description Appmt Dt IVABRADINE,5MG,,TABLET 1 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 12 18-FEB-19 GUM ASTRINGENT PAINT 13 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 21-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19 COMPLETE HAEMOGRAM 20 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 27-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 22 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 1894 of 6486
PARDESHI RAM HIRWANI Rate Amount Qty 597 9.95 60 10.8 .36 30 72 .6 120 32.4 1.08 30 167.4 5.58 30 12 .4 30 43.96 43.96 1 26.7 .89 30 34.8 1.16 30 400 400 1 400 400 1 1170 1170 1 31.54 31.54 1 25.07 25.07 1 25.69 25.69 1 400 400 1 8.9 .89 10 66.2 6.62 10 400 400 1 750 750 1 400 400 1 25.69 25.69 1 25.07 25.07 1 400 400 1 Total: 5525.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411382 Min 01411382 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 16-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19
Page 1895 of 6486
Name
UKHA BAI HIRWANI Rate Amount Qty 16.85 3.37 5 11.1 .37 30 9.86 9.86 1 400 400 1 54 .6 90 10.8 .36 30 55.8 .93 60 8.1 .27 30 21.3 .71 30 7.5 .25 30 8.9 .89 10 26 2.6 10 18.9 .63 30 39 1.3 30 400 400 1 Total: 1088.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411383 Min 01411383 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 1896 of 6486
Name
PRAKASH KUMAR MANE Rate Amount Qty 3.84 .64 6 1.48 .37 4 15.96 2.66 6 400 400 1 38.25 2.55 15 400 400 1 Total: 859.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411384 Min 01411384 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19
Page 1897 of 6486
Name
DURGESH NANDINI MANE Rate Amount Qty 2.28 .38 6 42.12 2.34 18 3.84 .64 6 1.85 .37 5 400 400 1 21.3 .71 30 32.4 1.08 30 27.9 .93 30 66 1.1 60 72 .6 120 21.6 .36 60 3.75 .25 15 31.2 1.04 30 400 400 1 Total: 1126.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411385 Min 01411385 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 20-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 1898 of 6486
Name
PARMESHWAR DAYAL BANCHHOR Rate Amount Qty 27.9 .93 30 66 1.1 60 400 400 1 1.75 .25 7 6 .6 10 2.1 .3 7 13.02 .93 14 8.12 1.16 7 2.8 .4 7 3.96 .99 4 1.89 .27 7 7.14 .34 21 400 400 1 Total: 940.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411391 Min 01411391 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 3 08-FEB-19 UREA (BUN /UR) 4 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 08-FEB-19 CREATININE /CRT 6 08-FEB-19 URIC ACID (UA /URATES /UR) 7 08-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 19-FEB-19 SOLIFENACIN,5MG,,TABLET 11 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 28-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 21 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 23 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 24 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 28-FEB-19
Page 1899 of 6486
Name
M G BAIG Rate Amount Qty 400 400 1 275 275 1 9000 9000 1 275 275 1 1300 1300 1 275 275 1 275 275 1 43.96 43.96 1 26.7 .89 30 192.3 6.41 30 403.2 13.44 30 60.9 2.03 30 400 400 1 32.4 1.08 30 400 400 1 18 .6 30 21.3 .71 30 26.7 .89 30 32.4 1.08 30 66 1.1 60 25.69 25.69 1 55.8 .93 60 3.8 .38 10 1.85 .37 5 400 400 1 Total: 14011
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411392 Min 01411392 Slno Description Appmt Dt VITAMIN E,STRIP PKT,200MG,CAPSULE 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 1900 of 6486
Name
JULEKHA BANO Rate Amount Qty 94.8 1.58 60 7.5 .25 30 34.8 1.16 30 7.65 .51 15 105.9 3.53 30 55.8 .93 60 400 400 1 Total: 706.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411393 Min 01411393 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1901 of 6486
Name
D K LANKE Rate Amount Qty 21.3 .71 30 60.9 2.03 30 76.5 2.55 30 12 .4 30 18 .6 30 41.85 .93 45 400 400 1 Total: 630.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411394 Min 01411394 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1902 of 6486
Name
NANDA LANKE Rate Amount Qty 32.4 .36 90 54 .6 90 167.4 5.58 30 55.8 .93 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 747.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411395 Min 01411395 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 18-FEB-19 DRESSING SIMPLE 9 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 20-FEB-19 DRESSING SIMPLE 11 20-FEB-19
Page 1903 of 6486
Name
KAMAL RAJ KUMAR Rate Amount Qty 55.8 .93 60 34.8 1.16 30 12 .4 30 18 .6 30 6.9 .23 30 400 400 1 3.84 .64 6 400 400 1 300 300 1 400 400 1 600 300 2 Total: 2231.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411399 Min 01411399 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 05-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 9 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 1904 of 6486
Name
SUNDER LAL Rate Amount Qty 55.8 .93 60 36 .6 60 26.7 .89 30 7.5 .25 30 15.96 2.66 6 1.48 .37 4 21.3 .71 30 12 .4 30 22.05 1.47 15 15.6 .26 60 400 400 1 Total: 614.39
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411400 Min 01411400 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19
Page 1905 of 6486
S E LAL Rate Amount Qty 3.78 .18 21 15.73 15.73 1 5.32 .38 14 2.59 .37 7 400 400 1 26.7 .89 30 2.4 .16 15 18.9 .63 30 15.3 .51 30 55.8 .93 60 54 .6 90 16.2 .27 60 12 .4 30 400 400 1 Total: 1028.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411405 Min 01411405 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 1906 of 6486
Name
SATISH KUMAR VERMA Rate Amount Qty 18 .6 30 21.3 .71 30 55.2 .92 60 167.4 5.58 30 400 400 1 12 .4 30 34.8 1.16 30 7.5 .25 30 185.7 6.19 30 400 400 1 Total: 1301.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411406 Min 01411406 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 1907 of 6486
Name
SHAILJA VERMA Rate Amount Qty 27.9 .93 30 76.5 2.55 30 32.4 1.08 30 34.8 1.16 30 19.8 .66 30 5.21 5.21 1 185.7 6.19 30 400 400 1 Total: 782.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411407 Min 01411407 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1908 of 6486
Name
SHIV KUMAR HIRWANI Rate Amount Qty 60.9 2.03 30 12 .4 30 17.4 1.16 15 78 1.3 60 10.8 .36 30 54 .6 90 192.3 6.41 30 8.1 .27 30 400 400 1 Total: 833.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411408 Min 01411408 Slno Description Appmt Dt METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 1 11-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 1909 of 6486
Name
KRISHNA HIRWANI Rate Amount Qty 2.6 .26 10 184.2 6.14 30 400 400 1 17.4 1.16 15 36 .6 60 55.8 .93 60 26.7 .89 30 2.55 .51 5 400 400 1 Total: 1125.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411410 Min 01411410 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 11-FEB-19 COMPLETE HAEMOGRAM 5 11-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 11-FEB-19
Page 1910 of 6486
Name
AMBIKA SHARMA Rate Amount Qty 4.8 .16 30 27.9 .93 30 18.6 .62 30 400 400 1 750 750 1 1300 1300 1 Total: 2501.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411412 Min 01411412 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 1911 of 6486
Name
RAMA SHARMA Rate Amount Qty 12 .4 30 55.8 .93 60 76.5 2.55 30 21.3 .71 30 36 .6 60 32.4 .36 90 167.4 5.58 30 400 400 1 Total: 801.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411417 Min 01411417 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 1912 of 6486
Name
I U SHAREEF Rate Amount Qty 32.4 .36 90 21.3 .71 30 33 1.1 30 7.5 .25 30 32.4 1.08 30 12 .4 30 167.4 5.58 30 54 .6 90 400 400 1 Total: 760
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411426 Min 01411426 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 5 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 7 01-FEB-19
Page 1913 of 6486
Name
SHOBHA DEVI RATHI Rate Amount Qty 750 750 1 550 550 1 400 400 1 1300 1300 1 275 275 1 275 275 1 1300 1300 1 Total: 4850
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411429 Min 01411429 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 14-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 21-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 25-FEB-19 CREATININE /CRT 22 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 25-FEB-19
Page 1914 of 6486
K L SAHU Rate Amount Qty 13.49 13.49 1 400 400 1 2.4 .16 15 8.9 .89 10 25.69 25.69 1 7.5 .25 30 18.9 .63 30 8.1 .27 30 55.8 .93 60 11.4 .38 30 25.07 25.07 1 16.81 16.81 1 400 400 1 25.07 25.07 1 19.77 19.77 1 400 400 1 3.75 .25 15 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 4367.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411432 Min 01411432 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 1915 of 6486
Name
SWAPNAL KHERDEKAR Rate Amount Qty 6.4 .64 10 8.9 .89 10 4.8 .16 30 36 .6 60 27.9 .93 30 30.6 .51 60 7.5 .25 30 21.3 .71 30 6.6 .66 10 400 400 1 Total: 550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411433 Min 01411433 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 RACECADOTRIL,100MG,CAPSULE 2 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 1916 of 6486
Name
N P MATHUR Rate Amount Qty 6.4 .64 10 89.55 5.97 15 93.3 9.33 10 21.6 .36 60 7.5 .25 30 26.7 .89 30 21.3 .71 30 156.3 5.21 30 23.7 .79 30 36 .6 60 400 400 1 Total: 882.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411434 Min 01411434 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 1917 of 6486
Name
SHARAD MATHUR Rate Amount Qty 185.7 6.19 30 21.3 .71 30 7.5 .25 30 21.3 .71 30 72.6 1.21 60 55.8 .93 60 26.7 .89 30 400 400 1 Total: 790.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411442 Min 01411442 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 1918 of 6486
Name
BHAGWANI RAM KUNJAM Rate Amount Qty 3.84 .64 6 60.9 2.03 30 72 .6 120 10.8 .36 30 7.5 .25 30 117 1.3 90 23.7 .79 30 36.3 1.21 30 400 400 1 54 .9 60 400 400 1 Total: 1186.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411443 Min 01411443 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 1919 of 6486
Name
SARALA DEVI KUNJAM Rate Amount Qty 55.8 .93 60 16.2 .27 60 36.3 1.21 30 21.3 .71 30 2.4 .16 15 400 400 1 Total: 532
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411451 Min 01411451 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 12-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 15 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 1920 of 6486
MAKHAN LAL Rate Amount Qty 12 .4 30 55.8 .93 60 66 1.1 60 21.3 .71 30 26.7 .89 30 7.5 .25 30 123.53 123.53 1 400 400 1 7.4 .37 20 19.72 9.86 2 26.96 3.37 8 400 400 1 87.92 43.96 2 400 400 1 6.82 6.82 1 25.07 25.07 1 400 400 1 Total: 2086.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411452 Min 01411452 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 SUTURE REMOVAL 2 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 05-FEB-19 SOLIFENACIN,5MG,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 11 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 14 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 12-FEB-19 GUM ANALGESIC GEL 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 14-FEB-19 INHALANT,STRIP PACK,CAPSULE 23 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 28 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 29 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 30 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 18-FEB-19
Page 1921 of 6486
Name
MEENA BAI Rate Amount Qty 400 400 1 490 490 1 10.65 .71 15 403.2 13.44 30 400 400 1 27.9 .93 30 26.7 .89 30 5.7 .38 15 3.75 .25 15 185.7 6.19 30 17.4 .58 30 38.25 2.55 15 400 400 1 4.8 .6 8 7.68 .64 12 44.16 1.84 24 7.5 .25 30 28.69 28.69 1 400 400 1 35.2 3.52 10 8.9 .89 10 6.4 .64 10 25.5 1.7 15 40.12 20.06 2 400 400 1 26.7 .89 30 12.8 .64 20 11.1 .37 30 12.15 12.15 1 54 .9 60 400 400 1 Total: 3934.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411456 Min 01411456 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 1922 of 6486
Name
SHYAM RAO DHOPTE Rate Amount Qty 8.1 .27 30 34.8 1.16 30 12 .4 30 192.3 6.41 30 13.95 .93 15 400 400 1 Total: 661.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411457 Min 01411457 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 1923 of 6486
Name
RAMESH TAHENGURIA Rate Amount Qty 192.3 6.41 30 185.7 6.19 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 846.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411458 Min 01411458 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 02-FEB-19 SOLIFENACIN,5MG,,TABLET 8 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 SOLIFENACIN,5MG,,TABLET 11 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 OBSERVATION IN CASUALTY 14 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 15 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 16 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 07-FEB-19
Page 1924 of 6486
Name
SHOBHA TAHENGURIA Rate Amount Qty 26.7 .89 30 27.9 .93 30 33 1.1 30 36 .6 60 167.4 5.58 30 21.3 .71 30 60.9 2.03 30 403.2 13.44 30 185.7 6.19 30 400 400 1 403.2 13.44 30 60.9 2.03 30 400 400 1 420 420 1 .34 .34 1 .16 .16 1 24.52 24.52 1 Total: 2671.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411459 Min 01411459 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1925 of 6486
Name
DASHRATH SHENDE Rate Amount Qty 62.8 3.14 20 20.84 5.21 4 43.8 .73 60 11.4 .38 30 26.7 .89 30 371.4 6.19 60 400 400 1 Total: 936.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411460 Min 01411460 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 1926 of 6486
Name
KANTA SHENDE Rate Amount Qty 25.2 .42 60 20.84 5.21 4 41.1 1.37 30 371.4 6.19 60 26.7 .89 30 11.4 .38 30 400 400 1 Total: 896.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411462 Min 01411462 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 1927 of 6486
Name
PREMLATA DESHMUKH Rate Amount Qty 7.5 .25 30 33 1.1 30 36 .6 60 10.8 .36 30 400 400 1 Total: 487.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411465 Min 01411465 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 9 18-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 11 18-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 12 18-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 13 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 18-FEB-19 CREATININE /CRT 18 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 20 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 21 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 18-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 23 18-FEB-19
Page 1928 of 6486
Name
SURESH CHIMURKAR Rate Amount Qty 185.7 6.19 30 12.8 .64 20 34.8 1.16 30 32.4 1.08 30 27.9 .93 30 12 .4 30 400 400 1 8.9 .89 10 32.61 32.61 1 17 1.7 10 12.81 12.81 1 63.58 63.58 1 13.48 3.37 4 3.7 .37 10 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 66.2 6.62 10 6.4 .64 10 3.9 .26 15 Total: 4009.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411466 Min 01411466 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 17-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 17-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 17-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 17-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 17-FEB-19
Page 1929 of 6486
Name
MANDA CHIMURKAR Rate Amount Qty 5.34 .89 6 83.97 9.33 9 21.12 3.52 6 17.4 1.16 15 6 .4 15 400 400 1 Total: 533.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411472 Min 01411472 Appmt Dt Slno Description 28-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 28-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 28-FEB-19 3 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1930 of 6486
Name
RAMDIN VERMA Qty Rate Amount 30 2.03 60.9 60 .89 53.4 30 6.41 192.3 1 400 400 Total: 706.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411473 Min 01411473 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 19-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 1931 of 6486
Name
TAMIN BAI VERMA Rate Amount Qty 25.2 .63 40 247.6 6.19 40 62.8 3.14 20 17.8 .89 20 400 400 1 Total: 753.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411474 Min 01411474 Appmt Dt Slno Description 05-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 05-FEB-19 2 RANITIDINE HCL,STRIP PKT,150MG,TABLET 05-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1932 of 6486
Name
MAHESH PRASAD MISHRA Qty Rate Amount 24 1.84 44.16 8 .77 6.16 12 .64 7.68 1 400 400 Total: 458
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411476 Min 01411476 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 C T HEAD PLAIN 15 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 22-FEB-19 DRESSING SIMPLE 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 1933 of 6486
Name
BIHARI LAL SAHU Rate Amount Qty 9 .3 30 34.8 1.16 30 66 1.1 60 30.6 .34 90 31.2 1.04 30 8.1 .27 30 12 .4 30 36 .6 60 55.8 .93 60 400 400 1 1.25 .25 5 1.9 .38 5 4.1 .41 10 8.9 .89 10 5250 5250 1 400 400 1 600 300 2 400 400 1 6.4 .64 10 400 400 1 Total: 7756.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411477 Min 01411477 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 1934 of 6486
Name
KARAJ SAHU Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411480 Min 01411480 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 1935 of 6486
Name
ASHOK KUMAR KUMRA Rate Amount Qty 18 .9 20 66.2 6.62 10 12.15 12.15 1 6.7 .67 10 3.7 .37 10 400 400 1 12.15 12.15 1 27 .9 30 5.55 .37 15 400 400 1 Total: 951.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411482 Min 01411482 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 1936 of 6486
Name
NET RAM Rate Amount Qty 7.65 .51 15 7.5 .25 30 6.4 .64 10 8.1 .27 30 55.8 .93 60 400 400 1 17.8 .89 20 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 1178.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411483 Min 01411483 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 1937 of 6486
Name
YOGESHWARI BAI Rate Amount Qty 55.8 .93 60 7.5 .25 30 400 400 1 Total: 463.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411485 Min 01411485 Slno Description Appmt Dt TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 1 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 1938 of 6486
M A K GYANABARNAM Rate Amount Qty 21.45 21.45 1 25.07 25.07 1 400 400 1 21.3 .71 30 33 1.1 30 6.9 .23 30 400 400 1 Total: 907.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411486 Min 01411486 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 COMPLETE HAEMOGRAM 5 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 26-FEB-19 CREATININE /CRT 16 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 26-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 1939 of 6486
Name
VINEETA GYANABARNAM Rate Amount Qty 26.7 .89 30 7.5 .25 30 405.6 3.38 120 400 400 1 750 750 1 550 550 1 400 400 1 1300 1300 1 17.4 1.16 15 211.8 3.53 60 55.8 .93 60 275 275 1 1300 1300 1 400 400 1 550 550 1 275 275 1 275 275 1 41.1 1.37 30 400 400 1 Total: 7640.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411488 Min 01411488 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 IMATINIB 400MG,,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1940 of 6486
Name
MANORAMA PATIL Rate Amount Qty 10.8 .36 30 36 .6 60 17.4 1.16 15 42.29 2537.4 60 33 1.1 30 27.9 .93 30 78 1.3 60 400 400 1 Total: 3140.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411491 Min 01411491 Appmt Dt Slno Description 13-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1941 of 6486
Name
S C ANAND Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411497 Min 01411497 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1942 of 6486
Name
MAYA DAVE Qty Rate Amount 30 .71 21.3 30 .27 8.1 30 .93 27.9 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411498 Min 01411498 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 1943 of 6486
Name
RAMAN DAVE Rate Amount Qty 21.3 .71 30 32.4 1.08 30 8.1 .27 30 36 .6 60 7.5 .25 30 400 400 1 Total: 505.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411501 Min 01411501 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 PRAZOSIN,2.5MG,TABLET 2 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 9 12-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 10 12-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 1944 of 6486
Name
RELLA RAJA RAO Rate Amount Qty 55.8 .93 60 78 1.3 60 6.9 .23 30 15.96 2.66 6 32.4 1.08 30 2.22 .37 6 34.8 1.16 30 400 400 1 13.49 13.49 1 19.77 19.77 1 94.42 94.42 1 400 400 1 Total: 1153.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411502 Min 01411502 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 10 12-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 1945 of 6486
Name
RELLA SHYAMANTHI Rate Amount Qty 7.5 .25 30 17.4 1.16 15 2.22 .37 6 26.6 2.66 10 54 .6 90 14.85 .99 15 55.8 .93 60 9 .3 30 400 400 1 40.58 20.29 2 67.16 33.58 2 400 400 1 Total: 1095.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411507 Min 01411507 Slno Description Appmt Dt RACECADOTRIL,100MG,CAPSULE 1 09-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 2 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 12-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 12-FEB-19 UREA (BUN /UR) 11 12-FEB-19 CREATININE /CRT 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 15 22-FEB-19 GUM ASTRINGENT PAINT 16 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 18 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 22-FEB-19
Page 1946 of 6486
Name
B R BHALEKAR Rate Amount Qty 35.82 5.97 6 17.42 8.71 2 21.12 3.52 6 4.45 .89 5 10.08 1.12 9 400 400 1 85.8 8.58 10 400 400 1 275 275 1 380 380 1 275 275 1 275 275 1 400 400 1 275 275 1 27.9 .62 45 31.54 31.54 1 5.76 .64 9 33.12 1.84 18 10.08 1.12 9 400 400 1 Total: 3363.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411508 Min 01411508 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19
Page 1947 of 6486
Name
KANTI BAI BHALEKAR Rate Amount Qty 2.5 .25 10 26 2.6 10 8.9 .89 10 400 400 1 167.4 5.58 30 7.5 .25 30 18 .6 30 34.8 1.16 30 12 .4 30 6.9 .23 30 27.9 .93 30 33 1.1 30 400 400 1 Total: 1144.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411510 Min 01411510 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1948 of 6486
Name
KAMLA DEVI Rate Amount Qty 85.52 85.52 1 41.06 41.06 1 400 400 1 16.65 1.11 15 27.9 .93 30 400 400 1 Total: 971.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411519 Min 01411519 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 1949 of 6486
Name
SHAMBHU LAL MEHTA Rate Amount Qty 185.7 6.19 30 60.9 2.03 30 192.3 6.41 30 11.4 .38 30 400 400 1 Total: 850.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411520 Min 01411520 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 1950 of 6486
Name
SUMAN BALA MEHTA Rate Amount Qty 27.9 .93 30 34.8 1.16 30 9.6 .64 15 400 400 1 66 1.1 60 7.5 .25 30 47.4 .79 60 400 400 1 Total: 993.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411523 Min 01411523 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 3 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 15-FEB-19 PILOCARPINE NITRATE,2%,EYE DROP,5ML PACK 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 1951 of 6486
Name
BASUMITA DUTTA Rate Amount Qty 41.06 41.06 1 32.4 1.08 30 85.52 171.04 2 371.4 6.19 60 54.46 54.46 1 400 400 1 Total: 1070.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411524 Min 01411524 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 15-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 15-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 1952 of 6486
Name
ALOK DUTTA Rate Amount Qty 6.4 .64 10 3.7 .37 10 17.6 17.6 1 6.82 6.82 1 85.52 171.04 2 26.7 .89 30 32.4 1.08 30 185.7 6.19 30 400 400 1 Total: 850.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411535 Min 01411535 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 1953 of 6486
HARISH CHANDRA VARSHNEY Rate Amount Qty 6.4 .64 10 1.85 .37 5 15.73 15.73 1 26.6 2.66 10 400 400 1 66 1.1 60 12 .4 30 21.3 .71 30 17.8 .89 20 400 400 1 Total: 967.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411540 Min 01411540 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 1954 of 6486
Name
SAROJ SHINGOTE Rate Amount Qty 18.6 .62 30 26.7 .89 30 7.5 .25 30 185.7 6.19 30 21.3 .71 30 27.9 .93 30 36.3 1.21 30 6.9 .23 30 32.4 1.08 30 400 400 1 Total: 763.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411542 Min 01411542 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 1955 of 6486
Name
VEENA JAIN Rate Amount Qty 20.06 20.06 1 7.5 .25 30 60.9 2.03 30 72.6 1.21 60 13.8 .23 60 55.8 .93 60 400 400 1 Total: 630.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411543 Min 01411543 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 GUM ASTRINGENT PAINT 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 1956 of 6486
Name
M R DEWANGAN Rate Amount Qty 78 1.3 60 21.3 .71 30 6.9 .23 30 55.2 .92 60 54 .6 90 27.9 .93 30 400 400 1 31.54 31.54 1 400 400 1 Total: 1074.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411557 Min 01411557 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 BISOPROLOL FUMARATE,5MG,,TABLET 08-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1957 of 6486
Name
N G SHRIVASTAVA Qty Rate Amount 30 .93 27.9 30 2.55 76.5 30 .27 8.1 1 400 400 Total: 512.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411559 Min 01411559 Appmt Dt Slno Description 12-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 12-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1958 of 6486
Name
R K P SINHA Qty Rate Amount 15 .25 3.75 15 1.16 17.4 15 .23 3.45 1 400 400 Total: 424.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411560 Min 01411560 Appmt Dt Slno Description 12-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1959 of 6486
Name
VEENA SINHA Qty Rate Amount 30 .23 6.9 1 400 400 406.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411564 Min 01411564 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 1960 of 6486
Name
RAM LAL SONI Rate Amount Qty 1.48 .37 4 21.3 .71 30 27.9 .93 30 54 .6 90 10.8 .36 30 400 400 1 Total: 515.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411567 Min 01411567 Slno Description Appmt Dt DEXTROSE,25%,100ML,POLY PKT,INJECTION 1 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 5 07-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 6 07-FEB-19 ECG 7 07-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 8 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 11 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 07-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 13 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 07-FEB-19 OBSERVATION IN CASUALTY 16 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 19 16-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 20 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 21 16-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 22 16-FEB-19 ECG 23 16-FEB-19 OBSERVATION IN CASUALTY 24 16-FEB-19 X - RAY - SINGLE VIEW 25 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 16-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 29 16-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 30 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 16-FEB-19
Page 1961 of 6486
Name
VIJAYA LAXMI TIWARI Rate Amount Qty 19.1 19.1 1 21.3 .71 30 10.08 1.12 9 5.34 .89 6 2.8 .7 4 17.37 17.37 1 900 450 2 9.81 9.81 1 29.7 .99 30 55.8 .93 60 72.6 1.21 60 32.4 1.08 30 11.89 11.89 1 19.8 .66 30 34.8 1.16 30 420 420 1 24.52 24.52 1 400 400 1 600 600 1 5.41 5.41 1 24.52 24.52 1 35.52 35.52 1 450 450 1 420 420 1 550 550 1 400 400 1 3.84 .64 6 2.5 .25 10 3.8 .38 10 9.81 9.81 1 66.2 6.62 10 8.9 .89 10 Total: 4667.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411571 Min 01411571 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 1962 of 6486
Name
B M CHANPURIA Rate Amount Qty 7.5 .25 30 55.8 .93 60 2.4 .16 15 64.8 1.08 60 26.7 .89 30 400 400 1 Total: 557.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411584 Min 01411584 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 1963 of 6486
Name
R N SHARMA Rate Amount Qty 29.7 .99 30 16.2 .27 60 55.8 .93 60 117 1.3 90 72 .6 120 32.4 .36 90 21.3 .71 30 400 400 1 Total: 744.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411585 Min 01411585 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1964 of 6486
Name
RAJ SHARMA Rate Amount Qty 47.4 .79 60 7.8 .26 30 32.4 1.08 30 66 1.1 60 34.8 1.16 30 400 400 1 Total: 588.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411592 Min 01411592 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 X - RAY - TWO VIEWS 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 05-FEB-19 U S - ( SMALL PARTS SUCH AS ORBIT,SCROTU 6 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19
Page 1965 of 6486
Name
KHEMLAL SAHU Rate Amount Qty 13.7 1.37 10 860 860 1 400 400 1 8.9 .89 10 123.8 6.19 20 1850 1850 1 400 400 1 Total: 3656.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411593 Min 01411593 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 1966 of 6486
Name
NUTAN SAHU Rate Amount Qty 14.85 .99 15 3.75 .25 15 54 .6 90 55.8 .93 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 565.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411602 Min 01411602 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 1967 of 6486
Name
I M JAIN Rate Amount Qty 51 1.7 30 26.7 .89 30 400 400 1 Total: 477.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411603 Min 01411603 Appmt Dt Slno Description 02-FEB-19 1 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1968 of 6486
Name
LATA JAIN Qty 1 1
Rate Amount 13.49 13.49 400 400 413.49 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411606 Min 01411606 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 15-FEB-19 URIC ACID (UA /URATES /UR) 4 15-FEB-19 CREATININE /CRT 5 15-FEB-19 UREA (BUN /UR) 6 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 1969 of 6486
Name
HARBHAHAN SINGH ANAND Rate Amount Qty 275 275 1 550 550 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 34.8 1.16 30 11.4 .38 30 39 1.3 30 12 .4 30 18 .6 30 167.4 5.58 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 3068.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411607 Min 01411607 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19
Page 1970 of 6486
Name
JAGJIT KAUR ANAND Rate Amount Qty 21.3 .71 30 11.4 .38 30 14.85 .99 15 27.9 .93 30 4.45 .89 5 66.2 6.62 10 400 400 1 27.9 .93 30 14.85 .99 15 21.3 .71 30 26.7 .89 30 3.7 .37 10 400 400 1 Total: 1040.55
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411614 Min 01411614 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 7 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 15-FEB-19 OBSERVATION IN CASUALTY 10 15-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 15-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 12 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19
Page 1971 of 6486
VISHNU KANT SHUKLA Rate Amount Qty 2.22 .37 6 21.28 2.66 8 17.4 1.16 15 12 .4 30 55.8 .93 60 400 400 1 600 600 1 .89 .89 1 .37 .37 1 420 420 1 15.73 15.73 1 70.2 2.34 30 1.85 .37 5 9 .9 10 400 400 1 Total: 2026.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411615 Min 01411615 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 1972 of 6486
Name
GAYTRI DEVI SHUKLA Rate Amount Qty 12 .4 30 34.8 1.16 30 23.7 .79 30 78 1.3 60 400 400 1 Total: 548.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411618 Min 01411618 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 09-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 5 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 25-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 14 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 17 25-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 18 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 19 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 26-FEB-19 URIC ACID (UA /URATES /UR) 24 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 25 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 26 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27 26-FEB-19 UREA (BUN /UR) 28 26-FEB-19
Page 1973 of 6486
Name
GORAKH NATH SINGH Rate Amount Qty 210 2.1 100 12 .6 20 18.6 .93 20 7.65 .51 15 128.1 4.27 30 14.2 .71 20 8 .4 20 21.6 1.08 20 66.2 6.62 10 35.6 .89 40 400 400 1 26.7 .89 30 18 .6 30 252 2.1 120 27.9 .93 30 12 .4 30 11.4 .38 30 15.3 .51 30 4.27 192.15 45 34.8 1.16 30 32.4 1.08 30 400 400 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 Total: 3994.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411619 Min 01411619 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 SOLIFENACIN,5MG,,TABLET 6 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 1974 of 6486
Name
ASHA DEVI Rate Amount Qty 17.4 1.16 15 16.2 .27 60 55.8 .93 60 400 400 1 53.4 .89 60 806.4 13.44 60 43.96 131.88 3 400 400 1 Total: 1881.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411623 Min 01411623 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 1975 of 6486
Name
SUGIA DEVI Rate Amount Qty 66 1.1 60 5.21 5.21 1 12 .4 30 17.4 1.16 15 400 400 1 66 1.1 60 12 .4 30 8.1 .27 30 7.5 .25 30 27.9 .93 30 400 400 1 Total: 1022.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411625 Min 01411625 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 1976 of 6486
Name
DHARMA DEVI Rate Amount Qty 7.8 .26 30 32.4 1.08 30 13.95 .93 15 66 1.1 60 34.8 1.16 30 26.7 .89 30 6.9 .23 30 400 400 1 Total: 588.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411634 Min 01411634 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 04-FEB-19 ENTACAVIR 0.5MG,,TABLET 7 04-FEB-19 HAEMOGLOBIN / (HB %) 8 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 04-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 13 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 1977 of 6486
Name
N N KUNDU Rate Amount Qty 9.3 .62 15 400 400 1 7.65 .51 15 83.7 5.58 15 21.3 .71 30 27.9 .93 30 673.5 22.45 30 130 130 1 550 550 1 1300 1300 1 275 275 1 275 275 1 86.4 1.44 60 185.7 6.19 30 19.2 .64 30 400 400 1 Total: 4444.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411635 Min 01411635 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 27-FEB-19 CREATININE /CRT 3 27-FEB-19 UREA (BUN /UR) 4 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 27-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 27-FEB-19
Page 1978 of 6486
Name
TANDRA KUNDU Qty 1 1 1 1 1 1 1
Rate Amount 275 275 1300 1300 275 275 275 275 1300 1300 400 400 275 275 Total: 4100
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411636 Min 01411636 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1979 of 6486
Name
NANHE LAL SONI Qty Rate Amount 10 .89 8.9 1 400 400 408.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411638 Min 01411638 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 11 26-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 12 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 1980 of 6486
Name
MARIAMMA ABRAHAM Rate Amount Qty 27.9 .93 30 12 .4 30 78 2.6 30 2.4 .16 15 26.7 .89 30 7.5 .25 30 36.3 1.21 30 34.8 1.16 30 400 400 1 7.4 .37 20 25.62 12.81 2 13.43 13.43 1 9.86 9.86 1 400 400 1 Total: 1081.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411640 Min 01411640 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 09-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 23-FEB-19 RIFAXIMIN 200 MG,,TABLET 8 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 23-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19
Page 1981 of 6486
Name
B C DEWAN Rate Amount Qty 12.6 .42 30 123.53 123.53 1 21.3 .71 30 15 .25 60 400 400 1 1750 1750 1 400 400 1 93.3 9.33 10 20.06 20.06 1 61.4 6.14 10 8.9 .89 10 Total: 2906.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411641 Min 01411641 Slno Description Appmt Dt C T HEAD PLAIN 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 13-FEB-19 UREA (BUN /UR) 13 13-FEB-19 CREATININE /CRT 14 13-FEB-19
Page 1982 of 6486
Name
ABHA DEWAN Rate Amount Qty 5250 5250 1 400 400 1 21.3 .71 30 7.65 .51 15 6.9 .23 30 27.9 .93 30 18 .6 30 5.4 .36 15 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 Total: 8537.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411643 Min 01411643 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 1983 of 6486
Name
HANSI RANI GUHA Rate Amount Qty 21.3 .71 30 55.8 .93 60 8.9 .89 10 17.4 .58 30 36 .6 60 10.8 .36 30 400 400 1 Total: 550.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411647 Min 01411647 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 26-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 1984 of 6486
Name
SUNITA NASHINE Rate Amount Qty 6.9 .23 30 36 .6 60 55.8 .93 60 10.8 .36 30 15.3 .51 30 76.5 2.55 30 21.3 .71 30 400 400 1 Total: 622.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411650 Min 01411650 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 25-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 1985 of 6486
Name
MOHAN LAL SHARMA Rate Amount Qty 7.3 .73 10 9.6 .64 15 11.2 1.12 10 55.2 1.84 30 8.9 .89 10 400 400 1 7.68 .64 12 44.16 1.84 24 4.8 .6 8 400 400 1 40.58 20.29 2 148.9 74.45 2 400 400 1 Total: 1538.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411654 Min 01411654 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 1986 of 6486
Name
GAYATRI MUKHERJEE Rate Amount Qty 13.35 .89 15 32.4 1.08 30 34.8 1.16 30 8.1 .27 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 574.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411664 Min 01411664 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 1987 of 6486
Name
P K DEY Rate Amount Qty 27.9 .93 30 17.4 .58 30 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 539.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411665 Min 01411665 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 1988 of 6486
Name
ARATI DEY Rate Amount Qty 6.4 .64 10 23.1 .77 30 41.85 .93 45 66 1.1 60 32.4 1.08 30 15.3 .51 30 7.5 .25 30 2.4 .16 15 21.3 .71 30 400 400 1 Total: 616.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411672 Min 01411672 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 05-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 22-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 12 22-FEB-19
Page 1989 of 6486
Name
P D JAGYASI Rate Amount Qty 5.55 .37 15 19.72 9.86 2 41.06 41.06 1 13.48 3.37 4 400 400 1 32.4 1.08 30 105.9 3.53 30 41.85 .93 45 4.08 .51 8 400 400 1 400 400 1 550 550 1 Total: 2014.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411674 Min 01411674 Appmt Dt Slno Description 28-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1990 of 6486
Name
ASHOK KUMAR Qty Rate Amount 30 .25 7.5 30 .27 8.1 45 .6 27 1 400 400 Total: 442.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411677 Min 01411677 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 1991 of 6486
Name
N A RATNAVALLY Rate Amount Qty 21.3 .71 30 117 1.3 90 36 .6 60 27.9 .93 30 17.4 .58 30 7.5 .25 30 400 400 1 Total: 627.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411681 Min 01411681 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 1992 of 6486
Name
BHUNESHWAR PRASAD NAYAK Rate Amount Qty 60.9 2.03 30 54 .6 90 27.9 .93 30 3.7 .37 10 21.3 .71 30 8.1 .27 30 45.44 45.44 1 400 400 1 Total: 621.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411695 Min 01411695 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 1993 of 6486
Name
R T RAJDHAR Rate Amount Qty 6.4 .64 10 1.85 .37 5 400 400 1 Total: 408.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411696 Min 01411696 Slno Description Appmt Dt UREA (BUN /UR) 1 05-FEB-19 CREATININE /CRT 2 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 1994 of 6486
Name
REKHA RAJDHAR Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 550 550 1 275 275 1 27.9 .93 30 66 1.1 60 29.7 .99 30 7.5 .25 30 6.4 .64 10 400 400 1 Total: 3887.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411697 Min 01411697 Appmt Dt Slno Description 13-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 13-FEB-19 2 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13-FEB-19 3 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 1995 of 6486
Name
PAUHARI SHARAN Qty Rate Amount 30 .58 17.4 60 .9 54 90 .18 16.2 1 400 400 Total: 487.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411698 Min 01411698 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 16 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 1996 of 6486
Name
SAVITRI DEVI Rate Amount Qty 9.9 .66 15 20.84 5.21 4 15 .25 60 21.3 .71 30 400 400 1 8.9 .89 10 13.7 1.37 10 400 400 1 12.8 .64 20 400 400 1 22.2 .37 60 27.9 .93 30 78 1.3 60 36 .6 60 10.8 .36 30 71 .71 100 7.5 .25 30 400 400 1 Total: 1955.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411704 Min 01411704 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 8 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 13 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 15 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 16 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 18 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 19 26-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 20 26-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 1997 of 6486
Name
S Z KAROTKAR Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 1.48 .37 4 12 .4 30 16.2 .27 60 400 400 1 17.37 17.37 1 7.4 .37 20 400 400 1 20.29 20.29 1 21.12 3.52 6 18.03 18.03 1 2.28 .38 6 2.46 .41 6 6.82 6.82 1 400 400 1 36.06 18.03 2 13.64 6.82 2 2.97 .99 3 24.45 24.45 1 400 400 1 Total: 2455.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411706 Min 01411706 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 21-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 X - RAY - TWO VIEWS 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19
Page 1998 of 6486
Name
R P SAHARAN Rate Amount Qty 185.7 6.19 30 47.1 3.14 15 13.35 .89 15 860 860 1 400 400 1 Total: 1506.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411713 Min 01411713 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 1999 of 6486
Name
SAKHA RAM DEWANGAN Rate Amount Qty 18 .6 30 15.6 .26 60 33 1.1 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 2.4 .16 15 400 400 1 Total: 548.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411714 Min 01411714 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 2000 of 6486
Name
DEEPAK DEWANGAN Rate Amount Qty 1.85 .37 5 3.84 .64 6 12 .4 30 34.8 1.16 30 400 400 1 Total: 452.49
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411723 Min 01411723 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 5 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2001 of 6486
P G KHOBRAGADE Rate Amount Qty 3.8 .38 10 15.73 15.73 1 1.85 .37 5 6.4 .64 10 20.25 20.25 1 3.8 .38 10 2.5 .25 10 400 400 1 Total: 454.33
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411724 Min 01411724 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 11 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 13-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 13 13-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 17 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 18 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 26-FEB-19 X - RAY - TWO VIEWS 23 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 26-FEB-19
Page 2002 of 6486
SHASHIKLA KHOBRAGADE Rate Amount Qty 69.6 1.16 60 33 1.1 30 13.95 .93 15 32.4 1.08 30 400 400 1 3.84 .64 6 26.6 2.66 10 15.73 15.73 1 400 400 1 5.55 .37 15 35.2 17.6 2 87.92 43.96 2 82.76 165.52 2 6.82 6.82 1 6.4 .64 10 400 400 1 9 .9 10 7.7 .77 10 400 400 1 12.8 .64 20 17.8 .89 20 5 .25 20 860 860 1 400 400 1 Total: 3414.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411725 Min 01411725 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 2003 of 6486
Name
SANTOSH JAIN Rate Amount Qty 8.1 .27 30 21.3 .71 30 33 1.1 30 55.8 .93 60 18.6 .62 30 8.1 .27 30 400 400 1 Total: 544.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411738 Min 01411738 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 21-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 2004 of 6486
Name
D R DEWANGAN Rate Amount Qty 192.3 6.41 30 31.61 31.61 1 60.9 2.03 30 400 400 1 54 .6 90 34.8 1.16 30 12 .4 30 66 1.1 60 10.8 .36 30 167.4 5.58 30 400 400 1 Total: 1429.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411739 Min 01411739 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 2005 of 6486
Name
MEENA DEWANGAN Rate Amount Qty 9 .3 30 55.8 .93 60 400 400 1 Total: 464.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411743 Min 01411743 Appmt Dt Slno Description 19-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 19-FEB-19 2 SERUM TOTAL PSA (CHEMILUMINESCNCE) 19-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19-FEB-19 4 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE
Page 2006 of 6486
Name
SHARAD CHANDRA AGRAWAL Qty Rate Amount 1 400 400 1 1610 1610 30 2.03 60.9 30 6.41 192.3 Total: 2263.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411747 Min 01411747 Slno Description Appmt Dt CREATININE /CRT 1 14-FEB-19 UREA (BUN /UR) 2 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 9 14-FEB-19 CHOLESTEROL (CHOL) 10 14-FEB-19 TRIGLYCERIDES (TGL) 11 14-FEB-19
Page 2007 of 6486
Name
N K DEWAL Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 60.9 2.03 30 27.9 .93 30 550 550 1 275 275 1 275 275 1 Total: 3238.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411748 Min 01411748 Slno Description Appmt Dt CREATININE /CRT 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 UREA (BUN /UR) 3 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2008 of 6486
Name
SHARAYU DEWAL Rate Amount Qty 275 275 1 400 400 1 275 275 1 550 550 1 32.4 1.08 30 8.4 .42 20 27.9 .93 30 21.3 .71 30 12 .4 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 2036.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411755 Min 01411755 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 10 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 27-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 13 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 14 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 2009 of 6486
GAJADHAR SINGH RAJPOOT Rate Amount Qty 21.3 .71 30 47.4 .79 60 34.8 1.16 30 32.4 1.08 30 31.2 1.04 30 117 1.3 90 167.4 5.58 30 12 .4 30 400 400 1 24.45 24.45 1 50.14 25.07 2 148.9 74.45 2 6.42 2.14 3 19.77 19.77 1 44.16 1.84 24 400 400 1 Total: 1557.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411756 Min 01411756 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 27-FEB-19 CREATININE /CRT 11 27-FEB-19 UREA (BUN /UR) 12 27-FEB-19 URIC ACID (UA /URATES /UR) 13 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 27-FEB-19
Page 2010 of 6486
Name
SUREKHA RAJPOOT Rate Amount Qty 8.1 .27 30 11.25 .75 15 11.1 .37 30 63.22 31.61 2 21.3 .71 30 25.62 12.81 2 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3615.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411759 Min 01411759 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2011 of 6486
Name
VATSALA CHAVRE Rate Amount Qty 8.1 .27 30 55.8 .93 60 7.5 .25 30 32.4 1.08 30 21.3 .71 30 66 1.1 60 400 400 1 Total: 591.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411765 Min 01411765 Slno Description Appmt Dt CARBIMAZOLE,5MG,BTL PACK,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 2012 of 6486
Name
R N MEHTA Rate Amount Qty 189.6 1.58 120 30 .25 120 400 400 1 Total: 619.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411769 Min 01411769 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 2013 of 6486
Name
KESHRI KANT MANDHRE Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 8.1 .27 30 12 .4 30 400 400 1 Total: 514
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411770 Min 01411770 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 22-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2014 of 6486
Name
KAVITA MANDHRE Rate Amount Qty 18 .6 30 7.5 .25 30 10.8 .36 30 13.35 .89 15 34.8 1.16 30 117 1.3 90 400 400 1 6.82 6.82 1 18.21 18.21 1 400 400 1 Total: 1026.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411773 Min 01411773 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 URIC ACID (UA /URATES /UR) 6 04-FEB-19 CREATININE /CRT 7 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 04-FEB-19 BLOOD FOR TSH 10 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 04-FEB-19 ECG 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 2015 of 6486
Name
RAMA RAMAN SHRIVASTAVA Rate Amount Qty 1300 1300 1 34.8 1.16 30 33 1.1 30 12 .4 30 26.7 .89 30 275 275 1 275 275 1 275 275 1 275 275 1 800 800 1 400 400 1 450 450 1 400 400 1 4.8 .16 30 400 400 1 Total: 4961.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411774 Min 01411774 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ECG 7 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 11-FEB-19 GUM ANALGESIC GEL 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 2016 of 6486
Name
SHASHI SHRIVASTAVA Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 38.25 2.55 15 27.9 .93 30 450 450 1 1300 1300 1 21.3 .71 30 7.5 .25 30 28.69 28.69 1 400 400 1 14.85 .99 15 400 400 1 Total: 3913.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411775 Min 01411775 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 09-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 2017 of 6486
Name
KRISHNA RAO MOHITE Rate Amount Qty 34.8 1.16 30 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 20.06 20.06 1 6.9 .23 30 400 400 1 Total: 742.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411786 Min 01411786 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 PRAZOSIN,2.5MG,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 2018 of 6486
Name
YOGENDRA SINGH SAHU Rate Amount Qty 55.8 .93 60 78 1.3 60 17.4 1.16 15 12 .4 30 400 400 1 Total: 563.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411787 Min 01411787 Slno Description Appmt Dt TRIGLYCERIDES (TGL) 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 06-FEB-19 PRAZOSIN,2.5MG,TABLET 9 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 10 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 06-FEB-19
Page 2019 of 6486
Name
CHANDRIKA DEVI SAHU Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 55.8 .93 60 16.2 .36 45 167.4 5.58 30 72 .6 120 39 1.3 30 22.2 .37 60 211.8 3.53 60 7.92 .99 8 17.4 1.16 15 195 1.3 150 400 400 1 Total: 2304.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411788 Min 01411788 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2020 of 6486
Name
DILIP CHAND TALMALE Rate Amount Qty 66.2 6.62 10 1.85 .37 5 400 400 1 31.61 31.61 1 11.1 .37 30 25.62 12.81 2 400 400 1 Total: 936.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411793 Min 01411793 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2021 of 6486
Name
BHABATOSH CHANDRA DAS Rate Amount Qty 27.9 .93 30 8.1 .27 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411805 Min 01411805 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 SOLIFENACIN,5MG,,TABLET 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2022 of 6486
Name
SUNDERLAL SONI Rate Amount Qty 10.35 .23 45 403.2 13.44 30 60.9 2.03 30 192.3 6.41 30 4.8 .16 30 12 .4 30 400 400 1 Total: 1083.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411806 Min 01411806 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2023 of 6486
Name
RATNA DEVI SONI Rate Amount Qty 35.2 3.52 10 400 400 1 2.22 .37 6 18 .9 20 5.4 .18 30 8.9 .89 10 400 400 1 Total: 869.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411829 Min 01411829 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2024 of 6486
Name
DHIRENDER RAI Rate Amount Qty 7.65 .51 15 10.8 .36 30 36 .6 60 55.8 .93 60 2.22 .37 6 34.8 1.16 30 6.9 .23 30 32.4 1.08 30 15.96 2.66 6 400 400 1 Total: 602.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411837 Min 01411837 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 2025 of 6486
Name
FAKIR RAM THAKUR Rate Amount Qty 10.8 .36 30 16.2 .27 60 23.7 .79 30 41.06 41.06 1 21.28 2.66 8 54 .6 90 400 400 1 17.8 .89 20 62.8 3.14 20 400 400 1 Total: 1047.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411838 Min 01411838 Appmt Dt Slno Description 13-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 13-FEB-19 3 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2026 of 6486
Name
NATHU RAM VISHWAKARMA Qty Rate Amount 18 1.84 33.12 6 .64 3.84 6 1.12 6.72 1 400 400 Total: 443.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411839 Min 01411839 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 PRAZOSIN,2.5MG,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2027 of 6486
Name
MANORAMA DEVI VISHWAKARMA Rate Amount Qty 17.4 .58 30 21.3 .71 30 39 1.3 30 55.8 .93 60 36 .6 60 31.2 1.04 30 400 400 1 Total: 600.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411846 Min 01411846 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 2028 of 6486
Name
B H S PRASAD Rate Amount Qty 40.12 20.06 2 53.4 .89 60 400 400 1 Total: 493.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411849 Min 01411849 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 12-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 2029 of 6486
Name
OMKAR DAS UKE Rate Amount Qty 19.8 .66 30 19.72 9.86 2 16.85 3.37 5 7.4 .37 20 57.84 115.68 2 400 400 1 167.4 5.58 30 72 .6 120 13.95 .93 15 66 1.1 60 32.4 1.08 30 18 .3 60 34.8 1.16 30 3.75 .25 15 21.6 .36 60 12 .4 30 400 400 1 Total: 1421.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411851 Min 01411851 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 2 DRESSING SIMPLE 12-FEB-19 3 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2030 of 6486
Name
AFZAL HUSSAIN SIDDIQUI Qty Rate Amount 1 400 400 5 300 1500 1 41.06 41.06 1 400 400 Total: 2341.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411852 Min 01411852 Appmt Dt Slno Description 12-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2031 of 6486
Name
SURIYA SIDDQUI Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411862 Min 01411862 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 CREATININE /CRT 4 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 05-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 10 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 16-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 18 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 19 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 20 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 2032 of 6486
Name
A C KATAKWAR Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 13.7 1.37 10 8.9 .89 10 5 .25 20 26.96 3.37 8 63.58 63.58 1 18 .6 30 8.1 .27 30 5.4 .36 15 23.7 .79 30 400 400 1 39 2.6 15 400 400 1 123.53 247.06 2 23.7 .79 30 11.4 .38 30 16.2 .27 60 16.2 .36 45 54 .6 90 400 400 1 Total: 4305.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411863 Min 01411863 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19 ASO 18 25-FEB-19 CRP 19 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 25-FEB-19 RA FACTOR /RH FACTOR 21 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 23 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 24 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 25 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 26 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 28-FEB-19
Page 2033 of 6486
Name
MEENAKASHI KATAKWAR Rate Amount Qty 860 860 1 400 400 1 275 275 1 400 400 1 1300 1300 1 275 275 1 10.8 .36 30 36 .6 60 17.4 1.16 15 31.95 .71 45 32.4 1.08 30 400 400 1 5 .25 20 12.6 .63 20 8.9 .89 10 13.7 1.37 10 400 400 1 600 600 1 600 600 1 400 400 1 600 600 1 21.3 .71 30 32.4 1.08 30 36 .6 60 10.8 .36 30 24.8 .62 40 400 400 1 Total: 7204.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411867 Min 01411867 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2034 of 6486
Name
SHASHI KALA TIWARI Rate Amount Qty 13.7 1.37 10 8.9 .89 10 400 400 1 Total: 422.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411875 Min 01411875 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 06-FEB-19 URIC ACID (UA /URATES /UR) 3 06-FEB-19 CREATININE /CRT 4 06-FEB-19 UREA (BUN /UR) 5 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 19 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 19-FEB-19
Page 2035 of 6486
P K MUKHERJEE Rate Amount Qty 1300 1300 1 21.3 .71 30 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 37.8 .63 60 27.9 .93 30 12.6 .42 30 550 550 1 5.21 5.21 1 400 400 1 25.07 25.07 1 400 400 1 3.8 .38 10 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 Total: 4579.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411876 Min 01411876 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 06-FEB-19 URIC ACID (UA /URATES /UR) 3 06-FEB-19 CREATININE /CRT 4 06-FEB-19 UREA (BUN /UR) 5 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 06-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 13 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 17 06-FEB-19
Page 2036 of 6486
Name
BASANTI MUKHERJEE Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 27.9 .93 30 18.9 .63 30 14.85 .99 15 26.7 .89 30 22.5 .75 30 2.4 .16 15 5.55 .37 15 7.5 .25 30 21.3 .71 30 Total: 3772.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411879 Min 01411879 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 2037 of 6486
Name
T L SINGORE Rate Amount Qty 82.76 165.52 2 17.8 .89 20 62.8 3.14 20 40.12 20.06 2 247.6 6.19 40 23.7 .79 30 7.8 .26 30 34.8 1.16 30 66 1.1 60 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1319.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411893 Min 01411893 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2038 of 6486
Name
DEEPAK KHANNA Rate Amount Qty 55.8 .93 60 36 .6 60 17.4 .58 30 12 .4 30 21.3 .71 30 400 400 1 Total: 542.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411902 Min 01411902 Appmt Dt Slno Description 15-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2039 of 6486
Name
V S N MURTHY Qty Rate Amount 21 .25 5.25 21 6.19 129.99 21 .64 13.44 1 400 400 Total: 548.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411903 Min 01411903 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 2040 of 6486
Name
V RUKMINI DEVI Rate Amount Qty 17.6 17.6 1 13.35 .89 15 7.5 .25 30 185.7 6.19 30 7.4 .37 20 9.6 .64 15 400 400 1 36 .6 60 55.8 .93 60 400 400 1 Total: 1132.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411905 Min 01411905 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 22-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2041 of 6486
Name
SHOBHA SARAF Qty Rate Amount 30 .71 21.3 30 1.1 33 30 .27 8.1 1 400 400 Total: 462.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411910 Min 01411910 Slno Description Appmt Dt LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 7 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 18-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 13 18-FEB-19 X - RAY - SINGLE VIEW 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 18-FEB-19 C T ABDOMEN 16 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 17 21-FEB-19 URIC ACID (UA /URATES /UR) 18 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 21-FEB-19 CREATININE /CRT 23 21-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 24 21-FEB-19
Page 2042 of 6486
Name
TARA SHARMA Rate Amount Qty 17.37 17.37 1 400 400 1 15.6 1.04 15 9 .9 10 10.95 .73 15 8.9 .89 10 139.8 9.32 15 66.2 6.62 10 16.5 1.1 15 400 400 1 400 400 1 1.5 .25 6 157.8 15.78 10 550 550 1 400 400 1 9000 9000 1 550 550 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 15218.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411912 Min 01411912 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 2043 of 6486
Name
RAJSHWARI DEVI Rate Amount Qty 12.6 .42 30 26.7 .89 30 21.3 .71 30 32.4 1.08 30 29.7 .99 30 55.8 .93 60 47.4 1.58 30 400 400 1 Total: 625.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411924 Min 01411924 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 2044 of 6486
Name
G BALAKRISHNA PILLAI Rate Amount Qty 7.4 .37 20 35.2 17.6 2 400 400 1 167.4 5.58 30 12 .4 30 33 1.1 30 34.8 1.16 30 7.8 .26 30 26.7 .89 30 18 .6 30 400 400 1 26.7 .89 30 16.2 .18 90 54 .9 60 400 400 1 Total: 1639.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411925 Min 01411925 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 2045 of 6486
Name
K SARASWATHI AMMA Rate Amount Qty 27.9 .62 45 21.3 .71 30 13.95 .93 15 8.1 .27 30 400 400 1 Total: 471.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411928 Min 01411928 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 2046 of 6486
Name
K E CHERIAN Rate Amount Qty 8.1 .27 30 12 .4 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 400 400 1 Total: 476.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411929 Min 01411929 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 27-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 2047 of 6486
Name
SARAMMA CHERIAN Rate Amount Qty 2.5 .25 10 55.8 .93 60 26.7 .89 30 355.5 3.95 90 10.65 .71 15 29.7 .99 30 36 .6 60 400 400 1 Total: 916.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411932 Min 01411932 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 PRAZOSIN,2.5MG,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 2048 of 6486
Name
SOSAMMA ALOSHIUS Rate Amount Qty 26.7 .89 30 34.8 1.16 30 32.4 .36 90 55.8 .93 60 7.5 .25 30 156 1.3 120 72 .6 120 167.4 5.58 30 400 400 1 Total: 952.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411934 Min 01411934 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2049 of 6486
Name
SURENDRA KUMAR SRIVASTAVA Rate Amount Qty 7.5 .25 30 2.4 .16 15 32.4 1.08 30 21.3 .71 30 27.9 .93 30 10.8 .36 30 400 400 1 Total: 502.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411935 Min 01411935 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2050 of 6486
Name
LALITA SRIVASTAVA Rate Amount Qty 12 .4 30 7.5 .25 30 13.7 1.37 10 21.3 .71 30 27.9 .93 30 18.6 .62 30 400 400 1 6.4 .64 10 55.2 1.84 30 400 400 1 Total: 962.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411937 Min 01411937 Appmt Dt Slno Description 21-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 2 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2051 of 6486
Name
ANUSUYA MESHRAM Qty Rate Amount 40 6.19 247.6 20 1.37 27.4 20 .89 17.8 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411939 Min 01411939 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 2052 of 6486
Name
SANTHA NAIR Rate Amount Qty 27.9 .93 30 18.9 .63 30 72.6 1.21 60 21.3 .71 30 400 400 1 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411940 Min 01411940 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 2053 of 6486
Name
SANTOSH KATHURIA Rate Amount Qty 55.8 .93 60 123.53 123.53 1 76.5 2.55 30 36 .6 60 21.3 .71 30 7.5 .25 30 31.2 1.04 30 9.86 9.86 1 400 400 1 4.45 .89 5 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 Total: 1174.11
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411941 Min 01411941 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 2054 of 6486
V N KATHURIA Rate Amount Qty 60.9 2.03 30 12 .4 30 118.5 3.95 30 25.07 25.07 1 15.6 .26 60 167.4 5.58 30 21.6 .36 60 32.4 1.08 30 27.9 .93 30 36 .6 60 21.3 .71 30 400 400 1 Total: 938.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411950 Min 01411950 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 2055 of 6486
Name
S N SONI Rate Amount Qty 12.15 12.15 1 54 .9 60 400 400 1 21.3 .71 30 43.2 1.44 30 76.5 2.55 30 12 .4 30 43.2 1.44 30 11.85 .79 15 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1727.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411952 Min 01411952 Appmt Dt Slno Description 19-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 19-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2056 of 6486
Name
RAJESWARI Qty Rate Amount 30 .79 23.7 30 .71 21.3 30 .71 21.3 1 400 400 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411955 Min 01411955 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2057 of 6486
Name
C I THOMAS Rate Amount Qty 55.8 .93 60 167.4 5.58 30 10.65 .71 15 23.1 .77 30 3.75 .25 15 36 .6 60 21.6 .36 60 12 .4 30 400 400 1 Total: 730.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411956 Min 01411956 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 2058 of 6486
Name
MARIAMMA THOMAS Rate Amount Qty 10.65 .71 15 76.5 2.55 30 55.8 .93 60 14.85 .99 15 6.9 .23 30 400 400 1 16.2 .18 90 54 .9 60 400 400 1 Total: 1034.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411959 Min 01411959 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2059 of 6486
Name
G L AGRAWAL Rate Amount Qty 9.86 9.86 1 7.5 .25 30 27.9 .93 30 18 .6 30 9 .3 30 5.7 .38 15 400 400 1 Total: 477.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411962 Min 01411962 Appmt Dt Slno Description 12-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12-FEB-19 2 GLIPIZIDE,STRIP PKT,5MG,TABLET 12-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2060 of 6486
Name
ANNAMMA MATHEW Qty Rate Amount 30 .27 8.1 30 .4 12 15 .25 3.75 1 400 400 Total: 423.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411963 Min 01411963 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 2061 of 6486
Name
P S D PILLAI Rate Amount Qty 36 .6 60 2.5 .25 10 105.9 3.53 30 12 .4 30 17.4 1.16 15 21.3 .71 30 15.6 1.04 15 16.2 .27 60 55.8 .93 60 400 400 1 Total: 682.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411965 Min 01411965 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 05-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 5 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 10 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 2062 of 6486
Name
PADMA JOSHI Rate Amount Qty 5.74 .41 14 92.68 6.62 14 7.5 .25 30 15.3 .51 30 4.27 192.15 45 43.96 43.96 1 12.46 .89 14 13.95 .93 15 32.4 1.08 30 46.8 .78 60 19.8 .66 30 400 400 1 Total: 882.74
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01411967 Min 01411967 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 07-FEB-19 BRIMONIDINE TARTRATE,0.15% 2 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2063 of 6486
RAMASHANKAR SINGH Rate Amount Qty 60.87 20.29 3 74.45 223.35 3 50.14 25.07 2 400 400 1 11.1 .37 30 25.62 12.81 2 400 400 1 Total: 1171.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411968 Min 01411968 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2064 of 6486
Name
SHANTI SINGH Rate Amount Qty 7.5 .25 30 105.9 3.53 30 55.8 .93 60 53.4 .89 60 34.8 1.16 30 6 .4 15 12.15 .27 45 400 400 1 Total: 675.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411972 Min 01411972 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 28-FEB-19 IVABRADINE,5MG,,TABLET 8 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 2065 of 6486
Name
BANDANA SEN Rate Amount Qty 15.3 .51 30 15.3 .34 45 16.2 1.08 15 13.95 .93 15 27.9 .93 30 43.2 1.44 30 42.6 .71 60 9.95 149.25 15 34.8 1.16 30 400 400 1 Total: 758.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411982 Min 01411982 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 2066 of 6486
Name
SAMUEL THOMAS Rate Amount Qty 2.5 .25 10 105.9 3.53 30 15.6 1.04 15 32.4 1.08 30 34.8 1.16 30 12 .4 30 30.6 .34 90 55.8 .93 60 400 400 1 Total: 689.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411983 Min 01411983 Appmt Dt Slno Description 13-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 13-FEB-19 2 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 13-FEB-19 3 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2067 of 6486
Name
THANKAMMA Qty 2 2 2 1
Rate Amount 20.29 40.58 25.69 51.38 156.51 313.02 400 400 Total: 804.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411984 Min 01411984 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 08-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 15-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 12 15-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 13 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 15-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 16 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 17 15-FEB-19 CREATININE /CRT 18 15-FEB-19 UREA (BUN /UR) 19 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 2068 of 6486
Name
P S SODHI Rate Amount Qty 185.7 6.19 30 13.7 1.37 10 150.9 5.03 30 156.6 1.74 90 400 400 1 55.8 .93 60 48 .4 120 69.6 1.16 60 64.8 1.08 60 400 400 1 55.2 1.84 30 41.06 41.06 1 26.96 3.37 8 7.4 .37 20 7.6 .38 20 41.06 41.06 1 19.72 9.86 2 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 313.2 1.74 180 400 400 1 Total: 3957.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411985 Min 01411985 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 6 15-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 15-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 15-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 15-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 13 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 2069 of 6486
Name
KAMALJIT SODHI Rate Amount Qty 54 .9 60 26.7 .89 30 12.15 12.15 1 156.6 1.74 90 400 400 1 25.69 25.69 1 11.25 .75 15 7.4 .37 20 12.81 12.81 1 45.44 45.44 1 31.61 31.61 1 400 400 1 313.2 1.74 180 108 .9 120 53.4 .89 60 400 400 1 Total: 2058.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01411993 Min 01411993 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2070 of 6486
Name
REKHA KIROLIKAR Rate Amount Qty 7.5 .25 30 21.3 .71 30 26.7 .89 30 55.8 .93 60 400 400 1 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412001 Min 01412001 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 2071 of 6486
S K MUKHERJEE Rate Amount Qty 13.49 13.49 1 25.07 25.07 1 400 400 1 27.9 .93 30 400 400 1 50.14 25.07 2 400 400 1 Total: 1316.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412004 Min 01412004 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 2072 of 6486
Name
ROSE VARGHESE Rate Amount Qty 12 .4 30 39 1.3 30 18 .6 30 17.4 1.16 15 25.2 .42 60 55.8 .93 60 66 1.1 60 400 400 1 Total: 633.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412005 Min 01412005 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 21-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 2073 of 6486
Name
C E PHILIP Rate Amount Qty 7.5 .25 30 27 .9 30 88.2 1.47 60 55.8 .93 60 14.85 .99 15 400 400 1 Total: 593.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412012 Min 01412012 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 2074 of 6486
Name
D R MALHOTRA Rate Amount Qty 27.6 .92 30 32.4 1.08 30 12 .4 30 33 1.1 30 15.6 1.04 15 21.3 .71 30 43.96 43.96 1 36 .6 60 11.85 .79 15 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 894.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412017 Min 01412017 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2075 of 6486
Name
BHUDEB ROY Rate Amount Qty 11.4 .38 30 60.9 2.03 30 26.7 .89 30 34.8 1.16 30 12 .4 30 72.6 1.21 60 27.9 .93 30 400 400 1 Total: 646.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412018 Min 01412018 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 04-FEB-19 PRAZOSIN,2.5MG,TABLET 7 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 2076 of 6486
Name
CHHABI RAY Rate Amount Qty 32.4 1.08 30 7.5 .25 30 26.7 .89 30 11.4 .38 30 4.8 .16 30 34.8 1.16 30 39 1.3 30 72.6 1.21 60 27.9 .93 30 400 400 1 Total: 657.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412023 Min 01412023 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2077 of 6486
Name
C V CHACKO Rate Amount Qty 110.4 .92 120 12 .4 30 21.3 .71 30 47.4 .79 60 36 .6 60 400 400 1 5.34 .89 6 6.57 .73 9 3.84 .64 6 400 400 1 Total: 1042.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412024 Min 01412024 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2078 of 6486
Name
AMMUKUTTY CHACKO Rate Amount Qty 29.7 .99 30 21.3 .71 30 32.4 1.08 30 8.1 .27 30 30.6 .34 90 55.8 .93 60 12 .4 30 400 400 1 Total: 589.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412030 Min 01412030 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 4 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 2079 of 6486
Name
SUREKHA NIMBALKAR Rate Amount Qty 47.4 .79 60 55.8 .93 60 32.4 .36 90 12.3 .41 30 15.6 1.04 15 400 400 1 Total: 563.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412037 Min 01412037 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2080 of 6486
Name
T A MARY KUTTY Rate Amount Qty 4.45 .89 5 6.7 .67 10 7.4 .37 20 17.37 17.37 1 25.62 12.81 2 400 400 1 Total: 461.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412043 Min 01412043 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 21-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2081 of 6486
Name
ALEYAMMA EAPEN Rate Amount Qty 54 .9 60 26.7 .89 30 100.71 100.71 1 59.4 .66 90 104.4 1.74 60 400 400 1 8.1 .27 30 400 400 1 Total: 1153.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412045 Min 01412045 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2082 of 6486
Name
AVINASH KAUR Rate Amount Qty 55.8 .93 60 8.1 .27 30 29.7 .99 30 32.4 1.08 30 1.6 .16 10 400 400 1 Total: 527.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412058 Min 01412058 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 2083 of 6486
Name
B B DAS Rate Amount Qty 39 1.3 30 55.8 .93 60 14.85 .99 15 6.4 .64 10 18.9 .63 30 9 .6 15 34.8 1.16 30 400 400 1 Total: 578.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412061 Min 01412061 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2084 of 6486
Name
K S DESHMUKH Rate Amount Qty 7.5 .25 30 21.3 .71 30 167.4 5.58 30 36 .6 60 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 654.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412062 Min 01412062 Slno Description Appmt Dt DIAGNOSTIC UGI ENDOSCOPY 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 2085 of 6486
Name
REKHA DEVI DESHMUKH Rate Amount Qty 2110 2110 1 400 400 1 66 1.1 60 13.35 .89 15 15 .25 60 47.85 3.19 15 13.7 1.37 10 16.8 1.12 15 40.12 20.06 2 400 400 1 Total: 3122.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412064 Min 01412064 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 16-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 5 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 20-FEB-19 INDOOR DEPARTMENTAL CONSULTATION (PER DA 7 20-FEB-19 OBSERVATION IN CASUALTY 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 2086 of 6486
Name
SATYAVATI KAINTH Rate Amount Qty 2.67 .89 3 33.12 1.84 18 5.76 .64 9 400 400 1 6.67 6.67 1 43.96 43.96 1 600 600 1 420 420 1 400 400 1 Total: 1912.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412065 Min 01412065 Slno Description Appmt Dt DRESSING SIMPLE 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 2087 of 6486
Name
RAJ KARAN SINGH Rate Amount Qty 600 300 2 400 400 1 1.85 .37 5 35.2 17.6 2 11.1 .37 30 400 400 1 Total: 1448.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412066 Min 01412066 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 SOLIFENACIN,5MG,,TABLET 4 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 2088 of 6486
Name
SAVITRI SINGH Rate Amount Qty 13.35 .89 15 20.06 20.06 1 400 400 1 806.4 13.44 60 4.8 .16 30 400 400 1 Total: 1644.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412067 Min 01412067 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 13-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 2089 of 6486
Name
S C BANERJEE Rate Amount Qty 17.4 .58 30 6.15 .41 15 7.5 .25 30 17.37 17.37 1 72 .6 120 167.4 5.58 30 21.3 .71 30 43.2 .36 120 117 1.3 90 8.1 .27 30 400 400 1 Total: 877.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412068 Min 01412068 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 2090 of 6486
Name
JHARNA BANERJEE Rate Amount Qty 7.5 .25 30 27.9 .93 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412076 Min 01412076 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2091 of 6486
Name
SUMITA DUTTA Rate Amount Qty 55.8 .93 60 66 1.1 60 73.8 .82 90 9 .3 30 21.3 .71 30 311.4 5.19 60 400 400 1 Total: 937.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412077 Min 01412077 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2092 of 6486
Name
VALSAMMA VASUKUTTY Rate Amount Qty 167.4 5.58 30 13.35 .89 15 4.8 .16 30 7.5 .25 30 7.8 .26 30 21.3 .71 30 23.7 .79 30 32.4 1.08 30 400 400 1 Total: 678.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412078 Min 01412078 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 2093 of 6486
Name
RAMESH CHANDRA TRIPATHI Rate Amount Qty 16.2 .27 60 76.5 2.55 30 2.4 .16 15 21.3 .71 30 400 400 1 Total: 516.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412079 Min 01412079 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 18-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 13 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 18 18-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 19 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 20 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 23 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 24 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 25 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 18-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 27 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 28 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 30 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 22-FEB-19
Page 2094 of 6486
Name
SHEELA TRIPATHI Rate Amount Qty 167.4 5.58 30 12 .4 30 26.7 .89 30 7.8 .26 30 7.5 .25 30 21.3 .71 30 27.9 .93 30 12 .4 30 400 400 1 10.5 .7 15 400 400 1 39.72 6.62 6 22 4.4 5 3.7 .37 10 3.2 .64 5 16.2 1.08 15 17.4 1.16 15 3.9 .26 15 3.75 .25 15 6 .4 15 83.7 5.58 15 9 .6 15 13.95 .93 15 5.7 .38 15 26.48 6.62 4 400 400 1 13.2 4.4 3 132.4 6.62 20 35.6 .89 40 12.15 12.15 1 2.56 .64 4 400 400 1 Total: 2343.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412081 Min 01412081 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2095 of 6486
Name
SOSAMMA KOSHY Rate Amount Qty 15 .25 60 191.4 3.19 60 400 400 1 Total: 606.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412084 Min 01412084 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 2096 of 6486
Name
G P KHANDUJA Rate Amount Qty 23.7 .79 30 167.4 5.58 30 18 .6 30 21.3 .71 30 400 400 1 Total: 630.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412089 Min 01412089 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 HB,TLC,DLC 7 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 18-FEB-19 CREATININE /CRT 10 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 14 18-FEB-19 PLATELET COUNT 15 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 16 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 20 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 21-FEB-19
Page 2097 of 6486
Name
AWADH NARAYAN YADAV Rate Amount Qty 30.45 2.03 15 17.4 1.16 15 4.05 .27 15 52.95 3.53 15 38.25 2.55 15 400 400 1 300 300 1 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 330 330 1 330 330 1 105.9 3.53 30 8.1 .27 30 60.9 2.03 30 34.8 1.16 30 76.5 2.55 30 400 400 1 Total: 5264.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412093 Min 01412093 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2098 of 6486
Name
AMBIKA SINGH Rate Amount Qty 9 .3 30 32.4 1.08 30 13.95 .93 15 21.3 .71 30 72 .6 120 76.5 2.55 30 10.8 .36 30 78 1.3 60 60.9 2.03 30 192.3 6.41 30 27.9 .93 30 400 400 1 Total: 995.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412094 Min 01412094 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 13-FEB-19 CREATININE /CRT 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 13-FEB-19 PLATELET COUNT 9 13-FEB-19 HB,TLC,DLC 10 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 13 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 14 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 2099 of 6486
Name
SUDAMA DEVI SINGH Rate Amount Qty 54 .9 60 1300 1300 1 550 550 1 275 275 1 26.7 .89 30 34.8 .58 60 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 400 400 1 118.5 3.95 30 11.85 .79 15 32.4 1.08 30 21.3 .71 30 15.6 1.04 15 400 400 1 61.8 4.12 15 400 400 1 Total: 5281.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412095 Min 01412095 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 2100 of 6486
Name
K K DAS Rate Amount Qty 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 593.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412096 Min 01412096 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19
Page 2101 of 6486
Name
DEEPALI DAS Rate Amount Qty 6.4 .64 10 8.9 .89 10 58.38 2.78 21 6.19 129.99 21 400 400 1 8.1 .27 30 27.9 .93 30 167.4 5.58 30 72 .6 120 21.3 .71 30 21.6 .36 60 400 400 1 Total: 1321.97
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412097 Min 01412097 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 09-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 14 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 15 09-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 16 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21 15-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 22 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 15-FEB-19
Page 2102 of 6486
G ISHWARI Rate Amount Qty 10.95 .73 15 13.35 .89 15 6.15 .41 15 400 400 1 13.35 .89 15 20.84 5.21 4 7.5 .25 30 10.95 .73 15 6.15 .41 15 400 400 1 8.9 .89 10 3.2 .64 5 66.2 6.62 10 43.55 8.71 5 3.5 .7 5 20.06 20.06 1 400 400 1 1.85 .37 5 6.4 .64 10 3.5 .25 14 3.8 .38 10 15.73 15.73 1 400 400 1 Total: 1865.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412100 Min 01412100 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 5 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 2103 of 6486
Name
AKLIMUN NISHA Rate Amount Qty 18.9 .63 30 13.35 .89 15 7.65 .51 15 78 1.3 60 157.8 2.63 60 11.4 .38 30 12 .4 30 167.4 5.58 30 36 .6 60 72.6 1.21 60 55.8 .93 60 16.2 .27 60 34.8 1.16 30 400 400 1 Total: 1081.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412108 Min 01412108 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2104 of 6486
Name
K P BIKAI Rate Amount Qty 189 2.1 90 15 .25 60 400 400 1 Total: 604
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412114 Min 01412114 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 2105 of 6486
Name
K P GULHANE Rate Amount Qty 19.2 .64 30 185.7 6.19 30 22.8 .38 60 26.7 .89 30 400 400 1 Total: 654.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412133 Min 01412133 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 2106 of 6486
Name
SHANTI DEVI SHARMA Rate Amount Qty 20.06 20.06 1 55.8 .93 60 13.35 .89 15 29.7 .99 30 8.1 .27 30 38.25 2.55 15 55.2 .92 60 167.4 5.58 30 400 400 1 Total: 787.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412136 Min 01412136 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 7 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 2107 of 6486
Name
SHEO PRAKASH MISHRA Rate Amount Qty 26.7 .89 30 7.8 .26 30 59.4 .66 90 54 .9 60 104.4 1.74 60 400 400 1 43.2 1.44 30 15.3 .51 30 23.7 .79 30 400 400 1 15 .25 60 12.3 .41 30 400 400 1 7.5 .25 30 9.6 .64 15 185.7 6.19 30 400 400 1 Total: 2164.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412137 Min 01412137 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 01-FEB-19 UREA (BUN /UR) 11 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 12 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 20 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 27-FEB-19
Page 2108 of 6486
GAYATRI MISHRA Rate Amount Qty 12.3 .41 30 40.12 20.06 2 14.85 .99 15 7.5 .25 30 26.7 .89 30 11.4 .38 30 32.4 1.08 30 400 400 1 275 275 1 275 275 1 275 275 1 70.2 .78 90 55.8 .93 60 34.8 1.16 30 36 .6 60 50.14 25.07 2 400 400 1 6.4 .64 10 7.5 .25 30 185.7 6.19 30 400 400 1 Total: 2616.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412139 Min 01412139 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 2109 of 6486
Name
VIJAY LAXMI AGARWAL Rate Amount Qty 22.2 .37 60 14.85 .99 15 13.8 .23 60 27.9 .93 30 54 .6 90 10.8 .36 30 400 400 1 Total: 543.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412142 Min 01412142 Slno Description Appmt Dt SERUM PROTIEN ELECTROPHORESIS 1 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 14-FEB-19 CREATININE /CRT 4 14-FEB-19 UREA (BUN /UR) 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 16-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 12 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 18 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 16-FEB-19
Page 2110 of 6486
Name
P TULSIRAM Rate Amount Qty 900 900 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 70.2 .78 90 43.96 43.96 1 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 55.8 .93 60 9 .3 30 400 400 1 Total: 5183.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412143 Min 01412143 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 14-FEB-19 UREA (BUN /UR) 4 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 14-FEB-19 URIC ACID (UA /URATES /UR) 7 14-FEB-19 CREATININE /CRT 8 14-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 9 16-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 10 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 16-FEB-19
Page 2111 of 6486
Name
P LAXMI Rate Amount Qty 550 550 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 123.53 247.06 2 82.76 248.28 3 26.7 .89 30 34.8 1.16 30 7.65 .51 15 27.9 .93 30 167.4 5.58 30 18 .6 30 400 400 1 Total: 4802.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412144 Min 01412144 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2112 of 6486
Name
MADAN LAL SETHI Rate Amount Qty 13.95 .93 15 368.4 6.14 60 5.21 5.21 1 7.5 .25 30 400 400 1 Total: 795.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412145 Min 01412145 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 2113 of 6486
Name
SARLA SETHI Rate Amount Qty 313.2 1.74 180 32.4 .18 180 108 .9 120 53.4 .89 60 400 400 1 26.55 26.55 1 400 400 1 Total: 1333.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412146 Min 01412146 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2114 of 6486
Name
NARENDRA KUMAR DUBEY Rate Amount Qty 7.8 .26 30 32.4 1.08 30 8.1 .27 30 23.7 .79 30 21.3 .71 30 400 400 1 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412147 Min 01412147 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 06-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 20-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2115 of 6486
Name
RAJNI DUBEY Rate Amount Qty 1.48 .37 4 3.08 .77 4 1.52 .38 4 400 400 1 8.4 .42 20 150.9 5.03 30 400 400 1 Total: 965.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412148 Min 01412148 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 2116 of 6486
Name
NOHAR PRASAD Rate Amount Qty 44.16 1.84 24 6.16 .77 8 7.68 .64 12 400 400 1 15.6 .26 60 400 400 1 Total: 873.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412160 Min 01412160 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 2117 of 6486
Name
M K PHILIP Rate Amount Qty 18 .6 30 7.5 .25 30 26.7 .89 30 23.7 .79 30 21.6 .36 60 78 1.3 60 400 400 1 Total: 575.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412162 Min 01412162 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 15-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 2118 of 6486
Name
A K P PANICKER Rate Amount Qty 54 .9 60 59.4 .66 90 156.6 1.74 90 31.2 1.04 30 13.95 .93 15 60.9 2.03 30 21.3 .71 30 78 1.3 60 32.4 1.08 30 400 400 1 Total: 907.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412163 Min 01412163 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 15-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19 X - RAY - SINGLE VIEW 12 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19
Page 2119 of 6486
Name
CHANDRIKA Rate Amount Qty 3.75 .25 15 400 400 1 25.62 12.81 2 57.84 115.68 2 21.3 .71 30 33 1.1 30 26.7 .89 30 12 .4 30 10.65 .71 15 185.7 6.19 30 400 400 1 550 550 1 1750 1750 1 400 400 1 Total: 3934.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412164 Min 01412164 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 16-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 2120 of 6486
Name
RAMWATI GUPTA Rate Amount Qty 26.7 .89 30 21.3 .71 30 12 .4 30 20.84 5.21 4 31.61 31.61 1 6.4 .64 10 400 400 1 Total: 518.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412170 Min 01412170 Slno Description Appmt Dt DRY REAGENT BASED,GLUCOMETER TEST STRIPS 1 17-FEB-19 URINE ACETONE 2 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 17-FEB-19 OBSERVATION IN CASUALTY 4 17-FEB-19 ECG 5 17-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 17-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 17-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 22-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19 ECG 17 26-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 18 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 26-FEB-19 OBSERVATION IN CASUALTY 21 26-FEB-19
Page 2121 of 6486
Name
A SRAVANIAH Rate Amount Qty 9.62 9.62 1 165 165 1 .89 .89 1 420 420 1 450 450 1 1.9 .38 5 1.25 .25 5 400 400 1 40.12 20.06 2 123.53 247.06 2 34.8 1.16 30 167.4 5.58 30 36 .6 60 66 1.1 60 27.9 .93 30 400 400 1 450 450 1 9.62 9.62 1 .93 .93 1 .16 .16 1 420 420 1 Total: 3348.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412171 Min 01412171 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 2122 of 6486
Name
A MALLESWARI Rate Amount Qty 40.12 20.06 2 2.4 .16 15 14.85 .99 15 27.9 .93 30 33 1.1 30 34.8 1.16 30 400 400 1 Total: 553.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412179 Min 01412179 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2123 of 6486
Name
Y KUNJELY Rate Amount Qty 12 .4 30 21.3 .71 30 9 .6 15 3.9 .26 15 66 1.1 60 118.5 3.95 30 400 400 1 Total: 630.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412180 Min 01412180 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 2124 of 6486
Name
PURNIMA BANERJEE Rate Amount Qty 18.6 .62 30 7.5 .25 30 10.8 .36 30 167.4 5.58 30 12 .4 30 36 .6 60 117 1.3 90 27.9 .93 30 21.3 .71 30 400 400 1 Total: 818.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412196 Min 01412196 Appmt Dt Slno Description 13-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 25-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 25-FEB-19 4 SERUM TOTAL PSA (CHEMILUMINESCNCE)
Page 2125 of 6486
Name
G S THAKUR Qty 1 1 1 1
Rate Amount 6.82 6.82 400 400 400 400 1610 1610 Total: 2416.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412197 Min 01412197 Appmt Dt Slno Description 04-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 04-FEB-19 2 BUDESONIDE,200MCG,CAPSULE 04-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2126 of 6486
Name
T K VASUKUTTY Qty Rate Amount 15 .89 13.35 60 1.74 104.4 15 2.6 39 1 400 400 Total: 556.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412198 Min 01412198 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 2127 of 6486
Name
RAMANI VASUKUTTY Rate Amount Qty 17.8 .89 20 25.6 .64 40 400 400 1 Total: 443.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412205 Min 01412205 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 2128 of 6486
Name
SMRITI NAG Rate Amount Qty 72.6 1.21 60 55.8 .93 60 16.2 .27 60 2.4 .16 15 15.6 .26 60 12 .4 30 18.6 .62 30 400 400 1 Total: 593.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412212 Min 01412212 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 2129 of 6486
Name
K K SONDHI Rate Amount Qty 11.4 .38 30 371.4 6.19 60 12 .4 30 21.6 .36 60 21.3 .71 30 42.6 .71 60 76.5 2.55 30 400 400 1 Total: 956.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412213 Min 01412213 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2130 of 6486
Name
V SONDHI Rate Amount Qty 26 2.6 10 9.86 9.86 1 11.4 .38 30 33 1.1 30 27.9 .93 30 2.5 .25 10 400 400 1 Total: 510.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412221 Min 01412221 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 C T HEAD PLAIN 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19
Page 2131 of 6486
Name
RAJINDER KAUR CHAWLA Rate Amount Qty 32.4 1.08 30 27.9 .93 30 9 .3 30 550 550 1 275 275 1 2.4 .16 15 5250 5250 1 400 400 1 26.7 .89 30 21.3 .71 30 275 275 1 Total: 6869.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412225 Min 01412225 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 9 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 14-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 11 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 2132 of 6486
Name
SIYA DEVI SHRMA Rate Amount Qty 26.7 .89 30 12.81 12.81 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 21.3 .71 30 31.2 1.04 30 55.8 .93 60 30.6 .34 90 7.4 .37 20 37.04 37.04 1 8.1 .27 30 6.4 .64 10 7.5 .25 30 400 400 1 Total: 724.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412232 Min 01412232 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 21-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 4 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 2133 of 6486
Name
A L DUTTA Rate Amount Qty 55.5 1.85 30 15.6 1.04 15 192.3 6.41 30 28.08 3.51 8 39.6 2.64 15 400 400 1 Total: 731.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412233 Min 01412233 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 01-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 01-FEB-19 CREAM,ACICLOVIR,5%,5GM/TUBE 7 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 01-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 21-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19
Page 2134 of 6486
Name
ILA DUTTA Rate Amount Qty 12.46 .89 14 4.1 .41 10 41.06 41.06 1 17.37 17.37 1 7.5 .25 30 4.97 .71 7 35.63 35.63 1 8.96 .64 14 12.75 446.25 35 400 400 1 15.3 .51 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 3.75 .25 15 27.9 .93 30 15.6 .26 60 66 1.1 60 157.8 2.63 60 400 400 1 Total: 1743.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412241 Min 01412241 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 3 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 26-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 2135 of 6486
Name
RITA CHAKRAVORTY Rate Amount Qty 1750 1750 1 400 400 1 61.65 1.37 45 54 .9 60 15.3 .51 30 11.1 .37 30 400 400 1 Total: 2692.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412247 Min 01412247 Appmt Dt Slno Description 26-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 26-FEB-19 3 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2136 of 6486
Name
LAXMI TIWARI Qty Rate Amount 30 .71 21.3 15 .79 11.85 60 .37 22.2 1 400 400 Total: 455.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412253 Min 01412253 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 09-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 3 09-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 14-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 8 14-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 9 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 10 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2137 of 6486
Name
S K BEHERA Rate Amount Qty 7.5 .25 30 21.3 .71 30 82.76 165.52 2 43.96 43.96 1 6.4 .64 10 400 400 1 11.2 1.12 10 7 .7 10 21.8 2.18 10 93.3 9.33 10 21.3 .71 30 400 400 1 Total: 1199.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412254 Min 01412254 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2138 of 6486
Name
SANDHYA BEHERA Rate Amount Qty 35.2 3.52 10 69.6 1.16 60 27.9 .93 30 6.4 .64 10 400 400 1 Total: 539.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412264 Min 01412264 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 12-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 14-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 15 14-FEB-19 ECG 16 14-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 17 14-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 18 14-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 19 14-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 20 14-FEB-19 CONSULTATION IN HEALTH CENTRE 21 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 14-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 23 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 26 16-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 27 16-FEB-19 COMPLETE HAEMOGRAM 28 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 30 16-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 31 16-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 32 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 33 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 34 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 35 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 37 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 38 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 39 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 40 26-FEB-19
Page 2139 of 6486
Name
CHANDRADEO PRASAD Rate Amount Qty 13.35 .89 15 47.1 3.14 15 400 400 1 26.7 .89 30 37.04 37.04 1 19.72 9.86 2 5.55 .37 15 17.6 17.6 1 192.3 6.41 30 60.9 2.03 30 32.4 1.08 30 21.3 .71 30 400 400 1 7 .7 10 9.81 9.81 1 450 450 1 23.39 23.39 1 22.71 22.71 1 .7 .7 1 24.52 24.52 1 400 400 1 8.9 .89 10 34.84 8.71 4 3.75 .25 15 400 400 1 275 275 1 1300 1300 1 750 750 1 400 400 1 275 275 1 275 275 1 1300 1300 1 26.7 .89 30 16.2 .18 90 100.71 100.71 1 400 400 1 13.7 1.37 10 2.5 .25 10 4.2 .42 10 400 400 1 Total: 8198.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412265 Min 01412265 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 2140 of 6486
Name
KAUSILIYA DEVI Rate Amount Qty 1.85 .37 5 2.28 .38 6 54 .6 90 21.6 .36 60 7.5 .25 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 36.3 1.21 30 29.7 .99 30 400 400 1 7.5 .25 30 185.7 6.19 30 9.6 .64 15 400 400 1 Total: 1265.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412269 Min 01412269 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 27-FEB-19 PRAZOSIN,2.5MG,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 27-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 6 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 2141 of 6486
Name
JAYA GHOSAL Rate Amount Qty 33 1.1 30 12 .4 30 39 1.3 30 15 .25 60 20.84 5.21 4 34.5 1.15 30 12.8 .64 20 26.7 .89 30 55.8 .93 60 400 400 1 Total: 649.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412270 Min 01412270 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 2142 of 6486
Name
HARIHAR ACHARI Rate Amount Qty 11.4 .38 30 26.7 .89 30 32.4 1.08 30 7.5 .25 30 10.8 .36 30 18 .6 30 118.5 3.95 30 12 .4 30 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 674.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412278 Min 01412278 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 13 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19
Page 2143 of 6486
Name
P MALLIKARJUN RAO Rate Amount Qty 21.3 .71 30 12 .4 30 16.2 .27 60 66 1.1 60 55.8 .93 60 400 400 1 12 .4 30 7.5 .25 30 6.82 6.82 1 27.9 .93 30 17.4 1.16 15 36 .6 60 27.6 .92 30 167.4 5.58 30 400 400 1 Total: 1273.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412281 Min 01412281 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 PRAZOSIN,2.5MG,TABLET 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 2144 of 6486
Name
V M MAMMEN Rate Amount Qty 54 .6 90 26.7 .89 30 55.8 .93 60 7.5 .25 30 7.5 .25 30 39 1.3 30 32.4 1.08 30 30.6 .34 90 400 400 1 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412282 Min 01412282 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 08-FEB-19 PRAZOSIN,2.5MG,TABLET 9 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 11 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 2145 of 6486
Name
K P CHAKRABORTY Rate Amount Qty 15.3 .51 30 192.3 6.41 30 6.4 .64 10 25.69 25.69 1 60.9 2.03 30 18.9 .63 30 21.3 .71 30 211.8 3.53 60 78 1.3 60 55.8 .93 60 36.3 1.21 30 32.4 1.08 30 400 400 1 Total: 1155.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412287 Min 01412287 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 06-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 5 06-FEB-19 PRAZOSIN,2.5MG,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 2146 of 6486
Name
AMARJEET KAUR Rate Amount Qty 17.4 1.16 15 66 1.1 60 32.4 1.08 30 6.16 .77 8 13.84 1.73 8 78 1.3 60 55.8 .93 60 400 400 1 Total: 669.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412294 Min 01412294 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CREATININE /CRT 6 05-FEB-19 UREA (BUN /UR) 7 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 11 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 08-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 16 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19
Page 2147 of 6486
Name
P S RAMASWAMY Rate Amount Qty 27.9 .93 30 550 550 1 10.65 .71 15 26.7 .89 30 21.3 .71 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 26.96 3.37 8 7.4 .37 20 41.06 41.06 1 19.72 9.86 2 400 400 1 13.49 13.49 1 3.7 .37 10 400 400 1 Total: 3048.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412295 Min 01412295 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 LORNOXICAM 8 MG,STRIP PACK,,TABLET 05-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2148 of 6486
Name
K S THANGAM Qty Rate Amount 20 .89 17.8 20 1.37 27.4 40 6.19 247.6 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412304 Min 01412304 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 PRAZOSIN,2.5MG,TABLET 9 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19
Page 2149 of 6486
Name
K S SARASAMMA Rate Amount Qty 36 .6 60 10.8 .36 30 7.8 .26 30 14.85 .99 15 4.8 .16 30 34.8 1.16 30 76.5 2.55 30 55.8 .93 60 156 1.3 120 39 1.3 30 400 400 1 Total: 836.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412305 Min 01412305 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2150 of 6486
Name
R K PILLAI Rate Amount Qty 21.3 .71 30 32.4 1.08 30 54 .6 90 60.9 2.03 30 10.8 .36 30 2.4 .16 15 26.7 .89 30 400 400 1 Total: 608.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412308 Min 01412308 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 2151 of 6486
Name
S D DIWAN Rate Amount Qty 30.6 .34 90 21.3 .71 30 23.7 .79 30 12 .4 30 32.4 1.08 30 66 1.1 60 400 400 1 Total: 586
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412309 Min 01412309 Appmt Dt Slno Description 05-FEB-19 1 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2152 of 6486
Name
AHILYA DIWAN Qty Rate Amount 30 5.37 161.1 1 400 400 561.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412312 Min 01412312 Appmt Dt Slno Description 25-FEB-19 1 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2153 of 6486
Name
LALITA RAMACHANDRAN Qty Rate Amount 1 37.04 37.04 1 400 400 437.04 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412318 Min 01412318 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 2154 of 6486
Name
G SATYAVATI Rate Amount Qty 12 .4 30 21.3 .71 30 27.9 .93 30 66 1.1 60 400 400 1 Total: 527.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412319 Min 01412319 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2155 of 6486
Name
ABDUL LATIF Rate Amount Qty 27.9 .93 30 20.06 20.06 1 6.4 .64 10 32.4 1.08 30 12 .4 30 10.8 .36 30 34.8 1.16 30 400 400 1 Total: 544.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412321 Min 01412321 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 2156 of 6486
Name
K SADHAN Rate Amount Qty 78 1.3 60 36 .6 60 21.6 .36 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 564.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412322 Min 01412322 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 17-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 17-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 17-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 17-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 RIFAXIMIN 200 MG,,TABLET 8 17-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 17-FEB-19
Page 2157 of 6486
Name
R MANI Rate Amount Qty 8 .4 20 23.2 1.16 20 5.2 .26 20 44 1.1 40 37.2 .93 40 17.42 8.71 2 8.9 .89 10 9.33 139.95 15 35.2 3.52 10 400 400 1 Total: 719.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412330 Min 01412330 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 URINE ROUTINE AND MICROSCOPIC 5 04-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 6 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 04-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 12 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 04-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 15 04-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 16 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 18 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 04-FEB-19 CREATININE /CRT 20 04-FEB-19 UREA (BUN /UR) 21 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 22 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 13-FEB-19 X - RAY - TWO VIEWS 24 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 13-FEB-19
Page 2158 of 6486
Name
T C ABRAHAM Rate Amount Qty 4.5 .3 15 1750 1750 1 43.2 1.44 30 400 400 1 380 380 1 550 550 1 550 550 1 31.2 1.04 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 79.2 2.64 30 37.8 .63 60 12.3 .41 30 311.4 5.19 60 256.2 4.27 60 43.96 43.96 1 25.2 .42 60 66 1.1 60 275 275 1 275 275 1 1750 1750 1 400 400 1 860 860 1 400 400 1 Total: 8580.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412331 Min 01412331 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 04-FEB-19 UREA (BUN /UR) 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 URIC ACID (UA /URATES /UR) 13 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 18 04-FEB-19 X - RAY - SINGLE VIEW 19 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 20-FEB-19
Page 2159 of 6486
Name
ANCHILA ABRAHAM Rate Amount Qty 18 .6 30 13.95 .93 15 211.8 3.53 60 7.5 .25 30 12.3 .41 30 2.4 .16 15 20.84 5.21 4 25.2 .42 60 46.2 .77 60 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 275 275 1 9 .3 30 550 550 1 400 400 1 Total: 4942.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412335 Min 01412335 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 2160 of 6486
Name
RAM NIHOR Rate Amount Qty 17.4 1.16 15 55.8 .93 60 66 1.1 60 8.1 .27 30 4.8 .16 30 26.7 .89 30 4.1 .41 10 400 400 1 94.8 1.58 60 400 400 1 5.76 .64 9 33.12 1.84 18 400 400 1 6.4 .64 10 6.23 .89 7 400 400 1 Total: 1929.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412336 Min 01412336 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 14-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 2161 of 6486
Name
SHIVWATI Rate Amount Qty 8.1 .27 30 55.8 .93 60 54 .6 90 12 .4 30 17.4 1.16 15 32.4 .36 90 4.95 .99 5 400 400 1 78 1.3 60 41.1 1.37 30 400 400 1 Total: 1103.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412338 Min 01412338 Appmt Dt Slno Description 01-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2162 of 6486
Name
OMVATI MISHRA Qty Rate Amount 30 .71 21.3 30 .93 27.9 30 .23 6.9 1 400 400 Total: 456.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412343 Min 01412343 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 15-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2163 of 6486
Name
DEEPA SEN Rate Amount Qty 5.4 .18 30 1.6 .16 10 6.9 .23 30 7.92 .99 8 55.8 .93 60 400 400 1 Total: 477.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412345 Min 01412345 Appmt Dt Slno Description 07-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 07-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 07-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2164 of 6486
Name
K P G PANICKER Qty Rate Amount 30 .3 9 30 .6 18 15 .25 3.75 1 400 400 Total: 430.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412346 Min 01412346 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 SOLIFENACIN,5MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 2165 of 6486
Name
P S PARVATI AMMA Rate Amount Qty 27 .9 30 400 400 1 27.9 .93 30 34.8 1.16 30 26.7 .89 30 2.4 .16 15 7.5 .25 30 36 .6 60 806.4 13.44 60 400 400 1 Total: 1768.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412349 Min 01412349 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 01-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 01-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 11 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 28-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 14 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 15 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 16 28-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 2166 of 6486
Name
RAMESHWAR PRASAD MISHRA Rate Amount Qty 15.3 .51 30 256.2 4.27 60 26.7 .89 30 21.3 .71 30 2.4 .16 15 184.2 6.14 30 400 400 1 17.6 4.4 4 3.56 .89 4 400 400 1 98.21 4.27 23 26.7 .89 30 21.3 .71 30 15.3 .51 30 123.53 123.53 1 2.4 .16 15 184.2 6.14 30 400 400 1 Total: 2198.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412350 Min 01412350 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 09-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 2167 of 6486
Name
PRABHA MISHRA Rate Amount Qty 38.4 .64 60 26.7 .89 30 371.4 6.19 60 26.7 .89 30 12.6 .42 30 156.6 1.74 90 39.6 .66 60 400 400 1 Total: 1072
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412352 Min 01412352 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 9 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 2168 of 6486
Name
SOSAMMA JOHN Rate Amount Qty 9 .3 30 167.4 5.58 30 117 1.3 90 55.8 .93 60 15.6 .26 60 32.4 1.08 30 21.3 .71 30 156.6 1.74 90 100.71 100.71 1 185.7 6.19 30 400 400 1 Total: 1261.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412353 Min 01412353 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 11 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 2169 of 6486
Name
MARIAMMA THOMAS Rate Amount Qty 5.75 .25 23 1.75 .25 7 34.8 1.16 30 27.9 .93 30 18 .6 30 400 400 1 31.61 31.61 1 11.1 .37 30 25.62 12.81 2 4.45 .89 5 4.1 .41 10 36.8 1.84 20 400 400 1 Total: 1001.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412355 Min 01412355 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 2170 of 6486
Name
M K PITAMBARAN Rate Amount Qty 17.8 .89 20 1.85 .37 5 20.06 20.06 1 66.2 6.62 10 400 400 1 Total: 505.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412357 Min 01412357 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 2171 of 6486
Name
GRACY JOHN Rate Amount Qty 21.3 .71 30 21.3 .71 30 55.2 .92 60 55.8 .93 60 39 1.3 30 36 .6 60 20.06 20.06 1 400 400 1 39.06 .93 42 14.91 .71 21 26.88 .64 42 24.36 1.16 21 54.6 1.3 42 25.2 .6 42 38.64 .92 42 35.2 3.52 10 400 400 1 Total: 1307.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412360 Min 01412360 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 11-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 6 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 11-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 9 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 11-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 2172 of 6486
Name
SHAIL KUMARI ARNOLD Rate Amount Qty 83.4 2.78 30 8.1 .27 30 4.8 .16 30 38.76 3.23 12 21.3 .71 30 51.38 25.69 2 11.4 .38 30 7.5 .25 30 40.58 20.29 2 12 .4 30 156.51 313.02 2 400 400 1 Total: 992.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412361 Min 01412361 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 08-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 15 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 16 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 08-FEB-19
Page 2173 of 6486
Name
R RAMAKRISHNA RAO Rate Amount Qty 72.6 1.21 60 55.8 .93 60 14.85 .99 15 12 .4 30 17.4 1.16 15 9.9 .66 15 87.92 43.96 2 22.2 .37 60 400 400 1 21.3 .71 30 9.9 .66 15 87.92 43.96 2 29.7 .99 30 55.8 .93 60 72.6 1.21 60 22.2 .37 60 12 .4 30 400 400 1 Total: 1404.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412362 Min 01412362 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19
Page 2174 of 6486
Name
R SOWBHAGYAM Rate Amount Qty 8.1 .27 30 66 1.1 60 14.85 .99 15 36 .6 60 7.5 .25 30 55.8 .93 60 400 400 1 2.4 .16 15 7.5 .25 30 27 .9 30 36 .6 60 14.85 .99 15 66 1.1 60 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1205.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412366 Min 01412366 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2175 of 6486
Name
V V POHEKAR Rate Amount Qty 21.3 .71 30 26.7 .89 30 6.9 .23 30 20.06 20.06 1 32.4 1.08 30 400 400 1 Total: 507.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412369 Min 01412369 Appmt Dt Slno Description 20-FEB-19 1 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 20-FEB-19 2 CEFEXIME,STRIP PKT,200MG,TABLET 20-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2176 of 6486
Name
MEENA SAHARIYA Qty Rate Amount 15 .73 10.95 10 6.62 66.2 10 .89 8.9 1 400 400 Total: 486.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412374 Min 01412374 Appmt Dt Slno Description 21-FEB-19 1 OINTMENT,LIDOCAINE,3%,15GM 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2177 of 6486
Name
P K PURUSHOTHAMAN Qty Rate Amount 2 82.76 165.52 1 400 400 565.52 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412375 Min 01412375 Appmt Dt Slno Description 21-FEB-19 1 INHALANT,STRIP PACK,CAPSULE 21-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2178 of 6486
Name
V K NALINAKSHY Qty Rate Amount 30 1.7 51 6 .37 2.22 10 3.52 35.2 1 400 400 Total: 488.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412377 Min 01412377 Slno Description Appmt Dt ECG 1 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 2 17-FEB-19 SYRINGE,DISPOSABLE,2ML 3 17-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 17-FEB-19 ONDANSETRON,2MG/ML,INJECTION 5 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 17-FEB-19 OBSERVATION IN CASUALTY 7 17-FEB-19
Page 2179 of 6486
Name
SMRITI SEENGAI Qty 1 1 2 1 1 1 1
Rate Amount 450 450 9.62 9.62 3.68 1.84 100 100 7.52 7.52 24.52 24.52 420 420 Total: 1015.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412379 Min 01412379 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 2180 of 6486
Name
DOTTY MANUEL Rate Amount Qty 55.8 .93 60 16.2 .27 60 18.6 .62 30 167.4 5.58 30 34.8 1.16 30 12 .4 30 54 .6 90 400 400 1 Total: 758.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412382 Min 01412382 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 08-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 2181 of 6486
M P SANGWANI Rate Amount Qty 25.07 25.07 1 41.06 41.06 1 371.4 6.19 60 26.7 .89 30 4.8 .16 30 21.3 .71 30 66 1.1 60 13.8 .23 60 55.8 .93 60 32.4 1.08 30 30.6 .34 90 400 400 1 Total: 1088.93
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412383 Min 01412383 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 08-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 7 08-FEB-19 SOLIFENACIN,5MG,,TABLET 8 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 2182 of 6486
SMITA SANGWAI Rate Amount Qty 16.2 .18 90 60.9 2.03 30 25.07 25.07 1 371.4 6.19 60 18 .6 30 26.7 .89 30 211.8 7.06 30 403.2 13.44 30 8.1 .27 30 7.5 .25 30 54 .9 60 94.2 3.14 30 400 400 1 Total: 1697.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412385 Min 01412385 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 07-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 8 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 07-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 2183 of 6486
Name
R S NAIR Rate Amount Qty 15.3 .51 30 16.5 1.1 15 32.4 1.08 30 20.84 5.21 4 27.9 .93 30 192.3 6.41 30 123.53 123.53 1 4.27 192.15 45 15.6 1.04 15 11.85 .79 15 21.3 .71 30 82.76 82.76 1 400 400 1 Total: 1152.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412391 Min 01412391 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2184 of 6486
Name
KUMUDAMMA J Rate Amount Qty 6.3 .42 15 13.35 .89 15 66 1.1 60 8.1 .27 30 34.8 1.16 30 400 400 1 Total: 528.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412397 Min 01412397 Appmt Dt Slno Description 23-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 23-FEB-19 3 TENELIGLIPTIN,20MG,,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2185 of 6486
Name
R M RAWALA Qty Rate Amount 30 .71 21.3 90 .36 32.4 30 5.58 167.4 1 400 400 Total: 621.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412398 Min 01412398 Appmt Dt Slno Description 23-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 23-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 23-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2186 of 6486
Name
ANURADHA RAWALA Qty Rate Amount 15 .16 2.4 60 1.1 66 60 .79 47.4 1 400 400 Total: 515.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412404 Min 01412404 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 07-FEB-19 ABC TEST HIV 4 07-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 2187 of 6486
Name
ANNAPURNA MAZUMDAR Rate Amount Qty 400 400 1 275 275 1 275 275 1 1250 1250 1 1000 1000 1 34.8 1.16 30 12 .4 30 16.5 1.1 15 55.8 .93 60 400 400 1 Total: 3719.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412405 Min 01412405 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2188 of 6486
Name
RAMA SEN Rate Amount Qty 7.5 .25 30 21.3 .71 30 8.1 .27 30 76.5 2.55 30 20.06 20.06 1 400 400 1 Total: 533.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412408 Min 01412408 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 05-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 05-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 15 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 05-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 17 05-FEB-19 URINE ROUTINE AND MICROSCOPIC 18 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 05-FEB-19
Page 2189 of 6486
Name
CHAYA RANI DAS SHARMA Rate Amount Qty 66 1.1 60 21.3 .71 30 18.9 .63 30 7.5 .25 30 26.7 .89 30 2.4 .16 15 8.58 180.18 21 55.8 .93 60 66 1.1 60 21.3 .71 30 18.9 .63 30 7.5 .25 30 26.7 .89 30 2.4 .16 15 8.58 180.18 21 400 400 1 650 650 1 15580 380 41 55.8 .93 60 Total: 17387.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412412 Min 01412412 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 11-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 IVABRADINE,5MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 2190 of 6486
Name
LEELA RAO Rate Amount Qty 21.3 .71 30 43.2 1.44 30 31.2 1.04 30 12 .4 30 30.6 .34 90 4.8 .16 30 53.4 .89 60 597 9.95 60 400 400 1 Total: 1193.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412421 Min 01412421 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 2191 of 6486
Name
R C KHOSLA Rate Amount Qty 26.7 .89 30 59.4 .66 90 54 .9 60 156.6 1.74 90 400 400 1 Total: 696.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412435 Min 01412435 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 09-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 09-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 09-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 4 09-FEB-19 UREA (BUN /UR) 5 09-FEB-19 CREATININE /CRT 6 09-FEB-19 C T ABDOMEN AND PELVIS 7 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 16 18-FEB-19 COMPLETE HAEMOGRAM 17 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 18 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 20-FEB-19 SICKLING TEST 20 20-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 21 20-FEB-19 CREATININE /CRT 22 20-FEB-19 SERUM AMYLASE (AMYL) 23 20-FEB-19 COMPLETE HAEMOGRAM 24 20-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 25 20-FEB-19 ABC TEST HIV 26 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 20-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 28 20-FEB-19 X - RAY - SINGLE VIEW 29 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 30 20-FEB-19 UREA (BUN /UR) 31 20-FEB-19 PROTHROMBIN TIME (PT) 32 20-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 33 20-FEB-19
Page 2192 of 6486
Name
VIMLA AGARWAL Rate Amount Qty 63.22 31.61 2 38.43 12.81 3 11.25 .75 15 85.52 85.52 1 275 275 1 275 275 1 12000 12000 1 400 400 1 11.1 .37 30 7.5 .25 30 7.5 .25 30 36 .6 60 400 400 1 275 275 1 275 275 1 1300 1300 1 750 750 1 9 .3 30 550 550 1 165 165 1 275 275 1 275 275 1 550 550 1 750 750 1 1000 1000 1 1250 1250 1 400 400 1 7.8 .26 30 550 550 1 275 275 1 275 275 1 330 330 1 330 330 1 Total: 23202.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412438 Min 01412438 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 X - RAY - TWO VIEWS 5 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 07-FEB-19
Page 2193 of 6486
Name
MAYA RAM SAHU Rate Amount Qty 8.4 .42 20 7.5 .25 30 13.7 1.37 10 185.7 6.19 30 860 860 1 400 400 1 Total: 1475.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412439 Min 01412439 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2194 of 6486
Name
HEERA DEVI Rate Amount Qty 20.55 1.37 15 400 400 1 7.68 .64 12 44.16 1.84 24 4.8 .6 8 400 400 1 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 1333.83
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412440 Min 01412440 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11 23-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 23-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19
Page 2195 of 6486
MADHU RAJ ALLEPPA Rate Amount Qty 27.6 .92 30 54 .6 90 8.1 .27 30 26.7 .89 30 7.5 .25 30 167.4 5.58 30 423.6 7.06 60 3.7 .37 10 31.46 15.73 2 400 400 1 156.51 156.51 1 148.9 74.45 2 94.42 188.84 2 400 400 1 Total: 2044.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412441 Min 01412441 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 2196 of 6486
Name
RUBY ALLEPPA Rate Amount Qty 167.4 5.58 30 11.4 .38 30 55.8 .93 60 72 .6 120 27.9 .62 45 21.3 .71 30 21.3 .71 30 400 400 1 Total: 777.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412442 Min 01412442 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 02-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 2197 of 6486
RADHESHYAM PATEL Rate Amount Qty 25.07 25.07 1 85.52 85.52 1 11.1 .37 30 25.62 12.81 2 400 400 1 Total: 547.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412443 Min 01412443 Name Appmt Dt Slno Description 02-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2198 of 6486
SOHGIL BAI Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412455 Min 01412455 Appmt Dt Slno Description 05-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 05-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2199 of 6486
Name
MALLIKA BRAHMA Qty Rate Amount 20 1.37 27.4 40 6.19 247.6 20 .89 17.8 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412460 Min 01412460 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 8 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 2200 of 6486
Name
PRAKASH CHAND BINAYAKE Rate Amount Qty 21.3 .71 30 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 22.2 .37 60 400 400 1 26.7 .89 30 59.4 .66 90 104.4 1.74 60 7.5 .25 30 3.84 .16 24 .96 .16 6 400 400 1 Total: 1327.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412461 Min 01412461 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2201 of 6486
Name
KIRAN JAIN Rate Amount Qty 29.7 .99 30 55.8 .93 60 66 1.1 60 26.98 .71 38 26.7 .89 30 21.3 .71 30 400 400 1 Total: 626.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412462 Min 01412462 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 21-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 2202 of 6486
Name
RANJIT SINGH Qty 2 1 1
Rate Amount 123.53 247.06 123.53 123.53 400 400 Total: 770.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412463 Min 01412463 Appmt Dt Slno Description 21-FEB-19 1 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2203 of 6486
Name
SURENDER KAUR Qty 3 1
Rate Amount 123.53 370.59 400 400 770.59 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412468 Min 01412468 Appmt Dt Slno Description 16-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 2 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2204 of 6486
Name
RAM DAS PATIL Qty Rate Amount 20 .89 17.8 30 1.3 39 30 .25 7.5 1 400 400 Total: 464.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412469 Min 01412469 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 2205 of 6486
Name
NANDA PATIL Rate Amount Qty 26.7 .89 30 167.4 5.58 30 7.5 .25 30 27.6 .92 30 55.8 .93 60 18.6 .62 30 400 400 1 Total: 703.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412471 Min 01412471 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 28-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 2206 of 6486
Name
INDIRA CHANDRAWANSHI Rate Amount Qty 21.3 .71 30 94.8 1.58 60 400 400 1 Total: 516.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412475 Min 01412475 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2207 of 6486
Name
SANDHYA MALHOTRA Rate Amount Qty 55.8 .93 60 7.5 .25 30 66 1.1 60 8.1 .27 30 185.7 6.19 30 400 400 1 Total: 723.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412480 Min 01412480 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 25-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 2208 of 6486
Name
SHANTI DEVI TANDA Rate Amount Qty 18.6 .62 30 27.9 .93 30 100.71 100.71 1 26.7 .89 30 400 400 1 8.71 8.71 1 4.62 .77 6 10.08 1.12 9 21.12 3.52 6 6.82 6.82 1 1.92 .64 3 400 400 1 Total: 1027.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412481 Min 01412481 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 02-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 02-FEB-19 PRAZOSIN,2.5MG,TABLET 7 02-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 12 04-FEB-19 PRAZOSIN,2.5MG,TABLET 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19
Page 2209 of 6486
Name
RAM MURTY TANDA Rate Amount Qty 32.4 1.08 30 22.2 .37 60 60.9 2.03 30 15.6 .26 60 11.4 .38 30 211.8 3.53 60 117 1.3 90 15.6 1.04 15 46.2 .77 60 9.28 1.16 8 400 400 1 27.9 .93 30 117 1.3 90 400 400 1 Total: 1487.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412484 Min 01412484 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2210 of 6486
Name
S K SAPRE Rate Amount Qty 27.9 .93 30 66 1.1 60 21.3 .71 30 7.5 .25 30 26.7 .89 30 8.1 .27 30 400 400 1 Total: 557.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412488 Min 01412488 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2211 of 6486
Name
GEETA UPADHYAY Rate Amount Qty 21.3 .71 30 18 .6 30 14.85 .99 15 3.75 .25 15 400 400 1 Total: 457.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412489 Min 01412489 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2212 of 6486
Name
N P UPADHYAY Rate Amount Qty 60.9 2.03 30 7.5 .25 30 36 .6 60 32.4 1.08 30 41.85 .93 45 21.3 .71 30 32.4 .36 90 400 400 1 Total: 632.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412506 Min 01412506 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 13-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 2213 of 6486
Name
AHILYA BELCHANDAN Rate Amount Qty 26.55 26.55 1 12.6 .42 30 400 400 1 36 .6 60 7.5 .25 30 21.3 .71 30 10.8 .36 30 400 400 1 6.4 .64 10 3.7 .37 10 66.2 6.62 10 8.9 .89 10 400 400 1 Total: 1399.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412507 Min 01412507 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 19-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2214 of 6486
L K BELCHANDAN Rate Amount Qty 23.7 .79 30 26.7 .89 30 21.3 .71 30 7.5 .25 30 400 400 1 7.5 .25 30 6.4 .64 10 48.22 48.22 1 400 400 1 Total: 941.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412510 Min 01412510 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 2215 of 6486
Name
ASHOK KUMAR Rate Amount Qty 34.8 1.16 30 2.4 .16 15 12 .4 30 33 1.1 30 8.1 .27 30 400 400 1 26.7 .89 30 123.53 370.59 3 400 400 1 Total: 1287.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412514 Min 01412514 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 2216 of 6486
Name
D SUNDERMURTY Rate Amount Qty 167.4 5.58 30 7.5 .25 30 21.3 .71 30 7.5 .25 30 21.3 .71 30 2.4 .16 15 27.6 .92 30 8.1 .27 30 47.4 .79 60 29.7 .99 30 400 400 1 Total: 740.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412519 Min 01412519 Appmt Dt Slno Description 16-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 16-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2217 of 6486
Name
TRILOKI NATH TIWARI Qty Rate Amount 30 .71 21.3 30 .62 18.6 30 .4 12 1 400 400 Total: 451.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412520 Min 01412520 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 2218 of 6486
Name
SHANTI DEVI TIWARI Rate Amount Qty 11.4 .38 30 18.9 .63 30 34.8 1.16 30 12 .4 30 334.8 5.58 60 36 .6 60 117 1.3 90 55.8 .93 60 400 400 1 Total: 1020.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412525 Min 01412525 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2219 of 6486
Name
ANTARA DUTTA Rate Amount Qty 34.8 1.16 30 13.35 .89 15 55.8 .93 60 8.1 .27 30 7.5 .25 30 18 .6 30 9 .3 30 400 400 1 Total: 546.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412526 Min 01412526 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2220 of 6486
Name
DR.AMITABH DUTTA Rate Amount Qty 27.9 .93 30 18 .6 30 60.9 2.03 30 4.8 .16 30 21.3 .71 30 7.7 .77 10 400 400 1 Total: 540.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412539 Min 01412539 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 2 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 01-FEB-19 COMPLETE HAEMOGRAM 4 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 01-FEB-19 CREATININE /CRT 7 01-FEB-19 UREA (BUN /UR) 8 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 10 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 11 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 14 12-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 15 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 18 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 22-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 20 22-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 21 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 26-FEB-19
Page 2221 of 6486
Name
SALOMI GEORGE Qty 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 400 400 275 275 4790 4790 750 750 550 550 275 275 275 275 275 275 400 400 4790 4790 4790 4790 400 400 400 400 4790 4790 4790 4790 400 400 400 400 4790 4790 400 400 4790 4790 4790 4790 400 400 Total: 43920
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412542 Min 01412542 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 2222 of 6486
Name
P.S. MOHAN RAO Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 17 1.7 10 400 400 1 27.9 .93 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 1300.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412543 Min 01412543 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 2223 of 6486
Name
RAVEL Rate Amount Qty 55.8 .93 60 21.3 .71 30 16.5 1.1 15 9.9 .66 15 18.6 .62 30 400 400 1 4.45 .89 5 400 400 1 Total: 926.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412550 Min 01412550 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 2224 of 6486
Name
GUPTA PK Rate Amount Qty 18.9 .63 30 60.9 2.03 30 8.1 .27 30 27.9 .93 30 6.4 .64 10 13.35 .89 15 21.3 .71 30 192.3 6.41 30 400 400 1 Total: 749.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412551 Min 01412551 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2225 of 6486
Name
SMT CHANDANA GUPTA Rate Amount Qty 20.06 20.06 1 41.85 .93 45 33 1.1 30 19.8 .66 30 26.7 .89 30 400 400 1 Total: 541.41
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412552 Min 01412552 Slno Description Appmt Dt GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 1 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 X - RAY - TWO VIEWS 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 2226 of 6486
JD DAMMANI Rate Amount Qty 19.77 19.77 1 25.07 25.07 1 12.8 .64 20 400 400 1 400 400 1 1720 860 2 9.6 .64 15 21.3 .71 30 21.6 .36 60 27.9 .93 30 400 400 1 Total: 3058.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412553 Min 01412553 Appmt Dt Slno Description 18-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2227 of 6486
Name
VEENA DAMMANI Qty 2 1
Rate Amount 25.69 51.38 400 400 451.38 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412558 Min 01412558 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 SOLIFENACIN,5MG,,TABLET 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 BUDESONIDE,200MCG,CAPSULE 12 08-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 13 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 15 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 26-FEB-19 UREA (BUN /UR) 18 26-FEB-19 CREATININE /CRT 19 26-FEB-19 URIC ACID (UA /URATES /UR) 20 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 21 26-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 22 26-FEB-19 URINE ROUTINE AND MICROSCOPIC 23 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 24 26-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 25 26-FEB-19
Page 2228 of 6486
Name
R KRISHNA RAO Rate Amount Qty 66 1.1 60 9 .3 30 36 .6 60 43.2 1.44 30 12 .4 30 403.2 13.44 30 26.7 .89 30 34.8 1.16 30 60.9 2.03 30 15.6 .26 60 400 400 1 52.2 1.74 30 69.05 69.05 1 400 400 1 245.6 6.14 40 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1750 1750 1 650 650 1 380 380 1 1300 1300 1 275 275 1 Total: 7729.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412559 Min 01412559 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2229 of 6486
Name
B D VISHWAKARMA Rate Amount Qty 17.4 1.16 15 27.9 .93 30 32.4 1.08 30 33 1.1 30 3.75 .25 15 400 400 1 Total: 514.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412565 Min 01412565 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2230 of 6486
Name
SAMPAT THAKRE Rate Amount Qty 21.6 .36 60 27.9 .93 30 26.7 .89 30 60.9 2.03 30 34.8 1.16 30 12 .4 30 78 1.3 60 54 .6 90 400 400 1 Total: 715.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412566 Min 01412566 Appmt Dt Slno Description 20-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2231 of 6486
Name
TRIVENI THAKRE Qty Rate Amount 30 .27 8.1 30 .6 18 30 .93 27.9 1 400 400 Total: 454
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412567 Min 01412567 Appmt Dt Slno Description 06-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 06-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 06-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2232 of 6486
Name
JAGDEO PRASAD SAHU Qty Rate Amount 6 .89 5.34 10 .64 6.4 6 2.6 15.6 1 400 400 Total: 427.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412568 Min 01412568 Appmt Dt Slno Description 15-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2233 of 6486
SHYAM BAI SAHU Qty Rate Amount 1 25.07 25.07 30 2.03 60.9 30 .89 26.7 1 400 400 Total: 512.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412571 Min 01412571 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2234 of 6486
Name
SEELA DUTTA Rate Amount Qty 12 .4 30 55.8 .93 60 43.96 43.96 1 7.5 .25 30 7.65 .51 15 21.3 .71 30 400 400 1 Total: 548.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412577 Min 01412577 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 2235 of 6486
Name
SAJAN BAI Rate Amount Qty 14.6 .73 20 7.5 .25 30 17.75 .71 25 21.6 .36 60 72.6 1.21 60 36 .6 60 78 1.3 60 34.8 1.16 30 400 400 1 Total: 682.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412578 Min 01412578 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2236 of 6486
Name
SHIV NATH SHRIVAS Rate Amount Qty 10.8 .36 30 36 .6 60 3.84 .64 6 7.5 .25 30 8.1 .27 30 400 400 1 Total: 466.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412580 Min 01412580 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 22-FEB-19 COMPLETE HAEMOGRAM 13 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 22-FEB-19 UREA (BUN /UR) 16 22-FEB-19 CREATININE /CRT 17 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 18 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 22-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 21 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 24 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 25-FEB-19
Page 2237 of 6486
Name
BP KANOJE Rate Amount Qty 12 .4 30 66 1.1 60 55.8 .93 60 19.8 .66 30 18 .6 30 167.4 5.58 30 10.65 .71 15 400 400 1 13.7 1.37 10 8.9 .89 10 550 550 1 1300 1300 1 9000 750 12 275 275 1 275 275 1 275 275 1 275 275 1 185.7 6.19 30 400 400 1 400 400 1 41.06 41.06 1 9.6 .64 15 4.45 .89 5 66.2 6.62 10 400 400 1 Total: 14229.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412581 Min 01412581 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2238 of 6486
Name
SARALA KANOJE Rate Amount Qty 7.5 .25 30 27.9 .93 30 8.1 .27 30 400 400 1 6.19 129.99 21 5.25 .25 21 6.4 .64 10 400 400 1 Total: 985.14
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412585 Min 01412585 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 07-FEB-19 UREA (BUN /UR) 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 URIC ACID (UA /URATES /UR) 6 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 2239 of 6486
DHANGOURI RATHOR Rate Amount Qty 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 550 550 1 25.07 25.07 1 275 275 1 9 .6 15 7.5 .25 30 400 400 1 Total: 4066.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412586 Min 01412586 Appmt Dt Slno Description 12-FEB-19 1 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2240 of 6486
Name
KANAI LAL SI Qty Rate Amount 30 6.41 192.3 30 2.03 60.9 30 1.1 33 1 400 400 Total: 686.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412587 Min 01412587 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 2241 of 6486
Name
SANDHYA RANI SI Rate Amount Qty 6.9 .23 30 21.3 .71 30 400 400 1 Total: 428.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412598 Min 01412598 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2242 of 6486
Name
RAM MURTI MISHRA Rate Amount Qty 12 .4 30 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 693.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412601 Min 01412601 Slno Description Appmt Dt PROTHROMBIN TIME (PT) 1 11-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 11-FEB-19
Page 2243 of 6486
Name
JAI PRAKASH SHUKLA Rate Amount Qty 330 330 1 330 330 1 400 400 1 1.85 .37 5 17 1.7 10 Total: 1078.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412604 Min 01412604 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 2244 of 6486
Name
P. SUSHEELA Rate Amount Qty 31.2 1.04 30 55.8 .93 60 8.1 .27 30 7.5 .25 30 400 400 1 Total: 502.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412609 Min 01412609 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2245 of 6486
Name
SARALA BALA BOSE Rate Amount Qty 275 275 1 275 275 1 39 1.3 30 55.8 .93 60 41.4 .92 45 167.4 5.58 30 76.5 2.55 30 21.3 .71 30 400 400 1 Total: 1351.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412610 Min 01412610 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 05-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 15 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 16 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 20-FEB-19 ACENOCOUMAROL,2MG,,TABLET 18 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 20-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 2246 of 6486
Name
DHARAM DAS MODI Rate Amount Qty 41.06 41.06 1 25.62 12.81 2 7.7 .77 10 6.7 .67 10 35.2 3.52 10 3.7 .37 10 400 400 1 41.06 41.06 1 11.1 .37 30 25.62 12.81 2 400 400 1 34.8 1.16 30 10.8 .36 30 36 .6 60 23.7 .79 30 76.5 2.55 30 12 .4 30 6.75 101.25 15 400 400 1 63.58 63.58 1 400 400 1 Total: 2156.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412611 Min 01412611 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 06-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 2247 of 6486
Name
SHANTI DEVI Rate Amount Qty 95.7 3.19 30 7.5 .25 30 27.9 .93 30 33 1.1 30 400 400 1 Total: 564.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412615 Min 01412615 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2248 of 6486
Name
USHA SANGIA Rate Amount Qty 54 .6 90 21.6 .36 60 7.5 .25 30 21.3 .71 30 55.8 .93 60 29.7 .99 30 167.4 5.58 30 400 400 1 Total: 757.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412625 Min 01412625 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 10-FEB-19 FAMOTIDINE,STRIP PKT,20MG,TABLET 2 10-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 10-FEB-19 OBSERVATION IN CASUALTY 4 10-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 10 11-FEB-19
Page 2249 of 6486
Name
BC CHAKRAVORTY Rate Amount Qty .64 .64 1 .25 .25 1 600 600 1 420 420 1 34.8 1.16 30 60.9 2.03 30 87.92 43.96 2 26.7 .89 30 32.4 1.08 30 61.8 4.12 15 Total: 1325.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412626 Min 01412626 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 2250 of 6486
Name
BHARTI CHAKRAVORTY Rate Amount Qty 17.8 .89 20 21.3 .71 30 167.4 5.58 30 55.8 .93 60 18 .6 30 400 400 1 55.2 1.84 30 9.6 .64 15 6 .6 10 400 400 1 2.4 .6 4 22.08 1.84 12 3.84 .64 6 400 400 1 Total: 1579.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412627 Min 01412627 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 2251 of 6486
Name
C S VERMA Rate Amount Qty 40.12 20.06 2 29.7 .99 30 21.3 .71 30 18 .6 30 26.7 .89 30 18.6 .62 30 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 642.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412631 Min 01412631 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2252 of 6486
Name
S.K.INGLE Rate Amount Qty 34.8 1.16 30 7.5 .25 30 36 .6 60 12 .4 30 47.4 .79 60 72.6 1.21 60 16.2 .27 60 7.65 .51 15 400 400 1 Total: 634.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412633 Min 01412633 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 08-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19
Page 2253 of 6486
YADAV SP Rate Amount Qty 15.73 15.73 1 100.71 100.71 1 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 15.6 .26 60 400 400 1 Total: 660.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412638 Min 01412638 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 11 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19
Page 2254 of 6486
Name
RAJIM BAI Rate Amount Qty 36 .6 60 117 1.3 90 6.9 .23 30 18.6 .62 30 33 1.1 30 12 .4 30 34.8 1.16 30 400 400 1 36 .6 60 117 1.3 90 18.6 .62 30 33 1.1 30 8.1 .27 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 1317.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412639 Min 01412639 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 12-FEB-19 BRIMONIDINE TARTRATE,0.15% 3 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 2255 of 6486
B L NASHINE Rate Amount Qty 41.85 .93 45 7.65 .51 15 74.45 74.45 1 25.07 25.07 1 400 400 1 Total: 549.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412640 Min 01412640 Appmt Dt Slno Description 12-FEB-19 1 VITAMIN A CHEWABLE,50000IU,,TABLET 12-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2256 of 6486
Name
RUKHMANI NASHINE Qty Rate Amount 30 .75 22.5 30 .38 11.4 30 .25 7.5 1 400 400 Total: 441.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412641 Min 01412641 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2257 of 6486
B.B. UNNITHAN Rate Amount Qty 48.22 48.22 1 54 .6 90 21.3 .71 30 27.9 .93 30 1.25 .25 5 4.5 .9 5 4.45 .89 5 66.2 6.62 10 10.8 .36 30 400 400 1 Total: 638.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412651 Min 01412651 Slno Description Appmt Dt GUM ANALGESIC GEL 1 01-FEB-19 GUM ASTRINGENT PAINT 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 02-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 02-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 14 20-FEB-19 GUM ASTRINGENT PAINT 15 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 20-FEB-19
Page 2258 of 6486
Name
PURANIK LAL Rate Amount Qty 28.69 28.69 1 31.54 31.54 1 400 400 1 26.7 .89 30 59.4 .66 90 156.6 1.74 90 7.5 .25 30 16.2 .18 90 400 400 1 66.2 6.62 10 24.92 .89 28 23.45 .67 35 400 400 1 20.25 20.25 1 31.54 31.54 1 400 400 1 Total: 2092.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412652 Min 01412652 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 01-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2259 of 6486
Name
CHANDRAKANTA Rate Amount Qty 57.84 57.84 1 85.52 85.52 1 7.4 .37 20 400 400 1 7.5 .25 30 11.85 .79 15 21.3 .71 30 400 400 1 Total: 991.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412653 Min 01412653 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 2260 of 6486
Name
KHILAWAN DHAR DIWAN Rate Amount Qty 34.8 1.16 30 78 .78 100 27.9 .93 30 16.2 .27 60 400 400 1 Total: 556.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412655 Min 01412655 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 21-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 2261 of 6486
Name
SUMAN SHUKLA Rate Amount Qty 16.2 .27 60 400 400 1 55.2 1.84 30 3.8 .38 10 6.4 .64 10 41.06 41.06 1 4.45 .89 5 400 400 1 Total: 927.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412658 Min 01412658 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 11-FEB-19 3 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2262 of 6486
Name
MAYA NATH RAI Qty Rate Amount 60 .93 55.8 30 1.1 33 30 .58 17.4 1 400 400 Total: 506.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412659 Min 01412659 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2263 of 6486
Name
BINDA RAI Rate Amount Qty 12 .4 30 20.06 20.06 1 1.6 .16 10 118.5 3.95 30 27.9 .93 30 27.9 .93 30 20.84 5.21 4 400 400 1 Total: 628.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412663 Min 01412663 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 02-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 UREA (BUN /UR) 7 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 04-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 13 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 13-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 15 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 22-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 21 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 22 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 2264 of 6486
Name
TULA RAM Rate Amount Qty 400 400 1 380 380 1 1610 1610 1 400 400 1 .8 .16 5 60.9 2.03 30 275 275 1 550 550 1 46.2 .77 60 33.6 1.12 30 44 4.4 10 275 275 1 1750 1750 1 400 400 1 1750 1750 1 87.92 43.96 2 39.18 19.59 2 400 400 1 8.9 .89 10 34.8 1.16 30 20.06 20.06 1 11.4 .38 30 117 1.3 90 400 400 1 Total: 9094.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412665 Min 01412665 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2265 of 6486
Name
CHANDRAMA RAI Rate Amount Qty 14.85 .99 15 12 .4 30 34.8 1.16 30 66 1.1 60 55.8 .93 60 7.5 .25 30 400 400 1 Total: 590.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412669 Min 01412669 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2266 of 6486
Name
D.R.DHOTE Rate Amount Qty 47.4 .79 60 16.2 .27 60 32.4 1.08 30 3.75 .25 15 400 400 1 Total: 499.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412670 Min 01412670 Slno Description Appmt Dt WARFARIN SODIUM,STRIP PKT,5MG,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 2267 of 6486
Name
URMILA BAI Rate Amount Qty 43 2.15 20 23.7 .79 30 26.7 .89 30 32.4 1.08 30 31.2 1.04 30 7.7 .77 10 1.85 .37 5 6.4 .64 10 36.8 1.84 20 400 400 1 Total: 609.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412675 Min 01412675 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2268 of 6486
Name
NARAYAN APPU Rate Amount Qty 36 .6 60 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 14.85 .99 15 400 400 1 Total: 573.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412677 Min 01412677 Appmt Dt Slno Description 04-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2269 of 6486
Name
T. KESHAV RAO Qty Rate Amount 30 .27 8.1 30 .93 27.9 60 1.1 66 1 400 400 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412678 Min 01412678 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2270 of 6486
Name
T. LAXMI KANTA Rate Amount Qty 6.9 .23 30 21.3 .71 30 36 .6 60 9 .3 30 55.8 .93 60 400 400 1 Total: 529
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412679 Min 01412679 Slno Description Appmt Dt IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 1 15-FEB-19 SYRINGE,DISPOSABLE,2ML 2 15-FEB-19 OBSERVATION IN CASUALTY 3 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 15-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 15-FEB-19 URINE ACETONE 6 15-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 7 15-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 15-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 9 15-FEB-19 ECG 10 15-FEB-19 RIFAXIMIN 200 MG,,TABLET 11 16-FEB-19 RACECADOTRIL,100MG,CAPSULE 12 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 16-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 21 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 23 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 25-FEB-19
Page 2271 of 6486
Name
MANGAL SINGH Rate Amount Qty 9.81 9.81 1 7.36 1.84 4 420 420 1 24.52 24.52 1 9.62 9.62 1 165 165 1 11.89 11.89 1 7.52 7.52 1 23.39 23.39 1 450 450 1 93.3 9.33 10 59.7 5.97 10 8.9 .89 10 16.8 1.12 15 35.2 3.52 10 400 400 1 8.1 .27 30 55.8 .93 60 12 .4 30 7.5 .25 30 76.5 2.55 30 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 2396.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412683 Min 01412683 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 19-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 12 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 2272 of 6486
Name
SUBHASH CHANDRA MISHRA Rate Amount Qty 10.8 .36 30 6.9 .23 30 36 .6 60 27.9 .93 30 60.9 2.03 30 6.4 .64 10 185.7 6.19 30 7.5 .25 30 17.37 17.37 1 400 400 1 247.6 6.19 40 62.8 3.14 20 17.8 .89 20 400 400 1 Total: 1487.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412684 Min 01412684 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 21-FEB-19 CREATININE /CRT 14 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 2273 of 6486
Name
SHANTI MISHRA Rate Amount Qty 15.4 .77 20 36 .6 60 34.8 1.16 30 32.4 1.08 30 30.6 .34 90 12 .4 30 400 400 1 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 400 400 1 36 .6 60 1300 1300 1 275 275 1 275 275 1 33 1.1 30 15.6 .26 60 34.8 1.16 30 12 .4 30 400 400 1 275 275 1 26.7 .89 30 400 400 1 Total: 4337.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412686 Min 01412686 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 2274 of 6486
Name
DIDAR SINGH Rate Amount Qty 78 1.3 60 27.9 .93 30 18 .6 30 4.5 .3 15 400 400 1 Total: 528.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412687 Min 01412687 Appmt Dt Slno Description 06-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 06-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2275 of 6486
Name
PRAKASH KAUR Qty Rate Amount 30 .4 12 30 1.16 34.8 30 .62 18.6 1 400 400 Total: 465.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412688 Min 01412688 Appmt Dt Slno Description 11-FEB-19 1 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 11-FEB-19 3 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2276 of 6486
Name
S.T.ANANDAVALLY Qty Rate Amount 10 3.52 35.2 10 .64 6.4 1 13.49 13.49 1 400 400 Total: 455.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412690 Min 01412690 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 2277 of 6486
Name
URVASHI GUPTA Rate Amount Qty 27.9 .93 30 36 .6 60 21.3 .71 30 7.5 .25 30 400 400 1 7.5 .25 30 21.3 .71 30 27.9 .93 30 36 .6 60 400 400 1 Total: 985.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412692 Min 01412692 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2278 of 6486
Name
SMT.MALTI TAMBEKAR Qty Rate Amount 30 .93 27.9 15 1.16 17.4 15 .62 9.3 1 400 400 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412699 Min 01412699 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2279 of 6486
TARA DEVI SONI Rate Amount Qty 25.07 25.07 1 12.81 12.81 1 7.4 .37 20 13.43 13.43 1 400 400 1 Total: 458.71
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412702 Min 01412702 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 5 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19 X - RAY - TWO VIEWS 9 12-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 19-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 11 19-FEB-19 UREA (BUN /UR) 12 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 19-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 14 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 19-FEB-19 C T NECK 16 19-FEB-19 CREATININE /CRT 17 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19 25-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 20 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 21 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 24 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 25-FEB-19
Page 2280 of 6486
J.K. SHRIVASTAVA Rate Amount Qty 26.7 .89 30 71 .71 100 25.07 25.07 1 7.4 .37 20 82.76 82.76 1 31.46 15.73 2 400 400 1 400 400 1 860 860 1 1300 1300 1 17.6 17.6 1 275 275 1 275 275 1 19.59 19.59 1 400 400 1 6000 6000 1 275 275 1 275 275 1 25.07 25.07 1 26.55 26.55 1 70.2 2.34 30 7.5 .25 30 7.4 .37 20 21.3 .71 30 26.7 .89 30 400 400 1 Total: 11326.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412703 Min 01412703 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 GUM ANALGESIC GEL 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2281 of 6486
Name
E.J. SHRIVASTAVA Rate Amount Qty 55.8 .93 60 66 1.1 60 60.9 2.03 30 26.7 .89 30 2.4 .16 15 5.55 .37 15 400 400 1 28.69 28.69 1 400 400 1 Total: 1046.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412706 Min 01412706 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2282 of 6486
Name
H P TALUKDAR Rate Amount Qty 2.4 .16 15 78 1.3 60 21.3 .71 30 4.5 .3 15 27.9 .93 30 12.3 .41 30 400 400 1 Total: 546.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412707 Min 01412707 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 07-FEB-19 SOLIFENACIN,5MG,,TABLET 8 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 2283 of 6486
Name
MUKTI TALUKDAR Rate Amount Qty 72 .6 120 10.8 .36 30 117 1.3 90 167.4 5.58 30 32.4 1.08 30 43.96 43.96 1 20.84 5.21 4 403.2 13.44 30 21.3 .71 30 42.6 .71 60 2.4 .16 15 400 400 1 Total: 1333.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412712 Min 01412712 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2284 of 6486
Name
R B SHRIVASTAVA Rate Amount Qty 20.84 5.21 4 27.9 .93 30 167.4 5.58 30 72 .6 120 21.6 .36 60 41.85 .93 45 400 400 1 Total: 751.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412713 Min 01412713 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2285 of 6486
Name
USHA SHRIVASTAVA Rate Amount Qty 26.7 .89 30 1.6 .16 10 55.8 .93 60 29.7 .99 30 400 400 1 Total: 513.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412714 Min 01412714 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 2286 of 6486
Name
C K ROY Rate Amount Qty 9 .3 30 36 .6 60 21.3 .71 30 12 .4 30 55.8 .93 60 7.8 .26 30 123.6 4.12 30 400 400 1 Total: 665.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412715 Min 01412715 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2287 of 6486
Name
JAYASHRI ROY Rate Amount Qty 72.6 1.21 60 55.8 .93 60 16.2 .27 60 54 .6 90 14.85 .99 15 400 400 1 Total: 613.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412722 Min 01412722 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 11 13-FEB-19 X - RAY - SINGLE VIEW 12 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 16 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 2288 of 6486
Name
R NAKULUDU Rate Amount Qty 34.8 1.16 30 46.2 .77 60 15.6 .26 60 12 .4 30 31.2 1.04 30 400 400 1 400 400 1 11.1 .37 30 54 .9 60 26.7 .89 30 12.15 12.15 1 550 550 1 34.8 1.16 30 27 .9 30 12 .4 30 31.2 1.04 30 12 .4 30 400 400 1 Total: 2110.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412723 Min 01412723 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 25-FEB-19 PRAZOSIN,2.5MG,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 2289 of 6486
R. KAMESHWARI Rate Amount Qty 22.2 .37 60 78 1.3 60 12 .4 30 21.3 .71 30 19.72 9.86 2 96.44 48.22 2 27.9 .93 30 26.7 .89 30 400 400 1 Total: 704.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412727 Min 01412727 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 2290 of 6486
Name
K M PHILLIP Rate Amount Qty 7.5 .25 30 32.4 1.08 30 55.8 .93 60 36 .6 60 27.6 .92 30 167.4 5.58 30 29.7 .99 30 11.1 .37 30 400 400 1 Total: 767.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412730 Min 01412730 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 2291 of 6486
Name
P C SARKAR Rate Amount Qty 104.4 1.74 60 2.4 .16 15 12 .4 30 7.65 .51 15 21.3 .71 30 27.9 .93 30 12.15 12.15 1 7.5 .25 30 26.7 .89 30 400 400 1 Total: 622
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412732 Min 01412732 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 2292 of 6486
Name
S KUNDU Rate Amount Qty 34.8 1.16 30 400 400 1 20.06 20.06 1 8.9 .89 10 400 400 1 Total: 863.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412733 Min 01412733 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19
Page 2293 of 6486
Name
AMITA RANI KUNDU Rate Amount Qty 10.65 .71 15 21.3 .71 30 29.7 .99 30 66 1.1 60 95.7 3.19 30 22.2 .37 60 55.8 .93 60 400 400 1 8.1 .27 30 18 .6 30 21.3 .71 30 1.48 .37 4 Total: 750.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412740 Min 01412740 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2294 of 6486
Name
ARTI RANI SHEEL Rate Amount Qty 55.8 .93 60 66 1.1 60 6.9 .23 30 21.3 .71 30 3.75 .25 15 8.9 .89 10 400 400 1 Total: 562.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412741 Min 01412741 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2295 of 6486
Name
SEFALI RANI DUTTA Rate Amount Qty 167.4 5.58 30 20.06 20.06 1 7.8 .26 30 21.3 .71 30 55.8 .93 60 36 .6 60 43.2 .36 120 400 400 1 Total: 751.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412743 Min 01412743 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 3 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2296 of 6486
Name
RC BATGHARE Rate Amount Qty 26.96 3.37 8 7.4 .37 20 26.86 13.43 2 19.72 9.86 2 400 400 1 Total: 480.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412744 Min 01412744 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 25-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2297 of 6486
Name
KUSUM BATGHARE Qty Rate Amount 30 .93 27.9 60 1.1 66 30 .27 8.1 1 400 400 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412745 Min 01412745 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 2298 of 6486
Name
G.P.PATHAK Rate Amount Qty 60.9 2.03 30 33 1.1 30 36 .6 60 27.9 .93 30 10.65 .71 15 12 .4 30 400 400 1 12.81 12.81 1 5.55 .37 15 400 400 1 Total: 998.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412746 Min 01412746 Slno Description Appmt Dt ECHO CARDIOGRAPHY WITHOUT FILM 1 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 16-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 2299 of 6486
Name
KAMALA PATHAK Rate Amount Qty 2370 2370 1 400 400 1 1.7 .34 5 64.8 1.08 60 8.1 .27 30 69.6 1.16 60 18.6 .62 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 3536.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412749 Min 01412749 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 08-FEB-19 PRAZOSIN,2.5MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 19-FEB-19 PRAZOSIN,2.5MG,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 2300 of 6486
Name
LAKHAN LAL Rate Amount Qty 55.8 .93 60 14.85 .99 15 211.8 3.53 60 78 1.3 60 400 400 1 29.7 .99 30 317.7 3.53 90 78 1.3 60 55.8 .93 60 400 400 1 Total: 1641.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412754 Min 01412754 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2301 of 6486
Name
KHATBOON NISHA Rate Amount Qty 10.8 .36 30 36 .6 60 8.1 .27 30 7.5 .25 30 21.3 .71 30 20.84 5.21 4 26.7 .89 30 400 400 1 Total: 531.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412755 Min 01412755 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 23-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 2302 of 6486
Name
NAIMUL HAQUE Rate Amount Qty 11.1 .37 30 35.2 17.6 2 26.7 .89 30 55.8 .93 60 21.3 .71 30 32.4 1.08 30 29.7 .99 30 23.7 .79 30 400 400 1 Total: 635.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412756 Min 01412756 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 2303 of 6486
Name
AMRUN NISHA Rate Amount Qty 7.5 .25 30 21.3 .71 30 36 .6 60 8.1 .27 30 55.8 .93 60 6.4 .64 10 400 400 1 Total: 535.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412757 Min 01412757 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 09-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 5 09-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 2304 of 6486
Name
M R CHOWDHARY Rate Amount Qty 26.7 .89 30 7.8 .26 30 400 400 1 5.21 5.21 1 8.2 .41 20 48.76 12.19 4 400 400 1 12.6 .42 30 27.9 .93 30 33 1.1 30 12 .4 30 21.3 .71 30 17.4 .58 30 400 400 1 Total: 1420.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412760 Min 01412760 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 2305 of 6486
Name
K KARUNAKARAN Rate Amount Qty 275 275 1 400 400 1 275 275 1 1300 1300 1 21.3 .71 30 66 1.1 60 8.1 .27 30 400 400 1 Total: 2745.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412761 Min 01412761 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 2306 of 6486
Name
T.P.MANI Rate Amount Qty 34.8 1.16 30 7.5 .25 30 6.9 .23 30 36 .6 60 400 400 1 Total: 485.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412767 Min 01412767 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 2307 of 6486
Name
D. N.TIWARI Rate Amount Qty 7.5 .25 30 12 .4 30 17.4 1.16 15 14.85 .99 15 6.9 .23 30 33 1.1 30 400 400 1 Total: 491.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412768 Min 01412768 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 2308 of 6486
Name
SHAKUNTALA TIWARI Rate Amount Qty 167.4 5.58 30 55.8 .93 60 16.2 .27 60 21.3 .71 30 27.9 .93 30 7.5 .25 30 17.4 .58 30 36 .6 60 18 .3 60 400 400 1 Total: 767.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412771 Min 01412771 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2309 of 6486
Name
MAMTA BAI Rate Amount Qty 1.85 .37 5 3.84 .64 6 55.8 .93 60 21.3 .71 30 12 .4 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 530.19
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412773 Min 01412773 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 25-FEB-19 PRAZOSIN,2.5MG,TABLET 15 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 2310 of 6486
ACHAMMA NINAN Rate Amount Qty 29.7 .99 30 7.5 .25 30 21.3 .71 30 55.8 .93 60 22.2 .37 60 78 1.3 60 72 .6 120 32.4 .36 90 400 400 1 19.72 9.86 2 21.3 .71 30 96.44 48.22 2 27.9 .93 30 22.2 .37 60 78 1.3 60 26.7 .89 30 12 .4 30 400 400 1 Total: 1423.16
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412777 Min 01412777 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 08-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 08-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 08-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 2311 of 6486
VANDANA V.GADGE Rate Amount Qty 1.85 .37 5 15.73 15.73 1 26.96 3.37 8 13.43 13.43 1 63.58 63.58 1 1.6 .16 10 6.4 .64 10 11.1 .37 30 27.9 .93 30 14.85 .99 15 36 .6 60 18.6 .62 30 400 400 1 Total: 638
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412778 Min 01412778 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2312 of 6486
Name
KRISHNA KUMAR PANDEY Rate Amount Qty 36 .6 60 21.6 .36 60 400 400 1 Total: 457.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412779 Min 01412779 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 25-FEB-19 COMPLETE HAEMOGRAM 11 25-FEB-19
Page 2313 of 6486
Name
SMT.BASANTI DEVI Rate Amount Qty 12.15 12.15 1 24.92 .89 28 25.2 .9 28 66.2 6.62 10 400 400 1 27.9 .62 45 17.4 1.16 15 118.5 3.95 30 400 400 1 400 400 1 750 750 1 Total: 2242.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412780 Min 01412780 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 28-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 28-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 2314 of 6486
Name
T.V.PAPPY Rate Amount Qty 400 400 1 40.12 20.06 2 100.71 201.42 2 27 .9 30 100.71 100.71 1 13.35 .89 15 21.3 .71 30 36 .6 60 8.1 .27 30 16.2 .18 90 400 400 1 Total: 1264.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412785 Min 01412785 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 10-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 2 10-FEB-19 ECG 3 10-FEB-19 OBSERVATION IN CASUALTY 4 10-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 5 10-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 OBSERVATION IN CASUALTY 13 26-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 14 26-FEB-19 PHENYTOIN,50MG/ML,2ML AMP,INJECTION 15 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 2315 of 6486
Name
ASHA DEVI Rate Amount Qty 550 550 1 8.64 8.64 1 450 450 1 420 420 1 3.66 3.66 1 3.6 .6 6 66 1.1 60 12 .4 30 32.4 1.08 30 17.4 1.16 15 3.84 .64 6 400 400 1 420 420 1 24.52 24.52 1 8.1 8.1 1 .27 .27 1 .16 .16 1 16.2 .27 60 400 400 1 Total: 2836.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412789 Min 01412789 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 2316 of 6486
Name
R.N.CHAKRABORTY Rate Amount Qty 55.8 .93 60 16.2 .27 60 34.8 1.16 30 32.4 1.08 30 400 400 1 100.71 100.71 1 54 .9 60 26.7 .89 30 400 400 1 Total: 1120.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412795 Min 01412795 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 14-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2317 of 6486
Name
M.K. OMANA Rate Amount Qty 21.3 .71 30 15 .25 60 400 400 1 17.8 .89 20 27.4 1.37 20 100.6 5.03 20 20.84 5.21 4 400 400 1 Total: 1002.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412803 Min 01412803 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 2318 of 6486
Name
URMILA SINHA Rate Amount Qty 12 .4 30 7.5 .25 30 33 1.1 30 21.3 .71 30 32.4 1.08 30 105.9 3.53 30 16.2 .27 60 400 400 1 Total: 628.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412808 Min 01412808 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2319 of 6486
Name
GEORGE MADHUKAR WILLIAM Rate Amount Qty 7.5 .25 30 25.62 12.81 2 400 400 1 21.12 3.52 6 1.11 .37 3 400 400 1 Total: 855.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412809 Min 01412809 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19
Page 2320 of 6486
Name
SULOCHANA WILLIAM Rate Amount Qty 33 1.1 30 55.2 1.84 30 12.8 .64 20 3.7 .37 10 14.85 .99 15 27.9 .93 30 21.3 .71 30 18.9 .63 30 39 1.3 30 18 .6 30 167.4 5.58 30 400 400 1 Total: 812.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412813 Min 01412813 Appmt Dt Slno Description 26-FEB-19 1 BRIMONIDINE TARTRATE,0.15% 26-FEB-19 2 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 26-FEB-19 3 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2321 of 6486
BAIJNATH PRASAD Qty Rate Amount 2 74.45 148.9 2 25.07 50.14 2 20.29 40.58 1 400 400 Total: 639.62
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412814 Min 01412814 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 7 28-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 2322 of 6486
SHANTI DEVI Rate Amount Qty 50.14 25.07 2 400 400 1 7.98 .38 21 14.08 3.52 4 2.46 .41 6 20.29 20.29 1 6.82 6.82 1 13.49 13.49 1 400 400 1 Total: 915.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412816 Min 01412816 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 2323 of 6486
Name
KALA BATI Rate Amount Qty 9 .6 15 27.9 .93 30 400 400 1 Total: 436.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412817 Min 01412817 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2324 of 6486
Name
SMT LILLY KUTTY Rate Amount Qty 104.4 1.74 60 7.5 .25 30 21.6 .18 120 54 .9 60 400 400 1 34.8 1.16 30 21.3 .71 30 400 400 1 Total: 1043.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412822 Min 01412822 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 20-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 9 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 20 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 21 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 23 27-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 24 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 25 27-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 27 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 27-FEB-19
Page 2325 of 6486
Name
P N BOSE Rate Amount Qty 21.3 .71 30 9 .3 30 36 .6 60 78 1.3 60 12 .4 30 27.9 .93 30 6.9 .23 30 12 .4 30 150.9 5.03 30 60.9 2.03 30 54 .9 60 26.7 .89 30 3.2 .16 20 18.9 .63 30 400 400 1 36 .6 60 78 1.3 60 12 .4 30 27.9 .93 30 9 .3 30 6.9 .23 30 21.3 .71 30 20.84 5.21 4 150.9 5.03 30 185.7 6.19 30 60.9 2.03 30 54 .9 60 400 400 1 Total: 1981.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412830 Min 01412830 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 2326 of 6486
Name
H B PATEL Rate Amount Qty 16.2 .27 60 66 1.1 60 400 400 1 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412831 Min 01412831 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 2327 of 6486
Name
SUSHILABEN H. PATEL Rate Amount Qty 167.4 5.58 30 400 400 1 334.8 5.58 60 27.9 .93 30 118.5 3.95 30 72 .6 120 32.4 .36 90 21.3 .71 30 400 400 1 Total: 1574.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412832 Min 01412832 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 2328 of 6486
Name
A.K. ROY CHOUDHURY Rate Amount Qty 18.9 .63 30 32.4 1.08 30 21.3 .71 30 15.6 .26 60 31.2 1.04 30 36.3 1.21 30 36 .6 60 400 400 1 Total: 591.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412835 Min 01412835 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 12-FEB-19 GUM ANALGESIC GEL 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 2329 of 6486
Name
ASHA CHAWLA Rate Amount Qty 20.1 .67 30 28.69 28.69 1 400 400 1 Total: 448.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412836 Min 01412836 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2330 of 6486
Name
KUNJ KUNJAMMA Rate Amount Qty 13.95 .93 15 21.3 .71 30 400 400 1 Total: 435.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412837 Min 01412837 Slno Description Appmt Dt WARFARIN SODIUM,STRIP PKT,5MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 12-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 4 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 12-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 6 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 12-FEB-19 X - RAY - SINGLE VIEW 10 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 12-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 12 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 12-FEB-19 COMPLETE HAEMOGRAM 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 16 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 23-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 18 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 23-FEB-19 COMPLETE HAEMOGRAM 21 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 23-FEB-19
Page 2331 of 6486
Name
RUGMINIAMMA Rate Amount Qty 64.5 2.15 30 400 400 1 13.4 .67 20 67.6 3.38 20 6.4 .64 10 2.6 .26 10 66.2 6.62 10 4 .4 10 400 400 1 550 550 1 11.6 1.16 10 21.8 2.18 10 2.5 .25 10 750 750 1 400 400 1 11.4 .38 30 26.7 .89 30 405.6 3.38 120 40.2 .67 60 400 400 1 750 750 1 7.5 .25 30 Total: 4402
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412839 Min 01412839 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 09-FEB-19 UREA (BUN /UR) 15 11-FEB-19 URIC ACID (UA /URATES /UR) 16 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 11-FEB-19 COMPLETE HAEMOGRAM 18 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 11-FEB-19 CREATININE /CRT 22 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 24 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 26 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 27 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 28 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 29 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 30 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 31 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 33 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 34 28-FEB-19
Page 2332 of 6486
Name
R SARASWATHI Rate Amount Qty 167.4 5.58 30 1.85 .37 5 72 .6 120 32.4 1.08 30 2.28 .38 6 48 .4 120 29.7 .99 30 21.3 .71 30 3.84 .64 6 55.8 .93 60 400 400 1 6.4 .64 10 1.85 .37 5 400 400 1 275 275 1 275 275 1 1300 1300 1 750 750 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 167.4 5.58 30 48 .4 120 72 .6 120 117 1.3 90 21.3 .71 30 29.7 .99 30 26.7 .89 30 32.4 1.08 30 55.8 .93 60 Total: 6588.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412848 Min 01412848 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 2333 of 6486
Name
M.K. KAMALAKSHY Rate Amount Qty 72.6 1.21 60 34.8 1.16 30 55.8 .93 60 12.6 .42 30 32.4 1.08 30 12 .4 30 7.5 .25 30 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412851 Min 01412851 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2334 of 6486
Name
V.T. CHERIYAN Rate Amount Qty 39 1.3 30 211.8 3.53 60 27.9 .93 30 167.4 5.58 30 10.8 .36 30 6.72 1.12 6 21.3 .71 30 400 400 1 Total: 884.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412852 Min 01412852 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2335 of 6486
Name
MOLLY CHERIYAN Rate Amount Qty 21.3 .71 30 27.9 .93 30 36 .6 60 6.4 .64 10 15 .25 60 8.1 .27 30 27.6 .92 30 400 400 1 Total: 542.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412853 Min 01412853 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2336 of 6486
Name
THOMAS J MANNANAL Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 211.8 3.53 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 932.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412885 Min 01412885 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 13-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 2337 of 6486
Name
LEELA DHACHOLIA Rate Amount Qty 55.8 .93 60 12 .4 30 15 .25 60 95.7 3.19 30 400 400 1 Total: 578.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412886 Min 01412886 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 20-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2338 of 6486
Name
N A RAMKRISHNAN Rate Amount Qty 34.8 1.16 30 60.9 2.03 30 76.5 2.55 30 2.4 .16 15 22.2 .37 60 55.8 .93 60 400 400 1 4.48 .64 7 26.55 26.55 1 400 400 1 Total: 1083.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412887 Min 01412887 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 12-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2339 of 6486
Name
C.R. THANKAMANI Rate Amount Qty 27.9 .93 30 39 1.3 30 42.6 .71 60 7.5 .25 30 6.9 .23 30 36 .6 60 34.8 1.16 30 400 400 1 Total: 594.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412890 Min 01412890 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 2340 of 6486
Name
LENI JOHN Rate Amount Qty 39 1.3 30 55.8 .93 60 16.2 .27 60 29.7 .99 30 76.5 2.55 30 13.35 .89 15 21.3 .71 30 36 .6 60 7.5 .25 30 17.4 .58 30 400 400 1 Total: 712.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412902 Min 01412902 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2341 of 6486
Name
MD. RAHMATULLAH ANSARI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412903 Min 01412903 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 07-FEB-19
Page 2342 of 6486
Name
KR RAVINDRANATAN Rate Amount Qty 60.9 2.03 30 123.53 123.53 1 105.9 3.53 30 7.5 .25 30 31.2 1.04 30 12 .4 30 21.3 .71 30 10.8 .36 30 36 .6 60 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 897.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412904 Min 01412904 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2343 of 6486
Name
SUSHILA RAVINDRA Rate Amount Qty 16.2 .27 60 55.8 .93 60 7.5 .25 30 20.84 5.21 4 12.8 .64 20 400 400 1 Total: 513.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412915 Min 01412915 Slno Description Appmt Dt TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 1 04-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 08-FEB-19 UREA (BUN /UR) 7 08-FEB-19 CREATININE /CRT 8 08-FEB-19 URIC ACID (UA /URATES /UR) 9 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 08-FEB-19 COMPLETE HAEMOGRAM 12 08-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15 13-FEB-19 MOXONIDIN 0.2MG,,TABLET 16 13-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 13-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 23 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 24 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 26 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 27 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 28 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 29 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 30 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 22-FEB-19
Page 2344 of 6486
Name
BODHAN SINGH Rate Amount Qty 24.45 24.45 1 13.49 13.49 1 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 400 400 1 750 750 1 11.4 .38 30 10.65 .71 15 21.3 .71 30 211.8 3.53 60 31.2 1.04 30 60.9 2.03 30 32.4 1.08 30 118.5 3.95 30 400 400 1 17.8 .89 20 40.6 2.03 20 7.6 .38 20 14.2 .71 20 21.6 1.08 20 14.2 .71 20 141.2 3.53 40 20.8 1.04 20 5.1 .51 10 66.2 6.62 10 400 400 1 Total: 6460.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412916 Min 01412916 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 2345 of 6486
Name
PREM LATA SINGH Rate Amount Qty 60.9 2.03 30 26.7 .89 30 10.8 .36 30 36 .6 60 21.3 .71 30 33 1.1 30 8.1 .27 30 78 1.3 60 11.4 .38 30 167.4 5.58 30 400 400 1 Total: 853.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412922 Min 01412922 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 SUTURE REMOVAL 2 07-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 3 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 08-FEB-19 URIC ACID (UA /URATES /UR) 5 08-FEB-19 CREATININE /CRT 6 08-FEB-19 UREA (BUN /UR) 7 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19
Page 2346 of 6486
Name
MANSA RAM SAHU Rate Amount Qty 400 400 1 490 490 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 36 .6 60 400 400 1 Total: 4126
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412929 Min 01412929 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 2347 of 6486
Name
P V HANUMANTHA RAO Rate Amount Qty 8.9 .89 10 12.6 .42 30 15 .25 60 26 2.6 10 33 1.1 30 14.85 .99 15 400 400 1 Total: 510.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412930 Min 01412930 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2348 of 6486
Name
P. SAVITRI Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 55.8 .93 60 7.5 .25 30 211.8 3.53 60 400 400 1 Total: 724.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412931 Min 01412931 Slno Description Appmt Dt IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 1 17-FEB-19 OBSERVATION IN CASUALTY 2 17-FEB-19 ECG 3 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 17-FEB-19 DEXTROSE,25%,100ML,POLY PKT,INJECTION 5 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 2349 of 6486
Name
RAM BHAU BAND Rate Amount Qty 9.81 9.81 1 420 420 1 450 450 1 9.62 9.62 1 19.1 19.1 1 24.52 24.52 1 5.34 .89 6 10.08 1.12 9 21.12 3.52 6 6.9 .23 30 27.9 .93 30 400 400 1 Total: 1404.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412937 Min 01412937 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2350 of 6486
Name
RAJA RAM CHANDRAKAR Rate Amount Qty 185.7 6.19 30 21.6 .36 60 36 .6 60 26 2.6 10 400 400 1 Total: 669.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412951 Min 01412951 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 9 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 2351 of 6486
Name
S R KATE Rate Amount Qty 15.96 2.66 6 3.84 .64 6 38.25 2.55 15 8.1 .27 30 27.9 .93 30 4.8 .16 30 1.48 .37 4 400 400 1 15 .25 60 15 .25 60 21.3 .71 30 400 400 1 Total: 951.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412952 Min 01412952 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 28-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 10 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 13 28-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 2352 of 6486
Name
MALA Rate Amount Qty 10.8 .36 30 36 .6 60 167.4 5.58 30 7.5 .25 30 33 1.1 30 39 1.3 30 2.4 .16 15 400 400 1 7.6 .38 20 25.84 3.23 8 21.3 .71 30 7.5 .25 30 17.37 17.37 1 10.05 .67 15 13.35 .89 15 400 400 1 Total: 1199.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412959 Min 01412959 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 2353 of 6486
Name
NASIB KAUR Rate Amount Qty 185.7 6.19 30 2.4 .16 15 40.12 20.06 2 20.84 5.21 4 26.7 .89 30 26 2.6 10 21.3 .71 30 27.9 .93 30 7.5 .25 30 42.6 .71 60 27.9 .93 30 32.4 1.08 30 400 400 1 Total: 861.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412962 Min 01412962 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2354 of 6486
Name
K. NAGMANI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412964 Min 01412964 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2355 of 6486
Name
K. RAMA BAI Rate Amount Qty 12.8 .64 20 40.12 20.06 2 17.8 .89 20 247.6 6.19 40 400 400 1 34.8 1.16 30 18.9 .63 30 6.9 .23 30 55.8 .93 60 36 .6 60 16.2 .36 45 400 400 1 Total: 1286.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412982 Min 01412982 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 02-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 10 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 04-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 16 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 19 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 23 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 24 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 25 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 11-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 27 23-FEB-19 ECG 28 23-FEB-19 OXYGEN THERAPY 29 23-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 30 23-FEB-19 OBSERVATION IN CASUALTY 31 23-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 32 24-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 33 24-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 34 24-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 35 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 24-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 37 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 24-FEB-19
Page 2356 of 6486
Name
MALLESH Rate Amount Qty 26.6 2.66 10 1.85 .37 5 8.1 .18 45 12.15 12.15 1 7.8 .26 30 32.4 1.08 30 192.3 6.41 30 7.5 .25 30 66 1.1 60 161.1 5.37 30 23.7 .79 30 60.9 2.03 30 400 400 1 185.7 6.19 30 19.2 .64 30 21 .7 30 7.5 .25 30 400 400 1 5.2 1.04 5 66.2 6.62 10 1.85 .37 5 4.45 .89 5 1.3 .26 5 3.95 .79 5 5.4 1.08 5 400 400 1 9.62 9.62 1 450 450 1 300 300 1 5.21 5.21 1 420 420 1 20.8 1.04 20 28.4 .71 40 21.6 1.08 20 23.2 1.16 20 35.6 .89 40 1.6 .16 10 400 400 1 Total: 3838.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01412983 Min 01412983 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19
Page 2357 of 6486
SAROJINI Rate Amount Qty 21.3 .71 30 6.4 .64 10 36 .6 60 8.1 .27 30 55.8 .93 60 400 400 1 26.7 .89 30 50.14 25.07 2 7.5 .25 30 185.7 6.19 30 19.2 .64 30 400 400 1 Total: 1216.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412987 Min 01412987 Appmt Dt Slno Description 22-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 25-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 25-FEB-19 4 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 2358 of 6486
Name
ALLAGAMBA Qty Rate Amount 30 .27 8.1 1 400 400 1 400 400 1 1750 1750 Total: 2558.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412990 Min 01412990 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19
Page 2359 of 6486
Name
KUSUMLATA Rate Amount Qty 17.4 .58 30 7.65 .51 15 11.4 .38 30 7.5 .25 30 21.3 .71 30 6.4 .64 10 12 .4 30 15.6 .26 60 27.9 .93 30 21.6 .36 60 32.4 1.08 30 400 400 1 Total: 581.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01412991 Min 01412991 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 CREATININE /CRT 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 21-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 21-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 21-FEB-19
Page 2360 of 6486
Name
P M BABY Rate Amount Qty 16.2 .27 60 400 400 1 275 275 1 55.8 .93 60 7.5 .25 30 21.3 .71 30 60.9 2.03 30 87.92 43.96 2 8.9 .89 10 16.2 .27 60 55.8 .93 60 21.3 .71 30 60.9 2.03 30 87.92 43.96 2 21.3 .71 30 8.9 .89 10 Total: 1205.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413000 Min 01413000 Slno Description Appmt Dt TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 2361 of 6486
Name
CHARUSHEELA KUMAR Rate Amount Qty 159.6 1.33 120 15 .25 60 400 400 1 Total: 574.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413002 Min 01413002 Name Appmt Dt Slno Description 19-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2362 of 6486
MANNU LAL DESHMUKH Qty Rate Amount 1 25.07 25.07 1 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413003 Min 01413003 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 DRESSING SIMPLE 6 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 16-FEB-19 DRESSING SIMPLE 19 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 19-FEB-19
Page 2363 of 6486
Name
SMT.UMA DEVI Rate Amount Qty 10.95 .73 15 4.1 .41 10 4.45 .89 5 400 400 1 400 400 1 1500 300 5 6.4 .64 10 17.8 .89 20 247.6 6.19 40 27.4 1.37 20 34.8 1.16 30 32.4 1.08 30 12 .4 30 27.9 .93 30 8.1 .27 30 66 1.1 60 14.85 .99 15 400 400 1 300 300 1 400 400 1 Total: 3914.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413015 Min 01413015 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 2364 of 6486
Name
S C PARSAI Rate Amount Qty 9 .3 30 26.7 .89 30 27.9 .93 30 167.4 5.58 30 43.96 43.96 1 60.9 2.03 30 29.7 .99 30 7.5 .25 30 400 400 1 Total: 773.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413024 Min 01413024 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 2365 of 6486
Name
BANSIDHAR RAI Qty 1 2 1
Rate Amount 100.71 100.71 24.3 12.15 400 400 Total: 525.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413029 Min 01413029 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 2366 of 6486
Name
GOMTI DEVI Rate Amount Qty 55.8 .93 60 26.7 .89 30 8.1 .27 30 12 .4 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 556.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413032 Min 01413032 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 2367 of 6486
SHARDA PRASAD PATKAR Rate Amount Qty 13.7 1.37 10 3.2 .64 5 1.85 .37 5 15.73 15.73 1 17.4 1.16 15 60.9 2.03 30 12 .4 30 33 1.1 30 15.6 1.04 15 8.1 .27 30 27.9 .93 30 247.6 6.19 40 400 400 1 Total: 856.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413034 Min 01413034 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 SOLIFENACIN,5MG,,TABLET 8 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2368 of 6486
Name
VENKATAMMA Rate Amount Qty 55.8 .93 60 8.1 .27 30 2.5 .25 10 21.3 .71 30 7.5 .25 30 400 400 1 53.4 .89 60 806.4 13.44 60 43.96 131.88 3 400 400 1 Total: 1886.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413036 Min 01413036 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2369 of 6486
Name
V. JANAKI Rate Amount Qty 32.4 1.08 30 36 .6 60 20.06 20.06 1 17.4 .58 30 400 400 1 20.84 5.21 4 400 400 1 Total: 926.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413040 Min 01413040 Slno Description Appmt Dt CREATININE /CRT 1 21-FEB-19 ECG 2 21-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 3 21-FEB-19 OBSERVATION IN CASUALTY 4 21-FEB-19 T M T (TREAD MILL EXERCISE TEST) 5 21-FEB-19 PLATELET COUNT 6 21-FEB-19 HB,TLC,DLC 7 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 21-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 17 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 2370 of 6486
Name
LAXMI KANTA Rate Amount Qty 275 275 1 450 450 1 100 100 1 420 420 1 3430 3430 1 330 330 1 300 300 1 1300 1300 1 600 600 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 27.9 .93 30 33 1.1 30 6.4 .64 10 3.8 .38 10 8.9 .89 10 3.7 .37 10 66.2 6.62 10 400 400 1 Total: 8731.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413042 Min 01413042 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 27-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 27-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2371 of 6486
Name
SATYABHAMA SAHU Rate Amount Qty 15.6 .26 60 86.4 1.44 60 31.2 1.04 30 34.8 1.16 30 32.4 1.08 30 42.6 .71 60 400 400 1 Total: 643
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413044 Min 01413044 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2372 of 6486
Name
MANDAKINI BHOLE Rate Amount Qty 78 1.3 60 34.8 1.16 30 55.8 .93 60 54 .6 90 21.3 .71 30 400 400 1 Total: 643.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413050 Min 01413050 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 18-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 2373 of 6486
Name
SUSHILA MOHITE Rate Amount Qty 6.4 .64 10 2.5 .25 10 35.2 3.52 10 189 2.1 90 55.8 .93 60 66 1.1 60 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 808.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413051 Min 01413051 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 2374 of 6486
Name
VASANT MOHITE Rate Amount Qty 7.8 .26 30 55.8 .93 60 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 529.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413055 Min 01413055 Slno Description Appmt Dt DRESSING SIMPLE 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19 DRESSING SIMPLE 18 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 27-FEB-19
Page 2375 of 6486
SULAIMAN Rate Amount Qty 3000 300 10 400 400 1 41.06 41.06 1 400 400 1 11.4 .38 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 7.8 .26 30 15.3 .51 30 10.8 .18 60 400 400 1 3.75 .25 15 34.84 .67 52 25.07 25.07 1 13.35 .89 15 400 400 1 3000 300 10 400 400 1 Total: 8242.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413058 Min 01413058 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 INHALANT,STRIP PACK,CAPSULE 12 14-FEB-19 INHALANT,STRIP PACK,CAPSULE 13 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 2376 of 6486
Name
ASHA GEORKAR Rate Amount Qty 12.46 .89 14 6.4 .64 10 62.8 3.14 20 16.8 .42 40 17.8 .89 20 18.76 .67 28 3.78 .18 21 12.6 .9 14 400 400 1 40.12 20.06 2 1.85 .37 5 1.7 1.7 1 23.8 1.7 14 8.9 .89 10 400 400 1 Total: 1027.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413061 Min 01413061 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2377 of 6486
Name
PRAHARAJU JANAKI Rate Amount Qty 66 1.1 60 1.48 .37 4 21.3 .71 30 8.1 .27 30 55.8 .93 60 15.96 2.66 6 400 400 1 Total: 568.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413067 Min 01413067 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2378 of 6486
MOOL CHNAD JAIN Rate Amount Qty 1.9 .38 5 1.85 .37 5 6.4 .64 10 15.73 15.73 1 400 400 1 Total: 425.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413068 Min 01413068 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2379 of 6486
Name
SHARDA JAIN Rate Amount Qty 18.9 .63 30 46.2 .77 60 17.4 1.16 15 211.8 3.53 60 72.6 1.21 60 400 400 1 Total: 766.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413074 Min 01413074 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 2380 of 6486
Name
LALITA TIWARI Rate Amount Qty 3.37 3.37 1 35.2 3.52 10 4.45 .89 5 16.8 1.12 15 400 400 1 Total: 459.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413092 Min 01413092 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2381 of 6486
KASTURA BAI Rate Amount Qty 8.9 .89 10 3.7 .37 10 33 1.1 30 48.22 48.22 1 400 400 1 Total: 493.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413100 Min 01413100 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 28-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2382 of 6486
Name
L. P. PAUL Qty Rate Amount 30 1.16 34.8 30 1.1 33 60 .93 55.8 1 400 400 Total: 523.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413102 Min 01413102 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 2383 of 6486
Name
K VEERA LAXMI Rate Amount Qty 27.9 .93 30 12 .4 30 8.1 .27 30 21.3 .71 30 9 .3 30 400 400 1 Total: 478.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413128 Min 01413128 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 2384 of 6486
Name
AVINASH CHUGH Rate Amount Qty 4.8 .16 30 76.5 2.55 30 8.1 .27 30 54 .9 60 7.8 .26 30 7.5 .25 30 22.8 .38 60 26.7 .89 30 400 400 1 Total: 608.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413131 Min 01413131 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 5 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2385 of 6486
Name
S B DEY Rate Amount Qty 6.9 .23 30 21.3 .71 30 12 .4 30 34.8 1.16 30 123.6 4.12 30 105.9 3.53 30 55.8 .93 60 2.4 .16 15 400 400 1 Total: 762.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413135 Min 01413135 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 2386 of 6486
Name
D S SINGANJUDE Rate Amount Qty 36 .6 60 12 .4 30 167.4 5.58 30 10.8 .36 30 400 400 1 Total: 626.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413136 Min 01413136 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 14-FEB-19 PRAZOSIN,2.5MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2387 of 6486
Name
VEENA SINGANJUDE Rate Amount Qty 211.8 3.53 60 18.9 .63 30 32.4 1.08 30 22.2 .37 60 7.92 .99 8 72.6 1.21 60 117 1.3 90 400 400 1 Total: 882.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413152 Min 01413152 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 26-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 26-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 2388 of 6486
D.V. PRABHAVATI Rate Amount Qty 48.22 48.22 1 20.84 5.21 4 41.06 41.06 1 37.04 37.04 1 19.2 .64 30 185.7 6.19 30 7.5 .25 30 36 .6 60 400 400 1 Total: 795.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413154 Min 01413154 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2389 of 6486
Name
BAL KRISHAN BHANDARI Rate Amount Qty 55.8 .93 60 16.2 .27 60 14.85 .99 15 7.5 .25 30 21.3 .71 30 36 .6 60 21.6 .36 60 400 400 1 Total: 573.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413156 Min 01413156 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 2390 of 6486
Name
M. SARALA Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413160 Min 01413160 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 20-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 3 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 2391 of 6486
Name
HORILAL TAMRAKAR Rate Amount Qty 33.12 1.84 18 10.08 1.12 9 280 280 1 400 400 1 5.76 .64 9 3.84 .64 6 6.72 1.12 6 22.08 1.84 12 400 400 1 5.76 .64 9 33.12 1.84 18 3.6 .6 6 400 400 1 Total: 1604.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413162 Min 01413162 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 2392 of 6486
Name
D.M.RAO Rate Amount Qty 2.52 .42 6 6.4 .64 10 3.7 .37 10 8.9 .89 10 66.2 6.62 10 400 400 1 Total: 487.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413166 Min 01413166 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 8 16-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 9 16-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 10 16-FEB-19 ESCITALOPRAM,10MG,,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 2393 of 6486
Name
SAKHA RAM DEWANGAN Rate Amount Qty 9 .3 30 34.8 1.16 30 10.4 1.04 10 18.9 .63 30 32.4 1.08 30 13.95 .93 15 400 400 1 79.2 2.64 30 73.5 2.45 30 24.6 .82 30 55.5 1.85 30 400 400 1 Total: 1152.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413168 Min 01413168 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 2394 of 6486
Name
ALEXIA LAKRA Rate Amount Qty 23.7 .79 30 27.6 .92 30 400 400 1 Total: 451.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413169 Min 01413169 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 14-FEB-19 CREATININE /CRT 5 14-FEB-19 UREA (BUN /UR) 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19
Page 2395 of 6486
Name
AUGUSTINE LAKRA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 7.5 .25 30 34.8 1.16 30 33 1.1 30 32.4 1.08 30 36 .6 60 10.8 .36 30 400 400 1 Total: 3354.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413172 Min 01413172 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 2396 of 6486
Name
FAKIR RAM Rate Amount Qty 33 1.1 30 32.4 1.08 30 21.3 .71 30 20.06 20.06 1 6.4 .64 10 60.9 2.03 30 400 400 1 Total: 574.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413173 Min 01413173 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2397 of 6486
Name
DASODA BAI Rate Amount Qty 1.85 .37 5 12.15 12.15 1 27.9 .93 30 7.5 .25 30 26.7 .89 30 66.2 6.62 10 9 .9 10 400 400 1 Total: 551.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413187 Min 01413187 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 20-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2398 of 6486
Name
DR. P.S.A. SARMA Rate Amount Qty 12.8 .64 20 72 .6 120 36 .3 120 43.2 .36 120 94.8 1.58 60 111.6 .93 120 94.8 .79 120 69.6 1.16 60 15 .25 60 400 400 1 Total: 949.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413188 Min 01413188 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 20-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2399 of 6486
Name
DR.JANAKI RADHAKRISHNAN Rate Amount Qty 69.6 1.16 60 12.8 .64 20 35.2 3.52 10 94.8 1.58 60 15 .25 60 400 400 1 Total: 627.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413197 Min 01413197 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 2400 of 6486
Name
RAMESHWAR PRASAD DUBEY Rate Amount Qty 13.35 .89 15 36 .6 60 41.1 1.37 30 7.5 .25 30 400 400 1 Total: 497.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413198 Min 01413198 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 22-FEB-19 X - RAY - TWO VIEWS 3 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 2401 of 6486
Name
SUDHA KHANDELWAL Rate Amount Qty 1.85 .37 5 400 400 1 860 860 1 2.28 .38 6 3.84 .64 6 27.9 .93 30 21.3 .71 30 167.4 5.58 30 27 .6 45 400 400 1 185.7 6.19 30 20.84 5.21 4 400 400 1 Total: 2518.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413200 Min 01413200 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2402 of 6486
Name
JASBIR KAUR BHATIA Rate Amount Qty 18 .3 60 15.96 2.66 6 2.4 .16 15 7.5 .25 30 21.3 .71 30 3.84 .64 6 1.48 .37 4 11.85 .79 15 400 400 1 Total: 482.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413203 Min 01413203 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 12 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19
Page 2403 of 6486
Name
ASHOK KUMAR MESHRAM Rate Amount Qty 12 .4 30 15.6 .26 60 36 .6 60 6.9 .23 30 26.7 .89 30 55.8 .93 60 2.4 .16 15 21.3 .71 30 32.4 1.08 30 12 .4 30 400 400 1 13.49 13.49 1 8.9 .89 10 6.4 .64 10 35.2 3.52 10 400 400 1 Total: 1085.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413211 Min 01413211 Appmt Dt Slno Description 07-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 07-FEB-19 2 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 07-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2404 of 6486
Name
Y GOPALKRISHNA Qty Rate Amount 10 1.37 13.7 5 18.41 92.05 10 .89 8.9 1 400 400 Total: 514.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413221 Min 01413221 Appmt Dt Slno Description 04-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2405 of 6486
Name
CHAMPA DEVI Qty 1 1
Rate Amount 6.82 6.82 400 400 406.82 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413222 Min 01413222 Appmt Dt Slno Description 07-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 07-FEB-19 2 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 07-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2406 of 6486
Name
VIJAY KUMAR KALRA Qty Rate Amount 30 .36 10.8 60 1.3 78 30 .71 21.3 1 400 400 Total: 510.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413224 Min 01413224 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 2407 of 6486
Name
S.K.DIXIT Rate Amount Qty 27.9 .93 30 117 1.3 90 12 .4 30 72 .6 120 21.3 .71 30 18.6 .62 30 5.21 5.21 1 400 400 1 Total: 674.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413225 Min 01413225 Appmt Dt Slno Description 19-FEB-19 1 BUDESONIDE,200MCG,CAPSULE 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2408 of 6486
Name
JYOTI DIXIT Qty Rate Amount 60 1.74 104.4 1 400 400 504.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413226 Min 01413226 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 28-FEB-19
Page 2409 of 6486
Name
PRABHAKAR SINGH SORI Rate Amount Qty 378 2.1 180 400 400 1 15 .25 60 64.8 1.08 60 42.6 .71 60 79.2 .66 120 22.8 .38 60 Total: 1002.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413227 Min 01413227 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 PRAZOSIN,2.5MG,TABLET 6 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 2410 of 6486
Name
AHILYA SORI Rate Amount Qty 36 .6 60 34.8 1.16 30 9 .3 30 19.8 .66 30 12 .4 30 39 1.3 30 72.6 1.21 60 29.7 .99 30 55.8 .93 60 118.5 3.95 30 400 400 1 Total: 827.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413228 Min 01413228 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2411 of 6486
Name
RAM KUMAR DEWANGAN Rate Amount Qty 12 .4 30 17.4 1.16 15 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 710.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413229 Min 01413229 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 2412 of 6486
Name
SHYAM BAI Rate Amount Qty 78 1.3 60 36 .6 60 7.8 .26 30 7.5 .25 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 608.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413231 Min 01413231 Appmt Dt Slno Description 07-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 07-FEB-19 2 TABLET/CAPSULE FLUCONAZOLE, 150MG 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2413 of 6486
Name
CHANDRAKANTA YADAV Qty Rate Amount 2 9.86 19.72 8 3.37 26.96 30 .37 11.1 1 400 400 Total: 457.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413236 Min 01413236 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 2414 of 6486
Name
KALLI VENKATESHWARA RAO Rate Amount Qty 8.1 .27 30 33 1.1 30 12 .4 30 32.4 1.08 30 55.8 .93 60 21.3 .71 30 72 .6 120 32.4 .36 90 167.4 5.58 30 400 400 1 Total: 834.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413237 Min 01413237 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 2415 of 6486
Name
KALLI MADHUBALA Rate Amount Qty 21.3 .71 30 18.6 .62 30 36 .6 60 55.8 .93 60 12.6 .42 30 17.4 .58 30 400 400 1 Total: 561.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413240 Min 01413240 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2416 of 6486
Name
KIRAN KAPOOR Rate Amount Qty 18.9 .63 30 27.9 .93 30 8.1 .27 30 12 .4 30 400 400 1 Total: 466.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413241 Min 01413241 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 15-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 2 15-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2417 of 6486
Name
REWA KAPOOR Rate Amount Qty 185.7 6.19 30 83.4 2.78 30 95.7 3.19 30 66 1.1 60 400 400 1 Total: 830.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413244 Min 01413244 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 2418 of 6486
Name
K P RAGHUNANDAN Rate Amount Qty 1.6 .16 10 55.8 .93 60 22.2 .37 60 167.4 5.58 30 36 .6 60 34.8 1.16 30 76.5 2.55 30 12 .4 30 13.35 .89 15 400 400 1 Total: 819.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413248 Min 01413248 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 COMPLETE HAEMOGRAM 10 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 18-FEB-19 UREA (BUN /UR) 12 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 18-FEB-19 CREATININE /CRT 14 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 23-FEB-19 URIC ACID (UA /URATES /UR) 20 23-FEB-19 UREA (BUN /UR) 21 23-FEB-19 CREATININE /CRT 22 23-FEB-19
Page 2419 of 6486
Name
A. CHATURVEDI Rate Amount Qty 55.2 .92 60 69.6 1.16 60 167.4 5.58 30 36.3 1.21 30 60.9 2.03 30 192.3 6.41 30 400 400 1 275 275 1 400 400 1 750 750 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 Total: 7406.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413249 Min 01413249 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 09-FEB-19 GUM ASTRINGENT PAINT 6 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 7 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 2420 of 6486
MAMTA CHATURVEDI Rate Amount Qty 3.7 .37 10 19.8 .66 30 18.9 .63 30 33 1.1 30 27.9 .62 45 31.54 31.54 1 7 .7 10 7.4 .37 20 12.8 .64 20 21.3 .71 30 25.07 100.28 4 400 400 1 Total: 683.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413251 Min 01413251 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 PRAZOSIN,2.5MG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2421 of 6486
Name
SARASWATI SAHU Rate Amount Qty 11.1 .37 30 21.3 .71 30 29.7 .99 30 78 1.3 60 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 628.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413256 Min 01413256 Appmt Dt Slno Description 26-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 26-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2422 of 6486
Name
C.L. SWARNKAR Qty Rate Amount 60 .6 36 30 .23 6.9 30 .93 27.9 1 400 400 Total: 470.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413272 Min 01413272 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 23-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 23-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 28-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 2423 of 6486
Name
VISHNU RAM Rate Amount Qty 400 400 1 380 380 1 7.4 .37 20 12.81 12.81 1 54 .9 60 16.2 .18 90 3.7 .37 10 12.15 12.15 1 26.7 .89 30 400 400 1 Total: 1312.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413273 Min 01413273 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 PRAZOSIN,2.5MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 28-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 15 28-FEB-19 BUDESONIDE,200MCG,CAPSULE 16 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 17 28-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 18 28-FEB-19 X - RAY - SINGLE VIEW 19 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 2424 of 6486
Name
SHANTI BAI Rate Amount Qty 14.85 .99 15 34.8 1.16 30 156 1.3 120 55.8 .93 60 117 1.3 90 36 .6 60 400 400 1 .48 .16 3 20.06 20.06 1 6.4 .64 10 400 400 1 12.15 12.15 1 13.35 .89 15 5.55 .37 15 59.4 .66 90 104.4 1.74 60 54 .9 60 69.05 69.05 1 550 550 1 400 400 1 400 400 1 Total: 2909.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413290 Min 01413290 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2425 of 6486
Name
PARVATI Rate Amount Qty 36 .6 60 39 1.3 30 400 400 1 Total: 475
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413297 Min 01413297 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 19-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 10 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 19-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 19-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 13 19-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 14 19-FEB-19 POTASSIUM CHLORIDE LIQUID,200ML, 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 2426 of 6486
Name
MAHESH RAM Rate Amount Qty 8.1 .18 45 32.83 .67 49 27 .9 30 400 400 1 33.5 .67 50 26.7 .89 30 27 .9 30 8.1 .18 45 156.6 1.74 90 39.6 .66 60 66.2 6.62 10 148.9 74.45 2 29.96 2.14 14 283.26 94.42 3 91.96 45.98 2 400 400 1 Total: 1779.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413298 Min 01413298 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 16-FEB-19 X - RAY - TWO VIEWS 2 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 16-FEB-19 SUTURE REMOVAL 4 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 19-FEB-19 SOLIFENACIN,5MG,,TABLET 6 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 2427 of 6486
Name
KAMALA VERMA Rate Amount Qty 400 400 1 860 860 1 400 400 1 490 490 1 37.8 .63 60 403.2 13.44 30 60.9 2.03 30 400 400 1 Total: 3051.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413299 Min 01413299 Slno Description Appmt Dt PLATELET COUNT 1 07-FEB-19 PARASITES (MP /MF) 2 07-FEB-19 HB,TLC,DLC 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 17 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 11-FEB-19
Page 2428 of 6486
Name
THAKUR P.M. Rate Amount Qty 330 330 1 165 165 1 300 300 1 400 400 1 1.48 .37 4 15.96 2.66 6 3.84 .64 6 400 400 1 36 .6 60 8.1 .27 30 60.9 2.03 30 32.4 1.08 30 1.48 .37 4 27.9 .93 30 34.8 1.16 30 33 1.1 30 10.64 2.66 4 400 400 1 Total: 2261.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413300 Min 01413300 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2429 of 6486
Name
ABHA THAKUR Rate Amount Qty 27.75 1.85 15 400 400 1 13.7 1.37 10 7.5 .25 30 185.7 6.19 30 400 400 1 Total: 1034.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413301 Min 01413301 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 2430 of 6486
Name
P.K. SHARMA Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 467.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413302 Min 01413302 Appmt Dt Slno Description 08-FEB-19 1 BLOOD FOR T-3,T-4,TSH 08-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 08-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 08-FEB-19 4 CONSULTATION IN OPD IN JLN H AND RC
Page 2431 of 6486
Name
KRISHNA KUMAR VERMA Qty Rate Amount 1 2400 2400 1 275 275 1 275 275 1 400 400 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413303 Min 01413303 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 16-FEB-19 URIC ACID (UA /URATES /UR) 12 16-FEB-19 CREATININE /CRT 13 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 15 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 16-FEB-19
Page 2432 of 6486
Name
MATHURA VERMA Rate Amount Qty 275 275 1 7.5 .25 30 26.7 .89 30 33 1.1 30 34.8 1.16 30 12 .4 30 156 1.3 120 72 .6 120 32.4 .36 90 167.4 5.58 30 1300 1300 1 275 275 1 275 275 1 275 275 1 11.4 .38 30 400 400 1 Total: 3353.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413306 Min 01413306 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 2433 of 6486
Name
B.L. SHRIVASTAVA Rate Amount Qty 72 .6 120 29.7 .99 30 55.8 .93 60 24 .4 60 7.5 .25 30 21.3 .71 30 78 1.3 60 18.9 .63 30 7.5 .25 30 36 .6 60 21.3 .71 30 18.9 .63 30 400 400 1 Total: 790.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413307 Min 01413307 Appmt Dt Slno Description 05-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 3 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2434 of 6486
Name
NIRMALA SHRIVASTAVA Qty Rate Amount 60 .93 55.8 30 .71 21.3 60 .6 36 1 400 400 Total: 513.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413313 Min 01413313 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2435 of 6486
Name
R.K. SHARMA Rate Amount Qty 23.7 .79 30 20.06 20.06 1 12 .4 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 484.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413315 Min 01413315 Appmt Dt Slno Description 19-FEB-19 1 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2436 of 6486
Name
SATISH KUMAR CHOUBEY Qty Rate Amount 15 1.12 16.8 10 .89 8.9 10 3.52 35.2 1 400 400 Total: 460.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413316 Min 01413316 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 13-FEB-19 COMPLETE HAEMOGRAM 2 13-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 8 19-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 12 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 2437 of 6486
Name
KANTI CHOUBEY Rate Amount Qty 1750 1750 1 750 750 1 1300 1300 1 275 275 1 400 400 1 1300 1300 1 400 400 1 2110 2110 1 2.34 196.56 84 35.6 .89 40 31.36 1.12 28 184.2 6.14 30 21.3 .71 30 400 400 1 Total: 9154.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413322 Min 01413322 Appmt Dt Slno Description 01-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 01-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 01-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2438 of 6486
Name
RAMKUNWAR Qty Rate Amount 30 1.1 33 4 .37 1.48 30 .71 21.3 1 400 400 Total: 455.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413324 Min 01413324 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 20-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2439 of 6486
Name
KUSUMLATA VAIDYA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 26 2.6 10 7.1 .71 10 8.9 .89 10 400 400 1 Total: 635.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413325 Min 01413325 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 2440 of 6486
LAHARAM VERMA Rate Amount Qty 13.49 13.49 1 1.85 .37 5 25.07 25.07 1 400 400 1 185.7 6.19 30 17.4 .58 30 400 400 1 Total: 1043.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413326 Min 01413326 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 25-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2441 of 6486
Name
NESHWARI VERMA Rate Amount Qty 185.7 6.19 30 26 2.6 10 17.4 .58 30 21.3 .71 30 41.85 .93 45 8.1 .27 30 400 400 1 26.7 .89 30 38.76 3.23 12 400 400 1 Total: 1165.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413349 Min 01413349 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2442 of 6486
Name
NEELAM KUMAR DHIR Rate Amount Qty 21.3 .71 30 27.9 .93 30 72.6 1.21 60 6.82 6.82 1 18.9 .63 30 7.5 .25 30 400 400 1 Total: 555.02
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413350 Min 01413350 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 05-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 2443 of 6486
DARSHNA DHIR Rate Amount Qty 35.2 3.52 10 48.22 48.22 1 2.5 .25 10 400 400 1 13.35 .89 15 7.5 .25 30 12.6 .42 30 20.84 5.21 4 400 400 1 Total: 940.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413353 Min 01413353 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 04-FEB-19 UREA (BUN /UR) 12 04-FEB-19 CREATININE /CRT 13 04-FEB-19
Page 2444 of 6486
Name
S. APPA RAO Rate Amount Qty 9 .3 30 550 550 1 275 275 1 118.5 3.95 30 21.3 .71 30 36 .6 60 117 1.3 90 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3926.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413354 Min 01413354 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 2445 of 6486
Name
S.V. LAKSHMI Rate Amount Qty 26.7 .89 30 27.9 .93 30 400 400 1 Total: 454.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413366 Min 01413366 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2446 of 6486
Name
BALDEO SINGH Rate Amount Qty 2.4 .16 15 15.6 .26 60 118.5 3.95 30 23.1 .77 30 32.4 1.08 30 12 .4 30 7.5 .25 30 400 400 1 Total: 611.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413370 Min 01413370 Appmt Dt Slno Description 22-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 22-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2447 of 6486
Name
S.K. DATTA GUPTA Qty Rate Amount 30 1.21 36.3 30 1.08 32.4 30 1.16 34.8 1 400 400 Total: 503.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413371 Min 01413371 Appmt Dt Slno Description 22-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 22-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2448 of 6486
Name
RITA DATTA GUPTA Qty Rate Amount 15 .99 14.85 30 .71 21.3 60 1.1 66 1 400 400 Total: 502.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413372 Min 01413372 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 7 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2449 of 6486
BHUWAN LAL VERMA Rate Amount Qty 55.8 .93 60 30.6 .34 90 36 .6 60 32.4 1.08 30 16.2 .27 60 400 400 1 156.51 313.02 2 50.14 25.07 2 400 400 1 Total: 1334.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413373 Min 01413373 Slno Description Appmt Dt ECG 1 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 15-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 3 15-FEB-19 OBSERVATION IN CASUALTY 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 16-FEB-19 X - RAY - SINGLE VIEW 7 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 2450 of 6486
Name
BASANTI DEVI VERMA Rate Amount Qty 450 450 1 .37 .37 1 100 100 1 420 420 1 .89 .89 1 400 400 1 550 550 1 12.15 12.15 1 4.45 .89 5 9 .9 10 66.2 6.62 10 9 .9 10 3.7 .37 10 400 400 1 Total: 2425.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413374 Min 01413374 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2451 of 6486
Name
V.N. DWIVEDI Rate Amount Qty 7.5 .25 30 43.2 1.44 30 32.4 1.08 30 8.1 .27 30 21.3 .71 30 38.25 2.55 15 400 400 1 Total: 550.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413375 Min 01413375 Appmt Dt Slno Description 26-FEB-19 1 PRAZOSIN,2.5MG,TABLET 26-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2452 of 6486
Name
TARA DWIVEDI Qty Rate Amount 60 1.3 78 30 .25 7.5 60 .93 55.8 1 400 400 Total: 541.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413380 Min 01413380 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2453 of 6486
Name
K. SUBBA RAO Rate Amount Qty 54 .6 90 32.4 1.08 30 34.8 1.16 30 33 1.1 30 23.7 .79 30 78 1.3 60 15.6 .26 60 400 400 1 Total: 671.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413381 Min 01413381 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 2454 of 6486
Name
K. SIVA KUMARI Rate Amount Qty 6.23 .89 7 18.2 2.6 7 400 400 1 12 .4 30 33 1.1 30 400 400 1 Total: 869.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413383 Min 01413383 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 04-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 2455 of 6486
Name
T.R.KOSARIA Rate Amount Qty 29.7 .99 30 27.9 .93 30 78 1.3 60 82.76 165.52 2 19.72 9.86 2 59.4 .66 90 26.7 .89 30 104.4 1.74 60 7.5 .25 30 400 400 1 Total: 918.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413384 Min 01413384 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 04-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2456 of 6486
Name
HEERA KOSARIA Rate Amount Qty 166.8 2.78 60 12 .4 30 5.7 .38 15 7.5 .25 30 26.7 .89 30 18.6 .62 30 31.99 3838.8 120 400 400 1 Total: 4476.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413385 Min 01413385 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2457 of 6486
Name
KAPOOR SINGH Rate Amount Qty 21.3 .71 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 36 .6 60 21.6 .36 60 400 400 1 Total: 550.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413386 Min 01413386 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 2458 of 6486
Name
BALJEET KAUR Rate Amount Qty 47.4 .79 60 6.9 .23 30 400 400 1 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413392 Min 01413392 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 01-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 02-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 12 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 23-FEB-19 PRAZOSIN,2.5MG,TABLET 18 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 2459 of 6486
Name
SHRIRAM SARWA Rate Amount Qty 95.7 3.19 30 17.25 1.15 15 41.1 1.37 30 26.7 .89 30 192.3 6.41 30 60.9 2.03 30 400 400 1 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 400 400 1 22.2 .37 60 36 .6 60 34.8 1.16 30 12 .4 30 66 1.1 60 29.7 .99 30 39 1.3 30 55.8 .93 60 400 400 1 Total: 1983.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413393 Min 01413393 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 2460 of 6486
Name
SMT.KAUSHILYA DEVI Rate Amount Qty 36 .6 60 55.8 .93 60 8.1 .27 30 76.5 2.55 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 623.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413396 Min 01413396 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 2461 of 6486
Name
DR. S.K. SARKAR Rate Amount Qty 105.9 3.53 30 7.5 .25 30 60.9 2.03 30 36 .6 60 29.7 .99 30 13.8 .23 60 8.1 .27 30 55.8 .93 60 400 400 1 Total: 717.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413397 Min 01413397 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 09-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2462 of 6486
Name
ANJALI SARKAR Rate Amount Qty 37.8 .63 60 43.2 1.44 30 400 400 1 Total: 481
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413398 Min 01413398 Appmt Dt Slno Description 16-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2463 of 6486
Name
SHIV DAYAL SINHA Qty 1 1
Rate Amount 25.69 25.69 400 400 425.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413399 Min 01413399 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 02-FEB-19 ESCITALOPRAM,10MG,,TABLET 8 16-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 9 16-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 10 16-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 11 16-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 2464 of 6486
Name
SHANTI DEVI SINHA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 17.8 .89 20 27.4 1.37 20 275 275 1 275 275 1 400 400 1 83.25 1.85 45 79.2 2.64 30 15.3 .51 30 24.6 .82 30 123.3 1.37 90 400 400 1 7.5 .25 30 13.35 .89 15 39 2.6 15 185.7 6.19 30 400 400 1 Total: 2559.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413400 Min 01413400 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2465 of 6486
Name
VISHNU PRASAD OJHA Rate Amount Qty 55.8 .93 60 6.82 6.82 1 60.9 2.03 30 6.9 .23 30 400 400 1 Total: 530.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413401 Min 01413401 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 22-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 2466 of 6486
Name
TARA OJHA Rate Amount Qty 54 .9 60 26.7 .89 30 12.8 .64 20 12.15 12.15 1 104.4 1.74 60 59.4 .66 90 20.1 .67 30 400 400 1 7.4 .37 20 12.81 12.81 1 400 400 1 Total: 1109.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413402 Min 01413402 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 3 14-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 2467 of 6486
Name
G.S. DESHMUKH Rate Amount Qty 60.9 2.03 30 78 2.6 30 59.4 .99 60 191.4 3.19 60 60.18 20.06 3 192.3 6.41 30 400 400 1 26.7 .89 30 400 400 1 Total: 1468.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413413 Min 01413413 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2468 of 6486
Name
RAMESH CHANDRA GUPTA Rate Amount Qty 36 .6 60 334.8 5.58 60 8.1 .27 30 55.8 .93 60 400 400 1 Total: 834.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413414 Min 01413414 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2469 of 6486
Name
VIDYA DEVI GUPTA Rate Amount Qty 31.2 1.04 30 19.8 .66 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 572.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413417 Min 01413417 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2470 of 6486
Name
M.P. VISHWAKARMA Rate Amount Qty 55.2 1.84 30 17.8 .89 20 247.6 6.19 40 13.7 1.37 10 4.1 .41 10 6.4 .64 10 400 400 1 Total: 744.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413418 Min 01413418 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2471 of 6486
Name
CHAMPA DEVI VISHWAKARMA Rate Amount Qty 33 1.1 30 9.28 1.16 8 7.5 .25 30 2.4 .16 15 400 400 1 Total: 452.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413419 Min 01413419 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 PRAZOSIN,2.5MG,TABLET 5 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 2472 of 6486
Name
DAMODAR THAKUR Rate Amount Qty 36 .6 60 8.9 .89 10 21.3 .71 30 21.3 .71 30 156 1.3 120 32.4 1.08 30 14.85 .99 15 55.8 .93 60 22.2 .37 60 400 400 1 Total: 768.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413420 Min 01413420 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2473 of 6486
Name
BUDHANTIN THAKUR Qty Rate Amount 30 .93 27.9 60 .37 22.2 30 .71 21.3 1 400 400 Total: 471.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413421 Min 01413421 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 15-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 15-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 15 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 16 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 2474 of 6486
Name
SMT VIMLA KAPOOR Rate Amount Qty 21.3 .71 30 30.6 .51 60 43.2 1.44 30 32.4 1.08 30 34.8 1.16 30 247.06 123.53 2 26.7 .89 30 400 400 1 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 33 1.1 30 15.3 .51 30 7.5 .25 30 236.7 2.63 90 7.8 .26 30 72 .6 120 400 400 1 Total: 1702.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413440 Min 01413440 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2475 of 6486
Name
SHAIN KUMARI Rate Amount Qty 54 .6 90 34.8 1.16 30 33 1.1 30 6 .4 15 10.8 .36 30 78 1.3 60 12 .4 30 400 400 1 Total: 628.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413448 Min 01413448 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 GUM ASTRINGENT PAINT 3 08-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 2476 of 6486
Name
SANYUKTA MISHRA Rate Amount Qty 6.4 .64 10 400 400 1 31.54 31.54 1 20.25 20.25 1 400 400 1 22.8 .38 60 400 400 1 5.21 5.21 1 20.06 20.06 1 1.48 .37 4 26.7 .89 30 21.3 .71 30 33 1.1 30 400 400 1 Total: 1788.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413449 Min 01413449 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 2477 of 6486
Name
SHRIRAM KULKARNI Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413450 Min 01413450 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 09-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 09-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 2478 of 6486
Name
SANGITA KULKARNI Rate Amount Qty 59.4 .66 90 156.6 1.74 90 54 .9 60 12.15 12.15 1 26.7 .89 30 4.8 .6 8 7.68 .64 12 44.16 1.84 24 12.15 12.15 1 400 400 1 3.6 .6 6 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 1233.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413453 Min 01413453 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 2479 of 6486
Name
GEORGE VICTOR LOUISE Rate Amount Qty 7.5 .25 30 236.7 2.63 90 32.4 1.08 30 33 1.1 30 34.8 1.16 30 26.7 .89 30 15.3 .51 30 7.8 .26 30 72 .6 120 400 400 1 Total: 866.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413454 Min 01413454 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 4 02-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 5 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 2480 of 6486
NIRMALA GEORGE LOUISE Rate Amount Qty 12 .4 30 25.07 25.07 1 36 .6 60 85.8 8.58 10 137.3 13.73 10 8.1 .27 30 21.6 .36 60 400 400 1 Total: 725.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413456 Min 01413456 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2481 of 6486
Name
V.K.AGRAWAL Rate Amount Qty 66 1.1 60 60.9 2.03 30 12 .4 30 8.1 .27 30 400 400 1 7.4 .37 20 12.81 12.81 1 400 400 1 Total: 967.21
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413457 Min 01413457 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 25-FEB-19
Page 2482 of 6486
PUSHPA AGRAWAL Rate Amount Qty 17 1.7 10 15.73 15.73 1 400 400 1 371.4 6.19 60 17 1.7 10 17.8 .89 20 7.4 .37 20 41.85 .93 45 12.8 .64 20 400 400 1 400 400 1 1300 1300 1 Total: 3000.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413458 Min 01413458 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2483 of 6486
Name
YOUSUF GHORI Rate Amount Qty 21.3 .71 30 24 .4 60 39 1.3 30 55.8 .93 60 13.8 .23 60 29.7 .99 30 33 1.1 30 72 .6 120 400 400 1 Total: 688.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413460 Min 01413460 Appmt Dt Slno Description 08-FEB-19 1 SUTURE REMOVAL 08-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 2484 of 6486
Name
ANUSHILA GUHA NEOGI Qty Rate Amount 1 490 490 1 400 400 890 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413463 Min 01413463 Appmt Dt Slno Description 11-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2485 of 6486
Name
P.K.GUPTA Qty Rate Amount 6 .37 2.22 45 .62 27.9 30 .93 27.9 1 400 400 Total: 458.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413464 Min 01413464 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 11-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 6 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 7 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 2486 of 6486
Name
ABHA GUPTA Rate Amount Qty 33.12 1.84 18 5.76 .64 9 12.81 12.81 1 3.7 .37 10 19.72 9.86 2 63.58 63.58 1 26.96 3.37 8 27.9 .62 45 400 400 1 55.2 1.84 30 6.4 .64 10 20.06 20.06 1 400 400 1 Total: 1075.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413469 Min 01413469 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 2487 of 6486
Name
P.R.SHRIVASTAVA Rate Amount Qty 27.9 .93 30 3.84 .64 6 400 400 1 Total: 431.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413470 Min 01413470 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 2488 of 6486
Name
SANDHYA SHRIVASTAVA Rate Amount Qty 55.8 .93 60 21.3 .71 30 32.4 1.08 30 7.5 .25 30 10.08 1.12 9 22.2 .37 60 400 400 1 Total: 549.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413471 Min 01413471 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 2489 of 6486
Name
G.C.PANDEY Rate Amount Qty 12.3 .41 30 20.06 20.06 1 26.7 .89 30 4.8 .16 30 6.9 .23 30 55.8 .93 60 400 400 1 35.2 3.52 10 16.8 1.12 15 400 400 1 Total: 978.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413473 Min 01413473 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2490 of 6486
Name
SURYAKANT MEHAR Rate Amount Qty 34.8 1.16 30 7.5 .25 30 15.3 .51 30 66 1.1 60 8.1 .27 30 12 .4 30 27.9 .93 30 15.6 .26 60 400 400 1 Total: 587.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413474 Min 01413474 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 8 12-FEB-19 CREATININE /CRT 9 12-FEB-19 URIC ACID (UA /URATES /UR) 10 12-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 12-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 12-FEB-19
Page 2491 of 6486
Name
USHA MEHAR Rate Amount Qty 275 275 1 7.5 .25 30 21.3 .71 30 12 .4 30 27.9 .93 30 18 .6 30 10.8 .36 30 22.05 1.47 15 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 275 275 1 Total: 3469.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413477 Min 01413477 Appmt Dt Slno Description 08-FEB-19 1 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2492 of 6486
Name
MAHESH SINGH Qty 1 1
Rate Amount 123.53 123.53 400 400 523.53 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413478 Min 01413478 Slno Description Appmt Dt UREA (BUN /UR) 1 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2493 of 6486
Name
SAROJ CHAUHAN Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 167.4 5.58 30 27.9 .93 30 36 .6 60 21.3 .71 30 400 400 1 Total: 1904.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413481 Min 01413481 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 01-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 01-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 2494 of 6486
TAJ MOHD MANSURI Rate Amount Qty 19.72 9.86 2 25.07 100.28 4 11.1 .37 30 26.96 3.37 8 74.08 37.04 2 81.16 20.29 4 400 400 1 Total: 713.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413486 Min 01413486 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 08-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 7 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 08-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 2495 of 6486
Name
MRS.NEETA SHUKLA Rate Amount Qty 104.4 1.74 60 8.1 .27 30 18.6 .62 30 27.9 .93 30 26.7 .89 30 83.4 2.78 30 77.52 3.23 24 27.9 .93 30 17.4 .58 30 100.71 100.71 1 26.7 .89 30 400 400 1 Total: 919.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413487 Min 01413487 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2496 of 6486
Name
KEWAL KUMAR BHALLA Rate Amount Qty 27.9 .93 30 32.4 1.08 30 26.7 .89 30 7.8 .26 30 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413505 Min 01413505 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2497 of 6486
Name
VIRENDRA KUMAR Rate Amount Qty 36 .6 60 34.8 1.16 30 12 .4 30 29.7 .99 30 55.8 .93 60 167.4 5.58 30 400 400 1 Total: 735.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413506 Min 01413506 Slno Description Appmt Dt TABLET PYRIDOSTIGMINE 60 MG 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 18-FEB-19 MYCOPHENOLATE MOFETIL,500MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 2498 of 6486
Name
LOHKU RAM DHIMAN Rate Amount Qty 387 4.3 90 21.3 .71 30 18.9 .63 30 22.96 1377.6 60 400 400 1 Total: 2204.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413516 Min 01413516 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 14 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 2499 of 6486
Name
INDERJIT SINGH TUTEJA Rate Amount Qty 12.15 12.15 1 21.6 .18 120 54 .9 60 400 400 1 7.5 .25 30 192.3 6.41 30 60.9 2.03 30 185.7 6.19 30 13.7 1.37 10 400 400 1 1.92 .16 12 55.8 .93 60 32.4 1.08 30 11.4 .38 30 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 1933.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413518 Min 01413518 Appmt Dt Slno Description 14-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 14-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2500 of 6486
Name
AMBIKA SHARAN Qty Rate Amount 30 .4 12 30 .71 21.3 15 .79 11.85 1 400 400 Total: 445.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413520 Min 01413520 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19
Page 2501 of 6486
Name
S.K.GHOSH Rate Amount Qty 8.1 .27 30 33 1.1 30 47.4 .79 60 36 .6 60 20.06 20.06 1 26.7 .89 30 17.4 .58 30 12 .4 30 17.4 1.16 15 2.4 .16 15 7.5 .25 30 400 400 1 185.7 6.19 30 6.23 .89 7 20.55 1.37 15 400 400 1 Total: 1240.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413525 Min 01413525 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 13-FEB-19 X - RAY - TWO VIEWS 8 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2502 of 6486
Name
SATYA BHAMA Rate Amount Qty 20.84 5.21 4 6.4 .64 10 11.4 .38 30 18.9 .63 30 6.23 .89 7 400 400 1 400 400 1 860 860 1 26.7 .89 30 400 400 1 Total: 2150.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413528 Min 01413528 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 18-FEB-19 COLONOSCOPY DIAGNOSTIC 4 18-FEB-19 PROTHROMBIN TIME (PT) 5 19-FEB-19 PLATELET COUNT 6 19-FEB-19 HB,TLC,DLC 7 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 2503 of 6486
Name
RAJENDRA PRASAD SONI Rate Amount Qty 4.95 .99 5 400 400 1 400 400 1 3230 3230 1 330 330 1 330 330 1 300 300 1 400 400 1 21.3 .71 30 7.5 .25 30 23.7 .79 30 400 400 1 66.2 6.62 10 123.53 123.53 1 4.45 .89 5 2.66 .38 7 400 400 1 Total: 6444.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413529 Min 01413529 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 7 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 28-FEB-19
Page 2504 of 6486
Name
VINDESHWARI SONI Rate Amount Qty 6.32 .79 8 3.75 .25 15 21.3 .71 30 36 .6 60 167.4 5.58 30 400 400 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 4184.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413530 Min 01413530 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 2505 of 6486
Name
SUNIL BAND Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413533 Min 01413533 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 25-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 25-FEB-19 X - RAY - SINGLE VIEW 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 2506 of 6486
Name
TIJ DESHMUKH Rate Amount Qty 66.2 6.62 10 1.85 .37 5 4.45 .89 5 12.15 12.15 1 400 400 1 4.45 .89 5 9 .9 10 12.15 12.15 1 70.2 2.34 30 400 400 1 550 550 1 400 400 1 Total: 1930.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413534 Min 01413534 Appmt Dt Slno Description 04-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 04-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 04-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2507 of 6486
Name
C.V.RAO Qty Rate Amount 30 1.84 55.2 10 .64 6.4 10 .77 7.7 1 400 400 Total: 469.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413546 Min 01413546 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 02-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 2508 of 6486
Name
RAM ASHRAY RAM Rate Amount Qty 13.95 .93 15 26.7 .89 30 20.06 20.06 1 7.65 .51 15 18.9 .63 30 400 400 1 Total: 487.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413550 Min 01413550 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 19-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2509 of 6486
Name
RAJESH KUMAR SHUKLA Rate Amount Qty 12 .4 30 72 .6 120 32.4 1.08 30 21.3 .71 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 790.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413551 Min 01413551 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 28-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 2510 of 6486
Name
REKHA RANI SHUKLA Rate Amount Qty 21.3 .71 30 31.2 1.04 30 32.4 1.08 30 21.3 .71 30 5.7 .38 15 211.8 3.53 60 400 400 1 32.4 1.08 30 317.7 3.53 90 31.2 1.04 30 400 400 1 Total: 1505
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413554 Min 01413554 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2511 of 6486
Name
S.K. AGRAWAL Rate Amount Qty 21.3 .71 30 27.9 .93 30 14.85 .99 15 66 1.1 60 12 .4 30 400 400 1 Total: 542.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413559 Min 01413559 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2512 of 6486
Name
SUSHILA HANSIA Rate Amount Qty 55.8 .93 60 16.2 .27 60 21.3 .71 30 4.8 .16 30 20.06 20.06 1 43.96 43.96 1 400 400 1 Total: 562.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413569 Min 01413569 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 24-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 2 24-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 3 24-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 4 24-FEB-19 ECG 5 24-FEB-19 X - RAY - SINGLE VIEW 6 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 24-FEB-19
Page 2513 of 6486
Name
PAWAN KUMAR GARG Rate Amount Qty 420 420 1 5.77 5.77 1 6.67 6.67 1 600 600 1 450 450 1 550 550 1 .89 .89 1 Total: 2033.33
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413581 Min 01413581 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2514 of 6486
MANJULA TAMGADGE Rate Amount Qty 100.71 100.71 1 15.73 15.73 1 11.1 .37 30 54 .9 60 400 400 1 Total: 581.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413582 Min 01413582 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 SILDENAFIL,25 MG,,TABLET 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 08-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 10 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 2515 of 6486
Name
ANJANA LUCAS Rate Amount Qty 36 .6 60 158.4 2.64 60 78 1.3 60 21.3 .71 30 2.4 .16 15 7.5 .25 30 55.8 .93 60 31.2 1.04 30 66 1.1 60 61.8 4.12 15 12 .4 30 400 400 1 Total: 930.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413583 Min 01413583 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19
Page 2516 of 6486
Name
ANIL LUCAS Rate Amount Qty 12 .4 30 23.7 .79 30 15.6 .26 60 72.6 1.21 60 34.8 1.16 30 26.7 .89 30 400 400 1 32.4 1.08 30 34.8 1.16 30 18.9 .63 30 211.8 3.53 60 26.7 .89 30 4.8 .16 30 43.2 .36 120 334.8 5.58 60 117 1.3 90 55.8 .93 60 400 400 1 Total: 1865.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413588 Min 01413588 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2517 of 6486
Name
V K SINGH Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 12 .4 30 7.8 .26 30 34.8 1.16 30 32.4 1.08 30 36.3 1.21 30 400 400 1 Total: 776.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413596 Min 01413596 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 2518 of 6486
Name
G.R. DESHMUKH Rate Amount Qty 23.7 .79 30 167.4 5.58 30 10.8 .36 30 7.5 .25 30 400 400 1 Total: 609.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413598 Min 01413598 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 21-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 2519 of 6486
Name
G.D. SHARMA Rate Amount Qty 6.23 .89 7 1.75 .25 7 43.33 6.19 7 9.59 1.37 7 400 400 1 47.4 .79 60 118.5 3.95 30 12 .4 30 15.6 .26 60 21.3 .71 30 400 400 1 Total: 1075.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413599 Min 01413599 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 2520 of 6486
Name
SHEELA SHARMA Rate Amount Qty 13.7 1.37 10 18.9 .63 30 7.5 .25 30 185.7 6.19 30 400 400 1 1.52 .38 4 2.56 .64 4 1.48 .37 4 400 400 1 13.7 1.37 10 185.7 6.19 30 7.5 .25 30 18.9 .63 30 400 400 1 Total: 1657.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413600 Min 01413600 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 23-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 23-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 23-FEB-19 URIC ACID (UA /URATES /UR) 5 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 23-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 23-FEB-19 COMPLETE HAEMOGRAM 11 23-FEB-19
Page 2521 of 6486
Name
D.K.MAITRA Rate Amount Qty 18 .6 30 4.8 .16 30 25.62 12.81 2 74.08 37.04 2 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 1300 1300 1 750 750 1 Total: 4697.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413601 Min 01413601 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 23-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 2522 of 6486
Name
SHRILEKHA MAITRA Rate Amount Qty 36 .6 60 4.8 .16 30 211.8 3.53 60 71 .71 100 400 400 1 Total: 723.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413602 Min 01413602 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 14-FEB-19 PRAZOSIN,2.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 COMPLETE HAEMOGRAM 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 25-FEB-19 CREATININE /CRT 10 25-FEB-19 URIC ACID (UA /URATES /UR) 11 25-FEB-19
Page 2523 of 6486
Name
S.P. VISHWAKARMA Rate Amount Qty 211.8 3.53 60 1.6 .16 10 13.8 .23 60 22.2 .37 60 234 1.3 180 400 400 1 750 750 1 400 400 1 550 550 1 275 275 1 275 275 1 Total: 3133.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413604 Min 01413604 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2524 of 6486
Name
SHASHI BALA LAL Rate Amount Qty 39 1.3 30 36 .6 60 55.8 .93 60 12 .4 30 33 1.1 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 618.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413606 Min 01413606 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 14-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2525 of 6486
Name
B.S. THAKUR Rate Amount Qty 7.5 .25 30 12 .4 30 86.4 1.44 60 26.7 .89 30 400 400 1 11.4 .38 30 45.44 45.44 1 400 400 1 Total: 989.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413607 Min 01413607 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 2526 of 6486
Name
KAUSHILYA Rate Amount Qty 55.8 .93 60 6.9 .23 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413608 Min 01413608 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 2 01-FEB-19 HB,TLC,DLC 3 01-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 4 01-FEB-19 PLATELET COUNT 5 01-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 6 01-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 7 01-FEB-19 UREA (BUN /UR) 8 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 01-FEB-19 SERUM COPPER (CU++) 10 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 11 01-FEB-19 ALKALINE PHOSPHATASE (ALP) 12 01-FEB-19 CREATININE /CRT 13 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 14 03-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 15 03-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 16 03-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 03-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 03-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 03-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 20 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 03-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 23 09-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 24 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 25 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 26 09-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 27 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 28 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 09-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 30 13-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 31 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 32 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 33 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 34 13-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 35 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 36 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 37 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 13-FEB-19
Page 2527 of 6486
Name
B VASUDEVA RAO Rate Amount Qty 400 400 1 4790 4790 1 300 300 1 330 330 1 330 330 1 275 275 1 275 275 1 275 275 1 550 550 1 500 500 1 275 275 1 275 275 1 275 275 1 10.2 .34 30 15.6 1.04 15 15.4 .77 20 10.8 1.08 10 3.8 .38 10 7.1 .71 10 7.1 .71 10 400 400 1 14.2 .71 20 21.6 1.08 20 14.2 .71 20 8 .4 20 10.4 .26 40 41.6 1.04 40 20.4 .51 40 400 400 1 31.2 1.04 30 7.8 .26 30 6 .4 15 16.2 1.08 15 10.65 .71 15 10.65 .71 15 5.7 .38 15 15.3 .51 30 400 400 1 Total: 10353.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413609 Min 01413609 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 2528 of 6486
Name
B. KALAVATI Rate Amount Qty 6.4 .64 10 1.85 .37 5 26.6 2.66 10 7.7 .77 10 400 400 1 10.65 .71 15 117 1.3 90 72 .6 120 110.4 .92 120 55.8 .93 60 400 400 1 Total: 1208.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413610 Min 01413610 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 2529 of 6486
Name
KRISHNA KUMAR SAHU Rate Amount Qty 4.8 .16 30 43.96 43.96 1 7.5 .25 30 34.8 1.16 30 12 .4 30 33 1.1 30 11.1 .37 30 55.8 .93 60 400 400 1 Total: 602.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413611 Min 01413611 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 2530 of 6486
Name
VASUDHA SAHU Rate Amount Qty 27.9 .93 30 7.5 .25 30 21.3 .71 30 2.4 .16 15 400 400 1 Total: 459.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413628 Min 01413628 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2531 of 6486
Name
O P GUPTA Rate Amount Qty 1.85 .37 5 3.84 .64 6 27.9 .93 30 3.75 .25 15 400 400 1 Total: 437.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413629 Min 01413629 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 4 08-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2532 of 6486
Name
ASHA GUPTA Rate Amount Qty 27.9 .62 45 400 400 1 7.5 .25 30 4.15 186.75 45 177.9 5.93 30 400 400 1 Total: 1200.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413633 Min 01413633 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 2533 of 6486
Name
KANAK KATRE Rate Amount Qty 9.6 .64 15 20.55 1.37 15 11.4 .38 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 475.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413634 Min 01413634 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2534 of 6486
Name
SHALINI HIZKIAL Rate Amount Qty 18 .6 30 7.5 .25 30 55.8 .93 60 11.4 .38 30 8.9 .89 10 9 .3 30 43.96 43.96 1 400 400 1 Total: 554.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413635 Min 01413635 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 12-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2535 of 6486
Name
N.K. HIZKIAL Rate Amount Qty 26.7 .89 30 192.3 6.41 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 60.9 2.03 30 400 400 1 Total: 766.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413636 Min 01413636 Appmt Dt Slno Description 05-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 3 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2536 of 6486
DILIP KUMAR DAS Qty 5 5 1 1
Rate Amount .64 3.2 .37 1.85 15.73 15.73 400 400 Total: 420.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413637 Min 01413637 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 2537 of 6486
Name
SHIBANI DAS Rate Amount Qty 27.9 .93 30 21.3 .71 30 18.6 .62 30 37.2 .62 60 400 400 1 Total: 505
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413640 Min 01413640 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 26-FEB-19 PRAZOSIN,2.5MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 2538 of 6486
Name
MULCHAND Rate Amount Qty 211.8 3.53 60 32.4 1.08 30 60.9 2.03 30 21.3 .71 30 117 1.3 90 78 1.3 60 27.9 .93 30 36 .6 60 10.8 .36 30 400 400 1 Total: 996.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413641 Min 01413641 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 PRAZOSIN,2.5MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2539 of 6486
SHASHIKALA Rate Amount Qty 25.07 25.07 1 400 400 1 18 .6 30 118.5 3.95 30 317.7 3.53 90 55.8 .93 60 78 1.3 60 400 400 1 Total: 1413.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413646 Min 01413646 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2540 of 6486
Name
SHASHI BALA LEE Rate Amount Qty 27.9 .93 30 21.3 .71 30 185.7 6.19 30 18.9 .63 30 18.6 .62 30 20.84 5.21 4 400 400 1 Total: 693.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413655 Min 01413655 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 IVABRADINE,5MG,,TABLET 9 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19
Page 2541 of 6486
Name
KESHAV LAXMAN JOSHI Rate Amount Qty 60.9 2.03 30 22.2 .37 60 33 1.1 30 18.9 .63 30 192.3 6.41 30 18 .6 30 14.85 .99 15 55.8 .93 60 597 9.95 60 12 .4 30 21.3 .71 30 400 400 1 Total: 1446.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413656 Min 01413656 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 4 22-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 22-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2542 of 6486
Name
MALTI JOSHI Rate Amount Qty 21.3 .71 30 24.38 12.19 2 26.7 .89 30 196.2 3.27 60 83.4 2.78 30 64.6 3.23 20 4.56 .38 12 400 400 1 Total: 821.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413657 Min 01413657 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2543 of 6486
Name
D.N.CHATE Rate Amount Qty 6.4 .64 10 1.85 .37 5 26.6 2.66 10 400 400 1 1.85 .37 5 400 400 1 Total: 836.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413658 Min 01413658 Slno Description Appmt Dt ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 1 15-FEB-19 CHOLESTEROL (CHOL) 2 15-FEB-19 TRIGLYCERIDES (TGL) 3 15-FEB-19 PLATELET COUNT 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 15-FEB-19 ESR 7 15-FEB-19 HB,TLC,DLC 8 15-FEB-19 CREATININE /CRT 9 15-FEB-19
Page 2544 of 6486
Name
ASHA CHATE Qty 1 1 1 1 1 1 1 1 1
Rate Amount 275 275 275 275 275 275 330 330 400 400 275 275 165 165 300 300 275 275 Total: 2570
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413667 Min 01413667 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2545 of 6486
Name
GURUCHARAN SINGH Qty Rate Amount 40 .89 35.6 40 6.19 247.6 20 .64 12.8 1 400 400 Total: 696
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413675 Min 01413675 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 2546 of 6486
Name
E. RAMALAKSHMI REDDY Rate Amount Qty 55.8 .93 60 60.9 2.03 30 7.5 .25 30 55.2 .92 60 8.1 .27 30 66 1.1 60 400 400 1 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413676 Min 01413676 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2547 of 6486
Name
E USHA REDDY Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413677 Min 01413677 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 2548 of 6486
Name
DHRUBA MAJUMDAR Rate Amount Qty 20.84 5.21 4 7.5 .25 30 9.6 .64 15 400 400 1 13.35 .89 15 12 .4 30 21.3 .71 30 27.9 .93 30 400 400 1 Total: 912.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413678 Min 01413678 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 UREA (BUN /UR) 7 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 19-FEB-19
Page 2549 of 6486
Name
JAISHREE MAJUMDAR Rate Amount Qty 4.1 .41 10 8.9 .89 10 63.8 3.19 20 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 1701.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413680 Min 01413680 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 08-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 14-FEB-19 UREA (BUN /UR) 12 14-FEB-19 CREATININE /CRT 13 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 14-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 14-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 18 14-FEB-19 HB,TLC,DLC 19 14-FEB-19 PLATELET COUNT 20 14-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 21 14-FEB-19 DRESSING SIMPLE 22 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 24 18-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 25 18-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 26 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 28 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 29 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 30 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 31 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 32 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 33 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 34 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 35 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 36 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 37 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 38 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 39 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 40 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 41 25-FEB-19 PROTHROMBIN TIME (PT) 42 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 43 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 44 25-FEB-19
Page 2550 of 6486
Name
CHANPURIA ML Rate Amount Qty 26 2.6 10 19.72 9.86 2 57.84 115.68 2 11.4 .38 30 55.2 .92 60 18.9 .63 30 400 400 1 27.9 .93 30 78 1.3 60 27.9 .93 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 1750 1750 1 165 165 1 300 300 1 330 330 1 330 330 1 1500 300 5 400 400 1 66.2 6.62 10 139.8 9.32 15 10.95 .73 15 6.4 .64 10 12.81 12.81 1 17.4 .58 30 18.9 .63 30 26.7 .89 30 2.37 .79 3 27.9 .93 30 .4 .4 1 1.08 1.08 1 117 1.3 90 55.2 .92 60 400 400 1 400 400 1 7.3 .73 10 6.4 .64 10 330 330 1 66.2 6.62 10 400 400 1 Total: 9718.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413681 Min 01413681 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 08-FEB-19 BLOOD FOR T-3,T-4,TSH 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19
Page 2551 of 6486
Name
SMT. LAXMI CHANPURIA Rate Amount Qty 20.84 5.21 4 185.7 6.19 30 11.4 .38 30 7.5 .25 30 18.9 .63 30 34.8 1.16 30 21.3 .71 30 78 2.6 30 400 400 1 2400 2400 1 400 400 1 Total: 3578.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413684 Min 01413684 Slno Description Appmt Dt CLOZAPINE,100MG,TABLET 1 07-FEB-19 AMISULPRIDE, 100MG,,TABLET 2 07-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 UREA (BUN /UR) 17 25-FEB-19 CREATININE /CRT 18 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 25-FEB-19
Page 2552 of 6486
Name
CHANDA JAIN Rate Amount Qty 161.1 5.37 30 469.2 7.82 60 15.3 .51 30 400 400 1 7.5 .25 30 34.8 1.16 30 12 .4 30 8.1 .27 30 117 1.3 90 167.4 5.58 30 72 .6 120 18.6 .62 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 4683
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413685 Min 01413685 Appmt Dt Slno Description 25-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2553 of 6486
Name
VIJAY KUMAR JAIN Qty Rate Amount 15 .64 9.6 1 400 400 409.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413686 Min 01413686 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2554 of 6486
Name
CHETANLAL Rate Amount Qty 26.7 .89 30 36 .6 60 12 .4 30 23.7 .79 30 8.1 .27 30 400 400 1 Total: 506.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413687 Min 01413687 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 08-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 2555 of 6486
Name
KAUSHALYA BAI Rate Amount Qty 7.5 .25 30 2.22 .37 6 15.6 .26 60 23.1 .77 30 34.8 1.16 30 12 .4 30 18 .6 30 15.96 2.66 6 400 400 1 Total: 529.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413688 Min 01413688 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 06-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 06-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 2556 of 6486
Name
DASGUPTA UR Rate Amount Qty 17.4 .58 30 21.3 .71 30 27.9 .93 30 26.7 .89 30 54 .9 60 100.71 100.71 1 123.53 123.53 1 400 400 1 Total: 771.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413689 Min 01413689 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 UREA (BUN /UR) 3 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 4 04-FEB-19 URIC ACID (UA /URATES /UR) 5 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 04-FEB-19 CREATININE /CRT 10 04-FEB-19
Page 2557 of 6486
Name
SUMITA DASGUPTA Rate Amount Qty 275 275 1 275 275 1 275 275 1 1750 1750 1 275 275 1 550 550 1 1300 1300 1 400 400 1 400 400 1 275 275 1 Total: 5775
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413692 Min 01413692 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 10 27-FEB-19 ECG 11 27-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 12 27-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 13 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 14 27-FEB-19 OBSERVATION IN CASUALTY 15 27-FEB-19
Page 2558 of 6486
Name
KAUSHALYA SAHU Rate Amount Qty 32.4 1.08 30 2.4 .16 15 34.8 1.16 30 72.6 1.21 60 36 .6 60 236.7 2.63 90 3.84 .64 6 12 .4 30 400 400 1 9.62 9.62 1 450 450 1 5.41 5.41 1 24.52 24.52 1 7.52 7.52 1 420 420 1 Total: 1747.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413693 Min 01413693 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 26-FEB-19 UREA (BUN /UR) 13 26-FEB-19 CREATININE /CRT 14 26-FEB-19 URIC ACID (UA /URATES /UR) 15 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 26-FEB-19
Page 2559 of 6486
Name
SUBHASH KUMAR TINGURIA Rate Amount Qty 156.6 1.74 90 400 400 1 32.4 1.08 30 7.65 .51 15 55.8 .93 60 118.5 3.95 30 21.3 .71 30 400 400 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 Total: 4817.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413694 Min 01413694 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 25-FEB-19 CREATININE /CRT 2 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 8 27-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 9 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 2560 of 6486
Name
DEEPLATA TINGURIA Rate Amount Qty 13.7 1.37 10 275 275 1 550 550 1 400 400 1 275 275 1 275 275 1 1300 1300 1 12.3 .41 30 368.4 6.14 60 33 1.1 30 6.9 .23 30 55.8 .93 60 21.3 .71 30 12 .4 30 26.7 .89 30 7.92 .99 8 400 400 1 Total: 4033.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413695 Min 01413695 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 25-FEB-19 URIC ACID (UA /URATES /UR) 2 25-FEB-19 CREATININE /CRT 3 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19
Page 2561 of 6486
Name
KEWAL SINGH BORKER Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 76.5 2.55 30 55.8 .93 60 Total: 2953.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413696 Min 01413696 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 20-FEB-19 BLOOD FOR T-3,T-4,TSH 2 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 20-FEB-19
Page 2562 of 6486
Name
KUSUM BAI BORKER Rate Amount Qty 22.2 .37 60 2400 2400 1 400 400 1 33 1.1 30 4.2 .42 10 Total: 2859.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413697 Min 01413697 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2563 of 6486
Name
BENEDICT MINJ Rate Amount Qty 60.9 2.03 30 72 .6 120 78 1.3 60 21.6 .36 60 18.9 .63 30 21.3 .71 30 400 400 1 Total: 672.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413698 Min 01413698 Appmt Dt Slno Description 05-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2564 of 6486
Name
URSULA MINJ Qty Rate Amount 30 .71 21.3 15 .99 14.85 30 .27 8.1 1 400 400 Total: 444.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413699 Min 01413699 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 2565 of 6486
Name
MUNILAL PRASAD Rate Amount Qty 66 1.1 60 12 .4 30 54 .6 90 22.2 .37 60 17.4 1.16 15 47.4 .79 60 21.6 .36 60 400 400 1 Total: 640.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413701 Min 01413701 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 2566 of 6486
Name
R.CHANDRAWANSHI Rate Amount Qty 7.5 .25 30 167.4 5.58 30 21.6 .36 60 36 .6 60 39 1.3 30 27.9 .93 30 18.9 .63 30 17.4 1.16 15 12 .4 30 15.3 .51 30 400 400 1 Total: 763
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413702 Min 01413702 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 13 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 23 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 19-FEB-19
Page 2567 of 6486
Name
RAM KUMARI BAI CHANDRAWANSHI Rate Amount Qty 12.46 .89 14 25.5 1.7 15 2.66 .38 7 12.46 .89 14 49.28 3.52 14 2.59 .37 7 3.8 .38 10 12.46 .89 14 2.59 .37 7 49.28 3.52 14 400 400 1 7.5 .25 30 22.2 .37 60 66 1.1 60 17.4 1.16 15 400 400 1 2.5 .25 10 8.9 .89 10 3.7 .37 10 35.2 3.52 10 400 400 1 5.55 .37 15 51 1.7 30 400 400 1 Total: 1993.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413703 Min 01413703 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2568 of 6486
RAMESH BARMATE Rate Amount Qty 12 .4 30 34.8 1.16 30 66 1.1 60 6.9 .23 30 55.8 .93 60 1.85 .37 5 15.73 15.73 1 400 400 1 Total: 593.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413704 Min 01413704 Appmt Dt Slno Description 15-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 15-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 15-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15-FEB-19 4 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU
Page 2569 of 6486
Name
YAMUNA BARMATE Qty Rate Amount 30 .6 18 15 1.16 17.4 1 275 275 1 275 275 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413711 Min 01413711 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 2570 of 6486
SHANTI BAJPAI Rate Amount Qty 12 .4 30 15.6 .26 60 34.8 1.16 30 18.6 .62 30 400 400 1 9 .9 10 15.73 15.73 1 3.7 .37 10 400 400 1 Total: 909.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413712 Min 01413712 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 2571 of 6486
Name
M.L. BAJPAI Rate Amount Qty 10.8 .36 30 8.1 .27 30 60.9 2.03 30 12 .4 30 9 .3 30 36 .6 60 27.9 .93 30 7.5 .25 30 400 400 1 Total: 572.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413716 Min 01413716 Slno Description Appmt Dt CALCIUM (CA) 1 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 01-FEB-19 CREATININE /CRT 3 01-FEB-19 UREA (BUN /UR) 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 6 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 7 01-FEB-19 COMPLETE HAEMOGRAM 8 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 9 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 11 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 08-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 14 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 15-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 17 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 19 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 22-FEB-19 BLOOD FOR T-3,T-4,TSH 21 22-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 22 22-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 23 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 26-FEB-19
Page 2572 of 6486
Name
CHANDRA SHEKHAR UPLOPWAR Rate Amount Qty 275 275 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 4790 4790 1 750 750 1 275 275 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 2400 2400 1 4790 4790 1 4790 4790 1 400 400 1 Total: 46595
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413732 Min 01413732 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2573 of 6486
Name
SMT.KAMLA Rate Amount Qty 10.8 .36 30 54 .6 90 55.8 .93 60 8.1 .27 30 21.3 .71 30 17.4 .58 30 13.35 .89 15 400 400 1 Total: 580.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413735 Min 01413735 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 2574 of 6486
Name
DEEPAK KUMAR SAXENA Rate Amount Qty 60.9 2.03 30 87.92 43.96 2 400 400 1 72 .6 120 13.95 .93 15 400 400 1 Total: 1034.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413736 Min 01413736 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 08-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 09-FEB-19
Page 2575 of 6486
Name
YASHODHARA SAXENA Rate Amount Qty 371.4 6.19 60 26.7 .89 30 19.2 .64 30 400 400 1 123.53 247.06 2 12.15 12.15 1 100.71 100.71 1 104.4 1.74 60 54 .9 60 40.12 20.06 2 400 400 1 123.53 123.53 1 4.8 .16 30 12 .4 30 21.3 .71 30 41.85 .93 45 400 400 1 Total: 2379.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413754 Min 01413754 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 13-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 13-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 8 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 9 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 13-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 11 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 2576 of 6486
Name
SUDHA SHUKLA Rate Amount Qty 20.06 20.06 1 4.8 .16 30 66 1.1 60 34.8 1.16 30 400 400 1 7.4 .37 20 31.61 31.61 1 100.6 5.03 20 17.6 17.6 1 27.4 1.37 20 10 .25 40 17.8 .89 20 400 400 1 37.04 37.04 1 400 400 1 Total: 1575.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413762 Min 01413762 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 26-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 10 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 12 26-FEB-19 OBSERVATION IN CASUALTY 13 26-FEB-19 ECG 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 18 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 2577 of 6486
Name
SMT KULJIT KAUR Rate Amount Qty 12 .4 30 21.3 .71 30 33 1.1 30 27.9 .93 30 8.1 .27 30 4.8 .16 30 400 400 1 185.7 6.19 30 13.7 1.37 10 600 600 1 .64 .64 1 9.62 9.62 1 420 420 1 450 450 1 400 400 1 12 .4 30 21.3 .71 30 36.3 1.21 30 27.9 .93 30 4.8 .16 30 400 400 1 Total: 3089.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413768 Min 01413768 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 06-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 07-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 8 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 2578 of 6486
Name
ANAND LAL KANOGIYA Rate Amount Qty 5.76 .64 9 4.62 .77 6 10.08 1.12 9 33.12 1.84 18 400 400 1 275 275 1 400 400 1 1170 1170 1 275 275 1 21.3 .71 30 7.44 .93 8 18 .6 30 18.9 .63 30 400 400 1 Total: 3039.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413769 Min 01413769 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 2579 of 6486
Name
TARA DEVI KANOGIYA Rate Amount Qty 13.95 .93 15 34.8 1.16 30 400 400 1 Total: 448.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413772 Min 01413772 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 18-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 2580 of 6486
Name
KALYAN SINGH Rate Amount Qty 21.3 .71 30 60.9 2.03 30 11.4 .38 30 46.8 .78 60 12 .4 30 400 400 1 Total: 552.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413773 Min 01413773 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 2581 of 6486
Name
ANJANI BAI Rate Amount Qty 6.9 .23 30 27.9 .93 30 12.8 .64 20 26.7 .89 30 20.84 5.21 4 400 400 1 Total: 495.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413781 Min 01413781 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19
Page 2582 of 6486
Name
MOHD SAFDAR KHAN Rate Amount Qty 32.4 1.08 30 60.9 2.03 30 43.2 1.44 30 66 1.1 60 17.4 1.16 15 10.8 .36 30 31.2 1.04 30 55.8 .93 60 167.4 5.58 30 54 .6 90 400 400 1 39 2.6 15 43.96 131.88 3 66 1.1 60 21.3 .71 30 32.4 1.08 30 31.2 1.04 30 55.8 .93 60 167.4 5.58 30 54 .6 90 10.8 .36 30 400 400 1 Total: 1948.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413795 Min 01413795 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2583 of 6486
Name
HARI DAS SONPIPRE Rate Amount Qty 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 908.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413796 Min 01413796 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 2584 of 6486
Name
TARA SONPIPRE Rate Amount Qty 76.5 2.55 30 39 1.3 30 36 .6 60 21.3 .71 30 9 .3 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 645.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413797 Min 01413797 Appmt Dt Slno Description 25-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 2 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 25-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2585 of 6486
Name
RAYEES AHMED RIZVI Qty Rate Amount 30 .89 26.7 15 .66 9.9 30 .99 29.7 1 400 400 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413799 Min 01413799 Appmt Dt Slno Description 20-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 20-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2586 of 6486
Name
K LAVANYA Qty Rate Amount 30 .6 18 30 .62 18.6 30 .71 21.3 1 400 400 Total: 457.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413802 Min 01413802 Appmt Dt Slno Description 05-FEB-19 1 DEXKETOPROFEN,25MG,TAB STRIP PACK 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 DIACERIN,STRIP PKT,50MG,CAPSULE 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2587 of 6486
Name
RADHE SHYAM SHARMA Qty Rate Amount 20 3.14 62.8 20 .89 17.8 20 5.03 100.6 1 400 400 Total: 581.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413803 Min 01413803 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 COMPLETE HAEMOGRAM 2 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2588 of 6486
Name
SAROJ SHARMA Rate Amount Qty 400 400 1 750 750 1 55.8 .93 60 7.5 .25 30 400 400 1 Total: 1613.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413816 Min 01413816 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 02-FEB-19 SOLIFENACIN,5MG,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 2589 of 6486
Name
SURENDRA KUMAR Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 23.1 .77 30 403.2 13.44 30 400 400 1 Total: 1079.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413817 Min 01413817 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 2590 of 6486
Name
SMT.LATA BAI NAWGHARE Rate Amount Qty 26.7 .89 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 21.3 .71 30 36 .6 60 12 .4 30 25.2 .42 60 400 400 1 Total: 577.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413820 Min 01413820 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19
Page 2591 of 6486
Name
KUL BHUSHAN GOSAIN Rate Amount Qty 27.9 .93 30 7.5 .25 30 72 .6 120 167.4 5.58 30 12 .4 30 11.4 .38 30 21.6 .36 60 12.15 12.15 1 26.7 .89 30 20.1 .67 30 54 .9 60 400 400 1 Total: 832.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413829 Min 01413829 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 13-FEB-19
Page 2592 of 6486
Name
RAMRISHI AGRAWAL Rate Amount Qty 275 275 1 275 275 1 400 400 1 Total: 950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413836 Min 01413836 Appmt Dt Slno Description 27-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 27-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 27-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2593 of 6486
Name
RN NAOKARKAR Qty Rate Amount 60 .93 55.8 30 .23 6.9 15 .99 14.85 1 400 400 Total: 477.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413837 Min 01413837 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2594 of 6486
Name
SMT.ANJIRA NAOKARKAR Rate Amount Qty 368.4 6.14 60 66 1.1 60 8.1 .27 30 29.7 .99 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 949.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413840 Min 01413840 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 08-FEB-19 SOLIFENACIN,5MG,,TABLET 3 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 2595 of 6486
Name
GOVIND BOPCHE Rate Amount Qty 20.06 20.06 1 18.9 .63 30 403.2 13.44 30 60.9 2.03 30 26.7 .89 30 12 .4 30 21.3 .71 30 66 1.1 60 27.9 .93 30 16.2 .27 60 400 400 1 Total: 1073.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413841 Min 01413841 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 2596 of 6486
Name
REKHA BOPCHE Rate Amount Qty 26.7 .89 30 7.5 .25 30 33 1.1 30 7.8 .26 30 18 .6 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 9 .3 30 400 400 1 Total: 581.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413847 Min 01413847 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 25-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 25-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 25-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 13 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 16 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 17 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 2597 of 6486
RAMLA L PATRE Rate Amount Qty 92.85 6.19 15 41.06 41.06 1 43.96 43.96 1 82.76 82.76 1 13.35 .89 15 9.6 .64 15 9.59 1.37 7 60.9 2.03 30 19.59 19.59 1 400 400 1 26.96 3.37 8 7.4 .37 20 12.81 12.81 1 6.82 6.82 1 36 .6 60 23.7 .79 30 25.07 25.07 1 8.9 .89 10 7.5 .25 30 400 400 1 Total: 1328.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413876 Min 01413876 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 2598 of 6486
Name
BHAGWAN LAL Rate Amount Qty 6.4 .64 10 1.85 .37 5 400 400 1 Total: 408.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413888 Min 01413888 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 2599 of 6486
Name
SAHU SL Rate Amount Qty 12 .4 30 72 .6 120 34.8 1.16 30 118.5 3.95 30 55.8 .93 60 14.85 .99 15 400 400 1 26.6 2.66 10 4.45 .89 5 9 .9 10 1.85 .37 5 400 400 1 Total: 1149.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413889 Min 01413889 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 2600 of 6486
Name
SMT.REWATI SAHU Rate Amount Qty 2.28 .38 6 1.85 .37 5 39 1.3 30 167.4 5.58 30 72 .6 120 8.1 .27 30 55.8 .93 60 21.3 .71 30 48 .4 120 400 400 1 Total: 815.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413894 Min 01413894 Appmt Dt Slno Description 06-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2601 of 6486
Name
LALIT KUMAR SABOO Qty Rate Amount 15 1.16 17.4 1 400 400 417.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413895 Min 01413895 Slno Description Appmt Dt CREATININE /CRT 1 25-FEB-19 UREA (BUN /UR) 2 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 25-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 4 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 MAMOGRAPHY 6 25-FEB-19
Page 2602 of 6486
Name
HEMLATA SABOO Qty 1 1 1 1 1 1
Rate Amount 275 275 275 275 400 400 9000 9000 400 400 2000 2000 Total: 12350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413896 Min 01413896 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 16-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 22-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 2603 of 6486
Name
C K ISSAC Rate Amount Qty 30.15 .67 45 26.7 .89 30 156.6 1.74 90 79.2 .66 120 54 .9 60 400 400 1 26.7 .89 30 15.3 .34 45 8.1 .27 30 34.8 1.16 30 12 .4 30 96.75 2.15 45 400 400 1 311.4 5.19 60 400 400 1 Total: 2051.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413897 Min 01413897 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2604 of 6486
Name
SHERLY ISSAC Rate Amount Qty 17.4 1.16 15 20.84 5.21 4 33 1.1 30 12 .4 30 400 400 1 Total: 483.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413902 Min 01413902 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 2605 of 6486
Name
K SEEMA RAO Rate Amount Qty 13.7 1.37 10 185.7 6.19 30 400 400 1 Total: 599.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413909 Min 01413909 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 15-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 16-FEB-19 UREA (BUN /UR) 12 16-FEB-19 CREATININE /CRT 13 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 16-FEB-19 BLOOD FOR T-3,T-4,TSH 16 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 16-FEB-19 URIC ACID (UA /URATES /UR) 18 16-FEB-19
Page 2606 of 6486
Name
GOPAL PRASAD SHARMA Rate Amount Qty 8.1 .27 30 46.8 .78 60 7.5 .25 30 11.4 .38 30 26.7 .89 30 55.8 .93 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 2400 2400 1 275 275 1 275 275 1 Total: 6110.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413910 Min 01413910 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 2607 of 6486
Name
PRATIBHA SHARMA Rate Amount Qty 72.6 1.21 60 21.3 .71 30 55.8 .93 60 54 .6 90 32.4 .36 90 400 400 1 Total: 636.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413913 Min 01413913 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 2608 of 6486
SMT.MEENA SAHU Qty 1 1 1
Rate Amount 6.82 6.82 25.07 25.07 400 400 Total: 431.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413918 Min 01413918 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 18-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 18-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 2609 of 6486
Name
MADHAV RAO MESHRAM Rate Amount Qty 20.06 20.06 1 7.5 .25 30 23.8 1.7 14 400 400 1 7.5 .25 30 17 1.7 10 22.5 .75 30 400 400 1 Total: 898.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413919 Min 01413919 Appmt Dt Slno Description 19-FEB-19 1 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2610 of 6486
Name
BHAVANA MESHRAM Qty Rate Amount 2 13.49 26.98 1 400 400 426.98 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413922 Min 01413922 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 19-FEB-19 ABC TEST HIV 10 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 13 19-FEB-19 COMPLETE HAEMOGRAM 14 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 20-FEB-19 TABLET PYRIDOSTIGMINE 60 MG 16 23-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 17 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 20 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 21 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 24 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 23-FEB-19
Page 2611 of 6486
SUNITA C.K. SAMUEL Rate Amount Qty 26.6 2.66 10 3.7 .37 10 31.46 15.73 2 12.8 .64 20 15.4 .77 20 400 400 1 1300 1300 1 25.07 25.07 1 275 275 1 1250 1250 1 275 275 1 400 400 1 1000 1000 1 750 750 1 400 400 1 193.5 4.3 45 10.42 5.21 2 26.7 .89 30 21.3 .71 30 9 .3 30 33 1.1 30 8.1 .27 30 117 1.3 90 167.4 5.58 30 400 400 1 Total: 7151.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413923 Min 01413923 Appmt Dt Slno Description 23-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2612 of 6486
Name
RK SAMUEL Qty Rate Amount 60 .89 53.4 1 400 400 453.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413924 Min 01413924 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 2613 of 6486
Name
PANDEY SK Rate Amount Qty 12 .4 30 7.5 .25 30 10.8 .36 30 54 .6 90 55.8 .93 60 400 400 1 Total: 540.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413930 Min 01413930 Appmt Dt Slno Description 21-FEB-19 1 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2614 of 6486
Name
BAHAL SINGH DESHMUKH Qty Rate Amount 90 1.3 117 30 .71 21.3 120 .6 72 1 400 400 Total: 610.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413931 Min 01413931 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 2615 of 6486
Name
KAMLA DESHMUKH Rate Amount Qty 22.2 .37 60 14.85 .99 15 400 400 1 Total: 437.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413934 Min 01413934 Appmt Dt Slno Description 23-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23-FEB-19 2 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 23-FEB-19 3 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2616 of 6486
Name
OM PRAKASH AGRAWAL Qty Rate Amount 30 .25 7.5 1 100.71 100.71 1 45.44 45.44 1 400 400 Total: 553.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413935 Min 01413935 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 20-FEB-19 MAMOGRAPHY 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 2617 of 6486
Name
KANTA AGRAWAL Rate Amount Qty 185.7 6.19 30 13.7 1.37 10 20.84 5.21 4 7.5 .25 30 400 400 1 400 400 1 2000 2000 1 26.7 .89 30 54 .9 60 400 400 1 Total: 3508.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413946 Min 01413946 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 2618 of 6486
Name
HARISH KUMAR NAIYAR Rate Amount Qty 36 .6 60 167.4 5.58 30 78 1.3 60 21.3 .71 30 10.8 .36 30 400 400 1 Total: 713.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413947 Min 01413947 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 25-FEB-19 IVABRADINE,5MG,,TABLET 8 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 2619 of 6486
PREMLATA NAIYAR Rate Amount Qty 8.1 .18 45 27 .9 30 5.55 .37 15 15.73 15.73 1 400 400 1 26.7 .89 30 18.6 .62 30 597 9.95 60 34.8 1.16 30 12 .4 30 31.2 1.04 30 118.5 3.95 30 55.8 .93 60 36 .6 60 10.8 .36 30 400 400 1 Total: 1797.78
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413953 Min 01413953 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2620 of 6486
TEJ SINGH SAHU Rate Amount Qty 25.07 25.07 1 25.07 25.07 1 39 1.3 30 7.5 .25 30 400 400 1 Total: 496.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413954 Min 01413954 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2621 of 6486
Name
SHEETALA SAHU Rate Amount Qty 13.08 2.18 6 8.9 .89 10 7.5 .25 30 8.1 .27 30 55.8 .93 60 18 .6 30 400 400 1 Total: 511.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413960 Min 01413960 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 04-FEB-19 PRAZOSIN,2.5MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2622 of 6486
Name
NIRMALA SHAW Rate Amount Qty 55.8 .93 60 55.8 .93 60 29.7 .99 30 156 1.3 120 34.8 1.16 30 400 400 1 Total: 732.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413965 Min 01413965 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2623 of 6486
Name
PREM SHANKAR SHUKLA Qty Rate Amount 30 1.16 34.8 30 .23 6.9 15 .89 13.35 1 400 400 Total: 455.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413966 Min 01413966 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 14-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 18-FEB-19 URINE ROUTINE AND MICROSCOPIC 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 18-FEB-19 PARASITES (MP /MF) 15 18-FEB-19 HB,TLC,DLC 16 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 19 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 2624 of 6486
Name
SMT.KRISHNA DEVI SHUKLA Rate Amount Qty 32.4 1.08 30 17.4 1.16 15 32.4 .36 90 72 .6 120 167.4 5.58 30 7.7 .77 10 1.25 .25 5 6.4 .64 10 17.3 1.73 10 400 400 1 275 275 1 380 380 1 400 400 1 275 275 1 165 165 1 300 300 1 6.4 .64 10 46.5 .93 50 3.8 .38 10 2.5 .25 10 400 400 1 Total: 3008.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413969 Min 01413969 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 08-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 2 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 2625 of 6486
HIMMAT LAL PARMAR Rate Amount Qty 1.84 103.04 56 19.77 19.77 1 25.07 25.07 1 8.9 .89 10 400 400 1 Total: 556.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413970 Min 01413970 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 18-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 4 18-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 2626 of 6486
Name
KAMLA PARMAR Rate Amount Qty 7.4 .37 20 36 .6 60 11.25 .75 15 66.92 33.46 2 13.43 13.43 1 400 400 1 Total: 535
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413977 Min 01413977 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2627 of 6486
Name
MOKA SHEIKH SAHIB Rate Amount Qty 21.3 .71 30 167.4 5.58 30 7.5 .25 30 27.9 .93 30 53.4 .89 60 400 400 1 Total: 677.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413978 Min 01413978 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 2628 of 6486
SMT. SHAHNAZ BEGAM Rate Amount Qty 15.73 15.73 1 12.6 .9 14 400 400 1 43.2 1.44 30 32.4 1.08 30 21.3 .71 30 33 1.1 30 23.7 .79 30 400 400 1 Total: 981.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413979 Min 01413979 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 2629 of 6486
Name
SAHA UDAYAN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01413982 Min 01413982 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 15 13-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19
Page 2630 of 6486
BABULAL SUHAGPURE Rate Amount Qty 275 275 1 275 275 1 7.5 .25 30 34.8 1.16 30 6.4 .64 10 8.1 .27 30 15.73 15.73 1 1.85 .37 5 12 .4 30 66 1.1 60 400 400 1 3.7 .37 10 18 .9 20 5.4 .18 30 70.2 2.34 30 48.22 48.22 1 400 400 1 Total: 1647.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413984 Min 01413984 Slno Description Appmt Dt OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 1 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 27-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 5 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19
Page 2631 of 6486
Name
S. PRAKASH Rate Amount Qty 26.86 13.43 2 400 400 1 60.9 2.03 30 400 400 1 1610 1610 1 400 400 1 400 400 1 Total: 3297.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413985 Min 01413985 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 2 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 4 19-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 5 19-FEB-19 ECG 6 19-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 7 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 18 27-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 19 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 27-FEB-19
Page 2632 of 6486
Name
K B ANITHA Rate Amount Qty 420 420 1 9.81 9.81 1 24.52 24.52 1 11.89 11.89 1 25.54 25.54 1 450 450 1 100 100 1 10.08 1.12 9 2.67 .89 3 3.84 .64 6 .74 .37 2 400 400 1 66.2 6.62 10 4.45 .89 5 1.25 .25 5 9 .9 10 400 400 1 104.4 1.74 60 19.8 .66 30 400 400 1 Total: 2464.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413987 Min 01413987 Appmt Dt Slno Description 25-FEB-19 1 PREDNISOLONE,5MG,STRIP PACK,,TABLET 25-FEB-19 2 METHOTREXATE,STRIP PKT,2.5MG,TABLET 25-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2633 of 6486
Name
JYOTI PURANG Qty Rate Amount 30 .67 20.1 12 3.23 38.76 30 .38 11.4 1 400 400 Total: 470.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413996 Min 01413996 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 2634 of 6486
Name
AJEETSINGH Rate Amount Qty 17.4 1.16 15 12 .4 30 55.8 .93 60 23.7 .79 30 7.8 .26 30 32.4 1.08 30 400 400 1 21.3 .71 30 7.8 .26 30 12 .4 30 55.8 .93 60 32.4 1.08 30 400 400 1 Total: 1078.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01413997 Min 01413997 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 2635 of 6486
Name
MRIDULA Rate Amount Qty 18.17 .79 23 5.53 .79 7 400 400 1 11.85 .79 15 400 400 1 Total: 835.55
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414000 Min 01414000 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 06-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 14-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 8 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2636 of 6486
HM JHA Rate Amount Qty 11.1 .37 30 45.44 45.44 1 17.37 17.37 1 400 400 1 104.4 1.74 60 12.15 12.15 1 15.73 15.73 1 39.6 .66 60 26.7 .89 30 400 400 1 Total: 1072.49
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414001 Min 01414001 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 2637 of 6486
MADHU JHA Rate Amount Qty 16.81 16.81 1 25.07 25.07 1 400 400 1 66 1.1 60 3.84 .64 6 8.1 .27 30 27.9 .93 30 400 400 1 Total: 947.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414002 Min 01414002 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 26-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 8 26-FEB-19
Page 2638 of 6486
Name
MISHRA SK Rate Amount Qty 20.84 5.21 4 192.3 6.41 30 60.9 2.03 30 27.9 .93 30 400 400 1 1750 1750 1 400 400 1 1610 1610 1 Total: 4461.94
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414006 Min 01414006 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 08-FEB-19 URIC ACID (UA /URATES /UR) 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 08-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 15-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 9 15-FEB-19 UREA (BUN /UR) 10 15-FEB-19 CREATININE /CRT 11 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 15-FEB-19 COST OF CONTRAST FOR MRI PER VIAL 13 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 16 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 19 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 2639 of 6486
DEOMAN PRASAD SHARMA Rate Amount Qty 26 2.6 10 8.9 .89 10 8.4 .42 20 275 275 1 400 400 1 63.8 3.19 20 8.82 .42 21 8.96 .64 14 9000 9000 1 275 275 1 275 275 1 400 400 1 2640 2640 1 50.14 25.07 2 400 400 1 63.8 3.19 20 26 2.6 10 8.9 .89 10 8.4 .42 20 400 400 1 12.81 12.81 1 400 400 1 Total: 14759.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414010 Min 01414010 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 04-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 04-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2640 of 6486
Name
JAIN BN Rate Amount Qty 25.62 12.81 2 7.6 .38 20 32.3 3.23 10 12 .4 30 33 1.1 30 6.9 .23 30 90.88 45.44 2 400 400 1 Total: 608.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414012 Min 01414012 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 2641 of 6486
Name
PARAMESWARA KAIMAL V K Rate Amount Qty 12 .4 30 27.9 .93 30 34.8 1.16 30 12 .4 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 549.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414023 Min 01414023 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 16-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 2 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2642 of 6486
GOVERDHAN LAL MESHRAM Rate Amount Qty 15.73 15.73 1 17.3 1.73 10 8.1 .27 30 23.7 .79 30 3.84 .64 6 400 400 1 Total: 468.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414024 Min 01414024 Appmt Dt Slno Description 16-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 3 VITAMIN E,STRIP PKT,200MG,CAPSULE 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2643 of 6486
Name
MALTI MESHRAM Qty Rate Amount 30 .71 21.3 60 .27 16.2 30 1.58 47.4 1 400 400 Total: 484.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414025 Min 01414025 Appmt Dt Slno Description 05-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2644 of 6486
Name
PS GAVEL Qty Rate Amount 30 1.1 33 30 .71 21.3 30 .4 12 1 400 400 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414026 Min 01414026 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2645 of 6486
Name
NIRMALA GAVEL Rate Amount Qty 17.4 .58 30 8.1 .27 30 400 400 1 Total: 425.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414036 Min 01414036 Appmt Dt Slno Description 12-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 12-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 12-FEB-19 4 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK,
Page 2646 of 6486
Name
L S KANWAR Qty Rate Amount 1 400 400 60 .93 55.8 30 1.16 34.8 30 .25 7.5 Total: 498.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414037 Min 01414037 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19
Page 2647 of 6486
Name
CHAIN KUNWAR KANWAR Rate Amount Qty 27.9 .93 30 400 400 1 7.5 .25 30 76.5 2.55 30 54 .6 90 10.8 .36 30 Total: 576.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414038 Min 01414038 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 17 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 19 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 11-FEB-19
Page 2648 of 6486
Name
BALA RAM Rate Amount Qty 4.8 .16 30 32.4 1.08 30 33 1.1 30 16.2 .27 60 55.8 .93 60 36 .6 60 12.3 .41 30 26.7 .89 30 7.5 .25 30 34.8 1.16 30 400 400 1 15.95 3.19 5 185.7 6.19 30 26 2.6 10 20.84 5.21 4 400 400 1 19.72 9.86 2 7.4 .37 20 16.85 3.37 5 400 400 1 Total: 1751.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414039 Min 01414039 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 2649 of 6486
Name
SHANTI BAI Rate Amount Qty 20.84 5.21 4 39 2.6 15 400 400 1 Total: 459.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414045 Min 01414045 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2650 of 6486
Name
SANT RAM CHANDRAKAR Rate Amount Qty 13.35 .89 15 60.9 2.03 30 192.3 6.41 30 34.8 1.16 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 737.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414046 Min 01414046 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 2651 of 6486
Name
KUMARI CHANDRAKAR Rate Amount Qty 27.9 .93 30 7.8 .26 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414049 Min 01414049 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 2652 of 6486
KP SAHU Rate Amount Qty 22.8 .38 60 12 .4 30 7.5 .25 30 6.4 .64 10 16.2 .27 60 26.6 2.66 10 23.7 .79 30 15.73 15.73 1 400 400 1 Total: 530.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414050 Min 01414050 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 09-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2653 of 6486
Name
RUKHMANI SAHU Rate Amount Qty 79.2 2.64 30 83.25 1.85 45 400 400 1 Total: 562.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414051 Min 01414051 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 7 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 12-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 12 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 26-FEB-19 CREATININE /CRT 14 26-FEB-19 UREA (BUN /UR) 15 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 26-FEB-19
Page 2654 of 6486
Name
MARTINLUTHER BAHADUR Rate Amount Qty 62.4 1.04 60 69.6 1.16 60 12 .4 30 32.4 1.08 30 33 1.1 30 18 .6 30 2370 2370 1 400 400 1 9 .3 30 26.7 .89 30 11.85 .79 15 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 Total: 7694.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414053 Min 01414053 Appmt Dt Slno Description 06-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 3 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2655 of 6486
MARY MARISTELLA TIRKEY Qty Rate Amount 30 .25 7.5 30 .27 8.1 1 15.73 15.73 1 400 400 Total: 431.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414060 Min 01414060 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 03-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 03-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 03-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 03-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 ECG 11 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 09-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 13 09-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 14 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 09-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 16 09-FEB-19 OBSERVATION IN CASUALTY 17 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 13-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 20 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 24 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 26 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 27 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 28 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 29 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 30 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 22-FEB-19
Page 2656 of 6486
Name
YADAV NAND KISHORE Rate Amount Qty 27.9 .93 30 8.1 .27 30 14.85 .99 15 17.8 .89 20 .48 .16 3 400 400 1 14.2 .71 20 17.8 .89 20 55.8 .93 60 400 400 1 450 450 1 16.5 1.1 15 600 600 1 5.21 5.21 1 .16 .16 1 9.62 9.62 1 420 420 1 400 400 1 18.6 .93 20 1.3 .26 5 10.65 .71 15 400 400 1 275 275 1 275 275 1 400 400 1 1.6 .16 10 21.3 .71 30 55.8 .93 60 16.2 .27 60 29.7 .99 30 400 400 1 Total: 4763.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414061 Min 01414061 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 2657 of 6486
Name
PRABHAWATI YADAV Rate Amount Qty 8.9 .89 10 26 2.6 10 39 1.3 30 7.5 .25 30 9 .3 30 13.95 .93 15 400 400 1 Total: 504.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414065 Min 01414065 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 02-FEB-19 PROMETHAZINE HCL,10MG,STRIP PACK.,TABLET 5 02-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19
Page 2658 of 6486
Name
RINA DUTTA Rate Amount Qty 10.08 1.12 9 17.8 .89 20 7.4 .37 20 9.3 .62 15 4.8 .48 10 7 .7 10 39.72 6.62 6 400 400 1 9.3 .62 15 167.4 5.58 30 72 .6 120 17.4 .58 30 400 400 1 Total: 1162.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414077 Min 01414077 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2659 of 6486
Name
SMT.ANITA CHOUHAN Rate Amount Qty 32.4 1.08 30 237 3.95 60 55.8 .93 60 2.32 1.16 2 32.48 1.16 28 29.7 .99 30 400 400 1 Total: 789.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414078 Min 01414078 Appmt Dt Slno Description 13-FEB-19 1 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 13-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 2660 of 6486
Name
R B RAGHUWANSHI Qty Rate Amount 1 1170 1170 1 400 400 1570 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414084 Min 01414084 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2661 of 6486
Name
M AJAY KUMAR NAIDU Rate Amount Qty 9 .3 30 18 .6 30 13.95 .93 15 2.4 .16 15 400 400 1 Total: 443.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414086 Min 01414086 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 2662 of 6486
M SAH Rate Amount Qty 55.8 .93 60 78 1.3 60 27.6 .92 30 36 .6 60 22.2 .37 60 60.9 2.03 30 21.3 .71 30 72.6 1.21 60 400 400 1 25.07 25.07 1 400 400 1 Total: 1199.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414087 Min 01414087 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 26-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 2663 of 6486
Name
BRIJ KUMARI Rate Amount Qty 29.7 .99 30 18.6 .62 30 12 .4 30 21.3 .71 30 55.8 .93 60 400 400 1 27.4 1.37 20 17.8 .89 20 123.8 6.19 20 100.6 5.03 20 400 400 1 Total: 1207
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414089 Min 01414089 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 2664 of 6486
Name
SHASHI KANTA Rate Amount Qty 27.9 .93 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 36 .6 60 7.5 .25 30 2.4 .16 15 26.7 .89 30 18.6 .62 30 33 1.1 30 400 400 1 Total: 631.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414092 Min 01414092 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2665 of 6486
Name
ANIL KUMAR BANJARA Rate Amount Qty 41.85 .93 45 18 .6 30 28.08 2.34 12 7.5 .25 30 2.22 .37 6 400 400 1 Total: 497.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414101 Min 01414101 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2666 of 6486
Name
M M TUMBDE Rate Amount Qty 21.3 .71 30 10.8 .36 30 39.72 6.62 6 16.8 1.12 15 7.5 .25 30 39 1.3 30 36 .6 60 400 400 1 Total: 571.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414102 Min 01414102 Slno Description Appmt Dt JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 4 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 21-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 2667 of 6486
Name
JAGPAL SINGH Rate Amount Qty 39.18 19.59 2 400 400 1 3.2 .64 5 6.99 2.33 3 1.85 .37 5 8.9 .89 10 400 400 1 1.85 .37 5 35.2 3.52 10 13.49 13.49 1 400 400 1 15.6 .26 60 27.9 .93 30 7.5 .25 30 60.9 2.03 30 34.8 1.16 30 33 1.1 30 12 .4 30 192.3 6.41 30 400 400 1 1.85 .37 5 35.2 3.52 10 400 400 1 Total: 2531.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414103 Min 01414103 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 2668 of 6486
Name
BIMLA DEVI Qty 6 3 1 1 1
Rate Amount 3.84 .64 2.67 .89 400 400 41.06 41.06 400 400 Total: 847.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414112 Min 01414112 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 7 21-FEB-19 ECG 8 21-FEB-19 OBSERVATION IN CASUALTY 9 21-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 10 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19
Page 2669 of 6486
Name
BABOOLAL KHOBRAGADE Rate Amount Qty 33 1.1 30 55.8 .93 60 18 .6 30 21.3 .71 30 32.4 1.08 30 400 400 1 600 600 1 450 450 1 420 420 1 100 100 1 3.3 .66 5 8.9 .89 10 3.3 .66 5 8.9 .89 10 400 400 1 Total: 2554.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414115 Min 01414115 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 23-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 10 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 23-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 12 23-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 13 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 2670 of 6486
MONIKA DEY Rate Amount Qty 13.35 .89 15 12.8 .64 20 39 2.6 15 26.7 .89 30 27.9 .93 30 400 400 1 7.3 .73 10 11.2 1.12 10 55.2 1.84 30 36.42 18.21 2 9.6 .64 15 40.5 20.25 2 6 .6 10 50.14 25.07 2 400 400 1 Total: 1136.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414118 Min 01414118 Slno Description Appmt Dt SERTRALINE,100MG,STRIP PACK.,TABLET 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 SOLIFENACIN,5MG,,TABLET 3 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 2671 of 6486
Name
DANI RAM DEWANGAN Rate Amount Qty 106.8 3.56 30 60.9 2.03 30 403.2 13.44 30 11.4 .38 30 27.9 .93 30 7.5 .25 30 400 400 1 1.48 .37 4 5.12 .64 8 6.16 .77 8 400 400 1 Total: 1430.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414119 Min 01414119 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 DILTIAZEM 90 MG XL/XR,,TABLET 04-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2672 of 6486
Name
SHEELA DEWANGAN Qty Rate Amount 30 1.1 33 30 3.95 118.5 30 .71 21.3 1 400 400 Total: 572.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414121 Min 01414121 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 URIC ACID (UA /URATES /UR) 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 CREATININE /CRT 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 04-FEB-19 PRAZOSIN,2.5MG,TABLET 15 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 16 04-FEB-19
Page 2673 of 6486
Name
SK DAS Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 43.96 43.96 1 12 .4 30 21.3 .71 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 78 1.3 60 211.8 3.53 60 Total: 4070.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414125 Min 01414125 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 09-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2674 of 6486
Name
RAMAKANT DUKARE Rate Amount Qty 12.3 .41 30 20.06 20.06 1 400 400 1 Total: 432.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414127 Min 01414127 Slno Description Appmt Dt PLATELET COUNT 1 05-FEB-19 HB,TLC,DLC 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 SERUM CREATININE KINASE - TOTAL (CK -T / 4 05-FEB-19 ESR 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 CREATININE /CRT 7 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 COMPLETE HAEMOGRAM 16 28-FEB-19
Page 2675 of 6486
Name
B N GHOSH Rate Amount Qty 330 330 1 300 300 1 400 400 1 550 550 1 165 165 1 275 275 1 275 275 1 550 550 1 55.8 .93 60 400 400 1 19.8 .66 30 11.4 .38 30 7.5 .25 30 55.8 .93 60 400 400 1 750 750 1 Total: 4545.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414128 Min 01414128 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 05-FEB-19 CREATININE /CRT 17 05-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 18 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 06-FEB-19 TIBOLONE,STRIP PKT,2.5MG,TABLET 20 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 06-FEB-19
Page 2676 of 6486
Name
CHAINA RANI GHOSH Rate Amount Qty 66 1.1 60 78 1.3 60 7.5 .25 30 17.4 1.16 15 12 .4 30 27.9 .93 30 400 400 1 78 1.3 60 27.9 .93 30 21.3 .71 30 12 .4 30 33 1.1 30 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 22.5 .75 30 7.5 .25 30 15.48 433.44 28 400 400 1 Total: 4169.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414146 Min 01414146 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 2677 of 6486
Name
SHAKIL AHMED Rate Amount Qty 36 .6 60 7.5 .25 30 12 .4 30 21.3 .71 30 13.95 .93 15 400 400 1 Total: 490.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414147 Min 01414147 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 27-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2678 of 6486
Name
RAZIA BEGUM Rate Amount Qty 54 .6 90 7.5 .25 30 55.8 .93 60 39 1.3 30 21.3 .71 30 88.2 1.47 60 400 400 1 Total: 665.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414148 Min 01414148 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2679 of 6486
Name
VEERENDRA KUMAR Rate Amount Qty 15 .25 60 21.3 .71 30 400 400 1 36 .6 60 21.6 .36 60 76.5 2.55 30 27.9 .93 30 167.4 5.58 30 17.4 1.16 15 400 400 1 Total: 1183.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414149 Min 01414149 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 2680 of 6486
ASHA BAI Rate Amount Qty 15.73 15.73 1 16.2 .18 90 54 .9 60 26.7 .89 30 7.5 .25 30 17.4 .58 30 400 400 1 Total: 537.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414151 Min 01414151 Slno Description Appmt Dt VERAPAMIL HCL,STRIP PKT,40MG,TABLET 1 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 2681 of 6486
Name
SANTIAGO MICHAEL Rate Amount Qty 73.8 .82 90 23.7 .79 30 400 400 1 Total: 497.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414160 Min 01414160 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 2682 of 6486
Name
P VELAYUTHAM Rate Amount Qty 34.8 1.16 30 18 .6 30 23.7 .79 30 36.3 1.21 30 400 400 1 Total: 512.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414162 Min 01414162 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 14-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 19-FEB-19 BRIMONIDINE TARTRATE,0.15% 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 2683 of 6486
Name
TIKAM RAM YADAV Rate Amount Qty 16.2 .27 60 55.8 .93 60 14.85 .99 15 400 400 1 6.4 .64 10 3.7 .37 10 26.55 26.55 1 400 400 1 3.2 .64 5 2.59 .37 7 74.45 74.45 1 400 400 1 Total: 1403.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414166 Min 01414166 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2684 of 6486
Name
JAJURLEY NP Rate Amount Qty 36 .6 60 21.3 .71 30 47.4 .79 60 16.2 .27 60 400 400 1 Total: 520.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414167 Min 01414167 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 08-FEB-19
Page 2685 of 6486
Name
USHA JAJURLEY Rate Amount Qty 21.3 .71 30 55.8 .93 60 400 400 1 8.1 .27 30 55.8 .93 60 11.4 .38 30 Total: 552.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414169 Min 01414169 Slno Description Appmt Dt U S ABDOMEN + THORAX 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 HB,TLC,DLC 7 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 25-FEB-19 UREA (BUN /UR) 9 25-FEB-19 CREATININE /CRT 10 25-FEB-19 X - RAY - SINGLE VIEW 11 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 14 25-FEB-19 PLATELET COUNT 15 25-FEB-19 ABC TEST HIV 16 25-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 17 25-FEB-19 PROTHROMBIN TIME (PT) 18 25-FEB-19
Page 2686 of 6486
Name
K SURYA PRASAD RAO Rate Amount Qty 1750 1750 1 400 400 1 6.9 .23 30 32.4 1.08 30 11.4 .38 30 400 400 1 300 300 1 550 550 1 275 275 1 275 275 1 550 550 1 275 275 1 400 400 1 1000 1000 1 330 330 1 1250 1250 1 330 330 1 330 330 1 Total: 8465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414170 Min 01414170 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 20-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2687 of 6486
Name
K PADMAVATI Rate Amount Qty 72 .6 120 39 1.3 30 73.8 .82 90 27.9 .93 30 12 .4 30 21.3 .71 30 400 400 1 Total: 646
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414173 Min 01414173 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 2688 of 6486
Name
HEMANT RAO SATKAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 18 .6 30 55.2 .92 60 21.3 .71 30 3.75 .25 15 400 400 1 Total: 562.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414178 Min 01414178 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2689 of 6486
Name
SMT. LAXMI MAHARANA Rate Amount Qty 6.7 .67 10 8.9 .89 10 18 .9 20 7.5 .25 30 12 .4 30 8.1 .27 30 66 1.1 60 400 400 1 Total: 527.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414179 Min 01414179 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2690 of 6486
Name
TIWARI NP Rate Amount Qty 27.9 .93 30 70.2 .78 90 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 540.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414181 Min 01414181 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 05-FEB-19 DRESSING SIMPLE 11 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 05-FEB-19
Page 2691 of 6486
PC WAGHE Rate Amount Qty 3.7 .37 10 5.4 .18 30 15.73 15.73 1 66.2 6.62 10 8.9 .89 10 400 400 1 5.34 .89 6 9.6 .64 15 66.2 6.62 10 10.95 .73 15 1500 300 5 400 400 1 Total: 2492.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414185 Min 01414185 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 17-FEB-19 OBSERVATION IN CASUALTY 10 17-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 17-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 17-FEB-19
Page 2692 of 6486
Name
AEJAZUDDIN Rate Amount Qty 55.8 .93 60 7.8 .26 30 66 1.1 60 26.7 .89 30 12 .4 30 34.8 1.16 30 400 400 1 .93 .93 1 600 600 1 420 420 1 10.95 .73 15 4.45 .89 5 13.7 1.37 10 400 400 1 Total: 2053.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414186 Min 01414186 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 2693 of 6486
Name
SHAHNAZ BANO Rate Amount Qty 4.45 .89 5 4.1 .41 10 55.2 1.84 30 400 400 1 3.6 .6 6 5.76 .64 9 400 400 1 Total: 873.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414194 Min 01414194 Slno Description Appmt Dt LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 23-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 2694 of 6486
Name
MADHURI THAKUR Rate Amount Qty 17.37 17.37 1 9.6 .64 15 6 .6 10 55.2 1.84 30 11.1 .37 30 400 400 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 400 400 1 Total: 955.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414199 Min 01414199 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2695 of 6486
Name
GEETA TRIPATHI Rate Amount Qty 4.1 .41 10 18 .6 30 6.9 .23 30 55.8 .93 60 7.5 .25 30 400 400 1 Total: 492.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414203 Min 01414203 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 2696 of 6486
Name
ANUSAIYA BAI Rate Amount Qty 16.2 .18 90 17.4 .58 30 54 .9 60 54 .6 90 26.7 .89 30 4.8 .16 30 94.8 1.58 60 400 400 1 Total: 667.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414217 Min 01414217 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 2697 of 6486
Name
HK SHUKLA Rate Amount Qty 6.9 .23 30 34.8 1.16 30 36 .6 60 12 .4 30 301.8 5.03 60 400 400 1 Total: 791.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414218 Min 01414218 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 28-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 20 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 2698 of 6486
Name
MAYARAM NETAM Rate Amount Qty 12 .4 30 36 .6 60 27.9 .93 30 33 1.1 30 10.8 .36 30 26.7 .89 30 8.2 .41 20 17.4 1.16 15 400 400 1 1.48 .37 4 8.9 .89 10 21.3 .71 30 4 .4 10 8 .4 20 33 1.1 30 27.9 .93 30 36 .6 60 10.8 .36 30 2.5 .25 10 31.4 3.14 10 8.9 .89 10 400 400 1 Total: 1166.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414219 Min 01414219 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 2699 of 6486
Name
GHURUVA NETAM Rate Amount Qty 66 1.1 60 55.8 .93 60 400 400 1 Total: 521.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414222 Min 01414222 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 2700 of 6486
Name
JIWAN BAKARAM PATIL Rate Amount Qty 29.7 .99 30 33 1.1 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 569.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414223 Min 01414223 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 2701 of 6486
Name
YAMUNA PATIL Rate Amount Qty 27.9 .93 30 8.1 .27 30 155.7 5.19 30 34.8 1.16 30 7.5 .25 30 18.6 .62 30 400 400 1 Total: 652.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414225 Min 01414225 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 2702 of 6486
Name
LATA ROY Rate Amount Qty 13.7 1.37 10 7.5 .25 30 400 400 1 Total: 421.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414228 Min 01414228 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 2703 of 6486
Name
ANAND RAO GID Rate Amount Qty 7.5 .25 30 76.5 2.55 30 27.9 .93 30 400 400 1 1.48 .37 4 3.84 .64 6 39.72 6.62 6 400 400 1 33.58 33.58 1 400 400 1 60.9 2.03 30 6.4 .64 10 400 400 1 Total: 1857.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414229 Min 01414229 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 28-FEB-19 COMPLETE HAEMOGRAM 10 28-FEB-19 X - RAY - TWO VIEWS 11 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 28-FEB-19 UREA (BUN /UR) 15 28-FEB-19 URIC ACID (UA /URATES /UR) 16 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 18 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 28-FEB-19
Page 2704 of 6486
Name
GEETA BAI GID Rate Amount Qty 17.4 .58 30 27.9 .93 30 400 400 1 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 12.8 .64 20 1300 1300 1 750 750 1 1720 860 2 400 400 1 27.9 .93 30 275 275 1 275 275 1 275 275 1 7.92 .99 8 185.7 6.19 30 275 275 1 Total: 6357.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414230 Min 01414230 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2705 of 6486
Name
RAJ KUMARI TIWARI Rate Amount Qty 117 1.3 90 82.76 165.52 2 87.92 43.96 2 11.4 .38 30 12 .4 30 29.7 .99 30 55.8 .93 60 36 .6 60 9 .3 30 400 400 1 Total: 924.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414232 Min 01414232 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 12-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 2706 of 6486
Name
BALESWAR DUBE Rate Amount Qty 21.3 .71 30 4.27 192.15 45 311.4 5.19 60 18 .6 30 13.95 .93 15 35.6 .89 40 400 400 1 Total: 992.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414236 Min 01414236 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 2707 of 6486
Name
OMBA BAI MAHOBIA Rate Amount Qty 1.85 .37 5 6.4 .64 10 400 400 1 Total: 408.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414240 Min 01414240 Appmt Dt Slno Description 28-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 28-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 28-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2708 of 6486
Name
ROOP KUMARI Qty Rate Amount 2 9.86 19.72 20 .37 7.4 8 3.37 26.96 1 400 400 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414257 Min 01414257 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 09-FEB-19 INHALANT,STRIP PACK,CAPSULE 20 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 23 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 26 20-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 27 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 28 20-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 29 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 20-FEB-19
Page 2709 of 6486
Name
CHHABI LAL SAHU Rate Amount Qty 5.21 5.21 1 16.2 .27 60 55.8 .93 60 36 .6 60 33 1.1 30 18 .3 60 21.3 .71 30 32.4 1.08 30 15.6 .26 60 400 400 1 13.7 1.37 10 7.5 .25 30 19.2 .64 30 26.7 .89 30 22.8 .38 60 400 400 1 7.5 .25 30 55.8 .93 60 400 400 1 23.8 1.7 14 2.59 .37 7 8.9 .89 10 35.2 3.52 10 400 400 1 26.7 .89 30 20.1 .67 30 21.6 .18 120 54 .9 60 100.71 100.71 1 400 400 1 Total: 2680.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414258 Min 01414258 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 11 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 07-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 13 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 09-FEB-19
Page 2710 of 6486
Name
RUKMANI DEVI Rate Amount Qty 6.4 .64 10 55.8 .93 60 66 1.1 60 36 .6 60 21.3 .71 30 12 .4 30 26.7 .89 30 7.5 .25 30 1.85 .37 5 400 400 1 27.9 .93 30 26 2.6 10 150.9 5.03 30 26.7 .89 30 19.2 .64 30 400 400 1 7.5 .25 30 55.8 .93 60 400 400 1 Total: 1747.55
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414259 Min 01414259 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2711 of 6486
JETHURAM Rate Amount Qty 46.8 .78 60 252 2.1 120 12.8 .64 20 50.14 25.07 2 400 400 1 Total: 761.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414260 Min 01414260 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 ABC TEST HIV 2 21-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 3 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 21-FEB-19
Page 2712 of 6486
Name
KUNJU BAI Qty 1 1 1 1 1
Rate Amount 400 400 1250 1250 1000 1000 275 275 275 275 Total: 3200
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414261 Min 01414261 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 2713 of 6486
Name
A L YADAV Rate Amount Qty 1.85 .37 5 6.4 .64 10 35.2 3.52 10 400 400 1 66 1.1 60 8.9 .89 10 21.3 .71 30 36 .6 60 60.9 2.03 30 23.7 .79 30 400 400 1 Total: 1060.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414262 Min 01414262 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 2714 of 6486
Name
SMT. SHYAMA BAI YADAV Rate Amount Qty 6.23 .89 7 76.5 2.55 30 400 400 1 Total: 482.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414264 Min 01414264 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 2715 of 6486
Name
T SHASHIDHARAN Rate Amount Qty 27.9 .93 30 18 .6 30 29.7 .99 30 34.8 1.16 30 400 400 1 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414265 Min 01414265 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 2716 of 6486
Name
N SHASHIDHARAN Rate Amount Qty 26.7 .89 30 31.2 1.04 30 27.9 .93 30 21.6 .36 60 72 .6 120 167.4 5.58 30 7.5 .25 30 400 400 1 Total: 754.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414268 Min 01414268 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2717 of 6486
Name
K N SHANMUGHAN Rate Amount Qty 123.53 247.06 2 34.8 1.16 30 15.6 .26 60 16.2 .27 60 32.4 1.08 30 23.7 .79 30 55.8 .93 60 400 400 1 Total: 825.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414275 Min 01414275 Slno Description Appmt Dt QUETIAPINE FUMARATE,200MG,TABLET 1 09-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 2718 of 6486
Name
HEMLATA PILLAY Rate Amount Qty 88.35 5.89 15 55.5 1.85 30 400 400 1 18 .6 30 21.3 .71 30 20.84 5.21 4 167.4 5.58 30 21.3 .71 30 32.4 1.08 30 33 1.1 30 400 400 1 Total: 1258.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414280 Min 01414280 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 09-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 2719 of 6486
Name
ANITA BIJORIA Rate Amount Qty 12 .4 30 34.8 1.16 30 18 .6 30 27.9 .93 30 76.5 2.55 30 400 400 1 12.8 .64 20 57.84 231.36 4 17.8 .89 20 400 400 1 26.7 .89 30 82.12 41.06 2 400 400 1 Total: 1739.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414293 Min 01414293 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 2720 of 6486
Name
SINGH OP Rate Amount Qty 7.8 .26 30 12 .4 30 117 1.3 90 10.8 .36 30 9 .3 30 17.4 .58 30 23.7 .79 30 66 1.1 60 34.8 1.16 30 400 400 1 Total: 698.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414294 Min 01414294 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 2721 of 6486
Name
MIRA SINGH Rate Amount Qty 21.6 .18 120 54 .9 60 17.4 .58 30 100.71 100.71 1 400 400 1 Total: 593.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414296 Min 01414296 Appmt Dt Slno Description 26-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 26-FEB-19 2 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 26-FEB-19 3 RIFAXIMIN 200 MG,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2722 of 6486
Name
KUSHAL CHAND Qty Rate Amount 3 2.6 7.8 10 1.12 11.2 10 9.33 93.3 1 400 400 Total: 512.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414304 Min 01414304 Slno Description Appmt Dt UREA (BUN /UR) 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 ECG 3 04-FEB-19 PROTHROMBIN TIME (PT) 4 04-FEB-19 PLATELET COUNT 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 04-FEB-19 ABC TEST HIV 7 04-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 8 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 04-FEB-19 X - RAY - SINGLE VIEW 11 04-FEB-19 CREATININE /CRT 12 04-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 13 04-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 14 04-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 15 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 04-FEB-19 HB,TLC,DLC 17 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 27-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 20 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 27-FEB-19
Page 2723 of 6486
Name
AMITA MUKHERJEE Rate Amount Qty 275 275 1 400 400 1 450 450 1 330 330 1 330 330 1 400 400 1 1250 1250 1 1000 1000 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 300 300 1 8.9 .89 10 66.2 6.62 10 141.2 7.06 20 6.4 .64 10 400 400 1 Total: 8107.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414311 Min 01414311 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 09-FEB-19
Page 2724 of 6486
Name
RAVINDRA KUMAR PANDE Rate Amount Qty 167.4 5.58 30 36 .6 60 78 1.3 60 21.6 .36 60 2.22 .37 6 32.4 1.08 30 21.3 .71 30 13.35 .89 15 400 400 1 13.35 .89 15 167.4 5.58 30 32.4 1.08 30 36 .6 60 78 1.3 60 21.6 .36 60 21.3 .71 30 400 400 1 Total: 1542.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414312 Min 01414312 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 17 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 19 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 18-FEB-19
Page 2725 of 6486
Name
SMT.ANITA PANDEY Rate Amount Qty 55.8 .93 60 21.3 .71 30 36 .6 60 43.2 .36 120 117 1.3 90 14.85 .99 15 167.4 5.58 30 400 400 1 36 .6 60 167.4 5.58 30 43.2 .36 120 117 1.3 90 21.3 .71 30 55.8 .93 60 14.85 .99 15 400 400 1 13.7 1.37 10 8.9 .89 10 371.4 6.19 60 400 400 1 Total: 2505.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414318 Min 01414318 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 URIC ACID (UA /URATES /UR) 8 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 28-FEB-19
Page 2726 of 6486
Name
SHEELA Rate Amount Qty 17.4 .58 30 14.85 .99 15 33 1.1 30 78 1.3 60 55.8 .93 60 21.3 .71 30 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 400 400 1 550 550 1 Total: 3695.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414323 Min 01414323 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 16-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 2727 of 6486
PANGA PETER PREMNATH Rate Amount Qty 26.7 .89 30 12.15 12.15 1 15.73 15.73 1 27 .9 30 400 400 1 Total: 481.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414324 Min 01414324 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 16-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 2728 of 6486
Name
P. SANDHAYA RANI Rate Amount Qty 39.6 .66 60 104.4 1.74 60 10.8 .18 60 26.7 .89 30 400 400 1 Total: 581.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414331 Min 01414331 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2729 of 6486
Name
SAPAN KUMAR GHOSH Rate Amount Qty 21.3 .71 30 12 .4 30 54 .6 90 55.2 .92 60 55.8 .93 60 6.9 .23 30 400 400 1 Total: 605.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414332 Min 01414332 Appmt Dt Slno Description 14-FEB-19 1 FLUOXETINE HCL,20MG,CAPSULE/TABLET. 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2730 of 6486
Name
CHHAYA GHOSH Qty Rate Amount 60 3.32 199.2 1 400 400 599.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414333 Min 01414333 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2731 of 6486
Name
MAHESH CHATURVEDI Rate Amount Qty 12 .4 30 21.3 .71 30 72.6 1.21 60 1.6 .16 10 8.9 .89 10 400 400 1 Total: 516.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414334 Min 01414334 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2732 of 6486
Name
KUSUM CHATURVEDI Rate Amount Qty 16.85 3.37 5 19.72 9.86 2 57.84 57.84 1 7.4 .37 20 400 400 1 Total: 501.81
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414335 Min 01414335 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 14-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 17 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 21 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 23 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 24 19-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 25 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 26 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 28 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 30 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 32 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 33 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 34 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 28-FEB-19
Page 2733 of 6486
RAM PRASAD MISHRA Rate Amount Qty 4.62 .77 6 5.76 .64 9 33.12 1.84 18 400 400 1 7.5 .25 30 14.85 .99 15 8.1 .27 30 4.45 .89 5 33.12 1.84 18 5.76 .64 9 400 400 1 25.07 25.07 1 6.82 6.82 1 44.16 1.84 24 1.25 .25 5 400 400 1 10.95 .73 15 3.7 .37 10 66.2 6.62 10 26.7 .89 30 20.06 20.06 1 7.5 .25 30 14.85 .99 15 8.1 .27 30 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 10.65 .71 15 400 400 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 400 400 1 Total: 5969.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414336 Min 01414336 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 15-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 19-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 23 19-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 24 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 25 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 26 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 28 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 29 21-FEB-19 RACECADOTRIL,100MG,CAPSULE 30 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 31 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 32 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 33 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 34 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 36 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 37 24-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 38 24-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 39 24-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 40 24-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 41 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 42 24-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 43 24-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 44 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 45 24-FEB-19
Page 2734 of 6486
Name
SHANTI MISHRA Rate Amount Qty 8.1 .27 30 76.5 2.55 30 55.8 .93 60 10.8 .36 30 54 .6 90 17.4 1.16 15 7.5 .25 30 15.4 .77 20 1.85 .37 5 3.84 .64 6 400 400 1 8.1 .27 30 76.5 2.55 30 16.8 1.12 15 10.8 .36 30 54 .6 90 21.3 .71 30 7.5 .25 30 55.8 .93 60 400 400 1 8.9 .89 10 7.4 .37 20 153.8 7.69 20 35.2 17.6 2 35.2 3.52 10 16.8 1.12 15 400 400 1 7.5 .25 30 83.97 9.33 9 53.73 5.97 9 17.8 .89 20 26 2.6 10 63.8 3.19 20 1.6 .16 10 400 400 1 54 .6 90 55.8 .93 60 8.1 .27 30 34.8 1.16 30 32.4 1.08 30 95.7 3.19 30 26.7 .89 30 18 .3 60 7.5 .25 30 400 400 1 Total: 3346.69
OPD Mediclaim Bill for the month of February-2019
Page 2735 of 6486
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414337 Min 01414337 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 15-FEB-19 DRESSING SIMPLE 13 15-FEB-19
Page 2736 of 6486
Name
J K SINGH Rate Amount Qty 36 .6 60 21.6 .36 60 192.3 6.41 30 39 1.3 30 18.6 .62 30 60.9 2.03 30 400 400 1 3.8 .38 10 21.12 3.52 6 3.84 .64 6 400 400 1 400 400 1 600 300 2 Total: 2197.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414338 Min 01414338 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 8 08-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 2737 of 6486
Name
KETKI SINGH Rate Amount Qty 55.8 .93 60 22.2 .37 60 33 1.1 30 8.7 .58 15 3.75 .25 15 21.3 .71 30 400 400 1 48.76 12.19 4 48.76 12.19 4 400 400 1 Total: 1042.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414343 Min 01414343 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2738 of 6486
Name
RADHAKRISHNA SINGH Qty Rate Amount 30 .27 8.1 30 .93 27.9 30 .71 21.3 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414344 Min 01414344 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 2739 of 6486
Name
CHANDO DEVI Rate Amount Qty 27.9 .93 30 27 .9 30 26.7 .89 30 34.8 1.16 30 32.4 1.08 30 21.3 .71 30 15.3 .51 30 400 400 1 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414347 Min 01414347 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2740 of 6486
Name
RAJESH CHANDRA TULI Rate Amount Qty 55.2 1.84 30 6.4 .64 10 4.45 .89 5 4.1 .41 10 400 400 1 Total: 470.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414349 Min 01414349 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 14-FEB-19 3 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2741 of 6486
Name
SK SHARMA Qty Rate Amount 60 .93 55.8 30 6.41 192.3 1 12.81 12.81 1 400 400 Total: 660.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414351 Min 01414351 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2742 of 6486
Name
SOLOMAN SIMON Rate Amount Qty 2.4 .16 15 39 1.3 30 32.4 1.08 30 55.8 .93 60 34.8 1.16 30 3.75 .25 15 8.1 .27 30 36 .6 60 400 400 1 Total: 612.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414354 Min 01414354 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 2743 of 6486
Name
T.P.BANCHHOR Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 21.3 .71 30 26.7 .89 30 7.5 .25 30 12.6 .42 30 16.2 .27 60 400 400 1 Total: 2734.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414355 Min 01414355 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 2744 of 6486
Name
CHAMPA DEVI BANCHHOR Rate Amount Qty 55.8 .93 60 66 1.1 60 34.8 1.16 30 32.4 1.08 30 400 400 1 14.85 .99 15 3.75 .25 15 400 400 1 Total: 1007.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414356 Min 01414356 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2745 of 6486
Name
RAMBACHAN SINGH Rate Amount Qty 36 .6 60 27.6 .92 30 78 1.3 60 21.3 .71 30 7.5 .25 30 8.1 .27 30 400 400 1 Total: 578.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414357 Min 01414357 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 26-FEB-19 URIC ACID (UA /URATES /UR) 4 26-FEB-19 UREA (BUN /UR) 5 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 26-FEB-19 CREATININE /CRT 10 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 15 27-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 16 27-FEB-19 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 17 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 27-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 19 27-FEB-19 X - RAY - SINGLE VIEW 20 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 27-FEB-19
Page 2746 of 6486
Name
SHARDA DEVI Rate Amount Qty 750 750 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 275 275 1 1.85 .37 5 9 .9 10 4.45 .89 5 26.7 .89 30 20.84 5.21 4 12.15 12.15 1 196.2 3.27 60 6.08 .38 16 38.76 3.23 12 550 550 1 400 400 1 400 400 1 Total: 6062.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414361 Min 01414361 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2747 of 6486
Name
CHETAN JOSHI Rate Amount Qty 27.9 .93 30 100.71 100.71 1 54 .9 60 24 .4 60 18 .6 30 26.7 .89 30 34.8 1.16 30 76.5 2.55 30 64.8 1.08 60 400 400 1 Total: 827.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414366 Min 01414366 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 UREA (BUN /UR) 7 07-FEB-19 CREATININE /CRT 8 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 07-FEB-19
Page 2748 of 6486
Name
K.S.MADAVE Rate Amount Qty 6.9 .23 30 66 1.1 60 30.6 .34 90 12 .4 30 32.4 1.08 30 10.8 .36 30 275 275 1 275 275 1 275 275 1 275 275 1 1.6 .16 10 400 400 1 Total: 1660.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414379 Min 01414379 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2749 of 6486
Name
KIRAN SINGH Rate Amount Qty 12 .4 30 34.8 1.16 30 27.6 .92 30 27.9 .93 30 36 .6 60 78 1.3 60 400 400 1 Total: 616.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414384 Min 01414384 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 2750 of 6486
Name
MALTI PATEL Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414385 Min 01414385 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 2751 of 6486
Name
SUBHASH CHANDRA Rate Amount Qty 7.5 .25 30 8.9 .89 10 34.8 1.16 30 12 .4 30 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 507.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414386 Min 01414386 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2752 of 6486
Name
BEENA BAI Rate Amount Qty 26.7 .89 30 27.9 .93 30 7.5 .25 30 117 1.3 90 167.4 5.58 30 90 .6 150 43.2 .36 120 400 400 1 Total: 879.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414397 Min 01414397 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 2753 of 6486
Name
SHAILENDRA KUMAR SONI Rate Amount Qty 34.8 1.16 30 2.4 .16 15 23.1 .77 30 12 .4 30 400 400 1 Total: 472.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414398 Min 01414398 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2754 of 6486
Name
SAHODRA BAI SONI Rate Amount Qty 55.8 .93 60 16.2 .27 60 2.4 .16 15 23.1 .77 30 36 .6 60 400 400 1 Total: 533.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414403 Min 01414403 Slno Description Appmt Dt C T HEAD PLAIN 1 06-FEB-19 X - RAY - SINGLE VIEW 2 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 06-FEB-19 URIC ACID (UA /URATES /UR) 5 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 06-FEB-19 UREA (BUN /UR) 7 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 06-FEB-19 COMPLETE HAEMOGRAM 10 06-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 11 06-FEB-19 CREATININE /CRT 12 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 17 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 07-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 21 07-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 22 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 23 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 24 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 25 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 27 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 28 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 29 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 30 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 13-FEB-19
Page 2755 of 6486
A K CHATTERJEE Rate Amount Qty 5250 5250 1 550 550 1 1300 1300 1 550 550 1 275 275 1 400 400 1 275 275 1 275 275 1 275 275 1 750 750 1 650 650 1 275 275 1 47.4 .79 60 66 1.1 60 12.15 12.15 1 38.4 .64 60 20.84 5.21 4 26.7 .89 30 192.3 6.41 30 60.9 2.03 30 34.5 1.15 30 12.3 .41 30 29.7 .99 30 21.3 .71 30 13.8 .23 60 400 400 1 5.4 .18 30 18 .9 20 15.73 15.73 1 70.2 2.34 30 400 400 1 Total: 12310.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414405 Min 01414405 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2756 of 6486
Name
BHAGWANI RAM Rate Amount Qty 12 .4 30 1.48 .37 4 23.1 .77 30 34.8 1.16 30 72 .6 120 400 400 1 Total: 543.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414408 Min 01414408 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 22-FEB-19 X - RAY - SINGLE VIEW 9 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 2757 of 6486
Name
LAXMI DEVI SAHU Rate Amount Qty 275 275 1 400 400 1 26.7 .89 30 18 .6 30 275 275 1 10.8 .36 30 55.8 .93 60 275 275 1 550 550 1 2.59 .37 7 3.78 .18 21 5.32 .38 14 9.38 .67 14 6.23 .89 7 400 400 1 Total: 2313.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414413 Min 01414413 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 2758 of 6486
Name
JIBAN KUMAR ADHIKARY Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 23.7 .79 30 7.8 .26 30 1.48 .37 4 15.96 2.66 6 18 .6 30 12 .4 30 400 400 1 Total: 586.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414414 Min 01414414 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 20-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 6 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 20-FEB-19
Page 2759 of 6486
Name
REKHA ADHIKARY Rate Amount Qty 55.8 .93 60 7 .7 10 26.7 .89 30 400 400 1 1300 1300 1 275 275 1 1750 1750 1 275 275 1 400 400 1 Total: 4489.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414419 Min 01414419 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 2760 of 6486
Name
ROY DK Rate Amount Qty 38.25 2.55 15 27.9 .93 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 17.8 .89 20 400 400 1 Total: 563.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414420 Min 01414420 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2761 of 6486
Name
MITA ROY Rate Amount Qty 17.4 1.16 15 66 1.1 60 400 400 1 Total: 483.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414424 Min 01414424 Appmt Dt Slno Description 05-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 3 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2762 of 6486
Name
HARJINDER KAUR Qty Rate Amount 5 .37 1.85 10 .64 6.4 10 2.66 26.6 1 400 400 Total: 434.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414425 Min 01414425 Slno Description Appmt Dt ECG 1 08-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 2 08-FEB-19 OBSERVATION IN CASUALTY 3 08-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 08-FEB-19 CIPROFLOXACIN,200MG/100ML,INJECTION 7 08-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 2763 of 6486
Name
SHOBHA PRASAD DUBEY Rate Amount Qty 450 450 1 22.71 22.71 1 420 420 1 9.81 9.81 1 .89 .89 1 11.89 11.89 1 16.1 16.1 1 26.13 8.71 3 3.84 .64 6 2.67 .89 3 14.08 3.52 4 6.72 1.12 6 400 400 1 1.64 .41 4 3.84 .64 6 400 400 1 27.9 .93 30 60.9 2.03 30 400 400 1 Total: 2279.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414426 Min 01414426 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 2764 of 6486
Name
TIJMAT DEVI Qty 6 4 1
Rate Amount 6.72 1.12 14.08 3.52 400 400 Total: 420.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414436 Min 01414436 Appmt Dt Slno Description 20-FEB-19 1 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 20-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20-FEB-19 4 CREATININE /CRT
Page 2765 of 6486
Name
ASHOK KUMAR SHARMA Qty Rate Amount 1 275 275 1 400 400 1 275 275 1 275 275 Total: 1225
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414438 Min 01414438 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 PRAZOSIN,2.5MG,TABLET 2 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 2766 of 6486
Name
SHANKAR RAO KEDEKAR Rate Amount Qty 17.4 1.16 15 39 1.3 30 118.5 3.95 30 36 .6 60 55.8 .93 60 400 400 1 Total: 666.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414439 Min 01414439 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2767 of 6486
Name
USHA KEDEKAR Rate Amount Qty 18 .6 30 6.9 .23 30 400 400 1 Total: 424.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414442 Min 01414442 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 7 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 09-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 15 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 21 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 11-FEB-19
Page 2768 of 6486
Name
SANTOSH SINGH Rate Amount Qty 32.4 1.08 30 12 .4 30 192.3 6.41 30 34.8 1.16 30 46.2 .77 60 400 400 1 58 29 2 104.4 1.74 60 59.4 .66 90 54 .9 60 400 400 1 275 275 1 275 275 1 1300 1300 1 36 .6 60 32.4 1.08 30 34.8 1.16 30 192.3 6.41 30 27.9 .93 30 12 .4 30 60.9 2.03 30 400 400 1 Total: 4039.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414443 Min 01414443 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 09-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 16 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 21 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 11-FEB-19
Page 2769 of 6486
Name
SMT.KALPANA Rate Amount Qty 78 1.3 60 18 .3 60 26.7 .89 30 32.4 1.08 30 21.3 .71 30 55.8 .93 60 72 .6 120 1.6 .16 10 400 400 1 1300 1300 1 275 275 1 400 400 1 275 275 1 12.3 .41 30 26.7 .89 30 20.84 5.21 4 72 .6 120 21.3 .71 30 32.4 1.08 30 55.8 .93 60 18 .3 60 78 1.3 60 400 400 1 Total: 3693.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414445 Min 01414445 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 2770 of 6486
Name
ADLINA NICHOLS Rate Amount Qty 21.3 .71 30 66 1.1 60 55.8 .93 60 36 .6 60 43.2 .36 120 32.4 1.08 30 400 400 1 Total: 654.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414447 Min 01414447 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 02-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 14 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 09-FEB-19
Page 2771 of 6486
Name
KOKILA PRASAD Rate Amount Qty 26.7 .89 30 9 .3 30 36 .6 60 33 1.1 30 43.2 1.44 30 15.3 .51 30 12 .4 30 32.4 1.08 30 7.8 .26 30 21.3 .71 30 400 400 1 9.86 9.86 1 7.4 .37 20 35.2 17.6 2 400 400 1 Total: 1089.16
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414452 Min 01414452 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 7 14-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 8 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 2772 of 6486
PARMESHWAR MAHATO Rate Amount Qty 26.6 2.66 10 2.5 .25 10 400 400 1 35.2 3.52 10 2.22 .37 6 400 400 1 48.22 48.22 1 70.2 2.34 30 18 .9 20 5.4 .18 30 3.7 .37 10 400 400 1 Total: 1412.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414453 Min 01414453 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 2773 of 6486
Name
BINDA MAHATO Rate Amount Qty 167.4 5.58 30 18 .6 30 7.5 .25 30 6.4 .64 10 1.85 .37 5 27.9 .93 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 658.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414456 Min 01414456 Appmt Dt Slno Description 04-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 04-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 04-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2774 of 6486
Name
BHALLA VK Qty Rate Amount 15 .23 3.45 120 .62 74.4 4 5.21 20.84 1 400 400 Total: 498.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414459 Min 01414459 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 22-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 2 22-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 22-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 22-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 22-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2775 of 6486
Name
RADHA YADAV Rate Amount Qty 7.6 .38 20 85.52 85.52 1 11.25 .75 15 38.76 3.23 12 31.61 31.61 1 12.81 12.81 1 167.4 5.58 30 72 .6 120 10.8 .36 30 400 400 1 Total: 837.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414460 Min 01414460 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 2776 of 6486
Name
ANJAN LAL CHANDRAKAR Rate Amount Qty 7.92 .99 8 8.1 .27 30 8.9 .89 10 55.8 .93 60 400 400 1 Total: 480.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414462 Min 01414462 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2777 of 6486
Name
RAMKRIPAL SAHU Rate Amount Qty 12 .4 30 21.3 .71 30 32.4 1.08 30 400 400 1 57.84 57.84 1 3.7 .37 10 400 400 1 Total: 927.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414463 Min 01414463 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 2778 of 6486
Name
VIDYA SAHU Rate Amount Qty 31.2 1.04 30 34.8 1.16 30 15.6 .26 60 36 .6 60 23.7 .79 30 24 .4 60 64.8 1.08 60 43.2 1.44 30 400 400 1 Total: 673.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414469 Min 01414469 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 2779 of 6486
Name
DALJEET RANDHAWA Rate Amount Qty 6.4 .64 10 371.4 6.19 60 400 400 1 Total: 777.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414471 Min 01414471 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2780 of 6486
Name
VEENA AGRAWAL Rate Amount Qty 185.7 6.19 30 39 1.3 30 9 .6 15 21.3 .71 30 20.84 5.21 4 8.9 .89 10 400 400 1 Total: 684.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414476 Min 01414476 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2781 of 6486
Name
UMA SHANKER DIXIT Rate Amount Qty 72 .6 120 10.8 .36 30 7.5 .25 30 21.3 .71 30 12 .4 30 400 400 1 Total: 523.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414477 Min 01414477 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 UREA (BUN /UR) 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 02-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 02-FEB-19 BLOOD FOR T-3,T-4,TSH 13 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 02-FEB-19 CREATININE /CRT 15 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 16 09-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 17 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 18 09-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 19 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 09-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 22 19-FEB-19 MOXONIDIN 0.2MG,,TABLET 23 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 25 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 26 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 27 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 29 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 30 19-FEB-19 STOOL FOR OCCULT BLOOD 31 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 32 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 33 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 34 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 35 19-FEB-19
Page 2782 of 6486
Name
NEERAJ DIXIT Rate Amount Qty 400 400 1 275 275 1 55.8 .93 60 29.7 .99 30 6.9 .23 30 36 .6 60 21.3 .71 30 7.5 .25 30 8.9 .89 10 275 275 1 275 275 1 1300 1300 1 2400 2400 1 550 550 1 275 275 1 12.6 .42 30 7.5 .25 30 5.7 .38 15 11.25 .75 15 3.75 .25 15 400 400 1 11.25 .75 15 70.6 3.53 20 .8 .16 5 43.96 43.96 1 9.2 .92 10 23.2 1.16 20 400 400 1 275 275 1 275 275 1 165 165 1 12.6 .42 30 3.75 .25 15 7.5 .25 30 5.7 .38 15 Total: 7660.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414482 Min 01414482 Appmt Dt Slno Description 20-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2783 of 6486
Name
SHASHIKANT DESHMUKH Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414483 Min 01414483 Appmt Dt Slno Description 20-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2784 of 6486
Name
ALKA DESHMUKH Qty Rate Amount 30 .71 21.3 30 .93 27.9 60 1.1 66 1 400 400 Total: 515.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414486 Min 01414486 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2785 of 6486
Name
CHANDRAKAR CL Rate Amount Qty 36.3 1.21 30 1.6 .16 10 47.4 .79 60 22.2 .37 60 54 .6 90 400 400 1 Total: 561.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414487 Min 01414487 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 07-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2786 of 6486
Name
SMT. KALENDRI DEVI CHANDRAKAR Rate Amount Qty 27.9 .93 30 54 .6 90 27.9 .93 30 11.4 .38 30 8.9 .89 10 400 400 1 Total: 530.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414490 Min 01414490 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2787 of 6486
Name
JAGESHWAR PRASAD NIRMALKAR Rate Amount Qty 6.9 .23 30 9 .3 30 54 .6 90 7.5 .25 30 21.3 .71 30 12 .4 30 400 400 1 Total: 510.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414491 Min 01414491 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 PARASITES (MP /MF) 9 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 06-FEB-19 COMPLETE HAEMOGRAM 11 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 17-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 17-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 17-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 17-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 17-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 21 19-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 22 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 25 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 26 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 19-FEB-19
Page 2788 of 6486
MEDINI NIRMALKAR Rate Amount Qty 26.6 2.66 10 25.5 1.7 15 1.85 .37 5 7.7 .77 10 15.73 15.73 1 2.5 .25 10 6.4 .64 10 400 400 1 165 165 1 400 400 1 750 750 1 66 1.1 60 55.8 .93 60 18 .6 30 8.1 .27 30 12 .4 30 21.3 .71 30 13.35 .89 15 6.4 .64 10 400 400 1 40.12 20.06 2 48.22 48.22 1 2.59 .37 7 12.46 .89 14 6.4 .64 10 25.5 1.7 15 400 400 1 Total: 2937.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414492 Min 01414492 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 2789 of 6486
Name
VISHNU Rate Amount Qty 66 1.1 60 14.85 .99 15 55.8 .93 60 53.4 .89 60 60.9 2.03 30 12 .4 30 21.3 .71 30 400 400 1 211.8 3.53 60 400 400 1 Total: 1296.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414496 Min 01414496 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 5 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 6 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 2790 of 6486
SHRIVASTAVA AK Rate Amount Qty 3.7 .37 10 15.73 15.73 1 400 400 1 44.16 1.84 24 6.42 2.14 3 24.45 24.45 1 19.77 19.77 1 400 400 1 Total: 914.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414497 Min 01414497 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 2791 of 6486
MRIDULA SHRIVASTAVA Rate Amount Qty 25.07 25.07 1 400 400 1 6.82 6.82 1 25.07 25.07 1 400 400 1 Total: 856.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414504 Min 01414504 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2792 of 6486
Name
RAMKUMAR DILLIWAR Rate Amount Qty 117 1.3 90 21.3 .71 30 32.4 1.08 30 72.6 1.21 60 7.5 .25 30 55.8 .93 60 400 400 1 Total: 706.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414505 Min 01414505 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 2793 of 6486
Name
JAMWANTI DILLIWAR Rate Amount Qty 7.5 .25 30 23.7 .79 30 400 400 1 Total: 431.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414511 Min 01414511 Appmt Dt Slno Description 07-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2794 of 6486
Name
KUSHMAVATI VINDEKAR Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414513 Min 01414513 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 2795 of 6486
Name
MRS. R THANKACHAN Rate Amount Qty 7.5 .25 30 36 .6 60 185.7 6.19 30 26.7 .89 30 150.9 5.03 30 31.2 1.04 30 7.5 .25 30 31.95 .71 45 400 400 1 Total: 877.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414514 Min 01414514 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19
Page 2796 of 6486
Name
MD THANKACHAN Rate Amount Qty 3.7 .37 10 6.82 6.82 1 6.4 .64 10 26.7 .89 30 8.1 .27 30 21.6 .36 60 36 .6 60 39 1.3 30 7.5 .25 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 605.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414516 Min 01414516 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 2797 of 6486
Name
LEELA BAI Rate Amount Qty 247.6 6.19 40 14 .7 20 27.4 1.37 20 400 400 1 17.8 .89 20 123.8 6.19 20 247.6 6.19 40 27.4 1.37 20 400 400 1 Total: 1505.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414517 Min 01414517 Appmt Dt Slno Description 22-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2798 of 6486
Name
PIJUSH KANTI KAR Qty Rate Amount 30 .25 7.5 60 .27 16.2 30 .89 26.7 1 400 400 Total: 450.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414518 Min 01414518 Appmt Dt Slno Description 22-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2799 of 6486
Name
PURNIMA KAR Qty Rate Amount 30 .89 26.7 30 .93 27.9 30 .25 7.5 1 400 400 Total: 462.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414521 Min 01414521 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 13-FEB-19 PRAZOSIN,2.5MG,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19 CHOLESTEROL (CHOL) 16 26-FEB-19 TRIGLYCERIDES (TGL) 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 21 26-FEB-19
Page 2800 of 6486
Name
MANRAKHAN LAL SAHU Rate Amount Qty 400 400 1 275 275 1 275 275 1 6.16 .77 8 3.28 .41 8 8.96 1.12 8 44.16 1.84 24 6.4 .64 10 400 400 1 20.06 20.06 1 2.4 .16 15 7.65 .51 15 33 1.1 30 78 1.3 60 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 Total: 4760.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414522 Min 01414522 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 26-FEB-19 CREATININE /CRT 7 26-FEB-19 UREA (BUN /UR) 8 26-FEB-19 URIC ACID (UA /URATES /UR) 9 26-FEB-19 CHOLESTEROL (CHOL) 10 26-FEB-19 TRIGLYCERIDES (TGL) 11 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19
Page 2801 of 6486
Name
PARWATI DEVI SAHU Rate Amount Qty 19.8 .66 30 275 275 1 21.3 .71 30 36 .6 60 7.5 .25 30 29.7 .99 30 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 275 275 1 55.8 .93 60 Total: 4345.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414527 Min 01414527 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 12-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 2802 of 6486
Name
RK NARULA Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 21.3 .71 30 19.8 .66 30 49.2 .82 60 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1796.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414528 Min 01414528 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 CULTURE AND SENSITIVITY SWAB - PUS/EAR 2 02-FEB-19 DRESSING SIMPLE 3 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 6 04-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 14 12-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 15 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 17 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19 SUTURE REMOVAL 20 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 16-FEB-19
Page 2803 of 6486
Name
SMT ANITA NARULA Rate Amount Qty 400 400 1 650 650 1 2100 300 7 9.6 .64 15 7.7 .77 10 93.2 9.32 10 157.8 15.78 10 400 400 1 6.4 .64 10 20.06 20.06 1 13.35 .89 15 34.8 1.16 30 12 .4 30 31.95 .71 45 118.5 3.95 30 29.7 .99 30 47.4 .79 60 72 .6 120 400 400 1 490 490 1 400 400 1 Total: 5494.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414539 Min 01414539 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 20-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 2804 of 6486
Name
B ANANTHARAMAN Rate Amount Qty 40.12 20.06 2 7.68 .64 12 400 400 1 6.4 .64 10 55.2 1.84 30 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 1346.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414540 Min 01414540 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 2805 of 6486
Name
A SARASWATI Rate Amount Qty 2.4 .16 15 26.7 .89 30 72 .6 120 117 1.3 90 21.3 .71 30 123.53 247.06 2 33 1.1 30 13.95 .93 15 12 .4 30 167.4 5.58 30 400 400 1 Total: 1112.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414542 Min 01414542 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 11 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19 UREA (BUN /UR) 14 22-FEB-19 CREATININE /CRT 15 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 22-FEB-19
Page 2806 of 6486
Name
LATA VERMA Rate Amount Qty 2.7 .27 10 400 400 1 15.6 .26 60 55.8 .93 60 54 .6 90 167.4 5.58 30 8.1 .27 30 31.2 1.04 30 12 .4 30 21.3 .71 30 76.5 2.55 30 2.4 .16 15 400 400 1 275 275 1 275 275 1 550 550 1 400 400 1 275 275 1 275 275 1 Total: 3297
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414544 Min 01414544 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 16-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 2807 of 6486
Name
VATSALA BAGEKAR Rate Amount Qty 2.4 .16 15 18 .6 30 7.8 .26 30 39 1.3 30 27.9 .93 30 27.9 .93 30 33 1.1 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 602.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414545 Min 01414545 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 2808 of 6486
Name
PANNALAL SHARMA Rate Amount Qty 7.5 .25 30 60.9 2.03 30 21.3 .71 30 26.7 .89 30 33 1.1 30 32.4 1.08 30 192.3 6.41 30 60.9 2.03 30 192.3 6.41 30 400 400 1 26.7 .89 30 184.2 6.14 30 400 400 1 Total: 1638.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414548 Min 01414548 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2809 of 6486
Name
BHAGIRATHI Rate Amount Qty 8.1 .27 30 9 .3 30 54 .6 90 10.08 1.12 9 2.67 .89 3 23.7 .79 30 400 400 1 Total: 507.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414556 Min 01414556 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2810 of 6486
Name
L D MARKANDE Rate Amount Qty 17.4 .58 30 33 1.1 30 27.9 .93 30 15.4 .77 20 400 400 1 Total: 493.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414558 Min 01414558 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 04-FEB-19 COMPLETE HAEMOGRAM 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19
Page 2811 of 6486
Name
PUSHU SINGH BAGHEL Rate Amount Qty 11.4 .38 30 7.5 .25 30 55.8 .93 60 750 750 1 400 400 1 20.84 5.21 4 Total: 1245.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414564 Min 01414564 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 2812 of 6486
Name
HARISH KUMAR GROVER Rate Amount Qty 34.8 1.16 30 21.6 .36 60 117 1.3 90 55.8 .93 60 8.1 .27 30 66 1.1 60 12 .4 30 72 .6 120 400 400 1 55.8 .93 60 8.1 .27 30 72 .6 120 12 .4 30 66 1.1 60 34.8 1.16 30 117 1.3 90 21.6 .36 60 400 400 1 Total: 1574.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414565 Min 01414565 Appmt Dt Slno Description 02-FEB-19 1 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2813 of 6486
Name
SHOBHANA GROVER Qty Rate Amount 1 17.37 17.37 1 400 400 417.37 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414566 Min 01414566 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2814 of 6486
Name
RAMKHILAWAN ANANT Rate Amount Qty 10.8 .36 30 29.7 .99 30 36 .6 60 55.8 .93 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 569.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414575 Min 01414575 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 2815 of 6486
Name
BISHRAM SAHU Rate Amount Qty 36 .6 60 3.75 .25 15 17.4 1.16 15 55.8 .93 60 29.7 .99 30 400 400 1 Total: 542.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414577 Min 01414577 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2816 of 6486
Name
VIJAY KUMAR SINGHAI Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 21.3 .71 30 8.1 .27 30 400 400 1 Total: 1082.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414578 Min 01414578 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2817 of 6486
Name
SHASHI SINGHAI Rate Amount Qty 18.9 .63 30 27.9 .93 30 12.6 .42 30 13.35 .89 15 6.9 .23 30 400 400 1 Total: 479.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414579 Min 01414579 Appmt Dt Slno Description 26-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2818 of 6486
Name
PARMANAND SAO Qty Rate Amount 30 .71 21.3 30 1.1 33 30 .4 12 1 400 400 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414581 Min 01414581 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 2819 of 6486
Name
DR SUMANT GUPTA Rate Amount Qty 26.6 2.66 10 1.85 .37 5 4.45 .89 5 400 400 1 21.3 .71 30 10.8 .36 30 36 .6 60 33 1.1 30 400 400 1 Total: 934
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414582 Min 01414582 Slno Description Appmt Dt UREA (BUN /UR) 1 07-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 2 07-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 3 07-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 16 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 19 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 22 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 23 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 24 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 25 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 19-FEB-19
Page 2820 of 6486
Name
RAGINI GUPTA Rate Amount Qty 275 275 1 550 550 1 1050 1050 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 34.8 1.16 30 66 1.1 60 14.85 .99 15 55.8 .93 60 167.4 5.58 30 32.4 1.08 30 4.8 .16 30 123.53 247.06 2 27.9 .62 45 400 400 1 31.2 1.04 30 72 .6 120 7.5 .25 30 6.9 .23 30 33 1.1 30 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 5067.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414583 Min 01414583 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 MOXONIDIN 0.2MG,,TABLET 08-FEB-19 3 PRAZOSIN,2.5MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2821 of 6486
Name
R S SAHU Qty Rate Amount 60 .93 55.8 30 3.53 105.9 60 1.3 78 1 400 400 Total: 639.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414584 Min 01414584 Appmt Dt Slno Description 27-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 27-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27-FEB-19 4 UREA (BUN /UR)
Page 2822 of 6486
Name
KAMLA SAHU Qty 1 1 1 1
Rate Amount 400 400 275 275 275 275 275 275 Total: 1225
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414587 Min 01414587 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 20-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2823 of 6486
Name
BHUPATRAM SONWANI Rate Amount Qty 3.75 .25 15 55.8 .93 60 29.7 .99 30 13.8 .23 60 36 .6 60 78 1.3 60 24 .4 60 400 400 1 Total: 641.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414596 Min 01414596 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 PROTHROMBIN TIME (PT) 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 CREATININE /CRT 9 22-FEB-19 UREA (BUN /UR) 10 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 22-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 12 22-FEB-19
Page 2824 of 6486
Name
VK PAL Rate Amount Qty 400 400 1 330 330 1 7.5 .25 30 34.8 1.16 30 8.1 .27 30 11.4 .38 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 3469.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414597 Min 01414597 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 17-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 4 17-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 17-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 17-FEB-19
Page 2825 of 6486
Name
GEETA PAL Qty 1 1 1 1 6 6 6 1
Rate Amount 420 420 .66 .66 .16 .16 600 600 1.5 .25 2.52 .42 5.34 .89 400 400 Total: 1430.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414605 Min 01414605 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 21 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 22 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 23 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 26 26-FEB-19 KETOTIFEN,1MG,TABLET 27 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 26-FEB-19
Page 2826 of 6486
Name
SHAKUNTALA SUKHLAL INDURKAR Rate Amount Qty 32.4 1.08 30 55.8 .93 60 7.8 .26 30 7.5 .25 30 76.5 2.55 30 46.2 .77 60 23.7 .79 30 21.3 .71 30 400 400 1 4.45 .89 5 4.5 .9 5 26.6 2.66 10 400 400 1 1.6 .16 10 3.7 .37 10 3.8 .38 10 66.2 6.62 10 1.85 .37 5 4.45 .89 5 6.4 .64 10 12.15 12.15 1 27.4 1.37 20 123.8 6.19 20 17.8 .89 20 400 400 1 12.15 12.15 1 22.8 1.52 15 400 400 1 Total: 2210.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414606 Min 01414606 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 05-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 5 05-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 6 05-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 7 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 05-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 05-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 05-FEB-19 SOLIFENACIN,5MG,,TABLET 13 05-FEB-19 CREATININE /CRT 14 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 18 19-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 19 19-FEB-19 CALCIUM (CA) 20 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 21 19-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 22 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 24 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 25 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 19-FEB-19
Page 2827 of 6486
Name
SUKHLAL A INDURKAR Rate Amount Qty 87.92 43.96 2 400 400 1 192.3 6.41 30 60.9 2.03 30 1750 1750 1 1610 1610 1 2110 2110 1 400 400 1 2.34 196.56 84 122.8 6.14 20 35.6 .89 40 47.04 1.12 42 403.2 13.44 30 275 275 1 247.6 6.19 40 52 2.6 20 7.5 .25 30 4.2 .42 10 5 .25 20 275 275 1 550 550 1 1300 1300 1 17.8 .89 20 275 275 1 275 275 1 400 400 1 Total: 11100.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414607 Min 01414607 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2828 of 6486
Name
GUHARI RAM Rate Amount Qty 7.5 .25 30 55.8 .93 60 78 1.3 60 72 .6 120 43.2 .36 120 400 400 1 Total: 656.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414610 Min 01414610 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2829 of 6486
Name
URMILA PRASAD Rate Amount Qty 6.16 .77 8 5.84 .73 8 7.68 .64 12 44.16 1.84 24 13.7 1.37 10 400 400 1 Total: 477.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414611 Min 01414611 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2830 of 6486
Name
TULSIRAM BANDEY Rate Amount Qty 66 1.1 60 13.35 .89 15 60.9 2.03 30 34.8 1.16 30 12 .4 30 23.7 .79 30 6.9 .23 30 400 400 1 Total: 617.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414612 Min 01414612 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2831 of 6486
Name
SURAJ BANDEY Rate Amount Qty 6.9 .23 30 27.9 .93 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414613 Min 01414613 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 2832 of 6486
Name
PRASAD RS Rate Amount Qty 27.9 .93 30 60.9 2.03 30 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414633 Min 01414633 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 12-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 11 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 12-FEB-19
Page 2833 of 6486
Name
JYOTSANA CLAUDIUS Rate Amount Qty 400 400 1 34.8 1.16 30 1.23 .41 3 1.23 .41 3 53.4 .89 60 30.6 .34 90 237 3.95 60 55.8 .93 60 64.8 1.08 60 24 .4 60 85.2 .71 120 21.6 .36 60 36 .6 60 30 .25 120 Total: 1075.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414648 Min 01414648 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 10 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 13 27-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 2834 of 6486
Name
A R KHAN Rate Amount Qty 12 .4 30 34.8 1.16 30 27.9 .93 30 117 1.3 90 167.4 5.58 30 32.4 1.08 30 7.5 .25 30 72 .6 120 400 400 1 20.22 3.37 6 11.1 .37 30 29.58 9.86 3 25.62 12.81 2 63.22 31.61 2 400 400 1 Total: 1420.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414649 Min 01414649 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2835 of 6486
Name
K BALASUNDARAM Rate Amount Qty 7.5 .25 30 8.1 .27 30 36 .6 60 21.3 .71 30 26.7 .89 30 400 400 1 Total: 499.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414650 Min 01414650 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 2836 of 6486
Name
HEMA Rate Amount Qty 27.9 .93 30 6.9 .23 30 14.85 .99 15 34.8 1.16 30 36 .6 60 12 .4 30 400 400 1 Total: 532.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414651 Min 01414651 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 2837 of 6486
Name
AMAL KRISHNA CHANDA Rate Amount Qty 26.7 .89 30 7.5 .25 30 36 .6 60 21.3 .71 30 23.7 .79 30 55.8 .93 60 400 400 1 Total: 571
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414657 Min 01414657 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 2838 of 6486
Name
SUBHASH BABU Rate Amount Qty 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 468.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414658 Min 01414658 Slno Description Appmt Dt T M T (TREAD MILL EXERCISE TEST) 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19
Page 2839 of 6486
Name
SMT.SUDHA Rate Amount Qty 3430 3430 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 8.1 .27 30 7.5 .25 30 33 1.1 30 55.8 .93 60 Total: 4511.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414659 Min 01414659 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 28-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 7 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 9 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 2840 of 6486
Name
RK DAS Rate Amount Qty 12 .4 30 34.8 1.16 30 55.8 .93 60 16.2 .27 60 400 400 1 14.2 .71 20 245.6 6.14 40 17.8 .89 20 5 .25 20 16 .4 40 37.2 .93 40 5.4 .27 20 10.4 1.04 10 400 400 1 Total: 1270.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414660 Min 01414660 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2841 of 6486
Name
PANKAJINI DAS Rate Amount Qty 32.4 1.08 30 27.9 .93 30 34.8 1.16 30 17.4 .58 30 185.7 6.19 30 400 400 1 Total: 698.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414661 Min 01414661 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 13-FEB-19 COMPLETE HAEMOGRAM 7 13-FEB-19
Page 2842 of 6486
Name
SATYAPAL SINGH Rate Amount Qty 2.22 .37 6 35.1 2.34 15 2.56 .64 4 21.3 .71 30 400 400 1 400 400 1 750 750 1 Total: 1611.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414669 Min 01414669 Appmt Dt Slno Description 11-FEB-19 1 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2843 of 6486
Name
M. P. SHARMA Qty Rate Amount 30 6.41 192.3 1 400 400 592.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414670 Min 01414670 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 27-FEB-19 URIC ACID (UA /URATES /UR) 7 27-FEB-19 UREA (BUN /UR) 8 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 27-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 16 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 27-FEB-19
Page 2844 of 6486
Name
ROM NATH DESHMUKH Rate Amount Qty 211.8 3.53 60 66 1.1 60 55.8 .93 60 32.4 1.08 30 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 6.4 .64 10 66.2 6.62 10 4.8 .16 30 26.7 .89 30 21.3 .71 30 7.65 .51 15 8.1 .27 30 Total: 3307.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414671 Min 01414671 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 2845 of 6486
Name
SHARDA BAI Rate Amount Qty 21.3 .71 30 15.3 .51 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 481
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414672 Min 01414672 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 U S ABDOMEN + THORAX 7 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 21-FEB-19
Page 2846 of 6486
Name
SATISH KUMAR SAHANI Rate Amount Qty 192.3 6.41 30 55.8 .93 60 14.85 .99 15 191.4 3.19 60 42.6 .71 60 400 400 1 1750 1750 1 400 400 1 Total: 3046.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414673 Min 01414673 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 2847 of 6486
Name
SMT.SUMAN SAHANI Rate Amount Qty 13.7 1.37 10 8.9 .89 10 400 400 1 21.3 .71 30 400 400 1 Total: 843.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414683 Min 01414683 Appmt Dt Slno Description 05-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 05-FEB-19 2 GLICLAZIDE MR,30 MG,,TABLET 05-FEB-19 3 TENELIGLIPTIN,20MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2848 of 6486
Name
PRABHAKAR Qty Rate Amount 60 .6 36 30 .92 27.6 60 5.58 334.8 1 400 400 Total: 798.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414684 Min 01414684 Slno Description Appmt Dt METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 1 22-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 2849 of 6486
Name
GOVIND RAM Rate Amount Qty 2.6 .26 10 1.3 .26 5 16.2 .27 60 11.4 .38 30 12 .4 30 21.3 .71 30 26.7 .89 30 76.5 2.55 30 400 400 1 Total: 568
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414685 Min 01414685 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 2850 of 6486
KUSUM Rate Amount Qty 39 2.6 15 185.7 6.19 30 15.73 15.73 1 20.84 5.21 4 53.4 .89 60 20.06 20.06 1 12.15 12.15 1 400 400 1 Total: 746.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414690 Min 01414690 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 2851 of 6486
Name
RADHE SHYAM SHARMA Rate Amount Qty 7.5 .25 30 20.55 1.37 15 400 400 1 Total: 428.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414695 Min 01414695 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 2852 of 6486
Name
LAXMAN RAM Rate Amount Qty 11.1 .37 30 104.4 1.74 60 400 400 1 55.8 .93 60 76.5 2.55 30 21.3 .71 30 26.7 .89 30 2.4 .16 15 7.5 .25 30 36 .6 60 400 400 1 21.3 .71 30 26.7 .89 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1842.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414696 Min 01414696 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 ESCITALOPRAM,10MG,,TABLET 6 19-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 26-FEB-19 UREA (BUN /UR) 11 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 26-FEB-19 CREATININE /CRT 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19
Page 2853 of 6486
Name
ASHA DEVI Rate Amount Qty 33 1.1 30 40.12 20.06 2 13.35 .89 15 7.8 .26 30 400 400 1 27.75 1.85 15 41.1 2.74 15 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3763.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414705 Min 01414705 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2854 of 6486
Name
RAJBAL SINGH Rate Amount Qty 7.5 .25 30 21.3 .71 30 18 .6 30 27.9 .93 30 400 400 1 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414706 Min 01414706 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 11-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 2855 of 6486
Name
KAMLESH Rate Amount Qty 148.9 74.45 2 40.58 20.29 2 400 400 1 18 .6 30 21.3 .71 30 32.4 1.08 30 12.6 .42 30 27.9 .93 30 400 400 1 Total: 1101.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414718 Min 01414718 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2856 of 6486
Name
SHIBANI BISWAS Qty Rate Amount 30 .93 27.9 30 .71 21.3 30 1.1 33 1 400 400 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414719 Min 01414719 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 2857 of 6486
Name
OM PRAKASH Rate Amount Qty 12 .4 30 21.3 .71 30 10.8 .36 30 55.8 .93 60 15.6 .26 60 39 1.3 30 36 .6 60 400 400 1 Total: 590.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414720 Min 01414720 Appmt Dt Slno Description 14-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2858 of 6486
Name
KUSUM AWASTHI Qty 4 1
Rate Amount 5.21 20.84 400 400 420.84 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414721 Min 01414721 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 2859 of 6486
Name
RAMJI PRAJAPATI Rate Amount Qty 17.4 .58 30 23.7 .79 30 55.8 .93 60 22.2 .37 60 400 400 1 Total: 519.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414723 Min 01414723 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 2860 of 6486
Name
NEETA JAIN Rate Amount Qty 167.4 5.58 30 18 .6 30 21.3 .71 30 185.7 6.19 30 20.84 5.21 4 27.9 .93 30 8.1 .27 30 400 400 1 Total: 849.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414740 Min 01414740 Appmt Dt Slno Description 25-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 3 BACLOFEN,STRIP PKT,10MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2861 of 6486
Name
RAM PRATAP CHANDRAKAR Qty Rate Amount 10 1.37 13.7 10 .89 8.9 10 3.19 31.9 1 400 400 Total: 454.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414741 Min 01414741 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 2862 of 6486
Name
OMAN CHANDRAKAR Rate Amount Qty 7.5 .25 30 21.3 .71 30 12 .4 30 9 .6 15 400 400 1 Total: 449.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414742 Min 01414742 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 2863 of 6486
Name
Y. P. AGGARWAL Rate Amount Qty 55.2 1.84 30 6.4 .64 10 400 400 1 Total: 461.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414743 Min 01414743 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 08-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 3 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 08-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 18-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 8 18-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 9 18-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 10 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 2864 of 6486
Name
PRITI AGGARWAL Rate Amount Qty 63.58 63.58 1 51.38 25.69 2 37.04 37.04 1 20.22 3.37 6 40.58 20.29 2 400 400 1 185.7 6.19 30 18 .6 30 40.58 20.29 2 51.38 25.69 2 26 2.6 10 400 400 1 Total: 1334.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414744 Min 01414744 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 13-FEB-19 SOLIFENACIN,5MG,,TABLET 2 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 15-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 9 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 14 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 15 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19
Page 2865 of 6486
Name
RAMESH KUMAR SETH Rate Amount Qty 60.9 2.03 30 403.2 13.44 30 192.3 6.41 30 400 400 1 11.4 .38 30 7.5 .25 30 1.85 .37 5 6.4 .64 10 78 .78 100 31.95 .71 45 14.85 .99 15 55.8 .93 60 8.1 .27 30 192.3 6.41 30 9.9 .66 15 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 1956.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414753 Min 01414753 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 2866 of 6486
Name
BASANTLAL BODALKAR Rate Amount Qty 7.5 .25 30 66 1.1 60 6.9 .23 30 12 .4 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 546.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414754 Min 01414754 Appmt Dt Slno Description 04-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2867 of 6486
Name
MAYA DEVI BODALKAR Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414759 Min 01414759 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 02-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 22-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 14 22-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 15 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 19 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 21 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 22 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 23-FEB-19
Page 2868 of 6486
CIBA SHARMA Rate Amount Qty 54 .9 60 15.73 15.73 1 16.2 .18 90 11.1 .37 30 12.15 12.15 1 17.4 .58 30 26.7 .89 30 7.5 .25 30 400 400 1 25.07 25.07 1 19.2 .64 30 7.5 .25 30 185.7 6.19 30 13.48 3.37 4 63.58 63.58 1 9.86 9.86 1 400 400 1 26.7 .89 30 12.15 12.15 1 7.5 .25 30 54 .9 60 16.2 .18 90 400 400 1 Total: 1801.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414761 Min 01414761 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2869 of 6486
Name
SHAKUNTALA CHOURE Rate Amount Qty 21.3 .71 30 6.9 .23 30 27.9 .93 30 18 .6 30 167.4 5.58 30 400 400 1 Total: 641.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414764 Min 01414764 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 2870 of 6486
Name
KRISHNA SHARMA Rate Amount Qty 21.6 .36 60 27 .9 30 66 1.1 60 7.5 .25 30 32.4 1.08 30 15.3 .51 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 619
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414778 Min 01414778 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 2871 of 6486
Name
SABA PARVEEN Rate Amount Qty 167.4 5.58 30 1.6 .16 10 32.4 .36 90 72 .6 120 7.5 .25 30 13.95 .93 15 21.3 .71 30 400 400 1 Total: 716.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414779 Min 01414779 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 10-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 16 23-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 17 23-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 18 23-FEB-19 SODIUM VALPROATE,500MG,TABLET 19 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 23-FEB-19
Page 2872 of 6486
Name
P V DESHPANDE Rate Amount Qty 66.2 6.62 10 400 400 1 66.2 6.62 10 400 400 1 57 .38 150 54 .9 60 5.55 .37 15 42.6 .71 60 60.9 2.03 30 12 .4 30 7.5 .25 30 27.9 .93 30 400 400 1 66.2 6.62 10 400 400 1 79.2 2.64 30 176.7 5.89 30 15.3 .51 30 351 3.9 90 400 400 1 Total: 3088.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414787 Min 01414787 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 25-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 7 25-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 8 25-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 2873 of 6486
Name
GURUBACHAN KAUR Rate Amount Qty 10.8 .36 30 36 .6 60 33 1.1 30 400 400 1 27.4 1.37 20 185.7 6.19 30 25.84 3.23 8 166.8 2.78 60 21.3 .71 30 400 400 1 Total: 1306.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414790 Min 01414790 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2874 of 6486
Name
ABDUL NAWAB KHAN Rate Amount Qty 12.15 12.15 1 100.71 100.71 1 26.7 .89 30 16.2 .18 90 54 .9 60 400 400 1 Total: 609.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414797 Min 01414797 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 2875 of 6486
Name
CHANDA CHHABRA Rate Amount Qty 7.5 .25 30 18.9 .63 30 185.7 6.19 30 13.7 1.37 10 400 400 1 18 .6 30 33 1.1 30 12 .4 30 27.9 .93 30 34.8 1.16 30 400 400 1 21.3 .71 30 10.42 5.21 2 400 400 1 Total: 1583.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414806 Min 01414806 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 08-FEB-19 TRANEXAMIC ACID,500 MG,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 2876 of 6486
Name
JL LAHARE Qty 1 6 1
Rate Amount 43.96 43.96 77.7 12.95 400 400 Total: 521.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414807 Min 01414807 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 22-FEB-19 GUM ASTRINGENT PAINT 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2877 of 6486
Name
SATRUPA BAI Rate Amount Qty 2.22 .37 6 2.5 .25 10 3.84 .64 6 15.96 2.66 6 400 400 1 55.2 1.84 30 16.8 1.12 15 31.54 31.54 1 9.6 .64 15 400 400 1 Total: 937.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414813 Min 01414813 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 11-FEB-19 UREA (BUN /UR) 4 11-FEB-19 CREATININE /CRT 5 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 HB,TLC,DLC 9 11-FEB-19 PLATELET COUNT 10 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 11-FEB-19
Page 2878 of 6486
Name
MONIKA CHAKRAVORTY Rate Amount Qty 41.85 .93 45 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 17.8 .89 20 21.3 .71 30 300 300 1 330 330 1 275 275 1 Total: 3510.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414814 Min 01414814 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 01-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 01-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 2879 of 6486
Name
G P SHROTI Rate Amount Qty 45.44 45.44 1 31.61 31.61 1 9.86 9.86 1 63.58 63.58 1 400 400 1 3.75 .25 15 78 1.3 60 34.8 1.16 30 13.95 .93 15 10.8 .36 30 12 .4 30 54 .6 90 400 400 1 Total: 1157.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414815 Min 01414815 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 2880 of 6486
Name
ANITA SHROTI Rate Amount Qty 6.4 .64 10 24.76 6.19 4 8.9 .89 10 400 400 1 76.5 2.55 30 17.4 1.16 15 10.8 .36 30 36 .6 60 66 1.1 60 32.4 1.08 30 400 400 1 6.4 .64 10 400 400 1 Total: 1485.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414820 Min 01414820 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 2881 of 6486
Name
VIKASH ROY Rate Amount Qty 32.4 1.08 30 33 1.1 30 27.9 .93 30 60.9 2.03 30 34.8 1.16 30 26.7 .89 30 9.9 .66 15 400 400 1 Total: 625.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414821 Min 01414821 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 2882 of 6486
Name
PRATIMA ROY Rate Amount Qty 21.3 .71 30 18.6 .62 30 9.9 .66 15 7.5 .25 30 18.9 .63 30 400 400 1 Total: 476.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414822 Min 01414822 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 2883 of 6486
Name
RAM SUNDER SAHU Rate Amount Qty 26.7 .89 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 36 .6 60 10.8 .36 30 167.4 5.58 30 7.5 .25 30 400 400 1 Total: 757.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414823 Min 01414823 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 2884 of 6486
Name
UMRAVATI BAI SAHU Rate Amount Qty 7.5 .25 30 21.3 .71 30 21.3 .71 30 117 1.3 90 400 400 1 Total: 567.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414827 Min 01414827 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 2885 of 6486
Name
PAKLI BAI Rate Amount Qty 47.4 .79 60 15.3 .51 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414836 Min 01414836 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 2886 of 6486
Name
ANUGRAH MASIH Rate Amount Qty 17.4 1.16 15 55.8 .93 60 167.4 5.58 30 18 .6 30 9 .3 30 18.6 .62 30 55.8 .93 60 400 400 1 Total: 742
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414837 Min 01414837 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 2887 of 6486
Name
SHANTIEL MASIH Rate Amount Qty 66 1.1 60 27.9 .93 30 12 .4 30 11.4 .38 30 60.9 2.03 30 10.65 .71 15 192.3 6.41 30 400 400 1 Total: 781.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414846 Min 01414846 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 2888 of 6486
Name
ANILA WATE Rate Amount Qty 66 1.1 60 3.7 .37 10 9 .3 30 11.4 .38 30 27.9 .93 30 32.4 1.08 30 400 400 1 Total: 550.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414851 Min 01414851 Appmt Dt Slno Description 25-FEB-19 1 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2889 of 6486
Name
VEENA DUBEY Qty 1 1
Rate Amount 26.55 26.55 400 400 426.55 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414852 Min 01414852 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 OBSERVATION IN CASUALTY 7 09-FEB-19 ECG 8 09-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 9 09-FEB-19 X - RAY - SINGLE VIEW 10 09-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 13 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 2890 of 6486
Name
RAMBALI PANDEY Rate Amount Qty 4.45 .89 5 9 .9 10 1.85 .37 5 6.4 .64 10 35.2 3.52 10 1.85 .37 5 420 420 1 450 450 1 45.44 45.44 1 550 550 1 100 100 1 400 400 1 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 Total: 2445.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414854 Min 01414854 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 2891 of 6486
Name
INDRAMAN SINGH SAHU Rate Amount Qty 24 .4 60 37.8 .63 60 78 1.3 60 38.25 2.55 15 31.2 1.04 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 683.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414860 Min 01414860 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 14-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2892 of 6486
Name
HARISH KUMAR DEWANGAN Rate Amount Qty 13.7 1.37 10 47.4 .79 60 21.3 .71 30 16.2 .36 45 8.1 .27 30 8.9 .89 10 400 400 1 7.5 .25 30 26 2.6 10 400 400 1 Total: 949.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414865 Min 01414865 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 2893 of 6486
SURESH RAM Rate Amount Qty 3.8 .38 10 15.73 15.73 1 1.85 .37 5 6.4 .64 10 400 400 1 Total: 427.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414866 Min 01414866 Slno Description Appmt Dt SPOT URINE PCR (PROTEIN CREATININE RATIO 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 2894 of 6486
Name
ASHA BAI Rate Amount Qty 550 550 1 400 400 1 27.4 1.37 20 14.6 .73 20 17.8 .89 20 123.8 6.19 20 400 400 1 17.8 .89 20 123.8 6.19 20 14.6 .73 20 27.4 1.37 20 400 400 1 Total: 2117.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414867 Min 01414867 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 2895 of 6486
Name
R SARKAR Rate Amount Qty 21.3 .71 30 8.1 .27 30 27.9 .93 30 43.2 .36 120 54 .6 90 117 1.3 90 400 400 1 Total: 671.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414868 Min 01414868 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 2896 of 6486
Name
GEETA RANI SARKAR Rate Amount Qty 27.9 .93 30 18 .6 30 400 400 1 Total: 445.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414871 Min 01414871 Appmt Dt Slno Description 11-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2897 of 6486
Name
SK DAS Qty Rate Amount 30 .6 18 30 .79 23.7 30 .71 21.3 1 400 400 Total: 463
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414872 Min 01414872 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 2898 of 6486
Name
KALYANI DAS Rate Amount Qty 39 1.3 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 72 .6 120 66 1.1 60 14.85 .99 15 17.4 .58 30 400 400 1 Total: 718.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414874 Min 01414874 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 09-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 17-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 17-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 12 17-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 13 17-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 15 17-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 17-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 17-FEB-19 OBSERVATION IN CASUALTY 18 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 21 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 17-FEB-19
Page 2899 of 6486
Name
BIMLA DEVI Rate Amount Qty 7.8 .26 30 18.9 .63 30 23.7 .79 30 21.3 .71 30 26.7 .89 30 21.3 .71 30 12 .4 30 400 400 1 9.6 .64 15 8.9 .89 10 16.8 1.12 15 82.76 82.76 1 19.59 19.59 1 1.9 .38 5 600 600 1 10.95 .73 15 43.96 43.96 1 420 420 1 .89 .89 1 .64 .64 1 .16 .16 1 400 400 1 Total: 2147.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414886 Min 01414886 Appmt Dt Slno Description 22-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22-FEB-19 2 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 22-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2900 of 6486
Name
KHEM CHAND GIRIYA Qty Rate Amount 30 .89 26.7 30 .93 27.9 60 .25 15 1 400 400 Total: 469.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414893 Min 01414893 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19
Page 2901 of 6486
Name
JAISHRI BHAKRE Qty 1 1 1
Rate Amount 275 275 275 275 400 400 Total: 950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414896 Min 01414896 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 2902 of 6486
Name
ALPANA BHATTACHARYA Rate Amount Qty 7.5 .25 30 26.7 .89 30 33 1.1 30 105.9 3.53 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 55.2 .92 60 400 400 1 Total: 707.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414899 Min 01414899 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 2903 of 6486
Name
SUNITA DESHMUKH Rate Amount Qty 8.1 .27 30 27 .3 90 36 .6 60 117 1.3 90 21.3 .71 30 55.8 .93 60 167.4 5.58 30 400 400 1 Total: 832.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414901 Min 01414901 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 2904 of 6486
Name
RAKESH KUMAR BEHAL Rate Amount Qty 34.8 1.16 30 31.2 1.04 30 47.4 .79 60 8.9 .89 10 7.5 .25 30 6.9 .23 30 400 400 1 Total: 536.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414902 Min 01414902 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2905 of 6486
Name
MUKESH BEHAL Rate Amount Qty 13.95 .93 15 17.4 .58 30 21.3 .71 30 36 .6 60 9 .3 30 400 400 1 Total: 497.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414904 Min 01414904 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 2906 of 6486
Name
AMULYA KUMAR BAUL Rate Amount Qty 55.8 .93 60 39 1.3 30 9 .3 30 36 .6 60 12 .4 30 400 400 1 Total: 551.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414906 Min 01414906 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 9 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 TICAGRELOR 90MG ,TABLET 13 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 17 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 2907 of 6486
Name
ASHOK KUMAR Rate Amount Qty 35.6 .89 40 5.2 .26 20 18.6 .93 20 23.2 1.16 20 21.6 1.08 20 8 .4 20 18.4 .92 20 400 400 1 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 400 400 1 30.77 1846.2 60 33 1.1 30 12 .4 30 20.4 .34 60 157.8 2.63 60 27.9 .93 30 400 400 1 Total: 3481.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414907 Min 01414907 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 25-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 3 25-FEB-19 CLOMIPRAMINE,25MG,TABLET 4 25-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 2908 of 6486
Name
ASHA DEVI BORIKAR Rate Amount Qty 25.62 12.81 2 7.4 .37 20 90.88 45.44 2 64.2 2.14 30 79.2 2.64 30 18.45 .41 45 400 400 1 Total: 685.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414908 Min 01414908 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 PRAZOSIN,2.5MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 12-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19
Page 2909 of 6486
Name
P.K. KHANRA Rate Amount Qty 6.9 .23 30 21.3 .71 30 12 .4 30 72.6 1.21 60 78 1.3 60 55.8 .93 60 400 400 1 185.7 6.19 30 18.9 .63 30 400 400 1 7.5 .25 30 123.53 370.59 3 26.7 .89 30 12.3 .41 30 400 400 1 Total: 2068.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414909 Min 01414909 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 2910 of 6486
Name
RENU KHANRA Rate Amount Qty 21.3 .71 30 66 1.1 60 27.9 .93 30 14.85 .99 15 43.96 43.96 1 12 .4 30 73.8 .82 90 400 400 1 7.5 .25 30 13.35 .89 15 39 2.6 15 400 400 1 Total: 1119.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414912 Min 01414912 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 2911 of 6486
Name
A R SAHU Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 21.3 .71 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 796.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01414913 Min 01414913 Slno Description Appmt Dt SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 1 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 2912 of 6486
SAKUNTALA DEVI Rate Amount Qty 29 29 1 25.07 25.07 1 400 400 1 33 1.1 30 18 .6 30 20.4 .34 60 34.8 1.16 30 47.4 .79 60 32.4 1.08 30 12 .4 30 2.4 .16 15 400 400 1 Total: 1054.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414918 Min 01414918 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 2913 of 6486
Name
KANTI LAL DAS Rate Amount Qty 8.1 .27 30 21.3 .71 30 18 .6 30 27.9 .93 30 400 400 1 Total: 475.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414922 Min 01414922 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 04-FEB-19 URIC ACID (UA /URATES /UR) 10 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 06-FEB-19
Page 2914 of 6486
Name
K PADMAVATI Rate Amount Qty 17.6 17.6 1 3.7 .37 10 19.18 1.37 14 6.23 .89 7 5.11 .73 7 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 19.2 .64 30 19.2 .64 30 400 400 1 Total: 2115.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414941 Min 01414941 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2915 of 6486
Name
PREMA RAJENDRAN Rate Amount Qty 21.3 .71 30 54 .6 90 16.2 .27 60 10.8 .36 30 400 400 1 Total: 502.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414943 Min 01414943 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 2916 of 6486
Name
BHARTI Rate Amount Qty 10.8 .36 30 34.8 1.16 30 36 .6 60 105.9 3.53 30 118.5 3.95 30 400 400 1 3.7 .37 10 45.44 45.44 1 400 400 1 Total: 1155.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414953 Min 01414953 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 04-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 6 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 2917 of 6486
Name
S P PATEL Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 11.85 .79 15 66 1.1 60 11.4 .38 30 35.1 .78 45 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 844.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414954 Min 01414954 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 2918 of 6486
Name
USHA PATEL Rate Amount Qty 13.35 .89 15 21.3 .71 30 6.9 .23 30 18 .6 30 400 400 1 Total: 459.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414955 Min 01414955 Name Appmt Dt Slno Description 27-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2919 of 6486
DUKHIT RAM Qty 2 1
Rate Amount 25.07 50.14 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414956 Min 01414956 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 2920 of 6486
Name
GORAN BAI Rate Amount Qty 1.85 .37 5 6.4 .64 10 26.7 .89 30 21.3 .71 30 32.4 1.08 30 7.65 .51 15 2.5 .25 10 15.6 .26 60 27.9 .93 30 26 2.6 10 400 400 1 Total: 568.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414963 Min 01414963 Appmt Dt Slno Description 18-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 18-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2921 of 6486
Name
SATRAM SINGH Qty Rate Amount 60 .6 36 30 1.08 32.4 30 1.16 34.8 1 400 400 Total: 503.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414969 Min 01414969 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 04-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 2922 of 6486
Name
RAJKUMAR SAHU Rate Amount Qty 19.72 9.86 2 57.84 115.68 2 400 400 1 12.15 12.15 1 54 .9 60 400 400 1 21.3 .71 30 55.8 .93 60 29.7 .99 30 400 400 1 Total: 1508.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414970 Min 01414970 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 2 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 04-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 15-FEB-19
Page 2923 of 6486
Name
KAMALA SAHU Qty 1 1 1 1 1 1
Rate Amount 400 400 550 550 17.6 17.6 13.43 13.43 275 275 275 275 Total: 1531.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414971 Min 01414971 Appmt Dt Slno Description 21-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 21-FEB-19 2 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 21-FEB-19 3 TORSEMIDE,STRIP PKT,10MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2924 of 6486
Name
ISHWAR LAL Qty Rate Amount 30 1.1 33 30 1.44 43.2 30 1.04 31.2 1 400 400 Total: 507.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414975 Min 01414975 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 2925 of 6486
Name
GAYANEVIA BUX Rate Amount Qty 275 275 1 275 275 1 27.9 .93 30 39 1.3 30 5.7 .38 15 72 .6 120 400 400 1 Total: 1094.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414976 Min 01414976 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19
Page 2926 of 6486
Name
BODHAN SINGH SAHU Rate Amount Qty 22.2 .37 60 10.8 .36 30 36 .6 60 21.3 .71 30 167.4 5.58 30 72.6 1.21 60 29.7 .99 30 55.8 .93 60 400 400 1 43.96 43.96 1 192.3 6.41 30 60.9 2.03 30 13.95 .93 15 400 400 1 Total: 1526.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414977 Min 01414977 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 2927 of 6486
Name
BISAHIN BAI Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 167.4 5.58 30 18 .6 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 699.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414988 Min 01414988 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 2928 of 6486
Name
INDRAWATI SINGH Rate Amount Qty 17.4 1.16 15 21.6 .36 60 54 .6 90 22.2 .37 60 27.9 .93 30 7.5 .25 30 400 400 1 Total: 550.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414990 Min 01414990 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 2929 of 6486
Name
RAJESHWAR RAO Rate Amount Qty 72 .6 120 27.9 .93 30 7.5 .25 30 20.06 20.06 1 6.9 .23 30 400 400 1 Total: 534.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414994 Min 01414994 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2930 of 6486
Name
BHAWANI SHANKAR PAL Rate Amount Qty 8.9 .89 10 20.06 20.06 1 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 473.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01414995 Min 01414995 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 2931 of 6486
Name
SUJEETA PAL Rate Amount Qty 54 .9 60 7.4 .37 20 13.43 13.43 1 12.8 .64 20 26.7 .89 30 12.15 12.15 1 7.5 .25 30 16.2 .18 90 400 400 1 27.9 .93 30 5.21 5.21 1 13.95 .93 15 7.5 .25 30 400 400 1 Total: 1004.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415001 Min 01415001 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 2932 of 6486
Name
SUDERSHAN R NANOO Rate Amount Qty 12 .4 30 8.4 .42 20 34.8 1.16 30 36 .6 60 55.8 .93 60 21.6 .36 60 76.5 2.55 30 8.1 .27 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415002 Min 01415002 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2933 of 6486
Name
ASHA Rate Amount Qty 13.95 .93 15 8.1 .27 30 156.6 1.74 90 100.71 100.71 1 400 400 1 Total: 679.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415003 Min 01415003 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 2934 of 6486
Name
BHINSU RAM Rate Amount Qty 76.5 2.55 30 8.1 .27 30 23.7 .79 30 1.48 .37 4 400 400 1 Total: 509.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415004 Min 01415004 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 2935 of 6486
Name
PHOOLMANI BAI Rate Amount Qty 29.7 .99 30 4.1 .41 10 55.8 .93 60 22.2 .37 60 400 400 1 Total: 511.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415007 Min 01415007 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 11-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 2936 of 6486
Name
MANOHARAN Rate Amount Qty 77.52 3.23 24 9.88 .38 26 83.4 2.78 30 55.8 .93 60 21.3 .71 30 400 400 1 Total: 647.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415008 Min 01415008 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 SOLIFENACIN,5MG,,TABLET 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 2937 of 6486
Name
M. HANSA Rate Amount Qty 54 .6 90 403.2 13.44 30 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 925.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415009 Min 01415009 Appmt Dt Slno Description 01-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2938 of 6486
Name
TIJAU RAM KHARE Qty Rate Amount 30 .71 21.3 30 .27 8.1 30 .93 27.9 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415010 Min 01415010 Appmt Dt Slno Description 01-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 01-FEB-19 2 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 01-FEB-19 3 TORSEMIDE,STRIP PKT,10MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2939 of 6486
Name
KOSAM BAI Qty Rate Amount 60 1.1 66 60 .37 22.2 15 1.04 15.6 1 400 400 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415018 Min 01415018 Slno Description Appmt Dt GLUCOSE RANDOM (RBG /RSG /GLU-R) 1 21-FEB-19 UREA (BUN /UR) 2 21-FEB-19 CREATININE /CRT 3 21-FEB-19 ABC TEST HIV 4 21-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 21-FEB-19 HB,TLC,DLC 6 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 21-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 8 21-FEB-19 PLATELET COUNT 9 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 21-FEB-19
Page 2940 of 6486
Name
MANORAMA Rate Amount Qty 275 275 1 275 275 1 275 275 1 1250 1250 1 1000 1000 1 300 300 1 400 400 1 41.06 41.06 1 330 330 1 33.12 1.84 18 3.84 .64 6 Total: 4183.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415021 Min 01415021 Appmt Dt Slno Description 05-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2941 of 6486
Name
AWASTHI VK Qty Rate Amount 30 .71 21.3 60 .93 55.8 30 .4 12 1 400 400 Total: 489.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415023 Min 01415023 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 2942 of 6486
Name
JAGMOHANLAL CHANDRAKAR Rate Amount Qty 27.9 .93 30 38.25 2.55 15 400 400 1 Total: 466.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415025 Min 01415025 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 23-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 18 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 23-FEB-19 CREATININE /CRT 20 23-FEB-19 UREA (BUN /UR) 21 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 24 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 25 23-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 26 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 27 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 28 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 26-FEB-19
Page 2943 of 6486
Name
RAM SHARAN AGRAWAL Rate Amount Qty 47.4 .79 60 192.3 6.41 30 60.9 2.03 30 18.9 .63 30 36 .6 60 400 400 1 5.25 .25 21 6.19 129.99 21 13.7 1.37 10 400 400 1 8.9 .89 10 26 2.6 10 400 400 1 1300 1300 1 275 275 1 54 .6 90 7.4 .37 20 90.88 45.44 2 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 18.9 .63 30 60.9 2.03 30 192.3 6.41 30 47.4 .79 60 55.2 1.84 30 400 400 1 Total: 6016.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415026 Min 01415026 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 15-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2944 of 6486
Name
JAISHREE AGARWAL Rate Amount Qty 860 860 1 35.2 17.6 2 400 400 1 26.86 13.43 2 3.75 .25 15 9.59 1.37 7 92.85 6.19 15 12.6 .42 30 19.2 .64 30 400 400 1 Total: 1860.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415035 Min 01415035 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 2945 of 6486
Name
RADHAKRISHNA PILLAI Rate Amount Qty 167.4 5.58 30 36 .6 60 21.3 .71 30 13.5 .3 45 26.7 .89 30 400 400 1 Total: 664.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415037 Min 01415037 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 INHALANT,STRIP PACK,CAPSULE 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 2946 of 6486
Name
DHARAM DAS Rate Amount Qty 60.9 2.03 30 33 1.1 30 29.7 .99 30 55.8 .93 60 400 400 1 2.5 .25 10 17 1.7 10 17.8 .89 20 6.99 2.33 3 400 400 1 Total: 1023.69
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415038 Min 01415038 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 16-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 16-FEB-19 X - RAY - SINGLE VIEW 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 2947 of 6486
FULAN BAI Rate Amount Qty 5.4 .18 30 185.7 6.19 30 20.55 1.37 15 15.73 15.73 1 3.7 .37 10 18 .9 20 400 400 1 5.4 .18 30 400 400 1 3.7 .37 10 15.73 15.73 1 550 550 1 400 400 1 10.8 .18 60 10.05 .67 15 400 400 1 Total: 2444.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415039 Min 01415039 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 2948 of 6486
Name
DEWANGAN UC Rate Amount Qty 38.43 12.81 3 7.5 .25 30 7.4 .37 20 31.61 31.61 1 41.06 41.06 1 400 400 1 Total: 526
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415041 Min 01415041 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 12-FEB-19 CREATININE /CRT 3 12-FEB-19 TRIGLYCERIDES (TGL) 4 12-FEB-19 CHOLESTEROL (CHOL) 5 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 2949 of 6486
Name
DEENA NATH SINGH Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 156 1.3 120 400 400 1 192.3 6.41 30 32.4 .36 90 72 .6 120 17.4 1.16 15 60.9 2.03 30 400 400 1 Total: 2706
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415052 Min 01415052 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 15-FEB-19 BLOOD FOR T-3,T-4,TSH 2 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19 CREATININE /CRT 6 19-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 19-FEB-19 UREA (BUN /UR) 8 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 19-FEB-19 MAMOGRAPHY 15 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 18 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 19 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 21 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 2950 of 6486
SHASHI KANTA SHRIVASTAVA Rate Amount Qty 25.07 25.07 1 2400 2400 1 275 275 1 275 275 1 400 400 1 275 275 1 1750 1750 1 275 275 1 275 275 1 275 275 1 400 400 1 .8 .16 5 20.06 20.06 1 8.9 .89 10 2000 2000 1 400 400 1 1750 1750 1 23.7 .79 30 18.9 .63 30 72 .6 120 55.2 .92 60 8.1 .27 30 12 .4 30 400 400 1 Total: 11394.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415056 Min 01415056 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2951 of 6486
Name
RADHA CHOUDHARY Rate Amount Qty 34.8 1.16 30 36 .6 60 6.9 .23 30 55.8 .93 60 400 400 1 Total: 533.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415061 Min 01415061 Slno Description Appmt Dt CARBAMAZEPINE,STRIP PKT,200MG,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 15-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 23-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 2952 of 6486
Name
B L CHANDRAKAR Rate Amount Qty 88.2 1.47 60 400 400 1 26.7 .89 30 21.6 .18 120 12.15 12.15 1 20.1 .67 30 400 400 1 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 Total: 1390.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415062 Min 01415062 Slno Description Appmt Dt ECG 1 16-FEB-19 SYRINGE,DISPOSABLE,2ML 2 16-FEB-19 ONDANSETRON,2MG/ML,INJECTION 3 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 16-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 16-FEB-19 OBSERVATION IN CASUALTY 6 16-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 7 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 17-FEB-19
Page 2953 of 6486
Name
UMA DEVI Rate Amount Qty 450 450 1 3.68 1.84 2 7.52 7.52 1 24.52 24.52 1 9.62 9.62 1 420 420 1 17.42 8.71 2 8.9 .89 10 400 400 1 Total: 1341.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415063 Min 01415063 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 19-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 19-FEB-19 3 IVABRADINE,5MG,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2954 of 6486
Name
SHYAM KISHOR GUPTA Qty Rate Amount 60 1.16 69.6 30 .4 12 60 9.95 597 1 400 400 Total: 1078.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415064 Min 01415064 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 2955 of 6486
Name
SADHNA GUPTA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 33.12 1.84 18 3.84 .64 6 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 2723.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415067 Min 01415067 Slno Description Appmt Dt TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 1 01-FEB-19 BRIMONIDINE TARTRATE,0.15% 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 2956 of 6486
Name
BAIJU SAO Rate Amount Qty 156.51 156.51 1 148.9 74.45 2 23.7 .79 30 40.58 20.29 2 76.5 2.55 30 29.7 .99 30 400 400 1 Total: 875.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415069 Min 01415069 Appmt Dt Slno Description 09-FEB-19 1 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2957 of 6486
Name
ASHA RAM Qty 1 1
Rate Amount 19.77 19.77 400 400 419.77 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415070 Min 01415070 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 2958 of 6486
Name
KUNTI BAI Rate Amount Qty 1.48 .37 4 3.84 .64 6 37.44 2.34 16 13.95 .93 15 400 400 1 1.85 .37 5 3.75 .25 15 400 400 1 Total: 862.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415074 Min 01415074 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 09-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 10 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 23-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 14 23-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 2959 of 6486
Name
ANITA KARDEKAR Rate Amount Qty 21.3 .71 30 72 .6 120 117 1.3 90 21.6 .36 60 1.6 .16 10 13.95 .93 15 167.4 5.58 30 400 400 1 400 400 1 650 650 1 17.8 .89 20 14.6 .73 20 8.2 .41 20 85.8 8.58 10 288 9.6 30 400 400 1 Total: 2679.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415077 Min 01415077 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 2960 of 6486
Name
RAM SWAROOP KHANNA Rate Amount Qty 29.7 .99 30 21.3 .71 30 7.5 .25 30 10.8 .36 30 36 .6 60 167.4 5.58 30 34.8 1.16 30 76.5 2.55 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 847.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415079 Min 01415079 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 2961 of 6486
Name
RANENDRA NARAYAN RAY Rate Amount Qty 2.22 .37 6 23.7 .79 30 400 400 1 Total: 425.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415083 Min 01415083 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 14-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 16 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 19-FEB-19
Page 2962 of 6486
Name
TOP RAM SAHU Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 29.7 .99 30 21.3 .71 30 16.2 .27 60 15.6 .26 60 55.8 .93 60 400 400 1 33.12 1.84 18 3.6 .6 6 5.76 .64 9 400 400 1 33.12 1.84 18 5.76 .64 9 3.6 .6 6 400 400 1 Total: 1489.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415084 Min 01415084 Slno Description Appmt Dt CREATININE /CRT 1 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 14-FEB-19 UREA (BUN /UR) 5 14-FEB-19
Page 2963 of 6486
Name
RAHI BAI Qty 1 1 1 1 1
Rate Amount 275 275 275 275 275 275 400 400 275 275 Total: 1500
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415086 Min 01415086 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 2964 of 6486
Name
P MOHAN RAO Rate Amount Qty 8.1 .27 30 21.6 .36 60 72 .6 120 27.9 .93 30 21.3 .71 30 12 .4 30 400 400 1 Total: 562.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415087 Min 01415087 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 2965 of 6486
Name
JAYALAXMI Rate Amount Qty 167.4 5.58 30 3.75 .25 15 10.8 .36 30 54 .6 90 400 400 1 Total: 635.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415096 Min 01415096 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 2966 of 6486
Name
SHRIVASTAVA AK Rate Amount Qty 6.9 .23 30 47.4 .79 60 69.6 1.16 60 24 .4 60 72.6 1.21 60 26.7 .89 30 36 .6 60 400 400 1 Total: 683.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415097 Min 01415097 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 13-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 2967 of 6486
Name
VIJAYLAXMI SHRIVASTAVA Rate Amount Qty 2.5 .25 10 7.5 .25 30 27.9 .93 30 9.3 .62 15 34.8 1.16 30 32.4 1.08 30 21.3 .71 30 400 400 1 41.1 2.74 15 400 400 1 Total: 976.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415098 Min 01415098 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 2968 of 6486
Name
TAPAN KUMAR CHAKRABORTY Rate Amount Qty 8.1 .27 30 38.25 2.55 15 400 400 1 Total: 446.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415100 Min 01415100 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 3 09-FEB-19 BRIMONIDINE TARTRATE,0.15% 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 26-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 13 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 2969 of 6486
Name
DILIP KUMAR ROY Rate Amount Qty 40.58 20.29 2 21.3 .71 30 156.51 313.02 2 148.9 74.45 2 21.6 .36 60 12 .4 30 36 .6 60 167.4 5.58 30 27.9 .93 30 72.6 1.21 60 400 400 1 148.9 74.45 2 156.51 156.51 1 40.58 20.29 2 400 400 1 Total: 2007.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415101 Min 01415101 Appmt Dt Slno Description 08-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2970 of 6486
Name
FALGUNI ROY Qty Rate Amount 60 .71 42.6 1 400 400 442.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415106 Min 01415106 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 2971 of 6486
Name
AHMAD RAZA KHAN Rate Amount Qty 27.9 .93 30 21.3 .71 30 26.7 .89 30 117 1.3 90 54 .6 90 43.2 .36 120 7.5 .25 30 400 400 1 Total: 697.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415107 Min 01415107 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 2972 of 6486
Name
SHAMA KHANAM Rate Amount Qty 26.7 .89 30 7.5 .25 30 36 .6 60 21.6 .36 60 55.8 .93 60 400 400 1 Total: 547.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415108 Min 01415108 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 19-FEB-19
Page 2973 of 6486
Name
GP HALDKAR Rate Amount Qty 32.4 1.08 30 7.5 .25 30 237 3.95 60 15.6 .26 60 12 .4 30 34.8 1.16 30 60.9 2.03 30 26.7 .89 30 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 3076.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415109 Min 01415109 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 19-FEB-19
Page 2974 of 6486
Name
FAGGI BAI HALDKAR Rate Amount Qty 21.3 .71 30 400 400 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 2671.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415110 Min 01415110 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 2975 of 6486
Name
D C PARSAI Rate Amount Qty 38.25 2.55 15 7.5 .25 30 60.9 2.03 30 8.1 .27 30 400 400 1 Total: 514.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415112 Min 01415112 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 2976 of 6486
Name
RAMKUMAR KESARWANI Rate Amount Qty 55.2 1.84 30 4.62 .77 6 3.84 .64 6 400 400 1 27 .6 45 400 400 1 Total: 890.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415118 Min 01415118 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 06-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 2977 of 6486
Name
RAZAK Rate Amount Qty 275 275 1 275 275 1 6.16 .77 8 3.28 .41 8 211.8 3.53 60 18 .6 30 10.8 .36 30 27.9 .93 30 400 400 1 Total: 1227.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415119 Min 01415119 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 06-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 2978 of 6486
Name
MARIAM Rate Amount Qty 17.4 1.16 15 6.4 .64 10 33 1.1 30 15.3 .51 30 32.4 1.08 30 43.2 1.44 30 12 .4 30 400 400 1 Total: 559.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415130 Min 01415130 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 16-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 16-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 2979 of 6486
Name
NAND KUMAR DEWANGAN Rate Amount Qty 60.9 2.03 30 12 .4 30 12.3 .41 30 39.6 .66 60 17.4 1.16 15 400 400 1 Total: 542.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415136 Min 01415136 Appmt Dt Slno Description 12-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 12-FEB-19 3 DILTIAZEM 90 MG XL/XR,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2980 of 6486
Name
DAMAN SINGH VIDYARTHI Qty Rate Amount 30 .71 21.3 30 .4 12 30 3.95 118.5 1 400 400 Total: 551.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415138 Min 01415138 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 16-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 5 16-FEB-19 CREATININE /CRT 6 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 16-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 8 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 16-FEB-19
Page 2981 of 6486
Name
PRAKASH KUMAR DEWANGAN Rate Amount Qty 14.85 .99 15 55.8 .93 60 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 29.7 .99 30 55.8 .93 60 Total: 3356.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415139 Min 01415139 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 16-FEB-19 CREATININE /CRT 12 16-FEB-19
Page 2982 of 6486
Name
KRISHNA BAI DEWANGAN Rate Amount Qty 36 .6 60 9 .3 30 3.84 .64 6 400 400 1 1300 1300 1 400 400 1 275 275 1 275 275 1 21.3 .71 30 9 .3 30 36 .6 60 275 275 1 Total: 3040.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415142 Min 01415142 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 13 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14 07-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 15 07-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 16 07-FEB-19 URIC ACID (UA /URATES /UR) 17 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 18 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 20 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 22 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 20-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 26 28-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 27 28-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 28 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 28-FEB-19
Page 2983 of 6486
Name
ATIBAL PATEL Rate Amount Qty 1300 1300 1 25.69 25.69 1 275 275 1 1300 1300 1 27.9 .93 30 27.6 .92 30 39 1.3 30 21.3 .71 30 38.25 2.55 15 26.7 .89 30 275 275 1 400 400 1 1500 1500 1 18.62 2.66 7 94.42 94.42 1 156.51 156.51 1 275 275 1 27.6 .92 30 27.9 .93 30 39 1.3 30 21.3 .71 30 76.5 2.55 30 26.7 .89 30 7.5 .25 30 400 400 1 25.69 25.69 1 94.42 188.84 2 156.51 156.51 1 400 400 1 Total: 7198.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415143 Min 01415143 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 07-FEB-19 URIC ACID (UA /URATES /UR) 18 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 26 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 27 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 29 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 20-FEB-19
Page 2984 of 6486
Name
GENDAWATI PATEL Rate Amount Qty 26.7 .89 30 275 275 1 1300 1300 1 1300 1300 1 1500 1500 1 21.3 .71 30 12 .4 30 16.2 .27 60 29.7 .99 30 76.5 2.55 30 55.8 .93 60 167.4 5.58 30 78 1.3 60 400 400 1 275 275 1 21.6 .36 60 54 .6 90 275 275 1 167.4 5.58 30 55.8 .93 60 21.6 .36 60 54 .6 90 78 1.3 60 26.7 .89 30 21.3 .71 30 76.5 2.55 30 29.7 .99 30 16.2 .27 60 12 .4 30 400 400 1 Total: 6843.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415144 Min 01415144 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11-FEB-19 3 GLICLAZIDE MR,30 MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2985 of 6486
Name
DHAL SINGH VERMA Qty Rate Amount 15 .93 13.95 30 .25 7.5 30 .92 27.6 1 400 400 Total: 449.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415145 Min 01415145 Appmt Dt Slno Description 11-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2986 of 6486
Name
MAMTA DEVI VERMA Qty Rate Amount 60 .6 36 1 400 400 436 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415149 Min 01415149 Appmt Dt Slno Description 25-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2987 of 6486
Name
SMT.USHA TALWAR Qty Rate Amount 1 9.86 9.86 1 400 400 409.86 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415152 Min 01415152 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 2988 of 6486
Name
BHAGWAT PRASAD SHARMA Rate Amount Qty 6.9 .23 30 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 688
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415153 Min 01415153 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 2989 of 6486
Name
AHILYA SHARMA Rate Amount Qty 36 .6 60 10.8 .36 30 27.9 .93 30 6.9 .23 30 20.84 5.21 4 12 .4 30 400 400 1 Total: 514.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415154 Min 01415154 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 2990 of 6486
Name
CHANDRA KANT JOSHI Rate Amount Qty 21.3 .71 30 117 1.3 90 72 .6 120 32.4 .36 90 60.9 2.03 30 400 400 1 Total: 703.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415155 Min 01415155 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 2991 of 6486
JAISHRI JOSHI Rate Amount Qty 13.49 13.49 1 25.07 25.07 1 400 400 1 7.5 .25 30 32.4 1.08 30 34.8 1.16 30 27.9 .62 45 33 1.1 30 8.1 .27 30 400 400 1 Total: 982.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415159 Min 01415159 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 2992 of 6486
Name
SHANTI DEVI Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415165 Min 01415165 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 2993 of 6486
Name
DR A R KHAPARDE Rate Amount Qty 66 1.1 60 1.6 .16 10 167.4 5.58 30 39 1.3 30 16.2 .27 60 55.8 .93 60 36 .6 60 400 400 1 Total: 782
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415166 Min 01415166 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 2994 of 6486
Name
SHAKUNTALA KHAPARDE Rate Amount Qty 8.1 .27 30 27.9 .93 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415171 Min 01415171 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 12 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 16 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 19 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21 20-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 22 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 20-FEB-19
Page 2995 of 6486
Name
M K MANDHRE Rate Amount Qty 32.4 1.08 30 60.9 2.03 30 7.4 .37 20 17.4 1.16 15 35.2 17.6 2 12 .4 30 23.1 .77 30 66 1.1 60 27.9 .93 30 29.7 .99 30 400 400 1 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 17.37 17.37 1 7.4 .37 20 400 400 1 11.25 .75 15 7.4 .37 20 5.7 .38 15 35.2 17.6 2 3.75 .25 15 400 400 1 Total: 2021.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415172 Min 01415172 Appmt Dt Slno Description 15-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 15-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 3 TORSEMIDE,STRIP PKT,10MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 2996 of 6486
Name
SHOBHANA Qty Rate Amount 30 .4 12 30 .93 27.9 30 1.04 31.2 1 400 400 Total: 471.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415180 Min 01415180 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 18-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 2997 of 6486
Name
KL VISHWAKARMA Rate Amount Qty 36 .6 60 12 .4 30 18.6 .62 30 17.4 1.16 15 192.3 6.41 30 60.9 2.03 30 38.25 2.55 15 400 400 1 27.9 .93 30 9.6 .64 15 255 12.75 20 400 400 1 Total: 1467.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415181 Min 01415181 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 2998 of 6486
Name
CHHAYA VISHWAKARMA Rate Amount Qty 21.12 3.52 6 33 1.1 30 17.4 1.16 15 8.1 .27 30 10.08 1.12 9 400 400 1 Total: 489.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415190 Min 01415190 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 12-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 2999 of 6486
Name
YATNA HIRADHAR Rate Amount Qty 275 275 1 275 275 1 400 400 1 1300 1300 1 18.9 .63 30 6.82 6.82 1 8.9 .89 10 185.7 6.19 30 21.3 .71 30 7.65 .51 15 55.8 .93 60 21.3 .71 30 400 400 1 Total: 2976.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415191 Min 01415191 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 3000 of 6486
Name
SK HIRADHAR Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 400 400 1 21.6 .36 60 54 .6 90 12 .4 30 33.48 1.08 31 47.4 .79 60 8.9 .89 10 7.5 .25 30 21.3 .71 30 400 400 1 Total: 2856.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415200 Min 01415200 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3001 of 6486
Name
AMBADAS HADOLE Rate Amount Qty 21.6 .36 60 26.7 .89 30 60.9 2.03 30 54 .6 90 400 400 1 Total: 563.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415202 Min 01415202 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 22-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3002 of 6486
Name
SUBHASH CHANDRA BHAWANKAR Rate Amount Qty 82.12 41.06 2 82.76 165.52 2 12 .4 30 66 1.1 60 7.5 .25 30 21.3 .71 30 2.4 .16 15 6.9 .23 30 400 400 1 Total: 763.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415203 Min 01415203 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 04-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3003 of 6486
Name
SINDHU BAWANKAR Rate Amount Qty 12.15 12.15 1 69.05 69.05 1 26.7 .89 30 54 .9 60 104.4 1.74 60 400 400 1 27.9 .93 30 5.21 5.21 1 400 400 1 Total: 1099.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415204 Min 01415204 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 7 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 13 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 17 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 20 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 15-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 22 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 18-FEB-19
Page 3004 of 6486
Name
OM PRAKASH SHUKLA Rate Amount Qty 4.8 .16 30 60.9 2.03 30 7.5 .25 30 18.9 .63 30 12 .4 30 55.8 .93 60 33.3 1.11 30 22.2 .37 60 36 .6 60 9 .3 30 400 400 1 60.9 2.03 30 9.86 9.86 1 10.8 .36 30 4.8 .16 30 36 .6 60 22.2 .37 60 55.8 .93 60 12 .4 30 18.9 .63 30 400 400 1 1750 1750 1 400 400 1 Total: 3441.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415205 Min 01415205 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3005 of 6486
Name
MILURAM SAHU Rate Amount Qty 54 .9 60 12.15 12.15 1 26.7 .89 30 20.1 .67 30 400 400 1 Total: 512.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415206 Min 01415206 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 3006 of 6486
Name
LILA BAI SAHU Rate Amount Qty 20.1 .67 30 54 .9 60 12.15 12.15 1 26.7 .89 30 7.8 .26 30 79.2 .66 120 7.5 .25 30 12.8 .64 20 156.6 1.74 90 400 400 1 Total: 776.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415209 Min 01415209 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 3007 of 6486
Name
AJAY KUMAR BHADRA Rate Amount Qty 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 82.76 165.52 2 400 400 1 Total: 1062.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415210 Min 01415210 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 3008 of 6486
Name
LIPIKA BHADRA Rate Amount Qty 12 .4 30 21.3 .71 30 31.2 1.04 30 66 1.1 60 26.7 .89 30 18.6 .62 30 55.8 .93 60 400 400 1 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415225 Min 01415225 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 3009 of 6486
Name
BHARAT LAL CHANDRAKAR Rate Amount Qty 9.6 .64 15 3.75 .25 15 400 400 1 33.12 1.84 18 3.6 .6 6 5.76 .64 9 400 400 1 Total: 855.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415226 Min 01415226 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3010 of 6486
Name
AMBIKA BAI Rate Amount Qty 8.1 .27 30 55.8 .93 60 7.5 .25 30 95.7 3.19 30 14.85 .99 15 400 400 1 Total: 581.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415227 Min 01415227 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 13-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 13-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3011 of 6486
Name
BHAGWAT DAS KHUTEL Rate Amount Qty 20.06 20.06 1 184.2 6.14 30 123.53 247.06 2 26.7 .89 30 400 400 1 Total: 878.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415229 Min 01415229 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3012 of 6486
Name
JAIN NK Rate Amount Qty 17.4 .58 30 11.1 .37 30 27.9 .93 30 38.25 2.55 15 400 400 1 Total: 494.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415230 Min 01415230 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3013 of 6486
Name
KIRAN JAIN Rate Amount Qty 26.7 .89 30 17.4 .58 30 7.5 .25 30 167.4 5.58 30 36 .6 60 400 400 1 Total: 655
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415233 Min 01415233 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 11-FEB-19 PRAZOSIN,2.5MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 3014 of 6486
Name
RAJ KUMAR SAO Rate Amount Qty 57.84 57.84 1 5.55 .37 15 400 400 1 10.65 .71 15 1.48 .37 4 12 .4 30 72.6 1.21 60 156 1.3 120 55.8 .93 60 157.8 2.63 60 400 400 1 Total: 1329.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415234 Min 01415234 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 09-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 3015 of 6486
Name
SMT.DEVSHREE SAO Rate Amount Qty 7.4 .37 20 19.72 9.86 2 20.22 3.37 6 400 400 1 21.6 .36 60 39 1.3 30 72 .6 120 27.9 .93 30 9.45 .63 15 21.3 .71 30 400 400 1 Total: 1038.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415237 Min 01415237 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 3016 of 6486
Name
RAMESH KUMAR DEWANGAN Rate Amount Qty 7.5 .25 30 21.3 .71 30 36 .6 60 9 .3 30 18.6 .62 30 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1145.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415239 Min 01415239 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 3017 of 6486
Name
RATANLAL TANDEY Rate Amount Qty 72.6 1.21 60 29.7 .99 30 3.75 .25 15 192.3 6.41 30 55.8 .93 60 22.2 .37 60 60.9 2.03 30 34.8 1.16 30 400 400 1 Total: 872.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415240 Min 01415240 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 3018 of 6486
Name
URMILA TANDEY Rate Amount Qty 2.22 .37 6 26.6 2.66 10 400 400 1 Total: 428.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415249 Min 01415249 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 19-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 7 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 8 19-FEB-19 GAMMA BENZENE HEXACHLORIDE,1%,LOTION, 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 3019 of 6486
Name
B.K. SHUKLA Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 36 .6 60 27.9 .93 30 9 .3 30 26.96 3.37 8 19.72 9.86 2 103.68 103.68 1 7.4 .37 20 400 400 1 Total: 1283.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415250 Min 01415250 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 GAMMA BENZENE HEXACHLORIDE,1%,LOTION, 7 19-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 9 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 3020 of 6486
Name
CHANDRAKALA Rate Amount Qty 27.9 .93 30 26.7 .89 30 54 .9 60 12 .4 30 76.5 2.55 30 400 400 1 103.68 103.68 1 26.96 3.37 8 19.72 9.86 2 7.4 .37 20 400 400 1 Total: 1154.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415251 Min 01415251 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 14-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19 URIC ACID (UA /URATES /UR) 16 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 21-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 19 21-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 20 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 22 21-FEB-19
Page 3021 of 6486
Name
KULBIR SINGH Rate Amount Qty 78 1.3 60 72 .6 120 34.8 1.16 30 23.7 .79 30 5.21 5.21 1 7.5 .25 30 400 400 1 78 1.3 60 98.28 2.34 42 7.5 .25 30 5.21 5.21 1 23.7 .79 30 34.8 1.16 30 72 .6 120 400 400 1 275 275 1 275 275 1 275 275 1 1050 1050 1 550 550 1 400 400 1 1300 1300 1 Total: 5465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415252 Min 01415252 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 21-FEB-19 BLOOD FOR T-3,T-4,TSH 15 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 21-FEB-19 COMPLETE HAEMOGRAM 17 21-FEB-19 URIC ACID (UA /URATES /UR) 18 21-FEB-19
Page 3022 of 6486
Name
INDERJEET KAUR Rate Amount Qty 2.22 .37 6 12.15 12.15 1 18.6 .62 30 14.85 .99 15 23.7 .79 30 6.4 .64 10 400 400 1 35.2 3.52 10 6.4 .64 10 1.85 .37 5 400 400 1 1300 1300 1 275 275 1 275 275 1 2400 2400 1 400 400 1 750 750 1 275 275 1 Total: 6596.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415253 Min 01415253 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 6 07-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3023 of 6486
Name
DR(MRS) M SIKRORIA Rate Amount Qty 19.72 9.86 2 55.8 .93 60 12 .4 30 20.84 5.21 4 29.7 .99 30 88 4.4 20 21.8 2.18 10 400 400 1 Total: 647.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415254 Min 01415254 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3024 of 6486
Name
DR S C SIKRORIA Rate Amount Qty 55.8 .93 60 12 .4 30 29.7 .99 30 19.72 9.86 2 34.8 1.16 30 35.2 17.6 2 4.8 .16 30 400 400 1 Total: 592.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415255 Min 01415255 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3025 of 6486
Name
F XESS Rate Amount Qty 42.6 .71 60 37.8 .63 60 9.6 .64 15 15 .25 60 23.1 .77 30 400 400 1 Total: 528.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415256 Min 01415256 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3026 of 6486
Name
SERAPHINUS XESS Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415257 Min 01415257 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 18-FEB-19 UREA (BUN /UR) 9 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19
Page 3027 of 6486
Name
NIRMAL KUMAR SARKAR Rate Amount Qty 10.8 .36 30 72 .6 120 117 1.3 90 27.9 .93 30 12 .4 30 550 550 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 Total: 3314.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415258 Min 01415258 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 04-FEB-19 CREATININE /CRT 8 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 04-FEB-19
Page 3028 of 6486
Name
ANIMA SARKAR Rate Amount Qty 34.8 1.16 30 76.5 2.55 30 12 .4 30 53.4 .89 60 400 400 1 275 275 1 275 275 1 275 275 1 9 .3 30 54 .6 90 55.8 .93 60 8.1 .27 30 15.6 1.04 15 32.4 1.08 30 Total: 1576.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415262 Min 01415262 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 06-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 07-FEB-19 PRAZOSIN,2.5MG,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 10 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 07-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 07-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 14 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19
Page 3029 of 6486
Name
PARBHAWATI Rate Amount Qty 750 750 1 400 400 1 32.1 2.14 15 153 2.55 60 55.8 .93 60 33.3 .37 90 156 1.3 120 21.3 .71 30 32.4 1.08 30 27.9 .93 30 5.21 5.21 1 4.8 .16 30 30.15 .67 45 83.4 2.78 30 21.3 .71 30 400 400 1 Total: 2206.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415265 Min 01415265 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 3030 of 6486
Name
LALIT KUMAR DANIEL Rate Amount Qty 27.9 .93 30 21.3 .71 30 36 .6 60 9 .3 30 400 400 1 Total: 494.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415266 Min 01415266 Appmt Dt Slno Description 04-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 2 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 04-FEB-19 3 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3031 of 6486
Name
SMT. RAJNI DANIEL Qty Rate Amount 30 .25 7.5 90 2.1 189 100 .78 78 1 400 400 Total: 674.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415267 Min 01415267 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 04-FEB-19 3 ABDOMEN/PELVIS COLOUR DOPPLER 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3032 of 6486
Name
DIPTI MITRA Qty Rate Amount 1 400 400 30 .62 18.6 1 2640 2640 1 400 400 Total: 3458.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415270 Min 01415270 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 18-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 8 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 3033 of 6486
Name
KAMAL KUMAR Rate Amount Qty 8.9 .89 10 2.5 .25 10 6.9 .23 30 400 400 1 400 400 1 275 275 1 275 275 1 17.37 17.37 1 7.4 .37 20 400 400 1 Total: 1793.07
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415271 Min 01415271 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 2 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 11 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 3034 of 6486
MANGTIN BAI Rate Amount Qty 34.8 1.16 30 19.77 19.77 1 25.07 25.07 1 30.6 .34 90 32.4 1.08 30 66 1.1 60 400 400 1 33 1.1 30 32.4 1.08 30 11.85 .79 15 22.1 .34 65 8.5 .34 25 24 .4 60 34.8 1.16 30 34.8 1.16 30 400 400 1 Total: 1210.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415276 Min 01415276 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 17-FEB-19 INHALANT,STRIP PACK,CAPSULE 7 17-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 3035 of 6486
Name
PREETI LAKHANPAL Rate Amount Qty 33 1.1 30 1.6 .16 10 13.8 .23 60 400 400 1 3.7 .37 10 8.9 .89 10 8.5 1.7 5 35.2 3.52 10 6.4 .64 10 400 400 1 1.85 .37 5 2.28 .38 6 400 400 1 Total: 1315.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415277 Min 01415277 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3036 of 6486
Name
A.K.LAKHANPAL Rate Amount Qty 4.8 .16 30 78 1.3 60 36 .6 60 21.6 .36 60 12 .4 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 601.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415278 Min 01415278 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 2 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 07-FEB-19 PRAZOSIN,2.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 13 15-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19
Page 3037 of 6486
Name
GAURISHANKAR SINGH Rate Amount Qty 17.4 1.16 15 78.9 15.78 5 15.6 1.04 15 3.9 .26 15 10.95 .73 15 19.5 1.3 15 400 400 1 6.82 6.82 1 400 400 1 16.2 .27 60 211.8 3.53 60 69.6 1.16 60 123.53 123.53 1 6.82 6.82 1 21.3 .71 30 400 400 1 Total: 1802.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415282 Min 01415282 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 3038 of 6486
Name
B.L.CHOUKSE Qty 1 5 1
Rate Amount 26.55 26.55 1.85 .37 400 400 Total: 428.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415289 Min 01415289 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 07-FEB-19
Page 3039 of 6486
GANESH RAM Rate Amount Qty 3.7 .37 10 6.4 .64 10 15.73 15.73 1 27 .6 45 60.9 2.03 30 7.5 .25 30 26.6 2.66 10 400 400 1 46.8 2.34 20 Total: 594.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415290 Min 01415290 Appmt Dt Slno Description 19-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3040 of 6486
Name
ANNAMMA DANIEL Qty Rate Amount 30 .16 4.8 1 400 400 404.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415296 Min 01415296 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 3041 of 6486
Name
KL CHANDRAKAR Rate Amount Qty 7.5 .25 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 486.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415300 Min 01415300 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 3042 of 6486
Name
PRABHAKAR GODBOLE Rate Amount Qty 33 1.1 30 14.85 .99 15 8.1 .27 30 27.9 .93 30 400 400 1 Total: 483.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415301 Min 01415301 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3043 of 6486
Name
VINA GODBOLE Rate Amount Qty 36 .6 60 21.3 .71 30 14.85 .99 15 10.65 .71 15 39 1.3 30 27.9 .93 30 400 400 1 Total: 549.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415303 Min 01415303 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3044 of 6486
Name
MANJULA THAKUR Rate Amount Qty 36 .6 60 27.9 .93 30 18.6 .62 30 21.3 .71 30 167.4 5.58 30 43.2 .36 120 400 400 1 Total: 714.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415305 Min 01415305 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 3045 of 6486
Name
KAWAL PATI DEVI Rate Amount Qty 26.7 .89 30 18.6 .62 30 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415312 Min 01415312 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 25-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3046 of 6486
Name
B.NAGBHUSHAN Rate Amount Qty 153 2.55 60 40.12 20.06 2 15 .25 60 47.4 .79 60 2.4 .16 15 400 400 1 Total: 657.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415313 Min 01415313 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 25-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3047 of 6486
Name
B. PRABHAWATI Rate Amount Qty 153 2.55 60 4.8 .16 30 47.4 .79 60 15 .25 60 7.5 .25 30 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415322 Min 01415322 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 GUM ANALGESIC GEL 5 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 3048 of 6486
Name
SMT. CHANDANA SENGUPTA Rate Amount Qty 26.7 .89 30 371.4 6.19 60 7.5 .25 30 12.8 .64 20 57.38 28.69 2 40.12 20.06 2 27.9 .93 30 29.7 .99 30 33 1.1 30 400 400 1 Total: 1006.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415325 Min 01415325 Appmt Dt Slno Description 28-FEB-19 1 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3049 of 6486
Name
LOKESHWARI CHANDRAKAR Qty Rate Amount 1 6.82 6.82 1 400 400 406.82 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415326 Min 01415326 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3050 of 6486
Name
J P AGRAWAL Rate Amount Qty 7.5 .25 30 23.7 .79 30 17.4 1.16 15 12 .4 30 21.6 .36 60 72 .6 120 400 400 1 Total: 554.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415327 Min 01415327 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3051 of 6486
Name
GITARANI Rate Amount Qty 21.3 .71 30 13.95 .93 15 78 1.3 60 167.4 5.58 30 54 .6 90 32.4 .36 90 400 400 1 Total: 767.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415330 Min 01415330 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3052 of 6486
Name
DHRUW SL Rate Amount Qty 72 .6 120 7.5 .25 30 21.6 .36 60 13.95 .93 15 400 400 1 Total: 515.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415331 Min 01415331 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3053 of 6486
Name
USHA KIRAN DHRUW Rate Amount Qty 9 .3 30 54 .6 90 10.8 .36 30 21.3 .71 30 23.1 .77 30 12 .4 30 55.8 .93 60 400 400 1 Total: 586
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415340 Min 01415340 Appmt Dt Slno Description 12-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3054 of 6486
Name
B K BHOI Qty Rate Amount 60 .27 16.2 1 400 400 416.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415342 Min 01415342 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3055 of 6486
Name
QURESHA BANO Rate Amount Qty 7.5 .25 30 54 .6 90 7.5 .25 30 10.8 .36 30 13.95 .93 15 167.4 5.58 30 400 400 1 Total: 661.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415344 Min 01415344 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 3056 of 6486
Name
SUNITA JHARIYA Rate Amount Qty 0 .27 0 55.8 .93 60 72.6 1.21 60 31.2 1.04 30 21.3 .71 30 20.06 20.06 1 7.5 .25 30 400 400 1 Total: 608.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415345 Min 01415345 Appmt Dt Slno Description 08-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 08-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 08-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3057 of 6486
Name
SENGUPTA D Qty Rate Amount 15 .27 4.05 15 1.1 16.5 30 .93 27.9 1 400 400 Total: 448.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415347 Min 01415347 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3058 of 6486
Name
RN CHAKRABARTY Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 86.4 1.44 60 7.65 .51 15 34.8 1.16 30 12 .4 30 23.7 .79 30 400 400 1 Total: 817.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415348 Min 01415348 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 3059 of 6486
Name
USHA CHAKRABARTY Rate Amount Qty 16.8 1.12 15 35.2 3.52 10 18.6 .93 20 8.9 .89 10 2.4 .16 15 26.86 13.43 2 10.95 .73 15 21.3 .71 30 400 400 1 Total: 541.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415349 Min 01415349 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 13 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 3060 of 6486
Name
PREMLAL KHOBRAGADE Rate Amount Qty 1.6 .16 10 14.8 .37 40 37.2 .93 40 44 1.1 40 3.78 .42 9 23.2 1.16 20 9.9 .99 10 8 .4 20 400 400 1 22.2 .37 60 27.9 .93 30 66 1.1 60 12.6 .42 30 12 .4 30 14.85 .99 15 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 1135.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415359 Min 01415359 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3061 of 6486
Name
LALITA PEETHAMBARAN Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 167.4 5.58 30 36 .6 60 55.8 .93 60 66 1.1 60 29.7 .99 30 400 400 1 Total: 822.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415366 Min 01415366 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 3062 of 6486
MOHD HAMIDULLAH Rate Amount Qty 15.73 15.73 1 39.6 .66 60 156.6 1.74 90 12.15 12.15 1 400 400 1 60.9 2.03 30 21.3 .71 30 26.7 .89 30 192.3 6.41 30 400 400 1 Total: 1325.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415367 Min 01415367 Slno Description Appmt Dt LEVETIRACETAM,500MG STRIP PACK,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 19-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 19-FEB-19 BLOOD FOR TSH 11 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 19-FEB-19
Page 3063 of 6486
Name
RUKHSAR FATIMA SIDDIQUI Rate Amount Qty 311.4 5.19 60 13.95 .93 15 27.9 .62 45 21.3 .71 30 12 .4 30 26.7 .89 30 400 400 1 3.7 .37 10 400 400 1 90.88 45.44 2 800 800 1 11.4 .38 30 Total: 2119.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415368 Min 01415368 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 3064 of 6486
Name
SHAMSHER MOHD. Rate Amount Qty 6.9 .23 30 27.9 .93 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415369 Min 01415369 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 02-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 3065 of 6486
Name
SHAFIYA BANO Rate Amount Qty 8.1 .27 30 36 .6 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415372 Min 01415372 Appmt Dt Slno Description 19-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 19-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 19-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3066 of 6486
Name
KISHOR CHAND CHAWADA Qty Rate Amount 30 .4 12 60 .79 47.4 30 .71 21.3 1 400 400 Total: 480.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415382 Min 01415382 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 3067 of 6486
Name
KAMAL NARAYAN KANOJE Rate Amount Qty 55.8 .93 60 21.3 .71 30 32.4 1.08 30 29.7 .99 30 189 2.1 90 26.7 .89 30 11.4 .38 30 400 400 1 Total: 766.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415383 Min 01415383 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 15-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 15-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3068 of 6486
Name
REKHA KANOJE Rate Amount Qty 55.2 1.84 30 11.2 1.12 10 9.6 .64 15 7.3 .73 10 6 .6 10 400 400 1 Total: 489.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415386 Min 01415386 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 ECG 2 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 PRAZOSIN,2.5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3069 of 6486
Name
RM DESHPANDE Rate Amount Qty 400 400 1 450 450 1 6.4 .64 10 31.2 1.04 30 211.8 3.53 60 55.8 .93 60 117 1.3 90 400 400 1 Total: 1672.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415387 Min 01415387 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 ECG 2 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3070 of 6486
Name
RASHMI RAMESH DESHPANDE Rate Amount Qty 400 400 1 450 450 1 18.9 .63 30 21.3 .71 30 32.4 1.08 30 33 1.1 30 400 400 1 Total: 1355.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415391 Min 01415391 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 3071 of 6486
Name
DINESH PANDEY Rate Amount Qty 47.4 .79 60 34.8 1.16 30 72 .6 120 4.08 .51 8 26.7 .89 30 21.6 .36 60 12 .4 30 9 .3 30 400 400 1 Total: 627.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415392 Min 01415392 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 14-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 4 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 20-FEB-19 PRAZOSIN,2.5MG,TABLET 10 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 3072 of 6486
Name
RAMAWATI DEVI Rate Amount Qty 11.1 .37 30 247.6 6.19 40 25.62 12.81 2 90.88 45.44 2 27.4 1.37 20 17.8 .89 20 400 400 1 7.5 .25 30 7.65 .51 15 117 1.3 90 23.7 .79 30 16.2 .27 60 400 400 1 Total: 1392.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415393 Min 01415393 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19
Page 3073 of 6486
Name
MADHU SUDHAN SEN Rate Amount Qty 400 400 1 15 .25 60 21.6 .36 60 72 .6 120 13.8 .23 60 94.8 .79 120 34.8 1.16 30 Total: 652
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415395 Min 01415395 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 19-FEB-19 PRAZOSIN,2.5MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 3074 of 6486
Name
KR SAHU Rate Amount Qty 60.9 2.03 30 7.5 .25 30 167.4 5.58 30 32.4 .36 90 21.3 .71 30 27.9 .93 30 31.2 1.04 30 355.5 3.95 90 78 1.3 60 400 400 1 Total: 1182.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415399 Min 01415399 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3075 of 6486
Name
LALU RAM Rate Amount Qty 167.4 5.58 30 21.3 .71 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 649.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415400 Min 01415400 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 3076 of 6486
Name
AHILYA BAI Rate Amount Qty 21.6 .36 60 8.1 .27 30 66 1.1 60 39 1.3 30 21.3 .71 30 13.35 .89 15 72 .6 120 55.8 .93 60 400 400 1 Total: 697.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415402 Min 01415402 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 3077 of 6486
Name
ANIL KUMAR PANDE Rate Amount Qty 34.8 1.16 30 8.1 .27 30 12 .4 30 33 1.1 30 400 400 1 Total: 487.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415403 Min 01415403 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 U S ABDOMEN + THORAX 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 13 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 14 19-FEB-19 ABC TEST HIV 15 27-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 16 27-FEB-19 X - RAY - SINGLE VIEW 17 27-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 18 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 19 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 20 27-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 21 27-FEB-19 PROCESSING CHARGE 22 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 27-FEB-19 COMPLETE HAEMOGRAM 24 27-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 25 27-FEB-19 PROTHROMBIN TIME (PT) 26 27-FEB-19
Page 3078 of 6486
Name
ALKA PANDE Rate Amount Qty 27.9 .62 45 7.5 .25 30 34.8 1.16 30 36 .6 60 9 .3 30 400 400 1 21.3 .71 30 18.6 .62 30 9 .3 30 36 .6 60 1750 1750 1 400 400 1 368.4 6.14 60 123.53 123.53 1 1250 1250 1 275 275 1 550 550 1 1000 1000 1 1300 1300 1 550 550 1 275 275 1 280 280 1 400 400 1 750 750 1 330 330 1 330 330 1 Total: 10532.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415406 Min 01415406 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3079 of 6486
Name
NAGENDRA SINGH Rate Amount Qty 72 .6 120 32.4 .36 90 21.3 .71 30 27.9 .93 30 3.75 .25 15 400 400 1 Total: 557.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415408 Min 01415408 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 IVABRADINE,5MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 3080 of 6486
Name
BALARAM SAHA Rate Amount Qty 21.3 .71 30 14.85 .99 15 55.8 .93 60 8.1 .27 30 597 9.95 60 400 400 1 Total: 1097.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415409 Min 01415409 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 02-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 9 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19
Page 3081 of 6486
Name
AJANTA SAHA Rate Amount Qty 14.85 .99 15 27.9 .93 30 66.2 6.62 10 17.4 .58 30 10.05 .67 15 400 400 1 10.05 .67 15 14.85 .99 15 83.4 2.78 30 27.9 .93 30 400 400 1 Total: 1072.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415411 Min 01415411 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3082 of 6486
Name
A.K.JANARDHANAN ACHARY Rate Amount Qty 8.1 .27 30 12 .4 30 21.3 .71 30 27.9 .93 30 400 400 1 Total: 469.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415414 Min 01415414 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 13-FEB-19 CREATININE /CRT 10 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 13-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 14 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 18-FEB-19 ECG 16 18-FEB-19
Page 3083 of 6486
Name
SG PATTALWAR Rate Amount Qty 118.5 3.95 30 10.8 .36 30 18 .6 30 117 1.3 90 32.4 1.08 30 21.3 .71 30 12 .4 30 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 1610 1610 1 400 400 1 450 450 1 Total: 5715
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415415 Min 01415415 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 UREA (BUN /UR) 8 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 13-FEB-19 CREATININE /CRT 12 13-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 13 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 18-FEB-19 COST OF CONTRAST FOR MRI PER VIAL 15 23-FEB-19
Page 3084 of 6486
Name
NILIMA PATTALWAR Rate Amount Qty 105.9 3.53 30 78 1.3 60 21.3 .71 30 18 .6 30 27.6 .92 30 55.8 .93 60 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 9000 9000 1 400 400 1 2640 2640 1 Total: 14246.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415420 Min 01415420 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 3085 of 6486
Name
JAYA CHAKRAVORTY Rate Amount Qty 33 1.1 30 17.4 1.16 15 36 .6 60 10.8 .36 30 27.9 .93 30 167.4 5.58 30 400 400 1 Total: 692.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415421 Min 01415421 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 6 01-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 7 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 3086 of 6486
Name
Dr G N CHANDWANI Rate Amount Qty 4.8 .16 30 21.6 .36 60 36 .6 60 55.8 .93 60 16.2 .27 60 82.2 1.37 60 23.7 .79 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 893.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415423 Min 01415423 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 3087 of 6486
Name
KUNWAR SINGH Rate Amount Qty 55.8 .93 60 10.65 .71 15 7.5 .25 30 30.6 .34 90 21.3 .71 30 12 .4 30 32.4 1.08 30 66 1.1 60 400 400 1 Total: 636.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415424 Min 01415424 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 20-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 3 21-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 8 21-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 11 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 3088 of 6486
KEJA BAI Rate Amount Qty 50.14 25.07 2 400 400 1 85.52 85.52 1 17.6 17.6 1 11.1 .37 30 7.5 .25 30 21.3 .71 30 22.05 1.47 15 26 2.6 10 26.7 .89 30 17.37 17.37 1 33 1.1 30 54 .6 90 185.7 6.19 30 400 400 1 Total: 1357.98
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415425 Min 01415425 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3089 of 6486
S R DUBE Rate Amount Qty 100.71 100.71 1 11.1 .37 30 156.6 1.74 90 400 400 1 50.14 25.07 2 400 400 1 Total: 1118.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415427 Min 01415427 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 04-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 PRAZOSIN,2.5MG,TABLET 17 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 22 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 24 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 28-FEB-19
Page 3090 of 6486
Name
UDAIVIR SINGH Rate Amount Qty 21.12 3.52 6 3.84 .64 6 6.72 1.12 6 4.62 .77 6 400 400 1 12.15 12.15 1 11.1 .37 30 7.5 .25 30 104.4 1.74 60 59.4 .66 90 400 400 1 9.9 .66 15 15 .25 60 21.3 .71 30 191.4 3.19 60 400 400 1 78 1.3 60 4.1 .41 10 26.7 .89 30 7.5 .25 30 400 400 1 247.6 6.19 40 17.8 .89 20 27.4 1.37 20 400 400 1 Total: 2877.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415428 Min 01415428 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 5 05-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 07-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 14 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 3091 of 6486
Name
PARVATI DEVI Rate Amount Qty 11.1 .37 30 24.3 12.15 2 7.5 .25 30 400 400 1 46.8 .78 60 47.4 .79 60 400 400 1 10.08 1.12 9 5.7 .38 15 21.12 3.52 6 400 400 1 17.8 .89 20 247.6 6.19 40 14.6 .73 20 12.8 .64 20 400 400 1 Total: 2066.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415430 Min 01415430 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 3092 of 6486
KHOMIN BAI Rate Amount Qty 50.14 25.07 2 400 400 1 6.9 .23 30 7.5 .25 30 9 .3 30 18.6 .62 30 12 .4 30 42.6 .71 60 36 .6 60 400 400 1 Total: 982.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415431 Min 01415431 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 3093 of 6486
Name
SHANKAR R Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 27.9 .93 30 400 400 1 Total: 1081.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415433 Min 01415433 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 3094 of 6486
Name
UDAI RAM Rate Amount Qty 39 1.3 30 21.3 .71 30 55.8 .93 60 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 556
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415434 Min 01415434 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3095 of 6486
Name
SMT.PADMA BAI SAHU Rate Amount Qty 66 1.1 60 30.6 .34 90 12 .4 30 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 36 .6 60 400 400 1 Total: 639.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415439 Min 01415439 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3096 of 6486
Name
CHATURVEDI GYAN Rate Amount Qty 24 .4 60 34.8 1.16 30 42.6 .71 60 9 .3 30 18 .6 30 400 400 1 Total: 528.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415440 Min 01415440 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 16-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 10 18-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 15 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 18-FEB-19
Page 3097 of 6486
MADHUBALA CHATURVEDI Rate Amount Qty 10.8 .36 30 21.3 .71 30 27.9 .93 30 12 .4 30 50.14 25.07 2 40.58 20.29 2 54 .6 90 94.42 188.84 2 400 400 1 18.21 18.21 1 40.58 20.29 2 12 .4 30 36 .6 60 5.4 .36 15 27.9 .93 30 50.14 25.07 2 400 400 1 Total: 1395.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415443 Min 01415443 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3098 of 6486
Name
RAMCHARAN RAJAK Rate Amount Qty 8.9 .89 10 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 1.48 .37 4 400 400 1 Total: 505.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415449 Min 01415449 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3099 of 6486
Name
TIWARI HK Rate Amount Qty 16.2 .27 60 36.3 1.21 30 400 400 1 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415457 Min 01415457 Appmt Dt Slno Description 04-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3100 of 6486
Name
BISHESAR RAM SINHA Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415458 Min 01415458 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3101 of 6486
KIRTI BAI Rate Amount Qty 27.9 .93 30 22.2 .37 60 1.85 .37 5 211.8 3.53 60 14.85 .99 15 1.6 .16 10 15.73 15.73 1 400 400 1 Total: 695.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415459 Min 01415459 Slno Description Appmt Dt CREATININE /CRT 1 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 3102 of 6486
Name
ROOPCHAND Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 21.3 .71 30 400 400 1 Total: 2946.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415460 Min 01415460 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 09-FEB-19 CREATININE /CRT 8 09-FEB-19 UREA (BUN /UR) 9 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 09-FEB-19
Page 3103 of 6486
Name
ASHA DEVI Rate Amount Qty 1.48 .37 4 3.84 .64 6 39.72 6.62 6 31.2 1.04 30 55.8 .93 60 400 400 1 8.1 .27 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 34.8 1.16 30 33 1.1 30 8.1 .27 30 34.8 1.16 30 33 1.1 30 1300 1300 1 8.1 .27 30 Total: 3491.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415463 Min 01415463 Appmt Dt Slno Description 26-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3104 of 6486
Name
MAHALAXMI Qty Rate Amount 60 .6 36 1 400 400 436 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415465 Min 01415465 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 7 14-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 3105 of 6486
Name
SHIV PRASAD Rate Amount Qty 7.5 .25 30 53.4 .89 60 191.4 3.19 60 42.6 .71 60 19.8 .66 30 400 400 1 16.81 16.81 1 33.58 33.58 1 400 400 1 Total: 1165.09
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415467 Min 01415467 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 16-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 3106 of 6486
RADHIKA PRASAD YADAV Rate Amount Qty 26.6 2.66 10 33 1.1 30 12 .4 30 32.4 1.08 30 21.3 .71 30 15.73 15.73 1 6.4 .64 10 1.85 .37 5 400 400 1 9 .9 10 3.2 .64 5 1.85 .37 5 400 400 1 Total: 963.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415468 Min 01415468 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 22-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 22-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 3107 of 6486
Name
SHANTI YADAV Rate Amount Qty 36.8 1.84 20 6.23 .89 7 400 400 1 9 .9 10 7.7 .77 10 1.85 .37 5 26.6 2.66 10 400 400 1 Total: 888.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415471 Min 01415471 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3108 of 6486
Name
ASHA DIXIT Rate Amount Qty 185.7 6.19 30 18.9 .63 30 7.5 .25 30 27.9 .93 30 54 .6 90 13.35 .89 15 167.4 5.58 30 400 400 1 Total: 874.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415478 Min 01415478 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 06-FEB-19 UREA (BUN /UR) 7 06-FEB-19 CREATININE /CRT 8 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 06-FEB-19
Page 3109 of 6486
Name
G RAJADHAS Rate Amount Qty 650 650 1 400 400 1 8.9 .89 10 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3858.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415482 Min 01415482 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3110 of 6486
Name
PANDEY VK Rate Amount Qty 7.5 .25 30 42.6 .71 60 55.8 .93 60 14.16 1.18 12 29.7 .99 30 10.65 .71 15 32.4 1.08 30 400 400 1 Total: 592.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415485 Min 01415485 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3111 of 6486
Name
ARUN KUMAR GAWARE Rate Amount Qty 18.9 .63 30 27.9 .93 30 15.3 .51 30 15.6 .26 60 12 .4 30 60.9 2.03 30 400 400 1 Total: 550.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415488 Min 01415488 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 3112 of 6486
Name
MATHUR PRADEEP Rate Amount Qty 117 1.3 90 55.8 .93 60 72 .6 120 60.9 2.03 30 7.8 .26 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 775
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415489 Min 01415489 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 3113 of 6486
Name
VIBHA MATHUR Rate Amount Qty 21.3 .71 30 27.9 .93 30 117 1.3 90 72 .6 120 167.4 5.58 30 26.7 .89 30 400 400 1 334.8 5.58 60 26.7 .89 30 21.3 .71 30 27.9 .93 30 117 1.3 90 108 .6 180 400 400 1 Total: 1868
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415490 Min 01415490 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19
Page 3114 of 6486
Name
RONIAL LAL Rate Amount Qty 94.8 .79 120 21.3 .71 30 44.4 .37 120 400 400 1 132 1.1 120 Total: 692.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415492 Min 01415492 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 3115 of 6486
Name
RAMJI RAI SHARMA Rate Amount Qty 1.6 .16 10 41.06 41.06 1 26.7 .89 30 5.7 .38 15 17.4 1.16 15 21.6 .36 60 7.5 .25 30 36 .6 60 36.3 1.21 30 8.1 .27 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 687.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415493 Min 01415493 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 3116 of 6486
Name
SAVITRI DEVI Rate Amount Qty 32.4 .36 90 78 1.3 60 72 .6 120 167.4 5.58 30 400 400 1 Total: 749.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415498 Min 01415498 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 3117 of 6486
Name
BALARAM SAHU Rate Amount Qty 7.5 .25 30 72 .6 120 10.8 .36 30 5.21 5.21 1 400 400 1 Total: 495.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415499 Min 01415499 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 3118 of 6486
Name
URMILA BAI Rate Amount Qty 5.21 5.21 1 34.8 1.16 30 22.05 1.47 15 156 1.3 120 54 .6 90 10.8 .36 30 7.5 .25 30 400 400 1 Total: 690.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415504 Min 01415504 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3119 of 6486
Name
ASHA ARORA Rate Amount Qty 30.6 .34 90 108.9 1.21 90 26.7 .89 30 12 .4 30 32.4 1.08 30 7.5 .25 30 3.7 .37 10 400 400 1 Total: 621.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415505 Min 01415505 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 28-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 8 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3120 of 6486
Name
RITA GIRDHAR Rate Amount Qty 21.6 .36 60 12 .4 30 54 .6 90 185.7 6.19 30 13.95 .93 15 400 400 1 26.6 2.66 10 31.14 5.19 6 6.4 .64 10 400 400 1 Total: 1151.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415506 Min 01415506 Appmt Dt Slno Description 18-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 18-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3121 of 6486
Name
V.K.GIRDHAR Qty Rate Amount 60 .37 22.2 30 .4 12 45 .93 41.85 1 400 400 Total: 476.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415507 Min 01415507 Appmt Dt Slno Description 25-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 25-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3122 of 6486
Name
KUNJ BIHARI SAHU Qty Rate Amount 10 1.37 13.7 21 .38 7.98 21 6.19 129.99 1 400 400 Total: 551.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415508 Min 01415508 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3123 of 6486
Name
JAMUNA DEVI SAHU Rate Amount Qty 8.1 .27 30 21.3 .71 30 55.8 .93 60 12 .4 30 36 .6 60 9 .3 30 10.8 .36 30 400 400 1 Total: 553
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415509 Min 01415509 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 3124 of 6486
Name
PARAS RAM Rate Amount Qty 21.06 2.34 9 1.11 .37 3 400 400 1 14.04 2.34 6 1.11 .37 3 400 400 1 15.6 .26 60 12 .4 30 21.3 .71 30 8.9 .89 10 2.4 .16 15 36 .6 60 33 1.1 30 400 400 1 Total: 1366.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415510 Min 01415510 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 3125 of 6486
Name
KAMLA SINHA Rate Amount Qty 18 .6 30 32.4 1.08 30 12 .4 30 76.5 2.55 30 26.7 .89 30 40.12 20.06 2 400 400 1 Total: 605.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415518 Min 01415518 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 05-FEB-19 GUM ASTRINGENT PAINT 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3126 of 6486
Name
RENUKA RAJIV VAIDYA Rate Amount Qty 6.4 .64 10 8.1 .27 30 29.7 .99 30 26.7 .89 30 185.7 6.19 30 13.48 3.37 4 31.54 31.54 1 400 400 1 Total: 701.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415520 Min 01415520 Appmt Dt Slno Description 05-FEB-19 1 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3127 of 6486
Name
SHANTILATA MOHANTY Qty Rate Amount 1 100.71 100.71 1 400 400 500.71 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415527 Min 01415527 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 25-FEB-19 HB,TLC,DLC 10 25-FEB-19 PLATELET COUNT 11 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 25-FEB-19 UREA (BUN /UR) 16 25-FEB-19 CREATININE /CRT 17 25-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 18 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 3128 of 6486
Name
ALOK KUMAR MOJUMDAR Rate Amount Qty 40.58 20.29 2 400 400 1 60.9 2.03 30 400 400 1 2.59 .37 7 5.32 .38 14 400 400 1 1300 1300 1 550 550 1 300 300 1 330 330 1 2.4 .16 15 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 60.9 2.03 30 400 400 1 Total: 7052.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415528 Min 01415528 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 3129 of 6486
Name
NANDITA MOJUMDAR Rate Amount Qty 27.9 .93 30 21.3 .71 30 78 1.3 60 36 .6 60 9 .3 30 400 400 1 Total: 572.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415533 Min 01415533 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 SOLIFENACIN,5MG,,TABLET 6 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3130 of 6486
Name
RAMMURTI Rate Amount Qty 3.84 .64 6 23.7 .79 30 6.9 .23 30 60.9 2.03 30 15.96 2.66 6 403.2 13.44 30 1.48 .37 4 400 400 1 Total: 915.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415534 Min 01415534 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 3131 of 6486
Name
PRABHAWATI DEVI Rate Amount Qty 12 .4 30 21.6 .36 60 39 1.3 30 36 .6 60 55.8 .93 60 14.85 .99 15 33 1.1 30 21.3 .71 30 400 400 1 Total: 633.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415540 Min 01415540 Appmt Dt Slno Description 20-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3132 of 6486
Name
LAKHAN LAL Qty Rate Amount 30 .99 29.7 30 .79 23.7 60 .93 55.8 1 400 400 Total: 509.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415548 Min 01415548 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 28-FEB-19 DRESSING SIMPLE 9 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 28-FEB-19
Page 3133 of 6486
Name
MANIK DAS Rate Amount Qty 32.4 1.08 30 12 .4 30 8.1 .27 30 27.9 .93 30 4.8 .16 30 21.3 .71 30 400 400 1 400 400 1 900 300 3 39.72 6.62 6 5.76 .64 9 Total: 1851.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415556 Min 01415556 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3134 of 6486
Name
RAMESH CHAND DEKATE Rate Amount Qty 78 1.3 60 21.6 .36 60 18 .6 30 3.75 .25 15 12 .4 30 18.9 .63 30 400 400 1 Total: 552.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415560 Min 01415560 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 18-FEB-19 URIC ACID (UA /URATES /UR) 3 18-FEB-19 UREA (BUN /UR) 4 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 18-FEB-19
Page 3135 of 6486
Name
LAKSHMAN SINGH Qty 1 1 1 1 1 1
Rate Amount 400 400 1300 1300 275 275 275 275 275 275 275 275 Total: 2800
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415561 Min 01415561 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 19-FEB-19 CREATININE /CRT 4 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 3136 of 6486
Name
UMARAWATI SINGH Rate Amount Qty 55.8 .93 60 7.5 .25 30 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 17.8 .89 20 8.4 .42 20 21.3 .71 30 400 400 1 Total: 3035.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415569 Min 01415569 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 3137 of 6486
Name
SUBERNA MANJORI NANDA Rate Amount Qty 6.4 .64 10 371.4 6.19 60 400 400 1 Total: 777.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415570 Min 01415570 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 UREA (BUN /UR) 4 19-FEB-19 CREATININE /CRT 5 19-FEB-19 URIC ACID (UA /URATES /UR) 6 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 19-FEB-19 CALCIUM (CA) 8 19-FEB-19
Page 3138 of 6486
Name
ANIL SHANTIAL ISAAC Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415576 Min 01415576 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 3139 of 6486
Name
SUNILA MAYA PRADEEP SINGH Rate Amount Qty 27.9 .93 30 6.4 .64 10 20.06 20.06 1 26.7 .89 30 191.4 3.19 60 33 1.1 30 400 400 1 Total: 705.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415577 Min 01415577 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 3140 of 6486
Name
PRADEEP KUMAR SINGH Rate Amount Qty 33 1.1 30 55.8 .93 60 7.5 .25 30 20.06 20.06 1 400 400 1 Total: 516.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415580 Min 01415580 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 3141 of 6486
Name
S SILARE Rate Amount Qty 3.84 .64 6 1.85 .37 5 27.9 .93 30 36.3 1.21 30 13.35 .89 15 400 400 1 Total: 483.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415581 Min 01415581 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 UREA (BUN /UR) 8 05-FEB-19 CREATININE /CRT 9 05-FEB-19 URIC ACID (UA /URATES /UR) 10 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19
Page 3142 of 6486
Name
S R SILARE Rate Amount Qty 5.4 .18 30 3.7 .37 10 8.9 .89 10 12.15 12.15 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 26.6 2.66 10 72 .6 120 117 1.3 90 10.8 .36 30 27.9 .93 30 12 .4 30 21.3 .71 30 400 400 1 Total: 2492.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415582 Min 01415582 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 3143 of 6486
Name
DEEPA TIWARI Rate Amount Qty 10.8 .36 30 18 .6 30 5.8 1.16 5 9.3 .93 10 2.7 .27 10 4 .4 10 2.5 .25 10 8.9 .89 10 400 400 1 Total: 462
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415583 Min 01415583 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3144 of 6486
Name
ANIL KUMAR TIWARI Rate Amount Qty 18 .6 30 12 .4 30 17.4 1.16 15 8.1 .27 30 72.6 1.21 60 400 400 1 Total: 528.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415585 Min 01415585 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 PRAZOSIN,2.5MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3145 of 6486
Name
RAJKUMARI Rate Amount Qty 21.3 .71 30 36 .6 60 21.6 .36 60 72.6 1.21 60 55.8 .93 60 78 1.3 60 400 400 1 Total: 685.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415586 Min 01415586 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 23-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 3146 of 6486
Name
GITA GOKHALE Rate Amount Qty 13.35 .89 15 55.8 .93 60 400 400 1 104.4 1.74 60 54 .9 60 39.6 .66 60 400 400 1 Total: 1067.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415593 Min 01415593 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 11-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 15-FEB-19 PRAZOSIN,2.5MG,TABLET 13 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 3147 of 6486
Name
BH V RAMA MURTHY Rate Amount Qty 11.4 .38 30 17.4 .58 30 78 .78 100 47.4 .79 60 54 .6 90 400 400 1 54 .6 90 4.8 .16 30 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 39 1.3 30 156 1.3 120 29.7 .99 30 55.8 .93 60 7.5 .25 30 400 400 1 Total: 1450.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415594 Min 01415594 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3148 of 6486
Name
BH V RAMANA MURTHY Rate Amount Qty 27.9 .93 30 8.1 .27 30 76.5 2.55 30 7.5 .25 30 400 400 1 Total: 520
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415597 Min 01415597 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 3149 of 6486
Name
NEETA NAGESH Rate Amount Qty 66 1.1 60 12.6 .42 30 55.8 .93 60 3.84 .64 6 400 400 1 12.6 .42 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 1072.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415600 Min 01415600 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 22-FEB-19 X - RAY - TWO VIEWS 11 22-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 22-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 14 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 16 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 3150 of 6486
NAMDEO MASKI Rate Amount Qty 1.85 .37 5 6.4 .64 10 26.6 2.66 10 400 400 1 55.8 .93 60 60.9 2.03 30 192.3 6.41 30 7.7 .77 10 400 400 1 400 400 1 860 860 1 44.66 3.19 14 18.2 2.6 7 58.77 19.59 3 75.21 25.07 3 20.84 5.21 4 9.9 .66 15 400 400 1 Total: 3039.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415601 Min 01415601 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 26-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 8 26-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 9 26-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 26-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 11 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 3151 of 6486
Name
VENU TAI ALIAS AINU MASKI Rate Amount Qty 54 .9 60 16.2 .18 90 6.4 .64 10 1.85 .37 5 26.6 2.66 10 400 400 1 54 .9 60 69.05 69.05 1 22 4.4 5 156.6 1.74 90 39.6 .66 60 92.68 6.62 14 400 400 1 Total: 1338.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415603 Min 01415603 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 01-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 3 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3152 of 6486
Name
SMT.SHOBHA BAJPAI Rate Amount Qty 420 420 1 600 600 1 8.64 8.64 1 4.1 .41 10 8.9 .89 10 400 400 1 Total: 1441.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415610 Min 01415610 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3153 of 6486
Name
Dr SURESH V KULKARNI Rate Amount Qty 34.8 1.16 30 12 .4 30 96.75 2.15 45 27.9 .93 30 400 400 1 Total: 571.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415612 Min 01415612 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 27-FEB-19 URIC ACID (UA /URATES /UR) 3 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 27-FEB-19
Page 3154 of 6486
Name
DIGENDRA KUMAR Rate Amount Qty 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 2.4 .16 15 34.8 1.16 30 12 .4 30 13.8 .23 60 14.85 .99 15 55.8 .93 60 117 1.3 90 36 .6 60 Total: 2811.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415613 Min 01415613 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 28-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 7 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3155 of 6486
Name
LAXMI DEVI Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 2.4 .16 15 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 12 .4 30 157.8 2.63 60 400 400 1 Total: 720.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415619 Min 01415619 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 3156 of 6486
Name
ALAKH RAM THAKUR Rate Amount Qty 100.71 100.71 1 54 .9 60 12.15 12.15 1 400 400 1 18.9 .63 30 7.5 .25 30 14.85 .99 15 55.8 .93 60 9 .6 15 12 .4 30 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 1169.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415620 Min 01415620 Appmt Dt Slno Description 27-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3157 of 6486
Name
JOHATRI BAI Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415621 Min 01415621 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3158 of 6486
Name
AK MULCHANDANI Rate Amount Qty 32.4 1.08 30 18.9 .63 30 33 1.1 30 27.9 .93 30 21.3 .71 30 72 .6 120 4.5 .3 15 400 400 1 Total: 610
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415622 Min 01415622 Appmt Dt Slno Description 08-FEB-19 1 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 08-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 3 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3159 of 6486
Name
KANCHAN MULCHANDANI Qty Rate Amount 1 12.15 12.15 30 .89 26.7 60 .9 54 1 400 400 Total: 492.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415623 Min 01415623 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 18 15-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 19 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 15-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 21 22-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 22 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 25 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 26 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 27 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 28 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 26-FEB-19
Page 3160 of 6486
Name
PK VERMA Rate Amount Qty 27.4 1.37 20 87.92 43.96 2 247.6 6.19 40 17.8 .89 20 127.6 3.19 40 400 400 1 27.9 .93 30 6.9 .23 30 21.3 .71 30 192.3 6.41 30 60.9 2.03 30 12 .4 30 76.5 2.55 30 78 1.3 60 36 .6 60 21.6 .36 60 400 400 1 51.38 25.69 2 156.51 313.02 2 400 400 1 21.45 21.45 1 6.82 6.82 1 400 400 1 17.8 .89 20 43.96 43.96 1 127.6 3.19 40 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 3898.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415624 Min 01415624 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 8 27-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 27-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 3161 of 6486
Name
SUSHILA VERMA Rate Amount Qty 16.2 .27 60 14.85 .99 15 32.4 1.08 30 21.3 .71 30 7.5 .25 30 27.9 .93 30 400 400 1 39.6 .66 60 12.15 12.15 1 104.4 1.74 60 400 400 1 Total: 1076.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415625 Min 01415625 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 08-FEB-19 TAB,TRIMETHOPRIM80MG+SULPHAMETHOXAZ400MG 3 08-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 3162 of 6486
USHA DUBEY Rate Amount Qty 38.76 3.23 12 76.5 2.55 30 4.14 .69 6 83.4 2.78 30 2.22 .37 6 21.3 .71 30 27.9 .93 30 3.84 .64 6 400 400 1 Total: 658.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415626 Min 01415626 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3163 of 6486
Name
V K DUBEY Rate Amount Qty 16.85 3.37 5 7.4 .37 20 9.86 9.86 1 400 400 1 21.3 .71 30 27.9 .93 30 105.9 3.53 30 400 400 1 Total: 989.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415629 Min 01415629 Appmt Dt Slno Description 05-FEB-19 1 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 05-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 05-FEB-19 3 TRIGLYCERIDES (TGL) 05-FEB-19 4 CHOLESTEROL (CHOL)
Page 3164 of 6486
Name
RAMA NANDA SHARMA Qty Rate Amount 1 275 275 1 275 275 1 275 275 1 275 275 Total: 1100
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415630 Min 01415630 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 UREA (BUN /UR) 3 16-FEB-19 CREATININE /CRT 4 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 16-FEB-19 BLOOD FOR T-3,T-4,TSH 8 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 16-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 10 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 23-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 3165 of 6486
Name
NIRMALA RANI SHARMA Rate Amount Qty 2.56 .64 4 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 2400 2400 1 275 275 1 35.2 17.6 2 7.4 .37 20 17.37 17.37 1 400 400 1 12 .4 30 34.8 1.16 30 400 400 1 Total: 6509.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415632 Min 01415632 Appmt Dt Slno Description 09-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 09-FEB-19 2 X - RAY - TWO VIEWS
Page 3166 of 6486
Name
RAMGAM JAIN Qty 1 1
Rate Amount 400 400 860 860 1260 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415633 Min 01415633 Appmt Dt Slno Description 01-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 01-FEB-19 2 T M T (TREAD MILL EXERCISE TEST)
Page 3167 of 6486
Name
CS SHARMA Qty 1 1
Rate Amount 400 400 3430 3430 3830 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415634 Min 01415634 Appmt Dt Slno Description 01-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3168 of 6486
Name
ALKA SHARMA Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415637 Min 01415637 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 3169 of 6486
Name
NAGENDRA NATH SHUKLA Rate Amount Qty 8.9 .89 10 6.4 .64 10 35.2 3.52 10 3.7 .37 10 400 400 1 Total: 454.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415638 Min 01415638 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 09-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 2 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 5 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 28-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 9 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 28-FEB-19 ECG 11 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 12 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 28-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 14 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 15 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 16 28-FEB-19 OBSERVATION IN CASUALTY 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 3170 of 6486
MUNNI KUMARI SHUKLA Rate Amount Qty 420 420 1 100 100 1 5.4 .18 30 3.7 .37 10 48.22 48.22 1 18 .9 20 400 400 1 24.52 24.52 1 10.14 3.38 3 6.4 .64 10 450 450 1 12.15 12.15 1 3.8 .38 10 9.62 9.62 1 48.22 48.22 1 20.06 20.06 1 420 420 1 400 400 1 Total: 2400.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415643 Min 01415643 Slno Description Appmt Dt HYPERTONIC SALINE EYE DROPS, 5% W/V, 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19
Page 3171 of 6486
RAMLU Rate Amount Qty 33.58 33.58 1 400 400 1 12 .4 30 32.4 1.08 30 15.73 15.73 1 27.9 .93 30 18 .4 45 66 1.1 60 34.8 1.16 30 18.9 .63 30 400 400 1 Total: 1059.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415644 Min 01415644 Appmt Dt Slno Description 06-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 2 DILTIAZEM 90 MG XL/XR,,TABLET 06-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3172 of 6486
Name
AMMALU Qty Rate Amount 30 .93 27.9 30 3.95 118.5 30 .71 21.3 1 400 400 Total: 567.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415656 Min 01415656 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 3173 of 6486
Name
RAJ KISHORI SINGH Rate Amount Qty 78 1.3 60 400 400 1 31.61 31.61 1 25.62 12.81 2 11.1 .37 30 11.25 .75 15 400 400 1 Total: 957.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415658 Min 01415658 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 28-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3174 of 6486
Name
MANJULA MAHAJAN Rate Amount Qty 178 .89 200 25.6 .64 40 25.2 .63 40 100.6 5.03 20 400 400 1 Total: 729.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415661 Min 01415661 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3175 of 6486
Name
DURGA SHANKER MUKHOPADHYAY Rate Amount Qty 17.4 .58 30 5.55 .37 15 2.4 .16 15 400 400 1 5.55 .37 15 2.4 .16 15 400 400 1 Total: 833.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415662 Min 01415662 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 3176 of 6486
Name
NIMU MUKHOPADHYAY Rate Amount Qty 17.4 .58 30 6.4 .64 10 66 1.1 60 27.9 .93 30 400 400 1 48.76 12.19 4 27.9 .93 30 13.35 .89 15 66 1.1 60 6.4 .64 10 10.42 5.21 2 400 400 1 Total: 1090.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415663 Min 01415663 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3177 of 6486
Name
DR LC GIRIYA Rate Amount Qty 21.3 .71 30 66 1.1 60 36 .6 60 117 1.3 90 10.8 .36 30 55.8 .93 60 12 .4 30 400 400 1 Total: 718.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415673 Min 01415673 Slno Description Appmt Dt RUPATADINE 10 MG STRIP PACK,,TABLET 1 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 5 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 15-FEB-19 CREATININE /CRT 17 15-FEB-19 UREA (BUN /UR) 18 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 20 15-FEB-19 C T SMALL PARTS /HR 21 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 22-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 26 22-FEB-19 COMPLETE HAEMOGRAM 27 22-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 28 22-FEB-19 DIETHYL CARBAMAZINE CITRATE,100MG,TABLET 29 25-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 30 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 25-FEB-19
Page 3178 of 6486
SHIV BAHADUR SINGH Rate Amount Qty 57.4 5.74 10 34 1.7 20 8.9 .89 10 400 400 1 157.8 2.63 60 15.6 .26 60 12 .4 30 6.8 .34 20 32.4 1.08 30 60.9 2.03 30 23.7 .79 30 33 1.1 30 34.8 1.16 30 400 400 1 3.7 .37 10 400 400 1 275 275 1 275 275 1 6.23 .89 7 17 1.7 10 6000 6000 1 6.4 .64 10 1.85 .37 5 2.5 .25 10 400 400 1 48.22 48.22 1 750 750 1 130.42 130.42 1 80.01 1.27 63 4.66 2.33 2 400 400 1 Total: 10078.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415674 Min 01415674 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 25-FEB-19 CALCIUM (CA) 2 25-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 3 25-FEB-19 ALKALINE PHOSPHATASE (ALP) 4 25-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 5 25-FEB-19 TRIGLYCERIDES (TGL) 6 25-FEB-19 CHOLESTEROL (CHOL) 7 25-FEB-19 UREA (BUN /UR) 8 25-FEB-19 CREATININE /CRT 9 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 25-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 14 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 15 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 25-FEB-19
Page 3179 of 6486
Name
SHAKUNTALA SINGH Rate Amount Qty 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1050 1050 1 400 400 1 8.12 .58 14 6.9 .23 30 7.5 .25 30 55.8 .93 60 54 .6 90 10.8 .36 30 Total: 4893.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415678 Min 01415678 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 3180 of 6486
Name
VARDHAN KUMAR Rate Amount Qty 10.8 .36 30 12 .4 30 27.9 .93 30 2.4 .16 15 23.1 .77 30 21.3 .71 30 18 .6 30 12.3 .41 30 400 400 1 Total: 527.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415680 Min 01415680 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 UREA (BUN /UR) 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19
Page 3181 of 6486
Name
SUKHDEV SINGH Qty 1 1 1 1 1
Rate Amount 275 275 275 275 275 275 275 275 400 400 Total: 1500
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415685 Min 01415685 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 07-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 07-FEB-19 URIC ACID (UA /URATES /UR) 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3182 of 6486
P SNEH LATA Rate Amount Qty 17.8 .89 20 6.82 6.82 1 100.6 5.03 20 275 275 1 25.2 .63 40 25.07 25.07 1 550 550 1 25.6 .64 40 1300 1300 1 400 400 1 275 275 1 25.07 25.07 1 400 400 1 Total: 3426.16
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415686 Min 01415686 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 01-FEB-19 PRAZOSIN,2.5MG,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 14 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 16-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 17 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 3183 of 6486
RAM KUMAR SINGH Rate Amount Qty 123.53 123.53 1 192.3 6.41 30 60.9 2.03 30 29.7 .99 30 76.5 2.55 30 22.2 .37 60 156 1.3 120 55.8 .93 60 400 400 1 55.8 .93 60 14.85 .99 15 8.1 .27 30 400 400 1 15.73 15.73 1 1.85 .37 5 400 400 1 5.32 .38 14 6.3 .9 7 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 3078.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415688 Min 01415688 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3184 of 6486
Name
SC PAL Rate Amount Qty 23.7 .79 30 9.9 .66 15 12.8 .64 20 26.7 .89 30 27.4 1.37 20 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 582.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415689 Min 01415689 Slno Description Appmt Dt RIFAXIMIN 200 MG,,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3185 of 6486
Name
MALANCHA PAL Rate Amount Qty 186.6 9.33 20 10.8 .36 30 36 .6 60 55.8 .93 60 21.3 .71 30 15.6 .26 60 400 400 1 Total: 726.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415693 Min 01415693 Appmt Dt Slno Description 27-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 27-FEB-19 2 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 27-FEB-19 3 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3186 of 6486
Name
KALAWATI SONKAR Qty Rate Amount 5 .37 1.85 10 3.52 35.2 6 .73 4.38 1 400 400 Total: 441.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415696 Min 01415696 Appmt Dt Slno Description 19-FEB-19 1 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3187 of 6486
Name
SHASHIBALA AHUJA Qty Rate Amount 1 20.06 20.06 1 400 400 420.06 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415699 Min 01415699 Appmt Dt Slno Description 26-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3188 of 6486
Name
ATMA RAM SAHU Qty Rate Amount 60 .79 47.4 1 400 400 447.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415707 Min 01415707 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 3189 of 6486
Name
ASHOK KUMAR KHARALKAR Rate Amount Qty 43.2 .36 120 87.92 43.96 2 7.5 .25 30 167.4 5.58 30 12 .4 30 34.8 1.16 30 54 .6 90 400 400 1 Total: 806.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415708 Min 01415708 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 3190 of 6486
Name
KUSUM KHARALKAR Rate Amount Qty 11.4 .38 30 26.7 .89 30 2.4 .16 15 27.9 .93 30 54 .6 90 10.8 .36 30 7.5 .25 30 400 400 1 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415714 Min 01415714 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3191 of 6486
Name
INDIRA GOPI Rate Amount Qty 8.1 .27 30 7.5 .25 30 21.3 .71 30 21.6 .36 60 36 .6 60 78 1.3 60 27.9 .93 30 400 400 1 Total: 600.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415715 Min 01415715 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 3192 of 6486
Name
MM GOPI Rate Amount Qty 26.7 .89 30 34.8 1.16 30 47.4 .79 60 8.1 .27 30 27.6 .92 30 36 .6 60 30.6 .34 90 32.4 1.08 30 400 400 1 Total: 643.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415722 Min 01415722 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 01-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 9 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 13 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 15 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 21 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 24 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 26 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 29 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 31 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 32 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 33 18-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 34 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 18-FEB-19
Page 3193 of 6486
RAM NARESH SINGH Rate Amount Qty 3.84 .64 6 1.48 .37 4 12.15 12.15 1 66.2 6.62 10 18 .9 20 3.7 .37 10 6.7 .67 10 12.15 12.15 1 33.46 33.46 1 21.12 3.52 6 400 400 1 16.56 1.84 9 12.15 12.15 1 12.46 .89 14 23.45 .67 35 25.2 .9 28 3.56 .89 4 3.84 .64 6 400 400 1 2.22 .37 6 31.46 15.73 2 19.2 .64 30 8.9 .89 10 66.2 6.62 10 400 400 1 36.3 1.21 30 26.7 .89 30 7.5 .25 30 8.1 .27 30 400 400 1 25.2 .9 28 2.59 .37 7 7.56 .18 42 15.73 15.73 1 400 400 1 Total: 2533.68
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415723 Min 01415723 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 06-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 5 06-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 18-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3194 of 6486
SUBHADRA SINGH Rate Amount Qty 17.4 .58 30 26.7 .89 30 54 .9 60 16.2 .18 90 30.8 4.4 7 12.15 12.15 1 400 400 1 6.4 .64 10 12.46 .89 14 23.45 .67 35 31.46 15.73 2 400 400 1 Total: 1031.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415724 Min 01415724 Appmt Dt Slno Description 18-FEB-19 1 THALIDOMIDE,STRIP PKT,100MG,CAPSULE 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 26-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3195 of 6486
Name
SURESH JHA Qty Rate Amount 10 20.73 207.3 1 400 400 30 6.19 185.7 1 400 400 Total: 1193
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415725 Min 01415725 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 CREATININE /CRT 6 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 11-FEB-19 POTASSIUM (K+) 9 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 11-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 12 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 11-FEB-19 ECG 14 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 14-FEB-19 PRAZOSIN,2.5MG,TABLET 16 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 17 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 14-FEB-19 PRAZOSIN,2.5MG,TABLET 19 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 14-FEB-19 PRAZOSIN,2.5MG,TABLET 21 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 22 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 24 18-FEB-19
Page 3196 of 6486
Name
POONAM JHA Rate Amount Qty 21.3 .71 30 36 .6 60 21.6 .36 60 27.9 .93 30 400 400 1 275 275 1 1300 1300 1 400 400 1 275 275 1 400 400 1 275 275 1 550 550 1 275 275 1 450 450 1 83.7 5.58 15 26 1.3 20 .37 .37 1 27.9 .93 30 19.5 1.3 15 400 400 1 19.5 1.3 15 7.92 .99 8 275 275 1 275 275 1 Total: 5841.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415727 Min 01415727 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3197 of 6486
Name
FULESHAR BAI Rate Amount Qty 22.2 .37 60 18 .6 30 55.8 .93 60 5.21 5.21 1 7.65 .51 15 7.5 .25 30 8.7 .58 15 400 400 1 Total: 525.06
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415732 Min 01415732 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 3198 of 6486
DR SM BADOLE Rate Amount Qty 50.14 25.07 2 10.42 5.21 2 6.4 .64 10 7.3 .73 10 55.2 1.84 30 400 400 1 Total: 529.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415735 Min 01415735 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 3199 of 6486
Name
BHUWANLAL SAHU Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 36 .6 60 76.5 2.55 30 21.6 .36 60 7.65 .51 15 11.4 .38 30 12 .4 30 400 400 1 Total: 986.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415736 Min 01415736 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 3200 of 6486
Name
HULSI DEVI SAHU Rate Amount Qty 27.9 .93 30 3.84 .64 6 36.3 1.21 30 17 1.7 10 29.7 .99 30 8.9 .89 10 2.28 .38 6 1.85 .37 5 12 .4 30 400 400 1 Total: 539.77
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415737 Min 01415737 Appmt Dt Slno Description 14-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 14-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3201 of 6486
HARADHAN DAS Qty Rate Amount 10 2.66 26.6 1 15.73 15.73 10 .77 7.7 1 400 400 Total: 450.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415738 Min 01415738 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 28-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 12 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 16 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 17 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 3202 of 6486
RINA DAS Rate Amount Qty 15.73 15.73 1 9 .9 10 26.6 2.66 10 9.6 .64 15 1.85 .37 5 400 400 1 15.4 .77 20 15.73 15.73 1 18 .9 20 400 400 1 .8 .16 5 1.3 .26 5 6.4 .64 10 7.5 .25 30 17.8 .89 20 20.06 20.06 1 48.22 48.22 1 66.2 6.62 10 400 400 1 Total: 1480.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415739 Min 01415739 Appmt Dt Slno Description 01-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 01-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3203 of 6486
Name
HUMANLAL CHANDRAKAR Qty Rate Amount 30 .3 9 30 .6 18 30 .25 7.5 1 400 400 Total: 434.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415740 Min 01415740 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 3204 of 6486
BIMLA BAI Rate Amount Qty 15.73 15.73 1 8.1 .27 30 400 400 1 26.6 2.66 10 6.4 .64 10 1.85 .37 5 15.73 15.73 1 400 400 1 Total: 874.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415741 Min 01415741 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 3205 of 6486
Name
NARESH KUMAR SHARMA Rate Amount Qty 21.3 .71 30 32.4 1.08 30 55.2 .92 60 26.7 .89 30 192.3 6.41 30 4.8 .16 30 21.6 .36 60 55.8 .93 60 211.8 3.53 60 72.6 1.21 60 400 400 1 Total: 1094.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415742 Min 01415742 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 25-FEB-19 X - RAY - TWO VIEWS 2 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 25-FEB-19 CREATININE /CRT 5 25-FEB-19 UREA (BUN /UR) 6 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19
Page 3206 of 6486
Name
PUSHP LATA SHARMA Rate Amount Qty 275 275 1 860 860 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 4210
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415745 Min 01415745 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 3207 of 6486
Name
AVTAR SINGH Rate Amount Qty 32.4 1.08 30 8.1 .27 30 66 1.1 60 55.8 .93 60 72 .6 120 14.85 .99 15 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 837.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415748 Min 01415748 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 3208 of 6486
Name
RS SHRIVASTAVA Rate Amount Qty 32.4 1.08 30 76.5 2.55 30 69.6 1.16 60 12 .4 30 400 400 1 Total: 590.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415749 Min 01415749 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 3209 of 6486
Name
SHASHI SHRIVASTAVA Rate Amount Qty 9.9 .66 15 3.75 .25 15 21.3 .71 30 36 .6 60 21.3 .71 30 400 400 1 Total: 492.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415754 Min 01415754 Appmt Dt Slno Description 11-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3210 of 6486
Name
NISHA YADU Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415756 Min 01415756 Appmt Dt Slno Description 08-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 2 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 08-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3211 of 6486
Name
HEM KUMARI SAHU Qty Rate Amount 6 .64 3.84 10 .58 5.8 10 6.19 61.9 1 400 400 Total: 471.54
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415758 Min 01415758 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 3212 of 6486
TIWARI SN Rate Amount Qty 15.73 15.73 1 19.61 .37 53 7.7 .77 10 9 .9 10 400 400 1 21.3 .71 30 12 .4 30 76.5 2.55 30 27.9 .93 30 32.4 1.08 30 7.65 .51 15 400 400 1 Total: 1029.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415759 Min 01415759 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 15-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19
Page 3213 of 6486
Name
ARCHANA TIWARI Rate Amount Qty 26.7 .89 30 27.9 .93 30 8.1 .27 30 33 1.1 30 2.4 .16 15 2.22 .37 6 7.5 .25 30 27.9 .93 30 400 400 1 1.85 .37 5 17 1.7 10 32.61 32.61 1 400 400 1 Total: 987.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415760 Min 01415760 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 19-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 2 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 19-FEB-19 ONDANSETRON,2MG/ML,INJECTION 4 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 19-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 20-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 3214 of 6486
Name
MUKHU RAM Qty 1 1 1 1 1 1 3 6 9 6 1
Rate Amount 420 420 35.52 35.52 24.52 24.52 7.52 7.52 11.89 11.89 9.81 9.81 2.1 .7 5.34 .89 3.78 .42 1.5 .25 400 400 Total: 921.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415764 Min 01415764 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 21-FEB-19 ESCITALOPRAM,10MG,,TABLET 9 21-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 10 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 3215 of 6486
Name
JITENDER KUMAR BAKHSHI Rate Amount Qty 72 .6 120 78 1.3 60 55.8 .93 60 13.8 .23 60 12 .4 30 21.3 .71 30 26.7 .89 30 7.5 .25 30 111 1.85 60 176.7 5.89 30 21.6 .36 60 400 400 1 Total: 996.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415767 Min 01415767 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 14-FEB-19 X - RAY - TWO VIEWS 7 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 14-FEB-19
Page 3216 of 6486
Name
MEETA GUHA Rate Amount Qty 35.2 3.52 10 8.9 .89 10 16.8 1.12 15 400 400 1 123.8 6.19 20 13.7 1.37 10 860 860 1 400 400 1 Total: 1858.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415770 Min 01415770 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3217 of 6486
Name
YANLAL JARKEY Rate Amount Qty 167.4 5.58 30 72 .6 120 3.2 .16 20 32.4 1.08 30 21.3 .71 30 16.2 .27 60 400 400 1 Total: 712.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415772 Min 01415772 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 3218 of 6486
Name
MANAS KUMAR SENGUPTA Rate Amount Qty 21.3 .71 30 7.5 .25 30 12 .4 30 26.7 .89 30 72.6 1.21 60 27.9 .93 30 72 .6 120 167.4 5.58 30 400 400 1 Total: 807.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415773 Min 01415773 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 3219 of 6486
Name
GAYATRI SENGUPTA Rate Amount Qty 54 .6 90 27.9 .93 30 14.85 .99 15 39 1.3 30 66 1.1 60 10.8 .36 30 26.7 .89 30 21.3 .71 30 400 400 1 Total: 660.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415778 Min 01415778 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 PRAZOSIN,2.5MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 19-FEB-19 PRAZOSIN,2.5MG,TABLET 14 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 19 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 19-FEB-19
Page 3220 of 6486
Name
GANESH LAL Rate Amount Qty 9.28 1.16 8 4.05 .27 15 27.9 .93 30 6 .4 15 83.7 5.58 15 18 .6 30 5.4 .36 15 39 1.3 30 400 400 1 275 275 1 275 275 1 12 .4 30 55.8 .93 60 78 1.3 60 21.3 .71 30 6.9 .23 30 167.4 5.58 30 39 1.3 30 9 .3 30 36 .6 60 400 400 1 Total: 1968.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415779 Min 01415779 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3221 of 6486
Name
RANI Qty Rate Amount 30 .23 6.9 30 .71 21.3 60 .93 55.8 1 400 400 Total: 484
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415786 Min 01415786 Appmt Dt Slno Description 01-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 01-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3222 of 6486
Name
GEETA SINGH Qty Rate Amount 60 .6 36 15 1.16 17.4 15 .25 3.75 1 400 400 Total: 457.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415788 Min 01415788 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 15-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 3223 of 6486
Name
KAKOLI THAKUR Rate Amount Qty 55.8 .93 60 2.4 .16 15 22.2 .37 60 72.6 1.21 60 185.7 6.19 30 7.5 .25 30 20.84 5.21 4 400 400 1 Total: 767.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415791 Min 01415791 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 3224 of 6486
Name
SAMSUL SHAH Rate Amount Qty 3.7 .37 10 3.8 .38 10 17 1.7 10 400 400 1 18.9 .63 30 21.3 .71 30 4.2 .42 10 6.9 .23 30 33 1.1 30 400 400 1 Total: 908.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415792 Min 01415792 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 3225 of 6486
Name
MANJU SHAH Rate Amount Qty 4.8 .6 8 44.16 1.84 24 7.68 .64 12 26.7 .89 30 6.9 .23 30 33 1.1 30 6 .4 15 400 400 1 Total: 529.24
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415793 Min 01415793 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 15 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 11-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 21 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 22 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 11-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 24 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 25 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 26 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 26-FEB-19
Page 3226 of 6486
RAM NARAYAN SINHA Rate Amount Qty 18 .6 30 2.4 .16 15 55.8 .93 60 33 1.1 30 6.9 .23 30 400 400 1 12 .4 30 15.73 15.73 1 15.96 2.66 6 18.9 .63 30 14.85 .99 15 33 1.1 30 400 400 1 12.3 .41 30 7.56 .18 42 25.2 .9 28 400 400 1 14.85 .99 15 12 .4 30 33 1.1 30 12.3 .41 30 6.4 .64 10 400 400 1 16.2 .18 90 54 .9 60 66.2 6.62 10 26.7 .89 30 400 400 1 Total: 2513.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415794 Min 01415794 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 22-FEB-19 X - RAY - TWO VIEWS 2 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 28-FEB-19 X - RAY - SINGLE VIEW 11 28-FEB-19
Page 3227 of 6486
Name
SATYABHAMA SINHA Rate Amount Qty 400 400 1 860 860 1 7.8 2.6 3 2.67 .89 3 3.84 .64 6 8.96 .64 14 7.3 .73 10 6.23 .89 7 400 400 1 6.4 .64 10 550 550 1 Total: 2253.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415795 Min 01415795 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 06-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 5 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 06-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 9 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19
Page 3228 of 6486
Name
RABINDRA NATH BISWAS Rate Amount Qty 12 .4 30 36 .6 60 10.8 .36 30 27.9 .62 45 73.8 .82 90 7.5 .25 30 34.8 1.16 30 31.2 1.04 30 43.2 1.44 30 26.7 .89 30 400 400 1 Total: 703.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415796 Min 01415796 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19
Page 3229 of 6486
Name
MALINA RANI BISWAS Rate Amount Qty 117 1.3 90 167.4 5.58 30 55.8 .93 60 33.3 .37 90 32.4 1.08 30 72 .6 120 44.1 1.47 30 7.5 .25 30 13.35 .89 15 21.3 .71 30 21.6 .36 60 400 400 1 Total: 985.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415803 Min 01415803 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 09-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 09-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 3230 of 6486
B B MAHAPATRA Rate Amount Qty 1.8 .18 10 54 .9 60 31.46 15.73 2 39.6 .66 60 26.7 .89 30 104.4 1.74 60 400 400 1 Total: 657.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415807 Min 01415807 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3231 of 6486
Name
DHIRATI BAI SAHU Rate Amount Qty 40.12 20.06 2 29.7 .99 30 66 1.1 60 12 .4 30 6.9 .23 30 55.8 .93 60 601.8 20.06 30 400 400 1 Total: 1212.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415808 Min 01415808 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 3232 of 6486
Name
R S SINGH Rate Amount Qty 27.9 .93 30 36 .6 60 43.2 .36 120 3.75 .25 15 29.7 .99 30 400 400 1 Total: 540.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415809 Min 01415809 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 3233 of 6486
Name
MEENA SINGH Rate Amount Qty 20.84 5.21 4 66 1.1 60 8.1 .27 30 27.9 .93 30 400 400 1 Total: 522.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415820 Min 01415820 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3234 of 6486
Name
DILIP BALKRISHNA SARWATE Rate Amount Qty 20.06 20.06 1 400 400 1 1.48 .37 4 12 .4 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 869.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415821 Min 01415821 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19
Page 3235 of 6486
Name
RAJANI SARWATE Rate Amount Qty 72 .6 120 167.4 5.58 30 27.9 .93 30 21.3 .71 30 12 .4 30 33 1.1 30 21.6 .36 60 72 .6 120 167.4 5.58 30 27.9 .93 30 21.3 .71 30 12 .4 30 33 1.1 30 21.6 .36 60 400 400 1 Total: 1110.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415837 Min 01415837 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 3 25-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 4 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3236 of 6486
K K MASIH Rate Amount Qty 3.7 .37 10 50.14 25.07 2 96.44 48.22 2 6.99 2.33 3 20.84 5.21 4 7.5 .25 30 400 400 1 Total: 585.61
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415850 Min 01415850 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 4 02-FEB-19 UREA (BUN /UR) 5 02-FEB-19 URIC ACID (UA /URATES /UR) 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19 URINE ROUTINE AND MICROSCOPIC 8 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 02-FEB-19 URIC ACID (UA /URATES /UR) 11 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 25-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 3237 of 6486
MADHU SUDAN SHORIE Rate Amount Qty 275 275 1 275 275 1 400 400 1 650 650 1 275 275 1 275 275 1 275 275 1 380 380 1 1300 1300 1 550 550 1 275 275 1 60.9 2.03 30 192.3 6.41 30 400 400 1 25.07 25.07 1 19.77 19.77 1 400 400 1 Total: 6028.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415851 Min 01415851 Slno Description Appmt Dt RISPERIDONE,STRIP PKT,2MG,TABLET 1 02-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 2 02-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 3 02-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 02-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 3238 of 6486
Name
SUNITI SHORIE Rate Amount Qty 41.1 1.37 30 15.3 .51 30 2.45 110.25 45 79.2 2.64 30 6.6 .66 10 400 400 1 Total: 652.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415855 Min 01415855 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 3239 of 6486
Name
ANASTUS TOPPO Rate Amount Qty 55.8 .93 60 9 .3 30 7.5 .25 30 88.2 1.47 60 400 400 1 Total: 560.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415861 Min 01415861 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 8 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 28-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 3240 of 6486
Name
KESHAR LAL Rate Amount Qty 87.92 43.96 2 .89 .89 1 400 400 1 6.9 .23 30 31.2 1.04 30 47.4 .79 60 400 400 1 10.89 .99 11 43.96 131.88 3 18.81 .99 19 400 400 1 Total: 1535.89
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415862 Min 01415862 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 3241 of 6486
KAUSHILYA BAI Rate Amount Qty 34.8 1.16 30 12 .4 30 54 .6 90 6 .4 15 76.5 2.55 30 15.73 15.73 1 7.5 .25 30 26.7 .89 30 12.15 12.15 1 16.2 .18 90 400 400 1 Total: 661.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415865 Min 01415865 Appmt Dt Slno Description 13-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3242 of 6486
Name
BANSHI LAL GURUPANCHAYAN Qty Rate Amount 15 .25 3.75 1 400 400 403.75 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415866 Min 01415866 Slno Description Appmt Dt NORMAL SALINE GLASS BOTTLE 500ML, 1 08-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 2 08-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 08-FEB-19 ONDANSETRON,2MG/ML,INJECTION 4 08-FEB-19 ECG 5 08-FEB-19 OBSERVATION IN CASUALTY 6 08-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 7 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 09-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 15 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 17 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 11-FEB-19
Page 3243 of 6486
SHARDA Rate Amount Qty 35.52 35.52 1 9.81 9.81 1 24.52 24.52 1 7.52 7.52 1 450 450 1 420 420 1 7 .7 10 66.2 6.62 10 6.4 .64 10 4.45 .89 5 1.85 .37 5 15.73 15.73 1 400 400 1 22 1.1 20 55.8 .93 60 11.4 .38 30 5.21 5.21 1 400 400 1 Total: 1943.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415879 Min 01415879 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 MOXONIDIN 0.2MG,,TABLET 18-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3244 of 6486
Name
BINA CHOUDHURY Qty Rate Amount 30 .93 27.9 30 3.53 105.9 30 .27 8.1 1 400 400 Total: 541.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415880 Min 01415880 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 05-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 05-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 INHALANT,STRIP PACK,CAPSULE 14 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 16 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 3245 of 6486
Name
DR. S. CHOWDHURY Rate Amount Qty 16.8 1.12 15 35.2 3.52 10 400 400 1 11.25 .75 15 31.61 31.61 1 17.6 17.6 1 13.43 13.43 1 400 400 1 18.9 .63 30 27.9 .93 30 16.2 .27 60 211.8 3.53 60 400 400 1 25.5 1.7 15 8.9 .89 10 66.2 6.62 10 3.7 .37 10 400 400 1 Total: 2104.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415885 Min 01415885 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 02-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 UREA (BUN /UR) 5 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 04-FEB-19
Page 3246 of 6486
Name
GIRJESH KUMAR NEMA Rate Amount Qty 1300 1300 1 1750 1750 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 12 .4 30 26.7 .89 30 8.1 .27 30 27.9 .93 30 21.3 .71 30 18.9 .63 30 400 400 1 Total: 5614.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415886 Min 01415886 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 UREA (BUN /UR) 4 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19
Page 3247 of 6486
Name
KUSUMLATA NEMA Rate Amount Qty 275 275 1 275 275 1 400 400 1 275 275 1 1300 1300 1 550 550 1 275 275 1 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415888 Min 01415888 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 3248 of 6486
Name
VIMAL KUMAR DUBEY Rate Amount Qty 33 1.1 30 60.9 2.03 30 4.05 .27 15 400 400 1 4.05 .27 15 33 1.1 30 60.9 2.03 30 400 400 1 Total: 995.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415894 Min 01415894 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 07-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 07-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 3249 of 6486
Name
KULDEEPAK Rate Amount Qty 12.15 12.15 1 156.6 1.74 90 59.4 .66 90 5.55 .37 15 400 400 1 18.2 2.6 7 6.23 .89 7 400 400 1 Total: 1058.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415898 Min 01415898 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3250 of 6486
Name
JOGINDER SINGH Rate Amount Qty 37.8 .63 60 12 .4 30 32.4 1.08 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 544.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415902 Min 01415902 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 3251 of 6486
Name
GULAMA RAM SAHU Rate Amount Qty 7.65 .51 15 16.2 .27 60 27.9 .93 30 76.5 2.55 30 12 .4 30 400 400 1 12.46 .89 14 19.18 1.37 14 10.22 .73 14 400 400 1 13.7 1.37 10 400 400 1 Total: 1395.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415904 Min 01415904 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 11-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 9 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 3252 of 6486
Name
J R SHARMA Rate Amount Qty 33 1.1 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 400 400 1 400 400 1 1750 1750 1 43.96 43.96 1 1610 1610 1 400 400 1 192.3 6.41 30 60.9 2.03 30 87.92 43.96 2 400 400 1 Total: 5449.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415905 Min 01415905 Appmt Dt Slno Description 04-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 04-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3253 of 6486
Name
MADHU SHARMA Qty Rate Amount 60 .93 55.8 30 .6 18 15 1.16 17.4 1 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415906 Min 01415906 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 22-FEB-19 PRAZOSIN,2.5MG,TABLET 3 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3254 of 6486
Name
NIRMALA DEVI SINHA Rate Amount Qty 55.8 .93 60 21.3 .71 30 156 1.3 120 317.7 3.53 90 72.6 1.21 60 7.5 .25 30 400 400 1 Total: 1030.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415907 Min 01415907 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3255 of 6486
Name
RK SINHA Rate Amount Qty 12 .4 30 27.9 .93 30 78 1.3 60 21.3 .71 30 33 1.1 30 400 400 1 Total: 572.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415910 Min 01415910 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3256 of 6486
Name
NAKUL KUMAR YADAV Rate Amount Qty 36 .6 60 55.8 .93 60 16.2 .27 60 72.6 1.21 60 12 .4 30 21.3 .71 30 400 400 1 Total: 613.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415912 Min 01415912 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3257 of 6486
Name
G P MISHRA Rate Amount Qty 27.9 .93 30 18 .6 30 34.8 1.16 30 12 .4 30 7.8 .26 30 400 400 1 Total: 500.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415913 Min 01415913 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 X - RAY - TWO VIEWS 2 02-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 02-FEB-19
Page 3258 of 6486
Name
MANJULA MISHRA Rate Amount Qty 400 400 1 860 860 1 14 .7 20 17.8 .89 20 27.4 1.37 20 Total: 1319.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415919 Min 01415919 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 20-FEB-19 X - RAY - SINGLE VIEW 2 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 20-FEB-19
Page 3259 of 6486
Name
I S NATH Qty 1 1 1
Rate Amount 1750 1750 550 550 400 400 Total: 2700
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415926 Min 01415926 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3260 of 6486
Name
SATI RANI HALDER Rate Amount Qty 36 .6 60 26.7 .89 30 54 .9 60 12.15 12.15 1 27.9 .93 30 4.05 .27 15 29.7 .99 30 400 400 1 Total: 590.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415927 Min 01415927 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3261 of 6486
NAINAMMA Rate Amount Qty 70.2 2.34 30 10.65 .71 15 31.46 15.73 2 3.7 .37 10 18 .9 20 5.4 .18 30 15 .25 60 400 400 1 Total: 554.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415928 Min 01415928 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3262 of 6486
Name
NANDU DAS DEHARIYA Rate Amount Qty 22.2 .37 60 60.9 2.03 30 192.3 6.41 30 8.9 .89 10 76.5 2.55 30 55.8 .93 60 400 400 1 Total: 816.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415930 Min 01415930 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 3263 of 6486
Name
VINAYAK RAO CHAURE Rate Amount Qty 22.8 .38 60 15 .25 60 15.4 .77 20 400 400 1 2.5 .25 10 4.1 .41 10 55.2 1.84 30 400 400 1 8.1 .27 30 400 400 1 1.85 .37 5 400 400 1 Total: 1724.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415931 Min 01415931 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 3264 of 6486
Name
SUNITA CHAURE Rate Amount Qty 54 .9 60 27.9 .93 30 12.15 12.15 1 6.9 .23 30 26.7 .89 30 12.8 .64 20 400 400 1 Total: 540.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415932 Min 01415932 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3265 of 6486
Name
GOVIND PRASAD SHARMA Rate Amount Qty 17.4 1.16 15 18 .6 30 12 .4 30 400 400 1 27.9 .93 30 400 400 1 Total: 875.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415933 Min 01415933 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3266 of 6486
Name
RAJMANI SHARMA Qty Rate Amount 15 1.16 17.4 1 400 400 30 .93 27.9 1 400 400 Total: 845.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415934 Min 01415934 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 15-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3267 of 6486
Name
TILAK DHAR DUBEY Rate Amount Qty 3.75 .25 15 4.2 .42 10 400 400 1 2.5 .25 10 8.4 .42 20 400 400 1 6.3 .42 15 400 400 1 Total: 1225.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415935 Min 01415935 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 21-FEB-19 CREATININE /CRT 3 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 3268 of 6486
Name
SMT.JYOTI DUBEY Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 76.5 2.55 30 11.1 .37 30 55.8 .93 60 167.4 5.58 30 21.3 .71 30 29.7 .99 30 55.2 .92 60 72 .6 120 400 400 1 Total: 3414
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415940 Min 01415940 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19
Page 3269 of 6486
Name
RAKESH DAS Rate Amount Qty 32.4 1.08 30 117 1.3 90 21.6 .36 60 54 .6 90 16.2 .27 60 13.35 .89 15 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 745.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415943 Min 01415943 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 3270 of 6486
Name
KV JAYALAXMI PRASAD Rate Amount Qty 26.7 .89 30 66 1.1 60 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 553
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415944 Min 01415944 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 3271 of 6486
Name
KV PRASAD RAO Rate Amount Qty 34.8 1.16 30 29.7 .99 30 12 .4 30 26.7 .89 30 11.4 .38 30 37.8 .63 60 72 .6 120 32.4 .36 90 55.8 .93 60 3.7 .37 10 400 400 1 Total: 716.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415947 Min 01415947 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 09-FEB-19
Page 3272 of 6486
Name
S S THAKUR Rate Amount Qty 36 .6 60 69.6 1.16 60 400 400 1 Total: 505.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415948 Min 01415948 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 09-FEB-19
Page 3273 of 6486
Name
SMT.KAMALA THAKUR Rate Amount Qty 400 400 1 24 .4 60 31.2 .26 120 55.8 .93 60 132 1.1 120 64.8 1.08 60 Total: 707.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415951 Min 01415951 Slno Description Appmt Dt LORAZEPAM,2MG,STRIP PACK.,TABLET 1 12-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 3274 of 6486
Name
VK MALHOTRA Rate Amount Qty 41.1 2.74 15 55.5 1.85 30 400 400 1 Total: 496.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415955 Min 01415955 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 ECG 7 17-FEB-19 OBSERVATION IN CASUALTY 8 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 10 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 17-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 14 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 23-FEB-19 C T HEAD PLAIN 16 23-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 23-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 20 23-FEB-19
Page 3275 of 6486
Name
P GYANMANI Rate Amount Qty 76.5 2.55 30 60.9 2.03 30 6.9 .23 30 55.8 .93 60 29.7 .99 30 400 400 1 450 450 1 420 420 1 .16 .16 1 9.62 9.62 1 .89 .89 1 8.1 .27 30 8.9 .89 10 20.06 20.06 1 400 400 1 5250 5250 1 1750 1750 1 3.2 .64 5 .8 .16 5 5 .25 20 Total: 8956.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415956 Min 01415956 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 3276 of 6486
Name
ANNAMMA Rate Amount Qty 34.8 1.16 30 21.3 .71 30 29.7 .99 30 55.8 .93 60 18 .6 30 400 400 1 Total: 559.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01415958 Min 01415958 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3277 of 6486
AMAR BAI SAHU Rate Amount Qty 25.07 25.07 1 27.9 .93 30 21.3 .71 30 6.82 6.82 1 36 .6 60 21.6 .36 60 400 400 1 Total: 538.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415959 Min 01415959 Appmt Dt Slno Description 07-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 07-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3278 of 6486
Name
S.L.PAWAR Qty Rate Amount 30 1.1 33 30 1.16 34.8 30 .4 12 1 400 400 Total: 479.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415960 Min 01415960 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 3279 of 6486
Name
HEMLATA PAWAR Rate Amount Qty 21.3 .71 30 10.8 .36 30 72 .6 120 167.4 5.58 30 11.4 .38 30 12 .4 30 27.9 .93 30 27.9 .93 30 400 400 1 Total: 750.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415977 Min 01415977 Appmt Dt Slno Description 27-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3280 of 6486
Name
QASIDA BANO Qty Rate Amount 10 .64 6.4 1 400 400 406.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415979 Min 01415979 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3281 of 6486
Name
ZAHIRA KHAN Rate Amount Qty 54 .6 90 21.6 .36 60 21.3 .71 30 78 1.3 60 167.4 5.58 30 23.7 .79 30 400 400 1 Total: 766
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415982 Min 01415982 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 3282 of 6486
Name
VINITA SAMUEL Rate Amount Qty 66 1.1 60 21.3 .71 30 4.8 .16 30 26.7 .89 30 3.75 .25 15 6.4 .64 10 55.8 .93 60 400 400 1 Total: 584.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415984 Min 01415984 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 27-FEB-19 CREATININE /CRT 5 27-FEB-19 UREA (BUN /UR) 6 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 27-FEB-19 PLATELET COUNT 9 27-FEB-19 ESR 10 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 HB,TLC,DLC 13 27-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 27-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 16 27-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 17 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 27-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 19 27-FEB-19
Page 3283 of 6486
Name
KAMLA CHANDRAKAR Rate Amount Qty 275 275 1 1300 1300 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 165 165 1 18.9 .63 30 400 400 1 300 300 1 10.05 .67 15 7.5 .25 30 21.3 .71 30 77.52 3.23 24 4.56 .38 12 166.8 2.78 60 Total: 6026.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415987 Min 01415987 Appmt Dt Slno Description 01-FEB-19 1 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3284 of 6486
Name
F.K. TIWARI Qty 1 1
Rate Amount 43.96 43.96 400 400 443.96 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415988 Min 01415988 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 20-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 3285 of 6486
Name
SITA TIWARI Rate Amount Qty 83.4 2.78 30 10.05 .67 15 7.6 .38 20 25.84 3.23 8 20.84 5.21 4 400 400 1 Total: 547.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415989 Min 01415989 Slno Description Appmt Dt CREATININE /CRT 1 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 21-FEB-19 URINE ROUTINE AND MICROSCOPIC 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19 PRAZOSIN,2.5MG,TABLET 6 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 21-FEB-19
Page 3286 of 6486
Name
S K GUPTA Rate Amount Qty 275 275 1 275 275 1 275 275 1 380 380 1 400 400 1 39 1.3 30 550 550 1 47.4 .79 60 8.1 .27 30 31.2 1.04 30 1300 1300 1 35.2 3.52 10 Total: 3615.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415990 Min 01415990 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 3287 of 6486
Name
SUSHMA GUPTA Rate Amount Qty 34.8 1.16 30 14.85 .99 15 400 400 1 Total: 449.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415991 Min 01415991 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 3288 of 6486
Name
BL JAMBHURKAR Rate Amount Qty 36 .6 60 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 9 .3 30 117 1.3 90 400 400 1 Total: 843.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415992 Min 01415992 Appmt Dt Slno Description 06-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 06-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3289 of 6486
Name
SMT.SUCHITA JAMBHURKAR Qty Rate Amount 15 .6 9 15 .93 13.95 1 5.21 5.21 1 400 400 Total: 428.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415993 Min 01415993 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3290 of 6486
Name
BINDU LAL SAHU Rate Amount Qty 26 2.6 10 8.9 .89 10 400 400 1 7.5 .25 30 36 .6 60 118.5 3.95 30 55.8 .93 60 105.9 3.53 30 400 400 1 Total: 1158.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01415994 Min 01415994 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 3291 of 6486
Name
SUREKHA SAHU Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 55.8 .93 60 36 .6 60 2.4 .16 15 400 400 1 Total: 601.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416001 Min 01416001 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 3 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 15-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 15-FEB-19 PLATELET COUNT 7 15-FEB-19 PROTHROMBIN TIME (PT) 8 15-FEB-19 HB,TLC,DLC 9 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 15-FEB-19
Page 3292 of 6486
Name
GOVIND DAS Rate Amount Qty 7.5 .25 30 400 400 1 1500 1500 1 550 550 1 1300 1300 1 275 275 1 330 330 1 330 330 1 300 300 1 400 400 1 Total: 5392.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416002 Min 01416002 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 15-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19
Page 3293 of 6486
Name
MITHALESH DAS Qty 1 1 1 1 1
Rate Amount 275 275 1300 1300 1300 1300 275 275 400 400 Total: 3550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416006 Min 01416006 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 8 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3294 of 6486
Name
RANJIT KUMAR GHATAK Rate Amount Qty 20.84 5.21 4 27.4 1.37 20 13.8 .23 60 12 .4 30 21.3 .71 30 66 1.1 60 47.4 .79 60 24 .6 40 12.6 .63 20 17.8 .89 20 400 400 1 Total: 663.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416010 Min 01416010 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 3295 of 6486
Name
TAPAN KUMAR DAS Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416011 Min 01416011 Appmt Dt Slno Description 01-FEB-19 1 SUTURE REMOVAL 01-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 3296 of 6486
Name
SMT.BARUNA DAS Qty 1 1
Rate Amount 490 490 400 400 890 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416012 Min 01416012 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 PRAZOSIN,2.5MG,TABLET 5 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 3297 of 6486
Name
PRASAD TCS Rate Amount Qty 20.84 5.21 4 21.3 .71 30 18.9 .63 30 34.8 1.16 30 78 1.3 60 27.9 .62 45 11.1 .37 30 55.8 .93 60 83.7 5.58 15 117 1.3 90 54 .6 90 400 400 1 Total: 923.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416014 Min 01416014 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3298 of 6486
Name
YUGAL KISHORE SINGH Rate Amount Qty 34.8 1.16 30 12 .4 30 78 1.3 60 54 .6 90 55.8 .93 60 29.7 .99 30 22.2 .37 60 400 400 1 Total: 686.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416015 Min 01416015 Appmt Dt Slno Description 13-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 13-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3299 of 6486
Name
PHOOLJHARI DEVI Qty Rate Amount 60 .93 55.8 30 .4 12 30 1.16 34.8 1 400 400 Total: 502.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416016 Min 01416016 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 3300 of 6486
Name
N K KHURANA Rate Amount Qty 9 .6 15 4.5 .3 15 1.6 .16 10 26.7 .89 30 12 .4 30 5.21 5.21 1 192.3 6.41 30 34.8 1.16 30 66 1.1 60 60.9 2.03 30 400 400 1 Total: 813.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416020 Min 01416020 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 07-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 07-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 16 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 18 25-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 19 25-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 20 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 25-FEB-19
Page 3301 of 6486
Name
VIRENDRA NATH DIXIT Rate Amount Qty 46.8 .78 60 4.27 192.15 45 53.4 .89 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 18.6 .62 30 7.5 .25 30 7.65 .51 15 17.7 1.18 15 400 400 1 18.6 .62 30 12 .4 30 32.4 1.08 30 21.3 .71 30 4.27 192.15 45 7.5 .25 30 7.65 .51 15 17.7 1.18 15 46.8 .78 60 400 400 1 Total: 1579.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416021 Min 01416021 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 16-FEB-19 PRAZOSIN,2.5MG,TABLET 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3302 of 6486
Name
RAMAKANTI DIXIT Rate Amount Qty 24 .4 60 32.4 1.08 30 78 1.3 60 34.8 1.16 30 153 2.55 60 400 400 1 Total: 722.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416024 Min 01416024 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 28-FEB-19 UREA (BUN /UR) 7 28-FEB-19 CREATININE /CRT 8 28-FEB-19 URIC ACID (UA /URATES /UR) 9 28-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 28-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 28-FEB-19
Page 3303 of 6486
Name
MARY MINJ Rate Amount Qty 17.4 1.16 15 211.8 3.53 60 18.9 .63 30 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1300 1300 1 550 550 1 400 400 1 27.9 .93 30 27.9 .93 30 275 275 1 Total: 5628.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416027 Min 01416027 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 17 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 20 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 28-FEB-19
Page 3304 of 6486
Name
RATAN LAL TAMRAKAR Rate Amount Qty 29.7 .99 30 7.5 .25 30 66 1.1 60 16.2 .27 60 55.8 .93 60 9 .3 30 36 .6 60 400 400 1 275 275 1 275 275 1 7.5 .25 30 29.7 .99 30 66 1.1 60 16.2 .27 60 55.8 .93 60 36 .6 60 9 .3 30 211.8 3.53 60 400 400 1 1050 1050 1 400 400 1 Total: 3452.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416028 Min 01416028 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 20-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 28-FEB-19
Page 3305 of 6486
Name
DURGA DEVI Rate Amount Qty 27.6 .92 30 72 .6 120 39 1.3 30 27.9 .93 30 32.4 1.08 30 7.5 .25 30 400 400 1 1.11 .37 3 15.96 2.66 6 3.84 .64 6 275 275 1 275 275 1 72 .6 120 39 1.3 30 27.9 .93 30 32.4 1.08 30 7.5 .25 30 27.6 .92 30 400 400 1 275 275 1 275 275 1 400 400 1 Total: 2733.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416031 Min 01416031 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 09-FEB-19
Page 3306 of 6486
Name
KEJU SINGH THAKUR Rate Amount Qty 400 400 1 108 .6 180 43.2 .36 120 7.5 .25 30 7.4 .37 20 39.44 9.86 4 Total: 605.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416035 Min 01416035 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 05-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3307 of 6486
Name
UMA MAHESHWAR Rate Amount Qty 7.4 .37 20 8.9 .89 10 6.7 .67 10 90.88 45.44 2 400 400 1 55.8 .93 60 16.2 .27 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 1014.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416036 Min 01416036 Appmt Dt Slno Description 16-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3308 of 6486
Name
SITARATNAM Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416048 Min 01416048 Appmt Dt Slno Description 19-FEB-19 1 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 19-FEB-19 2 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 19-FEB-19 3 BUDESONIDE,200MCG,CAPSULE 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3309 of 6486
Name
REKHA Qty Rate Amount 1 100.71 100.71 60 .9 54 60 1.74 104.4 1 400 400 Total: 659.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416051 Min 01416051 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 14-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3310 of 6486
Name
MOOLCHAND JAIN Qty Rate Amount 60 .93 55.8 30 .4 12 30 1.1 33 1 400 400 Total: 500.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416052 Min 01416052 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 16-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 3311 of 6486
Name
SANGEETA JAIN Rate Amount Qty 16.8 1.12 15 7.7 .77 10 400 400 1 Total: 424.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416053 Min 01416053 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3312 of 6486
Name
GANESH RAM RATRE Rate Amount Qty 21.3 .71 30 27.9 .93 30 39.45 2.63 15 12 .4 30 36 .6 60 9 .3 30 400 400 1 Total: 545.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416054 Min 01416054 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 3313 of 6486
Name
SURJOTIN BAI Rate Amount Qty 27.9 .93 30 36.3 1.21 30 400 400 1 Total: 464.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416055 Min 01416055 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 01-FEB-19 PRAZOSIN,2.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 3314 of 6486
Name
CHHATRAM SAHU Rate Amount Qty 11.1 .37 30 156 1.3 120 55.8 .93 60 317.7 3.53 90 12 .4 30 76.5 2.55 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1682.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416056 Min 01416056 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3315 of 6486
Name
PANCHO BAI Rate Amount Qty 6.9 .23 30 39 1.3 30 27.9 .93 30 36 .6 60 17.4 1.16 15 400 400 1 Total: 527.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416064 Min 01416064 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3316 of 6486
Name
BASANTI GHOSAL Qty 5 7 7 4 1
Rate Amount 6.85 1.37 4.48 .64 6.23 .89 73.64 18.41 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416067 Min 01416067 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 11-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 3317 of 6486
Name
SURESH KUMAR KHOBRAGADE Rate Amount Qty 42.6 .71 60 11.85 .79 15 86.4 1.44 60 7.65 .51 15 30.6 .34 90 400 400 1 Total: 579.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416068 Min 01416068 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 3318 of 6486
Name
REKHA KHOBRAGADE Rate Amount Qty 275 275 1 275 275 1 400 400 1 9 .3 30 400 400 1 32.4 1.08 30 33 1.1 30 26.7 .89 30 36 .6 60 7.5 .25 30 34.8 1.16 30 167.4 5.58 30 27.9 .93 30 400 400 1 Total: 2124.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416073 Min 01416073 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 23-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 3319 of 6486
Name
SHAKUNTALA BAI Rate Amount Qty 66 1.1 60 13.95 .93 15 34.8 1.16 30 37.04 37.04 1 400 400 1 Total: 551.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416075 Min 01416075 Appmt Dt Slno Description 02-FEB-19 1 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 02-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 02-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 02-FEB-19 4 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI
Page 3320 of 6486
Name
BIR SINGH Qty 1 1 1 1
Rate Amount 275 275 275 275 400 400 1000 1000 Total: 1950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416076 Min 01416076 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 27-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 3321 of 6486
Name
NINDER KAUR Rate Amount Qty 13.7 1.37 10 8.9 .89 10 61.9 6.19 10 20.06 20.06 1 .8 .16 5 400 400 1 92.85 6.19 15 20.55 1.37 15 5.28 .66 8 26.7 .89 30 3.75 .25 15 400 400 1 Total: 1054.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416081 Min 01416081 Slno Description Appmt Dt OINTMENT,LIDOCAINE,3%,15GM 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 PRAZOSIN,2.5MG,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 3322 of 6486
Name
CHETAN LAL SAHU Rate Amount Qty 82.76 165.52 2 400 400 1 78 1.3 60 21.3 .71 30 39 1.3 30 36 .6 60 8.1 .27 30 10.8 .36 30 400 400 1 Total: 1158.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416082 Min 01416082 Appmt Dt Slno Description 11-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 11-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3323 of 6486
Name
SARASWATI Qty Rate Amount 15 .58 8.7 30 .79 23.7 30 .4 12 1 400 400 Total: 444.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416083 Min 01416083 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 3324 of 6486
Name
CHANDRA DEO Rate Amount Qty 18 .9 20 3.7 .37 10 400 400 1 Total: 421.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416084 Min 01416084 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 11-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 11-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 13-FEB-19 X - RAY - SINGLE VIEW 14 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 16 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 17 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 20 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 23 16-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 24 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 26 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 27 16-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 28 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 29 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 31 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 32 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 33 26-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 34 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 35 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 26-FEB-19
Page 3325 of 6486
PARBATI DEVI Rate Amount Qty 16.85 3.37 5 7.4 .37 20 25.07 25.07 1 9.86 9.86 1 41.06 41.06 1 6.82 6.82 1 400 400 1 400 400 1 9 .9 10 4.45 .89 5 2.7 .18 15 1.85 .37 5 15.73 15.73 1 550 550 1 17.4 1.16 15 18.6 .62 30 76.5 2.55 30 27.9 .93 30 334.8 5.58 60 195 1.3 150 72 .6 120 21.6 .36 60 12.15 12.15 1 3.9 .26 15 13.35 .89 15 3.7 .37 10 27 .9 30 16.81 16.81 1 6.82 6.82 1 400 400 1 12.15 12.15 1 66.2 6.62 10 9 .9 10 13.4 .67 20 7.4 .37 20 400 400 1 Total: 3246.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416086 Min 01416086 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 3326 of 6486
Name
S P SHRIVASTAVA Rate Amount Qty 87.92 43.96 2 20.1 .67 30 53.4 .89 60 92.1 6.14 15 7.5 .25 30 13.35 .89 15 16.2 .18 90 400 400 1 Total: 690.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416097 Min 01416097 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 3327 of 6486
Name
KRISHNA KUMAR Rate Amount Qty 12 .4 30 72.6 1.21 60 16.2 .27 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 568
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416107 Min 01416107 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 27-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3328 of 6486
Name
B L NANDANWAR Rate Amount Qty 1.48 .37 4 1.52 .38 4 9.86 9.86 1 11.1 .37 30 9.86 9.86 1 26.96 3.37 8 400 400 1 Total: 460.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416131 Min 01416131 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 3329 of 6486
Name
SUDAMA DAMAHE Rate Amount Qty 55.8 .93 60 400 400 1 21.3 .71 30 66 1.1 60 12 .4 30 12 .4 30 21.3 .71 30 12 .4 30 21.3 .71 30 400 400 1 Total: 1021.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416132 Min 01416132 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3330 of 6486
Name
PREMIYA BAI DAMAHE Rate Amount Qty 34.8 1.16 30 8.9 .89 10 12 .4 30 36 .6 60 42.6 .71 60 400 400 1 Total: 534.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416133 Min 01416133 Appmt Dt Slno Description 04-FEB-19 1 MOXONIDIN 0.2MG,,TABLET 04-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3331 of 6486
Name
BALMUKUND SINGH Qty Rate Amount 90 3.53 317.7 30 .25 7.5 30 .38 11.4 1 400 400 Total: 736.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416135 Min 01416135 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3332 of 6486
Name
GULAICHA DEVI Rate Amount Qty 275 275 1 275 275 1 36 .6 60 10.8 .36 30 400 400 1 Total: 996.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416137 Min 01416137 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3333 of 6486
Name
SHOBHA BALASUBRAMANIAM Rate Amount Qty 26.7 .89 30 21.3 .71 30 47.4 .79 60 36 .6 60 400 400 1 Total: 531.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416141 Min 01416141 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3334 of 6486
Name
ASHA RAM WAHANE Rate Amount Qty 400 400 1 275 275 1 275 275 1 21.3 .71 30 36 .6 60 9 .3 30 400 400 1 Total: 1416.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416144 Min 01416144 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 04-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 13 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 14 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 15 04-FEB-19
Page 3335 of 6486
RAJESHWARI PARGANIHA Rate Amount Qty 9.3 .62 15 47.19 15.73 3 7.4 .37 20 66.2 6.62 10 6.4 .64 10 20.84 5.21 4 9.9 .66 15 400 400 1 55.8 .93 60 13.8 .23 60 17.4 1.16 15 12 .4 30 126 2.1 60 17.4 .58 30 38.25 2.55 15 Total: 847.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416149 Min 01416149 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3336 of 6486
Name
A P MISHRA Rate Amount Qty 12 .4 30 26.7 .89 30 30.45 2.03 15 66 1.1 60 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 602.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416153 Min 01416153 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3337 of 6486
Name
SOMAYAJULA SANKARA RAO Rate Amount Qty 60.9 2.03 30 55.8 .93 60 400 400 1 6.4 .64 10 20.25 20.25 1 400 400 1 Total: 943.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416154 Min 01416154 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 5 01-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 14-FEB-19 GUM ASTRINGENT PAINT 13 14-FEB-19 AMISULPRIDE, 100MG,,TABLET 14 14-FEB-19 SODIUM VALPROATE,500MG,TABLET 15 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 14-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19
Page 3338 of 6486
S.V. JAYA LAKSHMI Rate Amount Qty 10.65 .71 15 7.7 .77 10 35.2 3.52 10 6.4 .64 10 33.73 33.73 1 63.58 63.58 1 7.5 .25 30 31.61 31.61 1 400 400 1 13.7 1.37 10 8.9 .89 10 185.7 6.19 30 63.08 31.54 2 117.3 7.82 15 234 3.9 60 50.14 25.07 2 6.82 6.82 1 400 400 1 Total: 1676.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416160 Min 01416160 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 6 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 3339 of 6486
Name
SAVITRI SINGH Rate Amount Qty 36 .6 60 27.9 .93 30 33 1.1 30 18.9 .63 30 2.4 .16 15 17.37 17.37 1 117 1.3 90 167.4 5.58 30 7.5 .25 30 1.48 .37 4 400 400 1 Total: 828.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416161 Min 01416161 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 4 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3340 of 6486
Name
N K GUPTA Rate Amount Qty 32.4 1.08 30 33 1.1 30 60.9 2.03 30 39.54 19.77 2 51.38 25.69 2 21.6 .36 60 36 .6 60 117 1.3 90 21.3 .71 30 400 400 1 Total: 813.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416165 Min 01416165 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 3341 of 6486
Name
S MAJU Rate Amount Qty 26.7 .89 30 118.5 3.95 30 7.5 .25 30 15.3 .51 30 60.9 2.03 30 54 .9 60 16.2 .18 90 55.8 .93 60 31.2 1.04 30 400 400 1 Total: 786.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416167 Min 01416167 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 09-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 3342 of 6486
Name
RAJESH KUMAR PUROHIT Rate Amount Qty 16.85 3.37 5 13.43 13.43 1 19.72 9.86 2 7.4 .37 20 400 400 1 21.3 .71 30 12 .4 30 9.3 .62 15 8.1 .27 30 55.8 .93 60 1.6 .16 10 29.7 .99 30 400 400 1 Total: 995.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416173 Min 01416173 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3343 of 6486
Name
ASHWANI KUMAR Rate Amount Qty 34.8 1.16 30 23.1 .77 30 32.4 1.08 30 54 .6 90 55.8 .93 60 8.1 .27 30 400 400 1 Total: 608.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416174 Min 01416174 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3344 of 6486
Name
SUNITA Rate Amount Qty 15.6 1.04 15 10.8 .36 30 54 .6 90 34.8 1.16 30 55.8 .93 60 1.85 .37 5 3.84 .64 6 400 400 1 Total: 576.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416179 Min 01416179 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 18-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 13 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 3345 of 6486
Name
VASANT RAO Rate Amount Qty 10.8 .36 30 9 .3 30 1.48 .37 4 3.84 .64 6 15.96 2.66 6 11.85 .79 15 34.8 1.16 30 72 .6 120 400 400 1 15.33 .73 21 3.5 .25 14 19.72 9.86 2 26.96 3.37 8 7.4 .37 20 400 400 1 Total: 1032.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416186 Min 01416186 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3346 of 6486
Name
SURESH PATIL Rate Amount Qty 7.5 .25 30 26.7 .89 30 12 .4 30 34.8 1.16 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 684.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416187 Min 01416187 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 PRAZOSIN,2.5MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 3347 of 6486
Name
SWETA PATIL Rate Amount Qty 31.61 31.61 1 11.1 .37 30 25.62 12.81 2 400 400 1 34.8 1.16 30 78 1.3 60 55.8 .93 60 32.4 1.08 30 371.4 6.19 60 2.4 .16 15 400 400 1 Total: 1443.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416190 Min 01416190 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3348 of 6486
Name
ASIT KUMAR PURKAIT Rate Amount Qty 18 .6 30 12 .4 30 21.3 .71 30 11.85 .79 15 7.5 .25 30 43.96 43.96 1 400 400 1 Total: 514.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416191 Min 01416191 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 3349 of 6486
Name
VANDANA PURKAIT Rate Amount Qty 55.8 .93 60 66 1.1 60 13.35 .89 15 20.06 20.06 1 400 400 1 Total: 555.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416194 Min 01416194 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3350 of 6486
Name
MOHD.NAJIB KHAN Rate Amount Qty 36 .4 90 17.4 .58 30 26.7 .89 30 2.4 .16 15 47.4 .79 60 34.8 1.16 30 54 .6 90 400 400 1 Total: 618.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416195 Min 01416195 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 3351 of 6486
Name
HASINA BEGAM Rate Amount Qty 26.7 .89 30 20.06 20.06 1 34.8 1.16 30 24 .4 60 54 .6 90 400 400 1 Total: 559.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416196 Min 01416196 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3352 of 6486
Name
VIJAY KUMAR THAKUR Rate Amount Qty 35.2 17.6 2 11.1 .37 30 400 400 1 Total: 446.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416197 Min 01416197 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 3353 of 6486
Name
DROPADI THAKUR Rate Amount Qty 23.7 .79 30 12.8 .64 20 21.3 .71 30 54 .6 90 400 400 1 Total: 511.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416202 Min 01416202 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3354 of 6486
Name
AWADHESH KUMAR TIWARI Rate Amount Qty 32.4 .36 90 72 .6 120 55.8 .93 60 21.3 .71 30 400 400 1 Total: 581.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416203 Min 01416203 Slno Description Appmt Dt CREATININE /CRT 1 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 25-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 6 25-FEB-19 URIC ACID (UA /URATES /UR) 7 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 25-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 16 25-FEB-19 ONDANSETRON,2MG/ML,INJECTION 17 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 18 25-FEB-19 OBSERVATION IN CASUALTY 19 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 26-FEB-19 FNAC /FNAB (FNAC+REPORTING) 21 26-FEB-19
Page 3355 of 6486
Name
SMT.KAMINI TIWARI Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 275 275 1 275 275 1 66 1.1 60 55.8 .93 60 2.8 .7 4 7.5 .25 30 26.7 .89 30 34.8 1.16 30 8.1 .27 30 29.7 .99 30 5.21 5.21 1 7.52 7.52 1 24.52 24.52 1 420 420 1 400 400 1 1000 1000 1 Total: 5163.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416204 Min 01416204 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3356 of 6486
Name
NIRMALA GAJBHIYE Rate Amount Qty 17.4 1.16 15 7.5 .25 30 17.4 .58 30 36 .6 60 66 1.1 60 400 400 1 Total: 544.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416205 Min 01416205 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 HYDROXYUREA,500MG,STRIP PACK,,CAPSULE 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 7 26-FEB-19 SODIUM VALPROATE,500MG,TABLET 8 26-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 9 26-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3357 of 6486
Name
YUVRAJ GAJBHIYE Rate Amount Qty 4.1 .41 10 7.5 .25 30 142.2 4.74 30 26.7 .89 30 11.4 .38 30 400 400 1 39.6 2.64 15 117 3.9 30 88.35 5.89 15 88.2 1.47 60 400 400 1 Total: 1325.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416214 Min 01416214 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 01-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 01-FEB-19 OBSERVATION IN CASUALTY 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 01-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 9 01-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 10 01-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 11 01-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 12 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 01-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 01-FEB-19 RACECADOTRIL,100MG,CAPSULE 15 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 09-FEB-19 MOXONIDIN 0.2MG,,TABLET 20 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 09-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 22 09-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 23 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 24 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 25 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 09-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 27 10-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 28 10-FEB-19 ONDANSETRON,2MG/ML,INJECTION 29 10-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 30 10-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 31 10-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 32 10-FEB-19 ECG 33 10-FEB-19 OBSERVATION IN CASUALTY 34 10-FEB-19
Page 3358 of 6486
Name
RANNO BAI Rate Amount Qty 167.4 5.58 30 21.3 .71 30 27.9 .93 30 24.52 24.52 1 11.89 11.89 1 420 420 1 36 .6 60 7.52 7.52 1 9.62 9.62 1 9.81 9.81 1 34.84 8.71 4 6.54 2.18 3 8.9 .89 10 4.2 .7 6 11.94 5.97 2 21.12 3.52 6 10.08 1.12 9 400 400 1 2.4 .16 15 105.9 3.53 30 21.3 .71 30 17.42 8.71 2 10.08 1.12 9 21.12 3.52 6 55.8 .93 60 400 400 1 5.41 5.41 1 3.52 3.52 1 7.52 7.52 1 11.89 11.89 1 24.52 24.52 1 9.62 9.62 1 450 450 1 420 420 1 Total: 2800.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416216 Min 01416216 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3359 of 6486
Name
SHOBHAWATI YADAV Rate Amount Qty 35.2 17.6 2 7.4 .37 20 400 400 1 35.2 17.6 2 7.4 .37 20 400 400 1 Total: 885.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416219 Min 01416219 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3360 of 6486
Name
RAGHU VIR SINGH SURYAVANSHI Rate Amount Qty 13.35 .89 15 87.92 43.96 2 400 400 1 Total: 501.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416221 Min 01416221 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 3361 of 6486
Name
PUSHPA SAHU Rate Amount Qty 8.1 .27 30 27.9 .93 30 167.4 5.58 30 36 .6 60 21.3 .71 30 400 400 1 Total: 660.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416222 Min 01416222 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3362 of 6486
Name
BHAGAWATI PRASAD SAHU Rate Amount Qty 21.3 .71 30 36 .6 60 27.9 .93 30 43.96 43.96 1 400 400 1 Total: 529.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416223 Min 01416223 Slno Description Appmt Dt SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 1 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 3363 of 6486
Name
RAJKUMAR SAXENA Rate Amount Qty 19.8 .66 30 104.4 1.74 60 400 400 1 Total: 524.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416228 Min 01416228 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 3364 of 6486
Name
SUDHIR RANJAN SARKAR Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 16.2 .27 60 72.6 1.21 60 167.4 5.58 30 27.9 .93 30 400 400 1 Total: 733.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416229 Min 01416229 Appmt Dt Slno Description 27-FEB-19 1 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 27-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27-FEB-19 3 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27-FEB-19 4 CONSULTATION IN OPD IN JLN H AND RC
Page 3365 of 6486
Name
AMRITA SARKAR Qty 1 1 1 1
Rate Amount 1300 1300 275 275 275 275 400 400 Total: 2250
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416232 Min 01416232 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 3366 of 6486
Name
PANNA LAL SARKAR Rate Amount Qty 8.1 .27 30 13.95 .93 15 400 400 1 Total: 422.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416236 Min 01416236 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 15-FEB-19 CREATININE /CRT 8 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 15-FEB-19
Page 3367 of 6486
Name
DIGAMBER PATIL Rate Amount Qty 400 400 1 27.9 .93 30 36 .6 60 167.4 5.58 30 10.65 .71 15 275 275 1 275 275 1 275 275 1 32.4 .36 90 Total: 1499.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416237 Min 01416237 Appmt Dt Slno Description 21-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 21-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3368 of 6486
Name
SHUBHANGINI PATIL Qty Rate Amount 15 .79 11.85 30 .71 21.3 30 .63 18.9 1 400 400 Total: 452.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416240 Min 01416240 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 7 26-FEB-19 ECG 8 26-FEB-19 OBSERVATION IN CASUALTY 9 26-FEB-19
Page 3369 of 6486
Name
RAGHUVEER PRASAD JHARIA Rate Amount Qty 12.81 12.81 1 16.2 .27 60 400 400 1 .89 .89 1 600 600 1 .37 .37 1 9.62 9.62 1 450 450 1 420 420 1 Total: 1909.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416242 Min 01416242 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 PRAZOSIN,2.5MG,TABLET 2 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 3370 of 6486
Name
H.K.DESHMUKH Rate Amount Qty 55.8 .93 60 117 1.3 90 4.8 .16 30 21.3 .71 30 33 1.1 30 400 400 1 Total: 631.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416243 Min 01416243 Appmt Dt Slno Description 12-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 12-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 3 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3371 of 6486
Name
KALPANA DESHMUKH Qty Rate Amount 30 1.21 36.3 15 .71 10.65 15 .66 9.9 1 400 400 Total: 456.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416247 Min 01416247 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 3372 of 6486
Name
MANJURANI KUNDU Rate Amount Qty 16.2 .27 60 27.9 .93 30 21.3 .71 30 9 .3 30 18 .6 30 400 400 1 Total: 492.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416248 Min 01416248 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 3373 of 6486
Name
RAGHVENDRA SINGH Rate Amount Qty 78 1.3 60 15.96 2.66 6 1.48 .37 4 26.7 .89 30 27.9 .93 30 12 .4 30 32.4 1.08 30 167.4 5.58 30 36 .6 60 9 .3 30 10.8 .36 30 400 400 1 Total: 817.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416249 Min 01416249 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3374 of 6486
Name
NIRMALA SINGH Rate Amount Qty 8.7 .58 15 12 .4 30 18.6 .62 30 117 1.3 90 36 .6 60 13.95 .93 15 21.3 .71 30 400 400 1 Total: 627.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416250 Min 01416250 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3375 of 6486
Name
MD KALAM Rate Amount Qty 22.2 .37 60 55.8 .93 60 7.5 .25 30 6.4 .64 10 400 400 1 Total: 491.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416251 Min 01416251 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 07-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3376 of 6486
Name
RAJJAB BE BANO Rate Amount Qty 3.75 .25 15 2.4 .16 15 55.8 .93 60 400 400 1 7.4 .37 20 19.72 9.86 2 317.9 63.58 5 400 400 1 Total: 1206.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416252 Min 01416252 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 3377 of 6486
Name
JIWAN DAS Rate Amount Qty 7.5 .25 30 7.65 .51 15 36 .6 60 21.6 .36 60 8.1 .27 30 400 400 1 Total: 480.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416253 Min 01416253 Appmt Dt Slno Description 21-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 21-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 21-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3378 of 6486
Name
DHARAMWATI Qty Rate Amount 15 .6 9 30 .79 23.7 30 .38 11.4 1 400 400 Total: 444.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416273 Min 01416273 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 11 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 25-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 3379 of 6486
Name
ANJULA BHARGAVA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 21.3 .71 30 23.7 .79 30 2.4 .16 15 400 400 1 27.9 .93 30 18.6 .62 30 400 400 1 4.1 .41 10 46.8 2.34 20 11.4 .38 30 20.25 20.25 1 2.5 .25 10 11.2 1.12 10 400 400 1 Total: 1583.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416286 Min 01416286 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 3380 of 6486
Name
S C SARKAR Rate Amount Qty 21.3 .71 30 10.8 .36 30 72 .6 120 66 1.1 60 400 400 1 33.12 1.84 18 3.56 .89 4 5.76 .64 9 400 400 1 22.08 1.84 12 3.84 .64 6 1.78 .89 2 400 400 1 Total: 1440.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416287 Min 01416287 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3381 of 6486
Name
TULSI RANI SARKAR Rate Amount Qty 76.5 2.55 30 5.21 5.21 1 41.85 .93 45 21.3 .71 30 400 400 1 Total: 544.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416288 Min 01416288 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 28-FEB-19 URIC ACID (UA /URATES /UR) 12 28-FEB-19 UREA (BUN /UR) 13 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 28-FEB-19
Page 3382 of 6486
Name
A KAMESHWAR RAO Rate Amount Qty 8.1 .27 30 21.3 .71 30 32.4 1.08 30 117 1.3 90 24 .4 60 27.9 .93 30 12 .4 30 3.75 .25 15 167.4 5.58 30 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3613.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416289 Min 01416289 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 16 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 22 25-FEB-19 UREA (BUN /UR) 23 25-FEB-19 URIC ACID (UA /URATES /UR) 24 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 26 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 27 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 30 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 31 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 32 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 33 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 34 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 35 27-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 36 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 37 27-FEB-19
Page 3383 of 6486
A. AMANA Rate Amount Qty 11.4 .38 30 4.8 .16 30 1.5 .25 6 3.84 .64 6 8.1 .27 30 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 167.4 5.58 30 36 .6 60 26.7 .89 30 7.5 .25 30 400 400 1 24.3 12.15 2 54 .9 60 16.2 .18 90 7.5 .25 30 400 400 1 400 400 1 275 275 1 275 275 1 25.07 25.07 1 275 275 1 275 275 1 400 400 1 4.8 .16 30 11.4 .38 30 7.5 .25 30 53.4 .89 60 36 .6 60 167.4 5.58 30 34.8 1.16 30 32.4 1.08 30 27.9 .93 30 8.1 .27 30 7.5 .25 30 400 400 1 Total: 3980.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416290 Min 01416290 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 3384 of 6486
Name
VIJAY KUMAR GURALWAR Rate Amount Qty 21.6 .36 60 16.2 .27 60 55.8 .93 60 39 1.3 30 72 .6 120 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1257.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416291 Min 01416291 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 23-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 3385 of 6486
Name
VARSHA GURALWAR Rate Amount Qty 167.4 5.58 30 6.4 .64 10 21.3 .71 30 32.4 1.08 30 55.8 .93 60 36 .6 60 400 400 1 2.5 .25 10 8.9 .89 10 26 2.6 10 400 400 1 Total: 1156.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416292 Min 01416292 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 3386 of 6486
Name
GOPAL RAM DWIVEDI Rate Amount Qty 2.4 .16 15 12 .4 30 72 .6 120 78 1.3 60 13.95 .93 15 72.6 1.21 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 756.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416294 Min 01416294 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 14-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3387 of 6486
Name
PREM SINGH VERMA Rate Amount Qty 16.2 .27 60 72.6 1.21 60 27.9 .93 30 21.3 .71 30 12 .4 30 167.4 5.58 30 16.65 1.11 15 400 400 1 Total: 734.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416295 Min 01416295 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 14-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3388 of 6486
Name
INDIRA VERMA Rate Amount Qty 55.8 .93 60 153 2.55 60 18.6 .62 30 15.3 .51 30 43.2 1.44 30 7.5 .25 30 400 400 1 Total: 693.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416296 Min 01416296 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3389 of 6486
Name
RATNAKAR MANKAR Rate Amount Qty 1.85 .37 5 400 400 1 29.7 .99 30 66 1.1 60 55.8 .93 60 12 .4 30 21.3 .71 30 400 400 1 Total: 986.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416297 Min 01416297 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 12-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 12-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 4 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 12-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 12 19-FEB-19
Page 3390 of 6486
Name
MANDA MANKAR Rate Amount Qty 650 650 1 380 380 1 400 400 1 31.99 2879.1 90 20.1 .67 30 85.8 8.58 10 6.4 .64 10 26.13 8.71 3 27.9 .93 30 .25 .25 1 400 400 1 650 650 1 Total: 5525.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416306 Min 01416306 Appmt Dt Slno Description 04-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3391 of 6486
Name
T.K. JOSEPH Qty Rate Amount 30 1.16 34.8 60 .93 55.8 30 .27 8.1 1 400 400 Total: 498.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416307 Min 01416307 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 3392 of 6486
Name
JOLLY JOSEPH Rate Amount Qty 27.9 .93 30 21.3 .71 30 21.3 .71 30 400 400 1 4.45 .89 5 6.4 .64 10 4.1 .41 10 400 400 1 Total: 885.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416308 Min 01416308 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 KETOTIFEN,1MG,TABLET 4 01-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 10 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 11 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 17 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 20 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 25-FEB-19
Page 3393 of 6486
Name
SHALIK RAM KANDE Rate Amount Qty 550 550 1 400 400 1 27 .9 30 22.8 1.52 15 12.15 12.15 1 8.1 .18 45 16.75 .67 25 66.2 6.62 10 400 400 1 15.6 1.04 15 12.15 12.15 1 192.3 6.41 30 16.2 .27 60 21.3 .71 30 12 .4 30 55.8 .93 60 72.6 1.21 60 60.9 2.03 30 400 400 1 12.15 12.15 1 400 400 1 Total: 2774
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416309 Min 01416309 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 3394 of 6486
Name
SMT.PRAJAVATI KANDE Rate Amount Qty 10.8 .36 30 54 .6 90 29.7 .99 30 21.3 .71 30 167.4 5.58 30 55.8 .93 60 36.3 1.21 30 400 400 1 Total: 775.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416310 Min 01416310 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 3395 of 6486
Name
SHANKAR LAL KESHARWANI Rate Amount Qty 29.7 .99 30 6.9 .23 30 21.3 .71 30 18 .6 30 66 1.1 60 5.21 5.21 1 74.4 .62 120 55.8 .93 60 400 400 1 Total: 677.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416311 Min 01416311 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 01-FEB-19 PRAZOSIN,2.5MG,TABLET 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 25-FEB-19 PRAZOSIN,2.5MG,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 17 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 3396 of 6486
Name
SAVITRI DEVI Rate Amount Qty 23.1 .77 30 21.6 .36 60 54 .6 90 27.9 .93 30 78 1.3 60 72.6 1.21 60 78 1.3 60 17.4 1.16 15 7.5 .25 30 400 400 1 21.6 .36 60 78 1.3 60 27.9 .93 30 78 1.3 60 7.5 .25 30 21.3 .71 30 72.6 1.21 60 54 .6 90 400 400 1 Total: 1541
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416313 Min 01416313 Slno Description Appmt Dt LORAZEPAM,2MG,STRIP PACK.,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 05-FEB-19 PRAZOSIN,2.5MG,TABLET 10 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 13-FEB-19 PRAZOSIN,2.5MG,TABLET 17 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 13-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19
Page 3397 of 6486
Name
R.S.THAKUR Rate Amount Qty 82.2 2.74 30 400 400 1 29.7 .99 30 33 1.1 30 12 .4 30 21.3 .71 30 55.8 .93 60 21.12 3.52 6 78 1.3 60 156 1.3 120 1.5 .25 6 4.62 .77 6 400 400 1 12 .4 30 21.3 .71 30 78 1.3 60 156 1.3 120 29.7 .99 30 33 1.1 30 55.8 .93 60 82.2 2.74 30 400 400 1 Total: 2163.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416314 Min 01416314 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 23-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 23-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 3398 of 6486
Name
P.S.V. SATYANARAYAN Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 126 2.1 60 78 .78 100 18.6 .62 30 27.9 .93 30 27 .6 45 400 400 1 Total: 930.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416315 Min 01416315 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 11-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3399 of 6486
Name
P.LAXMI Rate Amount Qty 95.7 3.19 30 34.5 1.15 30 400 400 1 10.8 .36 30 72 .6 120 34.8 1.16 30 400 400 1 Total: 1047.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416320 Min 01416320 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 TETANUS IMMUNOGLOBULIN 9 28-FEB-19 OBSERVATION IN CASUALTY 10 28-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 11 28-FEB-19 DRESSING SIMPLE 12 28-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 13 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 3400 of 6486
Name
SADASHIV DWIVEDI Rate Amount Qty 41.85 .93 45 9 .3 30 36 .6 60 39 1.3 30 21.3 .71 30 12 .4 30 400 400 1 2.67 .89 3 1.37 1.37 1 420 420 1 5.85 5.85 1 300 300 1 1200 600 2 3.84 .64 6 400 400 1 Total: 2892.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416322 Min 01416322 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3401 of 6486
Name
MUNENDRA KUMAR JAIN Rate Amount Qty 13.35 .89 15 21.3 .71 30 55.2 .92 60 33 1.1 30 55.8 .93 60 90 .6 150 7.5 .25 30 9.3 .62 15 400 400 1 Total: 685.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416323 Min 01416323 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3402 of 6486
Name
SUNITA JAIN Rate Amount Qty 7.5 .25 30 21.3 .71 30 36 .6 60 41.85 .93 45 8.9 .89 10 400 400 1 Total: 515.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416324 Min 01416324 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 04-FEB-19 SOLIFENACIN,5MG,,TABLET 2 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 13 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19
Page 3403 of 6486
Name
CAPT. JODHA SINGH Rate Amount Qty 11.4 .38 30 403.2 13.44 30 60.9 2.03 30 18.9 .63 30 12 .4 30 8.1 .27 30 27.9 .93 30 400 400 1 371.4 6.19 60 25.2 .42 60 26.7 .89 30 21.9 .73 30 191.4 3.19 60 19.2 .64 30 400 400 1 Total: 1998.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416325 Min 01416325 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 SOLIFENACIN,5MG,,TABLET 4 19-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 5 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 3404 of 6486
Name
SHANTI SINGH Rate Amount Qty 7.5 .25 30 21.3 .71 30 55.8 .93 60 403.2 13.44 30 10.65 .71 15 60.9 2.03 30 400 400 1 Total: 959.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416326 Min 01416326 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 3405 of 6486
Name
ARVIND KUMAR PATIL Rate Amount Qty 32.4 1.08 30 36 .6 60 21.3 .71 30 16.2 .27 60 9 .3 30 400 400 1 2.59 .37 7 12.15 12.15 1 5.7 .38 15 12.6 .9 14 8.96 .64 14 400 400 1 Total: 956.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416327 Min 01416327 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 3406 of 6486
Name
ANJALI PATIL Rate Amount Qty 55.8 .93 60 33 1.1 30 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416330 Min 01416330 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3407 of 6486
Name
K K N SINGH Qty Rate Amount 30 .23 6.9 30 .71 21.3 15 .93 13.95 1 400 400 Total: 442.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416332 Min 01416332 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 3408 of 6486
Name
FIRATRAM SINHA Rate Amount Qty 15.3 .51 30 55.8 .93 60 6.9 .23 30 14.85 .99 15 36 .6 60 400 400 1 11.1 .37 30 26.7 .89 30 12.15 12.15 1 20.1 .67 30 54 .9 60 400 400 1 Total: 1052.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416333 Min 01416333 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ESCITALOPRAM,10MG,,TABLET 5 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3409 of 6486
Name
RANI BAI SINHA Rate Amount Qty 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 27.75 1.85 15 9.9 .66 15 400 400 1 Total: 845.62
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416334 Min 01416334 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 15-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 4 15-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 3410 of 6486
KUNJ BIHARI KURREY Rate Amount Qty 15 .25 60 400 400 1 26.96 3.37 8 63.58 63.58 1 25.07 25.07 1 400 400 1 47.4 .79 60 1.85 .37 5 66.2 6.62 10 2.7 .18 15 400 400 1 Total: 1448.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416335 Min 01416335 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 2 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 12 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 25-FEB-19 CREATININE /CRT 21 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 25-FEB-19
Page 3411 of 6486
Name
FULBAI KURREY Rate Amount Qty 87.92 43.96 2 39.18 19.59 2 27.4 1.37 20 6.4 .64 10 37.8 .63 60 3.56 .89 4 400 400 1 12 .4 30 27 .9 30 55.8 .93 60 5.4 .18 30 31.2 1.04 30 6.4 .64 10 8.9 .89 10 18 .6 30 21.3 .71 30 15.6 .26 60 7.65 .51 15 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 2436.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416347 Min 01416347 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 3412 of 6486
Name
PREM NARAYAN SINGH Rate Amount Qty 32.4 1.08 30 315 2.1 150 400 400 1 Total: 747.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416353 Min 01416353 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 7 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 19-FEB-19 UREA (BUN /UR) 9 19-FEB-19 CREATININE /CRT 10 19-FEB-19 URIC ACID (UA /URATES /UR) 11 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 17 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 3413 of 6486
Name
JITENDRA SINGH Rate Amount Qty 2.59 .37 7 400 400 1 1300 1300 1 60.9 2.03 30 32.4 1.08 30 21.3 .71 30 150.9 5.03 30 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 7.5 .25 30 400 400 1 275 275 1 19.2 .64 30 33.12 1.84 18 2.67 .89 3 3.84 .64 6 6.72 1.12 6 400 400 1 Total: 4766.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416361 Min 01416361 Slno Description Appmt Dt NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 1 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 3414 of 6486
Name
MP SINGH Rate Amount Qty 157.8 2.63 60 11.85 .79 15 33 1.1 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 714.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416362 Min 01416362 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 3415 of 6486
Name
REETA SINGH Rate Amount Qty 14.85 .99 15 21.3 .71 30 1.85 .37 5 3.84 .64 6 3.75 .25 15 32.4 1.08 30 12 .4 30 55.8 .93 60 36 .6 60 400 400 1 Total: 581.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416364 Min 01416364 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19
Page 3416 of 6486
Name
R.B. GARDIA Rate Amount Qty 8.1 .27 30 9 .3 30 27.9 .93 30 54 .6 90 32.4 1.08 30 17.4 1.16 15 0 .89 0 16.91 .89 19 7.5 .25 30 400 400 1 21.3 .71 30 9 .3 30 54 .6 90 27.9 .93 30 8.1 .27 30 32.4 1.08 30 400 400 1 Total: 1125.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416366 Min 01416366 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 3417 of 6486
Name
MANJUSHA AGRAWAL Rate Amount Qty 66 1.1 60 7.5 .25 30 400 400 1 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416368 Min 01416368 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3418 of 6486
Name
S N RAJPUT Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416372 Min 01416372 Appmt Dt Slno Description 11-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 11-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11-FEB-19 4 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK,
Page 3419 of 6486
Name
PARWATI Qty Rate Amount 1 400 400 30 .79 23.7 30 .27 8.1 30 .25 7.5 Total: 439.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416375 Min 01416375 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 11-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3420 of 6486
Name
JS DUA Qty Rate Amount 45 .93 41.85 30 .4 12 30 .71 21.3 1 400 400 Total: 475.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416376 Min 01416376 Appmt Dt Slno Description 19-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 19-FEB-19 2 GRANULE,VITAMIN D-3,1GM/PKT 19-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3421 of 6486
Name
RAJRANI DUA Qty Rate Amount 15 .6 9 1 5.21 5.21 30 .25 7.5 1 400 400 Total: 421.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416377 Min 01416377 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3422 of 6486
Name
EMILIANA EKKA Rate Amount Qty 10.65 .71 15 18 .6 30 55.8 .93 60 211.8 3.53 60 18.6 .62 30 400 400 1 Total: 714.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416378 Min 01416378 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3423 of 6486
Name
M EKKA Rate Amount Qty 117 1.3 90 55.8 .93 60 18.9 .63 30 317.7 3.53 90 3.96 .99 4 400 400 1 Total: 913.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416379 Min 01416379 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3424 of 6486
Name
PRAKASH DOGRA Rate Amount Qty 63.22 31.61 2 25.62 12.81 2 7.5 .25 30 9 .3 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 554.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416380 Min 01416380 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 3425 of 6486
Name
J S DOGRA Rate Amount Qty 18 .6 30 7.5 .25 30 400 400 1 Total: 425.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416381 Min 01416381 Appmt Dt Slno Description 07-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 07-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3426 of 6486
Name
S K PALI Qty Rate Amount 30 1.1 33 15 .79 11.85 30 .4 12 1 400 400 Total: 456.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416387 Min 01416387 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 3427 of 6486
Name
SALIN SHAJAN Rate Amount Qty 12 .4 30 21.6 .36 60 36 .6 60 29.7 .99 30 26.7 .89 30 400 400 1 Total: 526
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416391 Min 01416391 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 28-FEB-19 PRAZOSIN,2.5MG,TABLET 6 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 3428 of 6486
SYED USMAN ALI Rate Amount Qty 6.82 6.82 1 25.07 25.07 1 400 400 1 16.2 .27 60 14.85 .99 15 156 1.3 120 47.4 .79 60 400 400 1 Total: 1066.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416395 Min 01416395 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 X - RAY - SINGLE VIEW 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 X - RAY - TWO VIEWS 7 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 19-FEB-19
Page 3429 of 6486
Name
TARACHAND GADPAYALE Rate Amount Qty 14.6 .73 20 8.9 .89 10 27.4 1.37 20 550 550 1 400 400 1 400 400 1 860 860 1 27.4 1.37 20 Total: 2288.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416397 Min 01416397 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 3430 of 6486
Name
BALBIR SINGH Rate Amount Qty 3.7 .37 10 7.5 .25 30 34.8 1.16 30 12 .4 30 27.9 .93 30 10.8 .36 30 36 .6 60 400 400 1 Total: 532.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416400 Min 01416400 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 3431 of 6486
Name
SON SINGH Rate Amount Qty 8.9 .89 10 20.06 20.06 1 16.8 1.12 15 400 400 1 2.5 .25 10 8.9 .89 10 400 400 1 Total: 857.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416402 Min 01416402 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 3432 of 6486
Name
HARMINDER SINGH PURI Rate Amount Qty 4.5 .3 15 36 .6 60 33 1.1 30 17.4 1.16 15 27.9 .93 30 7.5 .25 30 400 400 1 Total: 526.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416403 Min 01416403 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 3433 of 6486
Name
SARABJEET KAUR PURI Rate Amount Qty 17.4 1.16 15 33 1.1 30 167.4 5.58 30 117 1.3 90 23.7 .79 30 72 .6 120 21.6 .36 60 12 .4 30 400 400 1 Total: 864.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416408 Min 01416408 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 17 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 18 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 07-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 20 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 07-FEB-19 URIC ACID (UA /URATES /UR) 25 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 26 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 30 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 31 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 33 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 35 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 36 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 37 21-FEB-19
Page 3434 of 6486
Name
SARVAN SINGH Rate Amount Qty 7.92 .99 8 41.85 .93 45 400 400 1 32.4 .36 90 8.1 .27 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 2.4 .16 15 87.92 43.96 2 72 .6 120 117 1.3 90 167.4 5.58 30 33 1.1 30 55.8 .93 60 400 400 1 26.96 3.37 8 87.92 43.96 2 26.7 .89 30 63.58 63.58 1 123.8 6.19 20 17.8 .89 20 12.8 .64 20 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 6.23 .89 7 10.22 .73 14 9.59 1.37 7 26.7 .89 30 87.92 43.96 2 400 400 1 3.96 .99 4 21.39 .93 23 400 400 1 Total: 4455.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416426 Min 01416426 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 3435 of 6486
Name
RAVINDRANATH DEBNATH Rate Amount Qty 23.7 .79 30 8.1 .27 30 21.3 .71 30 7.65 .51 15 400 400 1 Total: 460.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416433 Min 01416433 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3436 of 6486
Name
PRAKASH CHANDRA JHA Rate Amount Qty 1.48 .37 4 27.9 .93 30 21.3 .71 30 8.1 .27 30 400 400 1 Total: 458.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416435 Min 01416435 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 9 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 3437 of 6486
Name
KRIPA RAM UYKE Rate Amount Qty 24.2 1.21 20 26.7 .89 30 14.07 .67 21 15.8 .79 20 3.8 .38 10 54 .9 60 12.15 12.15 1 400 400 1 53.4 3.56 15 47.4 .79 60 8.1 .27 30 72.6 1.21 60 400 400 1 Total: 1132.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416436 Min 01416436 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 04-FEB-19 3 CARBIMAZOLE,5MG,BTL PACK,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3438 of 6486
Name
NIRMALA UYKE Qty Rate Amount 60 1.1 66 60 .79 47.4 100 1.58 158 1 400 400 Total: 671.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416437 Min 01416437 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 02-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 07-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 26-FEB-19 PRAZOSIN,2.5MG,TABLET 13 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 26-FEB-19 INHALANT,STRIP PACK,CAPSULE 16 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 18 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 3439 of 6486
Name
MADAN GOPAL MANDAL Rate Amount Qty 26.7 .89 30 104.4 1.74 60 100.71 100.71 1 400 400 1 3.7 .37 10 25.5 1.7 15 20.06 20.06 1 8.9 .89 10 26.6 2.66 10 130.42 130.42 1 400 400 1 12 .4 30 78 1.3 60 8.1 .27 30 55.8 .93 60 17 1.7 10 66.2 6.62 10 20.06 20.06 1 5.55 .37 15 26.7 .89 30 400 400 1 Total: 1936.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416438 Min 01416438 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 02-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 02-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 18 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 13-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 21 26-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 22 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 3440 of 6486
TRIPTI RANI MANDAL Rate Amount Qty 13.7 1.37 10 185.7 6.19 30 7.5 .25 30 400 400 1 26.7 .89 30 12.15 12.15 1 100.71 100.71 1 104.4 1.74 60 54 .9 60 400 400 1 39 1.3 30 43.96 43.96 1 34.8 1.16 30 12 .4 30 16.2 .27 60 43.2 .36 120 36 .6 60 167.4 5.58 30 27.9 .93 30 400 400 1 25.07 25.07 1 156.51 313.02 2 40.58 20.29 2 400 400 1 Total: 2903.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416443 Min 01416443 Slno Description Appmt Dt TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 1 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 3 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 15-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 10 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 23-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 15 23-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 16 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 23-FEB-19 ONDANSETRON,2MG/ML,INJECTION 18 23-FEB-19 OBSERVATION IN CASUALTY 19 23-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 20 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 23-FEB-19
Page 3441 of 6486
Name
HARISHCHAND Rate Amount Qty 24.45 24.45 1 44.16 1.84 24 6.42 2.14 3 19.77 19.77 1 400 400 1 400 400 1 275 275 1 3.75 .25 15 400 400 1 2110 2110 1 3.84 .64 6 5.34 .89 6 10.08 1.12 9 21.12 3.52 6 9.81 9.81 1 35.52 35.52 1 24.52 24.52 1 7.52 7.52 1 420 420 1 11.89 11.89 1 400 400 1 Total: 4633.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416444 Min 01416444 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3442 of 6486
Name
YASHODA BAI Rate Amount Qty 24.6 .82 30 21.3 .71 30 400 400 1 39 1.3 30 23.7 .79 30 36 .6 60 400 400 1 Total: 944.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416451 Min 01416451 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 05-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 2 05-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 3 05-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3443 of 6486
Name
A K CHOPDAR Qty 2 2 1 2 1
Rate Amount 148.9 74.45 156.51 313.02 25.69 25.69 40.58 20.29 400 400 Total: 928.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416452 Min 01416452 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3444 of 6486
Name
SANDHYA CHOPDAR Rate Amount Qty 8.9 .89 10 7.5 .25 30 55.8 .93 60 8.1 .27 30 21.3 .71 30 36 .6 60 400 400 1 Total: 537.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416453 Min 01416453 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 3445 of 6486
Name
JAGJIWAN Rate Amount Qty 54 .9 60 26.7 .89 30 400 400 1 Total: 480.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416457 Min 01416457 Appmt Dt Slno Description 07-FEB-19 1 CREAM,BETAMETHASONE VALERATE,0.10% 07-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3446 of 6486
Name
HEMANT DUA Qty Rate Amount 1 17.6 17.6 30 .37 11.1 8 3.37 26.96 1 400 400 Total: 455.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416458 Min 01416458 Appmt Dt Slno Description 21-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 21-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3447 of 6486
Name
RAJENDRA KUMAR GUPTA Qty Rate Amount 60 .64 38.4 30 6.19 185.7 30 .64 19.2 1 400 400 Total: 643.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416468 Min 01416468 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 08-FEB-19
Page 3448 of 6486
Name
DAVID YONA Rate Amount Qty 21.3 .71 30 60.9 2.03 30 66 1.1 60 400 400 1 467.1 5.19 90 2.5 .25 10 6.4 .64 10 8.9 .89 10 24.3 12.15 2 3.7 .37 10 66.2 6.62 10 400 400 1 Total: 1527.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416469 Min 01416469 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 3449 of 6486
Name
SMT.C.D.YONA Rate Amount Qty 21.6 .36 60 40.12 20.06 2 39 1.3 30 12 .4 30 36 .6 60 53.4 .89 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 630.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416470 Min 01416470 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 3450 of 6486
Name
ANJU DHRUWAY Rate Amount Qty 118.5 3.95 30 29.7 .99 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 597.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416473 Min 01416473 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 11-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 3451 of 6486
Name
MANOHAR LAL TAMRAKAR Rate Amount Qty 6.23 .89 7 18.2 2.6 7 5.03 226.35 45 400 400 1 20.06 20.06 1 13.35 .89 15 2.22 .37 6 6.4 .64 10 400 400 1 Total: 1092.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416474 Min 01416474 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 13-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19
Page 3452 of 6486
Name
PUSHPA TAMRAKAR Rate Amount Qty 26.7 .89 30 2.22 .37 6 3.84 .64 6 12 .4 30 33 1.1 30 29.7 .99 30 33.3 .37 90 55.8 .93 60 18 .6 30 34.8 1.16 30 35.2 3.52 10 20.06 20.06 1 400 400 1 Total: 704.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416479 Min 01416479 Slno Description Appmt Dt PLATELET COUNT 1 02-FEB-19 HB,TLC,DLC 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 INHALANT,STRIP PACK,CAPSULE 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3453 of 6486
Name
AK DAVE Qty 1 1 1 6 5 1
Rate Amount 330 330 300 300 400 400 10.2 1.7 1.85 .37 400 400 Total: 1442.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416480 Min 01416480 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 3454 of 6486
Name
SUSHMA DAVE Rate Amount Qty 39.72 6.62 6 6.4 .64 10 400 400 1 Total: 446.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416481 Min 01416481 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 02-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 02-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 3455 of 6486
Name
PRAHLAD Rate Amount Qty 34.8 1.16 30 12 .4 30 24 .4 60 105.9 3.53 30 55.8 .93 60 22.2 .37 60 400 400 1 Total: 654.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416488 Min 01416488 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 3456 of 6486
Name
SHAMIM AKHTAR Rate Amount Qty 55.8 .93 60 423.6 7.06 60 8.1 .27 30 7.8 .26 30 21.3 .71 30 36 .6 60 12 .4 30 400 400 1 Total: 964.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416491 Min 01416491 Appmt Dt Slno Description 08-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 08-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 08-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3457 of 6486
Name
K L AWADHIYA Qty Rate Amount 30 1.08 32.4 30 .25 7.5 30 .71 21.3 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416495 Min 01416495 Appmt Dt Slno Description 19-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3458 of 6486
Name
B K DUBEY Qty Rate Amount 45 .62 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416497 Min 01416497 Slno Description Appmt Dt ECG 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 01-FEB-19 ABC TEST HIV 5 01-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 6 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 07-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 14 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 17 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 18 20-FEB-19 ONDANSETRON,2MG/ML,INJECTION 19 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 20 20-FEB-19 OBSERVATION IN CASUALTY 21 20-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 22 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 23 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 24 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 25 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 26 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 27 21-FEB-19 RIFAXIMIN 200 MG,,TABLET 28 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 29 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 30 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 31 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 32 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 33 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 34 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 35 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 37 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 38 22-FEB-19 SOLIFENACIN,5MG,,TABLET 39 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 40 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 41 24-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 42 24-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 43 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 44 24-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 45 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 46 24-FEB-19
Page 3459 of 6486
DEO PRASAD SAHU Qty 1 1 1 1 1 1 30 15 2 15 30 15 1 15 15 1 1 1 1 1 1 1 6 9 10 30 60 6 30 30 60 30 60 45 30 1 30 30 30 1 1 21 4 4 4 1
Rate Amount 450 450 400 400 275 275 275 275 1250 1250 1000 1000 185.7 6.19 20.55 1.37 87.92 43.96 92.1 6.14 26.7 .89 13.35 .89 400 400 92.1 6.14 13.35 .89 400 400 9.81 9.81 3.52 3.52 7.52 7.52 24.52 24.52 420 420 11.89 11.89 21.12 3.52 10.08 1.12 11.2 1.12 167.4 5.58 55.8 .93 55.98 9.33 7.8 .26 39 1.3 36 .6 32.4 1.08 42.6 .71 31.95 .71 29.7 .99 400 400 60.9 2.03 192.3 6.41 403.2 13.44 400 400 25.07 25.07 7.98 .38 1.64 .41 3.56 .89 14.08 3.52 400 400
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416497 Appmt Dt Slno Description
Min 01416497
Page 3460 of 6486
Name
DEO PRASAD SAHU Qty Rate Amount Total: 7908.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416499 Min 01416499 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 3461 of 6486
Name
P C WARKAR Rate Amount Qty 55.8 .93 60 36 .6 60 21.6 .36 60 21.3 .71 30 400 400 1 Total: 534.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416500 Min 01416500 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 23-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 3462 of 6486
Name
SHARDA P WARKAR Rate Amount Qty .8 .16 5 4.2 .7 6 400 400 1 Total: 405
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416501 Min 01416501 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 3463 of 6486
Name
R.N.PURKAIT Rate Amount Qty 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 36 .6 60 2.4 .16 15 26.7 .89 30 21.3 .71 30 8.1 .27 30 167.4 5.58 30 21.6 .36 60 400 400 1 Total: 1104.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416502 Min 01416502 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3464 of 6486
Name
NUPUR PURKAIT Rate Amount Qty 1.25 .25 5 4.45 .89 5 66.2 6.62 10 9 .9 10 400 400 1 8.9 .89 10 18 .9 20 400 400 1 Total: 907.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416503 Min 01416503 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19
Page 3465 of 6486
Name
RATHINDRA NATH CHOWDHURY Rate Amount Qty 54 .6 90 167.4 5.58 30 21.3 .71 30 60.9 2.03 30 21.6 .36 60 13.95 .93 15 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 1392.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416504 Min 01416504 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 19-FEB-19
Page 3466 of 6486
Name
SMT.RUMA CHOUDHARY Rate Amount Qty 7.8 .26 30 26.7 .89 30 33 1.1 30 400 400 1 400 400 1 1750 1750 1 Total: 2617.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416505 Min 01416505 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 14-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 10 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 13 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 15 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 25-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 17 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 23 25-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 24 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 25 25-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 26 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 25-FEB-19
Page 3467 of 6486
Name
DEBAL CHAKRABORTY Rate Amount Qty 10.8 .36 30 27.9 .93 30 192.3 6.41 30 60.9 2.03 30 43.96 43.96 1 4.8 .16 30 18 .6 30 39 1.3 30 12 .4 30 123.6 4.12 30 21.3 .71 30 400 400 1 18 .6 30 60.9 2.03 30 192.3 6.41 30 27.9 .93 30 123.6 4.12 30 11.1 .37 30 21.3 .71 30 12 .4 30 39 1.3 30 10.8 .36 30 43.96 43.96 1 63.22 31.61 2 4.8 .16 30 57.84 115.68 2 400 400 1 Total: 2099.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416506 Min 01416506 Appmt Dt Slno Description 14-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 14-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3468 of 6486
Name
SMT.SOMA CHAKRABORTY Qty Rate Amount 60 1.21 72.6 30 .27 8.1 15 .16 2.4 1 400 400 Total: 483.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416509 Min 01416509 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 3469 of 6486
Name
DILIP MUKTIBODH Rate Amount Qty 8.1 .27 30 27.9 .93 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416510 Min 01416510 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 3470 of 6486
Name
DIPTI MUKTIBODH Rate Amount Qty 14.85 .99 15 12 .4 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 512.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416512 Min 01416512 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 3471 of 6486
Name
CHAPALA BISWAS Rate Amount Qty 66 1.1 60 8.1 .27 30 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416513 Min 01416513 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 11-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 3472 of 6486
Name
DR. A K BANERJEE Rate Amount Qty 63.58 63.58 1 66.2 6.62 10 13.48 3.37 4 9.86 9.86 1 3.7 .37 10 400 400 1 139.8 9.32 15 2.56 .64 4 400 400 1 Total: 1099.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416521 Min 01416521 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 14-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 URIC ACID (UA /URATES /UR) 13 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 15-FEB-19 UREA (BUN /UR) 17 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 15-FEB-19
Page 3473 of 6486
ASHA RAM SOM Rate Amount Qty 6.4 .64 10 54 .9 60 12.15 12.15 1 16.2 .18 90 70.2 2.34 30 104.4 1.74 60 59.4 .66 90 400 400 1 6.82 6.82 1 25.07 25.07 1 18.21 18.21 1 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3972.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416524 Min 01416524 Appmt Dt Slno Description 01-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 3 GLICLAZIDE MR,30 MG,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3474 of 6486
Name
SMT.LALITA TIWARI Qty Rate Amount 30 .25 7.5 60 .6 36 60 .92 55.2 1 400 400 Total: 498.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416529 Min 01416529 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 3475 of 6486
ARUN KUMAR KHADE Rate Amount Qty 15.73 15.73 1 26.6 2.66 10 9.28 1.16 8 33 1.1 30 27.9 .93 30 3.84 .64 6 400 400 1 Total: 516.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416530 Min 01416530 Slno Description Appmt Dt TRIGLYCERIDES (TGL) 1 01-FEB-19 UREA (BUN /UR) 2 01-FEB-19 CHOLESTEROL (CHOL) 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3476 of 6486
Name
SANGEETA KHADE Rate Amount Qty 275 275 1 275 275 1 275 275 1 37.8 .63 60 27.84 1.16 24 27.9 .93 30 400 400 1 Total: 1318.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416534 Min 01416534 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3477 of 6486
Name
SARASWATI BAI CHANDRAKAR Rate Amount Qty 13.95 .93 15 118.5 3.95 30 400 400 1 Total: 532.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416553 Min 01416553 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 21-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 21-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 9 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 21-FEB-19
Page 3478 of 6486
Name
DEVANAND TAMRAKAR Rate Amount Qty 26.7 .89 30 21.3 .71 30 18.9 .63 30 29.7 .99 30 66 1.1 60 55.8 .93 60 4.8 .16 30 27.9 .93 30 15.96 2.66 6 3.84 .64 6 1.48 .37 4 8.1 .27 30 400 400 1 Total: 680.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416554 Min 01416554 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 06-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 06-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 3479 of 6486
Name
KAUSHILYA DEVI TAMRAKAR Rate Amount Qty 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 11.25 .75 15 400 400 1 42.12 2.34 18 3.84 .64 6 1.85 .37 5 400 400 1 Total: 927.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416557 Min 01416557 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3480 of 6486
Name
VIVEK YESHWANT BHAGWAT Rate Amount Qty 33 1.1 30 12 .4 30 34.8 1.16 30 32.4 1.08 30 400 400 1 25.2 .42 60 4.8 .16 30 400 400 1 Total: 942.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416558 Min 01416558 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3481 of 6486
Name
REKHA V. BHAGWAT Rate Amount Qty 7.5 .25 30 17.4 1.16 15 36 .6 60 39 1.3 30 400 400 1 Total: 499.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416559 Min 01416559 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3482 of 6486
Name
PRADIP KUMAR BOSE Rate Amount Qty 21.3 .71 30 9.3 .62 15 7.5 .25 30 5.21 5.21 1 55.8 .93 60 38.25 2.55 15 18.9 .63 30 400 400 1 Total: 556.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416560 Min 01416560 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3483 of 6486
Name
PURNA BOSE Rate Amount Qty 9.3 .62 15 7.5 .25 30 21.3 .71 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416565 Min 01416565 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 21-FEB-19 UREA (BUN /UR) 6 21-FEB-19 URIC ACID (UA /URATES /UR) 7 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 21-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 9 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 14 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 21-FEB-19 UREA (BUN /UR) 16 21-FEB-19
Page 3484 of 6486
Name
MAMTA TIWARI Rate Amount Qty 21.3 .71 30 6.9 .23 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 1000 1000 1 72.6 1.21 60 29.7 .99 30 55.8 .93 60 36 .6 60 9 .3 30 167.4 5.58 30 275 275 1 Total: 4473.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416568 Min 01416568 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 11-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 9 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 3485 of 6486
Name
TATA RAO Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 11.4 .38 30 23.4 .78 30 8.1 .27 30 400 400 1 11.25 .75 15 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 400 400 1 Total: 972.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416569 Min 01416569 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 11-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 7 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 11-FEB-19 URIC ACID (UA /URATES /UR) 13 11-FEB-19 CREATININE /CRT 14 11-FEB-19 UREA (BUN /UR) 15 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 3486 of 6486
Name
T. SITA DEVI Rate Amount Qty 36 .6 60 32.4 1.08 30 27.9 .93 30 400 400 1 36 .6 60 32.4 1.08 30 31.4 3.14 10 185.7 6.19 30 275 275 1 275 275 1 27.9 .93 30 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 3.84 .64 6 400 400 1 Total: 4288.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416572 Min 01416572 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 21-FEB-19
Page 3487 of 6486
Name
MOTILAL THAKUR Rate Amount Qty 54 .6 90 55.8 .93 60 12 .4 30 32.4 1.08 30 36.3 1.21 30 275 275 1 7.5 .25 30 400 400 1 275 275 1 Total: 1148
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416573 Min 01416573 Appmt Dt Slno Description 27-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3488 of 6486
Name
HEENA THAKUR Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416582 Min 01416582 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3489 of 6486
Name
S PURUSHOTTAM Rate Amount Qty 275 275 1 275 275 1 17.4 1.16 15 55.8 .93 60 105.9 3.53 30 18 .6 30 400 400 1 Total: 1147.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416583 Min 01416583 Slno Description Appmt Dt UREA (BUN /UR) 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 CREATININE /CRT 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3490 of 6486
Name
S RANGAMMA Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 9 .3 30 39 1.3 30 54 .6 90 400 400 1 Total: 1602
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416587 Min 01416587 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3491 of 6486
Name
SHINDU Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416588 Min 01416588 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 3492 of 6486
Name
DEOCHANDRA VERMA Rate Amount Qty 11.1 .37 30 7.5 .25 30 21.3 .71 30 27.9 .93 30 17.6 17.6 1 54 .6 90 21.6 .36 60 117 1.3 90 400 400 1 Total: 678
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416590 Min 01416590 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3493 of 6486
Name
GURDEEP SINGH Rate Amount Qty 36 .6 60 10.8 .36 30 69.6 1.16 60 72.6 1.21 60 12 .4 30 32.4 1.08 30 9.3 .93 10 400 400 1 Total: 642.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416591 Min 01416591 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3494 of 6486
Name
SWARN KAUR Rate Amount Qty 21.3 .71 30 20.06 20.06 1 11.4 .38 30 21.6 .36 60 36 .6 60 400 400 1 Total: 510.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416593 Min 01416593 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 3495 of 6486
Name
LIKHAN LAL SAHU Rate Amount Qty 20.84 5.21 4 22.8 .38 60 15 .25 60 9.9 .66 15 400 400 1 Total: 468.54
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416598 Min 01416598 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 06-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 9 13-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 10 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 13-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 14 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19
Page 3496 of 6486
SUSHILA DEVI Rate Amount Qty 7.5 .25 30 8.9 .89 10 4.1 .41 10 18 .6 30 9 .3 30 34.8 1.16 30 73.8 .82 90 400 400 1 9.86 9.86 1 16.85 3.37 5 7.5 .25 30 63.58 63.58 1 400 400 1 15.73 15.73 1 3.8 .38 10 1.85 .37 5 26.6 2.66 10 400 400 1 Total: 1501.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416601 Min 01416601 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 3497 of 6486
Name
SUDHA SHASTRI Rate Amount Qty 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416602 Min 01416602 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 3498 of 6486
Name
CHANDRA SHEKHAR SHASTRY Rate Amount Qty 55.8 .93 60 6.9 .23 30 108 .6 180 21.3 .71 30 37.8 .36 105 400 400 1 Total: 629.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416603 Min 01416603 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3499 of 6486
Name
HEMKARAN GURUPANCH Rate Amount Qty 21.3 .71 30 38.25 2.55 15 12 .4 30 7.5 .25 30 6.9 .23 30 36 .6 60 400 400 1 Total: 521.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416604 Min 01416604 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3500 of 6486
Name
SMT.KUNJ BATI Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 32.4 1.08 30 72.6 1.21 60 55.8 .93 60 22.2 .37 60 21.3 .71 30 400 400 1 Total: 2454.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416607 Min 01416607 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 22 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 24 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 25 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 27 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 26-FEB-19
Page 3501 of 6486
RAJ KUMAR Rate Amount Qty 14.08 3.52 4 3.08 .77 4 .82 .41 2 7.98 .38 21 25.07 25.07 1 400 400 1 10.8 .36 30 72 .6 120 55.8 .93 60 32.4 1.08 30 54 .9 60 54 .9 60 26.7 .89 30 3.7 .37 10 12.15 12.15 1 400 400 1 32.4 1.08 30 27.9 .93 30 26.7 .89 30 29.7 .99 30 8.1 .27 30 34.8 1.16 30 55.8 .93 60 117 1.3 90 72 .6 120 60.9 2.03 30 66 1.1 60 400 400 1 Total: 2103.88
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416608 Min 01416608 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 10 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 3502 of 6486
RASHMI Rate Amount Qty 48.22 48.22 1 7.5 .25 30 4.8 .16 30 12 .4 30 71 .71 100 26.7 .89 30 55.8 .93 60 34.8 1.16 30 27.9 .93 30 88.2 1.47 60 78 1.3 60 72 .6 120 167.4 5.58 30 400 400 1 Total: 1094.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416610 Min 01416610 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 X - RAY - SINGLE VIEW 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19
Page 3503 of 6486
Name
MOHD.YUNUS Rate Amount Qty 400 400 1 550 550 1 6.4 .64 10 Total: 956.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416611 Min 01416611 Appmt Dt Slno Description 07-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 07-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3504 of 6486
Name
SHARADA KISHORE CHITTAWAR Qty Rate Amount 20 .89 17.8 40 .63 25.2 20 1.37 27.4 1 400 400 Total: 470.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416616 Min 01416616 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 PRAZOSIN,2.5MG,TABLET 2 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 3505 of 6486
Name
GURDIP KAUR BHATIA Rate Amount Qty 21.6 .36 60 39 1.3 30 117 1.3 90 167.4 5.58 30 27.9 .93 30 66 1.1 60 72 .6 120 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 1005.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416619 Min 01416619 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 13-FEB-19 ONDANSETRON,2MG/ML,INJECTION 2 13-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 3 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 13-FEB-19 ECG 5 13-FEB-19 OBSERVATION IN CASUALTY 6 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 27-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 12 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 27-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 16 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 27-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 18 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 27-FEB-19
Page 3506 of 6486
Name
RAMKER YADAV Rate Amount Qty 3.52 3.52 1 7.52 7.52 1 5.41 5.41 1 9.62 9.62 1 450 450 1 420 420 1 24.52 24.52 1 21.3 .71 30 66 1.1 60 36 .6 60 167.4 5.58 30 123.53 123.53 1 32.4 1.08 30 3.5 .25 14 12.46 .89 14 7.06 197.68 28 92.68 6.62 14 21.8 2.18 10 400 400 1 Total: 2095.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416620 Min 01416620 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 3507 of 6486
Name
SMT.RAJ KUMARI YADAV Rate Amount Qty 40.12 20.06 2 26.7 .89 30 7.5 .25 30 34.8 1.16 30 55.2 .92 60 36 .6 60 167.4 5.58 30 32.4 1.08 30 39 1.3 30 400 400 1 Total: 839.12
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416627 Min 01416627 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 ECG 2 02-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 09-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 7 09-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 8 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 12 12-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 12-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 15 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 20 19-FEB-19 BRIMONIDINE TARTRATE,0.15% 21 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 23 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 25 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 26 25-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 27 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 28 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 29 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 25-FEB-19
Page 3508 of 6486
CHANDRA DEV Rate Amount Qty 400 400 1 450 450 1 21.45 21.45 1 400 400 1 2.46 .41 6 14.08 3.52 4 20.29 20.29 1 18.03 18.03 1 7.98 .38 21 6.82 6.82 1 400 400 1 36.06 18.03 2 13.64 6.82 2 35.2 3.52 10 24.45 24.45 1 16.8 1.12 15 11.2 1.12 10 87.92 43.96 2 400 400 1 24.45 24.45 1 148.9 74.45 2 4.45 .89 5 4.1 .41 10 400 400 1 9.86 9.86 1 13.48 3.37 4 24.45 24.45 1 25.07 25.07 1 6.82 6.82 1 400 400 1 Total: 3427.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416628 Min 01416628 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 3509 of 6486
Name
GEETA DEVI Rate Amount Qty 12.81 12.81 1 3.7 .37 10 400 400 1 1.85 .37 5 21.3 .71 30 23.7 .79 30 18 .6 30 7.5 .25 30 400 400 1 Total: 888.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416633 Min 01416633 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 3510 of 6486
Name
ARJUN SINGH Rate Amount Qty 9 .3 30 54 .6 90 167.4 5.58 30 21.3 .71 30 60.9 2.03 30 26.7 .89 30 7.5 .25 30 34.8 1.16 30 12 .4 30 400 400 1 14.85 .99 15 21.3 .71 30 167.4 5.58 30 10.8 .36 30 7.5 .25 30 54 .6 90 400 400 1 Total: 1469.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416635 Min 01416635 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TICAGRELOR 90MG ,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 3511 of 6486
Name
A BALCHANDRA RAO Rate Amount Qty 18.9 .63 30 27.9 .93 30 12 .4 30 69.6 1.16 60 400 400 1 30.77 1846.2 60 400 400 1 Total: 2774.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416639 Min 01416639 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 3512 of 6486
BACHCHIDEVI Rate Amount Qty 35.6 .89 40 35.6 .89 40 27.4 1.37 20 25.2 .63 40 27.4 1.37 20 25.2 .63 40 400 400 1 25.07 25.07 1 400 400 1 Total: 1001.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416648 Min 01416648 Appmt Dt Slno Description 26-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 26-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3513 of 6486
Name
UTTAM LAL Qty Rate Amount 15 .99 14.85 30 .25 7.5 60 .6 36 1 400 400 Total: 458.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416649 Min 01416649 Slno Description Appmt Dt IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 1 09-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 2 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 ECG 5 09-FEB-19 OBSERVATION IN CASUALTY 6 09-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 7 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 27-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 15 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 27-FEB-19
Page 3514 of 6486
Name
SHYAM BAI Rate Amount Qty 9.81 9.81 1 9.62 9.62 1 21.12 3.52 6 .89 .89 1 450 450 1 420 420 1 22.71 22.71 1 6.4 .64 10 400 400 1 3.04 .38 8 3.84 .64 6 1.48 .37 4 400 400 1 54 .9 60 16.2 .18 90 400 400 1 Total: 2219.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416652 Min 01416652 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3515 of 6486
Name
RAM KISAN BANCHHOR Rate Amount Qty 36 .6 60 76.5 2.55 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 10.8 .36 30 400 400 1 Total: 598
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416658 Min 01416658 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 20-FEB-19 PRAZOSIN,2.5MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3516 of 6486
Name
YADO RAO SONTEKE Rate Amount Qty 32.4 1.08 30 12 .4 30 21.3 .71 30 55.8 .93 60 317.7 3.53 90 117 1.3 90 400 400 1 Total: 956.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416659 Min 01416659 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 PRAZOSIN,2.5MG,TABLET 6 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 3517 of 6486
Name
PUSTKALA SONTEKE Rate Amount Qty 12 .4 30 9.3 .62 15 21.3 .71 30 7.92 .99 8 55.8 .93 60 78 1.3 60 317.7 3.53 90 400 400 1 Total: 902.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416660 Min 01416660 Appmt Dt Slno Description 16-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3518 of 6486
Name
MOHD TANVIR AHMED Qty Rate Amount 45 .93 41.85 1 400 400 441.85 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416661 Min 01416661 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3519 of 6486
Name
SHAHANA PERVEEN Qty Rate Amount 30 .27 8.1 30 .99 29.7 60 .93 55.8 1 400 400 Total: 493.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416664 Min 01416664 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 3520 of 6486
Name
CHOWARAM SAHU Rate Amount Qty 36.3 1.21 30 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 7.8 .26 30 55.8 .93 60 22.2 .37 60 400 400 1 Total: 854.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416666 Min 01416666 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 09-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3521 of 6486
ISRAIEL Rate Amount Qty 25.07 25.07 1 400 400 1 122.8 6.14 20 66.2 6.62 10 26.7 .89 30 11.2 1.12 10 400 400 1 Total: 1051.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416667 Min 01416667 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 9 09-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 10 09-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 11 09-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 14 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 09-FEB-19
Page 3522 of 6486
Name
NAJBUN NISHA Rate Amount Qty 55.8 .93 60 211.8 3.53 60 36 .6 60 21.6 .36 60 167.4 5.58 30 117 1.3 90 5.7 .38 15 400 400 1 19.72 9.86 2 25.69 25.69 1 82.76 165.52 2 87.92 43.96 2 11.1 .37 30 26.96 3.37 8 400 400 1 Total: 1752.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416671 Min 01416671 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3523 of 6486
Name
RAJDEVI MIRJE Rate Amount Qty 18.9 .63 30 117 1.3 90 54 .6 90 167.4 5.58 30 400 400 1 Total: 757.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416673 Min 01416673 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 09-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 09-FEB-19 ECG 3 09-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 09-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19
Page 3524 of 6486
Name
SMT. NAGRATHNA RAO Rate Amount Qty 420 420 1 600 600 1 450 450 1 9.62 9.62 1 .89 .89 1 .64 .64 1 380 380 1 400 400 1 Total: 2261.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416674 Min 01416674 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 05-FEB-19
Page 3525 of 6486
Name
MOHAN LAL Rate Amount Qty 6.9 .23 30 9 .3 30 400 400 1 275 275 1 72 .6 120 21.3 .71 30 27.9 .93 30 167.4 5.58 30 117 1.3 90 275 275 1 Total: 1371.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416677 Min 01416677 Slno Description Appmt Dt JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3526 of 6486
Name
ABHILASHA BAI Rate Amount Qty 19.59 19.59 1 400 400 1 27.9 .93 30 18 .6 30 34.8 1.16 30 400 400 1 Total: 900.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416681 Min 01416681 Appmt Dt Slno Description 06-FEB-19 1 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3527 of 6486
Name
SHANTI RANJAN SARKAR Qty Rate Amount 1 26.55 26.55 1 400 400 426.55 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416682 Min 01416682 Appmt Dt Slno Description 05-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 05-FEB-19 2 BISOPROLOL FUMARATE,5MG,,TABLET 05-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 05-FEB-19 4 BLOOD FOR TSH
Page 3528 of 6486
Name
MANISHA SARKAR Qty Rate Amount 30 .23 6.9 30 2.55 76.5 1 400 400 1 800 800 Total: 1283.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416684 Min 01416684 Appmt Dt Slno Description 07-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 2 BUDESONIDE,200MCG,CAPSULE 07-FEB-19 3 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3529 of 6486
Name
SHASHI PRABHA YADAV Qty Rate Amount 30 .89 26.7 60 1.74 104.4 1 100.71 100.71 1 400 400 Total: 631.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416688 Min 01416688 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3530 of 6486
Name
D P KUSHWAHA Rate Amount Qty 32.4 .36 90 12 .4 30 66 1.1 60 27.9 .93 30 34.8 1.16 30 36 .6 60 117 1.3 90 400 400 1 Total: 726.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416689 Min 01416689 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 PRAZOSIN,2.5MG,TABLET 2 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 01-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3531 of 6486
Name
BACHCHI KUSHWAHA Rate Amount Qty 55.8 .93 60 39 1.3 30 37.8 .63 60 83.4 2.78 30 400 400 1 Total: 616
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416691 Min 01416691 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 12-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 9 12-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 12-FEB-19
Page 3532 of 6486
Name
CHURAMANI Rate Amount Qty 26.55 26.55 1 1300 1300 1 275 275 1 275 275 1 400 400 1 55.8 .93 60 400 400 1 275 275 1 330 330 1 165 165 1 400 400 1 275 275 1 Total: 4177.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416692 Min 01416692 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 11-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 13 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 11-FEB-19
Page 3533 of 6486
Name
RAM CHANDRA DEB Rate Amount Qty 185.7 6.19 30 9.6 .64 15 400 400 1 8.1 .27 30 1.48 .37 4 15.96 2.66 6 21.6 .36 60 72 .6 120 167.4 5.58 30 72.6 1.21 60 55.8 .93 60 7.65 .51 15 23.1 .77 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 1494.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416693 Min 01416693 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 U S CRANIUM / THYROID /BREAST/JOINTS 10 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 19-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 15 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 3534 of 6486
Name
JAWARANI DEB Rate Amount Qty 92.05 18.41 5 6.23 .89 7 4.48 .64 7 9.59 1.37 7 400 400 1 3.84 .64 6 1.85 .37 5 2.28 .38 6 400 400 1 1850 1850 1 400 400 1 18.6 .62 30 7.5 .25 30 31.95 .71 45 19.8 .66 30 27.9 .93 30 400 400 1 Total: 3676.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416698 Min 01416698 Appmt Dt Slno Description 28-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3535 of 6486
Name
Y CHANDRAKALA RAO Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416701 Min 01416701 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 3536 of 6486
Name
DHRUW PRASAD SAHU Rate Amount Qty 21.6 .36 60 36 .6 60 400 400 1 Total: 457.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416713 Min 01416713 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 DRESSING SIMPLE 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 21-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 5 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 3537 of 6486
VIJAY KUMAR SAHGAL Rate Amount Qty 400 400 1 600 300 2 3.7 .37 10 3.8 .38 10 96.44 48.22 2 6.4 .64 10 4.1 .41 10 55.2 1.84 30 400 400 1 .48 .16 3 7.6 .38 20 2.5 .25 10 400 400 1 Total: 1980.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416719 Min 01416719 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 PRAZOSIN,2.5MG,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 3538 of 6486
Name
M VENKAT RAO Rate Amount Qty 167.4 5.58 30 16.2 .27 60 78 1.3 60 117 1.3 90 82.8 .92 90 18 .6 30 60.9 2.03 30 192.3 6.41 30 7.5 .25 30 400 400 1 Total: 1140.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416720 Min 01416720 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3539 of 6486
Name
M KRISHNA KUMARI Rate Amount Qty 167.4 5.58 30 3.75 .25 15 36 .6 60 34.8 1.16 30 6.9 .23 30 27.9 .93 30 18 .3 60 400 400 1 Total: 694.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416723 Min 01416723 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 DEXTROSE,25%,100ML,POLY PKT,INJECTION 7 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 9 19-FEB-19 OBSERVATION IN CASUALTY 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 18 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 26-FEB-19
Page 3540 of 6486
Name
BHATIA NS Rate Amount Qty 60.9 2.03 30 11.04 1.84 6 1.64 .41 4 1.78 .89 2 192.3 6.41 30 400 400 1 19.1 19.1 1 24.52 24.52 1 9.81 9.81 1 420 420 1 26.7 .89 30 96.15 6.41 15 10.65 .71 15 6.9 .23 30 18 .6 30 83.7 5.58 15 400 400 1 275 275 1 400 400 1 275 275 1 Total: 2733.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416724 Min 01416724 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 09-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 3541 of 6486
Name
HARPAL KAUR BHATIA Rate Amount Qty 11.1 .37 30 44.1 1.47 30 400 400 1 Total: 455.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416725 Min 01416725 Appmt Dt Slno Description 21-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 21-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3542 of 6486
Name
RAJENDRA PRASAD SINGH Qty Rate Amount 30 6.19 185.7 30 .63 18.9 15 1.37 20.55 1 400 400 Total: 625.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416726 Min 01416726 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 3543 of 6486
Name
USHA DEVI Rate Amount Qty 3.84 .64 6 21.3 .71 30 12 .4 30 18 .6 30 6.9 .23 30 55.8 .93 60 400 400 1 Total: 517.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416729 Min 01416729 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3544 of 6486
Name
CHANDRA BHAN SAHU Rate Amount Qty 36 .6 60 167.4 5.58 30 10.8 .36 30 7.5 .25 30 400 400 1 Total: 621.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416730 Min 01416730 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 3545 of 6486
Name
BHEMIN SAHU Rate Amount Qty 23.8 1.7 14 8.96 .64 14 2.59 .37 7 400 400 1 17.4 1.16 15 12 .4 30 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 904.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416748 Min 01416748 Appmt Dt Slno Description 19-FEB-19 1 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3546 of 6486
Name
NISHA AWASTHI Qty Rate Amount 30 5.37 161.1 1 400 400 561.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416754 Min 01416754 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3547 of 6486
Name
SUHASINI RAJ Rate Amount Qty 21.6 .36 60 54 .6 90 27.9 .93 30 12 .4 30 17.4 1.16 15 2.28 .38 6 1.85 .37 5 400 400 1 Total: 537.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416755 Min 01416755 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 26-FEB-19
Page 3548 of 6486
Name
MERIKH SINGH Rate Amount Qty 9.6 .64 15 55.2 1.84 30 6 .6 10 400 400 1 400 400 1 275 275 1 275 275 1 Total: 1420.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416764 Min 01416764 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 3549 of 6486
Name
ANITA DAS Rate Amount Qty 33 1.1 30 78 1.3 60 55.8 .93 60 26.7 .89 30 21.3 .71 30 400 400 1 Total: 614.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416765 Min 01416765 Slno Description Appmt Dt CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 20-FEB-19 CREATININE /CRT 11 20-FEB-19 URIC ACID (UA /URATES /UR) 12 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 20-FEB-19 UREA (BUN /UR) 15 20-FEB-19
Page 3550 of 6486
V K DAS Rate Amount Qty 48.22 48.22 1 18.9 .63 30 60.9 2.03 30 21.3 .71 30 27.9 .93 30 66.2 6.62 10 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 550 550 1 400 400 1 275 275 1 Total: 4268.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416777 Min 01416777 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 2 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 28-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 8 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3551 of 6486
Name
RAMJI SONI Rate Amount Qty 12 .4 30 19.59 19.59 1 87.92 43.96 2 60.9 2.03 30 15.6 .26 60 55.8 .93 60 66 1.1 60 82.76 165.52 2 34.8 1.16 30 2.4 .16 15 14.85 .99 15 192.3 6.41 30 400 400 1 Total: 1127.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416779 Min 01416779 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 11-FEB-19 BLOOD FOR T-3,T-4,TSH 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19
Page 3552 of 6486
Name
PINKY JABBAL Qty 1 1 1
Rate Amount 1750 1750 2400 2400 400 400 Total: 4550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416780 Min 01416780 Appmt Dt Slno Description 11-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3553 of 6486
Name
DS JABBAL Qty Rate Amount 60 2.03 121.8 1 400 400 521.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416781 Min 01416781 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 3554 of 6486
Name
VIJAYA LAXMI PILLAI Rate Amount Qty 72.6 1.21 60 22.2 .37 60 21.3 .71 30 7.5 .25 30 17.4 .58 30 400 400 1 Total: 541
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416782 Min 01416782 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 LENALIDOMIDE,10MG,TABLET/,CAPSULE 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19
Page 3555 of 6486
Name
M.GURUNATH PILLAI Rate Amount Qty 2.4 .16 15 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 55.8 .93 60 76.5 2.55 30 54 .6 90 15.3 .51 30 32.4 .36 90 12 .4 30 400 400 1 4960 99.2 50 400 400 1 Total: 6103.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416785 Min 01416785 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 20-FEB-19 X - RAY - TWO VIEWS 6 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 7 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 20-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 9 20-FEB-19 URIC ACID (UA /URATES /UR) 10 20-FEB-19 UREA (BUN /UR) 11 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 20-FEB-19 RA FACTOR /RH FACTOR 14 20-FEB-19 CRP 15 20-FEB-19 COMPLETE HAEMOGRAM 16 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 20-FEB-19 ECG 18 20-FEB-19
Page 3556 of 6486
Name
RADHA RANI SINHA Rate Amount Qty 19.2 .64 30 11.4 .38 30 185.7 6.19 30 400 400 1 400 400 1 860 860 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 600 600 1 600 600 1 750 750 1 400 400 1 450 450 1 Total: 8651.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416789 Min 01416789 Appmt Dt Slno Description 14-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 2 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 14-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3557 of 6486
Name
M PARAYE Qty Rate Amount 60 .6 36 30 .3 9 30 .25 7.5 1 400 400 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416790 Min 01416790 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3558 of 6486
Name
KALPANA PARAYE Qty Rate Amount 15 1.16 17.4 1 400 400 417.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416793 Min 01416793 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19
Page 3559 of 6486
Name
MUKHTAR SINGH Rate Amount Qty 21.12 3.52 6 1.48 .37 4 3.84 .64 6 400 400 1 12 .4 30 15.6 .26 60 72.6 1.21 60 21.3 .71 30 54 .6 90 32.4 1.08 30 15.3 .51 30 26.7 .89 30 8.1 .27 30 6.82 6.82 1 10.8 .36 30 400 400 1 Total: 1102.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416797 Min 01416797 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 08-FEB-19 COMPLETE HAEMOGRAM 5 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 08-FEB-19 U S ABDOMEN + THORAX 7 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 9 08-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 10 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 08-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 12 08-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 13 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 3560 of 6486
Name
GIRISH KUMAR CHOURASIA Rate Amount Qty 1300 1300 1 1300 1300 1 275 275 1 275 275 1 750 750 1 400 400 1 1750 1750 1 11.2 1.12 10 9.33 130.62 14 6.99 2.33 3 2.59 .37 7 3.9 .26 15 3.9 .26 15 26.7 .89 30 5.55 .37 15 400 400 1 Total: 6641.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416798 Min 01416798 Appmt Dt Slno Description 08-FEB-19 1 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 08-FEB-19 2 RIFAXIMIN 200 MG,,TABLET 08-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3561 of 6486
Name
USHA KIRAN CHOURASIA Qty Rate Amount 10 1.12 11.2 21 9.33 195.93 20 .89 17.8 1 400 400 Total: 624.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416799 Min 01416799 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3562 of 6486
Name
DILIP SARKAR Rate Amount Qty 34.8 1.16 30 7.5 .25 30 13.35 .89 15 10.8 .36 30 36 .6 60 47.4 .79 60 6.9 .23 30 400 400 1 Total: 556.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416801 Min 01416801 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3563 of 6486
Name
VIJAY KUMAR SHARMA Rate Amount Qty 7.4 .37 20 25.62 12.81 2 400 400 1 Total: 433.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416802 Min 01416802 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 16-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 9 16-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 18 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 19 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 21-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 21 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 23 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 25-FEB-19 DRESSING SIMPLE 27 25-FEB-19 CLINDAMYCIN,STRIP PKT,300MG,CAPSULE 28 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 29 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 30 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 25-FEB-19
Page 3564 of 6486
Name
SMT.VIJAY KANTA SHARMA Rate Amount Qty 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 5 .25 20 123.8 6.19 20 13.7 1.37 10 6.4 .64 10 41.06 41.06 1 7.6 .38 20 55.2 1.84 30 400 400 1 6.82 6.82 1 4.1 .41 10 8.9 .89 10 73.6 1.84 40 400 400 1 6.57 .73 9 1.14 .38 3 5.76 .64 9 83.88 9.32 9 2.67 .89 3 39.72 6.62 6 400 400 1 400 400 1 4.45 .89 5 300 300 1 139.8 9.32 15 10.95 .73 15 9.6 .64 15 99.3 6.62 15 400 400 1 Total: 3504.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416803 Min 01416803 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 3565 of 6486
Name
GITA RAM Rate Amount Qty 117 1.3 90 15.3 .51 30 7.5 .25 30 72 .6 120 16.2 .27 60 55.8 .93 60 32.4 .36 90 400 400 1 Total: 716.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416804 Min 01416804 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3566 of 6486
Name
RAMOTIN BAI Rate Amount Qty 54 .6 90 10.8 .36 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 493.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416805 Min 01416805 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 C T HEAD PLAIN 9 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 21-FEB-19
Page 3567 of 6486
Name
KAILASH PRASAD Rate Amount Qty 27.9 .93 30 32.4 1.08 30 34.8 1.16 30 76.5 2.55 30 17.4 .58 30 7.5 .25 30 78 .78 100 400 400 1 5250 5250 1 400 400 1 Total: 6324.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416806 Min 01416806 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3568 of 6486
Name
SMT.SHANTI DEVI Rate Amount Qty 7.8 .26 30 7.5 .25 30 18.9 .63 30 36 .6 60 27.9 .93 30 400 400 1 Total: 498.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416808 Min 01416808 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 3569 of 6486
Name
SUNITA BAI Rate Amount Qty 54 .6 90 21.3 .71 30 6.4 .64 10 33 1.1 30 27.9 .93 30 5.21 5.21 1 7.65 .51 15 8.1 .27 30 400 400 1 Total: 563.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416816 Min 01416816 Appmt Dt Slno Description 05-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 20-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3570 of 6486
Name
ABHA SHUKLA Qty Rate Amount 10 .64 6.4 1 400 400 15 .64 9.6 1 400 400 Total: 816
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416818 Min 01416818 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3571 of 6486
Name
SMT.PADMA SAHU Rate Amount Qty 1.85 .37 5 3.84 .64 6 5.4 .9 6 42.12 2.34 18 400 400 1 55.8 .93 60 400 400 1 Total: 909.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416819 Min 01416819 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 3572 of 6486
Name
ASHOK KUMAR DIXIT Rate Amount Qty 15.96 2.66 6 192.3 6.41 30 60.9 2.03 30 27.9 .93 30 18.9 .63 30 53.4 .89 60 14.85 .99 15 3.84 .64 6 1.48 .37 4 400 400 1 21.3 .71 30 18 .6 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 1264.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416820 Min 01416820 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19 X - RAY - TWO VIEWS 15 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 25-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 20 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 23 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 24 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 25 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 26 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 27 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 28 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 29 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 30 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 31 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 32 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 27-FEB-19
Page 3573 of 6486
Name
NEELIMA DIXIT Rate Amount Qty 73.64 18.41 4 6.23 .89 7 9.59 1.37 7 4.48 .64 7 400 400 1 6.23 .89 7 1.75 .25 7 18.2 2.6 7 400 400 1 8.9 .89 10 26 2.6 10 5 .25 20 15.95 3.19 5 400 400 1 860 860 1 400 400 1 26 2.6 10 26.7 .89 30 12.8 .64 20 2.4 .16 15 7.5 .25 30 21.3 .71 30 14.85 .99 15 66 1.1 60 55.8 .93 60 78 1.3 60 9 .3 30 18 .6 30 167.4 5.58 30 3.7 .37 10 5 .25 20 8.4 .42 20 400 400 1 Total: 3558.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416821 Min 01416821 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 3574 of 6486
Name
TUKA RAM KANNOJE Rate Amount Qty 12 .4 30 29.7 .99 30 16.2 .27 60 66 1.1 60 18.9 .63 30 55.8 .93 60 400 400 1 Total: 598.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416822 Min 01416822 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3575 of 6486
Name
SUSHILA DEVI Rate Amount Qty 14.85 .99 15 47.4 .79 60 17.4 1.16 15 78 1.3 60 54 .6 90 21.6 .36 60 167.4 5.58 30 400 400 1 Total: 800.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416827 Min 01416827 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 3576 of 6486
Name
GOVIND LAL DEWANGAN Rate Amount Qty 7.5 .25 30 12.3 .41 30 9 .3 30 400 400 1 17 1.7 10 8.9 .89 10 1.85 .37 5 400 400 1 Total: 856.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416828 Min 01416828 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 26-FEB-19 UREA (BUN /UR) 3 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 26-FEB-19 CREATININE /CRT 6 26-FEB-19 URIC ACID (UA /URATES /UR) 7 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 26-FEB-19
Page 3577 of 6486
Name
SARITA DEWANGAN Rate Amount Qty 275 275 1 275 275 1 275 275 1 7.4 .37 20 17.6 17.6 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 Total: 3650
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416831 Min 01416831 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 3578 of 6486
Name
REENA SHRIVASTAVA Rate Amount Qty 100.71 100.71 1 26.7 .89 30 54 .9 60 12.15 12.15 1 16.2 .18 90 400 400 1 Total: 609.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416833 Min 01416833 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 3579 of 6486
Name
TIWARI PK Rate Amount Qty 6.9 .23 30 27.9 .93 30 400 400 1 5.55 .37 15 41.06 41.06 1 12.81 12.81 1 400 400 1 27.9 .93 30 6.9 .23 30 400 400 1 Total: 1329.02
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416836 Min 01416836 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 3580 of 6486
AMIT KUMAR CHATTERJI Rate Amount Qty 41.06 41.06 1 123.53 247.06 2 31.46 15.73 2 40.12 20.06 2 55.8 .93 60 60.9 2.03 30 42.6 .71 60 24 .4 60 16.2 .27 60 29.7 .99 30 66 1.1 60 37.8 .63 60 400 400 1 Total: 1092.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416837 Min 01416837 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 08-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 2 08-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 3 08-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 4 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 5 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 11-FEB-19 U S - ( SMALL PARTS SUCH AS ORBIT,SCROTU 17 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 18 13-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19 13-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 20 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19
Page 3581 of 6486
Name
KRISHNA CHATTERJEE Rate Amount Qty 11.4 .38 30 28.69 28.69 1 33.46 33.46 1 90.88 45.44 2 51.38 25.69 2 123.53 247.06 2 40.12 20.06 2 55.8 .93 60 74.4 .62 120 13.8 .23 60 400 400 1 400 400 1 3.8 .38 10 35.2 3.52 10 6.4 .64 10 7.3 .73 10 1850 1850 1 66.2 6.62 10 16.8 1.12 15 7.3 .73 10 6.4 .64 10 400 400 1 Total: 3846.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416838 Min 01416838 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 05-FEB-19 CREATININE /CRT 12 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 16 05-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 17 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 28-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 21 28-FEB-19
Page 3582 of 6486
Name
SANTOSH CHANDRA SAHA Rate Amount Qty 32.4 1.08 30 12 .4 30 55.8 .93 60 34.8 1.16 30 60.9 2.03 30 192.3 6.41 30 8.1 .27 30 36.3 1.21 30 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 1610 1610 1 400 400 1 192.3 6.41 30 60.9 2.03 30 1750 1750 1 Total: 9220.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416844 Min 01416844 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 28-FEB-19 PRAZOSIN,2.5MG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 3583 of 6486
Name
CHANDRAHAS WASNIK Rate Amount Qty 8.1 .27 30 72.6 1.21 60 12 .4 30 32.4 1.08 30 55.8 .93 60 18 .6 30 34.8 1.16 30 78 1.3 60 400 400 1 Total: 711.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416845 Min 01416845 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 3584 of 6486
Name
JYOTI WASNIK Rate Amount Qty 167.4 5.58 30 13.95 .93 15 36 .6 60 10.8 .36 30 21.3 .71 30 400 400 1 Total: 649.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416847 Min 01416847 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3585 of 6486
Name
SUSHEEL KUMAR PATEL Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 66 1.1 60 32.4 1.08 30 21.3 .71 30 16.2 .27 60 400 400 1 Total: 1189.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416848 Min 01416848 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 3586 of 6486
Name
MIRA BAI PATEL Rate Amount Qty 26.7 .89 30 185.7 6.19 30 11.1 .37 30 13.7 1.37 10 400 400 1 Total: 637.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416851 Min 01416851 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 3587 of 6486
Name
ABDUL GAFFAR KHAN Rate Amount Qty 55.8 .93 60 26.7 .89 30 400 400 1 36.3 1.21 30 8.1 .27 30 400 400 1 Total: 926.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416852 Min 01416852 Appmt Dt Slno Description 23-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 23-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 23-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3588 of 6486
Name
HASINA BEGAM Qty Rate Amount 60 .93 55.8 30 .27 8.1 30 1.21 36.3 1 400 400 Total: 500.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416855 Min 01416855 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 3589 of 6486
Name
DR. DK SEN Rate Amount Qty 13.7 1.37 10 185.7 6.19 30 400 400 1 21.3 .71 30 12 .4 30 33 1.1 30 400 400 1 Total: 1065.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416856 Min 01416856 Appmt Dt Slno Description 25-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3590 of 6486
Name
SAVITA SEN Qty Rate Amount 10 .25 2.5 10 .89 8.9 10 1.37 13.7 1 400 400 Total: 425.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416858 Min 01416858 Appmt Dt Slno Description 11-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3591 of 6486
Name
ACHLA TIWARI Qty Rate Amount 14 1.37 19.18 1 400 400 419.18 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416863 Min 01416863 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3592 of 6486
Name
VINDESHWARI DIWAKIRTI Rate Amount Qty 21.3 .71 30 55.8 .93 60 74.4 .62 120 400 400 1 15 .25 60 21.3 .71 30 4.8 .16 30 400 400 1 Total: 992.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416864 Min 01416864 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 3593 of 6486
Name
MRIDUL KANT DIWAKIRTI Rate Amount Qty 100.71 100.71 1 76.5 2.55 30 34.8 1.16 30 36 .6 60 9 .3 30 12 .4 30 54 .9 60 30.15 .67 45 26.7 .89 30 400 400 1 Total: 779.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416870 Min 01416870 Slno Description Appmt Dt MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 1 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 3594 of 6486
Name
MANJU GAUTAM Rate Amount Qty 8.18 1472.4 180 185.7 6.19 30 400 400 1 Total: 2058.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416871 Min 01416871 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 26-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 2 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 3595 of 6486
Name
ROOP SINGH DEWANGAN Rate Amount Qty 1.85 .37 5 8.18 1472.4 180 9.6 .64 15 6 .6 10 400 400 1 Total: 1889.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416872 Min 01416872 Appmt Dt Slno Description 26-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 26-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3596 of 6486
Name
SHAKUNTALA DEWANGAN Qty Rate Amount 5 .37 1.85 5 .89 4.45 15 .64 9.6 1 400 400 Total: 415.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416874 Min 01416874 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 3597 of 6486
Name
ANUSUIYA MISHRA Rate Amount Qty 72 .6 120 167.4 5.58 30 12 .4 30 17.4 1.16 15 18 .3 60 17.4 .58 30 400 400 1 Total: 704.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416877 Min 01416877 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 01-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3598 of 6486
Name
GHOSH INDRAJIT Qty Rate Amount 45 .93 41.85 30 1.16 34.8 30 1.08 32.4 1 400 400 Total: 509.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416878 Min 01416878 Appmt Dt Slno Description 01-FEB-19 1 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3599 of 6486
Name
ELORA GHOSH Qty Rate Amount 60 6.14 368.4 1 400 400 768.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416881 Min 01416881 Appmt Dt Slno Description 05-FEB-19 1 CREAM,BETAMETHASONE VALERATE,0.10% 05-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 3 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3600 of 6486
Name
SIMANCHAL RATH Qty Rate Amount 2 17.6 35.2 10 .37 3.7 1 17.37 17.37 1 400 400 Total: 456.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416883 Min 01416883 Slno Description Appmt Dt LITHIUM (LI+) ASSAY 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 CREATININE /CRT 3 07-FEB-19 SUTURE REMOVAL 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 18-FEB-19
Page 3601 of 6486
Name
AAZI ANSARI Rate Amount Qty 250 250 1 400 400 1 275 275 1 490 490 1 400 400 1 49.28 3.52 14 Total: 1864.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416892 Min 01416892 Appmt Dt Slno Description 18-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3602 of 6486
Name
PRITI VADHER Qty Rate Amount 30 1.1 33 30 1.08 32.4 30 .71 21.3 1 400 400 Total: 486.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416893 Min 01416893 Appmt Dt Slno Description 25-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 25-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3603 of 6486
Name
MANOHER FULZELE Qty Rate Amount 60 .23 13.8 1 400 400 413.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416895 Min 01416895 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 3604 of 6486
Name
MANGLOO RAM BAGHEL Rate Amount Qty 192.3 6.41 30 34.8 1.16 30 60.9 2.03 30 18 .6 30 27.6 .92 30 27.9 .93 30 400 400 1 Total: 761.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416896 Min 01416896 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 3605 of 6486
Name
SHASHI BAI Rate Amount Qty 7.5 .25 30 1.85 .37 5 21.3 .71 30 118.5 3.95 30 27.9 .93 30 211.8 3.53 60 400 400 1 5.34 .89 6 3.75 .25 15 5.34 .89 6 3.75 .25 15 400 400 1 Total: 1207.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416899 Min 01416899 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3606 of 6486
Name
MANGTU RAM Rate Amount Qty 36 .6 60 21.3 .71 30 400 400 1 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416900 Min 01416900 Slno Description Appmt Dt TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3607 of 6486
Name
SMT.CHANDRAWALI Rate Amount Qty 159.6 1.33 120 400 400 1 72 .6 120 21.3 .71 30 23.7 .79 30 8.1 .27 30 167.4 5.58 30 117 1.3 90 27.4 1.37 20 43.2 .36 120 8.9 .89 10 400 400 1 Total: 1448.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416912 Min 01416912 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19
Page 3608 of 6486
Name
SMT. NAMITA NAYAK Rate Amount Qty 132 1.1 120 400 400 1 27.9 .62 45 9.3 .62 15 16.2 .27 60 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416918 Min 01416918 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 8 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 3609 of 6486
Name
SMT. SUDHABALA Rate Amount Qty 72 .6 120 10.8 .36 30 7.5 .25 30 38.25 2.55 15 34.8 1.16 30 12 .4 30 400 400 1 26.55 26.55 1 1.85 .37 5 26.7 .89 30 7.5 .25 30 18.9 .63 30 19.2 .64 30 400 400 1 Total: 1076.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416926 Min 01416926 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3610 of 6486
Name
SHANKAR RAO Rate Amount Qty 78 1.3 60 55.8 .93 60 211.8 3.53 60 60.9 2.03 30 17.4 1.16 15 1.85 .37 5 400 400 1 Total: 825.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416927 Min 01416927 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 3611 of 6486
Name
LALITA BAI Rate Amount Qty 118.5 3.95 30 117 1.3 90 167.4 5.58 30 317.7 3.53 90 13.95 .93 15 18.9 .63 30 36 .6 60 400 400 1 Total: 1189.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416928 Min 01416928 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 06-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 3612 of 6486
BHAIYA RAM Rate Amount Qty 15.73 15.73 1 100.6 5.03 20 36 .6 60 23.7 .79 30 1.85 .37 5 7.5 .25 30 27.9 .93 30 400 400 1 275 275 1 275 275 1 3.84 .64 6 1.11 .37 3 400 400 1 Total: 1568.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416931 Min 01416931 Slno Description Appmt Dt TETANUS TOXOID,0.5ML,INJECTION 1 08-FEB-19 OBSERVATION IN CASUALTY 2 08-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 3 08-FEB-19 DRESSING SIMPLE 4 08-FEB-19 X - RAY - SINGLE VIEW 5 08-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 08-FEB-19 OBSERVATION IN CASUALTY 7 08-FEB-19 TETANUS IMMUNOGLOBULIN 8 08-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 9 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 08-FEB-19 X - RAY - TWO VIEWS 11 08-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 12 08-FEB-19 OBSERVATION IN CASUALTY 13 08-FEB-19 DICLOFENAC SODIUM SR,100MG,TABLET 14 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 08-FEB-19 X - RAY - SINGLE VIEW 16 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 23 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 26 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 27 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 28 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 26-FEB-19
Page 3613 of 6486
LATIKA RANI SONA Rate Amount Qty 8.64 8.64 1 420 420 1 5.77 5.77 1 300 300 1 550 550 1 600 600 1 420 420 1 1.37 1.37 1 5.77 5.77 1 15.73 15.73 1 860 860 1 600 600 1 420 420 1 .82 .41 2 .89 .89 1 550 550 1 400 400 1 2.5 .25 10 3.6 .36 10 35.2 3.52 10 8.9 .89 10 24 .6 40 14.6 .73 20 12.8 .64 20 400 400 1 29.2 .73 40 20.84 5.21 4 7.6 .38 20 400 400 1 Total: 6118.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416932 Min 01416932 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 3614 of 6486
Name
ANIL KUMAR SONI Rate Amount Qty 12 .4 30 10.8 .36 30 33 1.1 30 31.2 1.04 30 7.5 .25 30 34.8 1.16 30 400 400 1 Total: 529.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416934 Min 01416934 Appmt Dt Slno Description 21-FEB-19 1 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 21-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 3 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3615 of 6486
Name
TASUVAR HUSSAIN Qty Rate Amount 2 12.81 25.62 20 .37 7.4 1 13.43 13.43 1 400 400 Total: 446.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416935 Min 01416935 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 21-FEB-19 CREATININE /CRT 3 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 25-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 12 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 3616 of 6486
Name
SHAKEELA Rate Amount Qty 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 78 1.3 60 15.6 1.04 15 9 .3 30 36 .6 60 21.6 1.44 15 7.44 .93 8 12 .4 30 21.3 .71 30 32.4 1.08 30 66 1.1 60 400 400 1 Total: 4049.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01416938 Min 01416938 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 04-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 4 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 3617 of 6486
RANJIT SINGH Rate Amount Qty 1.85 .37 5 2.7 .18 15 66.2 6.62 10 48.22 48.22 1 9 .9 10 400 400 1 Total: 527.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416940 Min 01416940 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 27-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3618 of 6486
Name
GIRIRAJ BHANDARI Rate Amount Qty 12.46 .89 14 3.5 .25 14 17.37 17.37 1 41.06 41.06 1 8.96 .64 14 357 12.75 28 400 400 1 Total: 840.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416943 Min 01416943 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 3619 of 6486
Name
RAM BAI Rate Amount Qty 17.6 17.6 1 7.5 .25 30 32.4 1.08 30 7.8 .26 30 66 1.1 60 400 400 1 Total: 531.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416950 Min 01416950 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 12-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 3620 of 6486
Name
M.VISWESWARA RAO PATNAIK Rate Amount Qty 24.6 .82 30 79.2 2.64 30 400 400 1 29.7 .99 30 8.1 .27 30 78 1.3 60 36 .6 60 34.8 1.16 30 33 1.1 30 400 400 1 Total: 1123.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416951 Min 01416951 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 3621 of 6486
Name
M.SATYAVATI Rate Amount Qty 27.9 .93 30 1.85 .37 5 6.4 .64 10 7.5 .25 30 29.7 .99 30 36 .6 60 39 1.3 30 13.95 .93 15 21.3 .71 30 400 400 1 Total: 583.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416954 Min 01416954 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 3622 of 6486
Name
ARUNA MISHRA Rate Amount Qty 8.9 .89 10 51.38 25.69 2 8.1 .27 30 32.4 1.08 30 34.8 1.16 30 55.8 .93 60 400 400 1 60.9 2.03 30 192.3 6.41 30 21.3 .71 30 26.7 .89 30 400 400 1 Total: 1292.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416975 Min 01416975 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 3623 of 6486
Name
YUGAL KISHORE SHARMA Rate Amount Qty 403.2 13.44 30 60.9 2.03 30 400 400 1 Total: 864.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416977 Min 01416977 Slno Description Appmt Dt IVABRADINE,5MG,,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 3624 of 6486
Name
ANTHONY C. MICHEAL Rate Amount Qty 298.5 9.95 30 18 .6 30 69.6 1.16 60 47.4 .79 60 400 400 1 Total: 833.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416978 Min 01416978 Appmt Dt Slno Description 18-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 18-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3625 of 6486
Name
INDRANI Qty Rate Amount 15 2.55 38.25 15 .71 10.65 30 .27 8.1 1 400 400 Total: 457
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416979 Min 01416979 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 28-FEB-19 UREA (BUN /UR) 17 28-FEB-19 CREATININE /CRT 18 28-FEB-19
Page 3626 of 6486
Name
YOGESHWAR NARAYAN CHANDRAKARQty Rate Amount 26 2.6 10 185.7 6.19 30 400 400 1 13.35 .89 15 21.3 .71 30 18.9 .63 30 8.1 .27 30 55.8 .93 60 167.4 5.58 30 48 .4 120 54 .6 90 275 275 1 275 275 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 Total: 4348.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416983 Min 01416983 Appmt Dt Slno Description 14-FEB-19 1 VITAMIN A CHEWABLE,50000IU,,TABLET 14-FEB-19 2 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 14-FEB-19 3 GEL,BENZYL PEROXIDE 5% W/W 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3627 of 6486
Name
D R SARAF Qty Rate Amount 15 .75 11.25 1 33.46 33.46 2 33.73 67.46 1 400 400 Total: 512.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416984 Min 01416984 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 05-FEB-19 MAMOGRAPHY 2 05-FEB-19 PLATELET COUNT 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 6 05-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 05-FEB-19 U S CRANIUM / THYROID /BREAST/JOINTS 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19
Page 3628 of 6486
Name
NILIMA SARAF Rate Amount Qty 750 750 1 2000 2000 1 330 330 1 27.9 .93 30 1300 1300 1 1500 1500 1 1750 1750 1 1850 1850 1 400 400 1 Total: 9907.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416985 Min 01416985 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 PRAZOSIN,2.5MG,TABLET 2 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 3629 of 6486
Name
U.P.DUBEY Rate Amount Qty 41.85 .93 45 39 1.3 30 117 1.3 90 32.4 .36 90 167.4 5.58 30 72 .6 120 400 400 1 Total: 869.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416987 Min 01416987 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3630 of 6486
Name
R K DANIEL Rate Amount Qty 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 490.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416988 Min 01416988 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 3631 of 6486
Name
A DANIELRAJ Rate Amount Qty 27 .36 75 8.1 .27 30 400 400 1 Total: 435.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416990 Min 01416990 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 16-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 3632 of 6486
Name
SMT. RUKHSANA AKHTAR Rate Amount Qty 17.8 .89 20 6.4 .64 10 16.2 .27 60 7 .7 10 400 400 1 Total: 447.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416991 Min 01416991 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 3633 of 6486
Name
SU PRABHAKAR RAO Rate Amount Qty 55.8 .93 60 33 1.1 30 34.8 1.16 30 7.5 .25 30 12 .4 30 78 1.3 60 10.8 .36 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 835.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416992 Min 01416992 Appmt Dt Slno Description 21-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3634 of 6486
Name
S.V. RAJAKUMARI Qty Rate Amount 20 1.37 27.4 10 .89 8.9 30 .93 27.9 1 400 400 Total: 464.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01416999 Min 01416999 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 3635 of 6486
Name
M P SOMAN Rate Amount Qty 167.4 5.58 30 3.75 .25 15 54 .6 90 9 .3 30 400 400 1 Total: 634.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417000 Min 01417000 Appmt Dt Slno Description 13-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3636 of 6486
Name
KANAKLATA Qty Rate Amount 15 .71 10.65 30 .99 29.7 30 .93 27.9 1 400 400 Total: 468.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417024 Min 01417024 Appmt Dt Slno Description 05-FEB-19 1 BUDESONIDE,200MCG,CAPSULE 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3637 of 6486
M D SAHU Qty Rate Amount 60 1.74 104.4 30 .89 26.7 1 15.73 15.73 1 400 400 Total: 546.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417025 Min 01417025 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 01-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 12 01-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 13 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 01-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 15 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 18 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 21 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 16-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 23 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 16-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 25 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 16-FEB-19
Page 3638 of 6486
Name
MUKTA DEVI Rate Amount Qty 18 .6 30 6.4 .64 10 7.5 .25 30 11.4 .38 30 20.1 .67 30 3.45 .23 15 17.4 1.16 15 27 .9 30 16.2 1.08 15 26.7 .89 30 12.75 .51 25 30.8 4.4 7 9.9 .99 10 400 400 1 157.8 15.78 10 4.45 .89 5 400 400 1 6.9 .23 30 4.8 .16 30 92.68 6.62 14 34.8 1.16 30 32.4 1.08 30 62.4 1.04 60 26.7 .89 30 30.8 4.4 7 400 400 1 Total: 1861.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417031 Min 01417031 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3639 of 6486
Name
URMILA DEVI Rate Amount Qty 55.2 .92 60 36 .6 60 18.6 .62 30 12 .4 30 66 1.1 60 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 678.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417038 Min 01417038 Appmt Dt Slno Description 19-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 19-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 19-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3640 of 6486
Name
LAMBA IS Qty Rate Amount 60 .37 22.2 30 .4 12 30 .71 21.3 1 400 400 Total: 455.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417039 Min 01417039 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 23-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 4 23-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 3641 of 6486
Name
SMT.SEEMA LAMBA Rate Amount Qty 21.3 .71 30 400 400 1 104.4 1.74 60 69.05 69.05 1 39.6 .66 60 400 400 1 Total: 1034.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417040 Min 01417040 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 GUM ANALGESIC GEL 4 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 12 12-FEB-19 GUM ANALGESIC GEL 13 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 16-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 16-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 21 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 24 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 26 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 27 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 28 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 29 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 30 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 32 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 28-FEB-19
Page 3642 of 6486
Name
P K NANGIA Rate Amount Qty 117 1.3 90 37.8 .42 90 6.4 .64 10 28.69 28.69 1 12 .4 30 3.75 .25 15 36 .6 60 21.3 .71 30 13.95 .93 15 400 400 1 2.5 .25 10 4.1 .41 10 28.69 28.69 1 35.2 3.52 10 6.4 .64 10 400 400 1 2.5 .25 10 4.1 .41 10 6.4 .64 10 35.2 3.52 10 20.25 20.25 1 400 400 1 3.75 .25 15 5.7 .38 15 400 400 1 117 1.3 90 12 .4 30 36 .6 60 13.95 .93 15 37.8 .42 90 6.4 .64 10 21.3 .71 30 400 400 1 Total: 2676.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417041 Min 01417041 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 3643 of 6486
Name
SHANTI NANGIA Rate Amount Qty 13.7 1.37 10 11.4 .38 30 185.7 6.19 30 400 400 1 9.9 .66 15 52.65 3.51 15 400 400 1 Total: 1073.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417046 Min 01417046 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 12-FEB-19
Page 3644 of 6486
Name
BHAGWAN SHARMA Rate Amount Qty 400 400 1 24 .4 60 64.8 1.08 60 94.8 .79 120 25.3 1.1 23 32.4 .27 120 34.8 1.16 30 108 .6 180 36 .3 120 1.85 .37 5 400 400 1 33.12 1.84 18 400 400 1 21.12 3.52 6 1.92 .64 3 Total: 1678.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417047 Min 01417047 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 28-FEB-19
Page 3645 of 6486
Name
KRISHANA SHARMA Rate Amount Qty 400 400 1 400 400 1 3.84 .64 6 28.16 3.52 8 56.16 2.34 24 15.96 2.66 6 2.56 .64 4 12.15 12.15 1 400 400 1 Total: 1318.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417048 Min 01417048 Appmt Dt Slno Description 05-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 05-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3646 of 6486
Name
PANKAJ PATHAK Qty Rate Amount 30 .25 7.5 30 .63 18.9 60 .93 55.8 1 400 400 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417049 Min 01417049 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 06-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 06-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 06-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 3647 of 6486
Name
SHOBHANA PATHAK Rate Amount Qty 46.5 .62 75 36.3 1.21 30 22.2 .37 60 17.37 17.37 1 34.8 1.16 30 55.8 .93 60 7.5 .25 30 47.4 1.58 30 400 400 1 Total: 667.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417052 Min 01417052 Appmt Dt Slno Description 20-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3648 of 6486
Name
BISWANATH Qty Rate Amount 15 .89 13.35 30 .27 8.1 60 1.1 66 1 400 400 Total: 487.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417057 Min 01417057 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 3 26-FEB-19 OBSERVATION IN CASUALTY 4 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3649 of 6486
Name
SANTOSH RANI Rate Amount Qty 600 600 1 4.45 .89 5 5.77 5.77 1 420 420 1 .16 .16 1 15.95 3.19 5 13.7 1.37 10 400 400 1 Total: 1460.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417058 Min 01417058 Appmt Dt Slno Description 22-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3650 of 6486
Name
MOHD. ZAHIR Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417064 Min 01417064 Appmt Dt Slno Description 05-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 BACLOFEN,STRIP PKT,10MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3651 of 6486
Name
GOPAL RAM KASHYAP Qty Rate Amount 5 2.6 13 5 .89 4.45 5 3.19 15.95 1 400 400 Total: 433.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417065 Min 01417065 Slno Description Appmt Dt MRI PER REGION (COST OF CONTRAST EXTRA) 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 3652 of 6486
Name
MISHRI BAI Rate Amount Qty 9000 9000 1 400 400 1 32.4 1.08 30 21.3 .71 30 66 1.1 60 6.9 .23 30 400 400 1 26 2.6 10 7.5 .25 30 8.9 .89 10 400 400 1 Total: 10369
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417069 Min 01417069 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 18-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 7 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 18-FEB-19 GUM ASTRINGENT PAINT 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 28-FEB-19 GUM ASTRINGENT PAINT 18 28-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 19 28-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 20 28-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 21 28-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 3653 of 6486
Name
LAXMI BEHERA Rate Amount Qty 20.06 20.06 1 12.81 12.81 1 31.61 31.61 1 11.1 .37 30 12.8 .64 20 26.7 .89 30 82.76 165.52 2 7.5 .25 30 185.7 6.19 30 26 2.6 10 7.5 .25 30 20.06 20.06 1 17.8 .89 20 31.54 31.54 1 400 400 1 6.4 .64 10 26 2.6 10 31.54 31.54 1 12.81 12.81 1 57.84 57.84 1 5.2 .26 20 4.66 2.33 2 400 400 1 Total: 1521.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417071 Min 01417071 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 3654 of 6486
Name
RAM KALO DEVI Rate Amount Qty 55.8 .93 60 317.7 3.53 90 12 .4 30 7.8 .26 30 7.92 .99 8 400 400 1 Total: 801.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417072 Min 01417072 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 3655 of 6486
Name
BHEEKHAM LAL BHUARY Rate Amount Qty 21.3 .71 30 400 400 1 185.7 6.19 30 39 2.6 15 20.84 5.21 4 400 400 1 Total: 1066.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417074 Min 01417074 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 3656 of 6486
Name
VIJAY LAXMI THAKUR Rate Amount Qty 2.4 .16 15 55.8 .93 60 36.3 1.21 30 16.2 .27 60 400 400 1 Total: 510.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417076 Min 01417076 Slno Description Appmt Dt ALBENDAZOLE,STRIP PKT,400MG,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 02-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 3657 of 6486
SHASHIKANT PATHAK Rate Amount Qty 6.99 2.33 3 18 .6 30 50.14 25.07 2 20.06 20.06 1 6.4 .64 10 400 400 1 5.12 .64 8 3.04 .38 8 1.48 .37 4 400 400 1 5.12 .64 8 1.48 .37 4 3.04 .38 8 400 400 1 Total: 1320.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417077 Min 01417077 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 GUM ANALGESIC GEL 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3658 of 6486
Name
KRIPA RAM SAHU Rate Amount Qty 4.45 .89 5 6.4 .64 10 400 400 1 28.69 28.69 1 2.5 .25 10 400 400 1 26.7 .89 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 1322.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417078 Min 01417078 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 18 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 19 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 20 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 3659 of 6486
JAMA BAI Rate Amount Qty 1.75 .25 7 12.46 .89 14 400 400 1 400 400 1 275 275 1 275 275 1 1.8 .36 5 1.25 .25 5 8.9 .89 10 400 400 1 25.07 25.07 1 13.35 .89 15 3.75 .25 15 400 400 1 13.35 .89 15 7.5 .25 30 400 400 1 55.2 .92 60 36 .6 60 78 1.3 60 7.5 .25 30 400 400 1 Total: 3215.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417079 Min 01417079 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 3660 of 6486
Name
NADIKATLA SHESHI BHUSHON RAO Rate Amount Qty 60.9 2.03 30 13.35 .89 15 55.8 .93 60 16.2 .27 60 400 400 1 2.22 .37 6 35.2 3.52 10 3.84 .64 6 400 400 1 Total: 987.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417080 Min 01417080 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3661 of 6486
Name
N.SHARDA Rate Amount Qty 7.5 .25 30 20.84 5.21 4 400 400 1 7.6 .38 20 400 400 1 Total: 835.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417081 Min 01417081 Appmt Dt Slno Description 07-FEB-19 1 NITRAZEPAM,10MG,TABLE,STRIP PACK. 07-FEB-19 2 QUETIAPINE FUMARATE,200MG,TABLET 07-FEB-19 3 SODIUM VALPROATE,500MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3662 of 6486
Name
D YELUKAR Qty Rate Amount 15 2.64 39.6 60 5.89 353.4 60 3.9 234 1 400 400 Total: 1027
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417089 Min 01417089 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 3663 of 6486
Name
HUPENDRA KUMAR VERMA Rate Amount Qty 54 .6 90 27.9 .93 30 22.2 .37 60 72.6 1.21 60 34.8 1.16 30 400 400 1 Total: 611.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417090 Min 01417090 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 CREATININE /CRT 2 26-FEB-19 UREA (BUN /UR) 3 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 26-FEB-19 PLATELET COUNT 6 26-FEB-19 HB,TLC,DLC 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 27-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 3664 of 6486
Name
USHA VERMA Rate Amount Qty 5 .25 20 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 1300 1300 1 7.35 1.47 5 400 400 1 31.9 3.19 10 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 4296.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417091 Min 01417091 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 3665 of 6486
Name
JASBIR SINGH DHILLON Rate Amount Qty 3.7 .37 10 35.2 17.6 2 400 400 1 Total: 438.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417095 Min 01417095 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 3666 of 6486
Name
TAPRAM VERMA Rate Amount Qty 11.4 .38 30 26.7 .89 30 14.85 .99 15 18.9 .63 30 21.3 .71 30 27.9 .93 30 23.7 .79 30 12 .4 30 400 400 1 Total: 556.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417097 Min 01417097 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 3667 of 6486
Name
UMED RAM SAHU Rate Amount Qty 6.9 .23 30 23.7 .79 30 400 400 1 Total: 430.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417098 Min 01417098 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 3668 of 6486
Name
TRIVENI BAI SAHU Rate Amount Qty 10.65 .71 15 66 1.1 60 16.2 .27 60 18 .6 30 15.4 .77 20 400 400 1 Total: 526.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417104 Min 01417104 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 3669 of 6486
Name
MANJU ASHKANAJ LALL Rate Amount Qty 8.1 .27 30 18.6 .62 30 10.05 .67 15 6.4 .64 10 48.76 12.19 4 7.5 .25 30 5.21 5.21 1 400 400 1 Total: 504.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417107 Min 01417107 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 26-FEB-19 UREA (BUN /UR) 9 26-FEB-19 CREATININE /CRT 10 26-FEB-19 URIC ACID (UA /URATES /UR) 11 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 26-FEB-19
Page 3670 of 6486
Name
ANGAD DAS BAIRAGI Rate Amount Qty 275 275 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 66 1.1 60 400 400 1 4.8 .16 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 10.8 .36 30 36 .6 60 39 1.3 30 8.1 .27 30 Total: 2418.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417113 Min 01417113 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 3671 of 6486
Name
N L SHRIVASTAVA Rate Amount Qty 21.3 .71 30 55.8 .93 60 6.9 .23 30 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 523.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417114 Min 01417114 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 18-FEB-19
Page 3672 of 6486
Name
INDU SHRIVASTAVA Rate Amount Qty 3.75 .25 15 27.9 .93 30 21.3 .71 30 18.6 .62 30 400 400 1 1750 1750 1 400 400 1 Total: 2621.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417115 Min 01417115 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 18-FEB-19 URIC ACID (UA /URATES /UR) 2 18-FEB-19 UREA (BUN /UR) 3 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 3673 of 6486
Name
PITAMBER LAL CHANDRAKAR Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 21.3 .71 30 26.7 .89 30 66 1.1 60 27.9 .93 30 72 .6 120 32.4 .36 90 7.5 .25 30 400 400 1 Total: 3453.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417116 Min 01417116 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 3674 of 6486
Name
DROPATI BAI CHANDRAKAR Rate Amount Qty 34.8 1.16 30 9 .3 30 10.35 .23 45 72 .6 120 400 400 1 8.1 .27 30 8.9 .89 10 34.8 1.16 30 72 .6 120 9 .3 30 6.9 .23 30 400 400 1 Total: 1065.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417118 Min 01417118 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 23-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 3675 of 6486
Name
CHAMPA DESHMUKH Rate Amount Qty 66 1.1 60 47.4 .79 60 55.8 .93 60 400 400 1 7.5 .25 30 20.84 5.21 4 2.5 .25 10 18 .6 30 26 2.6 10 8.9 .89 10 400 400 1 Total: 1052.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417121 Min 01417121 Slno Description Appmt Dt DIGOXIN,STRIP PKT,0.25MG,TABLET 1 01-FEB-19 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 3676 of 6486
Name
KULWANT SINGH Rate Amount Qty 25.96 1.18 22 96.75 2.15 45 23.7 .79 30 30.6 .51 60 66 1.1 60 43.2 1.44 30 400 400 1 Total: 686.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417122 Min 01417122 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3677 of 6486
Name
BALVINDER KAOR Rate Amount Qty 34.8 1.16 30 27.9 .93 30 167.4 5.58 30 72 .6 120 32.4 .36 90 9 .3 30 400 400 1 Total: 743.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417125 Min 01417125 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 3678 of 6486
Name
RAM SINGH CHANDEL Rate Amount Qty 7.5 .25 30 9.9 .66 15 27.9 .93 30 8.1 .27 30 18.15 1.21 15 400 400 1 Total: 471.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417126 Min 01417126 Appmt Dt Slno Description 27-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 27-FEB-19 2 AZATHIOPRINE,STRIP PKT,50MG,TABLET 27-FEB-19 3 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3679 of 6486
Name
LEELA SINGH Qty Rate Amount 30 .38 11.4 30 3.38 101.4 60 8.18 490.8 1 400 400 Total: 1003.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417129 Min 01417129 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19
Page 3680 of 6486
Name
MURLIDHAR SAGAR Rate Amount Qty 400 400 1 34.8 1.16 30 94.8 .79 120 64.8 1.08 60 24 .4 60 Total: 618.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417151 Min 01417151 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3681 of 6486
Name
RATAN CHANDRA SARKAR Rate Amount Qty 41.85 .93 45 8.1 .27 30 7.5 .25 30 18.9 .63 30 400 400 1 Total: 476.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417152 Min 01417152 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 3682 of 6486
Name
MANO KHUSHI SARKAR Rate Amount Qty 185.7 6.19 30 18.9 .63 30 55.8 .93 60 31.2 1.04 30 7.5 .25 30 400 400 1 Total: 699.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417163 Min 01417163 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19
Page 3683 of 6486
Name
DANDA SAHU Rate Amount Qty 27.9 .93 30 18 .6 30 10.8 .36 30 6.9 .23 30 60.9 2.03 30 7.5 .25 30 400 400 1 18 .6 30 27.9 .93 30 6.9 .23 30 60.9 2.03 30 7.5 .25 30 10.8 .36 30 400 400 1 Total: 1064
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417168 Min 01417168 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 PRAZOSIN,2.5MG,TABLET 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 16-FEB-19 CREATININE /CRT 15 16-FEB-19 UREA (BUN /UR) 16 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 18 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 23 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 24 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 25 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 26 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 27 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 29 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 30 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 31 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 32 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 33 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 34 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 35 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 36 22-FEB-19
Page 3684 of 6486
Name
MUMTAZ BAGUM Rate Amount Qty 76.5 2.55 30 54 .6 90 21.3 .71 30 21.6 .36 60 16.2 .27 60 39 1.3 30 29.7 .99 30 55.8 .93 60 167.4 5.58 30 117 1.3 90 400 400 1 275 275 1 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 76.5 2.55 30 21.3 .71 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 117 1.3 90 167.4 5.58 30 72 .6 120 43.2 .36 120 76.5 2.55 30 21.3 .71 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 117 1.3 90 167.4 5.58 30 72 .6 120 43.2 .36 120 400 400 1 Total: 5396.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417169 Min 01417169 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 3685 of 6486
Name
MOHD MUSLIM ANSARI Rate Amount Qty 23.7 .79 30 36 .6 60 55.2 .92 60 34.8 1.16 30 3.75 .25 15 400 400 1 54 .9 60 26.7 .89 30 100.71 100.71 1 400 400 1 Total: 1134.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417194 Min 01417194 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 3686 of 6486
Name
SARITA ANAND Rate Amount Qty 36 .6 60 18.9 .63 30 400 400 1 Total: 454.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417195 Min 01417195 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 09-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 4 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 3687 of 6486
Name
S D S ANAND Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 189 2.1 90 8.1 .27 30 400 400 1 Total: 676.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417196 Min 01417196 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 07-FEB-19 UREA (BUN /UR) 13 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 07-FEB-19 CREATININE /CRT 16 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 07-FEB-19 24 HR URINARY ALBUMIN (24 HR UR ALB) 18 14-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 19 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 24 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 25 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 27 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 21-FEB-19
Page 3688 of 6486
Name
PK KHATTAR Rate Amount Qty 54 .9 60 156.6 1.74 90 29.7 .99 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 55.8 .93 60 117 1.3 90 54 .6 90 400 400 1 275 275 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 1300 1300 1 500 500 1 1610 1610 1 400 400 1 36 .6 60 78 1.3 60 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 60.9 2.03 30 29.7 .99 30 400 400 1 Total: 7582.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417201 Min 01417201 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 3689 of 6486
Name
JAYANTI LAL CHAUHAN Rate Amount Qty 7.5 .25 30 12 .4 30 36.3 1.21 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 34.8 1.16 30 400 400 1 36.3 1.21 30 55.8 .93 60 34.8 1.16 30 7.5 .25 30 16.2 .27 60 29.7 .99 30 12 .4 30 400 400 1 Total: 1184.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417203 Min 01417203 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 12-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 3690 of 6486
Name
TEKCHAND SAHU Rate Amount Qty 400 400 1 275 275 1 275 275 1 18 .6 30 7.5 .25 30 21.3 .71 30 32.4 .36 90 400 400 1 26.7 .89 30 185.7 6.19 30 94.2 3.14 30 400 400 1 Total: 2135.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417204 Min 01417204 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 3691 of 6486
Name
SANT MADHURI SAHU Rate Amount Qty 275 275 1 275 275 1 400 400 1 32.4 1.08 30 66 1.1 60 400 400 1 Total: 1448.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417205 Min 01417205 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3692 of 6486
Name
K S SAHU Rate Amount Qty 6.9 .23 30 7.7 .77 10 400 400 1 Total: 414.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417206 Min 01417206 Appmt Dt Slno Description 23-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3693 of 6486
Name
HEERA SAHU Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417207 Min 01417207 Appmt Dt Slno Description 07-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 07-FEB-19 2 TABLET/CAPSULE FLUCONAZOLE, 150MG 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3694 of 6486
Name
NANHEMIYAN Qty Rate Amount 3 9.86 29.58 8 3.37 26.96 30 .37 11.1 1 400 400 Total: 467.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417208 Min 01417208 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 21-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 21-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 4 21-FEB-19 ECG 5 21-FEB-19 OBSERVATION IN CASUALTY 6 21-FEB-19 OBSERVATION IN CASUALTY 7 23-FEB-19 SYRINGE,DISPOSABLE,2ML 8 23-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 9 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 10 23-FEB-19 ECG 11 23-FEB-19 X - RAY - SINGLE VIEW 12 23-FEB-19
Page 3695 of 6486
Name
RAJIYA BEGUM Qty 1 1 1 1 1 1 1 2 1 1 1 1
Rate Amount .16 .16 3.19 3.19 600 600 5.77 5.77 450 450 420 420 420 420 3.68 1.84 5.77 5.77 9.62 9.62 450 450 550 550 Total: 2918.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417211 Min 01417211 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 3696 of 6486
Name
REWA RAM SAHU Rate Amount Qty 8.1 .27 30 21.3 .71 30 400 400 1 Total: 429.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417212 Min 01417212 Appmt Dt Slno Description 28-FEB-19 1 ESCITALOPRAM,10MG,,TABLET 28-FEB-19 2 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 28-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3697 of 6486
Name
KUMARI BAI Qty Rate Amount 20 1.85 37 10 .16 1.6 30 1.1 33 1 400 400 Total: 471.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417213 Min 01417213 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 18-FEB-19 PRAZOSIN,2.5MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3698 of 6486
Name
DEEPAK KUMAR DESHPANDE Rate Amount Qty 117 1.3 90 54 .6 90 9 .3 30 32.4 .36 90 2.4 .16 15 34.8 1.16 30 32.4 1.08 30 47.4 .79 60 55.8 .93 60 12 .4 30 78 1.3 60 400 400 1 Total: 875.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417214 Min 01417214 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 18-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 3699 of 6486
Name
SMT.SANDHYA DESHPANDE Rate Amount Qty 13.95 .93 15 2.4 .16 15 71 .71 100 10.8 .36 30 400 400 1 Total: 498.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417219 Min 01417219 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3700 of 6486
Name
CHHABRA VS Rate Amount Qty 34.8 1.16 30 33 1.1 30 8.9 .89 10 12 .4 30 43.96 43.96 1 1.6 .16 10 400 400 1 Total: 534.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417220 Min 01417220 Appmt Dt Slno Description 07-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 2 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3701 of 6486
Name
SHANTI CHHABRA Qty Rate Amount 6 .64 3.84 30 .58 17.4 5 .37 1.85 1 400 400 Total: 423.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417224 Min 01417224 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 3702 of 6486
Name
SHASHIKALA DUBEY Rate Amount Qty 7.5 .25 30 66.2 6.62 10 1.85 .37 5 6.4 .64 10 55.8 .93 60 66 1.1 60 12 .4 30 185.7 6.19 30 400 400 1 12.15 12.15 1 4.45 .89 5 2.7 .18 15 400 400 1 Total: 1220.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417225 Min 01417225 Appmt Dt Slno Description 21-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3703 of 6486
Name
B.DASU Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417228 Min 01417228 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3704 of 6486
Name
SANT KUMARI SAHU Rate Amount Qty 167.4 5.58 30 93.3 9.33 10 21.3 .71 30 36 .6 60 9 .3 30 2.33 2.33 1 26.7 .89 30 400 400 1 Total: 756.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417231 Min 01417231 Slno Description Appmt Dt BRIMONIDINE TARTRATE,0.15% 1 25-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 3705 of 6486
Name
MOTI LAL RAJPAL Qty 2 2 1
Rate Amount 148.9 74.45 40.58 20.29 400 400 Total: 589.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417232 Min 01417232 Slno Description Appmt Dt OLOPATADINE,0.1%,EYE DROP,5ML PACK 1 25-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 25-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 25-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 3706 of 6486
Name
NEELAM RAJPAL Qty 2 1 1 2 1
Rate Amount 36.42 18.21 82.76 82.76 43.96 43.96 51.38 25.69 400 400 Total: 614.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417233 Min 01417233 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 28-FEB-19 CREATININE /CRT 12 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 28-FEB-19
Page 3707 of 6486
Name
THAKUR MR Rate Amount Qty 7.5 .25 30 6.9 .23 30 12 .4 30 34.8 1.16 30 400 400 1 275 275 1 7.5 .25 30 34.8 1.16 30 12 .4 30 6.9 .23 30 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 3047.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417234 Min 01417234 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 3708 of 6486
Name
NIRMALA THAKUR Rate Amount Qty 21.6 .36 60 36 .6 60 78 1.3 60 21.3 .71 30 400 400 1 Total: 556.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417238 Min 01417238 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 5 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3709 of 6486
Name
CHANDRAKALA SINHA Rate Amount Qty 45.44 45.44 1 7.4 .37 20 12.81 12.81 1 400 400 1 45.44 45.44 1 12.81 12.81 1 11.1 .37 30 400 400 1 36 .6 60 33 1.1 30 8.1 .27 30 167.4 5.58 30 400 400 1 Total: 1579.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417241 Min 01417241 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 3710 of 6486
Name
CHANDRA SHEKHAR Rate Amount Qty 12 .4 30 23.7 .79 30 27.9 .93 30 2.4 .16 15 18 .6 30 18.9 .63 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 556.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417242 Min 01417242 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3711 of 6486
Name
LALTA Rate Amount Qty 27.4 1.37 20 20.1 .67 30 26.7 .89 30 8.1 .27 30 55.8 .93 60 21.3 .71 30 7.5 .25 30 400 400 1 Total: 566.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417247 Min 01417247 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 02-FEB-19 UREA (BUN /UR) 10 02-FEB-19 X - RAY - SINGLE VIEW 11 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 02-FEB-19 CREATININE /CRT 14 02-FEB-19
Page 3712 of 6486
Name
MADAN SINGH TURUKCANE Rate Amount Qty 55.8 .93 60 400 400 1 275 275 1 275 275 1 21.3 .71 30 12 .4 30 7.5 .25 30 36 .6 60 9 .3 30 275 275 1 550 550 1 29.7 .99 30 8.1 .27 30 275 275 1 Total: 2229.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417248 Min 01417248 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 02-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 11 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 02-FEB-19
Page 3713 of 6486
SHISHUKALA TURUKCANE Rate Amount Qty 550 550 1 400 400 1 137.3 13.73 10 36 .6 60 21.6 .36 60 55.8 .93 60 14.85 .99 15 7.5 .25 30 21.3 .71 30 78 1.3 60 48.22 48.22 1 3.7 .37 10 6.4 .64 10 Total: 1380.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417249 Min 01417249 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 3714 of 6486
Name
SATYENDRA KUMAR SINHA Rate Amount Qty 36 .6 60 55.8 .93 60 400 400 1 Total: 491.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417250 Min 01417250 Appmt Dt Slno Description 12-FEB-19 1 X - RAY - TWO VIEWS 12-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 26-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3715 of 6486
Name
ANITA SINHA Qty Rate Amount 1 860 860 1 400 400 15 .64 9.6 1 400 400 Total: 1669.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417255 Min 01417255 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 7 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 12 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 3716 of 6486
Name
N APPARAO Rate Amount Qty 275 275 1 275 275 1 12 .4 30 32.4 1.08 30 34.8 1.16 30 55.8 .93 60 21.6 1.44 15 15.6 1.04 15 18 .6 30 167.4 5.58 30 10.8 .36 30 10.65 .71 15 15.6 .26 60 400 400 1 Total: 1344.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417257 Min 01417257 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 3717 of 6486
Name
ARJUN SHARMA Rate Amount Qty 275 275 1 275 275 1 39 1.3 30 12.15 .27 45 47.4 .79 60 36 .6 60 12 .4 30 34.8 1.16 30 400 400 1 Total: 1131.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417258 Min 01417258 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3718 of 6486
Name
SHIV PYARI Rate Amount Qty 3.84 .64 6 4.62 .77 6 6.72 1.12 6 33.12 1.84 18 400 400 1 12 .4 30 32.4 1.08 30 33 1.1 30 34.8 1.16 30 27 .6 45 26.7 .89 30 400 400 1 Total: 1014.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417259 Min 01417259 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 15-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3719 of 6486
Name
N C AGRAWAL Rate Amount Qty 22.2 .37 60 60.9 2.03 30 192.3 6.41 30 29.7 .99 30 400 400 1 Total: 705.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417260 Min 01417260 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 13-FEB-19 CREATININE /CRT 3 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 13-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 13-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 28-FEB-19 COMPLETE HAEMOGRAM 10 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19
Page 3720 of 6486
Name
PUSHPA AGRAWAL Rate Amount Qty 750 750 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1750 1750 1 380 380 1 400 400 1 400 400 1 750 750 1 11.4 .38 30 7.5 .25 30 Total: 6573.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417268 Min 01417268 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 2 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 16-FEB-19
Page 3721 of 6486
Name
BHAGIRATHI VERMA Rate Amount Qty 60.9 2.03 30 1610 1610 1 400 400 1 Total: 2070.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417269 Min 01417269 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 13-FEB-19 UREA (BUN /UR) 4 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 13-FEB-19 URIC ACID (UA /URATES /UR) 6 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 13-FEB-19
Page 3722 of 6486
Name
SATRUPA VERMA Rate Amount Qty 21.3 .71 30 26.7 .89 30 11.4 .38 30 275 275 1 275 275 1 275 275 1 275 275 1 40.12 20.06 2 400 400 1 1300 1300 1 Total: 2899.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417274 Min 01417274 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 3723 of 6486
Name
GANESH PRASAD SONI Rate Amount Qty 54 .6 90 34.8 1.16 30 32.4 1.08 30 8.1 .27 30 27.9 .93 30 3.75 .25 15 400 400 1 Total: 560.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417275 Min 01417275 Appmt Dt Slno Description 20-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3724 of 6486
Name
SUSHILA DEVI SONI Qty Rate Amount 30 .71 21.3 120 .6 72 60 .36 21.6 1 400 400 Total: 514.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417278 Min 01417278 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 07-FEB-19 SILDENAFIL,25 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 SILDENAFIL,25 MG,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 3725 of 6486
Name
KUZHIPATRA ITTY JOHN Rate Amount Qty 55.8 .93 60 27.9 .93 30 7.6 .38 20 52.8 2.64 20 400 400 1 52.8 2.64 20 400 400 1 Total: 996.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417279 Min 01417279 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 07-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 2 07-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 18-FEB-19 COMPLETE HAEMOGRAM 6 18-FEB-19 CRP 7 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 18-FEB-19
Page 3726 of 6486
Name
SMT.BINU JOHN Rate Amount Qty 20.84 5.21 4 83.4 2.78 30 51.68 3.23 16 400 400 1 1300 1300 1 750 750 1 600 600 1 400 400 1 Total: 3605.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417282 Min 01417282 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 16-FEB-19
Page 3727 of 6486
Name
JAGDISH KUMAR Rate Amount Qty 12 .4 30 32.4 .36 90 72 .6 120 21.3 .71 30 117 1.3 90 400 400 1 275 275 1 275 275 1 400 400 1 Total: 1604.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417286 Min 01417286 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 3728 of 6486
Name
JODHARAM Rate Amount Qty 7.5 .25 30 21.3 .71 30 167.4 5.58 30 72 .6 120 32.4 .36 90 18.9 .63 30 400 400 1 Total: 719.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417287 Min 01417287 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 3729 of 6486
Name
RUKHMANI BAI Rate Amount Qty 7.5 .25 30 21.3 .71 30 78 1.3 60 54 .6 90 21.6 .36 60 400 400 1 Total: 582.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417292 Min 01417292 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 4 09-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3730 of 6486
JHALA RAM CHANDRAKAR Rate Amount Qty 8.1 .27 30 23.7 .79 30 400 400 1 18.21 18.21 1 25.07 25.07 1 2.22 .37 6 400 400 1 23.7 .79 30 .96 .16 6 8.1 .27 30 400 400 1 Total: 1310.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417300 Min 01417300 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 01-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 8 04-FEB-19
Page 3731 of 6486
Name
BHIM SEN SINGH Rate Amount Qty 118.5 3.95 30 92.1 6.14 15 55.8 .93 60 192.3 6.41 30 7.5 .25 30 400 400 1 400 400 1 2110 2110 1 Total: 3376.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417302 Min 01417302 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 3732 of 6486
Name
KAUSHLIYA BAI Rate Amount Qty 34.8 1.16 30 27.6 .92 30 18 .6 30 400 400 1 27.9 .93 30 275 275 1 275 275 1 21.3 .71 30 20.84 5.21 4 27.9 .93 30 29.7 .99 30 400 400 1 Total: 1558.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417303 Min 01417303 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 3733 of 6486
Name
GOPAL SINGH Rate Amount Qty 21.6 .36 60 13.35 .89 15 34.8 1.16 30 43.96 43.96 1 32.4 1.08 30 39 1.3 30 167.4 5.58 30 72 .6 120 66 1.1 60 400 400 1 Total: 890.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417307 Min 01417307 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 01-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 9 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 19 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 25-FEB-19
Page 3734 of 6486
Name
GHANSHYAM PRASAD SHARMA Rate Amount Qty 21.3 .71 30 12 .4 30 23.1 .77 30 31.2 1.04 30 6.4 .64 10 21.6 .36 60 36 .6 60 55.8 .93 60 118.5 3.95 30 7.65 .51 15 32.4 1.08 30 400 400 1 27.9 .93 30 8.1 .27 30 400 400 1 4.45 .89 5 6.4 .64 10 4.1 .41 10 55.2 1.84 30 400 400 1 Total: 1672.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417308 Min 01417308 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 09-FEB-19 ESCITALOPRAM,10MG,,TABLET 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19
Page 3735 of 6486
Name
URMILA SHARMA Rate Amount Qty 6.9 .23 30 32.4 1.08 30 18.9 .63 30 8.9 .89 10 20.06 20.06 1 21.3 .71 30 33 1.1 30 400 400 1 19.8 .66 30 111 1.85 60 400 400 1 Total: 1072.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417314 Min 01417314 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3736 of 6486
Name
SHIBANI MADHU Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417321 Min 01417321 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3737 of 6486
Name
BASANT KUMAR UIKE Rate Amount Qty 32.4 .36 90 72 .6 120 117 1.3 90 7.5 .25 30 400 400 1 Total: 628.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417322 Min 01417322 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 05-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 12-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 11 14-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 3738 of 6486
VENU UIKE Rate Amount Qty 21.3 .71 30 15 .25 60 25.07 25.07 1 73.5 2.45 30 400 400 1 26 2.6 10 7.7 .77 10 61.9 6.19 10 .48 .16 3 400 400 1 31.4 3.14 10 63.8 3.19 20 5 .25 20 8.9 .89 10 400 400 1 Total: 1540.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417325 Min 01417325 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 05-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3739 of 6486
MANGAL RAM SAHU Rate Amount Qty 6.82 6.82 1 1610 1610 1 400 400 1 25.07 25.07 1 400 400 1 50.14 25.07 2 400 400 1 Total: 2892.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417326 Min 01417326 Appmt Dt Slno Description 05-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 3 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3740 of 6486
RAMSHEELA BAI Qty Rate Amount 3 .37 1.11 1 15.73 15.73 10 2.66 26.6 1 400 400 Total: 443.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417327 Min 01417327 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 3741 of 6486
BALDEO RAM Rate Amount Qty 54 .6 90 21.6 .36 60 17.4 1.16 15 6.4 .64 10 1.85 .37 5 15.73 15.73 1 400 400 1 Total: 516.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417332 Min 01417332 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 3742 of 6486
Name
JAGESHWAR P PANDEY Rate Amount Qty 23.7 .79 30 167.4 5.58 30 60.9 2.03 30 18 .6 30 192.3 6.41 30 21.3 .71 30 400 400 1 Total: 883.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417333 Min 01417333 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3743 of 6486
Name
SMT.URMILA PANDEY Rate Amount Qty 76.5 2.55 30 21.3 .71 30 55.8 .93 60 14.85 .99 15 400 400 1 Total: 568.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417335 Min 01417335 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3744 of 6486
Name
SHAMBANI S. PRAKASH Rate Amount Qty 7.5 .25 30 12 .4 30 36 .6 60 34.8 1.16 30 400 400 1 Total: 490.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417336 Min 01417336 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 3745 of 6486
Name
S PRAKASH Rate Amount Qty 4.8 .16 30 7.5 .25 30 12 .4 30 27 .36 75 72 .6 120 27.9 .93 30 15.3 .51 30 400 400 1 Total: 566.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417340 Min 01417340 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 PRAZOSIN,2.5MG,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 3746 of 6486
Name
SMT.SUMAN TAMRAKAR Rate Amount Qty 7.5 .25 30 39 1.3 30 55.8 .93 60 66 1.1 60 22.2 .37 60 400 400 1 Total: 590.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417343 Min 01417343 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 3747 of 6486
Name
SHAKTI KUMAR Rate Amount Qty 34.8 1.16 30 14.85 .99 15 32.4 1.08 30 7.5 .25 30 55.8 .93 60 8.1 .27 30 72 .6 120 10.8 .36 30 400 400 1 Total: 636.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417344 Min 01417344 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 3748 of 6486
Name
SAROJ RANI SHARMA Rate Amount Qty 13.8 .23 60 1.85 .37 5 11.4 .38 30 55.8 .93 60 72 .6 120 21.6 .36 60 334.8 5.58 60 400 400 1 Total: 911.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417345 Min 01417345 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 3749 of 6486
Name
KESHAW PRASAD SAHOO Rate Amount Qty 16.2 .27 60 36 .6 60 400 400 1 Total: 452.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417346 Min 01417346 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 3750 of 6486
Name
SMT. HIRA BAI SAHOO Rate Amount Qty 66 1.1 60 8.1 .27 30 7.5 .25 30 20.84 5.21 4 55.8 .93 60 400 400 1 Total: 558.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417349 Min 01417349 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 3751 of 6486
Name
SUBHASH KUMAR BHIWAGADE Rate Amount Qty 12 .4 30 32.4 1.08 30 69.6 1.16 60 27.9 .93 30 7.5 .25 30 6.9 .23 30 400 400 1 200.6 20.06 10 9.6 .64 15 55.2 1.84 30 400 400 1 Total: 1221.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417350 Min 01417350 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 04-FEB-19 MAMOGRAPHY 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3752 of 6486
Name
BEENA BHIWAGADE Rate Amount Qty 400 400 1 1750 1750 1 2000 2000 1 400 400 1 8.1 .27 30 21.3 .71 30 400 400 1 Total: 4979.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417359 Min 01417359 Slno Description Appmt Dt CREATININE /CRT 1 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 19-FEB-19 URIC ACID (UA /URATES /UR) 7 19-FEB-19
Page 3753 of 6486
Name
RASHID KHAN Qty 1 1 1 1 1 1 1
Rate Amount 275 275 550 550 400 400 275 275 275 275 1300 1300 275 275 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417360 Min 01417360 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 18-FEB-19 GUM ASTRINGENT PAINT 5 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 18-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 22-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 14 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 22-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19
Page 3754 of 6486
Name
RAHISHA BEGUM Rate Amount Qty 63.58 63.58 1 26.96 3.37 8 400 400 1 46.8 2.34 20 31.54 31.54 1 4.1 .41 10 6.4 .64 10 3.8 .38 10 400 400 1 12.8 .64 20 5.21 5.21 1 4.8 .16 30 11.4 .38 30 27.9 .93 30 371.4 6.19 60 53.4 .89 60 166.8 2.78 60 400 400 1 Total: 2036.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417366 Min 01417366 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3755 of 6486
Name
ANADI RANJAN PAUL Rate Amount Qty 21.6 .36 60 7.5 .25 30 14.85 .99 15 117 1.3 90 72 .6 120 22.2 .37 60 400 400 1 Total: 655.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417370 Min 01417370 Slno Description Appmt Dt CARBAMAZEPINE,STRIP PKT,200MG,TABLET 1 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 04-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19
Page 3756 of 6486
Name
KEWAL KRISHNA KUMAR GUPTA Rate Amount Qty 88.2 1.47 60 31.2 1.04 30 43.2 1.44 30 16.2 .27 60 12 .4 30 55.8 .93 60 72.6 1.21 60 32.4 1.08 30 4.8 .16 30 23.1 .77 30 21.6 .36 60 36 .6 60 400 400 1 Total: 837.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417371 Min 01417371 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 3757 of 6486
Name
LALITA GUPTA Rate Amount Qty 23.1 .77 30 55.8 .93 60 400 400 1 Total: 478.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417373 Min 01417373 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 GUM ANALGESIC GEL 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 8 19-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 3758 of 6486
Name
MILAPA BAI Rate Amount Qty 21.3 .71 30 36 .6 60 39 1.3 30 10.8 .36 30 400 400 1 57.38 28.69 2 400 400 1 24.6 .82 30 12.3 .41 30 400 400 1 Total: 1401.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417374 Min 01417374 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3759 of 6486
Name
SR MAJHI Rate Amount Qty 32.4 .36 90 36 .6 60 117 1.3 90 27.9 .93 30 21.3 .71 30 21.3 .71 30 400 400 1 Total: 655.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417375 Min 01417375 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 21-FEB-19 PRAZOSIN,2.5MG,TABLET 12 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19
Page 3760 of 6486
Name
DR(MRS) JYOTEE NARULA Rate Amount Qty 66.2 6.62 10 20.84 5.21 4 185.7 6.19 30 21.3 .71 30 3.7 .37 10 6.4 .64 10 400 400 1 2.4 .16 15 55.8 .93 60 72.6 1.21 60 8.1 .27 30 39 1.3 30 34.8 1.16 30 32.4 1.08 30 26.7 .89 30 400 400 1 Total: 1375.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417376 Min 01417376 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 3761 of 6486
Name
SANDEEP NARULA Rate Amount Qty 26.7 .89 30 55.8 .93 60 54 .6 90 7.5 .25 30 9 .3 30 400 400 1 Total: 553
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417379 Min 01417379 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 26-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3762 of 6486
Name
CHOWA RAM Rate Amount Qty 78 1.3 60 34.8 1.16 30 30.6 .34 90 33 1.1 30 12 .4 30 32.4 1.08 30 400 400 1 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 Total: 1042.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417380 Min 01417380 Appmt Dt Slno Description 26-FEB-19 1 ISOSORBIDE DINITRATE,10MG,TABLET 26-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 26-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3763 of 6486
Name
DAYA BAI Qty Rate Amount 45 .34 15.3 30 1.16 34.8 30 .4 12 1 400 400 Total: 462.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417381 Min 01417381 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 3764 of 6486
SK PRADHAN Rate Amount Qty 50.14 25.07 2 167.4 5.58 30 18.9 .63 30 12 .4 30 21.3 .71 30 55.8 .93 60 54 .6 90 400 400 1 Total: 779.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417386 Min 01417386 Appmt Dt Slno Description 27-FEB-19 1 CEFEXIME,STRIP PKT,200MG,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3765 of 6486
Name
VEENA SHRIVASTAVA Qty Rate Amount 4 6.62 26.48 1 400 400 426.48 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417389 Min 01417389 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 3766 of 6486
Name
KHUMAN SINGH GAYAKWAR Rate Amount Qty 36 .6 60 21.3 .71 30 47.4 .79 60 12 .4 30 400 400 1 26.6 2.66 10 1.85 .37 5 3.84 .64 6 400 400 1 Total: 948.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417390 Min 01417390 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 3767 of 6486
Name
GAJRA BAI Rate Amount Qty 27.9 .93 30 6.9 .23 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417394 Min 01417394 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 05-FEB-19
Page 3768 of 6486
Name
PRADIP KUMAR DEY Rate Amount Qty 400 400 1 72 .6 120 48 .4 120 Total: 520
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417395 Min 01417395 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 BLOOD FOR T-3,T-4,TSH 9 13-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 13-FEB-19 COMPLETE HAEMOGRAM 11 13-FEB-19
Page 3769 of 6486
Name
KAVITA DEY Rate Amount Qty 400 400 1 145.2 1.21 120 69.6 1.16 60 24 .4 60 53.4 .89 60 82.8 .92 90 72 .6 120 400 400 1 2400 2400 1 1300 1300 1 750 750 1 Total: 5697
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417396 Min 01417396 Slno Description Appmt Dt PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 1 01-FEB-19 CREATININE /CRT 2 01-FEB-19 COMPLETE HAEMOGRAM 3 01-FEB-19 UREA (BUN /UR) 4 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 01-FEB-19 CALCIUM (CA) 6 01-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 9 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 05-FEB-19 SEVELAMER ,800 MG,,TABLET 12 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 13 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 15 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 19 05-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 20 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 12-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 22 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 25 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 26 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 26-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 30 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 27-FEB-19
Page 3770 of 6486
Name
ANUKUL JOSEPH Rate Amount Qty 275 275 1 275 275 1 750 750 1 275 275 1 550 550 1 275 275 1 275 275 1 400 400 1 4790 4790 1 23.1 .77 30 62.4 1.04 60 501.9 16.73 30 4790 4790 1 400 400 1 18.9 .63 30 21.3 .71 30 32.4 1.08 30 12 .4 30 30.6 .51 60 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 2.3 .23 10 400 400 1 Total: 40109.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417403 Min 01417403 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3771 of 6486
Name
SMT.GAURI BAI Rate Amount Qty 39 1.3 30 7.5 .25 30 21.6 .36 60 36 .6 60 400 400 1 Total: 504.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417405 Min 01417405 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 3772 of 6486
Name
SMT SHASHIKALA SINGH Rate Amount Qty 8.1 .27 30 9.3 .62 15 55.8 .93 60 78 1.3 60 400 400 1 Total: 551.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417408 Min 01417408 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 23-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 20 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 21 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 22 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 24 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 25 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 23-FEB-19
Page 3773 of 6486
Name
JHAMMAN RAM Rate Amount Qty 21.3 .71 30 12 .4 30 18 .6 30 14.85 .99 15 27.9 .93 30 17.4 .58 30 7.5 .25 30 26.7 .89 30 18.9 .63 30 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 400 400 1 34.8 1.16 30 78 .78 100 33 1.1 30 14.85 .99 15 55.8 .93 60 22.2 .37 60 18.9 .63 30 400 400 1 Total: 4422.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417409 Min 01417409 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 3774 of 6486
Name
GUNIT BAI Rate Amount Qty 32.4 1.08 30 21.3 .71 30 12 .4 30 36.3 1.21 30 27.9 .93 30 6.9 .23 30 2.4 .16 15 15.6 .26 60 26.7 .89 30 400 400 1 Total: 581.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417410 Min 01417410 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 21-FEB-19
Page 3775 of 6486
ASHOK KUMAR DAUDIYA Rate Amount Qty 15.73 15.73 1 5.34 .89 6 9.6 .64 15 10.95 .73 15 66.2 6.62 10 400 400 1 5.21 5.21 1 72.6 1.21 60 55.8 .93 60 16.2 .27 60 400 400 1 60.18 20.06 3 26.7 .89 30 26.7 .89 30 60.18 20.06 3 400 400 1 Total: 1631.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417411 Min 01417411 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 3776 of 6486
Name
MALATI DEVI Rate Amount Qty 1.6 .16 10 6.4 .64 10 33 1.1 30 400 400 1 8.4 .42 20 400 400 1 Total: 849.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417413 Min 01417413 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 3777 of 6486
Name
MOHANLAL RAGHUWANSHI Rate Amount Qty 27.9 .93 30 8.1 .27 30 400 400 1 Total: 436
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417418 Min 01417418 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 LORNOXICAM 8 MG,STRIP PACK,,TABLET 18-FEB-19 3 BACLOFEN,STRIP PKT,10MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3778 of 6486
Name
DR. N K BAJPAI Qty Rate Amount 20 .89 17.8 20 1.37 27.4 20 3.19 63.8 1 400 400 Total: 509
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417429 Min 01417429 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 3779 of 6486
Name
GORE LAL RATHORE Rate Amount Qty 8.1 .27 30 55.8 .93 60 17.4 1.16 15 36 .6 60 39 1.3 30 400 400 1 Total: 556.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417430 Min 01417430 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 14-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 10 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 17 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 3780 of 6486
SHAKUNTALA RATHORE Rate Amount Qty 26.6 2.66 10 6.4 .64 10 12.6 .9 14 15.73 15.73 1 400 400 1 25.07 25.07 1 400 400 1 7.6 .38 20 12.15 12.15 1 17.3 1.73 10 18 .9 20 400 400 1 117 1.3 90 27.9 .93 30 21.3 .71 30 1.48 .37 4 10.8 .36 30 72 .6 120 400 400 1 Total: 1991.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417433 Min 01417433 Slno Description Appmt Dt SUTURE REMOVAL 1 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 15-FEB-19 DRESSING SIMPLE 7 15-FEB-19
Page 3781 of 6486
Name
KUNJ LAL SAHU Rate Amount Qty 490 490 1 41.06 41.06 1 13.35 .89 15 9.6 .64 15 400 400 1 400 400 1 600 300 2 Total: 1954.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417436 Min 01417436 Appmt Dt Slno Description 15-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3782 of 6486
Name
MANIRAM Qty Rate Amount 30 .27 8.1 30 .99 29.7 60 .93 55.8 1 400 400 Total: 493.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417437 Min 01417437 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3783 of 6486
Name
NANI BAI Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417438 Min 01417438 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 3784 of 6486
Name
AHUTI SAHU Rate Amount Qty 185.7 6.19 30 20.84 5.21 4 26 2.6 10 400 400 1 21.3 .71 30 12 .4 30 32.4 1.08 30 55.8 .93 60 26.7 .89 30 400 400 1 Total: 1180.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417441 Min 01417441 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19 CREATININE /CRT 6 21-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 7 21-FEB-19 UREA (BUN /UR) 8 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 21-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 10 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 3785 of 6486
Name
SANTAN LAL Rate Amount Qty 3.2 .64 5 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 650 650 1 275 275 1 35.2 3.52 10 85.8 8.58 10 4.45 .89 5 60.9 2.03 30 192.3 6.41 30 400 400 1 78 1.3 60 7.5 .25 30 21.3 .71 30 54 .6 90 21.6 .36 60 400 400 1 Total: 3914.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417442 Min 01417442 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 UREA (BUN /UR) 5 21-FEB-19 CREATININE /CRT 6 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 3786 of 6486
Name
LAXMIN BAI Rate Amount Qty 6.4 .64 10 7.5 .25 30 185.7 6.19 30 400 400 1 275 275 1 275 275 1 1300 1300 1 55.8 .93 60 7.65 .51 15 6.9 .23 30 7.5 .25 30 21.3 .71 30 400 400 1 275 275 1 275 275 1 1.48 .37 4 3.04 .38 8 400 400 1 Total: 3903.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417452 Min 01417452 Name Appmt Dt Slno Description 19-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3787 of 6486
BETSHEBA DANIEL Qty Rate Amount 2 25.07 50.14 1 400 400 450.14 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417461 Min 01417461 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 3788 of 6486
Name
UMESH KUMAR TIWARI Rate Amount Qty 6.82 6.82 1 72 .6 120 10.8 .36 30 7.5 .25 30 27.9 .93 30 17.4 1.16 15 400 400 1 7.5 .25 30 21.6 .36 60 72 .6 120 27.9 .93 30 21.3 .71 30 400 400 1 Total: 1092.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417462 Min 01417462 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 27-FEB-19
Page 3789 of 6486
Name
PRAMILA TIWARI Rate Amount Qty 36 .6 60 12 .4 30 9.86 9.86 1 17.4 1.16 15 27.9 .93 30 32.4 1.08 30 1.6 .16 10 21.6 .36 60 33 1.1 30 400 400 1 21.6 .36 60 36 .6 60 12 .4 30 33 1.1 30 21.3 .71 30 27.9 .93 30 32.4 1.08 30 1.6 .16 10 400 400 1 Total: 1177.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417463 Min 01417463 Appmt Dt Slno Description 13-FEB-19 1 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3790 of 6486
Name
G S RAO Qty Rate Amount 60 1.3 78 30 .27 8.1 30 .93 27.9 1 400 400 Total: 514
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417464 Min 01417464 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 6 13-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 3791 of 6486
Name
SUNITA G RAO Rate Amount Qty 167.4 5.58 30 39 1.3 30 21.3 .71 30 72 .6 120 7.5 .25 30 57.84 57.84 1 24 .4 60 13.95 .93 15 400 400 1 Total: 802.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417465 Min 01417465 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3792 of 6486
Name
S K NAPHADE Rate Amount Qty 21.6 .36 60 54 .6 90 167.4 5.58 30 17.4 1.16 15 12 .4 30 15.96 2.66 6 3.84 .64 6 1.48 .37 4 55.8 .93 60 400 400 1 Total: 749.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417467 Min 01417467 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 3793 of 6486
Name
ALKA SHARMA Rate Amount Qty 76.5 2.55 30 27.9 .93 30 39 1.3 30 18.9 .63 30 25.2 .42 60 15 .25 60 34.8 1.16 30 32.4 1.08 30 36 .6 60 400 400 1 Total: 705.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417475 Min 01417475 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 SOLUTION,SALBUTAMOL RESPIRATORY,5MG/ML 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 11-FEB-19
Page 3794 of 6486
Name
CHANDRABHAN VERMA Rate Amount Qty 13.8 .23 60 3.7 .37 10 12.15 12.15 1 42.12 2.34 18 20.06 20.06 1 400 400 1 10.8 .36 30 27 .6 45 66 1.1 60 8.71 8.71 1 55.8 .93 60 21.3 .71 30 7.65 .51 15 54 .9 60 26.7 .89 30 Total: 769.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417479 Min 01417479 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 18-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 3795 of 6486
Name
MADDU NEELAVENI RAJULU Rate Amount Qty 185.7 6.19 30 8.9 .89 10 27.4 1.37 20 92.05 18.41 5 400 400 1 Total: 714.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417481 Min 01417481 Appmt Dt Slno Description 11-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3796 of 6486
Name
R.GIRIJA Qty Rate Amount 20 .89 17.8 1 400 400 417.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417482 Min 01417482 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 11-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 2 11-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 11-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 3797 of 6486
Name
A P MISHRA Rate Amount Qty 5.7 .38 15 78.9 2.63 30 4.1 .41 10 9.6 .64 15 73.6 1.84 40 35.2 3.52 10 60.9 2.03 30 15.3 .34 45 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 400 400 1 32.4 1.08 30 34.8 1.16 30 60.9 2.03 30 27.9 .93 30 40.8 .34 120 400 400 1 Total: 1375.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417483 Min 01417483 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 GRANULE,VITAMIN D-3,1GM/PKT 11-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3798 of 6486
Name
SMT MANJU MISHRA Qty Rate Amount 30 .93 27.9 4 5.21 20.84 60 .62 37.2 1 400 400 Total: 485.94
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417486 Min 01417486 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 26-FEB-19 PRAZOSIN,2.5MG,TABLET 13 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 15 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 18 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 19 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 26-FEB-19
Page 3799 of 6486
J P AGRAWAL Rate Amount Qty 8.9 .89 10 10.95 .73 15 20.06 20.06 1 1610 1610 1 3.2 .64 5 26.6 2.66 10 1.85 .37 5 400 400 1 6.4 .64 10 1.85 .37 5 192.3 6.41 30 60.9 2.03 30 78 1.3 60 8.1 .27 30 14.85 .99 15 32.4 1.08 30 7.5 .25 30 76.5 2.55 30 48.22 48.22 1 400 400 1 Total: 3008.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417487 Min 01417487 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 3800 of 6486
PREMLATA AGRAWAL Rate Amount Qty 14.85 .99 15 48.22 48.22 1 12 .4 30 18.6 .62 30 55.8 .93 60 211.8 3.53 60 13.35 .89 15 34.8 1.16 30 400 400 1 Total: 809.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417489 Min 01417489 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 19-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 2 19-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 5 21-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 6 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 21-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 23-FEB-19 GUM ANALGESIC GEL 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 3801 of 6486
Name
MUKUL RANI KARMAKAR Rate Amount Qty 40.12 20.06 2 21.8 2.18 10 51.48 8.58 6 400 400 1 650 650 1 10.95 .73 15 8.9 .89 10 400 400 1 6.4 .64 10 380 380 1 66.2 6.62 10 2.96 .37 8 3.8 .38 10 28.69 28.69 1 400 400 1 Total: 2471.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417490 Min 01417490 Slno Description Appmt Dt OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 1 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 21-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 8 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 3802 of 6486
Name
HARA RANJAN KARMAKAR Rate Amount Qty 32.61 32.61 1 1.85 .37 5 400 400 1 23.2 1.16 20 17.8 .89 20 40.6 2.03 20 3.7 .37 10 32.61 32.61 1 5.4 .27 20 12.6 .63 20 400 400 1 Total: 970.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417492 Min 01417492 Appmt Dt Slno Description 15-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 15-FEB-19 2 GLIPIZIDE,STRIP PKT,5MG,TABLET 15-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3803 of 6486
Name
ANITA AGRAWAL Qty Rate Amount 90 .6 54 15 .4 6 30 .25 7.5 1 400 400 Total: 467.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417494 Min 01417494 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3804 of 6486
Name
MADHUMITA CHAKRABARTY Rate Amount Qty 20.84 5.21 4 34.8 1.16 30 27.9 .93 30 6.4 .64 10 400 400 1 Total: 489.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417495 Min 01417495 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 9 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19
Page 3805 of 6486
Name
RAJENDRA PRASAD SINGH Rate Amount Qty 8.1 .27 30 18 .6 30 8.7 .58 15 21.3 .71 30 5.21 5.21 1 55.8 .93 60 400 400 1 3.7 .37 10 100.71 100.71 1 104.4 1.74 60 54 .9 60 400 400 1 13.7 1.37 10 8.9 .89 10 400 400 1 Total: 1602.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417497 Min 01417497 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3806 of 6486
Name
SARASWATHI C NAIR Rate Amount Qty 8.9 .89 10 17.6 17.6 1 5.55 .37 15 13.7 1.37 10 400 400 1 Total: 445.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417498 Min 01417498 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 3807 of 6486
Name
K MANI NAIR Rate Amount Qty 167.4 5.58 30 2.4 .16 15 26.7 .89 30 27.9 .93 30 72.6 1.21 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 18 .6 30 400 400 1 Total: 794.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417499 Min 01417499 Appmt Dt Slno Description 27-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 27-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 27-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3808 of 6486
Name
BHISHAM SINGH Qty Rate Amount 30 .3 9 60 .6 36 60 .27 16.2 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417501 Min 01417501 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 3809 of 6486
Name
SHIVPRASAD GHOSH Rate Amount Qty 1.85 .37 5 12.15 12.15 1 26.6 2.66 10 9 .9 10 7.7 .77 10 400 400 1 7.5 .25 30 34.8 1.16 30 39 1.3 30 18 .6 30 10.8 .36 30 400 400 1 Total: 967.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417505 Min 01417505 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 DESVENLAFAXINE,50MG,ER,,TABLET 2 25-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3810 of 6486
Name
RADHE SHYAM DEBNATH Rate Amount Qty 36 .6 60 89.1 8.91 10 192.3 6.41 30 12 .4 30 33 1.1 30 400 400 1 Total: 762.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417506 Min 01417506 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 3811 of 6486
Name
ALO RANI DEBNATH Rate Amount Qty 8.9 .89 10 5.21 5.21 1 10.8 .36 30 36 .6 60 27.9 .93 30 12 .4 30 400 400 1 Total: 500.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417511 Min 01417511 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 05-FEB-19 C T HEAD PLAIN 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 URIC ACID (UA /URATES /UR) 4 05-FEB-19 CREATININE /CRT 5 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 BLOOD FOR T-3,T-4,TSH 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 05-FEB-19 MAMOGRAPHY 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 3812 of 6486
Name
SHANTI KSHATRI Rate Amount Qty 1300 1300 1 5250 5250 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 2400 2400 1 400 400 1 27.9 .93 30 26.7 .89 30 2000 2000 1 400 400 1 21.3 .71 30 27.9 .93 30 26.7 .89 30 400 400 1 Total: 14680.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417513 Min 01417513 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3813 of 6486
Name
MEMIN MAHADEVA Rate Amount Qty 27.9 .93 30 42.6 .71 60 8.1 .27 30 17.4 1.16 15 16.2 .36 45 36 .6 60 7.5 .25 30 400 400 1 Total: 555.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417517 Min 01417517 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 3814 of 6486
Name
R. S. SHARMA Rate Amount Qty 9 .3 30 400 400 1 21.6 .36 60 55.8 .93 60 16.2 .27 60 167.4 5.58 30 72 .6 120 400 400 1 161.1 5.37 30 400 400 1 Total: 1703.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417520 Min 01417520 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 28-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3815 of 6486
Name
SUSHILA Rate Amount Qty 1.48 .37 4 5.12 .64 8 3.04 .38 8 400 400 1 21.3 .71 30 41.85 .93 45 16.2 .27 60 29.7 .99 30 17.4 .58 30 400 400 1 Total: 936.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417524 Min 01417524 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 3816 of 6486
Name
PUSPLATA BAI Rate Amount Qty 18.6 .62 30 14.85 .99 15 21.3 .71 30 167.4 5.58 30 7.5 .25 30 27.9 .93 30 21.6 .36 60 72 .6 120 156 1.3 120 400 400 1 9 .3 30 400 400 1 Total: 1316.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417525 Min 01417525 Slno Description Appmt Dt RACECADOTRIL,100MG,CAPSULE 1 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 14-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 14-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3817 of 6486
Name
MOHD RAJJAK Qty 9 9 6 4 6 1
Rate Amount 53.73 5.97 83.97 9.33 21.12 3.52 34.84 8.71 5.34 .89 400 400 Total: 599
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417532 Min 01417532 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19
Page 3818 of 6486
Name
K R CHANDRAKAR Qty 1 1 1
Rate Amount 275 275 400 400 275 275 Total: 950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417533 Min 01417533 Appmt Dt Slno Description 08-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 08-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 08-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3819 of 6486
Name
DULARI CHANDRAKAR Qty Rate Amount 15 1.16 17.4 30 .6 18 5 .64 3.2 1 400 400 Total: 438.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417536 Min 01417536 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 08-FEB-19 PRAZOSIN,2.5MG,TABLET 5 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 23-FEB-19 PRAZOSIN,2.5MG,TABLET 9 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 23-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 23-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 15 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 23-FEB-19
Page 3820 of 6486
Name
JAGDISH CHANDRA MANDAL Rate Amount Qty 26.7 .89 30 5.68 .71 8 9.45 .63 15 11.1 .37 30 78 1.3 60 59.25 3.95 15 400 400 1 32.4 1.08 30 156 1.3 120 21.3 .71 30 31.2 1.04 30 7.8 .26 30 2.55 .51 5 16.2 .27 60 18.9 .63 30 21.3 .71 30 400 400 1 Total: 1297.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417538 Min 01417538 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 25-FEB-19 PRAZOSIN,2.5MG,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3821 of 6486
Name
KALLU Rate Amount Qty 32.4 1.08 30 78 1.3 60 55.8 .93 60 31.2 1.04 30 26.7 .89 30 400 400 1 Total: 624.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417539 Min 01417539 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 PRAZOSIN,2.5MG,TABLET 11 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 3822 of 6486
Name
CHANDA BAI Rate Amount Qty 21.3 .71 30 167.4 5.58 30 36 .6 60 7.5 .25 30 6.4 .64 10 400 400 1 26.7 .89 30 18.9 .63 30 31.2 1.04 30 55.8 .93 60 156 1.3 120 6.4 .64 10 76.5 2.55 30 3.7 .37 10 400 400 1 Total: 1413.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417544 Min 01417544 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 3823 of 6486
Name
ANWAR HUSSAIN Rate Amount Qty 78 1.3 60 21.6 .36 60 72 .6 120 7.5 .25 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 2.4 .16 15 26.7 .89 30 400 400 1 Total: 709.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417550 Min 01417550 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 11-FEB-19 ECG 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 11-FEB-19 OBSERVATION IN CASUALTY 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 11-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 11 11-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 12 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 3824 of 6486
Name
MAKSOOD ALI Rate Amount Qty 53.4 .89 60 15 .25 60 4.8 .16 30 400 400 1 9.62 9.62 1 450 450 1 .89 .89 1 .64 .64 1 420 420 1 5.34 .89 6 17.42 8.71 2 1.5 .25 6 3.84 .64 6 400 400 1 21.3 .71 30 55.8 .93 60 400 400 1 Total: 2259.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417551 Min 01417551 Appmt Dt Slno Description 27-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 27-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 27-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3825 of 6486
Name
NURJAHAN KHATOON Qty Rate Amount 30 .79 23.7 30 .71 21.3 60 .42 25.2 1 400 400 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417552 Min 01417552 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 3826 of 6486
Name
MARIANUS LAKRA Rate Amount Qty 10.65 .71 15 7.5 .25 30 167.4 5.58 30 39 1.3 30 18 .6 30 400 400 1 Total: 642.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417554 Min 01417554 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 3827 of 6486
Name
C I BHATT Rate Amount Qty 54 .6 90 27.9 .93 30 78 1.3 60 16.5 1.1 15 17.4 1.16 15 12 .4 30 400 400 1 Total: 605.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417556 Min 01417556 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3828 of 6486
Name
CHUNESHWAR PRASAD SAHU Rate Amount Qty 39 1.3 30 27.9 .93 30 14.85 .99 15 6 .4 15 21.3 .71 30 18 .6 30 400 400 1 Total: 527.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417557 Min 01417557 Appmt Dt Slno Description 27-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 27-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 27-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3829 of 6486
Name
SMT.MONGARA BAI SAHU Qty Rate Amount 3 .37 1.11 6 .64 3.84 6 .77 4.62 1 400 400 Total: 409.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417567 Min 01417567 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 04-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 3830 of 6486
Name
P G CHANDRANGADAN Rate Amount Qty 156.6 1.74 90 59.4 .66 90 12.15 12.15 1 54 .9 60 400 400 1 Total: 682.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417573 Min 01417573 Appmt Dt Slno Description 01-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 01-FEB-19 2 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 01-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3831 of 6486
Name
SATISH KUMAR GUPTA Qty Rate Amount 60 .9 54 1 100.71 100.71 30 .89 26.7 1 400 400 Total: 581.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417575 Min 01417575 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 3832 of 6486
Name
M MOHANAN Rate Amount Qty 32.4 1.08 30 36 .6 60 34.8 1.16 30 12 .4 30 400 400 1 88.35 5.89 15 7.5 .25 30 79.2 2.64 30 400 400 1 Total: 1090.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417582 Min 01417582 Appmt Dt Slno Description 20-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3833 of 6486
Name
RISHI KUMAR VERMA Qty Rate Amount 30 .99 29.7 1 400 400 429.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417590 Min 01417590 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 3834 of 6486
Name
BHAGIRATHI BAGHEL Rate Amount Qty 12 .4 30 76.5 2.55 30 400 400 1 Total: 488.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417591 Min 01417591 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 3835 of 6486
Name
SMT.GITA BAGHEL Rate Amount Qty 18 .6 30 55.8 .93 60 27.9 .93 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 563.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417593 Min 01417593 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 3836 of 6486
Name
N.K.SHRIVASTAVA Rate Amount Qty 21.6 .36 60 .8 .16 5 29.7 .99 30 27.9 .93 30 400 400 1 Total: 480
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417594 Min 01417594 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3837 of 6486
Name
RAJENDRA PRASAD MASIH Rate Amount Qty 55.8 .93 60 6.9 .23 30 43.96 43.96 1 9.3 .62 15 3.04 .38 8 400 400 1 Total: 519
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417595 Min 01417595 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 3838 of 6486
Name
NERI MASIH Rate Amount Qty 8.1 .27 30 33 1.1 30 36 .6 60 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 665.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417596 Min 01417596 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 3839 of 6486
Name
TAPAN KUMAR SARKAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417597 Min 01417597 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 16-FEB-19 PRAZOSIN,2.5MG,TABLET 7 16-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 3840 of 6486
Name
KALPANA SARKAR Rate Amount Qty 12 .4 30 9 .3 30 36 .6 60 8.1 .27 30 55.8 .93 60 21.3 .71 30 39 1.3 30 25.62 12.81 2 400 400 1 Total: 606.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417598 Min 01417598 Appmt Dt Slno Description 14-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3841 of 6486
Name
KULDEEP KUMAR Qty Rate Amount 60 .37 22.2 1 400 400 422.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417599 Min 01417599 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 PRAZOSIN,2.5MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 3842 of 6486
Name
SMT.SARALA DEVI Rate Amount Qty 34.8 1.16 30 3.2 .64 5 117 1.3 90 72 .6 120 400 400 1 Total: 627
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417607 Min 01417607 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 3843 of 6486
Name
SHAHJADI BEGAM Rate Amount Qty 20.84 5.21 4 7.5 .25 30 36 .6 60 9 .3 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 522.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417609 Min 01417609 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 3844 of 6486
Name
MAYA DEVI CHOURASIA Rate Amount Qty 39 1.3 30 36 .4 90 81 .6 135 167.4 5.58 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 55.8 .93 60 400 400 1 Total: 864.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417626 Min 01417626 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 18-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3845 of 6486
Name
NEK CHAND CHOPRA Qty Rate Amount 6 .89 5.34 6 .25 1.5 6 .42 2.52 1 400 400 Total: 409.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417632 Min 01417632 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 06-FEB-19
Page 3846 of 6486
Name
ATMA PRABODH MINZ Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 400 400 1 34.8 1.16 30 66 1.1 60 27.9 .93 30 9 .3 30 54 .6 90 Total: 2441.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417634 Min 01417634 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 15 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 04-FEB-19
Page 3847 of 6486
Name
S C MISHRA Rate Amount Qty 12 .4 30 32.4 1.08 30 12 .4 30 33 1.1 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 400 400 1 27.9 .93 30 33 1.1 30 26.7 .89 30 7.5 .25 30 12 .4 30 21.3 .71 30 76.5 2.55 30 41.85 .93 45 400 400 1 Total: 1215.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417635 Min 01417635 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 3848 of 6486
Name
SK MISHRA Rate Amount Qty 7.5 .25 30 10.65 .71 15 400 400 1 Total: 418.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417638 Min 01417638 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 3849 of 6486
Name
CHANDRAKANT NIGHOJKAR Rate Amount Qty 26.7 .89 30 21.3 .71 30 36 .6 60 18.9 .63 30 400 400 1 Total: 502.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417639 Min 01417639 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 3850 of 6486
Name
SUREKHA NOGHOJKAR Rate Amount Qty 18 .6 30 167.4 5.58 30 4.1 .41 10 8.9 .89 10 41.06 41.06 1 400 400 1 Total: 639.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417641 Min 01417641 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 3851 of 6486
Name
DR. DEVENDRA KUMAR Rate Amount Qty 12 .4 30 34.8 1.16 30 23.7 .79 30 33 1.1 30 26.7 .89 30 10.8 .36 30 400 400 1 Total: 541
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417652 Min 01417652 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3852 of 6486
Name
DR DHANANJAY JHA Rate Amount Qty 121.2 .4 303 78 .78 100 7.8 .26 30 192.3 6.41 30 60.9 2.03 30 33 1.1 30 16.2 .27 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 976.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417653 Min 01417653 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 3853 of 6486
Name
RUBI JHA Rate Amount Qty 26.7 .89 30 33 1.1 30 14.85 .99 15 55.8 .93 60 18 .6 30 400 400 1 16.2 .27 60 92.68 6.62 14 34.8 1.16 30 400 400 1 Total: 1092.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417654 Min 01417654 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 3854 of 6486
Name
TULSI RAM YADAV Rate Amount Qty 7.5 .25 30 6.4 .64 10 1.85 .37 5 54 .6 90 27.9 .93 30 21.6 .36 60 167.4 5.58 30 17.4 1.16 15 32.4 1.08 30 12 .4 30 400 400 1 Total: 748.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417655 Min 01417655 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3855 of 6486
Name
RUKHMANI YADAV Rate Amount Qty 55.8 .93 60 12 .4 30 118.5 3.95 30 118.5 3.95 30 92.85 6.19 15 21.3 .71 30 400 400 1 Total: 818.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417670 Min 01417670 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 23-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 3856 of 6486
Name
LAXMIKANT PRAMANIK Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 27.9 .93 30 36 .6 60 4.8 .16 30 9.9 .66 15 106.8 3.56 30 400 400 1 Total: 652.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417674 Min 01417674 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 COMPLETE HAEMOGRAM 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 04-FEB-19 UREA (BUN /UR) 5 04-FEB-19 URIC ACID (UA /URATES /UR) 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 8 27-FEB-19 X - RAY - SINGLE VIEW 9 27-FEB-19 DRESSING SIMPLE 10 27-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 11 27-FEB-19 TETANUS IMMUNOGLOBULIN 12 27-FEB-19 OBSERVATION IN CASUALTY 13 27-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 14 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 16 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 3857 of 6486
Name
SHANKARLAL Rate Amount Qty 400 400 1 750 750 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 600 600 1 550 550 1 300 300 1 5.85 5.85 1 1.37 1.37 1 420 420 1 7.3 .73 10 4.45 .89 5 4.1 .41 10 35.2 3.52 10 400 400 1 Total: 5878.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417675 Min 01417675 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3858 of 6486
Name
SHANTI BAI Rate Amount Qty 27.9 .93 30 17.8 .89 20 21.3 .71 30 32.4 1.08 30 6.9 .23 30 20.06 20.06 1 400 400 1 Total: 526.36
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417676 Min 01417676 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 SODIUM VALPROATE,500MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 16-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 12 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 20-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 20 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 26-FEB-19
Page 3859 of 6486
TABARAK HUSSAIN Rate Amount Qty 60.18 20.06 3 31.46 15.73 2 400 400 1 15 .25 60 79 .79 100 400 400 1 117 3.9 30 400 400 1 39 1.3 30 400 400 1 400 400 1 1750 1750 1 20.06 20.06 1 8.9 .89 10 .8 .16 5 400 400 1 43.96 131.88 3 60.18 20.06 3 400 400 1 92.1 6.14 15 400 400 1 Total: 5605.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417677 Min 01417677 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 08-FEB-19 ECG 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 12-FEB-19 ECG 15 12-FEB-19
Page 3860 of 6486
Name
NIZMA BAGUM Rate Amount Qty 275 275 1 275 275 1 400 400 1 450 450 1 33 1.1 30 21.3 .71 30 400 400 1 275 275 1 275 275 1 6.9 .23 30 55.8 .93 60 117 1.3 90 54 .6 90 21.6 .36 60 450 450 1 Total: 3109.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417682 Min 01417682 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 3861 of 6486
Name
K APPA RAO Rate Amount Qty 36 .6 60 21.6 .36 60 27.9 .93 30 8.1 .27 30 39 1.3 30 21.3 .71 30 11.4 .38 30 21.12 3.52 6 6.72 1.12 6 400 400 1 Total: 593.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417688 Min 01417688 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 X - RAY - TWO VIEWS 2 21-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 21-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 3862 of 6486
Name
OM PRAKASH Rate Amount Qty 400 400 1 860 860 1 6.57 .73 9 2.67 .89 3 2.46 .41 6 3.65 .73 5 6.4 .64 10 4.45 .89 5 1.25 .25 5 400 400 1 10.95 .73 15 8.9 .89 10 4.1 .41 10 400 400 1 Total: 2111.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417692 Min 01417692 Slno Description Appmt Dt CREATININE /CRT 1 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 27-FEB-19
Page 3863 of 6486
Name
SWARNLATA CHOURASIA Rate Amount Qty 275 275 1 275 275 1 400 400 1 1300 1300 1 275 275 1 Total: 2525
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417693 Min 01417693 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 27-FEB-19 CREATININE /CRT 3 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 27-FEB-19
Page 3864 of 6486
Name
B.P. CHOURASIA Qty 1 1 1 1 1
Rate Amount 275 275 275 275 275 275 1300 1300 400 400 Total: 2525
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417695 Min 01417695 Appmt Dt Slno Description 19-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 19-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3865 of 6486
Name
TANDRA BANDYOPADHYAY Qty Rate Amount 6 .64 3.84 15 .25 3.75 30 .93 27.9 1 400 400 Total: 435.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417696 Min 01417696 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 3866 of 6486
Name
RAM SHANKAR SHRIWAS Rate Amount Qty 9.86 9.86 1 27.9 .93 30 18 .3 60 36 .6 60 21.3 .71 30 400 400 1 Total: 513.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417697 Min 01417697 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 13-FEB-19 X - RAY - TWO VIEWS 3 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 3867 of 6486
Name
ANJANI SHRIWAS Rate Amount Qty 400 400 1 26 2.6 10 860 860 1 4.1 .41 10 10.95 .73 15 4.45 .89 5 400 400 1 13.7 1.37 10 8.9 .89 10 400 400 1 13.7 1.37 10 400 400 1 Total: 2541.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417698 Min 01417698 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 07-FEB-19 FLUOXETINE HCL,20MG,CAPSULE/TABLET. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19 CREATININE /CRT 6 26-FEB-19 UREA (BUN /UR) 7 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 26-FEB-19 URIC ACID (UA /URATES /UR) 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 26-FEB-19
Page 3868 of 6486
Name
V P KESHARI Rate Amount Qty 52.65 3.51 15 199.2 3.32 60 400 400 1 550 550 1 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 5576.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417699 Min 01417699 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 01-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 5 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 3869 of 6486
Name
VANDANA KESHARI Rate Amount Qty 7.5 .25 30 17.4 .58 30 26.7 .89 30 1.85 .37 5 22 4.4 5 54 .9 60 400 400 1 72 .6 120 167.4 5.58 30 7.5 .25 30 18.9 .63 30 21.3 .71 30 185.7 6.19 30 19.8 .66 30 400 400 1 Total: 1422.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417700 Min 01417700 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 3870 of 6486
Name
NARAD LAL SONI Rate Amount Qty 1.48 .37 4 8.1 .27 30 34.8 1.16 30 27.9 .93 30 15.96 2.66 6 400 400 1 6.4 .64 10 18.9 .63 30 400 400 1 Total: 913.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417701 Min 01417701 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 25-FEB-19 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 4 25-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3871 of 6486
Name
JANKI SONI Rate Amount Qty 26.7 .89 30 13.7 1.37 10 19.2 .64 30 98.1 3.27 30 166.8 2.78 60 400 400 1 Total: 724.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417709 Min 01417709 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 3872 of 6486
Name
K.A.R.K.DHRUW Rate Amount Qty 275 275 1 400 400 1 275 275 1 47.4 .79 60 8.1 .27 30 7.5 .25 30 66 1.1 60 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 1540.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417710 Min 01417710 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 3873 of 6486
Name
SHARDA DHRUW Rate Amount Qty 13.7 1.37 10 17.8 .89 20 247.6 6.19 40 5 .25 20 400 400 1 Total: 684.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417711 Min 01417711 Appmt Dt Slno Description 07-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3874 of 6486
Name
RAJ KUMAR SHRIVASTAVA Qty Rate Amount 10 .25 2.5 10 .89 8.9 10 2.6 26 1 400 400 Total: 437.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417716 Min 01417716 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3875 of 6486
Name
AK LAHA Rate Amount Qty 10.8 .36 30 36 .6 60 78 1.3 60 34.8 1.16 30 12 .4 30 33 1.1 30 400 400 1 Total: 604.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417721 Min 01417721 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 3876 of 6486
Name
T KAMMAIYYA Rate Amount Qty 275 275 1 275 275 1 400 400 1 400 400 1 26.7 .89 30 7.5 .25 30 55.8 .93 60 60.9 2.03 30 34.8 1.16 30 12 .4 30 167.4 5.58 30 12.15 .27 45 400 400 1 Total: 2127.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417722 Min 01417722 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3877 of 6486
Name
T GUNNAMMA Rate Amount Qty 26.7 .89 30 18.9 .63 30 29.7 .99 30 32.4 1.08 30 10.8 .36 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 609.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417724 Min 01417724 Slno Description Appmt Dt CULTURE AND SENSITIVITY (C/S) - URINE 1 01-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 3878 of 6486
Name
MULESWARI CHOUDHARY Rate Amount Qty 650 650 1 380 380 1 400 400 1 13.35 .89 15 12 .4 30 54 .6 90 21.3 .71 30 7.5 .25 30 400 400 1 Total: 1938.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417742 Min 01417742 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 3879 of 6486
Name
SUSHANTA KUMAR BANDYOPADHAYAY Rate Amount Qty 334.8 5.58 60 7.5 .25 30 72 .6 120 66 1.1 60 32.4 .36 90 16.2 .27 60 55.8 .93 60 29.7 .99 30 400 400 1 Total: 1014.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417744 Min 01417744 Appmt Dt Slno Description 11-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 2 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3880 of 6486
Name
KRISHNA KUMAR Qty Rate Amount 120 .6 72 60 1.3 78 30 .93 27.9 1 400 400 Total: 577.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417748 Min 01417748 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 14-FEB-19
Page 3881 of 6486
Name
PRABHAT KUMAR Rate Amount Qty 400 400 1 7.7 .77 10 13 2.6 5 400 400 1 49.28 3.52 14 6.23 .89 7 12.15 12.15 1 3.84 .64 6 Total: 892.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417754 Min 01417754 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 04-FEB-19 URIC ACID (UA /URATES /UR) 5 04-FEB-19 UREA (BUN /UR) 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 11-FEB-19 PRAZOSIN,2.5MG,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 16 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 18 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 20 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 22 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 25 23-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 26 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 28 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 23-FEB-19
Page 3882 of 6486
Name
KISHORE KUMAR Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 34.8 1.16 30 15.3 .51 30 16.2 .27 60 156 1.3 120 55.8 .93 60 36 .6 60 26.7 .89 30 400 400 1 400 400 1 12.15 12.15 1 26.7 .89 30 156.6 1.74 90 400 400 1 60.9 2.03 30 18 .6 30 66 1.1 60 27.9 .93 30 400 400 1 247.6 6.19 40 62.8 3.14 20 17.8 .89 20 25.2 .63 40 400 400 1 Total: 5862.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417758 Min 01417758 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 3883 of 6486
Name
HEERA BAKSH Rate Amount Qty 33 1.1 30 11.1 .37 30 7.5 .25 30 55.8 .93 60 400 400 1 Total: 507.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417762 Min 01417762 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 6 19-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 19-FEB-19
Page 3884 of 6486
PANDEY RB Rate Amount Qty 25.07 25.07 1 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 1610 1610 1 1750 1750 1 Total: 4438.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417764 Min 01417764 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 3885 of 6486
Name
SURESH KUMAR SHRIVASTAVA Rate Amount Qty 72 .6 120 8.1 .27 30 34.8 1.16 30 11.85 .79 15 400 400 1 Total: 526.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417766 Min 01417766 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 3886 of 6486
Name
PANNA DAS Rate Amount Qty 7.5 .25 30 8.7 .58 15 10.65 .71 15 21.3 .71 30 9 .3 30 18 .6 30 400 400 1 Total: 475.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417768 Min 01417768 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 3887 of 6486
Name
GURU DAS MALLICK Rate Amount Qty 36 .6 60 117 1.3 90 21.3 .71 30 27.9 .93 30 21.6 .36 60 167.4 5.58 30 400 400 1 Total: 791.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417770 Min 01417770 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 3888 of 6486
MAHESH CHANDRA RASTOGI Rate Amount Qty 27 .9 30 20.1 .67 30 12.15 12.15 1 15.73 15.73 1 4.45 .89 5 26.6 2.66 10 400 400 1 Total: 506.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417771 Min 01417771 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3889 of 6486
Name
MAYA RASTOGI Rate Amount Qty 118.5 3.95 30 71 .71 100 12 .4 30 33 1.1 30 400 400 1 Total: 634.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417774 Min 01417774 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 3890 of 6486
MANOHARLAL SONI Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 6.4 .64 10 15.73 15.73 1 1.85 .37 5 6.9 .23 30 17.4 1.16 15 13.95 .93 15 400 400 1 Total: 2312.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417775 Min 01417775 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 11-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 3891 of 6486
Name
SUMAN SONI Rate Amount Qty 15.4 .77 20 12.15 12.15 1 3.7 .37 10 70.2 2.34 30 400 400 1 Total: 501.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417776 Min 01417776 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 3892 of 6486
Name
CAMIL TOPPO Rate Amount Qty 21.3 .71 30 16.2 .27 60 27.9 .93 30 18 .6 30 400 400 1 Total: 483.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417777 Min 01417777 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 02-FEB-19 IVABRADINE,5MG,,TABLET 3 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19
Page 3893 of 6486
Name
PHILOMINA TOPPO Rate Amount Qty 72.6 1.21 60 7.8 .26 30 597 9.95 60 21.6 .36 60 54 .6 90 117 1.3 90 167.4 5.58 30 55.8 .93 60 6.9 .23 30 12 .4 30 400 400 1 Total: 1512.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417792 Min 01417792 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 05-FEB-19
Page 3894 of 6486
RAMESH KUMAR Rate Amount Qty 400 400 1 17 1.7 10 15.73 15.73 1 8.9 .89 10 3.7 .37 10 6.4 .64 10 66.2 6.62 10 Total: 517.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417794 Min 01417794 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 3895 of 6486
Name
E.UMA SHANKAR RAO NAIDU Rate Amount Qty 55.8 .93 60 10.8 .36 30 14.85 .99 15 8.1 .27 30 36 .6 60 78 1.3 60 34.8 1.16 30 400 400 1 21.3 .71 30 27.9 .93 30 400 400 1 Total: 1087.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417805 Min 01417805 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 3896 of 6486
Name
MINATI SAHA Rate Amount Qty 41.06 41.06 1 7.5 .25 30 400 400 1 Total: 448.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417806 Min 01417806 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 3897 of 6486
Name
SUBHASH CHANDRA NETAM Rate Amount Qty 27.9 .93 30 34.8 1.16 30 26.7 .89 30 167.4 5.58 30 36 .6 60 10.8 .36 30 400 400 1 Total: 703.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417807 Min 01417807 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 3898 of 6486
Name
PREM SHEELA Rate Amount Qty 16.2 .27 60 72 .6 120 78 1.3 60 55.8 .93 60 21.3 .71 30 18.9 .63 30 400 400 1 Total: 662.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417809 Min 01417809 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 04-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 04-FEB-19 COMPLETE HAEMOGRAM 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 07-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 COMPLETE HAEMOGRAM 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 16 25-FEB-19
Page 3899 of 6486
Name
SMT.SUKHAVINDAR KAUR Rate Amount Qty 20.06 20.06 1 1300 1300 1 750 750 1 400 400 1 5 .25 20 35.2 3.52 10 15.4 .77 20 2.6 .26 10 400 400 1 61.4 6.14 10 17.8 .89 20 3.5 .7 5 400 400 1 750 750 1 400 400 1 1300 1300 1 Total: 5860.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417810 Min 01417810 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 3900 of 6486
PK DATTA Rate Amount Qty 12 .4 30 21.3 .71 30 6.9 .23 30 27.9 .93 30 400 400 1 25.07 25.07 1 400 400 1 Total: 893.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417811 Min 01417811 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 3901 of 6486
Name
RUMA DATTA Rate Amount Qty 10.8 .36 30 36 .6 60 400 400 1 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417812 Min 01417812 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 23-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 14 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 15 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 17 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 3902 of 6486
Name
K CHINNAIAH Rate Amount Qty 15.6 .26 60 43.2 1.44 30 39 1.3 30 34.8 1.16 30 18.6 .62 30 23.7 .79 30 32.4 1.08 30 400 400 1 23.2 1.16 20 21.6 1.08 20 8 .4 20 10.4 .26 40 35.6 .89 40 8.2 .41 20 12.4 .62 20 26 1.3 20 15.8 .79 20 28.8 1.44 20 400 400 1 Total: 1197.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417814 Min 01417814 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 3903 of 6486
Name
MD SAHU Rate Amount Qty 21.3 .71 30 78 1.3 60 55.8 .93 60 167.4 5.58 30 78 1.3 60 9 .6 15 21.6 .36 60 66 1.1 60 36 .6 60 7.5 .25 30 400 400 1 Total: 940.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417821 Min 01417821 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 3904 of 6486
Name
NIMAN MINZ Rate Amount Qty 36 .6 60 18.9 .63 30 34.8 1.16 30 21.6 .36 60 76.5 2.55 30 22.2 .37 60 27.9 .93 30 400 400 1 Total: 637.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417822 Min 01417822 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 3905 of 6486
Name
SUMAN SUCHITA MINZ Rate Amount Qty 34.8 1.16 30 12 .4 30 36 .6 60 55.8 .93 60 400 400 1 Total: 538.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417828 Min 01417828 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ECG 5 27-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 6 27-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 7 27-FEB-19 ECG 8 27-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 OBSERVATION IN CASUALTY 11 27-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 3906 of 6486
Name
BALDAU Rate Amount Qty 15.95 3.19 5 8.9 .89 10 13.7 1.37 10 400 400 1 450 450 1 5.85 5.85 1 32.61 32.61 1 450 450 1 600 600 1 2.59 .37 7 420 420 1 3.66 3.66 1 400 400 1 Total: 2803.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417836 Min 01417836 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 3907 of 6486
Name
ARUN KUMAR DUBEY Rate Amount Qty 104.4 1.74 60 54 .9 60 400 400 1 Total: 558.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417837 Min 01417837 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 3908 of 6486
Name
SHAKUN DUBEY Rate Amount Qty 18 .6 30 27.9 .93 30 17.6 17.6 1 167.4 5.58 30 32.4 1.08 30 9.28 1.16 8 7.5 .25 30 400 400 1 Total: 680.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417841 Min 01417841 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3909 of 6486
Name
MAINA BAI Rate Amount Qty 54 .6 90 38.4 .64 60 78 2.6 30 7.5 .25 30 21.6 .36 60 400 400 1 Total: 599.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417850 Min 01417850 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 14-FEB-19 DEFLAZACORT,1MG,,TABLET 2 14-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 3910 of 6486
Name
NANDITA NATH Rate Amount Qty 38.76 3.23 12 82.2 1.37 60 83.4 2.78 30 38.25 2.55 15 400 400 1 Total: 642.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417858 Min 01417858 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19
Page 3911 of 6486
Name
BANMALI SETHI Rate Amount Qty 79.2 2.64 30 7.5 .25 30 19.8 .66 30 12.3 .41 30 400 400 1 36 .6 60 Total: 554.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417859 Min 01417859 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 27-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 10 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 3912 of 6486
Name
PREMLATA SETHI Rate Amount Qty 368.4 6.14 60 53.4 .89 60 400 400 1 2.5 .25 10 4.45 .89 5 35.2 3.52 10 6.4 .64 10 400 400 1 66.2 6.62 10 22 4.4 5 6.4 .64 10 8.9 .89 10 3.7 .37 10 400 400 1 Total: 1777.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417864 Min 01417864 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 3913 of 6486
Name
FRED ROBINSON Rate Amount Qty 32.4 1.08 30 12 .4 30 36 .6 60 43.2 .36 120 66 1.1 60 23.7 .79 30 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 676
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417865 Min 01417865 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 3914 of 6486
Name
SHAILA R EMANUEL Rate Amount Qty 8.1 .27 30 72.6 1.21 60 21.3 .71 30 6.4 .64 10 8.9 .89 10 54 .6 90 32.4 .36 90 400 400 1 Total: 603.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417866 Min 01417866 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 3915 of 6486
Name
CHANDRA PRAKASH MISHRA Rate Amount Qty 1.11 .37 3 7.5 .25 30 21.3 .71 30 32.4 1.08 30 27.9 .93 30 8.1 .27 30 400 400 1 16.85 3.37 5 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 942.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417867 Min 01417867 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 3916 of 6486
Name
VIBHUTI MISHRA Rate Amount Qty 27.9 .93 30 18 .6 30 400 400 1 11.1 .37 30 400 400 1 Total: 857
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417871 Min 01417871 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 3917 of 6486
Name
NEELAM GERA Rate Amount Qty 21.3 .71 30 14.85 .99 15 18 .6 30 12 .4 30 18.9 .63 30 27.9 .93 30 7.5 .25 30 17.4 .58 30 26.7 .89 30 400 400 1 Total: 564.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417874 Min 01417874 Appmt Dt Slno Description 13-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 13-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 13-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3918 of 6486
Name
HARGOVIND SOLANKI Qty Rate Amount 15 .93 13.95 30 1.16 34.8 30 .6 18 1 400 400 Total: 466.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417876 Min 01417876 Appmt Dt Slno Description 11-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11-FEB-19 2 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11-FEB-19 3 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3919 of 6486
EDWARD KUJUR Qty 2 2 2 1
Rate Amount 25.07 50.14 20.29 40.58 156.51 313.02 400 400 Total: 803.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417878 Min 01417878 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 3920 of 6486
Name
DILIP KUMAR BANERJEE Rate Amount Qty 54 .6 90 21.3 .71 30 7.5 .25 30 10.8 .36 30 400 400 1 Total: 493.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417879 Min 01417879 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 12-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 CONSULTATION IN HEALTH CENTRE 9 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 3921 of 6486
Name
LILI BANERJEE Rate Amount Qty 27.9 .62 45 12.3 .41 30 3.84 .64 6 2.22 .37 6 35.1 2.34 15 7.5 .25 30 12.6 .42 30 55.8 .93 60 400 400 1 .27 .27 1 .16 .16 1 .93 .93 1 400 400 1 5.75 .23 25 400 400 1 Total: 1364.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417880 Min 01417880 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 20-FEB-19 X - RAY - TWO VIEWS 4 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 3922 of 6486
Name
VISHWAK SEN PRASAD MISHRA Rate Amount Qty 4.38 .73 6 2.67 .89 3 7.8 2.6 3 860 860 1 400 400 1 3.75 .25 15 4.48 .64 7 400 400 1 Total: 1683.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417882 Min 01417882 Slno Description Appmt Dt DEXAMETHASONE SODIUM,4MG/ML,INJECTION 1 03-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 03-FEB-19 OBSERVATION IN CASUALTY 3 03-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 03-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 3923 of 6486
Name
ABDUL ZAKIR KHAN Rate Amount Qty 6.67 6.67 1 45.44 45.44 1 420 420 1 100 100 1 60.9 2.03 30 15 .25 60 21.3 .71 30 26.7 .89 30 12 .4 30 72 .6 120 21.6 .36 60 400 400 1 21.3 .71 30 12 .4 30 21.6 .36 60 72 .6 120 10.2 .34 30 400 400 1 Total: 1738.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417883 Min 01417883 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 14-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 14-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 IVABRADINE,5MG,,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 3924 of 6486
Name
SMT.SABINA KHAN Rate Amount Qty 15.3 .51 30 42.6 .71 60 43.2 1.44 30 47.4 .79 60 21.6 .36 60 597 9.95 60 36 .6 60 400 400 1 Total: 1203.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417885 Min 01417885 Name Appmt Dt Slno Description 01-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3925 of 6486
PARVATI PATEL Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417886 Min 01417886 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 3926 of 6486
Name
HARISH CHANDRA BHARTI Rate Amount Qty 32.4 1.08 30 20.06 20.06 1 60.9 2.03 30 26.7 .89 30 21.3 .71 30 33 1.1 30 13.95 .93 15 400 400 1 Total: 608.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417887 Min 01417887 Slno Description Appmt Dt CREATININE /CRT 1 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 3927 of 6486
Name
SMT. DHANESHWARI Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 10.8 .36 30 45 .6 75 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 3043.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417890 Min 01417890 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 X - RAY - SINGLE VIEW 10 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 06-FEB-19
Page 3928 of 6486
RAJARAO Rate Amount Qty 8.1 .27 30 55.8 .93 60 67.46 33.73 2 21.3 .71 30 16.8 1.12 15 53.2 2.66 20 15.73 15.73 1 400 400 1 400 400 1 550 550 1 6.4 .64 10 Total: 1594.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417892 Min 01417892 Appmt Dt Slno Description 22-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3929 of 6486
Name
PANNALAL Qty Rate Amount 30 .27 8.1 30 .25 7.5 30 .93 27.9 1 400 400 Total: 443.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417894 Min 01417894 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 3930 of 6486
Name
AMARU RAM SINHA Rate Amount Qty 18 .6 30 8.1 .27 30 400 400 1 Total: 426.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417895 Min 01417895 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 SOLIFENACIN,5MG,,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 3931 of 6486
Name
RAMPYARI SINHA Rate Amount Qty 7.5 .25 30 400 400 1 6.15 .41 15 27.9 .93 30 21.3 .71 30 403.2 13.44 30 26.7 .89 30 18.6 .62 30 400 400 1 Total: 1311.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417896 Min 01417896 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 URIC ACID (UA /URATES /UR) 4 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 14 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 18 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 19 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 05-FEB-19
Page 3932 of 6486
Name
BABUL CHANDRA DHAR Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 10.8 .36 30 167.4 5.58 30 18 .6 30 27.9 .93 30 33 1.1 30 32.4 1.08 30 10.65 .71 15 5.7 .38 15 7.7 .77 10 66.2 6.62 10 6.7 .67 10 3.7 .37 10 12.15 12.15 1 8.1 .18 45 400 400 1 Total: 2585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417897 Min 01417897 Slno Description Appmt Dt ABDOMEN/PELVIS COLOUR DOPPLER 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 03-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 03-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 03-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 03-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 03-FEB-19 MAMOGRAPHY 9 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 12 04-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 13 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 14 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 15 07-FEB-19 ECG 16 07-FEB-19 OBSERVATION IN CASUALTY 17 07-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 18 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 22 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 13-FEB-19 RACECADOTRIL,100MG,CAPSULE 24 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 25 14-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 26 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 27 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 28 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 30 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 31 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 32 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 33 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 34 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 14-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 36 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 37 19-FEB-19 C T ABDOMEN 38 19-FEB-19 STOOL FOR OCCULT BLOOD 39 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 40 19-FEB-19
Page 3933 of 6486
Name
KAJALDHAR Rate Amount Qty 2640 2640 1 400 400 1 17.8 .89 20 22 1.1 20 23.2 1.16 20 12 .4 30 24 .6 40 400 400 1 2000 2000 1 43.96 43.96 1 400 400 1 1750 1750 1 100 100 1 24.52 24.52 1 9.62 9.62 1 450 450 1 420 420 1 600 600 1 275 275 1 275 275 1 400 400 1 1.15 .23 5 400 400 1 59.7 5.97 10 93.3 9.33 10 11.25 .25 45 4.8 .16 30 368.4 6.14 60 53.4 .89 60 33 1.1 30 34.8 1.16 30 12 .4 30 36 .6 60 12.6 .42 30 400 400 1 2.33 2.33 1 35.2 3.52 10 9000 9000 1 165 165 1 400 400 1 Total: 21410.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417903 Min 01417903 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 CREATININE /CRT 2 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 26-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 COMPLETE HAEMOGRAM 11 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3934 of 6486
Name
SMT.BIMLA BAI Rate Amount Qty 8.1 .27 30 275 275 1 14.85 .99 15 66.2 6.62 10 3.84 .64 6 5.34 .89 6 400 400 1 211.8 3.53 60 21.3 .71 30 7.5 .25 30 750 750 1 55.8 .93 60 400 400 1 Total: 2219.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417904 Min 01417904 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 11-FEB-19 DIETHYL CARBAMAZINE CITRATE,100MG,TABLET 3 11-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 4 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 11-FEB-19 PRAZOSIN,2.5MG,TABLET 8 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 OBSERVATION IN CASUALTY 16 13-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 17 13-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 18 13-FEB-19 ECG 19 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 20 13-FEB-19 OBSERVATION IN CASUALTY 21 13-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 22 13-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 23 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 24 13-FEB-19 ECG 25 13-FEB-19
Page 3935 of 6486
Name
VINAYAK RAJURKAR Rate Amount Qty 20.4 .51 40 41.6 1.04 40 80.01 1.27 63 6.99 2.33 3 7.6 .38 20 17.8 .89 20 14.8 .37 40 104 1.3 80 14.2 .71 20 10.4 .26 40 51 2.55 20 400 400 1 10.65 .71 15 16.2 1.08 15 400 400 1 420 420 1 25.54 25.54 1 100 100 1 450 450 1 9.62 9.62 1 420 420 1 25.54 25.54 1 100 100 1 9.62 9.62 1 450 450 1 Total: 3205.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417908 Min 01417908 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 3936 of 6486
Name
PANNA LAL WADEKAR Rate Amount Qty 66 1.1 60 8.1 .27 30 12 .4 30 21.3 .71 30 8.9 .89 10 .32 .16 2 7.5 .25 30 400 400 1 Total: 524.12
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01417910 Min 01417910 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 3937 of 6486
VINOD KUMAR MISHRA Rate Amount Qty 60.9 2.03 30 400 400 1 1.85 .37 5 15.73 15.73 1 6.4 .64 10 400 400 1 6.4 .64 10 1.85 .37 5 35.2 3.52 10 400 400 1 1.11 .37 3 8.9 .89 10 21.12 3.52 6 60.9 2.03 30 400 400 1 Total: 1820.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417911 Min 01417911 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 3938 of 6486
Name
GAYANTI DEVI MISHRA Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 12.15 12.15 1 104.4 1.74 60 100.71 100.71 1 18 .6 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 2947.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417920 Min 01417920 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 3939 of 6486
Name
SHRIKANT BHAGWAT Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 11.4 .38 30 8.1 .27 30 26.7 .89 30 60.9 2.03 30 400 400 1 32.4 1.08 30 12 .4 30 34.8 1.16 30 60.9 2.03 30 26.7 .89 30 8.1 .27 30 11.4 .38 30 400 400 1 Total: 1159.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417921 Min 01417921 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 3940 of 6486
Name
RANJANA BHAGWAT Rate Amount Qty 55.8 .93 60 400 400 1 55.8 .93 60 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 968.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417928 Min 01417928 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 15 28-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 3941 of 6486
Name
SUKH DEO SINGH Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 400 400 1 26.7 .89 30 60.9 2.03 30 27.9 .93 30 14.85 .99 15 87.92 43.96 2 400 400 1 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 82.2 2.74 30 73.5 2.45 30 400 400 1 Total: 2016.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417934 Min 01417934 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 TICAGRELOR 90MG ,TABLET 14 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 3942 of 6486
Name
SHRIKUMARI NAIR Rate Amount Qty 27.9 .93 30 12 .4 30 69.6 1.16 60 33 1.1 30 26.7 .89 30 400 400 1 33 1.1 30 12 .4 30 27.9 .93 30 34.8 1.16 30 26.7 .89 30 26 2.6 10 400 400 1 30.77 1846.2 60 27.9 .93 30 12 .4 30 33 1.1 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 3510.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417935 Min 01417935 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3943 of 6486
Name
K SHASHI NAIR Rate Amount Qty 10.8 .36 30 167.4 5.58 30 36 .6 60 12 .4 30 23.7 .79 30 34.8 1.16 30 400 400 1 Total: 684.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417936 Min 01417936 Slno Description Appmt Dt TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 1 05-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 2 05-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 3944 of 6486
Name
RANADHIR SOW Rate Amount Qty 156.51 313.02 2 40.58 20.29 2 6.82 6.82 1 400 400 1 17.4 1.16 15 13.95 .93 15 8.1 .27 30 60.9 2.03 30 400 400 1 Total: 1260.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417937 Min 01417937 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 3945 of 6486
Name
HARARANI SOW Rate Amount Qty 6.9 .23 30 9.28 1.16 8 6.19 160.94 26 24.76 6.19 4 400 400 1 Total: 601.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417938 Min 01417938 Appmt Dt Slno Description 02-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 02-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 02-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3946 of 6486
Name
VIJAYALAKSHMI VP Qty Rate Amount 3 .64 1.92 45 .36 16.2 90 .6 54 1 400 400 Total: 472.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417940 Min 01417940 Slno Description Appmt Dt GUM ASTRINGENT PAINT 1 22-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19 X - RAY - SINGLE VIEW 4 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 3947 of 6486
Name
MADHUSUDAN LAL AMRIT Rate Amount Qty 31.54 31.54 1 20.25 20.25 1 400 400 1 550 550 1 400 400 1 7.5 .25 30 16.2 .27 60 55.8 .93 60 54 .6 90 400 400 1 Total: 1935.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417941 Min 01417941 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 22-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 4 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 22-FEB-19
Page 3948 of 6486
Name
UMA AMRIT Rate Amount Qty 4.1 .41 10 4.45 .89 5 55.2 1.84 30 280 280 1 400 400 1 Total: 743.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417945 Min 01417945 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 2 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 3949 of 6486
Name
ASHOK KUMAR DAYAL Rate Amount Qty 1.85 .37 5 6.99 2.33 3 1.85 .37 5 8.9 .89 10 6.99 2.33 3 8.9 .89 10 400 400 1 Total: 435.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417946 Min 01417946 Appmt Dt Slno Description 06-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3950 of 6486
Name
PURUSHOTTAM LAL SAHU Qty Rate Amount 60 .27 16.2 1 400 400 416.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417947 Min 01417947 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 3951 of 6486
Name
SARITA SAHU Rate Amount Qty 8.1 .27 30 27.9 .93 30 18.9 .63 30 4.8 .16 30 31.2 1.04 30 400 400 1 Total: 490.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417948 Min 01417948 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 3952 of 6486
Name
SHRIRAM Rate Amount Qty 2.5 .25 10 26 2.6 10 8.9 .89 10 400 400 1 26 2.6 10 8.9 .89 10 2.5 .25 10 400 400 1 Total: 874.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417954 Min 01417954 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 3953 of 6486
Name
SHARWAN KUMAR KEREKAR Rate Amount Qty 72 .6 120 55.8 .93 60 16.2 .27 60 21.3 .71 30 211.8 3.53 60 400 400 1 Total: 777.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417955 Min 01417955 Appmt Dt Slno Description 25-FEB-19 1 PRAZOSIN,2.5MG,TABLET 25-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3954 of 6486
Name
URMILA Qty Rate Amount 60 1.3 78 30 .4 12 30 .93 27.9 1 400 400 Total: 517.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417956 Min 01417956 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 3955 of 6486
Name
RAMESH KUMAR GUPTA Rate Amount Qty 30.6 .34 90 33 1.1 30 13.35 .89 15 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 544.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417963 Min 01417963 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 3956 of 6486
Name
G L PATEL Rate Amount Qty 4.1 .41 10 55.2 1.84 30 400 400 1 6.4 .64 10 400 400 1 Total: 865.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417964 Min 01417964 Appmt Dt Slno Description 05-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 2 TORSEMIDE,STRIP PKT,10MG,TABLET 05-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3957 of 6486
Name
KUNTI PATEL Qty Rate Amount 60 1.1 66 15 1.04 15.6 30 .71 21.3 1 400 400 Total: 502.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417965 Min 01417965 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 3958 of 6486
Name
NARAYAN SINGH SAHU Rate Amount Qty 22.2 .37 60 7.5 .25 30 167.4 5.58 30 21.3 .71 30 54 .6 90 21.6 .36 60 76.5 2.55 30 400 400 1 Total: 770.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417966 Min 01417966 Appmt Dt Slno Description 26-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 26-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3959 of 6486
Name
SMT.URMILA BAI SAHU Qty Rate Amount 30 .27 8.1 15 .25 3.75 30 .36 10.8 1 400 400 Total: 422.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417969 Min 01417969 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 3960 of 6486
Name
M L CHANDRAKAR Rate Amount Qty 39 1.3 30 12 .4 30 21.3 .71 30 11.85 .79 15 167.4 5.58 30 54 .6 90 36 .4 90 400 400 1 Total: 741.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417970 Min 01417970 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 3961 of 6486
Name
PUSHPA CHANDRAKAR Rate Amount Qty 27.9 .93 30 36 .6 60 10.8 .36 30 21.3 .71 30 400 400 1 Total: 496
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417973 Min 01417973 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 3962 of 6486
Name
RAMJI PRASAD Rate Amount Qty 54 .9 60 26.7 .89 30 400 400 1 Total: 480.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417981 Min 01417981 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 9 07-FEB-19
Page 3963 of 6486
Name
BISHAUHA RAM THAKUR Rate Amount Qty 21.3 .71 30 13.8 .23 60 55.8 .93 60 39 1.3 30 36 .6 60 7.5 .25 30 400 400 1 400 400 1 1050 1050 1 Total: 2023.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417982 Min 01417982 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CREATININE /CRT 5 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 07-FEB-19
Page 3964 of 6486
Name
USHA BAI THAKUR Rate Amount Qty 1.48 .37 4 21.3 .71 30 27.9 .93 30 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 1675.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417984 Min 01417984 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 09-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 09-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 09-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 09-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 10 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19
Page 3965 of 6486
Name
SUDHA CHOUBEY Rate Amount Qty 21.3 .71 30 7.5 .25 30 5.21 5.21 1 166.8 2.78 60 29.7 .99 30 64.6 3.23 20 237 3.95 60 26.7 .89 30 27.9 .93 30 74.4 .62 120 18 .6 30 55.8 .93 60 400 400 1 Total: 1134.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417986 Min 01417986 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 08-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 08-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 10 08-FEB-19 CREATININE /CRT 11 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 08-FEB-19 PLATELET COUNT 14 08-FEB-19 ESR 15 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 08-FEB-19 HB,TLC,DLC 17 08-FEB-19
Page 3966 of 6486
Name
SMT. RADHA TIWARI Rate Amount Qty 8.4 .42 20 26.7 .89 30 27.9 .93 30 10.42 5.21 2 51.68 3.23 16 21.3 .71 30 12 .4 30 31.2 1.04 30 33 1.1 30 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 165 165 1 400 400 1 300 300 1 Total: 2517.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417989 Min 01417989 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 3967 of 6486
Name
SARALA DANI Rate Amount Qty 27.9 .93 30 15.3 .51 30 400 400 1 Total: 443.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417992 Min 01417992 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 3968 of 6486
Name
MANOHAR LIKHITKAR Rate Amount Qty 66 1.1 60 34.8 1.16 30 12 .4 30 10.8 .36 30 36 .6 60 400 400 1 Total: 559.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417993 Min 01417993 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 3969 of 6486
Name
SHARDA LIKHITKAR Rate Amount Qty 55.8 .93 60 211.8 3.53 60 400 400 1 Total: 667.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417996 Min 01417996 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 3970 of 6486
Name
PARASRAM SINHA Rate Amount Qty 6.25 .25 25 23 .92 25 32.5 1.3 25 5.75 .23 25 23.25 .93 25 17.75 .71 25 400 400 1 Total: 508.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01417999 Min 01417999 Appmt Dt Slno Description 21-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 21-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 3 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3971 of 6486
Name
GHANSHYAM SINGH Qty Rate Amount 6 .64 3.84 5 .37 1.85 6 .38 2.28 1 400 400 Total: 407.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418000 Min 01418000 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 13-FEB-19 OBSERVATION IN CASUALTY 2 13-FEB-19 X - RAY - SINGLE VIEW 3 13-FEB-19
Page 3972 of 6486
Name
GEETA BAI THAKUR Rate Amount Qty 600 600 1 420 420 1 550 550 1 Total: 1570
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418003 Min 01418003 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 3973 of 6486
Name
BISARJAN LAL TORLE Rate Amount Qty 33 1.1 30 32.4 1.08 30 21.3 .71 30 23.7 .79 30 400 400 1 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418004 Min 01418004 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 25-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 3974 of 6486
Name
SHANTI TORLE Rate Amount Qty 10.8 .36 30 36 .6 60 167.4 5.58 30 21.3 .71 30 21.3 .71 30 400 400 1 Total: 656.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418007 Min 01418007 Appmt Dt Slno Description 12-FEB-19 1 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12-FEB-19 2 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3975 of 6486
Name
KISHANLAL DHURWE Qty Rate Amount 9 1.12 10.08 6 .77 4.62 6 3.52 21.12 1 400 400 Total: 435.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418008 Min 01418008 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19
Page 3976 of 6486
SUSHILA DHURWE Rate Amount Qty 2.28 .38 6 3.84 .64 6 1.85 .37 5 400 400 1 1.85 .37 5 3.84 .64 6 5.4 .9 6 400 400 1 5.4 .9 6 1.85 .37 5 3.84 .64 6 400 400 1 15.73 15.73 1 26.6 2.66 10 6.23 .89 7 2.59 .37 7 400 400 1 Total: 1681.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418009 Min 01418009 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 3977 of 6486
Name
SUBHASH KUMAR GUPTA Rate Amount Qty 34.8 1.16 30 43.2 .36 120 54 .6 90 27.9 .93 30 66 1.1 60 32.4 1.08 30 12 .4 30 10.4 1.04 10 400 400 1 Total: 680.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418013 Min 01418013 Appmt Dt Slno Description 28-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 2 ALBENDAZOLE,STRIP PKT,400MG,TABLET 28-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 28-FEB-19 4 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK,
Page 3978 of 6486
Name
JAY KUMAR SONI Qty Rate Amount 120 .93 111.6 1 2.33 2.33 1 400 400 60 .25 15 Total: 528.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418018 Min 01418018 Appmt Dt Slno Description 28-FEB-19 1 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 28-FEB-19 2 COMPLETE HAEMOGRAM 28-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 28-FEB-19 4 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU
Page 3979 of 6486
Name
ASHA SONI Qty 1 1 1 1
Rate Amount 275 275 750 750 400 400 275 275 Total: 1700
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418020 Min 01418020 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 3980 of 6486
Name
PREMA KAPOOR Rate Amount Qty 13.95 .93 15 8.1 .27 30 400 400 1 Total: 422.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418026 Min 01418026 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 3981 of 6486
Name
ISHWARLAL SONI Rate Amount Qty 15.6 .26 60 32.4 1.08 30 12 .4 30 34.8 1.16 30 47.4 .79 60 8.1 .27 30 400 400 1 Total: 550.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418027 Min 01418027 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 15-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 3982 of 6486
Name
PRANITA SONI Rate Amount Qty 10.8 .36 30 18 .6 30 12 .4 30 400 400 1 1.48 .37 4 5.12 .64 8 21.28 2.66 8 400 400 1 Total: 868.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418029 Min 01418029 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 13-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 3983 of 6486
Name
BASANTI Rate Amount Qty 12 .4 30 6.4 .64 10 22 4.4 5 3.7 .37 10 27 .9 30 211.8 3.53 60 130.42 130.42 1 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 903.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418030 Min 01418030 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 3984 of 6486
Name
SHAMSUZOHA KHAN Rate Amount Qty 21.3 .71 30 8.1 .27 30 400 400 1 Total: 429.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418031 Min 01418031 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 3985 of 6486
Name
RUKHSANA KHAN Rate Amount Qty 47.4 .79 60 3.75 .25 15 66 1.1 60 55.2 .92 60 54 .6 90 21.3 .71 30 400 400 1 Total: 647.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418047 Min 01418047 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 3986 of 6486
Name
VIDYA PRASAD KARTIKEY Rate Amount Qty 7.5 .25 30 13.95 .93 15 36 .6 60 10.8 .36 30 17.4 1.16 15 400 400 1 Total: 485.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418049 Min 01418049 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 3987 of 6486
Name
DEBENDRA NATH BAIDYA Rate Amount Qty 17.4 1.16 15 11.4 .38 30 17.4 .58 30 27.9 .93 30 12 .4 30 400 400 1 Total: 486.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418050 Min 01418050 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 3988 of 6486
Name
KABITA BAIDYA Rate Amount Qty 3.75 .25 15 33 1.1 30 16.8 1.12 15 5.7 .38 15 32.4 1.08 30 8.9 .89 10 34.8 1.16 30 6.9 .23 30 400 400 1 3.84 .64 6 2.28 .38 6 1.85 .37 5 400 400 1 Total: 950.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418051 Min 01418051 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 21-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 3989 of 6486
Name
M K ELANGO Rate Amount Qty 18 .9 20 5.4 .18 30 70.2 2.34 30 12.15 12.15 1 3.7 .37 10 400 400 1 55.8 .93 60 72 .6 120 400 400 1 Total: 1037.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418052 Min 01418052 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 3990 of 6486
Name
NAMITA SWAMY Rate Amount Qty 54 .6 90 32.4 .36 90 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418055 Min 01418055 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 06-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 06-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 06-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 14 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 3991 of 6486
Name
SURENDRA NATH NAHAK Rate Amount Qty 13.48 3.37 4 9.86 9.86 1 7.4 .37 20 400 400 1 19.2 .64 30 301.8 5.03 60 26.7 .89 30 185.7 6.19 30 26 2.6 10 8.9 .89 10 3.55 .71 5 400 400 1 7.68 .64 12 4.8 .6 8 44.16 1.84 24 400 400 1 Total: 1859.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418056 Min 01418056 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 X - RAY - TWO VIEWS 4 01-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 5 06-FEB-19 CREATININE /CRT 6 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 06-FEB-19 UREA (BUN /UR) 8 06-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 3992 of 6486
Name
SHANTI NAHAK Rate Amount Qty 12.8 .64 20 400 400 1 8.9 .89 10 860 860 1 9000 9000 1 275 275 1 400 400 1 275 275 1 43.8 .73 60 10.65 .71 15 20.84 5.21 4 400 400 1 Total: 11706.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418060 Min 01418060 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 3993 of 6486
Name
RUKHAMANI DEWANGAN Rate Amount Qty 13.95 .93 15 14.85 .99 15 12.3 .41 30 2.4 .16 15 400 400 1 Total: 443.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418061 Min 01418061 Slno Description Appmt Dt CREATININE /CRT 1 13-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 2 13-FEB-19 PLATELET COUNT 3 13-FEB-19 HB,TLC,DLC 4 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 10 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 16 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 27-FEB-19
Page 3994 of 6486
Name
RIKHIRAM MASKARE Rate Amount Qty 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 26.7 .89 30 21.3 .71 30 36 .6 60 400 400 1 25.84 3.23 8 11.1 .37 30 25.62 12.81 2 7.6 .38 20 400 400 1 12.8 .64 20 20.84 5.21 4 26.7 .89 30 36 .6 60 .8 .16 5 400 400 1 Total: 3031.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418062 Min 01418062 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 27-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 27-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 27-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 9 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 27-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 3995 of 6486
Name
PADMAWATI Rate Amount Qty 7.6 .38 20 18.6 .62 30 400 400 1 27.9 .62 45 123.53 247.06 2 20.84 5.21 4 26.7 .89 30 20.1 .67 30 125.1 2.78 45 1.9 .38 5 51.68 3.23 16 400 400 1 Total: 1347.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418066 Min 01418066 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 3996 of 6486
Name
RAMESHWARI DEVI SAHU Rate Amount Qty 7.5 .25 30 34.8 1.16 30 117 1.3 90 54 .6 90 400 400 1 Total: 613.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418067 Min 01418067 Appmt Dt Slno Description 26-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 3997 of 6486
Name
RAM NATH PRASAD Qty Rate Amount 30 .4 12 30 1.1 33 30 .63 18.9 1 400 400 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418068 Min 01418068 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 2 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 3998 of 6486
Name
URMILA PRASAD Rate Amount Qty 400 400 1 650 650 1 1750 1750 1 400 400 1 78 1.3 60 72 .6 120 55.2 .92 60 167.4 5.58 30 3.75 .25 15 400 400 1 Total: 3976.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418073 Min 01418073 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 07-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 3999 of 6486
Name
KC GUPTA Rate Amount Qty 32.4 1.08 30 15.6 .26 60 21.3 .71 30 12 .4 30 8.1 .27 30 47.4 .79 60 66 1.1 60 31.2 1.04 30 400 400 1 Total: 634
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418074 Min 01418074 Appmt Dt Slno Description 07-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 07-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 07-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4000 of 6486
Name
ARUNA GUPTA Qty Rate Amount 4 5.21 20.84 30 .63 18.9 30 .25 7.5 1 400 400 Total: 447.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418076 Min 01418076 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 06-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 4001 of 6486
Name
AMBIKA DEVI Rate Amount Qty 5.4 .18 30 70.2 2.34 30 18 .9 20 6.4 .64 10 400 400 1 Total: 500
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418078 Min 01418078 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 02-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 02-FEB-19 PRAZOSIN,2.5MG,TABLET 3 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 4002 of 6486
Name
IMTIAJ AHMAD KHAN Rate Amount Qty 76.5 2.55 30 7.65 .51 15 78 1.3 60 22.2 .37 60 400 400 1 60.9 2.03 30 37.8 .63 60 192.3 6.41 30 400 400 1 Total: 1275.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418079 Min 01418079 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 02-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 02-FEB-19 PRAZOSIN,2.5MG,TABLET 5 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 24-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 24-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 24-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 12 24-FEB-19 PRAZOSIN,2.5MG,TABLET 13 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 24-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 16 26-FEB-19
Page 4003 of 6486
SABANA Rate Amount Qty 66 1.1 60 55.8 .93 60 14.85 .99 15 211.8 3.53 60 117 1.3 90 15.73 15.73 1 400 400 1 23.2 1.16 20 19.8 .99 20 37.2 .93 40 44 1.1 40 14.8 .37 40 52 1.3 40 400 400 1 400 400 1 1750 1750 1 Total: 3622.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418082 Min 01418082 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 URIC ACID (UA /URATES /UR) 4 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 4004 of 6486
Name
BABU CHERIAN EARALY Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 275 275 1 400 400 1 34.8 1.16 30 26.7 .89 30 27.9 .93 30 36 .6 60 24 .4 60 400 400 1 Total: 1877.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418083 Min 01418083 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 4005 of 6486
Name
SHIRLY BABU CHERIAN Rate Amount Qty 18.9 .63 30 12.8 .64 20 55.8 .93 60 21.3 .71 30 55.8 .93 60 26.7 .89 30 400 400 1 Total: 591.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418087 Min 01418087 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 5 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 4006 of 6486
Name
LAL BAI SAHU Rate Amount Qty 8.9 .89 10 41.5 4.15 10 21.3 .71 30 27.9 .93 30 59.3 5.93 10 3.8 .38 10 400 400 1 Total: 562.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418091 Min 01418091 Appmt Dt Slno Description 19-FEB-19 1 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4007 of 6486
Name
LALIT KUMAR SAHU Qty Rate Amount 60 2.1 126 1 400 400 526 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418092 Min 01418092 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 20-FEB-19 BLOOD FOR TSH 6 20-FEB-19 COMPLETE HAEMOGRAM 7 20-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 4008 of 6486
Name
AHILYA DEVI SAHU Rate Amount Qty 550 550 1 400 400 1 1750 1750 1 400 400 1 1300 1300 1 800 800 1 750 750 1 15.3 .34 45 10.4 1.04 10 400 400 1 Total: 6375.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418103 Min 01418103 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 10-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 10-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 10-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 10-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 10-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 10-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 10-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 10-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 9 10-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 10-FEB-19
Page 4009 of 6486
Name
KHARE DR UR Rate Amount Qty 7.9 .79 10 39.5 3.95 10 23.2 1.16 20 21.6 1.08 20 10.4 1.04 10 8 .4 20 36 .9 40 66.2 6.62 10 6.7 .67 10 10.4 .26 40 400 400 1 Total: 629.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418105 Min 01418105 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 08-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 18-FEB-19 SOLIFENACIN,5MG,,TABLET 13 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 16 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 18-FEB-19
Page 4010 of 6486
Name
P T VARGHESE Rate Amount Qty 26.7 .89 30 26.6 2.66 10 59.4 .66 90 156.6 1.74 90 54 .9 60 400 400 1 60.9 2.03 30 21.3 .71 30 167.4 5.58 30 36 .6 60 118.5 3.95 30 27.9 .93 30 806.4 13.44 60 32.4 1.08 30 7.5 .25 30 18 .3 60 400 400 1 Total: 2419.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418106 Min 01418106 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 27-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 27-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 4011 of 6486
Name
A LEELAMMA Rate Amount Qty 21.3 .71 30 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 14.85 .99 15 55.8 .93 60 3.75 .25 15 54 .6 90 3.84 .64 6 1.85 .37 5 3.8 .38 10 86.4 1.44 60 400 400 1 Total: 720.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418109 Min 01418109 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 4012 of 6486
Name
ARIEL NATH Rate Amount Qty 2.4 .16 15 7.5 .25 30 27.9 .93 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 517
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418110 Min 01418110 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 4013 of 6486
Name
S A NATH Rate Amount Qty 8.9 .89 10 2.4 .16 15 3.75 .25 15 36 .6 60 9 .3 30 55.8 .93 60 400 400 1 Total: 515.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418112 Min 01418112 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4014 of 6486
Name
NEELAMBER Rate Amount Qty 34.8 1.16 30 23.7 .79 30 72.6 1.21 60 33 1.1 30 12 .4 30 400 400 1 Total: 576.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418113 Min 01418113 Appmt Dt Slno Description 25-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4015 of 6486
Name
GONDA BAI Qty Rate Amount 30 .71 21.3 30 .93 27.9 30 .23 6.9 1 400 400 Total: 456.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418114 Min 01418114 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 4016 of 6486
Name
MURLI LAL GAJPAL Rate Amount Qty 12 .4 30 36 .6 60 32.4 .36 90 117 1.3 90 12 .4 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 700
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418115 Min 01418115 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 4017 of 6486
Name
CHANDA GAJPAL Rate Amount Qty 10.8 .36 30 36 .6 60 8.9 .89 10 43.96 43.96 1 23.7 .79 30 21.3 .71 30 7.5 .25 30 6.4 .64 10 400 400 1 Total: 558.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418119 Min 01418119 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4018 of 6486
Name
RAVISHANKAR SHARMA Rate Amount Qty 20.1 .67 30 12.15 12.15 1 5.55 .37 15 27 .9 30 400 400 1 13.5 .9 15 400 400 1 27.9 .93 30 400 400 1 Total: 1306.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418123 Min 01418123 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 15 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 19 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 20 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 21 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 23 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 08-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 25 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 26 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 28 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 29 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 30 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 31 08-FEB-19
Page 4019 of 6486
G.VISHWANATH Rate Amount Qty 34.8 1.16 30 14.85 .99 15 15.6 .26 60 23.7 .79 30 66 1.1 60 32.4 1.08 30 12 .4 30 7.2 .16 45 6.41 288.45 45 91.35 2.03 45 11.4 .38 30 31.46 15.73 2 6.4 .64 10 3.7 .37 10 26.6 2.66 10 53.4 .89 60 14.85 .99 15 34.8 1.16 30 15.6 .26 60 23.7 .79 30 66 1.1 60 32.4 1.08 30 12 .4 30 7.2 .16 45 6.41 288.45 45 91.35 2.03 45 400 400 1 11.4 .38 30 26.6 2.66 10 6.4 .64 10 31.46 15.73 2 Total: 1781.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418124 Min 01418124 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 08-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 08-FEB-19
Page 4020 of 6486
Name
V. NIRANJANA Rate Amount Qty 34.8 1.16 30 27 .6 45 7.5 .25 30 57.84 115.68 2 74.08 37.04 2 19.72 9.86 2 10.8 .36 30 400 400 1 27.9 .93 30 26.7 .89 30 Total: 744.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418125 Min 01418125 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 07-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 11 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 28-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 4021 of 6486
RAZIA KHATOON Rate Amount Qty 1.85 .37 5 9 .9 10 7.7 .77 10 35.2 3.52 10 3.84 .64 6 400 400 1 13.95 .93 15 76.5 2.55 30 48.22 48.22 1 400 400 1 132 4.4 30 53.4 .89 60 55.8 .93 60 400 400 1 55.8 .93 60 96.44 48.22 2 400 400 1 Total: 2189.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418130 Min 01418130 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 PRAZOSIN,2.5MG,TABLET 9 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 4022 of 6486
Name
BAL GOVIND BAJPAI Rate Amount Qty 21.6 .36 60 18.6 .62 30 34.8 1.16 30 12 .4 30 29.7 .99 30 76.5 2.55 30 55.8 .93 60 39 1.3 30 78 1.3 60 11.1 .37 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1430.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418131 Min 01418131 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 SOLIFENACIN,5MG,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 4023 of 6486
Name
USHA BAJPAI Rate Amount Qty 60.9 2.03 30 403.2 13.44 30 400 400 1 Total: 864.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418142 Min 01418142 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 4024 of 6486
Name
K DUTTA Rate Amount Qty 10.05 .67 15 7.5 .25 30 54 .9 60 66.2 6.62 10 400 400 1 Total: 537.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418146 Min 01418146 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 23-FEB-19 URIC ACID (UA /URATES /UR) 3 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 23-FEB-19 CREATININE /CRT 5 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4025 of 6486
Name
USHA SHARMA Rate Amount Qty 860 860 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 400 400 1 10.8 .36 30 21.3 .71 30 27.9 .93 30 36 .6 60 78 1.3 60 400 400 1 Total: 4634
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418151 Min 01418151 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 4026 of 6486
Name
SHANTI SAHANI Rate Amount Qty 21.12 3.52 6 6.4 .64 10 2.22 .37 6 3.75 .25 15 21.3 .71 30 27 .6 45 400 400 1 Total: 481.79
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418154 Min 01418154 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 4027 of 6486
R K DAS Rate Amount Qty 31.46 15.73 2 14.85 .99 15 185.7 6.19 30 26.7 .89 30 34.8 1.16 30 60.9 2.03 30 6.9 .23 30 12 .4 30 7.8 .26 30 400 400 1 Total: 781.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418155 Min 01418155 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 09-FEB-19 CREATININE /CRT 12 09-FEB-19 URIC ACID (UA /URATES /UR) 13 09-FEB-19 UREA (BUN /UR) 14 09-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 09-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 18 09-FEB-19
Page 4028 of 6486
Name
SMT NAMITA Rate Amount Qty 167.4 5.58 30 21.3 .71 30 27.9 .93 30 18.9 .63 30 117 1.3 90 14.85 .99 15 54 .6 90 43.2 .36 120 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 550 550 1 400 400 1 275 275 1 275 275 1 Total: 4764.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418156 Min 01418156 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4029 of 6486
Name
NARESH RAM SAHU Rate Amount Qty 16.24 2.03 8 35.2 4.4 8 400 400 1 6.4 .64 10 9.5 .38 25 66.2 6.62 10 20.3 2.03 10 4.45 .89 5 400 400 1 Total: 958.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418159 Min 01418159 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4030 of 6486
Name
RATNA NIRMALKAR Rate Amount Qty 55.8 .93 60 29.7 .99 30 8.1 .27 30 7.5 .25 30 400 400 1 Total: 501.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418165 Min 01418165 Name Appmt Dt Slno Description 19-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4031 of 6486
SMT.INDU DEWANGAN Qty Rate Amount 1 25.07 25.07 1 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418167 Min 01418167 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 ENTACAVIR 0.5MG,,TABLET 2 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 18-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 4032 of 6486
Name
LEELAVATI DEVI Rate Amount Qty 18 .6 30 673.5 22.45 30 7.65 .51 15 172.8 1.44 120 6.4 .64 10 10.8 .36 30 21.3 .71 30 7.5 .25 30 17.8 .89 20 61.4 6.14 10 66.2 6.62 10 400 400 1 Total: 1463.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418175 Min 01418175 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 14-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 PRAZOSIN,2.5MG,TABLET 8 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 22-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 15 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 17 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 20 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 22-FEB-19 PRAZOSIN,2.5MG,TABLET 22 22-FEB-19
Page 4033 of 6486
SINHA JMP Rate Amount Qty 400 400 1 15.73 15.73 1 46.2 .77 60 249.6 1.04 240 237 3.95 60 55.8 .93 60 15 .25 60 78 1.3 60 12.15 12.15 1 3.84 .64 6 22.8 .38 60 400 400 1 400 400 1 15 .25 60 100.71 201.42 2 121.8 2.03 60 384.6 6.41 60 42.6 .71 60 24 .4 60 15.3 .51 30 111.6 .93 120 78 1.3 60 Total: 2930.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418176 Min 01418176 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 22-FEB-19
Page 4034 of 6486
SMT. SHANTI DEVI Rate Amount Qty 400 400 1 17.8 .89 20 3.84 .64 6 21.12 3.52 6 50.14 25.07 2 8.9 .89 10 2.46 .41 6 400 400 1 Total: 904.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418181 Min 01418181 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 3 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 19-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 4035 of 6486
Name
PUNNI DAS PATIL Rate Amount Qty 10.08 1.12 9 7.7 .77 10 8.71 8.71 1 21.12 3.52 6 400 400 1 32.4 1.08 30 13.35 .89 15 34.8 1.16 30 55.8 .93 60 36.3 1.21 30 12 .4 30 30.6 .34 90 400 400 1 Total: 1062.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418183 Min 01418183 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 18-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4036 of 6486
Name
BABOO LAL CHOUDHARY Rate Amount Qty 44.16 1.84 24 4.8 .6 8 7.68 .64 12 400 400 1 20.25 20.25 1 400 400 1 Total: 876.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418184 Min 01418184 Appmt Dt Slno Description 20-FEB-19 1 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 20-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4037 of 6486
Name
SARASWATI BAI Qty Rate Amount 30 .73 21.9 10 .89 8.9 20 1.37 27.4 1 400 400 Total: 458.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418187 Min 01418187 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 02-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 2 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 02-FEB-19 MRCP (COST OF CONTRAST EXTRA) 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 4038 of 6486
Name
KUTBUN BIBI Rate Amount Qty 1750 1750 1 275 275 1 400 400 1 10000 10000 1 400 400 1 105.9 7.06 15 6.23 .89 7 400 400 1 26.7 .89 30 423.6 7.06 60 400 400 1 Total: 14187.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418194 Min 01418194 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4039 of 6486
Name
SALOMI PRASAD Rate Amount Qty 40.12 20.06 2 22.8 .38 60 26.7 .89 30 21.3 .71 30 27.9 .93 30 18.6 .62 30 400 400 1 Total: 557.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418196 Min 01418196 Slno Description Appmt Dt CARBIMAZOLE,5MG,BTL PACK,TABLET 1 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 23-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 4040 of 6486
Name
JANKI DEVI Rate Amount Qty 47.4 1.58 30 11.4 .38 30 21.3 .71 30 36.3 1.21 30 22.2 .37 60 400 400 1 Total: 538.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418200 Min 01418200 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 15-FEB-19 X - RAY - TWO VIEWS 3 15-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 4 15-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 5 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 11 15-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 12 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 15 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 18-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 4041 of 6486
Name
H.K.AGRAWAL Rate Amount Qty 1750 1750 1 400 400 1 860 860 1 1750 1750 1 32.61 32.61 1 6.4 .64 10 55.8 .93 60 21.3 .71 30 21.3 .71 30 26.7 .89 30 19.8 .66 30 15.3 .51 30 14.85 .99 15 7.5 .25 30 95.7 3.19 30 400 400 1 51.38 25.69 2 400 400 1 Total: 5928.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418201 Min 01418201 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 2 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 13 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 25-FEB-19 BRIMONIDINE TARTRATE,0.15% 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 18 25-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 19 25-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 20 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 25-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 22 27-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 23 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 27-FEB-19
Page 4042 of 6486
SUDHA AGRAWAL Rate Amount Qty 275 275 1 1500 1500 1 1300 1300 1 275 275 1 400 400 1 185.7 6.19 30 39 1.3 30 60.9 2.03 30 7.5 .25 30 18 .6 30 27.9 .93 30 400 400 1 27.9 .93 30 275 275 1 148.9 74.45 2 275 275 1 400 400 1 50.14 25.07 2 17.37 17.37 1 35.2 17.6 2 11.1 .37 30 21.45 21.45 1 13.49 13.49 1 400 400 1 Total: 6164.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418202 Min 01418202 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4043 of 6486
Name
TULSI RAM Rate Amount Qty 17.4 1.16 15 10.8 .36 30 63 .6 105 100.71 100.71 1 7.5 .25 30 400 400 1 Total: 599.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418203 Min 01418203 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 19-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 4044 of 6486
Name
AMITA Rate Amount Qty 7.65 .51 15 12 .4 30 23.7 .79 30 42.6 .71 60 400 400 1 Total: 485.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418208 Min 01418208 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 22-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 4045 of 6486
Name
BIHARI LAL SAHU Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 23.7 .79 30 15.6 .26 60 4.8 .16 30 32.4 1.08 30 21.3 .71 30 31.2 1.04 30 128.1 4.27 30 400 400 1 Total: 910.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418209 Min 01418209 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 4046 of 6486
Name
KACHARA BAI Rate Amount Qty 17.4 1.16 15 36 .6 60 66 1.1 60 55.8 .93 60 4.45 .89 5 7.5 .25 30 27.9 .93 30 2.4 .16 15 400 400 1 Total: 617.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418210 Min 01418210 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 28-FEB-19 GUM ANALGESIC GEL 9 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 4047 of 6486
P K MANDAL Rate Amount Qty 192.3 6.41 30 8.9 .89 10 60.9 2.03 30 6.15 .41 15 7.5 .25 30 400 400 1 4.45 .89 5 50.14 25.07 2 28.69 28.69 1 1.85 .37 5 35.2 3.52 10 3.75 .25 15 400 400 1 Total: 1199.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418215 Min 01418215 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4048 of 6486
Name
S R SREEDEVI Rate Amount Qty 63 2.1 30 18.6 .62 30 12 .4 30 21.3 .71 30 18 .6 30 8.1 .27 30 1.48 .37 4 7.5 .25 30 55.8 .93 60 400 400 1 Total: 605.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418216 Min 01418216 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 02-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 OBSERVATION IN CASUALTY 10 18-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 11 18-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 12 18-FEB-19 ECG 13 18-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 17 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 21-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 19 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 21 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 22 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 21-FEB-19
Page 4049 of 6486
Name
TIWARI MP Rate Amount Qty 7.5 .25 30 30.15 .67 45 26.7 .89 30 54 .9 60 13.73 192.22 14 400 400 1 62.8 3.14 20 17.8 .89 20 400 400 1 420 420 1 25.54 25.54 1 100 100 1 450 450 1 9.62 9.62 1 13.35 .89 15 27 .9 30 20.1 .67 30 30.45 2.03 15 2.6 .26 10 16.2 1.08 15 14.85 .99 15 27.9 .93 30 10.65 .71 15 400 400 1 Total: 2759.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418222 Min 01418222 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 IVABRADINE,5MG,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4050 of 6486
Name
ANKATAIYYA Rate Amount Qty 15.6 .26 60 34.8 1.16 30 32.4 1.08 30 12 .4 30 597 9.95 60 16.2 .27 60 400 400 1 Total: 1108
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418223 Min 01418223 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 4051 of 6486
Name
K ADI LAKSHMI Rate Amount Qty 7.5 .25 30 17.4 1.16 15 167.4 5.58 30 72 .6 120 66 1.1 60 27.9 .93 30 400 400 1 Total: 758.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418230 Min 01418230 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 4052 of 6486
Name
CHANDRIKA PRASAD Rate Amount Qty 47.4 .79 60 34.8 1.16 30 12 .4 30 22.2 .37 60 400 400 1 Total: 516.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418231 Min 01418231 Appmt Dt Slno Description 23-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 23-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4053 of 6486
Name
MEENA DEVI NIRMALKAR Qty Rate Amount 30 .27 8.1 30 .71 21.3 60 1.1 66 1 400 400 Total: 495.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418234 Min 01418234 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 25-FEB-19 URIC ACID (UA /URATES /UR) 3 25-FEB-19 CREATININE /CRT 4 25-FEB-19 UREA (BUN /UR) 5 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 27-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 4054 of 6486
Name
BALMIKI PRASAD ADIL Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 55.8 .93 60 36 .6 60 21.3 .71 30 20.84 5.21 4 9 .3 30 22.2 .37 60 400 400 1 Total: 4190.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418242 Min 01418242 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4055 of 6486
Name
LALJI SINGH Rate Amount Qty .96 .16 6 17.4 1.16 15 78 1.3 60 36 .6 60 167.4 5.58 30 400 400 1 1300 1300 1 400 400 1 41.85 .93 45 40.12 20.06 2 13.35 .89 15 400 400 1 Total: 2895.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418244 Min 01418244 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 27-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 4056 of 6486
Name
K.C.SAHU Rate Amount Qty 27.9 .93 30 400 400 1 25.62 12.81 2 31.61 31.61 1 11.1 .37 30 400 400 1 Total: 896.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418245 Min 01418245 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 4057 of 6486
Name
KIRAN SAHU Rate Amount Qty 72 .6 120 55.8 .93 60 19.8 .66 30 21.3 .71 30 400 400 1 Total: 568.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418247 Min 01418247 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 4 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 01-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 15 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 16 26-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 17 26-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 4058 of 6486
SHAKUNTALA YADAV Rate Amount Qty 167.4 5.58 30 31.46 15.73 2 6.4 .64 10 137.3 13.73 10 2.4 .16 15 26.7 .89 30 32.4 1.08 30 21.3 .71 30 36 .6 60 66 1.1 60 15.6 1.04 15 55.8 .93 60 27.9 .93 30 400 400 1 156.51 313.02 2 40.58 20.29 2 25.69 25.69 1 94.42 188.84 2 400 400 1 Total: 1994.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418250 Min 01418250 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 4059 of 6486
Name
SHAMBHOO DAYAL NAYAK Rate Amount Qty 33 1.1 30 8.1 .27 30 55.8 .93 60 167.4 5.58 30 72 .6 120 10.8 .36 30 34.8 1.16 30 400 400 1 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 400 400 1 Total: 1474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418251 Min 01418251 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 16-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 4060 of 6486
Name
MITHILESH NAYAK Rate Amount Qty 36 .6 60 39 1.3 30 167.4 5.58 30 27.9 .93 30 2.32 .58 4 15.08 .58 26 27.6 .92 30 13.35 .89 15 21.3 .71 30 400 400 1 247.6 6.19 40 27.4 1.37 20 17.8 .89 20 400 400 1 Total: 1442.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418253 Min 01418253 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 4061 of 6486
Name
JYOTI DEVI Rate Amount Qty 33.12 1.84 18 5.76 .64 9 400 400 1 Total: 438.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418262 Min 01418262 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 07-FEB-19 DESVENLAFAXINE,50MG,ER,,TABLET 3 07-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4062 of 6486
Name
M S CHOUDHARY Rate Amount Qty 28.08 3.51 8 126 2.1 60 267.3 8.91 30 39.6 2.64 15 74.4 .62 120 400 400 1 Total: 935.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418269 Min 01418269 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 19-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 4063 of 6486
Name
PARTHA SARATHI GHOSHAL Rate Amount Qty 55.2 1.84 30 6.4 .64 10 7.7 .77 10 400 400 1 100.71 100.71 1 22.5 .75 30 12.15 12.15 1 11.1 .37 30 156.6 1.74 90 54 .9 60 400 400 1 Total: 1226.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418271 Min 01418271 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 4064 of 6486
Name
JL KHURANA Rate Amount Qty 34.8 1.16 30 25.2 .42 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 504.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418273 Min 01418273 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 PLATELET COUNT 5 05-FEB-19 HB,TLC,DLC 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 05-FEB-19 CREATININE /CRT 9 05-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 PLATELET COUNT 13 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 16-FEB-19
Page 4065 of 6486
Name
SARVAJEET RAM Rate Amount Qty 275 275 1 550 550 1 1300 1300 1 275 275 1 330 330 1 300 300 1 400 400 1 20.06 20.06 1 275 275 1 45.44 45.44 1 7.5 .25 30 400 400 1 330 330 1 400 400 1 Total: 4908
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418274 Min 01418274 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 4066 of 6486
Name
PRABHA DEVI Rate Amount Qty 13.35 .89 15 66 1.1 60 7.65 .51 15 7.5 .25 30 1.6 .16 10 55.8 .93 60 54 .6 90 400 400 1 Total: 605.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418280 Min 01418280 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 24-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 24-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 24-FEB-19
Page 4067 of 6486
Name
DR. A K KADAM Rate Amount Qty 66.2 6.62 10 27.9 .93 30 34.8 1.16 30 26.7 .89 30 12 .4 30 400 400 1 Total: 567.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418284 Min 01418284 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 11-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 11-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 11-FEB-19 ECG 13 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 18-FEB-19 UREA (BUN /UR) 18 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 22-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 20 22-FEB-19
Page 4068 of 6486
Name
N L DUA Rate Amount Qty 10.8 .36 30 18 .6 30 26.7 .89 30 7.5 .25 30 60.9 2.03 30 7.65 .51 15 34.8 1.16 30 12 .4 30 32.4 1.08 30 21.3 .71 30 23.7 .79 30 11.4 .38 30 450 450 1 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 400 400 1 2370 2370 1 Total: 5112.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418285 Min 01418285 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 4069 of 6486
Name
SMT.SHAKUNTALA DUA Rate Amount Qty 2.31 .77 3 39.72 6.62 6 5.76 .64 9 400 400 1 18 .6 30 8.9 .89 10 27.9 .93 30 26 2.6 10 400 400 1 Total: 928.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418288 Min 01418288 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4070 of 6486
Name
P.M.PRATAP SINGH Rate Amount Qty 12 .4 30 72.6 1.21 60 55.8 .93 60 21.3 .71 30 26.7 .89 30 400 400 1 2.5 .25 10 10.95 .73 15 3.2 .64 5 1.85 .37 5 8.9 .89 10 55.2 1.84 30 35.2 3.52 10 400 400 1 Total: 1106.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418289 Min 01418289 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 19-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 4071 of 6486
Name
P BALA SARASWATI Rate Amount Qty 27.9 .93 30 12 .4 30 400 400 1 156.6 1.74 90 16.2 .18 90 26.7 .89 30 54 .9 60 400 400 1 Total: 1093.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418297 Min 01418297 Slno Description Appmt Dt QUETIAPINE FUMARATE,200MG,TABLET 1 19-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 19-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4072 of 6486
Name
CHANDRAKANT TOORRAY Rate Amount Qty 58.9 5.89 10 175.5 3.9 45 39.6 2.64 15 400 400 1 12 .4 30 21.3 .71 30 27.9 .93 30 400 400 1 Total: 1135.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418298 Min 01418298 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4073 of 6486
Name
NISHA Rate Amount Qty 7.5 .25 30 1.6 .16 10 .89 269.67 303 7.8 .26 30 27.9 .93 30 36 .6 60 400 400 1 Total: 750.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418301 Min 01418301 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4074 of 6486
Name
HARIJIWAN NAGBANSI Rate Amount Qty 43.2 1.44 30 15.3 .51 30 32.4 1.08 30 7.8 .26 30 23.7 .79 30 7.5 .25 30 400 400 1 Total: 529.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418303 Min 01418303 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 25-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 25-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 27-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 4075 of 6486
Name
ABDUL GANI Rate Amount Qty 60.9 2.03 30 26.7 .89 30 21.3 .71 30 21.3 .71 30 19.8 .66 30 12 .4 30 32.4 1.08 30 42.6 .71 60 400 400 1 66.2 6.62 10 4.45 .89 5 9 .9 10 5.2 1.04 5 400 400 1 Total: 1121.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418304 Min 01418304 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 25-FEB-19 PRAZOSIN,2.5MG,TABLET 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4076 of 6486
Name
JAIBUN NISA Rate Amount Qty 7.5 .25 30 13.35 .89 15 18.6 .62 30 12 .4 30 21.3 .71 30 22.2 .37 60 78 1.3 60 55.8 .93 60 400 400 1 Total: 628.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418309 Min 01418309 Appmt Dt Slno Description 08-FEB-19 1 SOLIFENACIN,5MG,,TABLET 08-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 08-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4077 of 6486
Name
PADMA SONI Qty Rate Amount 30 13.44 403.2 30 .99 29.7 30 .93 27.9 1 400 400 Total: 860.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418313 Min 01418313 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4078 of 6486
Name
AURNDHATHI Rate Amount Qty 126 2.1 60 11.4 .38 30 55.8 .93 60 2.4 .16 15 400 400 1 Total: 595.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418315 Min 01418315 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 X - RAY - TWO VIEWS 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 18-FEB-19 I & D (INCISION & DRAINAGE) UNDER LA 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 10 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 19-FEB-19 DRESSING SIMPLE 14 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 25-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 19 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 20 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 21 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 22 25-FEB-19 DRESSING SIMPLE 23 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 24 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 27-FEB-19
Page 4079 of 6486
S R SAHU Rate Amount Qty 400 400 1 860 860 1 275 275 1 8.9 .89 10 4.1 .41 10 400 400 1 33.12 1.84 18 1400 1400 1 400 400 1 51.38 25.69 2 3.84 .64 6 400 400 1 400 400 1 1500 300 5 9.6 .64 15 8.9 .89 10 400 400 1 11.1 .37 30 13.43 13.43 1 29.58 9.86 3 16.85 3.37 5 66.2 6.62 10 1800 300 6 25.07 25.07 1 400 400 1 Total: 8917.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418317 Min 01418317 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 22-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 22-FEB-19 DRESSING SIMPLE 13 22-FEB-19 DRESSING SIMPLE 14 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 4080 of 6486
Name
RAJAN KUMAR SHUKLA Rate Amount Qty 9.6 .64 15 12 .4 30 15.3 .51 30 76.5 2.55 30 55.8 .93 60 47.4 .79 60 44.16 1.84 24 400 400 1 400 400 1 157.8 15.78 10 6.4 .64 10 10.95 .73 15 1500 300 5 1500 300 5 400 400 1 26 2.6 10 400 400 1 Total: 5061.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418318 Min 01418318 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 2 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 3 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4081 of 6486
Name
NUTAN SHUKLA Rate Amount Qty 44.16 1.84 24 24.45 24.45 1 19.77 19.77 1 6.42 2.14 3 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418319 Min 01418319 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 12 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 13 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 26-FEB-19
Page 4082 of 6486
Name
ZAMIR MOHAMMED SIDDIQUI Rate Amount Qty 13.95 .93 15 11.4 .38 30 26.7 .89 30 78 1.3 60 10.8 .36 30 72 .6 120 7.5 .25 30 66 1.1 60 21.3 .71 30 12 .4 30 400 400 1 106.8 3.56 30 1750 1750 1 400 400 1 Total: 2976.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418320 Min 01418320 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 DRESSING SIMPLE 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 13 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19
Page 4083 of 6486
KAHKUSHAN SIDDIQUI Rate Amount Qty 400 400 1 15.73 15.73 1 26.6 2.66 10 1500 300 5 1.85 .37 5 72 .6 120 117 1.3 90 72.6 1.21 60 7.65 .51 15 21.3 .71 30 55.8 .93 60 26.7 .89 30 71 .71 100 12 .4 30 400 400 1 10.08 1.12 9 3.84 .64 6 400 400 1 Total: 3214.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418321 Min 01418321 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 4084 of 6486
Name
BV BHADRAIYA Rate Amount Qty 1.6 .16 10 7.5 .25 30 34.8 1.16 30 32.4 1.08 30 22.2 .37 60 29.7 .99 30 400 400 1 Total: 528.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418322 Min 01418322 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 4085 of 6486
Name
B.KAMESHWARI Rate Amount Qty 7.5 .25 30 12 .4 30 36 .6 60 39 1.3 30 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 531.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418325 Min 01418325 Appmt Dt Slno Description 21-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 21-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4086 of 6486
Name
SIYARAM KASHYAP Qty Rate Amount 30 .23 6.9 30 .93 27.9 15 .62 9.3 1 400 400 Total: 444.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418326 Min 01418326 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 PRAZOSIN,2.5MG,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4087 of 6486
Name
LAXMI DEVI KASHYAP Rate Amount Qty 275 275 1 275 275 1 55.8 .93 60 78 1.3 60 66 1.1 60 21.3 .71 30 18 .6 30 39 1.3 30 400 400 1 Total: 1228.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418327 Min 01418327 Appmt Dt Slno Description 26-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4088 of 6486
Name
DHANRAJ Qty Rate Amount 30 .93 27.9 30 .4 12 30 .23 6.9 1 400 400 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418328 Min 01418328 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 4089 of 6486
Name
SAVITRI Rate Amount Qty 7.5 .25 30 27.9 .93 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418329 Min 01418329 Appmt Dt Slno Description 25-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 25-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4090 of 6486
Name
VENU GOPAL TADURI Qty Rate Amount 30 .4 12 45 .62 27.9 30 .93 27.9 1 400 400 Total: 467.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418332 Min 01418332 Appmt Dt Slno Description 14-FEB-19 1 AMISULPRIDE, 100MG,,TABLET 14-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4091 of 6486
Name
HEMLAL SAHU Qty Rate Amount 30 7.82 234.6 30 .64 19.2 60 .25 15 1 400 400 Total: 668.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418335 Min 01418335 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4092 of 6486
Name
MANJU DEVI Rate Amount Qty 6.4 .64 10 400 400 1 18 .6 30 7.5 .25 30 400 400 1 Total: 831.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418337 Min 01418337 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 14-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 PRAZOSIN,2.5MG,TABLET 5 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4093 of 6486
Name
UMAVATI Rate Amount Qty 14.85 .99 15 100.71 100.71 1 104.4 1.74 60 26.7 .89 30 39 1.3 30 54 .9 60 55.8 .93 60 400 400 1 Total: 795.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418340 Min 01418340 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 06-FEB-19 CREATININE /CRT 7 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19
Page 4094 of 6486
Name
VINOD KUMAR SHARMA Rate Amount Qty 275 275 1 275 275 1 400 400 1 33.12 1.84 18 20.06 20.06 1 3.84 .64 6 275 275 1 22.08 1.84 12 2.56 .64 4 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 2143.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418341 Min 01418341 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 4095 of 6486
Name
SUNITA SHARMA Rate Amount Qty 21.6 .36 60 167.4 5.58 30 78 1.3 60 21.3 .71 30 54 .6 90 13.95 .93 15 400 400 1 Total: 756.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418342 Min 01418342 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4096 of 6486
Name
S K BHATTACHARYA Rate Amount Qty 33 1.1 30 34.8 1.16 30 27.9 .93 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 540.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418348 Min 01418348 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 4097 of 6486
Name
JANAK LAL SAHU Rate Amount Qty 1.48 .37 4 27.9 .93 30 400 400 1 Total: 429.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418349 Min 01418349 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 4098 of 6486
Name
RAJKUNWAR Rate Amount Qty 78 1.3 60 55.8 .93 60 400 400 1 Total: 533.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418356 Min 01418356 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 05-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4099 of 6486
Name
KASHI PRASAD RAI Rate Amount Qty 63.58 63.58 1 13.43 13.43 1 400 400 1 55.8 .93 60 33 1.1 30 6.9 .23 30 400 400 1 Total: 972.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418357 Min 01418357 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 X - RAY - SINGLE VIEW 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 4100 of 6486
Name
SANJU RAI Rate Amount Qty 1.85 .37 5 550 550 1 400 400 1 4.45 .89 5 12.15 12.15 1 26.6 2.66 10 400 400 1 8.1 .27 30 38.25 2.55 15 55.8 .93 60 400 400 1 Total: 1897.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418358 Min 01418358 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 4101 of 6486
Name
NG KUNDU Rate Amount Qty 11.85 .79 15 167.4 5.58 30 72 .6 120 32.4 .36 90 26.7 .89 30 117 1.3 90 21.3 .71 30 400 400 1 Total: 848.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418369 Min 01418369 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 18-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4102 of 6486
Name
ANIL KUMAR SALUNKE Rate Amount Qty 21.6 .36 60 12 .4 30 54 .6 90 55.8 .93 60 66 1.1 60 88.2 1.47 60 400 400 1 Total: 697.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418373 Min 01418373 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 X - RAY - TWO VIEWS 3 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 05-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 06-FEB-19 BLOOD FOR T-3,T-4,TSH 15 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 06-FEB-19 UREA (BUN /UR) 17 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 06-FEB-19 URIC ACID (UA /URATES /UR) 19 06-FEB-19 CREATININE /CRT 20 06-FEB-19
Page 4103 of 6486
Name
SK CHANDRAWANSHI Rate Amount Qty 8.96 .64 14 400 400 1 860 860 1 2.66 .38 7 6.23 .89 7 1750 1750 1 60.9 2.03 30 1610 1610 1 400 400 1 400 400 1 23.7 .79 30 9.3 .62 15 400 400 1 275 275 1 2400 2400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 Total: 11006.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418375 Min 01418375 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19 ULTRASONIC THERAPY UNIT 10 25-FEB-19
Page 4104 of 6486
Name
SUSHMA MANIK Rate Amount Qty 185.7 6.19 30 7.5 .25 30 33 1.1 30 27.9 .93 30 72 .6 120 12 .4 30 21.3 .71 30 400 400 1 400 400 1 590 590 1 Total: 1749.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418380 Min 01418380 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 CLOZAPINE,100MG,TABLET 9 20-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 10 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 4105 of 6486
Name
RAM BHAJAN SINGH Rate Amount Qty 66 1.1 60 78 1.3 60 55.8 .93 60 1.68 .42 4 17.4 1.16 15 7.92 .99 8 12 .4 30 400 400 1 42.96 5.37 8 63.8 3.19 20 39 2.6 15 400 400 1 7.12 .89 8 5.12 .64 8 400 400 1 Total: 1596.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418381 Min 01418381 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 09-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 09-FEB-19 ENTACAVIR 0.5MG,,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4106 of 6486
Name
VEENA BHARTI Rate Amount Qty 12 .4 30 34.8 1.16 30 400 400 1 11.4 .38 30 83.4 2.78 30 1347 22.45 60 400 400 1 Total: 2288.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418384 Min 01418384 Appmt Dt Slno Description 26-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 26-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4107 of 6486
Name
SUNIL KUMAR MATE Qty Rate Amount 60 .3 18 60 .6 36 60 .27 16.2 1 400 400 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418388 Min 01418388 Appmt Dt Slno Description 02-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 02-FEB-19 2 FUROSEMIDE,40MG,STRIP PACK,TABLET 02-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4108 of 6486
Name
PURAN PRASAD Qty Rate Amount 60 .93 55.8 15 .51 7.65 30 .27 8.1 1 400 400 Total: 471.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418389 Min 01418389 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 4109 of 6486
Name
JAITRI BAI Rate Amount Qty 43.2 .36 120 54 .6 90 117 1.3 90 55.8 .93 60 21.3 .71 30 12 .4 30 7.5 .25 30 167.4 5.58 30 400 400 1 Total: 878.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418391 Min 01418391 Appmt Dt Slno Description 18-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4110 of 6486
Name
SMT.SADHANA DIXIT Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418392 Min 01418392 Slno Description Appmt Dt BISACODYL,STRIP PKT,5MG,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 4111 of 6486
Name
MOHAMMAD ISHAQUE Rate Amount Qty 29.7 .99 30 26.7 .89 30 368.4 6.14 60 43.96 43.96 1 400 400 1 Total: 868.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418393 Min 01418393 Appmt Dt Slno Description 19-FEB-19 1 SOLIFENACIN,5MG,,TABLET 19-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19-FEB-19 3 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4112 of 6486
Name
AZIZUN NISHA Qty Rate Amount 30 13.44 403.2 30 2.03 60.9 30 6.41 192.3 1 400 400 Total: 1056.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418398 Min 01418398 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 16-FEB-19
Page 4113 of 6486
Name
TARIT KUMAR MAZUMDAR Rate Amount Qty 100.71 100.71 1 7.5 .25 30 13.35 .89 15 8.1 .27 30 10.8 .36 30 167.4 5.58 30 36 .6 60 400 400 1 21.3 .71 30 55.8 .93 60 39 1.3 30 9.6 .64 15 400 400 1 54 .9 60 12.15 12.15 1 400 400 1 Total: 1735.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418399 Min 01418399 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 4114 of 6486
Name
SAMAPTI MAZUMDAR Rate Amount Qty 5.4 .27 20 11.6 1.16 10 12.4 .62 20 24.2 1.21 20 400 400 1 37.2 .93 40 400 400 1 Total: 890.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418400 Min 01418400 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 4115 of 6486
Name
RAVINARAYAN PATRO Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418401 Min 01418401 Appmt Dt Slno Description 16-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 2 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 16-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4116 of 6486
Name
BASANTI PATRO Qty Rate Amount 7 .89 6.23 14 18.41 257.74 7 2.6 18.2 1 400 400 Total: 682.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418406 Min 01418406 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4117 of 6486
Name
HARENDRA PANDEY Rate Amount Qty 9 .6 15 2.4 .16 15 23.1 .77 30 8.1 .27 30 13.95 .93 15 34.8 1.16 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 744.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418407 Min 01418407 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 9 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 27-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 16 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 4118 of 6486
Name
SAROJ PANDEY Rate Amount Qty 211.8 3.53 60 400 400 1 3.75 .25 15 13.35 .89 15 34.8 1.16 30 12 .4 30 12 .4 30 211.8 3.53 60 118.5 3.95 30 167.4 5.58 30 27.6 .92 30 36 .6 60 400 400 1 12.15 12.15 1 54 .9 60 100.71 100.71 1 26.7 .89 30 400 400 1 Total: 2242.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418409 Min 01418409 Appmt Dt Slno Description 18-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 18-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4119 of 6486
Name
SUJATA RAY Qty Rate Amount 30 .23 6.9 30 1.1 33 30 1.08 32.4 1 400 400 Total: 472.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418412 Min 01418412 Slno Description Appmt Dt CREATININE /CRT 1 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 04-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 05-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 4120 of 6486
Name
G C DAS Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 400 400 1 24 .4 60 72 .6 120 66 1.1 60 211.8 3.53 60 14.85 .99 15 55.8 .93 60 29.7 .99 30 400 400 1 Total: 3399.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418416 Min 01418416 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4121 of 6486
Name
SEEMA NAWGHARE Rate Amount Qty 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418417 Min 01418417 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 4122 of 6486
Name
KARTIK RAM DEWANGAN Rate Amount Qty 69.6 1.16 60 32.4 1.08 30 1.6 .16 10 12 .4 30 27.9 .93 30 6.9 .23 30 400 400 1 Total: 550.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418418 Min 01418418 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4123 of 6486
Name
LAXMI DEWANGAN Rate Amount Qty 27.9 .93 30 5.21 5.21 1 400 400 1 Total: 433.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418423 Min 01418423 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4124 of 6486
Name
LAVKUMAR KHADE Rate Amount Qty 17.8 .89 20 52 2.6 20 63.8 3.19 20 20.84 5.21 4 24 .6 40 400 400 1 Total: 578.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418424 Min 01418424 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 4 16-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4125 of 6486
Name
SUNITA KHADE Rate Amount Qty 3.8 .38 10 2.5 .25 10 400 400 1 6.92 1.73 4 7.7 .77 10 400 400 1 5 .25 20 123.8 6.19 20 17.8 .89 20 16.8 .42 40 27.4 1.37 20 12.6 .63 20 7.6 .38 20 400 400 1 Total: 1431.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418431 Min 01418431 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 8 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 4126 of 6486
Name
R. R. BANSOD PATIL Rate Amount Qty 36 .6 60 167.4 5.58 30 17.4 1.16 15 400 400 1 36 .6 60 21.3 .71 30 26.7 .89 30 368.4 6.14 60 167.4 5.58 30 400 400 1 Total: 1640.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418432 Min 01418432 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 4127 of 6486
Name
RUKHAMANI BANSOD PATIL Rate Amount Qty 55.8 .93 60 8.1 .27 30 36.3 1.21 30 7.5 .25 30 400 400 1 94.8 1.58 60 3.75 .25 15 55.8 .93 60 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 1106.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418433 Min 01418433 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 4128 of 6486
Name
JEEVANLAL HIRWANI Rate Amount Qty 92.1 6.14 15 13.35 .89 15 87.92 43.96 2 400 400 1 4.45 .89 5 87.92 43.96 2 400 400 1 Total: 1085.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418436 Min 01418436 Appmt Dt Slno Description 01-FEB-19 1 X - RAY - TWO VIEWS 01-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4129 of 6486
Name
DILLI SHEKAR RAO Qty Rate Amount 1 860 860 1 400 400 1260 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418437 Min 01418437 Slno Description Appmt Dt GLUCOSE RANDOM (RBG /RSG /GLU-R) 1 01-FEB-19 UREA (BUN /UR) 2 01-FEB-19 CREATININE /CRT 3 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 COMPLETE HAEMOGRAM 6 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 7 01-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 8 01-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 9 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 11 08-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 12 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 08-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 14 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 08-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 16 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 12-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 18 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 21 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 23 23-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 24 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 25 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 26 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 27 23-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 28 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 29 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 30 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 23-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 32 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 23-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 34 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 35 26-FEB-19
Page 4130 of 6486
USHA RANI Rate Amount Qty 275 275 1 275 275 1 275 275 1 550 550 1 400 400 1 750 750 1 4790 4790 1 275 275 1 4790 4790 1 400 400 1 30.6 .51 60 4790 4790 1 400 400 1 20.1 .67 30 8.1 .27 30 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 12.46 .89 14 8.1 .27 30 30.6 .51 60 11.4 .38 30 40.2 .67 60 6.4 .64 10 27.9 .93 30 7.98 .38 21 25.07 25.07 1 46.34 6.62 7 17.6 4.4 4 400 400 1 4790 4790 1 400 400 1 Total: 39422.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418444 Min 01418444 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 4131 of 6486
Name
AME SAHOO Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 Total: 472
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418445 Min 01418445 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 9 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4132 of 6486
Name
G K CHAKRAVARTTY Rate Amount Qty 26.7 .89 30 27.9 .93 30 8.1 .27 30 19.8 .66 30 192.3 6.41 30 21.3 .71 30 60.9 2.03 30 400 400 1 1750 1750 1 400 400 1 17.4 1.16 15 400 400 1 Total: 3324.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418453 Min 01418453 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 09-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 09-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 09-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 4 09-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 4133 of 6486
Name
B KOTESHWAR RAO Rate Amount Qty 79.2 2.64 30 5.28 .66 8 15.3 .51 30 5.89 265.05 45 73.5 2.45 30 400 400 1 Total: 838.33
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418455 Min 01418455 Appmt Dt Slno Description 07-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4134 of 6486
BIKASH CHANDRA SARKAR Qty Rate Amount 1 25.07 25.07 1 400 400 30 .93 27.9 1 400 400 Total: 852.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418461 Min 01418461 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 OBSERVATION IN CASUALTY 8 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 17-FEB-19 ECG 10 17-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 11 17-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 17-FEB-19
Page 4135 of 6486
Name
VINOD KUMAR SAO Rate Amount Qty 12 .4 30 10.8 .36 30 167.4 5.58 30 78 1.3 60 13.95 .93 15 7.5 .25 30 400 400 1 420 420 1 .89 .89 1 450 450 1 9.62 9.62 1 1.08 1.08 1 Total: 1571.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418462 Min 01418462 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4136 of 6486
Name
CHANDRA CHAKORI SAO Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418463 Min 01418463 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 4137 of 6486
Name
MOTIM Rate Amount Qty 54 .6 90 32.4 .36 90 12 .4 30 32.4 1.08 30 21.3 .71 30 55.8 .93 60 400 400 1 Total: 607.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418465 Min 01418465 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 19-FEB-19 C T HEAD PLAIN 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 19-FEB-19
Page 4138 of 6486
Name
SITA RAM Rate Amount Qty 8.9 .89 10 4.1 .41 10 66.2 6.62 10 5250 5250 1 8.1 .27 30 400 400 1 1.25 .25 5 36.3 1.21 30 Total: 5774.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418473 Min 01418473 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 4139 of 6486
Name
SHASHIKALA SINGH Rate Amount Qty 54 .6 90 55.8 .93 60 7.5 .25 30 14.85 .99 15 34.8 1.16 30 1.85 .37 5 400 400 1 Total: 568.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418475 Min 01418475 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4140 of 6486
Name
CHAMROO RAM Rate Amount Qty 117 1.3 90 18 .6 30 21.3 .71 30 211.8 3.53 60 55.8 .93 60 400 400 1 Total: 823.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418476 Min 01418476 Appmt Dt Slno Description 01-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4141 of 6486
Name
AKHTAR HUSSAIN Qty 1 1
Rate Amount 25.69 25.69 400 400 425.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418477 Min 01418477 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 4142 of 6486
Name
ASHIYA SULTAN Rate Amount Qty 8.71 8.71 1 16.8 1.12 15 7.7 .77 10 4.2 .7 6 400 400 1 Total: 437.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418478 Min 01418478 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 01-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 01-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 11 18-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 12 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 15 21-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 22-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 19 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 20 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 22 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 22-FEB-19
Page 4143 of 6486
Name
ROSHAN KUMAR CHANDRAKAR Rate Amount Qty 63.58 63.58 1 31.61 31.61 1 13.48 3.37 4 11.25 .75 15 13.43 13.43 1 400 400 1 7.5 .25 30 7.7 .77 10 20.55 1.37 15 400 400 1 19.77 19.77 1 25.69 25.69 1 2.46 .41 6 400 400 1 41.1 2.74 15 88.2 1.47 60 400 400 1 3.75 .25 15 47.85 3.19 15 9 .3 30 36 .6 60 23.7 .79 30 400 400 1 Total: 2466.62
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418479 Min 01418479 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 01-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 02-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 10 02-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 11 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 06-FEB-19 TAB,TRIMETHOPRIM80MG+SULPHAMETHOXAZ400MG 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 17 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 22 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 24 21-FEB-19 INHALANT,STRIP PACK,CAPSULE 25 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 26 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 28 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 29 21-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 30 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 31 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 33 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 34 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 35 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 36 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 37 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 22-FEB-19
Page 4144 of 6486
KRISHNA BAI Rate Amount Qty 26.7 .89 30 19.2 .64 30 7.5 .25 30 10.65 .71 15 77.22 8.58 9 400 400 1 275 275 1 400 400 1 275 275 1 37.04 37.04 1 650 650 1 400 400 1 6.9 .69 10 400 400 1 6.4 .64 10 400 400 1 92.05 18.41 5 6.4 .64 10 4.45 .89 5 400 400 1 400 400 1 275 275 1 275 275 1 10.95 .73 15 17 1.7 10 1.85 .37 5 8.9 .89 10 66.2 6.62 10 20.06 20.06 1 48.22 48.22 1 6.4 .64 10 400 400 1 54 .6 90 78 1.3 60 12 .4 30 7.5 .25 30 1.6 .16 10 400 400 1 Total: 5977.19
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418482 Min 01418482 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 7 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 28-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4145 of 6486
MOHD.KHIZAR HUSAIN Rate Amount Qty 12 .4 30 8.1 .27 30 33 1.1 30 21.3 .71 30 25.07 25.07 1 400 400 1 18.21 18.21 1 8.2 .41 20 26.7 .89 30 50.14 25.07 2 21.45 21.45 1 400 400 1 Total: 1024.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418483 Min 01418483 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 4146 of 6486
Name
SMT.SULTANA PARVEEN Rate Amount Qty 55.8 .93 60 16.2 .27 60 66 1.1 60 7.5 .25 30 400 400 1 Total: 545.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418488 Min 01418488 Appmt Dt Slno Description 26-FEB-19 1 DILTIAZEM 90 MG XL/XR,,TABLET 26-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 26-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4147 of 6486
Name
BHUNESHWER PRASAD YADAV Qty Rate Amount 15 3.95 59.25 30 .63 18.9 30 .71 21.3 1 400 400 Total: 499.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418489 Min 01418489 Slno Description Appmt Dt ALENDRONATE SODIUM,USP,70MG,,TABLET 1 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 4148 of 6486
Name
SARASWATI YADAV Rate Amount Qty 48.76 12.19 4 11.4 .38 30 55.8 .93 60 10.42 5.21 2 8.1 .27 30 38.76 3.23 12 400 400 1 Total: 573.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418491 Min 01418491 Appmt Dt Slno Description 14-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14-FEB-19 2 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 14-FEB-19 3 ESCITALOPRAM,10MG,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4149 of 6486
Name
KAKOLI BHADURI Qty Rate Amount 60 .16 9.6 60 5.37 322.2 45 1.85 83.25 1 400 400 Total: 815.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418494 Min 01418494 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 PRAZOSIN,2.5MG,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4150 of 6486
Name
SOMNATH GORE Rate Amount Qty 34.8 1.16 30 55.8 .93 60 78 1.3 60 14.85 .99 15 20.06 20.06 1 60.9 2.03 30 16.2 .27 60 400 400 1 Total: 680.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418496 Min 01418496 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 4151 of 6486
Name
SOM NATH SHARMA Rate Amount Qty 18 .6 30 21.3 .71 30 10.8 .36 30 12 .4 30 15.6 .26 60 66 1.1 60 55.8 .93 60 400 400 1 Total: 599.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418498 Min 01418498 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 4152 of 6486
Name
PRABHAT KUMAR SINGH Rate Amount Qty 104.4 1.74 60 26.7 .89 30 12.15 12.15 1 54 .9 60 400 400 1 Total: 597.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418502 Min 01418502 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 02-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 4153 of 6486
Name
LOONKARAN SAHU Rate Amount Qty 5.55 .37 15 100.71 100.71 1 54 .9 60 16.2 .18 90 400 400 1 27.9 .93 30 66 1.1 60 15.6 .26 60 400 400 1 Total: 1085.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418504 Min 01418504 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 13-FEB-19
Page 4154 of 6486
Name
BIRJU PRASAD Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 12 .4 30 55.8 .93 60 8.1 .27 30 14.85 .99 15 117 1.3 90 72 .6 120 400 400 1 Total: 746.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418505 Min 01418505 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 4155 of 6486
Name
SHEELA DEVI Rate Amount Qty 27 .9 30 36 .6 60 32.4 1.08 30 7.5 .25 30 26.7 .89 30 21.3 .71 30 400 400 1 Total: 550.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418508 Min 01418508 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4156 of 6486
Name
ATMA RAM BANJARE Rate Amount Qty 13.8 .23 60 55.8 .93 60 32.4 1.08 30 17.4 1.16 15 76.5 2.55 30 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418512 Min 01418512 Appmt Dt Slno Description 07-FEB-19 1 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 07-FEB-19 2 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 08-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4157 of 6486
Name
HARDIK KUMAR KURMI Qty Rate Amount 1 275 275 1 275 275 15 1.16 17.4 1 400 400 Total: 967.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418513 Min 01418513 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 4158 of 6486
Name
SULOCHANI BAI Rate Amount Qty 275 275 1 275 275 1 17.4 1.16 15 36 .6 60 167.4 5.58 30 27 .36 75 211.8 3.53 60 400 400 1 Total: 1409.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418515 Min 01418515 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4159 of 6486
Name
ASHA PATIL Qty 5 1 1
Rate Amount 1.85 .37 12.15 12.15 400 400 Total: 414
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418516 Min 01418516 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 PRAZOSIN,2.5MG,TABLET 3 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 4160 of 6486
Name
UDHO SINGH RAJPUT Rate Amount Qty 55.8 .93 60 12 .4 30 156 1.3 120 22.2 .37 60 43.96 43.96 1 26.7 .89 30 29.7 .99 30 34.8 1.16 30 400 400 1 Total: 781.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418518 Min 01418518 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4161 of 6486
Name
T R MALAGAR Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418519 Min 01418519 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 4162 of 6486
Name
SAROJNI MALAGAR Rate Amount Qty 55.8 .93 60 31.95 .71 45 27.9 .93 30 20.84 5.21 4 21.3 .71 30 400 400 1 Total: 557.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418520 Min 01418520 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 4163 of 6486
Name
SHYAM DIWALE Rate Amount Qty 12 .4 30 66 1.1 60 16.2 .36 45 36 .6 60 23.7 .79 30 400 400 1 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418521 Min 01418521 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4164 of 6486
Name
UJWALA DIWALE Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418524 Min 01418524 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 15-FEB-19 UREA (BUN /UR) 2 15-FEB-19 CREATININE /CRT 3 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 10 18-FEB-19 PRAZOSIN,2.5MG,TABLET 11 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 18-FEB-19 ECG 17 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 19-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 21 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 23 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 24 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 25 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 26 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 27-FEB-19
Page 4165 of 6486
Name
SUBHASH CHAND KURRE Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 21.6 .36 60 12 .4 30 32.4 1.08 30 211.8 3.53 60 156 1.3 120 8.1 .27 30 55.8 .93 60 54 .6 90 7.5 .25 30 400 400 1 450 450 1 400 400 1 275 275 1 275 275 1 9000 9000 1 400 400 1 44.16 1.84 24 19.77 19.77 1 6.42 2.14 3 24.45 24.45 1 400 400 1 Total: 15054
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418525 Min 01418525 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 15-FEB-19 UREA (BUN /UR) 4 15-FEB-19 CREATININE /CRT 5 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 15-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4166 of 6486
Name
SUNITA DEVI KURRE Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 55.2 .92 60 47.4 .79 60 72 .6 120 400 400 1 Total: 3374.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418528 Min 01418528 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 4167 of 6486
Name
NANDKUMAR SONI Rate Amount Qty 34.8 1.16 30 12 .4 30 13.95 .93 15 7.5 .25 30 400 400 1 Total: 468.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418530 Min 01418530 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 4168 of 6486
BABOO LAL Rate Amount Qty 25.07 25.07 1 13.49 13.49 1 400 400 1 72.6 1.21 60 29.7 .99 30 21.3 .71 30 8.1 .27 30 55.8 .93 60 2.4 .16 15 400 400 1 Total: 1028.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418531 Min 01418531 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4169 of 6486
Name
PURNIMA BAI Rate Amount Qty 3.84 .64 6 2.28 .38 6 66.2 6.62 10 2.22 .37 6 400 400 1 8.1 .27 30 1.85 .37 5 2.4 .16 15 13.95 .93 15 66 1.1 60 400 400 1 Total: 966.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418532 Min 01418532 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 4170 of 6486
Name
SATISH KUMAR CHOUBEY Rate Amount Qty 32.4 1.08 30 26.7 .89 30 2.4 .16 15 12 .4 30 21.3 .71 30 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418533 Min 01418533 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4171 of 6486
Name
SMT.ARCHANA CHOUBEY Rate Amount Qty 27.9 .93 30 21.3 .71 30 400 400 1 54 .6 90 21.3 .71 30 78 1.3 60 7.5 .25 30 21.6 .36 60 400 400 1 Total: 1031.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418538 Min 01418538 Appmt Dt Slno Description 22-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 22-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4172 of 6486
Name
HORI LAL RATRE Qty Rate Amount 30 .93 27.9 15 .99 14.85 30 .71 21.3 1 400 400 Total: 464.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418543 Min 01418543 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4173 of 6486
Name
JAMUNA DEVI Rate Amount Qty 27.6 .92 30 36 .6 60 7.5 .25 30 400 400 1 8.9 .89 10 13.7 1.37 10 2.5 .25 10 31.9 3.19 10 400 400 1 Total: 928.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418547 Min 01418547 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4174 of 6486
Name
FARAT ARA Rate Amount Qty 16.2 .27 60 55.8 .93 60 21.3 .71 30 72 .6 120 21.6 .36 60 66 1.1 60 400 400 1 Total: 652.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418548 Min 01418548 Slno Description Appmt Dt ECG 1 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 13-FEB-19 OBSERVATION IN CASUALTY 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 14-FEB-19
Page 4175 of 6486
Name
KUNDAN LAL RATHOD Rate Amount Qty 900 450 2 24.52 24.52 1 420 420 1 .89 .89 1 186.6 9.33 20 61.4 6.14 10 17.8 .89 20 123.53 123.53 1 Total: 1734.74
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418550 Min 01418550 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 18-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 5 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 28-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4176 of 6486
VIJAY SINGH Rate Amount Qty 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 400 400 1 18.21 18.21 1 3.7 .37 10 25.07 25.07 1 400 400 1 25.07 25.07 1 16.81 16.81 1 400 400 1 Total: 1342.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418566 Min 01418566 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 4177 of 6486
Name
VIKAS GANVEER Rate Amount Qty 55.8 .93 60 27.6 .92 30 72 .6 120 34.8 1.16 30 8.1 .27 30 33 1.1 30 400 400 1 Total: 631.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418570 Min 01418570 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CYCLOSPORIN,50MG,CAPSULE 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 27-FEB-19 CYCLOSPORIN,50MG,CAPSULE 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 4178 of 6486
Name
NAGESHWARLAL SHRIVASTAVA Rate Amount Qty 7.5 .25 30 26.7 .89 30 48.92 2935.2 60 36.3 1.21 30 15.6 1.04 15 18.6 .62 30 400 400 1 15.6 1.04 15 36.3 1.21 30 7.5 .25 30 26.7 .89 30 48.92 2935.2 60 400 400 1 Total: 6861.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418572 Min 01418572 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4179 of 6486
Name
DILLESWARI Qty Rate Amount 15 .89 13.35 30 .27 8.1 30 .93 27.9 1 400 400 Total: 449.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418575 Min 01418575 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 4180 of 6486
Name
DIGAMBAR LAL BHARGAVA Rate Amount Qty 185.7 6.19 30 6.4 .64 10 400 400 1 Total: 592.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418577 Min 01418577 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19
Page 4181 of 6486
Name
MOHANLAL DEKATE Rate Amount Qty 400 400 1 3.84 .64 6 12.15 12.15 1 42.12 2.34 18 21.12 3.52 6 1.92 .64 3 400 400 1 Total: 881.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418578 Min 01418578 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 28-FEB-19
Page 4182 of 6486
Name
SMT. SHANTA DEKATE Rate Amount Qty 111.6 .93 120 108 .6 180 400 400 1 3.84 .64 6 36 .3 120 Total: 659.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418580 Min 01418580 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 01-FEB-19 BLOOD FOR T-3,T-4,TSH 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 01-FEB-19
Page 4183 of 6486
Name
SHANAZ PARVEEN Rate Amount Qty 7.4 .37 20 41.06 41.06 1 2400 2400 1 400 400 1 12.81 12.81 1 Total: 2861.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418585 Min 01418585 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 4184 of 6486
Name
CHANDULAL Rate Amount Qty 23.7 .79 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 498.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418586 Min 01418586 Appmt Dt Slno Description 18-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 18-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 3 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4185 of 6486
Name
VASUNDHARA C CALEB Qty Rate Amount 30 .4 12 60 1.1 66 60 .37 22.2 1 400 400 Total: 500.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418589 Min 01418589 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 4186 of 6486
Name
KC DASH Rate Amount Qty 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 484.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418593 Min 01418593 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 4187 of 6486
Name
SARDAR SINGH Rate Amount Qty 78 1.3 60 32.4 1.08 30 30.6 .34 90 26.7 .89 30 10.8 .36 30 72.6 1.21 60 21.3 .71 30 27.9 .93 30 12 .4 30 400 400 1 Total: 712.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418596 Min 01418596 Slno Description Appmt Dt POTASSIUM CHLORIDE LIQUID,200ML, 1 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 05-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 3 05-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4188 of 6486
PADMA BAI Rate Amount Qty 45.98 45.98 1 25.07 25.07 1 20.29 20.29 1 21.4 2.14 10 400 400 1 Total: 512.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418601 Min 01418601 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 9 18-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 4189 of 6486
Name
BHUWANLAL KAHAR Rate Amount Qty 1.85 .37 5 3.2 .64 5 9 .9 10 3.35 .67 5 1.25 .25 5 10.64 2.66 4 4.45 .89 5 400 400 1 100.71 100.71 1 14.07 .67 21 12.6 .9 14 6.23 .89 7 400 400 1 9 .6 15 27.9 .93 30 3.75 .25 15 400 400 1 Total: 1408
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418602 Min 01418602 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 4190 of 6486
Name
USHA DEVI Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418603 Min 01418603 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4191 of 6486
Name
MICHAEL GREGORY CHARLIE Rate Amount Qty 42.6 .71 60 27.9 .93 30 400 400 1 Total: 470.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418604 Min 01418604 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 24-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 24-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 11 24-FEB-19 OBSERVATION IN CASUALTY 12 24-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 4192 of 6486
Name
SMT.PUSHPA M GREGORY Rate Amount Qty 16.2 .18 90 54 .9 60 26.7 .89 30 12.15 12.15 1 400 400 1 6.9 .23 30 21.3 .71 30 400 400 1 24.52 24.52 1 45.44 45.44 1 100 100 1 420 420 1 13.4 .67 20 70.2 2.34 30 400 400 1 Total: 2010.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418605 Min 01418605 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4193 of 6486
Name
NAVISH NIMONKER CHANDU Rate Amount Qty 70.2 2.34 30 12.8 .64 20 3.7 .37 10 23.7 .79 30 15 .25 60 20.84 5.21 4 54 .6 90 400 400 1 Total: 600.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418606 Min 01418606 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 4194 of 6486
Name
S CHANDU Rate Amount Qty 20.84 5.21 4 22.8 .38 60 400 400 1 Total: 443.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418609 Min 01418609 Appmt Dt Slno Description 02-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 02-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 02-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4195 of 6486
Name
MOHAN LAL DEWANGAN Qty Rate Amount 60 .37 22.2 60 .79 47.4 60 .93 55.8 1 400 400 Total: 525.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418610 Min 01418610 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 08-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 4196 of 6486
Name
DANESHWARI DEWANGAN Rate Amount Qty 189 2.1 90 46.8 .78 60 400 400 1 Total: 635.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418611 Min 01418611 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4197 of 6486
Name
AMBIKA PD Rate Amount Qty 17.4 1.16 15 12 .4 30 32.4 1.08 30 8.1 .27 30 400 400 1 8.1 .27 30 32.4 1.08 30 12 .4 30 21.3 .71 30 400 400 1 Total: 943.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418612 Min 01418612 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 27-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 4198 of 6486
Name
SATO BAI Rate Amount Qty 21.3 .71 30 10.42 5.21 2 7.65 .51 15 27.9 .93 30 22.2 .37 60 36 .6 60 9 .3 30 10.8 .36 30 400 400 1 Total: 545.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418613 Min 01418613 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 11-FEB-19 GUM ASTRINGENT PAINT 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 4199 of 6486
Name
NIRUP KUMAR PAL Rate Amount Qty 11.2 1.12 10 7.3 .73 10 8.9 .89 10 9.6 .64 15 55.2 1.84 30 31.54 31.54 1 400 400 1 Total: 523.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418619 Min 01418619 Appmt Dt Slno Description 06-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 06-FEB-19 2 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 4200 of 6486
Name
MANHARAN KUMAR SHARMA Qty Rate Amount 1 400 400 1 1750 1750 2150 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418621 Min 01418621 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 18-FEB-19 CREATININE /CRT 4 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 25-FEB-19 UREA (BUN /UR) 6 25-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 25-FEB-19 PLATELET COUNT 8 25-FEB-19 HB,TLC,DLC 9 25-FEB-19 PROTHROMBIN TIME (PT) 10 25-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 11 25-FEB-19 ABC TEST HIV 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19 X - RAY - SINGLE VIEW 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19
Page 4201 of 6486
Name
LALLU RAM Rate Amount Qty 400 400 1 1750 1750 1 6.4 .64 10 275 275 1 550 550 1 275 275 1 275 275 1 330 330 1 300 300 1 330 330 1 1000 1000 1 1250 1250 1 400 400 1 550 550 1 400 400 1 Total: 8091.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418624 Min 01418624 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4202 of 6486
Name
DHASHARI BAI Rate Amount Qty 6.4 .64 10 32.4 1.08 30 34.8 1.16 30 15.6 .26 60 55.8 .93 60 39 1.3 30 9 .3 30 18 .6 30 400 400 1 Total: 611
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418627 Min 01418627 Appmt Dt Slno Description 22-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4203 of 6486
Name
MAHESH TAMRAKAR Qty Rate Amount 90 .6 54 1 400 400 454 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418628 Min 01418628 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4204 of 6486
Name
SHAKUNTALA TAMRAKAR Rate Amount Qty 55.8 .93 60 26.7 .89 30 8.1 .27 30 4.8 .16 30 40.12 20.06 2 400 400 1 Total: 535.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418629 Min 01418629 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 4205 of 6486
Name
JETHU RAM SINHA Rate Amount Qty 16.2 .18 90 54 .9 60 400 400 1 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418631 Min 01418631 Appmt Dt Slno Description 12-FEB-19 1 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12-FEB-19 2 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 12-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4206 of 6486
Name
SUKHA RANJAN DAS Qty Rate Amount 1 12.81 12.81 1 31.61 31.61 20 .37 7.4 1 400 400 Total: 451.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418632 Min 01418632 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 12-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 7 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 4207 of 6486
Name
MINU DAS Rate Amount Qty 27.9 .93 30 21.3 .71 30 36 .6 60 10.8 .36 30 400 400 1 16.8 .42 40 62.8 3.14 20 123.8 6.19 20 17.8 .89 20 400 400 1 Total: 1117.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418633 Min 01418633 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 07-FEB-19 X - RAY - SINGLE VIEW 14 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 17 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 19-FEB-19
Page 4208 of 6486
Name
PURSHOTTAM KUMAR SAHU Rate Amount Qty 275 275 1 1300 1300 1 1300 1300 1 275 275 1 400 400 1 7.5 .25 30 22.05 1.47 15 21.3 .71 30 167.4 5.58 30 7.5 .25 30 54 .6 90 27.9 .93 30 10.8 .36 30 550 550 1 400 400 1 400 400 1 15.96 2.66 6 3.84 .64 6 1.48 .37 4 400 400 1 Total: 5639.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418637 Min 01418637 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 PRAZOSIN,2.5MG,TABLET 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4209 of 6486
Name
VISHNU DUTT PANDEY Rate Amount Qty 34.8 1.16 30 78 1.3 60 18 .3 60 36 .6 60 55.8 .93 60 29.7 .99 30 7.5 .25 30 400 400 1 Total: 659.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418638 Min 01418638 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 PRAZOSIN,2.5MG,TABLET 5 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 4210 of 6486
Name
SMT.KUSUM PANDEY Rate Amount Qty 191.4 3.19 60 7.5 .25 30 123.53 123.53 1 17.4 1.16 15 156 1.3 120 29.7 .99 30 117 1.3 90 55.8 .93 60 36 .6 60 21.6 .36 60 400 400 1 Total: 1155.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418641 Min 01418641 Slno Description Appmt Dt CREATININE /CRT 1 21-FEB-19 URIC ACID (UA /URATES /UR) 2 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 21-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 4 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 21-FEB-19 UREA (BUN /UR) 6 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 21-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 9 21-FEB-19
Page 4211 of 6486
Name
PURSHOTTAM SINGH VERMA Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 1610 1610 1 400 400 1 275 275 1 275 275 1 275 275 1 1000 1000 1 Total: 5685
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418642 Min 01418642 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 21-FEB-19 URIC ACID (UA /URATES /UR) 5 21-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 21-FEB-19
Page 4212 of 6486
Name
ASHA VERMA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 27.9 .93 30 21.3 .71 30 18 .6 30 27.4 1.37 20 123.8 6.19 20 17.8 .89 20 Total: 2761.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418645 Min 01418645 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 05-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 4213 of 6486
DHRU KUMAR Rate Amount Qty 43.96 43.96 1 167.4 5.58 30 36 .6 60 34.8 1.16 30 32.4 1.08 30 12.15 12.15 1 3.78 .18 21 12.6 .9 14 66.2 6.62 10 157.8 15.78 10 400 400 1 9 .9 10 15.73 15.73 1 400 400 1 Total: 1391.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418646 Min 01418646 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 8 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19
Page 4214 of 6486
CHAMPA BAI Rate Amount Qty 66.2 6.62 10 7.5 .25 30 26.7 .89 30 14.85 .99 15 27.9 .93 30 66 1.1 60 1.85 .37 5 48.22 48.22 1 13.7 1.37 10 185.7 6.19 30 6.4 .64 10 400 400 1 Total: 865.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418650 Min 01418650 Appmt Dt Slno Description 05-FEB-19 1 DRESSING SIMPLE 05-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4215 of 6486
Name
SMT.ANISA SHARIF Qty Rate Amount 5 300 1500 1 400 400 1900 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418651 Min 01418651 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4216 of 6486
Name
SHATRUHAN PRASAD Rate Amount Qty 12.6 .63 20 17.8 .89 20 29.2 .73 40 7.6 .38 20 20.84 5.21 4 400 400 1 Total: 488.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418653 Min 01418653 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 05-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4217 of 6486
Name
T.C.DASHRIYE Rate Amount Qty 21.3 .71 30 22.2 .37 60 155.7 5.19 30 32.4 1.08 30 400 400 1 Total: 631.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418654 Min 01418654 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 PRAZOSIN,2.5MG,TABLET 3 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 4218 of 6486
Name
PHULVANTA BAI Rate Amount Qty 29.7 .99 30 21.3 .71 30 39 1.3 30 72.6 1.21 60 16.2 .27 60 27 .36 75 36 .6 60 55.8 .93 60 400 400 1 Total: 697.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418655 Min 01418655 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 05-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 05-FEB-19 3 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 4 PARACETAMOL,STRIP PKT,500MG,TABLET
Page 4219 of 6486
PYARI BANSAL Qty Rate Amount 1 400 400 5 .38 1.9 1 15.73 15.73 10 .64 6.4 Total: 424.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418660 Min 01418660 Slno Description Appmt Dt HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 1 07-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 08-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 4220 of 6486
Name
SUMAN SHUKLA Rate Amount Qty 57.38 28.69 2 37.04 37.04 1 400 400 1 7.3 .73 10 35.2 3.52 10 17 1.7 10 3.7 .37 10 400 400 1 54 .6 90 10.8 .36 30 11.4 .38 30 400 400 1 Total: 1433.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418663 Min 01418663 Appmt Dt Slno Description 19-FEB-19 1 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4221 of 6486
Name
RANJANA MULEY Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418670 Min 01418670 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19
Page 4222 of 6486
Name
MEETA BOSE Rate Amount Qty 30.6 .34 90 32.4 1.08 30 12 .4 30 47.4 .79 60 34.8 1.16 30 36 .6 60 12 .4 30 66 1.1 60 400 400 1 55.8 .93 60 13.35 .89 15 400 400 1 Total: 1140.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418673 Min 01418673 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4223 of 6486
Name
MAHENDRA KUMAR SHARMA Rate Amount Qty 33 1.1 30 12 .4 30 69.6 1.16 60 18.9 .63 30 27.9 .93 30 400 400 1 Total: 561.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418674 Min 01418674 Appmt Dt Slno Description 26-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4224 of 6486
Name
SUNITA SHARMA Qty Rate Amount 60 1.1 66 15 .25 3.75 60 .93 55.8 1 400 400 Total: 525.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418676 Min 01418676 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 4225 of 6486
Name
CHHEDILAL Rate Amount Qty 11.2 1.12 10 60.9 2.03 30 34.8 1.16 30 12 .4 30 66 1.1 60 8.1 .27 30 55.8 .93 60 39 1.3 30 36 .6 60 32.4 .36 90 35.2 3.52 10 7.5 .25 30 400 400 1 Total: 798.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418677 Min 01418677 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 4226 of 6486
Name
MALTI DEVI Rate Amount Qty 8.1 .27 30 27.9 .93 30 117 1.3 90 7.5 .25 30 10.8 .36 30 34.8 1.16 30 18 .6 30 400 400 1 Total: 624.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418682 Min 01418682 Appmt Dt Slno Description 27-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 27-FEB-19 2 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 27-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4227 of 6486
Name
K F PAUL Qty 3 6 9 1
Rate Amount 2.6 7.8 .73 4.38 1.84 16.56 400 400 Total: 428.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418686 Min 01418686 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 02-FEB-19 CREATININE /CRT 5 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 13 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 07-FEB-19 URIC ACID (UA /URATES /UR) 18 07-FEB-19 CREATININE /CRT 19 07-FEB-19 UREA (BUN /UR) 20 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 21 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 07-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 23 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 24 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 25 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 13-FEB-19
Page 4228 of 6486
Name
BISWANATH DAS Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 167.4 5.58 30 27.9 .93 30 192.3 6.41 30 60.9 2.03 30 23.1 .77 30 7.5 .25 30 9.9 .66 15 20.84 5.21 4 400 400 1 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 39.6 .66 60 156.6 1.74 90 17.4 .58 30 400 400 1 Total: 7673.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418687 Min 01418687 Slno Description Appmt Dt UREA (BUN /UR) 1 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19 URIC ACID (UA /URATES /UR) 8 02-FEB-19 PRAZOSIN,2.5MG,TABLET 9 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 07-FEB-19 URIC ACID (UA /URATES /UR) 11 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 14 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 18 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 19 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 07-FEB-19
Page 4229 of 6486
Name
PRATIVA DAS Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 234 1.3 180 550 550 1 275 275 1 275 275 1 78 1.3 60 18.9 .63 30 32.4 1.08 30 21.3 .71 30 1300 1300 1 22.2 .37 60 72.6 1.21 60 400 400 1 275 275 1 Total: 7179.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418688 Min 01418688 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4230 of 6486
Name
V.S. SIVA RAMA KRISHNA Rate Amount Qty 76.5 2.55 30 18 .6 30 27.9 .93 30 400 400 1 55.2 1.84 30 4.45 .89 5 9.6 .64 15 16.8 1.12 15 400 400 1 Total: 1008.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418689 Min 01418689 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 08-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 08-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 3 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 4231 of 6486
Name
VVL KAMESHWARI Rate Amount Qty 66.2 6.62 10 17 1.7 10 28.7 5.74 5 8.9 .89 10 3.84 .64 6 400 400 1 Total: 524.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418690 Min 01418690 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 11 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19
Page 4232 of 6486
Name
BISHELAL Rate Amount Qty 7.5 .25 30 100.71 100.71 1 12.15 12.15 1 26.7 .89 30 54 .9 60 400 400 1 32.4 1.08 30 12 .4 30 34.8 1.16 30 13.8 .23 60 7.8 .26 30 9.9 .66 15 400 400 1 Total: 1111.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418691 Min 01418691 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4233 of 6486
Name
BUDHWANTIN BAI Qty 7 1 1
Rate Amount 1.75 .25 13.49 13.49 400 400 Total: 415.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418692 Min 01418692 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 4234 of 6486
Name
CSK MISHRA Rate Amount Qty 12 .4 30 150.9 5.03 30 21.3 .71 30 18.9 .63 30 8.1 .27 30 400 400 1 Total: 611.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418693 Min 01418693 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 06-FEB-19 X - RAY - SINGLE VIEW 5 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 06-FEB-19 URIC ACID (UA /URATES /UR) 7 07-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 07-FEB-19 HB,TLC,DLC 10 07-FEB-19 PLATELET COUNT 11 07-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 12 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 07-FEB-19 CREATININE /CRT 15 07-FEB-19 UREA (BUN /UR) 16 07-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 17 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 18 27-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 19 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 21 27-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 22 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 27-FEB-19
Page 4235 of 6486
SHUBHRA MISHRA Rate Amount Qty 6.4 .64 10 2.59 .37 7 15.13 .89 17 15.73 15.73 1 550 550 1 400 400 1 275 275 1 1300 1300 1 400 400 1 300 300 1 330 330 1 550 550 1 275 275 1 1300 1300 1 275 275 1 275 275 1 330 330 1 25.62 12.81 2 63.22 31.61 2 11.1 .37 30 9.86 9.86 1 10.11 3.37 3 400 400 1 Total: 7119.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418698 Min 01418698 Appmt Dt Slno Description 16-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4236 of 6486
Name
VIMAL KUMAR Qty Rate Amount 20 .16 3.2 1 400 400 403.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418700 Min 01418700 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4237 of 6486
Name
TILAK DHARAMDAS HEDAOO Qty Rate Amount 30 1.16 34.8 30 1.08 32.4 30 .4 12 1 400 400 Total: 479.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418704 Min 01418704 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 4238 of 6486
Name
BAINAPALLI BHEEMA RAO Rate Amount Qty 10.8 .36 30 3.75 .25 15 66 1.1 60 32.4 1.08 30 54 .6 90 400 400 1 Total: 566.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418705 Min 01418705 Slno Description Appmt Dt DICLOFENAC SODIUM,25MG/ML,INJECTION 1 13-FEB-19 OBSERVATION IN CASUALTY 2 13-FEB-19 ECG 3 13-FEB-19
Page 4239 of 6486
Name
LALITA PARETA Qty 1 1 1
Rate Amount 5.77 5.77 420 420 450 450 Total: 875.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418706 Min 01418706 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 4240 of 6486
Name
NARENDRA KUMAR SAHU Rate Amount Qty 7.5 .25 30 18.9 .63 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 490.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418722 Min 01418722 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 07-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 6 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 4241 of 6486
KN SAROJINI Rate Amount Qty 25.07 25.07 1 55.8 .93 60 25.62 12.81 2 7.4 .37 20 63.58 63.58 1 41.06 41.06 1 31.61 31.61 1 400 400 1 Total: 650.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418724 Min 01418724 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 4242 of 6486
Name
MOTILAL KORI Rate Amount Qty 12 .4 30 23.7 .79 30 7.5 .25 30 18 .6 30 10.8 .36 30 66 1.1 60 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 591.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418725 Min 01418725 Appmt Dt Slno Description 05-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 2 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 05-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4243 of 6486
Name
RAJ KALI Qty Rate Amount 30 .71 21.3 30 .26 7.8 30 1.08 32.4 1 400 400 Total: 461.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418728 Min 01418728 Appmt Dt Slno Description 05-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 05-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4244 of 6486
Name
MAHESH CHANDRA PRAJAPATI Qty Rate Amount 4 .37 1.48 8 .38 3.04 8 .64 5.12 1 400 400 Total: 409.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418729 Min 01418729 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4245 of 6486
Name
SUMAN PRAJAPATI Rate Amount Qty 11.4 .38 30 8.1 .27 30 400 400 1 Total: 419.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418732 Min 01418732 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 GUM ANALGESIC GEL 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4246 of 6486
Name
NALINI BURADE Rate Amount Qty 10.42 5.21 2 185.7 6.19 30 7.5 .25 30 21.3 .71 30 12 .4 30 57.38 28.69 2 400 400 1 Total: 694.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418734 Min 01418734 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 9 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 05-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 11 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 19 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 21 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 23 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 11-FEB-19
Page 4247 of 6486
CHHABI RAM SAHU Rate Amount Qty 26.7 .89 30 54 .9 60 24.3 12.15 2 400 400 1 26.6 2.66 10 1.85 .37 5 7.7 .77 10 15.73 15.73 1 17 1.7 10 11.4 .38 30 22.5 .75 30 25.2 .42 60 15 .25 60 400 400 1 21.12 3.52 6 3.84 .64 6 1.48 .37 4 400 400 1 17.4 .58 30 55.8 .93 60 60.9 2.03 30 13.35 .89 15 54 .9 60 400 400 1 Total: 2075.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418735 Min 01418735 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 4248 of 6486
Name
SHAKUNTALA SAHU Rate Amount Qty 47.1 3.14 15 185.7 6.19 30 7.5 .25 30 18.9 .63 30 400 400 1 8.1 .27 30 66 1.1 60 14.85 .99 15 400 400 1 Total: 1148.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418736 Min 01418736 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 4249 of 6486
Name
BIMAL CHAKRABORTY Rate Amount Qty 167.4 5.58 30 16.2 .36 45 54 .6 90 211.8 3.53 60 18.9 .63 30 17.8 .89 20 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 1009.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418739 Min 01418739 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4250 of 6486
Name
CHAMPA BAI Rate Amount Qty 4.1 .41 10 8.9 .89 10 10.8 .36 30 167.4 5.58 30 94.8 1.58 60 54 .6 90 7.5 .25 30 400 400 1 Total: 747.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418748 Min 01418748 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 4251 of 6486
Name
RAJESH SUNIL SOLOMON Rate Amount Qty 55.8 .93 60 66 1.1 60 23.7 .79 30 167.4 5.58 30 72 .6 120 21.6 .36 60 13.35 .89 15 21.3 .71 30 12 .4 30 29.7 .99 30 400 400 1 Total: 882.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418749 Min 01418749 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4252 of 6486
Name
ABHA SOLOMON Rate Amount Qty 55.8 .93 60 7.5 .25 30 16.2 .27 60 33 1.1 30 34.8 1.16 30 32.4 1.08 30 4.8 .16 30 400 400 1 Total: 584.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418752 Min 01418752 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 4253 of 6486
Name
CS SANJEEVAN Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 21.3 .71 30 23.7 .79 30 36 .6 60 27.9 .62 45 400 400 1 Total: 762.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418753 Min 01418753 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 4254 of 6486
Name
VIMALA SANJEEVAN Rate Amount Qty 55.8 .93 60 39 1.3 30 54 .6 90 29.7 .99 30 400 400 1 Total: 578.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418755 Min 01418755 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4255 of 6486
HARAMMA Rate Amount Qty 6.4 .64 10 6.82 6.82 1 4.45 .89 5 1.85 .37 5 66.2 6.62 10 25.07 25.07 1 400 400 1 Total: 510.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418757 Min 01418757 Appmt Dt Slno Description 27-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 27-FEB-19 2 SULPHASALAZINE,500 MG,STRIP PACK,TABLET 27-FEB-19 3 AZATHIOPRINE,STRIP PKT,50MG,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4256 of 6486
Name
LALITA PANDEY Qty Rate Amount 30 .38 11.4 60 3.27 196.2 60 3.38 202.8 1 400 400 Total: 810.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418759 Min 01418759 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 20-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 11 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 12 28-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 13 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 4257 of 6486
Name
NAND KUMARI Rate Amount Qty 2.22 .37 6 14.85 .99 15 3.84 .64 6 8.1 .27 30 400 400 1 8.9 .89 10 6.4 .64 10 2.5 .25 10 400 400 1 13.35 .89 15 47.1 3.14 15 9.86 9.86 1 96 9.6 10 1.11 .37 3 3.75 .25 15 400 400 1 Total: 1417.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418761 Min 01418761 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 4258 of 6486
Name
.JAYSHREE DEWANGAN Rate Amount Qty 3.84 .64 6 2.28 .38 6 1.85 .37 5 400 400 1 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 Total: 815.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418766 Min 01418766 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 26-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 26-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 6 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4259 of 6486
Name
JAI PRAKASH YADAV Rate Amount Qty 12 .4 30 18.9 .63 30 400 400 1 35.2 17.6 2 26.96 3.37 8 63.58 63.58 1 7.4 .37 20 400 400 1 Total: 964.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418767 Min 01418767 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 8 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4260 of 6486
Name
LALTI DEVI Rate Amount Qty 9 .6 15 66 1.1 60 66 1.1 60 9 .6 15 27.9 .93 30 400 400 1 3.2 .64 5 28.08 2.34 12 1.48 .37 4 400 400 1 Total: 1010.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418768 Min 01418768 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4261 of 6486
Name
DEW SHARAN SAHU Rate Amount Qty 12 .4 30 9 .3 30 36 .6 60 167.4 5.58 30 21.3 .71 30 400 400 1 Total: 645.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418770 Min 01418770 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 4262 of 6486
Name
VINOD KUMAR SHAIL Rate Amount Qty 2.22 .37 6 21.28 2.66 8 400 400 1 1.85 .37 5 1.9 .38 5 3.85 .77 5 400 400 1 Total: 831.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418771 Min 01418771 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 5 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4263 of 6486
Name
ANURADHA SHAIL Rate Amount Qty 18.6 .62 30 7.5 .25 30 55.8 .93 60 21.3 .71 30 847.2 7.06 120 317.7 3.53 90 29.7 .99 30 400 400 1 21.3 .71 30 400 400 1 Total: 2119.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418778 Min 01418778 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4264 of 6486
Name
RAMBALI YADAV Rate Amount Qty 12 .4 30 29.7 .99 30 21.3 .71 30 16.2 .27 60 55.8 .93 60 36 .6 60 20.06 20.06 1 400 400 1 Total: 591.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418780 Min 01418780 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 4265 of 6486
Name
BHANU PRASAD SHARMA Rate Amount Qty 87.92 43.96 2 82.76 165.52 2 400 400 1 21.3 .71 30 .96 .16 6 8.1 .27 30 400 400 1 Total: 1083.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418781 Min 01418781 Slno Description Appmt Dt CREATININE /CRT 1 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 4266 of 6486
Name
URVASHI DEVI Rate Amount Qty 275 275 1 25.62 12.81 2 1300 1300 1 400 400 1 275 275 1 275 275 1 21.6 .36 60 39 1.3 30 72 .6 120 21.3 .71 30 400 400 1 Total: 3104.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418782 Min 01418782 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 19-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 4267 of 6486
Name
GIRDHAR LAL SAHU Rate Amount Qty 54 .9 60 100.71 100.71 1 8.9 .89 10 .8 .16 5 7.5 .25 30 6.9 .23 30 9 .6 15 400 400 1 Total: 587.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418783 Min 01418783 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 11-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 3 11-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 11-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 11-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 4268 of 6486
Name
ANUSUYA SAHU Rate Amount Qty 26.7 .89 30 4.8 .16 30 24.38 12.19 2 51.68 3.23 16 4.56 .38 12 83.4 2.78 30 23.45 .67 35 10.42 5.21 2 400 400 1 Total: 629.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418792 Min 01418792 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 4269 of 6486
Name
SHAMINA KHANAM Rate Amount Qty 8.1 .27 30 27.9 .93 30 17.4 1.16 15 12 .4 30 400 400 1 Total: 465.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418794 Min 01418794 Slno Description Appmt Dt ECG 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 02-FEB-19 X - RAY - SINGLE VIEW 6 02-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 26-FEB-19 SUTURE REMOVAL 18 26-FEB-19
Page 4270 of 6486
Name
NIRANJAN ROY Rate Amount Qty 450 450 1 400 400 1 1.85 .37 5 400 400 1 26.6 2.66 10 550 550 1 5 .25 20 400 400 1 32.4 1.08 30 123.53 247.06 2 7.5 .25 30 27 .9 30 27.9 .93 30 21.3 .71 30 12 .4 30 400 400 1 400 400 1 490 490 1 Total: 3898.61
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418800 Min 01418800 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 11 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 14-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 15 14-FEB-19 BUDESONIDE,200MCG,CAPSULE 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19
Page 4271 of 6486
SHRIKANT KULKARNI Rate Amount Qty 55.8 .93 60 54 .9 60 156 1.3 120 72 .6 120 21.6 .36 60 334.8 5.58 60 21.3 .71 30 211.8 3.53 60 26.7 .89 30 400 400 1 100.71 100.71 1 53.4 .89 60 15.73 15.73 1 12.15 12.15 1 39.6 .66 60 156.6 1.74 90 400 400 1 Total: 2132.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418801 Min 01418801 Slno Description Appmt Dt CARBAMAZEPINE,STRIP PKT,200MG,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 4272 of 6486
Name
VANDANA KULKARNI Rate Amount Qty 132.3 1.47 90 12 .4 30 15.6 .26 60 54 .6 90 21.3 .71 30 55.8 .93 60 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 758.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418805 Min 01418805 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 4273 of 6486
Name
PV RAGHAVENDRA RAO Rate Amount Qty 72 .6 120 55.2 .92 60 167.4 5.58 30 21.3 .71 30 78 1.3 60 12 .4 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 840.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418806 Min 01418806 Slno Description Appmt Dt UREA (BUN /UR) 1 18-FEB-19 URIC ACID (UA /URATES /UR) 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 PRAZOSIN,2.5MG,TABLET 7 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 8 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 10 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 4274 of 6486
Name
SMT.PV UMA RAO Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 21.3 .71 30 78 1.3 60 31.2 1.04 30 76.5 2.55 30 18.9 .63 30 39 1.3 30 11.4 .38 30 32.4 1.08 30 26.7 .89 30 55.8 .93 60 400 400 1 Total: 2291.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418811 Min 01418811 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 11-FEB-19
Page 4275 of 6486
Name
RAJARAM Rate Amount Qty 10.8 .36 30 78 1.3 60 400 400 1 23.7 .79 30 36 .6 60 34.8 1.16 30 400 400 1 Total: 983.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418822 Min 01418822 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 7 14-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 4276 of 6486
Name
B.K.CHAKRABORTY Rate Amount Qty 30.6 .34 90 32.4 1.08 30 44.1 1.47 30 47.4 .79 60 33 1.1 30 4.45 .89 5 57.84 57.84 1 6.7 .67 10 3.7 .37 10 26.7 .89 30 185.7 6.19 30 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 966.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418824 Min 01418824 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 21-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4277 of 6486
Name
RD PRASAD Rate Amount Qty 20.84 5.21 4 23.7 .79 30 32.4 1.08 30 118.5 3.95 30 12 .4 30 21.3 .71 30 400 400 1 57.84 115.68 2 25.62 12.81 2 400 400 1 Total: 1170.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418825 Min 01418825 Appmt Dt Slno Description 18-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 18-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 18-FEB-19 3 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4278 of 6486
Name
UMA PRASAD Qty Rate Amount 4 5.21 20.84 30 .38 11.4 30 .93 27.9 1 400 400 Total: 460.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418826 Min 01418826 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 28-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 28-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4279 of 6486
Name
RAJU KV Rate Amount Qty 9 .9 10 4.8 .6 8 6.7 .67 10 44.16 1.84 24 7.68 .64 12 12.15 12.15 1 1.3 .26 5 400 400 1 Total: 485.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418827 Min 01418827 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 10-FEB-19 ECG 2 10-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 10-FEB-19 URINE ACETONE 4 10-FEB-19 FUROSEMIDE,20MG/2ML,INJECTION 5 10-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 10-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 11-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 11 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 11-FEB-19
Page 4280 of 6486
Name
K RAJESWARI Rate Amount Qty 420 420 1 450 450 1 9.62 9.62 1 165 165 1 5.21 5.21 1 .27 .27 1 21.3 .71 30 55.8 .93 60 33 1.1 30 7.5 .25 30 12.3 .41 30 8.1 .27 30 36 .6 60 Total: 1224.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418828 Min 01418828 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 21-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 15 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 16 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 17 21-FEB-19
Page 4281 of 6486
Name
SHRAWANLAL BAHEKAR Rate Amount Qty 1.48 .37 4 167.4 5.58 30 54 .6 90 3.84 .64 6 15.96 2.66 6 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 27.9 .93 30 8.1 .27 30 12 .4 30 400 400 1 400 400 1 1750 1750 1 1610 1610 1 192.3 6.41 30 60.9 2.03 30 Total: 4991.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418829 Min 01418829 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 26-FEB-19 ECG 8 26-FEB-19 OBSERVATION IN CASUALTY 9 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 26-FEB-19 DICLOFENAC SODIUM SR,100MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4282 of 6486
Name
GITA DAVI BAHEKAR Rate Amount Qty 16.5 1.1 15 8.1 .27 30 21.3 .71 30 20.06 20.06 1 400 400 1 .16 .16 1 24.52 24.52 1 450 450 1 420 420 1 4.1 .41 10 .41 .41 1 400 400 1 Total: 1765.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418830 Min 01418830 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 01-FEB-19 MOXONIDIN 0.2MG,,TABLET 15 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 17 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 18 13-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 19 13-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 20 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 24 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 25 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 26 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 19-FEB-19
Page 4283 of 6486
Name
CHANDRA KANTA NAIK Rate Amount Qty 7.65 .51 15 55.8 .93 60 53.4 .89 60 21.3 .71 30 2.4 .16 15 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 66 1.1 60 15.6 .26 60 47.4 .79 60 21.6 .36 60 211.8 3.53 60 400 400 1 11.25 .75 15 35.2 17.6 2 41.06 41.06 1 74.08 37.04 2 18.6 .62 30 400 400 1 55.8 .93 60 18 .6 30 9.45 .63 15 34.8 1.16 30 400 400 1 Total: 2333.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418831 Min 01418831 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4284 of 6486
Name
BHUSHAN LAL NAIK Rate Amount Qty 21.6 .36 60 72 .6 120 16.2 .27 60 12 .4 30 9.9 .66 15 21.3 .71 30 400 400 1 Total: 553
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418837 Min 01418837 Appmt Dt Slno Description 14-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4285 of 6486
Name
MANGALIN BAI Qty Rate Amount 30 .6 18 10 .64 6.4 30 .25 7.5 1 400 400 Total: 431.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418838 Min 01418838 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 URIC ACID (UA /URATES /UR) 6 18-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 7 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 18-FEB-19 CREATININE /CRT 10 18-FEB-19 UREA (BUN /UR) 11 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 13 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19
Page 4286 of 6486
ELSEY CHACKO Rate Amount Qty 4.45 .89 5 15.73 15.73 1 13.95 .93 15 26.6 2.66 10 400 400 1 275 275 1 650 650 1 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1750 1750 1 275 275 1 21.3 .71 30 400 400 1 Total: 5607.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418841 Min 01418841 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 08-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 4287 of 6486
Name
BASANT KUMARI Rate Amount Qty 4.45 .89 5 13.4 .67 20 13.4 .67 20 9 .9 10 4.45 .89 5 5.2 1.04 5 5.2 1.04 5 12.15 12.15 1 9 .9 10 400 400 1 Total: 476.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418845 Min 01418845 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 4288 of 6486
Name
PRAMILA BAI Rate Amount Qty 21.3 .71 30 8.1 .27 30 66 1.1 60 32.4 1.08 30 400 400 1 Total: 527.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418846 Min 01418846 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 09-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19
Page 4289 of 6486
Name
SINGH DB Rate Amount Qty 7.5 .25 30 21.3 .71 30 32.4 1.08 30 7.65 .51 15 76.5 2.55 30 22.2 .37 60 60.9 2.03 30 167.4 5.58 30 72 .6 120 43.2 .36 120 12 .4 30 400 400 1 Total: 923.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418847 Min 01418847 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4290 of 6486
Name
SMT.VIMALA SINGH Rate Amount Qty 27.9 .93 30 26.7 .89 30 29.7 .99 30 55.8 .93 60 36 .6 60 18.6 .62 30 400 400 1 Total: 594.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418852 Min 01418852 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4291 of 6486
Name
RINKU PATRO Rate Amount Qty 21.3 .71 30 12 .4 30 2.4 .16 15 27.9 .93 30 14.85 .99 15 400 400 1 Total: 478.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418853 Min 01418853 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 26-FEB-19 CREATININE /CRT 4 26-FEB-19 URIC ACID (UA /URATES /UR) 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 26-FEB-19 UREA (BUN /UR) 13 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 16 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 24 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 28-FEB-19
Page 4292 of 6486
Name
SIVAPRASAD T Rate Amount Qty 1300 1300 1 550 550 1 20.06 20.06 1 275 275 1 275 275 1 72 .6 120 7.5 .25 30 21.3 .71 30 60.9 2.03 30 167.4 5.58 30 27.9 .93 30 26.7 .89 30 275 275 1 275 275 1 275 275 1 1750 1750 1 400 400 1 60.9 2.03 30 167.4 5.58 30 21.3 .71 30 7.5 .25 30 72 .6 120 27.9 .93 30 78 1.3 60 26.7 .89 30 400 400 1 Total: 6640.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418854 Min 01418854 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 4293 of 6486
Name
T V S LALITHA Rate Amount Qty 74.4 .62 120 71 .71 100 400 400 1 Total: 545.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418857 Min 01418857 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 TAB,TRIMETHOPRIM80MG+SULPHAMETHOXAZ400MG 3 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 12-FEB-19 GUM ANALGESIC GEL 5 12-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 12-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 7 12-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 4294 of 6486
GS SANGAR Rate Amount Qty 26 2.6 10 6.4 .64 10 6.9 .69 10 16.8 1.12 15 28.69 28.69 1 7 .7 10 17.37 17.37 1 34.84 8.71 4 400 400 1 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418858 Min 01418858 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 4295 of 6486
Name
MANDEEP KAUR Rate Amount Qty 21.3 .71 30 27.9 .93 30 12.8 .64 20 33.6 1.12 30 3.7 .37 10 400 400 1 Total: 499.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418866 Min 01418866 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 4296 of 6486
Name
PK BANGA Rate Amount Qty 192.3 6.41 30 32.4 1.08 30 60.9 2.03 30 22.2 .37 60 15.6 .26 60 21.3 .71 30 211.8 3.53 60 400 400 1 Total: 956.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418869 Min 01418869 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 23-FEB-19 URIC ACID (UA /URATES /UR) 3 23-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 26-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4297 of 6486
JAYANTI KUNDU Rate Amount Qty 860 860 1 400 400 1 275 275 1 25.69 25.69 1 50.14 25.07 2 400 400 1 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 400 400 1 17.8 .89 20 247.6 6.19 40 62.8 3.14 20 400 400 1 Total: 3193.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418875 Min 01418875 Appmt Dt Slno Description 20-FEB-19 1 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 20-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4298 of 6486
Name
A JAGANNADHAM Qty Rate Amount 60 1.47 88.2 30 .93 27.9 90 .6 54 1 400 400 Total: 570.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418878 Min 01418878 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 08-FEB-19 URIC ACID (UA /URATES /UR) 11 08-FEB-19 CREATININE /CRT 12 08-FEB-19 UREA (BUN /UR) 13 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 08-FEB-19
Page 4299 of 6486
Name
SWAPNA SARKAR Rate Amount Qty 5.21 5.21 1 8.9 .89 10 400 400 1 27.9 .62 45 7.8 .26 30 21.3 .71 30 12 .4 30 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3708.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418879 Min 01418879 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4300 of 6486
Name
PRAKASH CHANDRA AGRAWAL Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 36.3 1.21 30 8.1 .27 30 17.37 17.37 1 400 400 1 Total: 714.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418880 Min 01418880 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4301 of 6486
Name
MAMTA AGRAWAL Qty Rate Amount 30 .93 27.9 30 .93 27.9 30 .62 18.6 1 400 400 Total: 474.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418881 Min 01418881 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 27-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 27-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4302 of 6486
Name
THOMAS DUNG DUNG Rate Amount Qty 5.55 .37 15 20.22 3.37 6 19.72 9.86 2 13.43 13.43 1 400 400 1 Total: 458.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418882 Min 01418882 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 27-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4303 of 6486
Name
EMELDA DUNG DUNG Rate Amount Qty 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 12.81 12.81 1 400 400 1 Total: 466.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418883 Min 01418883 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 13-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 13-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 4304 of 6486
Name
DEEDAR SINGH Rate Amount Qty 9.6 .64 15 185.7 6.19 30 7.5 .25 30 11.1 .37 30 25.62 12.81 2 11.25 .75 15 400 400 1 Total: 650.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418884 Min 01418884 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 4305 of 6486
Name
N P CHANDRAKAR Rate Amount Qty 33 1.1 30 1.48 .37 4 34.8 1.16 30 55.8 .93 60 36 .6 60 10.8 .36 30 400 400 1 Total: 571.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418885 Min 01418885 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 4306 of 6486
Name
SMT.GITA BAI CHANDRAKAR Rate Amount Qty 8.1 .27 30 36 .6 60 55.8 .93 60 21.3 .71 30 400 400 1 Total: 521.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418892 Min 01418892 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4307 of 6486
Name
VIDYAKAR UPADHYAY Rate Amount Qty 11.85 .79 15 72 .6 120 16.5 1.1 15 17.4 1.16 15 12 .4 30 400 400 1 Total: 529.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418893 Min 01418893 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 4308 of 6486
Name
TARA UPADHYAY Rate Amount Qty 27.9 .93 30 73.8 .82 90 400 400 1 13.7 1.37 10 123.8 6.19 20 8.9 .89 10 400 400 1 Total: 1048.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418906 Min 01418906 Appmt Dt Slno Description 11-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 11-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11-FEB-19 3 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4309 of 6486
DEORAJ DESHMUKH Qty Rate Amount 6 .64 3.84 1 15.73 15.73 10 2.66 26.6 1 400 400 Total: 446.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418907 Min 01418907 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 06-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 4310 of 6486
Name
TUMESHWARI Qty 2 2 1
Rate Amount 40.58 20.29 67.16 33.58 400 400 Total: 507.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418908 Min 01418908 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4311 of 6486
Name
BHARAT LAL VERMA Rate Amount Qty 8.1 .27 30 66 1.1 60 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 564.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418911 Min 01418911 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 4312 of 6486
Name
BEHRE KISHORE KUMAR Rate Amount Qty 32.4 1.08 30 167.4 5.58 30 55.8 .93 60 54 .6 90 20.84 5.21 4 12 .4 30 36.3 1.21 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 821.04
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418912 Min 01418912 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 04-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 4313 of 6486
MEERA BEHRE Rate Amount Qty 33 1.1 30 21.3 .71 30 12 .4 30 7.5 .25 30 20.84 5.21 4 25.07 25.07 1 27.9 .93 30 18 .6 30 400 400 1 Total: 565.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418913 Min 01418913 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 22-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 22-FEB-19
Page 4314 of 6486
Name
LACHHI RAM Rate Amount Qty 60.9 2.03 30 400 400 1 22.8 .38 60 400 400 1 55.8 .93 60 43.2 .36 120 72 .6 120 47.4 .79 60 Total: 1102.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418914 Min 01418914 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 4315 of 6486
Name
SATWANTIN BAI Rate Amount Qty 72 .6 120 10.65 .71 15 23.7 .79 30 3.75 .25 15 1.48 .37 4 32.4 .36 90 400 400 1 185.7 6.19 30 7.5 .25 30 36 .6 60 10.8 .36 30 27.9 .93 30 13.7 1.37 10 400 400 1 Total: 1225.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418925 Min 01418925 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 23-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 2 23-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 3 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 23-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4316 of 6486
Name
J P MADHARIA Rate Amount Qty 44.16 1.84 24 280 280 1 4.8 .6 8 7.68 .64 12 400 400 1 19.8 .66 30 12.3 .41 30 400 400 1 Total: 1168.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418926 Min 01418926 Appmt Dt Slno Description 23-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4317 of 6486
Name
SMT KUMARI MADHARIA Qty Rate Amount 30 1.1 33 1 400 400 433 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418928 Min 01418928 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4318 of 6486
Name
ANGAN KUMAR MARIK Rate Amount Qty 72 .6 120 10.8 .36 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 532
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418929 Min 01418929 Appmt Dt Slno Description 28-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4319 of 6486
Name
KALPANA MARIK Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418934 Min 01418934 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 4320 of 6486
Name
NANDA SAH Qty 9 5 1
Rate Amount 10.08 1.12 1.25 .25 400 400 Total: 411.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418935 Min 01418935 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 14 19-FEB-19 CREATININE /CRT 15 19-FEB-19 UREA (BUN /UR) 16 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 20 20-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 21 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 25 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 26 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 27 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 28 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 29 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 30 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 31 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 26-FEB-19
Page 4321 of 6486
Name
SUCHCHA SINGH Rate Amount Qty 33 1.1 30 27.9 .93 30 21.3 .71 30 5.7 .38 15 36 .6 60 14.85 .99 15 10.8 .36 30 32.4 1.08 30 400 400 1 5.76 .64 9 33.12 1.84 18 10.08 1.12 9 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 20.16 1.12 18 2.46 .41 6 2.67 .89 3 400 400 1 3.75 .25 15 66 1.1 60 36 .6 60 10.8 .36 30 14.85 .99 15 27.9 .93 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 4119.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01418937 Min 01418937 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 6 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19 X - RAY - SINGLE VIEW 11 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 4322 of 6486
LIRDHANPRASAD CHOURASIA Rate Amount Qty 26.6 2.66 10 1.85 .37 5 6.4 .64 10 400 400 1 70.2 2.34 30 5.4 .18 30 15.73 15.73 1 3.7 .37 10 18 .9 20 400 400 1 550 550 1 400 400 1 25.2 .42 60 400 400 1 Total: 2323.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418938 Min 01418938 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4323 of 6486
Name
SUBHASINI CHOURASIA Rate Amount Qty .8 .16 5 2.5 .25 10 400 400 1 Total: 403.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418952 Min 01418952 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4324 of 6486
Name
VINOD KUMAR DIWAN Rate Amount Qty 7.5 .25 30 185.7 6.19 30 13.7 1.37 10 400 400 1 167.4 5.58 30 78 1.3 60 7.5 .25 30 36 .6 60 400 400 1 Total: 1295.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418953 Min 01418953 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19
Page 4325 of 6486
Name
RAJANI DIWAN Rate Amount Qty 550 550 1 400 400 1 26.7 .89 30 Total: 976.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418954 Min 01418954 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 PRAZOSIN,2.5MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 4326 of 6486
Name
REWA RAM Rate Amount Qty 34.8 1.16 30 39 1.3 30 12 .4 30 55.8 .93 60 42.6 .71 60 29.7 .99 30 400 400 1 Total: 613.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418958 Min 01418958 Appmt Dt Slno Description 14-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 14-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4327 of 6486
Name
GURAHU CHAUHAN Qty Rate Amount 30 1.1 33 15 1.16 17.4 30 1.08 32.4 1 400 400 Total: 482.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418962 Min 01418962 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 24-FEB-19 ECG 2 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 24-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 24-FEB-19 ECG 5 24-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 24-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 24-FEB-19
Page 4328 of 6486
Name
LALIT KISHORE PANDEY Rate Amount Qty 420 420 1 450 450 1 9.62 9.62 1 .26 .26 1 450 450 1 24.52 24.52 1 .16 .16 1 Total: 1354.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418966 Min 01418966 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 4329 of 6486
Name
PK PANDEY Rate Amount Qty 60.9 2.03 30 11.1 .37 30 118.5 3.95 30 26.7 .89 30 23.1 .77 30 21.3 .71 30 32.4 1.08 30 15.6 .26 60 8.1 .27 30 400 400 1 Total: 717.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418968 Min 01418968 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4330 of 6486
Name
KEHRI RAM VERMA Rate Amount Qty 21.3 .71 30 36 .6 60 21.6 .36 60 7.5 .25 30 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418974 Min 01418974 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 09-FEB-19 ECG 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 11 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 12 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 4331 of 6486
Name
B H V SUBRAMANYAM Rate Amount Qty 400 400 1 450 450 1 8.9 .89 10 7.5 .25 30 21.3 .71 30 18.9 .63 30 14.85 .99 15 55.8 .93 60 9 .3 30 73.6 1.84 40 4.28 2.14 2 24.45 24.45 1 19.77 19.77 1 400 400 1 Total: 1508.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418975 Min 01418975 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4332 of 6486
Name
SMT.BH BHAVANI Rate Amount Qty 27.9 .93 30 7.5 .25 30 34.8 1.16 30 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 514.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418982 Min 01418982 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 4333 of 6486
Name
MOHANLAL SAHU Rate Amount Qty 7.5 .25 30 26.7 .89 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 506.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418984 Min 01418984 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4334 of 6486
Name
RADHESHYAM THAKUR Rate Amount Qty 7.65 .51 15 8.1 .27 30 400 400 1 Total: 415.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418985 Min 01418985 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4335 of 6486
Name
UTTRA THAKUR Rate Amount Qty 21.3 .71 30 7.5 .25 30 15.6 1.04 15 55.8 .93 60 54 .6 90 24 .4 60 400 400 1 Total: 578.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418987 Min 01418987 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 01-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 5 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 08-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 19-FEB-19 GEL,BENZYL PEROXIDE 5% W/W 10 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 4336 of 6486
Name
VASANT KUMAR TRIVEDI Rate Amount Qty 66.2 6.62 10 7.6 .38 20 67.46 33.73 2 400 400 1 157.8 15.78 10 3.8 .38 10 41.06 41.06 1 400 400 1 7.5 .25 30 67.46 33.73 2 11.4 .38 30 400 400 1 Total: 1630.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418990 Min 01418990 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4337 of 6486
Name
K K JOSHI Rate Amount Qty 32.4 1.08 30 12 .4 30 15.6 .26 60 18 .6 30 38.25 2.55 15 34.8 1.16 30 400 400 1 Total: 551.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418991 Min 01418991 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4338 of 6486
Name
KANCHAN JOSHI Rate Amount Qty 27.9 .93 30 7.65 .51 15 21.3 .71 30 1.85 .37 5 400 400 1 Total: 458.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01418994 Min 01418994 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4339 of 6486
Name
BALRAM KANWAR Rate Amount Qty 192.3 6.41 30 18.9 .63 30 21.3 .71 30 72 .6 120 10.8 .36 30 16.2 .27 60 60.9 2.03 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1445.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419000 Min 01419000 Appmt Dt Slno Description 08-FEB-19 1 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 08-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4340 of 6486
Name
HARIDAS SEAL Qty Rate Amount 10 3.52 35.2 10 .64 6.4 10 .89 8.9 1 400 400 Total: 450.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419001 Min 01419001 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 5 18-FEB-19 X - RAY - SINGLE VIEW 6 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 27-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 10 27-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19
Page 4341 of 6486
Name
SULATA SEAL Rate Amount Qty 20.06 20.06 1 400 400 1 18.6 .62 30 400 400 1 1750 1750 1 550 550 1 400 400 1 1300 1300 1 550 550 1 275 275 1 1500 1500 1 400 400 1 Total: 7563.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419006 Min 01419006 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 4342 of 6486
Name
PC SHOMESHEKHARAN Rate Amount Qty 55.8 .93 60 16.2 .27 60 167.4 5.58 30 36 .6 60 21.6 .36 60 400 400 1 Total: 697
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419008 Min 01419008 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4343 of 6486
Name
DILIP KUMAR CHANDRAKAR Rate Amount Qty 27.9 .93 30 33 1.1 30 1.6 .16 10 13.35 .89 15 17.4 1.16 15 400 400 1 Total: 493.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419012 Min 01419012 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 15-FEB-19 UREA (BUN /UR) 16 15-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 17 15-FEB-19 CREATININE /CRT 18 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 15-FEB-19
Page 4344 of 6486
JAGJIT SINGH SANDO Rate Amount Qty 6.4 .64 10 32.4 1.08 30 12 .4 30 54 .6 90 21.6 .36 60 25.07 25.07 1 3.7 .37 10 16.2 .27 60 55.8 .93 60 34.8 1.16 30 14.85 .99 15 400 400 1 400 400 1 275 275 1 1300 1300 1 275 275 1 1300 1300 1 275 275 1 275 275 1 Total: 4776.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419013 Min 01419013 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 15-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 14 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 15-FEB-19 COMPLETE HAEMOGRAM 16 15-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 17 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 18 15-FEB-19 X - RAY - TWO VIEWS 19 18-FEB-19 MAMOGRAPHY 20 18-FEB-19 U S CRANIUM / THYROID /BREAST/JOINTS 21 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 18-FEB-19
Page 4345 of 6486
Name
BALBIR KAUR Rate Amount Qty 20.84 5.21 4 52 2.6 20 53.4 .89 60 9 .6 15 27.9 .93 30 9.3 .62 15 21.3 .71 30 20.06 20.06 1 400 400 1 1300 1300 1 275 275 1 400 400 1 8.9 .89 10 63.8 3.19 20 275 275 1 750 750 1 1500 1500 1 26 2.6 10 860 860 1 2000 2000 1 3700 1850 2 400 400 1 Total: 12172.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419014 Min 01419014 Appmt Dt Slno Description 01-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 2 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4346 of 6486
Name
TARCILA KUJUR Qty Rate Amount 30 .25 7.5 60 .37 22.2 30 .93 27.9 1 400 400 Total: 457.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419015 Min 01419015 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 OBSERVATION IN CASUALTY 4 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 01-FEB-19 ECG 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 8 18-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 9 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 4347 of 6486
Name
FABIAN KUJUR Rate Amount Qty .89 .89 1 .16 .16 1 .93 .93 1 420 420 1 600 600 1 450 450 1 27.9 .93 30 21.3 .71 30 46.8 .78 60 60.9 2.03 30 16.8 1.12 15 26.7 .89 30 400 400 1 Total: 2072.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419020 Min 01419020 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4348 of 6486
Name
ARUN KUMAR SHRIVASTAVA Rate Amount Qty 27.9 .93 30 2.4 .16 15 26.7 .89 30 21.3 .71 30 117 1.3 90 36 .6 60 12 .4 30 14.85 .99 15 87.92 43.96 2 8.1 .27 30 400 400 1 Total: 754.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419021 Min 01419021 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 28-FEB-19
Page 4349 of 6486
Name
BEENA SHRIVASTAVA Rate Amount Qty 12 .6 20 19.8 .99 20 18.6 .93 20 14.2 .71 20 18.6 .93 20 18.6 .93 20 400 400 1 27.9 .93 30 29.7 .99 30 36 .6 60 117 1.3 90 21.3 .71 30 2.22 .37 6 3.84 .64 6 22.2 .37 60 400 400 1 Total: 1161.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419023 Min 01419023 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4350 of 6486
Name
NIRANJAN BISWAS Rate Amount Qty 7.5 .25 30 18 .6 30 167.4 5.58 30 21.3 .71 30 400 400 1 Total: 614.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419024 Min 01419024 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 4351 of 6486
Name
PRAJAPATI BISWAS Rate Amount Qty 13.8 .23 60 33 1.1 30 400 400 1 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419025 Min 01419025 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4352 of 6486
Name
ANTARYAMI NAYAK Rate Amount Qty 54 .6 90 55.8 .93 60 13.35 .89 15 43.2 .36 120 167.4 5.58 30 400 400 1 Total: 733.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419026 Min 01419026 Appmt Dt Slno Description 20-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 20-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 20-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4353 of 6486
Name
PRIYAMBADA NAYAK Qty Rate Amount 30 .71 21.3 30 .62 18.6 2 5.21 10.42 1 400 400 Total: 450.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419027 Min 01419027 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19
Page 4354 of 6486
Name
RAKESH KUMAR SHUKLA Rate Amount Qty 34.8 1.16 30 20.84 5.21 4 7.5 .25 30 2.4 .16 15 192.3 6.41 30 60.9 2.03 30 26.7 .89 30 167.4 5.58 30 32.4 1.08 30 12 .4 30 118.5 3.95 30 400 400 1 66.2 6.62 10 400 400 1 Total: 1541.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419028 Min 01419028 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 04-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 6 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 10 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 11 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 26-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 4355 of 6486
Name
PRABHA RANI SHUKLA Rate Amount Qty 34.8 1.16 30 26.7 .89 30 4.8 .16 30 7.5 .25 30 40.12 20.06 2 11.65 2.33 5 60.9 2.03 30 3.7 .37 10 55.8 .93 60 118.5 3.95 30 82.76 165.52 2 11.4 .38 30 400 400 1 70.4 3.52 20 192 9.6 20 400 400 1 Total: 1603.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419035 Min 01419035 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 4356 of 6486
Name
S GANGULY Rate Amount Qty 60.9 2.03 30 8.7 .58 15 8.1 .27 30 66 1.1 60 400 400 1 Total: 543.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419039 Min 01419039 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4357 of 6486
Name
GOUTAM RAY Rate Amount Qty 55.8 .93 60 19.8 .66 30 400 400 1 6.23 .89 7 400 400 1 Total: 881.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419040 Min 01419040 Appmt Dt Slno Description 01-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 11-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4358 of 6486
Name
MALLIKA RAY Qty Rate Amount 30 .58 17.4 1 400 400 30 .71 21.3 1 400 400 Total: 838.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419041 Min 01419041 Appmt Dt Slno Description 11-FEB-19 1 GLICLAZIDE MR,30 MG,,TABLET 11-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 11-FEB-19 3 TENELIGLIPTIN,20MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4359 of 6486
Name
UPASIN BAI Qty Rate Amount 30 .92 27.6 30 1.16 34.8 30 5.58 167.4 1 400 400 Total: 629.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419042 Min 01419042 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4360 of 6486
Name
GOURI SHANKAR RAGHATATE Rate Amount Qty 11.85 .79 15 9 .3 30 54 .6 90 12 .4 30 400 400 1 Total: 486.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419044 Min 01419044 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 14-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 3 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 14-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4361 of 6486
Name
RAMESHAR SINGH Rate Amount Qty 185.7 6.19 30 25.62 12.81 2 13.43 13.43 1 39 2.6 15 11.25 .75 15 7.5 .25 30 11.1 .37 30 13.35 .89 15 400 400 1 Total: 706.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419054 Min 01419054 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 4362 of 6486
Name
SHYAM SINGH Rate Amount Qty 23.7 .79 30 23.1 .77 30 12 .4 30 32.4 1.08 30 33 1.1 30 34.8 1.16 30 400 400 1 Total: 559
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419055 Min 01419055 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 18-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 URIC ACID (UA /URATES /UR) 5 19-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 19-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 8 19-FEB-19 OBSERVATION IN CASUALTY 9 19-FEB-19 RA FACTOR /RH FACTOR 10 19-FEB-19 ASO 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 13 20-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 14 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 15 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 20-FEB-19
Page 4363 of 6486
Name
URMILA SINGH Rate Amount Qty 10.42 5.21 2 10.22 .73 14 9.59 1.37 7 400 400 1 275 275 1 600 600 1 .16 .16 1 100 100 1 420 420 1 600 600 1 600 600 1 400 400 1 20.1 .67 30 166.8 2.78 60 9.9 .66 15 15 .25 60 78 2.6 30 18.9 .63 30 400 400 1 Total: 4134.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419056 Min 01419056 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 23-FEB-19 UREA (BUN /UR) 2 23-FEB-19 CREATININE /CRT 3 23-FEB-19 URIC ACID (UA /URATES /UR) 4 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 23-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 23-FEB-19 TACROLIMUS,0.5MG,TAB/CAP 9 23-FEB-19 TACROLIMUS,1MG, TAB/CAP 10 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 23-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 13 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 23-FEB-19
Page 4364 of 6486
Name
MANDER GS Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 118.5 3.95 30 276.3 9.21 30 11.21 1681.5 150 18.9 .63 30 11.4 .38 30 31.99 2879.1 90 12 .4 30 Total: 8347.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419058 Min 01419058 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 4365 of 6486
Name
NITYA GOPAL KUNDU Rate Amount Qty 55.8 .93 60 21.3 .71 30 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419059 Min 01419059 Appmt Dt Slno Description 26-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 26-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4366 of 6486
Name
SUMITA KUNDU Qty Rate Amount 30 .23 6.9 30 .71 21.3 30 .63 18.9 1 400 400 Total: 447.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419060 Min 01419060 Slno Description Appmt Dt PHENAZOPYRIDINE HCL,200MG,TABLET 1 03-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 2 03-FEB-19 OBSERVATION IN CASUALTY 3 03-FEB-19 PYRAZINAMIDE,750MG,,TABLET 4 03-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 03-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 03-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 7 03-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 03-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 11 04-FEB-19 URINE ROUTINE AND MICROSCOPIC 12 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 4367 of 6486
Name
BENJAMIN PAUL Rate Amount Qty 51.48 8.58 6 11.89 11.89 1 420 420 1 1.99 1.99 1 21.12 3.52 6 10.08 1.12 9 26.13 8.71 3 3.84 .64 6 24.52 24.52 1 400 400 1 650 650 1 380 380 1 400 400 1 275 275 1 275 275 1 12 .4 30 21.3 .71 30 32.4 1.08 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 3477.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419061 Min 01419061 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4368 of 6486
Name
RENUKA PAUL Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419063 Min 01419063 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 28-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 4369 of 6486
Name
MADHAV RAO Rate Amount Qty 21.3 .71 30 2.4 .16 15 7.5 .25 30 11.4 .38 30 46.8 .78 60 55.8 .93 60 400 400 1 Total: 545.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419064 Min 01419064 Slno Description Appmt Dt CREATININE /CRT 1 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 28-FEB-19 CREATININE /CRT 4 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 28-FEB-19
Page 4370 of 6486
Name
KAMAMMA Qty 1 1 1 1 1 1 1
Rate Amount 275 275 275 275 400 400 275 275 550 550 1300 1300 275 275 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419067 Min 01419067 Appmt Dt Slno Description 06-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 06-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4371 of 6486
Name
SOHAN LAL DUBEY Qty Rate Amount 30 1.16 34.8 30 .4 12 30 1.1 33 1 400 400 Total: 479.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419068 Min 01419068 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 4372 of 6486
Name
PUSHPA DUBEY Rate Amount Qty 6.9 .23 30 55.8 .93 60 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419076 Min 01419076 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 5 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 SODIUM VALPROATE,500MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 4373 of 6486
Name
RAJ KUMAR BHALLA Rate Amount Qty 117 1.3 90 47.4 .79 60 21.12 2.64 8 72 .6 120 12.3 .82 15 3.75 .25 15 234 3.9 60 400 400 1 Total: 907.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419077 Min 01419077 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 4374 of 6486
Name
NEERU BHALLA Rate Amount Qty 27.9 .93 30 21.3 .71 30 72 .6 120 167.4 5.58 30 400 400 1 Total: 688.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419080 Min 01419080 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 4375 of 6486
Name
RAM SHARAN CHANDRAKAR Rate Amount Qty 7.5 .25 30 34.8 1.16 30 23.7 .79 30 117 1.3 90 72 .6 120 21.6 .36 60 400 400 1 Total: 676.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419081 Min 01419081 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 4376 of 6486
Name
SAVITRI CHANDRAKAR Rate Amount Qty 16.2 .27 60 66 1.1 60 2.46 .41 6 5.34 .89 6 400 400 1 Total: 490
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419082 Min 01419082 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 12-FEB-19 ECG 2 12-FEB-19 CREATININE /CRT 3 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 4377 of 6486
Name
T VIJAY SHANKAR RAO Rate Amount Qty 1300 1300 1 450 450 1 275 275 1 275 275 1 275 275 1 400 400 1 21.6 .36 60 36 .6 60 27.9 .93 30 33 1.1 30 12 .4 30 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 3694.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419094 Min 01419094 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 26-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 3 26-FEB-19 SERUM FERRITIN 4 26-FEB-19 COMPLETE HAEMOGRAM 5 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 26-FEB-19 URIC ACID (UA /URATES /UR) 8 26-FEB-19 UREA (BUN /UR) 9 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 14 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 26-FEB-19
Page 4378 of 6486
Name
SMT SHANTI DWIVEDI Rate Amount Qty 74.4 .62 120 3.7 .37 10 57.84 57.84 1 800 800 1 750 750 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 27.9 .93 30 7.5 .25 30 34.8 1.16 30 6.4 .64 10 Total: 5889.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419095 Min 01419095 Slno Description Appmt Dt PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 1 05-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 HB,TLC,DLC 4 05-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 5 05-FEB-19 PLATELET COUNT 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 UREA (BUN /UR) 8 05-FEB-19 CREATININE /CRT 9 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 05-FEB-19 SERUM COPPER (CU++) 11 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 13 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 16 07-FEB-19
Page 4379 of 6486
Name
A K MISHRA Rate Amount Qty 275 275 1 1750 1750 1 400 400 1 300 300 1 330 330 1 330 330 1 275 275 1 275 275 1 275 275 1 550 550 1 500 500 1 1300 1300 1 1300 1300 1 60.9 2.03 30 400 400 1 1610 1610 1 Total: 9930.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419097 Min 01419097 Appmt Dt Slno Description 26-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 26-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4380 of 6486
Name
PRAHLAD SINGH Qty Rate Amount 30 .27 8.1 30 .93 27.9 30 .71 21.3 1 400 400 Total: 457.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419098 Min 01419098 Appmt Dt Slno Description 16-FEB-19 1 ASCORBIC ACID,STRIP PKT,100MG,TABLET 16-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 16-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4381 of 6486
Name
PUSHPA THAKUR Qty 8 8 4 1
Rate Amount .38 3.04 .64 5.12 .37 1.48 400 400 Total: 409.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419103 Min 01419103 Appmt Dt Slno Description 21-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 21-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21-FEB-19 3 FUROSEMIDE,40MG,STRIP PACK,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4382 of 6486
Name
LOKCHAND KASHYAP Qty Rate Amount 60 .79 47.4 30 .27 8.1 15 .51 7.65 1 400 400 Total: 463.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419105 Min 01419105 Slno Description Appmt Dt CREATININE /CRT 1 08-FEB-19 UREA (BUN /UR) 2 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 URIC ACID (UA /URATES /UR) 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 4383 of 6486
Name
N K SURESH Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 275 275 1 400 400 1 275 275 1 13.95 .93 15 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 Total: 3308.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419106 Min 01419106 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4384 of 6486
Name
SHAILAJA SURESH Rate Amount Qty 7.5 .25 30 18.6 .62 30 21.3 .71 30 18 .6 30 167.4 5.58 30 400 400 1 Total: 632.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419107 Min 01419107 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 08-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 10 08-FEB-19
Page 4385 of 6486
Name
BHAGWANDEEN Rate Amount Qty 400 400 1 34.8 1.16 30 64.8 1.08 60 9.6 .16 60 237 3.95 60 24 .4 60 94.8 .79 120 36 .6 60 12.8 .64 20 158.4 2.64 60 Total: 1072.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419113 Min 01419113 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 11-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 4386 of 6486
Name
BASANT KUMAR NANDESHWAR Rate Amount Qty 5.7 .38 15 37.8 .63 60 123.53 123.53 1 55.8 .93 60 6.9 .23 30 17.4 1.16 15 400 400 1 Total: 647.13
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419114 Min 01419114 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 26-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 26-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 7 27-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 27-FEB-19 RACECADOTRIL,100MG,CAPSULE 10 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 27-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 12 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 4387 of 6486
PRATIBHA NANDESHWAR Rate Amount Qty 1.9 .38 5 4.62 .77 6 15.73 15.73 1 3.84 .64 6 1.85 .37 5 400 400 1 34.84 8.71 4 35.2 3.52 10 16.8 1.12 15 53.73 5.97 9 8.9 .89 10 4.2 .7 6 3.84 .64 6 400 400 1 Total: 985.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419116 Min 01419116 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 25-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4388 of 6486
Name
SMT SANTI DEVI Rate Amount Qty 6.9 .23 30 400 400 1 54 .9 60 26.7 .89 30 100.71 100.71 1 104.4 1.74 60 400 400 1 Total: 1092.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419119 Min 01419119 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 25-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4389 of 6486
Name
DWARKA LAL Rate Amount Qty 6.82 6.82 1 6.4 .64 10 400 400 1 4.8 .16 30 7.65 .51 15 34.8 1.16 30 167.4 5.58 30 11.85 .79 15 32.4 1.08 30 23.1 .77 30 7.5 .25 30 400 400 1 Total: 1102.72
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419120 Min 01419120 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 4390 of 6486
SMT.SIYAPATI Qty 1 1 1
Rate Amount 16.81 16.81 25.07 25.07 400 400 Total: 441.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419123 Min 01419123 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 22-FEB-19 ECG 5 26-FEB-19 OBSERVATION IN CASUALTY 6 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 26-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 27-FEB-19
Page 4391 of 6486
Name
CHANDRA KANTA SHAIKH Rate Amount Qty 27.9 .93 30 21.3 .71 30 66 1.1 60 400 400 1 450 450 1 420 420 1 .16 .16 1 1.5 .25 6 2.52 .42 6 5.34 .89 6 Total: 1394.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419124 Min 01419124 Appmt Dt Slno Description 22-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 22-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4392 of 6486
Name
M.D. MURTUZA Qty Rate Amount 15 .93 13.95 30 .63 18.9 30 1.1 33 1 400 400 Total: 465.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419126 Min 01419126 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4393 of 6486
Name
MAYA BISWAS Rate Amount Qty 2.4 .16 15 7.5 .25 30 17.8 .89 20 185.7 6.19 30 6.4 .64 10 400 400 1 Total: 619.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419131 Min 01419131 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 4394 of 6486
Name
PURSHOTTAM KUMAR Rate Amount Qty 27.9 .93 30 27.9 .93 30 400 400 1 Total: 455.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419133 Min 01419133 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4395 of 6486
Name
VIJAY KUMAR JAIN Rate Amount Qty 33 1.1 30 19.8 .66 30 69.6 1.16 60 32.4 1.08 30 24 .4 60 11.85 .79 15 400 400 1 Total: 590.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419134 Min 01419134 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4396 of 6486
Name
SAROJ JAIN Rate Amount Qty 26.7 .89 30 167.4 5.58 30 9 .3 30 36 .6 60 4.8 .16 30 39 1.3 30 13.95 .93 15 21.3 .71 30 18.6 .62 30 400 400 1 Total: 736.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419145 Min 01419145 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 4397 of 6486
Name
NIRMALENDU MALAKAR Rate Amount Qty 18.9 .63 30 21.3 .71 30 12 .4 30 42.6 .71 60 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419147 Min 01419147 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 4398 of 6486
Name
KAMAL NARAYAN SAHU Rate Amount Qty 32.4 1.08 30 21.3 .71 30 55.8 .93 60 36.3 1.21 30 8.1 .27 30 4.1 .41 10 400 400 1 Total: 558
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419151 Min 01419151 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4399 of 6486
Name
A K SAXENA Rate Amount Qty 55.8 .93 60 7.5 .25 30 18 .6 30 21.3 .71 30 400 400 1 Total: 502.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419152 Min 01419152 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 20-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 4400 of 6486
Name
POONAM SAXENA Rate Amount Qty 27.9 .93 30 400 400 1 104.4 1.74 60 100.71 100.71 1 400 400 1 Total: 1033.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419154 Min 01419154 Name Appmt Dt Slno Description 01-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4401 of 6486
MAMTA SHRIVASTAVA Qty Rate Amount 1 25.07 25.07 1 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419155 Min 01419155 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 4402 of 6486
Name
ASIT KUMAR GHOSH Rate Amount Qty 3.56 .89 4 13.95 .93 15 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 496.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419161 Min 01419161 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 06-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4403 of 6486
Name
BHARATLAL DESHMUKH Rate Amount Qty 12.15 12.15 1 12.6 .9 14 7.56 .18 42 400 400 1 108 .6 180 1.48 .37 4 117 1.3 90 167.4 5.58 30 7.5 .25 30 60.9 2.03 30 43.2 .36 120 400 400 1 Total: 1337.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419163 Min 01419163 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 4404 of 6486
Name
RP GUPTA Rate Amount Qty 9 .3 30 8.9 .89 10 185.7 6.19 30 7.5 .25 30 18 .6 30 400 400 1 Total: 629.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419164 Min 01419164 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 4405 of 6486
Name
SMT.KISHORI GUPTA Rate Amount Qty 1.85 .37 5 6.4 .64 10 26.6 2.66 10 7.5 .25 30 17.4 .58 30 8.1 .27 30 400 400 1 Total: 467.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419165 Min 01419165 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4406 of 6486
Name
NARAYAN LAL SONBOER Rate Amount Qty 5.34 .89 6 .75 .25 3 400 400 1 47.4 .79 60 400 400 1 Total: 853.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419171 Min 01419171 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 15 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 18 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 19 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19
Page 4407 of 6486
Name
ASHOK KUMAR KHANZODE Rate Amount Qty 117 1.3 90 21.6 .36 60 7.5 .25 30 167.4 5.58 30 12 .4 30 23.7 .79 30 32.4 1.08 30 46.2 .77 60 34.8 1.16 30 33 1.1 30 400 400 1 7.5 .25 30 34.8 1.16 30 33 1.1 30 23.7 .79 30 12 .4 30 167.4 5.58 30 32.4 1.08 30 117 1.3 90 21.6 .36 60 400 400 1 Total: 1745
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419176 Min 01419176 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 08-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 08-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 08-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4408 of 6486
ANJANA GHOSH Qty 1 2 1 8 1 1 1
Rate Amount 400 400 31.46 15.73 12.81 12.81 26.96 3.37 31.61 31.61 63.58 63.58 400 400 Total: 966.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419183 Min 01419183 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 4409 of 6486
Name
MAKHANLAL Rate Amount Qty 10.8 .36 30 54 .6 90 55.8 .93 60 8.1 .27 30 21.3 .71 30 400 400 1 Total: 550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419185 Min 01419185 Appmt Dt Slno Description 06-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 06-FEB-19 2 SUTURE REMOVAL
Page 4410 of 6486
Name
GULAL SINGH KATINGAL Qty Rate Amount 1 400 400 1 490 490 890 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419187 Min 01419187 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 4411 of 6486
Name
AJAY KANT BHATT Rate Amount Qty 10.8 .36 30 27.9 .93 30 10.65 .71 15 .96 .16 6 400 400 1 Total: 450.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419190 Min 01419190 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4412 of 6486
Name
TULURANI ROY Rate Amount Qty 17.8 .89 20 9.33 130.62 14 400 400 1 Total: 548.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419192 Min 01419192 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4413 of 6486
Name
SAVITRI SAHU Rate Amount Qty 26.7 .89 30 12 .4 30 66 1.1 60 14.85 .99 15 30 .6 50 21.6 .36 60 22.2 .37 60 55.8 .93 60 400 400 1 Total: 649.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419193 Min 01419193 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 4414 of 6486
Name
SHAILENDRA KUMAR DAS Rate Amount Qty 26.7 .89 30 355.5 3.95 90 12 .4 30 34.8 1.16 30 400 400 1 Total: 829
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419194 Min 01419194 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 02-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19
Page 4415 of 6486
GLORY DAS Rate Amount Qty 3.7 .37 10 6.4 .64 10 4.1 .41 10 55.2 1.84 30 26 2.6 10 21.3 .71 30 78 1.3 60 72 .6 120 43.2 .36 120 31.46 15.73 2 400 400 1 Total: 741.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419195 Min 01419195 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 26-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4416 of 6486
Name
M L CHOUDHARY Rate Amount Qty 12 .4 30 41.85 .93 45 36 .6 60 34.8 1.16 30 32.4 1.08 30 19.8 .66 30 60.9 2.03 30 26.7 .89 30 123.53 247.06 2 400 400 1 Total: 911.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419200 Min 01419200 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 4417 of 6486
Name
VIRENDRA SINGH VINOD Rate Amount Qty 19.72 9.86 2 37.8 .63 60 53.4 .89 60 21.3 .71 30 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 785.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419201 Min 01419201 Slno Description Appmt Dt ESCITALOPRAM,10MG,,TABLET 1 23-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 4418 of 6486
Name
SMT.ASHA VINOD Rate Amount Qty 166.5 1.85 90 158.4 2.64 60 400 400 1 Total: 724.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419202 Min 01419202 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 4419 of 6486
Name
NARESH KUMAR CHOUBEY Rate Amount Qty 3.08 .77 4 2.56 .64 4 22.08 1.84 12 400 400 1 18 .6 30 400 400 1 Total: 845.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419207 Min 01419207 Appmt Dt Slno Description 25-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 25-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4420 of 6486
Name
VIJAY LAXMI Qty Rate Amount 6 .64 3.84 5 .37 1.85 30 .27 8.1 1 400 400 Total: 413.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419208 Min 01419208 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 4421 of 6486
Name
ABINASH BARMAN Rate Amount Qty 32.4 1.08 30 33 1.1 30 21.3 .71 30 55.8 .93 60 8.1 .27 30 26.7 .89 30 4.8 .16 30 400 400 1 Total: 582.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419211 Min 01419211 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 4422 of 6486
Name
BASANTI SHARMA Rate Amount Qty 27.9 .93 30 8.1 .27 30 21.3 .71 30 18 .6 30 400 400 1 Total: 475.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419215 Min 01419215 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 4423 of 6486
Name
ABHA SINHA Rate Amount Qty 7.5 .25 30 185.7 6.19 30 13.7 1.37 10 400 400 1 21.3 .71 30 400 400 1 Total: 1028.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419223 Min 01419223 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 05-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4424 of 6486
Name
GEETA BAI TEKAM Rate Amount Qty 39.6 2.64 15 36.75 2.45 15 400 400 1 Total: 476.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419226 Min 01419226 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 10-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 10-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 6 10-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 10-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 8 10-FEB-19 ECG 9 10-FEB-19 OBSERVATION IN CASUALTY 10 10-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 11 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 18 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 18-FEB-19 RIFAXIMIN 200 MG,,TABLET 20 18-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 23 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 19-FEB-19 C T HEAD PLAIN 26 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 20-FEB-19
Page 4425 of 6486
Name
BABULAL PATEL Rate Amount Qty 46.8 .78 60 15 .25 60 400 400 1 24.52 24.52 1 9.81 9.81 1 23.39 23.39 1 3.52 3.52 1 11.89 11.89 1 450 450 1 420 420 1 1.4 .7 2 7.12 .89 8 52.96 6.62 8 13.44 1.12 12 400 400 1 7.5 .25 30 19.2 .64 30 21.3 .71 30 26.7 .89 30 186.6 9.33 20 7 .7 10 400 400 1 46.8 .78 60 15 .25 60 400 400 1 5250 5250 1 400 400 1 Total: 8659.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419227 Min 01419227 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 15-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 4426 of 6486
Name
BIMLA BAI PATEL Rate Amount Qty 33.12 1.84 18 3.84 .64 6 3.56 .89 4 400 400 1 74.08 37.04 2 400 400 1 17.8 .89 20 8.2 .41 20 400 400 1 Total: 1340.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419228 Min 01419228 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 4427 of 6486
Name
PREM RAJ Rate Amount Qty 34.8 1.16 30 400 400 1 12 .4 30 34.8 1.16 30 32.4 1.08 30 66 1.1 60 7.8 .26 30 400 400 1 Total: 987.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419229 Min 01419229 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 5 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 27-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 27-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 4428 of 6486
MOUHR SHRI Rate Amount Qty 12 .4 30 34.8 1.16 30 167.4 5.58 30 72 .6 120 19.77 19.77 1 47.4 .79 60 118.5 3.95 30 211.8 3.53 60 29.7 .99 30 7.5 .25 30 156 1.3 120 25.07 25.07 1 400 400 1 Total: 1301.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419230 Min 01419230 Appmt Dt Slno Description 18-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18-FEB-19 2 TABLET/CAPSULE FLUCONAZOLE, 150MG 18-FEB-19 3 CREAM,CLOTRIMAZOLE,1%,15-20GM 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4429 of 6486
Name
CHINTA GAURANGA Qty Rate Amount 20 .37 7.4 8 3.37 26.96 1 9.86 9.86 1 400 400 Total: 444.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419232 Min 01419232 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 4430 of 6486
Name
ISHWARI LAL VERMA Rate Amount Qty 54 .6 90 12 .4 30 21.3 .71 30 10.8 .36 30 400 400 1 Total: 498.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419242 Min 01419242 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4431 of 6486
Name
DAURAM Rate Amount Qty 13.95 .93 15 78 1.3 60 36 .6 60 21.6 .36 60 400 400 1 Total: 549.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419243 Min 01419243 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4432 of 6486
Name
MANDRIKA PRASAD Rate Amount Qty 26.7 .89 30 211.8 7.06 30 400 400 1 26.7 .89 30 66.2 6.62 10 54 .9 60 16.2 .18 90 400 400 1 Total: 1201.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419244 Min 01419244 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 02-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 02-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 4 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 02-FEB-19 PLATELET COUNT 7 02-FEB-19 PARASITES (MP /MF) 8 02-FEB-19 HB,TLC,DLC 9 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 14 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 07-FEB-19 DRESSING SIMPLE 17 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 08-FEB-19 DRESSING SIMPLE 19 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 23 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 25 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 26 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 27 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 28 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 19-FEB-19 DRESSING SIMPLE 31 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 32 26-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 33 27-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 34 27-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 35 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 37 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 27-FEB-19
Page 4433 of 6486
Name
RAJ KUMARI DEVI Rate Amount Qty 19.72 9.86 2 26.96 3.37 8 7.4 .37 20 650 650 1 275 275 1 275 275 1 330 330 1 165 165 1 300 300 1 400 400 1 9.6 .64 15 3.8 .38 10 4.45 .89 5 10.95 .73 15 66.2 6.62 10 400 400 1 1500 300 5 400 400 1 2100 300 7 400 400 1 27.9 .93 30 18 .6 30 21.3 .71 30 400 400 1 66.2 6.62 10 6.4 .64 10 10.95 .73 15 3.8 .38 10 400 400 1 400 400 1 2100 300 7 400 400 1 6.54 2.18 3 26.13 8.71 3 20.06 20.06 1 5.34 .89 6 10.08 1.12 9 400 400 1 Total: 11666.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419245 Min 01419245 Appmt Dt Slno Description 18-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4434 of 6486
Name
LOKESHWAR PD VERMA Qty Rate Amount 30 .99 29.7 60 .27 16.2 60 .93 55.8 1 400 400 Total: 501.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419246 Min 01419246 Appmt Dt Slno Description 15-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4435 of 6486
Name
USHA BAI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419253 Min 01419253 Appmt Dt Slno Description 25-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 25-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 25-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4436 of 6486
Name
BABY SHARDA PAKHALE Qty Rate Amount 60 .6 36 30 .36 10.8 30 .25 7.5 1 400 400 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419258 Min 01419258 Appmt Dt Slno Description 28-FEB-19 1 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4437 of 6486
Name
MOHAR DAS Qty Rate Amount 15 .82 12.3 1 400 400 412.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419260 Min 01419260 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 22-FEB-19
Page 4438 of 6486
Name
D.K.RAMTEKE Rate Amount Qty 400 400 1 16.2 .27 60 55.8 .93 60 400 400 1 19.72 9.86 2 Total: 891.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419261 Min 01419261 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 05-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 05-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 8 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 10 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 22-FEB-19
Page 4439 of 6486
Name
SMT. SINDHU RAMTEKE Rate Amount Qty 400 400 1 55.8 .93 60 55.2 .92 60 72 .6 120 40.2 .67 60 22.8 .38 60 22.8 .38 60 51.68 3.23 16 53.4 .89 60 122.8 6.14 20 400 400 1 60.18 20.06 3 Total: 1356.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419263 Min 01419263 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 SUTURE REMOVAL 8 05-FEB-19
Page 4440 of 6486
Name
SHIKHAR CHAND JAIN Rate Amount Qty 7.7 .77 10 1.85 .37 5 17 1.7 10 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 490 490 1 Total: 1569.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419270 Min 01419270 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 4441 of 6486
Name
DKV MANKODI Rate Amount Qty 13.95 .93 15 32.4 1.08 30 12 .4 30 34.8 1.16 30 26.7 .89 30 7.5 .25 30 60.9 2.03 30 400 400 1 Total: 588.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419274 Min 01419274 Appmt Dt Slno Description 04-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 04-FEB-19 2 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 04-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4442 of 6486
Name
ANURADHA MOITRA Qty Rate Amount 7 .37 2.59 14 3.52 49.28 14 .64 8.96 1 400 400 Total: 460.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419277 Min 01419277 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 4443 of 6486
Name
TAMER DR SK Rate Amount Qty 16.2 .27 60 12 .4 30 55.8 .93 60 72 .6 120 400 400 1 Total: 556
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419278 Min 01419278 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 X - RAY - TWO VIEWS 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 4444 of 6486
Name
UJWAL TAMER Rate Amount Qty 400 400 1 860 860 1 53.4 .89 60 55.8 .93 60 72 .6 120 12 .4 30 16.2 .27 60 40.12 20.06 2 400 400 1 Total: 1909.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419284 Min 01419284 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4445 of 6486
Name
KIRAN SINHA Rate Amount Qty 27.9 .93 30 21.3 .71 30 36 .6 60 10.8 .36 30 400 400 1 Total: 496
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419285 Min 01419285 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 4446 of 6486
Name
S K SINHA Rate Amount Qty 403.2 13.44 30 192.3 6.41 30 60.9 2.03 30 157.8 2.63 60 9.3 .62 15 38.25 2.55 15 69.6 1.16 60 24 .4 60 16.2 .27 60 27.9 .93 30 400 400 1 Total: 1399.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419286 Min 01419286 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 9 09-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 10 09-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 11 09-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19
Page 4447 of 6486
Name
GOURISHANKAR MISHRA Rate Amount Qty 36 .6 60 117 1.3 90 9 .3 30 55.8 .93 60 8.1 .27 30 32.4 1.08 30 34.8 1.16 30 400 400 1 2.85 128.25 45 353.4 5.89 60 106.8 3.56 30 19.8 .66 30 400 400 1 Total: 1701.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419287 Min 01419287 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 4448 of 6486
Name
SMT KALYANI MISHRA Rate Amount Qty 9.3 .62 15 21.3 .71 30 4.8 .16 30 26.7 .89 30 400 400 1 Total: 462.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419289 Min 01419289 Appmt Dt Slno Description 14-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4449 of 6486
Name
PADMAWATI DONGRE Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419290 Min 01419290 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 4450 of 6486
Name
SAHEB LAL RATHORE Rate Amount Qty 18.9 .63 30 26.7 .89 30 21.3 .71 30 31.2 1.04 30 8.1 .27 30 76.5 2.55 30 55.8 .93 60 400 400 1 Total: 638.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419292 Min 01419292 Slno Description Appmt Dt ALBENDAZOLE,STRIP PKT,400MG,TABLET 1 14-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4451 of 6486
Name
BHAW SINGH SONWANI Rate Amount Qty 2.33 2.33 1 9.33 130.62 14 400 400 1 32.4 1.08 30 18 .6 30 66 1.1 60 55.8 .93 60 400 400 1 Total: 1105.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419293 Min 01419293 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4452 of 6486
Name
SMT. KAMLA SONWANI Rate Amount Qty 27.9 .93 30 400 400 1 21.3 .71 30 27.9 .93 30 167.4 5.58 30 117 1.3 90 72 .6 120 400 400 1 Total: 1233.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419296 Min 01419296 Appmt Dt Slno Description 15-FEB-19 1 SOLIFENACIN,5MG,,TABLET 15-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 3 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4453 of 6486
Name
OMANA KUTTY AMMA Qty Rate Amount 30 13.44 403.2 60 .89 53.4 3 43.96 131.88 1 400 400 Total: 988.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419300 Min 01419300 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 4454 of 6486
Name
M.SUDHA RANI Rate Amount Qty 54 .6 90 21.3 .71 30 32.4 1.08 30 11.4 .38 30 27.9 .93 30 400 400 1 Total: 547
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419301 Min 01419301 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 14-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 4455 of 6486
Name
GANGA DEVI Rate Amount Qty 4.1 .41 10 12 .4 30 122.8 6.14 20 8.1 .27 30 14.85 .99 15 21.3 .71 30 12 .4 30 55.8 .93 60 15.6 .26 60 400 400 1 Total: 666.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419302 Min 01419302 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 11 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 4456 of 6486
Name
ASHOK KUMAR Rate Amount Qty 71 .71 100 15 .25 60 400 400 1 6.4 .64 10 4.1 .41 10 4.45 .89 5 55.2 1.84 30 400 400 1 4.45 .89 5 6.4 .64 10 4.1 .41 10 55.2 1.84 30 400 400 1 Total: 1426.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419316 Min 01419316 Appmt Dt Slno Description 19-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4457 of 6486
Name
MOHANLAL Qty Rate Amount 30 .4 12 1 400 400 412 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419325 Min 01419325 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 4458 of 6486
Name
CHRISTINA Rate Amount Qty 27.9 .93 30 6.9 .23 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419326 Min 01419326 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4459 of 6486
Name
LAXMAN PRASAD Rate Amount Qty 78 1.3 60 72 .6 120 27.9 .93 30 32.4 .36 90 167.4 5.58 30 400 400 1 Total: 777.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419330 Min 01419330 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 3 09-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 4 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4460 of 6486
Name
RAMAWADH YADAV Rate Amount Qty 26.55 26.55 1 400 400 1 19.77 19.77 1 6.42 2.14 3 44.16 1.84 24 24.45 24.45 1 400 400 1 Total: 921.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419331 Min 01419331 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 4461 of 6486
Name
KARMA DEVI Rate Amount Qty 33 1.1 30 23.1 .77 30 39 1.3 30 36 .6 60 41.85 .93 45 400 400 1 Total: 572.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419334 Min 01419334 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 04-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 04-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 3 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 04-FEB-19 SILDENAFIL,25 MG,,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 4462 of 6486
Name
SMT.HARKEET KAUR Rate Amount Qty 7.8 .26 30 27.9 .93 30 18.88 1.18 16 21.3 .71 30 32.4 1.08 30 73.8 .82 90 36 .6 60 27.6 .92 30 23.7 .79 30 79.2 2.64 30 400 400 1 Total: 748.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419339 Min 01419339 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 4463 of 6486
Name
KANTA DEVI Rate Amount Qty 29.7 .99 30 66 1.1 60 21.3 .71 30 16.2 .27 60 31.9 3.19 10 8.9 .89 10 4.1 .41 10 400 400 1 27.4 1.37 20 8.9 .89 10 185.7 6.19 30 400 400 1 Total: 1200.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419346 Min 01419346 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 4464 of 6486
Name
SATYA GOPAL MANDAL Rate Amount Qty 55.8 .93 60 23.1 .77 30 12 .4 30 32.4 1.08 30 3.75 .25 15 36 .6 60 10.8 .36 30 13.8 .23 60 400 400 1 Total: 587.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419349 Min 01419349 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 4465 of 6486
Name
ASHA JAIN Rate Amount Qty 34.8 1.16 30 6.9 .23 30 3.75 .25 15 29.7 .99 30 32.4 1.08 30 27.9 .93 30 27.9 .62 45 33 1.1 30 400 400 1 Total: 596.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419350 Min 01419350 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4466 of 6486
Name
SAWDHAN TOPPO Rate Amount Qty 82.8 .92 90 26.7 .89 30 117 1.3 90 167.4 5.58 30 32.4 1.08 30 23.7 .79 30 72 .6 120 7.5 .25 30 34.8 1.16 30 400 400 1 Total: 964.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419358 Min 01419358 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 4467 of 6486
Name
MOHAN LAL BHALAVI Rate Amount Qty 12 .4 30 33 1.1 30 13.8 .23 60 55.8 .93 60 36 .6 60 27.6 .92 30 34.8 1.16 30 400 400 1 Total: 613
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419359 Min 01419359 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4468 of 6486
Name
SMT. NEETA BHALAVI Rate Amount Qty 36 .6 60 7.5 .25 30 39 1.3 30 27.9 .93 30 12 .4 30 400 400 1 Total: 522.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419360 Min 01419360 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 4469 of 6486
Name
RAJENDRA KUMAR KABALIA Rate Amount Qty 32.4 1.08 30 15 .25 60 33 1.1 30 34.8 1.16 30 46.2 .77 60 18.6 .62 30 12 .4 30 400 400 1 Total: 592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419363 Min 01419363 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 PRAZOSIN,2.5MG,TABLET 3 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4470 of 6486
Name
VRINDA DWIVEDI Rate Amount Qty 33 1.1 30 55.8 .93 60 78 1.3 60 211.8 3.53 60 400 400 1 Total: 778.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419364 Min 01419364 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 03-FEB-19 OBSERVATION IN CASUALTY 2 03-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 3 03-FEB-19 DIAZEPAM,10MG/2ML,INJECTION 4 03-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 4471 of 6486
Name
S.P.SAHU Rate Amount Qty .89 .89 1 420 420 1 5.77 5.77 1 13.45 13.45 1 39.6 2.64 15 44.66 3.19 14 18.2 2.6 7 400 400 1 27.9 .93 30 26.7 .89 30 60.9 2.03 30 400 400 1 29.2 .73 40 17.8 .89 20 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 2558.27
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419365 Min 01419365 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 4472 of 6486
SMT. BRINDA BAI SAHU Rate Amount Qty 34.8 1.16 30 55.8 .93 60 21.3 .71 30 12 .4 30 400 400 1 25.07 25.07 1 400 400 1 12.15 12.15 1 1.85 .37 5 9 .9 10 66.2 6.62 10 400 400 1 Total: 1438.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419369 Min 01419369 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4473 of 6486
Name
SMT.KHOL BAHARIN Rate Amount Qty 66 1.1 60 34.8 1.16 30 32.4 1.08 30 16.2 .27 60 400 400 1 4.45 .89 5 12.15 12.15 1 1.85 .37 5 9 .9 10 400 400 1 Total: 976.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419375 Min 01419375 Appmt Dt Slno Description 16-FEB-19 1 OINTMENT,LIDOCAINE,3%,15GM 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4474 of 6486
Name
SMT.USHA KIRAN NAMDEO Qty Rate Amount 2 82.76 165.52 1 400 400 565.52 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419379 Min 01419379 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 6 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 18-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4475 of 6486
Name
JAGDISH PRASAD Rate Amount Qty 7.65 .51 15 32.4 1.08 30 6.9 .23 30 23.1 .77 30 400 400 1 63.8 3.19 20 26 2.6 10 7.5 .25 30 11.4 .38 30 400 400 1 Total: 978.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419380 Min 01419380 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4476 of 6486
Name
SAROJANI BAI Rate Amount Qty 33 1.1 30 8.7 .58 15 21.3 .71 30 6.9 .23 30 400 400 1 Total: 469.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419387 Min 01419387 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 28-FEB-19
Page 4477 of 6486
Name
S C SINGORE Qty 6 1 3 1 3
Rate Amount 21.12 3.52 6.82 6.82 1.92 .64 400 400 1.11 .37 Total: 430.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419401 Min 01419401 Appmt Dt Slno Description 01-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4478 of 6486
Name
SURESH RAM Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419402 Min 01419402 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 OBSERVATION IN CASUALTY 5 03-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 03-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 8 03-FEB-19 ECG 9 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 12 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 20 22-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 21 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 22-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 23 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 27-FEB-19 X - RAY - SINGLE VIEW 27 27-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 28 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 28-FEB-19 BUDESONIDE,200MCG,CAPSULE 30 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 28-FEB-19
Page 4479 of 6486
Name
SHANTI DEVI Rate Amount Qty 26.7 .89 30 156.6 1.74 90 6.4 .64 10 400 400 1 420 420 1 600 600 1 24.52 24.52 1 9.62 9.62 1 450 450 1 5.34 .89 6 7.8 2.6 3 15.6 .26 60 27.9 .93 30 12 .4 30 34.8 1.16 30 400 400 1 15.6 .26 60 1.85 .37 5 12 .4 30 4.2 .7 6 15.6 1.04 15 21.3 .71 30 22 4.4 5 4.45 .89 5 400 400 1 400 400 1 550 550 1 15.6 .26 60 26.7 .89 30 156.6 1.74 90 400 400 1 Total: 4643.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419403 Min 01419403 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 X - RAY - SINGLE VIEW 7 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 04-FEB-19
Page 4480 of 6486
Name
ALICE JOSE Rate Amount Qty 21.3 .71 30 32.4 1.08 30 400 400 1 7.5 .25 30 26.7 .89 30 2.4 .16 15 550 550 1 16.2 .27 60 Total: 1056.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419404 Min 01419404 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 22-FEB-19 SOLIFENACIN,5MG,,TABLET 8 22-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 19 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 22 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 25 26-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 26 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 26-FEB-19
Page 4481 of 6486
M.S. SAHU Rate Amount Qty 15.73 15.73 1 16.2 .18 90 12.15 12.15 1 400 400 1 21.3 .71 30 9.3 .62 15 60.9 2.03 30 403.2 13.44 30 192.3 6.41 30 8.1 .27 30 27.9 .93 30 36 .6 60 26.7 .89 30 43.96 131.88 3 6.4 .64 10 21.6 .36 60 36 .6 60 27.9 .93 30 6.9 .23 30 21.3 .71 30 400 400 1 20.06 20.06 1 8.9 .89 10 400 400 1 1.28 .16 8 24.6 .82 30 400 400 1 Total: 2736.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419405 Min 01419405 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 CREAM,ACICLOVIR,5%,5GM/TUBE 5 18-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 18-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 7 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 18-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 13 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 14 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 22-FEB-19
Page 4482 of 6486
SAVITRI SAHU Rate Amount Qty 12.15 12.15 1 26.6 2.66 10 15.73 15.73 1 400 400 1 35.63 35.63 1 26.96 3.37 8 63.58 63.58 1 6.4 .64 10 35.2 3.52 10 127.5 12.75 10 400 400 1 21.3 .71 30 11.85 .79 15 4.08 .51 8 400 400 1 Total: 1586.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419406 Min 01419406 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 20-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4483 of 6486
Name
GAJANAND CHANDRAKAR Rate Amount Qty 18 .6 30 18.6 .62 30 23.7 .79 30 60.9 2.03 30 34.8 1.16 30 400 400 1 43.96 43.96 1 13.86 .99 14 400 400 1 Total: 1013.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419407 Min 01419407 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 4484 of 6486
Name
TRIVENI CHANDRAKAR Rate Amount Qty 42.6 .71 60 27.9 .93 30 21.3 .71 30 11.6 1.16 10 400 400 1 Total: 503.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419409 Min 01419409 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4485 of 6486
Name
ASHOK KUMAR Rate Amount Qty 400 400 1 275 275 1 1300 1300 1 275 275 1 8.1 .27 30 27.9 .93 30 17.8 .89 20 34.8 1.16 30 36 .6 60 400 400 1 Total: 2774.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419410 Min 01419410 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4486 of 6486
Name
USHA KIRAN Rate Amount Qty 8.1 .27 30 41.4 .92 45 36 .6 60 27.9 .93 30 7.5 .25 30 14.85 .99 15 21.3 .71 30 26.7 .89 30 400 400 1 Total: 583.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419420 Min 01419420 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4487 of 6486
Name
DL SONI Rate Amount Qty 4.8 .16 30 26.7 .89 30 31.2 1.04 30 192.3 6.41 30 21.3 .71 30 12 .6 20 12 .4 30 32.4 1.08 30 27.9 .93 30 8.1 .27 30 60.9 2.03 30 400 400 1 Total: 829.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419421 Min 01419421 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 26-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4488 of 6486
Name
KANTA SONI Rate Amount Qty 7.5 .25 30 123.53 123.53 1 7.7 .77 10 31.2 1.04 30 87.92 43.96 2 40.12 20.06 2 16.2 .27 60 23.7 .79 30 55.8 .93 60 400 400 1 Total: 793.67
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419425 Min 01419425 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 04-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4489 of 6486
SHRADHA PRADHAN Rate Amount Qty 27.9 .93 30 26 2.6 10 19.72 9.86 2 82.76 82.76 1 26.7 .89 30 9.6 .64 15 31.46 15.73 2 400 400 1 Total: 624.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419428 Min 01419428 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 4490 of 6486
Name
KIRAN SHRIVASTAVA Rate Amount Qty 23.1 .77 30 7.5 .25 30 8.1 .27 30 47.4 .79 60 400 400 1 Total: 486.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419430 Min 01419430 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4491 of 6486
Name
PHILMON TOPPO Rate Amount Qty 8.1 .27 30 55.8 .93 60 21.3 .71 30 17.4 .58 30 12 .4 30 400 400 1 Total: 514.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419434 Min 01419434 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 21-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 11 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 12 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 4492 of 6486
Name
M TITUS Rate Amount Qty 13.95 .93 15 60.9 2.03 30 23.1 .77 30 17.4 1.16 15 12 .4 30 32.4 1.08 30 400 400 1 32.4 1.08 30 12 .4 30 21.3 .71 30 23.1 .77 30 192.3 6.41 30 13.95 .93 15 400 400 1 Total: 1254.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419435 Min 01419435 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 4493 of 6486
Name
VINEETA Rate Amount Qty 66 1.1 60 2.4 .16 15 27.9 .93 30 32.4 .36 90 72 .6 120 26 2.6 10 3.75 .25 15 400 400 1 72 .6 120 27.9 .93 30 66 1.1 60 .8 .16 5 3.75 .25 15 32.4 .36 90 400 400 1 Total: 1233.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419436 Min 01419436 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 4494 of 6486
Name
RATAN KUMAR DHAMDE Rate Amount Qty 39 1.3 30 2.28 .38 6 1.85 .37 5 3.84 .64 6 60.9 2.03 30 21.3 .71 30 27.9 .93 30 167.4 5.58 30 36 .6 60 55.2 .92 60 400 400 1 Total: 815.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419437 Min 01419437 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4495 of 6486
Name
SHYAM KUWAR BAI Rate Amount Qty 167.4 5.58 30 21.3 .71 30 36 .6 60 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 Total: 632.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419439 Min 01419439 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 8 22-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 4496 of 6486
Name
KRISHN KUMAR DIXIT Rate Amount Qty 87.92 43.96 2 19.8 .66 30 22.2 .37 60 53.4 .89 60 6.4 .64 10 1.85 .37 5 400 400 1 35.2 3.52 10 87.92 43.96 2 1.85 .37 5 6.4 .64 10 400 400 1 Total: 1122.94
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419440 Min 01419440 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 22-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 4497 of 6486
MRS MANJU DIXIT Rate Amount Qty 7.4 .37 20 4.8 .16 30 21.3 .71 30 26.7 .89 30 400 400 1 3.84 .64 6 6.72 1.12 6 50.14 25.07 2 1.85 .37 5 55.2 1.84 30 20.25 20.25 1 400 400 1 Total: 998.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419452 Min 01419452 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 02-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 02-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 02-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 8 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 15 28-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 16 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 28-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 4498 of 6486
Name
S MEERA BAI Rate Amount Qty 66.2 6.62 10 43.96 43.96 1 15.6 1.04 15 21.3 .71 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 15.3 .34 45 26.7 .89 30 400 400 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 26.7 .89 30 21.3 .71 30 15.3 .34 45 43.96 43.96 1 31.2 1.04 30 400 400 1 Total: 1285.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419461 Min 01419461 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4499 of 6486
Name
RAMKHILAWAN BANDHEKAR Rate Amount Qty 32.4 1.08 30 11.4 .38 30 78 1.3 60 27.9 .93 30 46.2 .77 60 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419467 Min 01419467 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 19-FEB-19
Page 4500 of 6486
Name
B MUKHERJI Rate Amount Qty 42.6 .71 60 16.2 .27 60 111.6 .93 120 400 400 1 15 .25 60 53.4 .89 60 24 .4 60 64.8 1.08 60 Total: 727.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419469 Min 01419469 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4501 of 6486
Name
SAWBHAGYABATI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419479 Min 01419479 Appmt Dt Slno Description 02-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 02-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 02-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4502 of 6486
Name
BABU RAM Qty Rate Amount 30 .36 10.8 15 .25 3.75 60 .6 36 1 400 400 Total: 450.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419480 Min 01419480 Appmt Dt Slno Description 02-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4503 of 6486
Name
SMT.ASHA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419481 Min 01419481 Appmt Dt Slno Description 14-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4504 of 6486
Name
A.T. SUNDARI Qty Rate Amount 120 .62 74.4 1 400 400 474.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419490 Min 01419490 Appmt Dt Slno Description 04-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 04-FEB-19 2 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 04-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4505 of 6486
Name
VIDYA S JOSHI Qty Rate Amount 30 .16 4.8 30 .71 21.3 30 1.08 32.4 1 400 400 Total: 458.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419491 Min 01419491 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 4506 of 6486
Name
PRATIMA DASTIDAR Rate Amount Qty 55.8 .93 60 13.35 .89 15 17.4 .58 30 16.2 .27 60 7.5 .25 30 21.3 .71 30 400 400 1 Total: 531.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419494 Min 01419494 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4507 of 6486
Name
KUM KUM RANSOM EKKA Rate Amount Qty 13.8 .23 60 33 1.1 30 18.9 .63 30 36 .6 60 21.3 .71 30 400 400 1 Total: 523
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419497 Min 01419497 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 01-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4508 of 6486
Name
B L SAHU Qty 1 1 1
Rate Amount 57.84 57.84 17.37 17.37 400 400 Total: 475.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419498 Min 01419498 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4509 of 6486
Name
ANUSUYA SAHU Rate Amount Qty 10.65 .71 15 7.5 .25 30 55.8 .93 60 29.7 .99 30 400 400 1 10.65 .71 15 55.8 .93 60 29.7 .99 30 7.5 .25 30 400 400 1 Total: 1007.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419505 Min 01419505 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 21-FEB-19 SUTURE REMOVAL 10 21-FEB-19
Page 4510 of 6486
Name
SONAMATI DEVI Rate Amount Qty 36 .6 60 17.4 1.16 15 55.8 .93 60 76.5 2.55 30 29.7 .99 30 400 400 1 60.9 2.03 30 400 400 1 400 400 1 490 490 1 Total: 1966.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419508 Min 01419508 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4511 of 6486
Name
SWATANTRA KUMAR SONI Rate Amount Qty 17.8 .89 20 18 .6 30 167.4 5.58 30 10.8 .36 30 27.9 .93 30 32.4 1.08 30 400 400 1 Total: 674.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419516 Min 01419516 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 4512 of 6486
Name
KUMAR S Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 55.8 .93 60 8.1 .27 30 15.3 .51 30 400 400 1 55.8 .93 60 72.6 1.21 60 15.3 .51 30 8.1 .27 30 34.8 1.16 30 400 400 1 Total: 1173.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419517 Min 01419517 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4513 of 6486
Name
CHHAYA RANI Rate Amount Qty 55.8 .93 60 36.3 1.21 30 400 400 1 Total: 492.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419518 Min 01419518 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 05-FEB-19 3 ONDANSETRON,8MG,STRIP PACK.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4514 of 6486
Name
PRITAM SINGH Qty 6 1 3 1
Rate Amount .89 5.34 20.06 20.06 .7 2.1 400 400 Total: 427.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419519 Min 01419519 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 22-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 2 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 22-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 4 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4515 of 6486
Name
SARJEET KAUR Rate Amount Qty 21.3 .71 30 43.2 1.44 30 7.65 .51 15 23.6 1.18 20 1.48 .37 4 12 .4 30 27.9 .93 30 400 400 1 Total: 537.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419521 Min 01419521 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4516 of 6486
Name
DR.SN GHOSH Rate Amount Qty 247.6 6.19 40 17.8 .89 20 14 .7 20 14.6 .73 20 400 400 1 Total: 694
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419522 Min 01419522 Appmt Dt Slno Description 05-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 05-FEB-19 3 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4517 of 6486
RAJ KUMAR MISHRA Qty Rate Amount 10 2.66 26.6 1 15.73 15.73 1 12.15 12.15 1 400 400 Total: 454.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419523 Min 01419523 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 6 11-FEB-19 SUTURE REMOVAL 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 11-FEB-19
Page 4518 of 6486
Name
GODAVARI MISHRA Rate Amount Qty 66.2 6.62 10 4.45 .89 5 6.4 .64 10 400 400 1 7.12 .89 8 2.8 .7 4 490 490 1 400 400 1 Total: 1376.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419525 Min 01419525 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 4 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4519 of 6486
Name
MAZHARUNNISA KHAN Rate Amount Qty 12 .4 30 17.4 1.16 15 18 .6 30 4.27 192.15 45 14.85 .99 15 15.3 .51 30 78 1.3 60 7.5 .25 30 400 400 1 Total: 755.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419527 Min 01419527 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4520 of 6486
Name
SARVAR SULTAN SIDDQUI Rate Amount Qty 26.7 .89 30 167.4 5.58 30 20.06 20.06 1 7.5 .25 30 400 400 1 Total: 621.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419533 Min 01419533 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 06-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 22-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4521 of 6486
Name
PUSHPA DEVI Rate Amount Qty 3.7 .37 10 17.6 17.6 1 17.37 17.37 1 400 400 1 5.76 .64 9 1.48 .37 4 5.4 .6 9 400 400 1 Total: 851.31
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419537 Min 01419537 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 04-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 10 04-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19
Page 4522 of 6486
BIMAL BAWEJA Rate Amount Qty 34.8 1.16 30 55.8 .93 60 72 .6 120 15.73 15.73 1 33 1.1 30 7.5 .25 30 26.7 .89 30 32.4 1.08 30 12 .4 30 64.2 2.14 30 88.2 1.47 60 400 400 1 Total: 842.33
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419539 Min 01419539 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 14-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 13 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 17 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 23 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 24 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 26 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 28-FEB-19
Page 4523 of 6486
SALMA BEGUM Rate Amount Qty 5.4 .18 30 18 .9 20 70.2 2.34 30 3.7 .37 10 15.73 15.73 1 400 400 1 66.2 6.62 10 9 .9 10 12.15 12.15 1 3.7 .37 10 8.1 .27 30 26.7 .89 30 32.4 .36 90 72 .6 120 167.4 5.58 30 78 1.3 60 29.7 .99 30 55.8 .93 60 33 1.1 30 12 .4 30 21.3 .71 30 400 400 1 8.1 .18 45 27 .9 30 3.7 .37 10 12.15 12.15 1 400 400 1 Total: 1991.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419542 Min 01419542 Slno Description Appmt Dt TICAGRELOR 90MG ,TABLET 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4524 of 6486
Name
ZAFAR MOINUDDIN QURAISHI Rate Amount Qty 30.77 1846.2 60 400 400 1 36.3 1.21 30 12 .4 30 27.9 .93 30 400 400 1 Total: 2722.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419551 Min 01419551 Appmt Dt Slno Description 09-FEB-19 1 VITAMIN A CHEWABLE,50000IU,,TABLET 09-FEB-19 2 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 09-FEB-19 3 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4525 of 6486
Name
ALKA CHAKOLE Qty Rate Amount 20 .75 15 1 37.04 37.04 1 12.81 12.81 1 400 400 Total: 464.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419554 Min 01419554 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4526 of 6486
MAROTI RAO DOHARE Rate Amount Qty 9.9 .66 15 27.9 .93 30 8.1 .27 30 76.5 2.55 30 400 400 1 25.07 25.07 1 400 400 1 Total: 947.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419555 Min 01419555 Appmt Dt Slno Description 07-FEB-19 1 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 07-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4527 of 6486
Name
LEELA DOHARE Qty Rate Amount 3 .71 2.13 10 .25 2.5 30 .6 18 1 400 400 Total: 422.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419556 Min 01419556 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 4528 of 6486
Name
S.K. GHOSH Rate Amount Qty 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 490.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419557 Min 01419557 Slno Description Appmt Dt TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 1 23-FEB-19 PILOCARPINE NITRATE,2%,EYE DROP,5ML PACK 2 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 23-FEB-19
Page 4529 of 6486
Name
SMITA GHOSH Qty 2 2 1
Rate Amount 156.51 313.02 54.46 108.92 400 400 Total: 821.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419558 Min 01419558 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 18-FEB-19 UREA (BUN /UR) 4 18-FEB-19 CREATININE /CRT 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 4530 of 6486
Name
K VENKATESH KARANTH Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 27.9 .93 30 33 1.1 30 400 400 1 Total: 2360.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419559 Min 01419559 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 4531 of 6486
Name
CHANDRALATA KARANTH Rate Amount Qty 17.4 1.16 15 55.8 .93 60 36 .6 60 3.75 .25 15 400 400 1 Total: 512.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419560 Min 01419560 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19
Page 4532 of 6486
Name
SHARDA PRASAD Rate Amount Qty 400 400 1 400 400 1 47.4 .79 60 74.4 .62 120 34.8 1.16 30 15 .25 60 144 .6 240 43.2 .36 120 Total: 1158.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419561 Min 01419561 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 8 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 11 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 28-FEB-19
Page 4533 of 6486
Name
KANTI DEVI Rate Amount Qty 400 400 1 9.86 9.86 1 35.2 3.52 10 85.2 .71 120 36 .6 60 166.8 2.78 60 42.6 .71 60 85.52 85.52 1 400 400 1 8.9 .89 10 4.1 .41 10 66.2 6.62 10 Total: 1340.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419564 Min 01419564 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 6 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 4534 of 6486
Name
JAGDISH KUMAR CHAWHAN Rate Amount Qty 21.3 .71 30 12 .4 30 27.6 .92 30 76.5 2.55 30 36 .6 60 46.8 .78 60 7.8 .26 30 400 400 1 Total: 628
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419565 Min 01419565 Appmt Dt Slno Description 12-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 12-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4535 of 6486
Name
RASHMI CHAWHAN Qty Rate Amount 60 .6 36 45 .36 16.2 30 .71 21.3 1 400 400 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419582 Min 01419582 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4536 of 6486
Name
PUSHPA TRIGUNAIT Rate Amount Qty 1.85 .37 5 66.2 6.62 10 400 400 1 Total: 468.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419583 Min 01419583 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 05-FEB-19
Page 4537 of 6486
Name
RATAN LAL DEWANGAN Rate Amount Qty 192.3 6.41 30 275 275 1 60.9 2.03 30 400 400 1 275 275 1 Total: 1203.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419584 Min 01419584 Slno Description Appmt Dt TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 1 14-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 14-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 3 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4538 of 6486
Name
KALYANI DEWANGAN Rate Amount Qty 12.3 .82 15 351 3.9 90 85.5 2.85 30 79.2 2.64 30 9.9 .66 15 400 400 1 Total: 937.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419585 Min 01419585 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 C T SMALL PARTS /HR 6 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 4539 of 6486
Name
AMRITPAL SINGH NOTEY Rate Amount Qty 25.2 .63 40 14.6 .73 20 247.6 6.19 40 20.84 5.21 4 400 400 1 12000 6000 2 400 400 1 25.2 .63 40 35.6 .89 40 247.6 6.19 40 29.2 .73 40 400 400 1 55.8 .93 60 76.5 2.55 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 2.4 .16 15 400 400 1 Total: 14459.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419590 Min 01419590 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 14-FEB-19 PLATELET COUNT 3 14-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 4 14-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 5 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 HB,TLC,DLC 9 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 4540 of 6486
Name
PADMA JAIN Rate Amount Qty 8.1 .27 30 400 400 1 330 330 1 165 165 1 330 330 1 11.4 .38 30 13.95 .93 15 7.5 .25 30 300 300 1 27.9 .93 30 8.1 .27 30 400 400 1 Total: 2001.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419591 Min 01419591 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 27-FEB-19
Page 4541 of 6486
NIMBA BADGUJAR Rate Amount Qty 1.85 .37 5 15.73 15.73 1 66.2 6.62 10 400 400 1 7.5 .25 30 301.8 5.03 60 22.8 .38 60 9.6 .64 15 185.7 6.19 30 400 400 1 247.6 6.19 40 35.6 .89 40 54.8 1.37 40 400 400 1 13.35 .89 15 16.8 1.12 15 87.92 43.96 2 400 400 1 6.4 .64 10 66.2 6.62 10 400 400 1 Total: 3139.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419592 Min 01419592 Appmt Dt Slno Description 27-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 27-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 27-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4542 of 6486
Name
KALPANA BAI Qty Rate Amount 30 1.84 55.2 10 .64 6.4 5 .89 4.45 1 400 400 Total: 466.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419595 Min 01419595 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 18-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 18-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 4543 of 6486
Name
BIMAN KUMAR PAUL Rate Amount Qty 72.6 1.21 60 27.9 .93 30 7.5 .25 30 18 .6 30 34.8 1.16 30 400 400 1 37.04 37.04 1 41.06 41.06 1 8.9 .89 10 6.4 .64 10 3.8 .38 10 55.2 1.84 30 400 400 1 Total: 1113.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419608 Min 01419608 Slno Description Appmt Dt CLOBAZAM,STRIP PKT,10MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 4544 of 6486
Name
SURESH JAIN Rate Amount Qty 73.35 4.89 15 7.5 .25 30 400 400 1 17.4 1.16 15 60.9 2.03 30 13.95 .93 15 54 .6 90 9 .3 30 3.75 .25 15 9.9 .66 15 400 400 1 Total: 1049.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419609 Min 01419609 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4545 of 6486
Name
SUNITA DEVI JAIN Rate Amount Qty 9.3 .62 15 21.3 .71 30 400 400 1 Total: 430.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419617 Min 01419617 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 11-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 4546 of 6486
Name
SAWMITA GANGULY Rate Amount Qty 9 .3 30 4.45 .89 5 18 .6 30 1.85 .37 5 12.81 12.81 1 7.4 .37 20 6.7 .67 10 400 400 1 Total: 460.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419618 Min 01419618 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 4547 of 6486
Name
SON SINGH Rate Amount Qty 15.96 2.66 6 7.5 .25 30 26.7 .89 30 55.8 .93 60 2.22 .37 6 400 400 1 Total: 508.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419619 Min 01419619 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 2 08-FEB-19 ECG 3 08-FEB-19
Page 4548 of 6486
Name
RUKHMANI DEVI THAKUR Rate Amount Qty 400 400 1 2370 2370 1 450 450 1 Total: 3220
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419622 Min 01419622 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 4549 of 6486
Name
CHARAN LAL Rate Amount Qty 12 .4 30 7.5 .25 30 27.9 .93 30 34.8 1.16 30 167.4 5.58 30 400 400 1 Total: 649.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419623 Min 01419623 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 PROTHROMBIN TIME (PT) 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 COMPLETE HAEMOGRAM 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 8 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 20-FEB-19 COMPLETE HAEMOGRAM 12 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 15 20-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 16 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 23-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 18 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 23-FEB-19
Page 4550 of 6486
Name
SHEELA BAI Rate Amount Qty 1300 1300 1 275 275 1 330 330 1 400 400 1 750 750 1 400 400 1 .25 .25 1 423.6 7.06 60 20.84 5.21 4 400 400 1 550 550 1 750 750 1 400 400 1 1300 1300 1 1300 1300 1 423.6 7.06 60 3.75 .25 15 10.42 5.21 2 400 400 1 Total: 9437.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419633 Min 01419633 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 25-FEB-19 TRIGLYCERIDES (TGL) 12 25-FEB-19 CHOLESTEROL (CHOL) 13 25-FEB-19 UREA (BUN /UR) 14 25-FEB-19 CREATININE /CRT 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 25-FEB-19 PLATELET COUNT 18 25-FEB-19 HB,TLC,DLC 19 25-FEB-19 BLOOD FOR T-3,T-4,TSH 20 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 25-FEB-19
Page 4551 of 6486
Name
KEWARI LAHARI Rate Amount Qty 7.5 .25 30 10.8 .36 30 27.9 .62 45 34.8 1.16 30 400 400 1 7.5 .25 30 1.85 .37 5 21.3 .71 30 27.9 .62 45 10.8 .36 30 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 330 330 1 300 300 1 2400 2400 1 400 400 1 Total: 6180.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419634 Min 01419634 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 4552 of 6486
Name
KISHORI LAL CHANDRAKER Rate Amount Qty 27.9 .93 30 12 .4 30 21.3 .71 30 39 1.3 30 13.35 .89 15 8.1 .27 30 9 .6 15 10.8 .36 30 400 400 1 26.7 .89 30 47.4 .79 60 33 1.1 30 21.3 .71 30 32.4 1.08 30 400 400 1 Total: 1102.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419635 Min 01419635 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4553 of 6486
Name
EAMAN DEVI CHANDRAKER Rate Amount Qty 36 .6 60 39 1.3 30 7.5 .25 30 27.9 .93 30 27.6 .92 30 400 400 1 Total: 538
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419641 Min 01419641 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 05-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 4 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OBSERVATION IN CASUALTY 7 24-FEB-19 ECG 8 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 9 24-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 24-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 24-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 24-FEB-19
Page 4554 of 6486
Name
BASANTI Rate Amount Qty 19.72 9.86 2 11.1 .37 30 17.6 17.6 1 26.86 13.43 2 26.96 3.37 8 400 400 1 420 420 1 450 450 1 9.62 9.62 1 3.36 .42 8 1.61 .23 7 .66 .66 1 400 400 1 Total: 1787.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419642 Min 01419642 Appmt Dt Slno Description 20-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 20-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4555 of 6486
Name
JAGDISH PRASAD NAMDEO Qty Rate Amount 30 .93 27.9 30 1.16 34.8 30 .25 7.5 1 400 400 Total: 470.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419645 Min 01419645 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 4556 of 6486
Name
KAUSHILIYA BAI Rate Amount Qty 6.4 .64 10 7.5 .25 30 21.3 .71 30 167.4 5.58 30 8.9 .89 10 13.7 1.37 10 36 .6 60 400 400 1 Total: 661.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419646 Min 01419646 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 4557 of 6486
MUNNALAL JAIN Rate Amount Qty 12 .4 30 13.95 .93 15 33 1.1 30 34.8 1.16 30 15.73 15.73 1 400 400 1 Total: 509.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419648 Min 01419648 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 4558 of 6486
Name
SURESH KUMAR NARAD Rate Amount Qty 7.5 .25 30 27.9 .93 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419651 Min 01419651 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4559 of 6486
Name
SHASHIKALA SONI Rate Amount Qty 25.62 12.81 2 7.4 .37 20 400 400 1 78 1.3 60 27.9 .93 30 90 .6 150 43.2 .36 120 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 1260.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419654 Min 01419654 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 15 21-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 16 21-FEB-19 PARASITES (MP /MF) 17 21-FEB-19 PLATELET COUNT 18 21-FEB-19 HB,TLC,DLC 19 21-FEB-19 X - RAY - SINGLE VIEW 20 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 23 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 25 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 26 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 27 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 23-FEB-19
Page 4560 of 6486
Name
ASHOK KUMAR GUPTA Rate Amount Qty 167.4 5.58 30 27.9 .93 30 29.7 .99 30 18 .6 30 34.8 1.16 30 400 400 1 1.48 .37 4 3.84 .64 6 39.72 6.62 6 400 400 1 1.48 .37 4 3.84 .64 6 39.72 6.62 6 400 400 1 330 330 1 165 165 1 165 165 1 330 330 1 300 300 1 550 550 1 400 400 1 3.7 .37 10 66.2 6.62 10 26.7 .89 30 12.15 12.15 1 20.1 .67 30 54 .9 60 400 400 1 Total: 4390.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419655 Min 01419655 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19
Page 4561 of 6486
Name
SARITA GUPTA Rate Amount Qty 6 .6 10 11.6 1.16 10 2.5 .25 10 55.8 5.58 10 400 400 1 7.5 .25 30 34.8 1.16 30 167.4 5.58 30 3.84 .64 6 2.28 .38 6 1.85 .37 5 18 .6 30 400 400 1 66.2 6.62 10 1.85 .37 5 6.4 .64 10 8.9 .89 10 400 400 1 Total: 1594.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419659 Min 01419659 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 4562 of 6486
Name
MILA BAI Rate Amount Qty 2.4 .16 15 27.9 .93 30 400 400 1 Total: 430.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419666 Min 01419666 Appmt Dt Slno Description 08-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 08-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 08-FEB-19 3 VITAMIN E,STRIP PKT,200MG,CAPSULE 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4563 of 6486
Name
SATISH CHAND VERMA Qty Rate Amount 15 .99 14.85 30 .63 18.9 15 1.58 23.7 1 400 400 Total: 457.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419667 Min 01419667 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 4564 of 6486
Name
SMT.PRABHAWATI VERMA Rate Amount Qty 33 1.1 30 17.4 1.16 15 400 400 1 3.2 .64 5 8.9 .89 10 20.84 5.21 4 400 400 1 Total: 883.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419668 Min 01419668 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 25-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4565 of 6486
Name
BHOJ LAL GEDAM Rate Amount Qty 23.7 .79 30 26.7 .89 30 21.3 .71 30 32.4 1.08 30 12 .4 30 400 400 1 13.7 1.37 10 14.6 .73 20 8.9 .89 10 10.65 .71 15 7.5 .25 30 400 400 1 Total: 971.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419669 Min 01419669 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4566 of 6486
Name
AMAN BAI GEDAM Rate Amount Qty 78 1.3 60 36 .6 60 23.7 .79 30 21.3 .71 30 7.5 .25 30 18.9 .63 30 400 400 1 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419682 Min 01419682 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 4567 of 6486
Name
RAFI AHMED KHAN Rate Amount Qty 184.1 18.41 10 6.4 .64 10 31.4 3.14 10 400 400 1 10.8 .36 30 54 .6 90 78 1.3 60 21.3 .71 30 11.85 .79 15 26.7 .89 30 7.5 .25 30 400 400 1 Total: 1232.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419683 Min 01419683 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 4568 of 6486
Name
SHAKEELA BANO Rate Amount Qty 72 .6 120 21.6 .36 60 334.8 5.58 60 55.8 .93 60 29.7 .99 30 39 1.3 30 26.7 .89 30 17.4 1.16 15 12 .4 30 8.1 .27 30 400 400 1 21.3 .71 30 26.7 .89 30 12 .4 30 8.1 .27 30 29.7 .99 30 55.8 .93 60 39 1.3 30 167.4 5.58 30 72 .6 120 21.6 .36 60 400 400 1 Total: 1870.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419684 Min 01419684 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4569 of 6486
Name
S K BARDHAN Rate Amount Qty 3.7 .37 10 45.44 45.44 1 400 400 1 18.9 .63 30 400 400 1 Total: 868.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419686 Min 01419686 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 4570 of 6486
Name
MAHESH KUMAR GUPTA Rate Amount Qty 55.8 .93 60 36 .6 60 10.8 .36 30 12 .4 30 8.1 .27 30 29.7 .99 30 34.8 1.16 30 400 400 1 Total: 587.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419687 Min 01419687 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4571 of 6486
Name
LALITA GUPTA Rate Amount Qty 55.8 .93 60 29.7 .99 30 2.4 .16 15 9.3 .62 15 8.1 .27 30 26.7 .89 30 400 400 1 Total: 532
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419689 Min 01419689 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 4572 of 6486
Name
SMT.HARJEET KAUR Rate Amount Qty 72 .6 120 55.8 .93 60 7.5 .25 30 18 .6 30 26.7 .89 30 400 400 1 Total: 580
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419690 Min 01419690 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 07-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 2 07-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 3 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 6 18-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 7 18-FEB-19 SODIUM VALPROATE,500MG,TABLET 8 18-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4573 of 6486
Name
MAHESH KUMAR SHARMA Rate Amount Qty 10.56 2.64 4 7.14 .51 14 13.7 1.37 10 29.4 2.1 14 400 400 1 61.65 1.37 45 39.6 2.64 15 234 3.9 60 30.6 .51 60 400 400 1 Total: 1226.65
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419692 Min 01419692 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 4574 of 6486
BILAS KORE Rate Amount Qty 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 25.07 25.07 1 400 400 1 25.2 .6 42 42.63 2.03 21 19.53 .93 21 26.88 .64 42 18.69 .89 21 35.2 3.52 10 3.36 .16 21 400 400 1 Total: 1289.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419693 Min 01419693 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 4575 of 6486
Name
MANGLA BAI Rate Amount Qty 12.81 12.81 1 7.5 .25 30 400 400 1 Total: 420.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419694 Min 01419694 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 26-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 4576 of 6486
Name
DEWANGAN BP Rate Amount Qty 11.4 .38 30 23.7 .79 30 33 1.1 30 400 400 1 301.8 5.03 60 400 400 1 Total: 1169.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419698 Min 01419698 Appmt Dt Slno Description 28-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 28-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4577 of 6486
Name
P UMA Qty Rate Amount 30 .89 26.7 30 .71 21.3 60 .93 55.8 1 400 400 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419699 Min 01419699 Appmt Dt Slno Description 28-FEB-19 1 GLICLAZIDE MR,30 MG,,TABLET 28-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4578 of 6486
Name
P SHRINIWAS RAO Qty Rate Amount 15 .92 13.8 30 .93 27.9 30 .6 18 1 400 400 Total: 459.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419705 Min 01419705 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 ECG 2 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 PRAZOSIN,2.5MG,TABLET 9 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 12 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 13 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 27-FEB-19
Page 4579 of 6486
Name
CHANDRAKANT CHANDEL Rate Amount Qty 400 400 1 450 450 1 38.25 2.55 15 18 .6 30 29.7 .99 30 55.8 .93 60 12 .4 30 34.8 1.16 30 156 1.3 120 9 .3 30 400 400 1 19.77 19.77 1 24.45 24.45 1 44.16 1.84 24 400 400 1 Total: 2091.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419709 Min 01419709 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 4580 of 6486
Name
TEJ RAM YADAV Rate Amount Qty .8 .16 5 66 1.1 60 55.8 .93 60 36 .6 60 12 .4 30 21.3 .71 30 167.4 5.58 30 400 400 1 3.04 .38 8 5.12 .64 8 1.48 .37 4 400 400 1 Total: 1168.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419712 Min 01419712 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 02-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 02-FEB-19 ECG 6 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 18-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4581 of 6486
Name
RAJNI ARYA Rate Amount Qty 420 420 1 .64 .64 1 9.62 9.62 1 .89 .89 1 600 600 1 450 450 1 33 1.1 30 2.5 .25 10 8.9 .89 10 400 400 1 Total: 1925.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419713 Min 01419713 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 6 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 22-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 4582 of 6486
Name
OM PRAKASH USRATHE Rate Amount Qty 4.8 .16 30 66 1.1 60 29.7 .99 30 55.8 .93 60 400 400 1 41.06 41.06 1 19.72 9.86 2 26.96 3.37 8 400 400 1 Total: 1044.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419715 Min 01419715 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 04-FEB-19 RA FACTOR /RH FACTOR 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 URIC ACID (UA /URATES /UR) 5 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 10 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 OBSERVATION IN CASUALTY 13 26-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 14 26-FEB-19
Page 4583 of 6486
Name
JAGESHWAR PRASAD TRIPATHI Rate Amount Qty 2.05 .41 5 600 600 1 4.48 .64 7 6.23 .89 7 275 275 1 275 275 1 275 275 1 400 400 1 66 1.1 60 6.9 .23 30 8.1 .27 30 400 400 1 420 420 1 600 600 1 Total: 3338.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419717 Min 01419717 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 4584 of 6486
Name
DURGA PRASAD CHAURE Rate Amount Qty 55.8 .93 60 8.9 .89 10 400 400 1 Total: 464.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419718 Min 01419718 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4585 of 6486
Name
VIDHYA CHOURE Rate Amount Qty 54 .6 90 21.6 .36 60 13.95 .93 15 34.8 1.16 30 167.4 5.58 30 117 1.3 90 400 400 1 Total: 808.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419722 Min 01419722 Appmt Dt Slno Description 05-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4586 of 6486
Name
M.MALARKODI Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419723 Min 01419723 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4587 of 6486
Name
BABULAL Rate Amount Qty 12 .4 30 36 .6 60 36.3 1.21 30 69.6 1.16 60 400 400 1 Total: 553.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419725 Min 01419725 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 CILOSTAZOL,CAPSULE/100MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 4588 of 6486
Name
RAJNI KANT WILLIAMSON Rate Amount Qty 275 275 1 275 275 1 400 400 1 432.6 7.21 60 400 400 1 Total: 1782.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419726 Min 01419726 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 4589 of 6486
Name
SHASHI SALONAMMA Rate Amount Qty 18.41 128.87 7 18.2 2.6 7 6.23 .89 7 400 400 1 10.8 .36 30 72 .6 120 21.3 .71 30 167.4 5.58 30 27.9 .93 30 117 1.3 90 18.9 .63 30 12 .4 30 400 400 1 Total: 1400.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419731 Min 01419731 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4590 of 6486
Name
P.S.DHANJAL Rate Amount Qty 3.7 .37 10 12.15 12.15 1 78 1.3 60 55.8 .93 60 21.3 .71 30 18 .6 30 18 .9 20 400 400 1 Total: 606.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419732 Min 01419732 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4591 of 6486
Name
PARAMJEET KAUR DHANJAL Rate Amount Qty 16.2 .36 45 55.8 .93 60 117 1.3 90 167.4 5.58 30 21.3 .71 30 72 .6 120 2.4 .16 15 400 400 1 Total: 852.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419733 Min 01419733 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 4592 of 6486
Name
MAKHAN SINGH Rate Amount Qty 14.85 .99 15 55.8 .93 60 10.8 .36 30 7.5 .25 30 167.4 5.58 30 54 .6 90 39 1.3 30 400 400 1 Total: 749.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419734 Min 01419734 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 27-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 3 27-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4593 of 6486
Name
TRISHNA KAUR DHARWAL Rate Amount Qty 20.84 5.21 4 3.04 .38 8 64.6 3.23 20 125.1 2.78 45 400 400 1 Total: 613.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419739 Min 01419739 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 4 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 09-FEB-19
Page 4594 of 6486
Name
HETRAM BAGHEL Rate Amount Qty 5.12 .64 8 44.16 1.84 24 400 400 1 1170 1170 1 400 400 1 Total: 2019.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419740 Min 01419740 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4595 of 6486
Name
SMT.LAXMI BAGHEL Rate Amount Qty 39 1.3 30 21.3 .71 30 167.4 5.58 30 7.5 .25 30 9 .3 30 54 .6 90 400 400 1 Total: 698.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419742 Min 01419742 Appmt Dt Slno Description 05-FEB-19 1 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 05-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4596 of 6486
Name
SMT. SUNAINA DEVI Qty Rate Amount 90 .78 70.2 1 400 400 470.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419744 Min 01419744 Appmt Dt Slno Description 11-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4597 of 6486
Name
RAJ KUNWAR KOSMA Qty Rate Amount 60 .6 36 30 .71 21.3 30 .79 23.7 1 400 400 Total: 481
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419745 Min 01419745 Slno Description Appmt Dt T M T (TREAD MILL EXERCISE TEST) 1 08-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 2 08-FEB-19 ECG 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 4598 of 6486
Name
CHETAN LAL Rate Amount Qty 3430 3430 1 2370 2370 1 450 450 1 400 400 1 6.4 .4 16 66 1.1 60 14.85 .99 15 55.8 .93 60 21.3 .71 30 400 400 1 Total: 7214.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419747 Min 01419747 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4599 of 6486
Name
K R JOSEPH Rate Amount Qty 21.6 .36 60 167.4 5.58 30 55.8 .93 60 16.2 .27 60 29.7 .99 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 777.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419748 Min 01419748 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4600 of 6486
Name
LILLY JOSEPH Rate Amount Qty 14.85 .99 15 21.3 .71 30 7.5 .25 30 36 .6 60 71 .71 100 27.9 .93 30 74.4 .62 120 10.8 .36 30 400 400 1 Total: 663.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419751 Min 01419751 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 4601 of 6486
Name
GOVERDHAN PRASAD HARADAHA Rate Amount Qty 21.3 .71 30 23.7 .79 30 32.4 1.08 30 36 .6 60 9 .3 30 400 400 1 Total: 522.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419753 Min 01419753 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 6 21-FEB-19 SODIUM VALPROATE,500MG,TABLET 7 21-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 8 21-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 9 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 12 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 4602 of 6486
Name
BINA BHATTACHARYA Rate Amount Qty 31.9 3.19 10 26 2.6 10 8.9 .89 10 2.5 .25 10 400 400 1 15.3 .51 30 234 3.9 60 9.9 .66 15 41.1 1.37 30 79.2 2.64 30 400 400 1 16.8 .42 40 123.8 6.19 20 17.8 .89 20 62.8 3.14 20 400 400 1 Total: 1870
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419754 Min 01419754 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 4 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 4603 of 6486
Name
BIMAN BHATTACHARYA Rate Amount Qty 5 .25 20 16.8 .42 40 5 .25 20 62.8 3.14 20 63.8 3.19 20 400 400 1 26.7 .89 30 25.2 .42 60 20.84 5.21 4 12.3 .41 30 400 400 1 Total: 1038.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419757 Min 01419757 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4604 of 6486
Name
BAISAKHU RAM Rate Amount Qty 26.7 .89 30 2.4 .16 15 33 1.1 30 30.6 .34 90 12 .4 30 32.4 1.08 30 23.7 .79 30 400 400 1 Total: 560.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419759 Min 01419759 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4605 of 6486
Name
SWAPAN KUMAR PAUL Rate Amount Qty 27.9 .93 30 17.4 1.16 15 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419760 Min 01419760 Appmt Dt Slno Description 14-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 14-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4606 of 6486
Name
UJWALA PAUL Qty Rate Amount 30 .4 12 30 .23 6.9 15 1.16 17.4 1 400 400 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419764 Min 01419764 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 4607 of 6486
Name
AJAY KUMAR Rate Amount Qty 34.8 1.16 30 27.9 .93 30 54 .6 90 117 1.3 90 32.4 1.08 30 192.3 6.41 30 60.9 2.03 30 12 .4 30 400 400 1 Total: 931.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419768 Min 01419768 Appmt Dt Slno Description 08-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 08-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 08-FEB-19 3 BISOPROLOL FUMARATE,5MG,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4608 of 6486
Name
CJV RAMAN Qty Rate Amount 60 .37 22.2 30 .79 23.7 30 2.55 76.5 1 400 400 Total: 522.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419770 Min 01419770 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 PRAZOSIN,2.5MG,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4609 of 6486
Name
DATTATRAI SHINDE Rate Amount Qty 27.6 .92 30 21.3 .71 30 156 1.3 120 32.4 1.08 30 16.2 .27 60 400 400 1 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419771 Min 01419771 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 4610 of 6486
Name
SANGEETA SHINDE Rate Amount Qty 10.8 .36 30 36 .6 60 400 400 1 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419778 Min 01419778 Slno Description Appmt Dt CREAM,ACICLOVIR,5%,5GM/TUBE 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4611 of 6486
Name
NUTUN KALPANDE Rate Amount Qty 35.63 35.63 1 6.4 .64 10 13.95 .93 15 1.85 .37 5 26.7 .89 30 31.95 .71 45 20.06 20.06 1 400 400 1 Total: 536.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419790 Min 01419790 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 DEXAMETHASONE SODIUM,4MG/ML,INJECTION 8 13-FEB-19 PHENYTOIN,50MG/ML,2ML AMP,INJECTION 9 13-FEB-19 OBSERVATION IN CASUALTY 10 13-FEB-19
Page 4612 of 6486
Name
SARASWATI GUPTA Rate Amount Qty 27.6 .92 30 18 .6 30 33 1.1 30 13.95 .93 15 17.4 1.16 15 7.5 .25 30 400 400 1 6.67 6.67 1 8.1 8.1 1 420 420 1 Total: 952.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419791 Min 01419791 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 4613 of 6486
Name
VIRENDRA KUMAR PANIGRAHI Rate Amount Qty 26.7 .89 30 10.8 .36 30 18 .6 30 7.5 .25 30 400 400 1 Total: 463
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419793 Min 01419793 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 4614 of 6486
Name
YAMUNA PRASAD Rate Amount Qty 275 275 1 400 400 1 275 275 1 123.53 123.53 1 10.8 .36 30 9.9 .66 15 21.3 .71 30 39 1.3 30 36 .6 60 7.5 .25 30 400 400 1 Total: 1598.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419794 Min 01419794 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 07-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4615 of 6486
Name
SUSHMA DEVI Rate Amount Qty 13.48 3.37 4 9.86 9.86 1 5.55 .37 15 12.81 12.81 1 400 400 1 Total: 441.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419798 Min 01419798 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 18-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 8 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4616 of 6486
Name
PUSHPA SINGH Rate Amount Qty 78 1.3 60 18 .6 30 167.4 5.58 30 9.3 .62 15 12 .4 30 13.95 .93 15 34.8 1.16 30 26.6 2.66 10 6.4 .64 10 400 400 1 Total: 766.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419802 Min 01419802 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 4617 of 6486
Name
PROMILA KHANNA Rate Amount Qty 71 .71 100 27.9 .93 30 20.84 5.21 4 400 400 1 9.86 9.86 1 400 400 1 Total: 929.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419806 Min 01419806 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 4618 of 6486
Name
BASANT KUMAR SAHU Rate Amount Qty 18 .6 30 21.3 .71 30 12 .4 30 8.1 .27 30 400 400 1 Total: 459.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419807 Min 01419807 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 4619 of 6486
Name
UMA SAHU Rate Amount Qty 8.1 .27 30 33 1.1 30 4.2 .42 10 27.9 .62 45 400 400 1 Total: 473.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419808 Min 01419808 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 4620 of 6486
Name
GAUTAM KUMAR DAS Rate Amount Qty 60.9 2.03 30 43.2 .36 120 12 .4 30 8.1 .27 30 72.6 1.21 60 55.8 .93 60 21.3 .71 30 72 .6 120 117 1.3 90 400 400 1 Total: 862.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419809 Min 01419809 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4621 of 6486
Name
SHARMILA DAS Rate Amount Qty 10.42 5.21 2 13.95 .93 15 9.3 .62 15 37.8 .63 60 400 400 1 Total: 471.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419815 Min 01419815 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 08-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 4622 of 6486
Name
RUHI DAS BARAI Rate Amount Qty 78 1.3 60 27.9 .93 30 21.3 .71 30 18.9 .63 30 60.9 2.03 30 10.65 .71 15 54 .6 90 400 400 1 Total: 671.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419816 Min 01419816 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 4623 of 6486
Name
ARCHANA BARAI Rate Amount Qty 32.4 .36 90 72 .6 120 117 1.3 90 23.7 .79 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 3.84 .64 6 2.28 .38 6 1.85 .37 5 400 400 1 Total: 732.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419820 Min 01419820 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4624 of 6486
Name
GEETA DEVI GUPTA Rate Amount Qty 29.7 .99 30 69.6 1.16 60 64.8 1.08 60 47.4 .79 60 44.4 .37 120 400 400 1 Total: 655.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419827 Min 01419827 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4625 of 6486
Name
C L KHATIK Rate Amount Qty 1.6 .16 10 4.45 .89 5 3.84 .64 6 4.2 .42 10 400 400 1 Total: 414.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419833 Min 01419833 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 22-FEB-19 INHALANT,STRIP PACK,CAPSULE 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4626 of 6486
Name
SATYA RAO Rate Amount Qty 3.7 .37 10 4.45 .89 5 1.85 .37 5 17 1.7 10 400 400 1 2.22 .37 6 35.2 3.52 10 6.4 .64 10 400 400 1 Total: 870.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419834 Min 01419834 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4627 of 6486
Name
K. ADI LAXMI Rate Amount Qty 47.4 .79 60 7.65 .51 15 9 .6 15 9.3 .62 15 21.3 .71 30 8.1 .27 30 400 400 1 Total: 502.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419836 Min 01419836 Slno Description Appmt Dt COMPLETE HAEMOGRAM 1 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 05-FEB-19 URIC ACID (UA /URATES /UR) 4 05-FEB-19 CREATININE /CRT 5 05-FEB-19 UREA (BUN /UR) 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 12-FEB-19
Page 4628 of 6486
Name
VIDYAVATI VISHWAKARMA Rate Amount Qty 750 750 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 21.3 .71 30 32.4 1.08 30 11.4 .38 30 9.3 .62 15 400 400 1 Total: 4849.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419837 Min 01419837 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 4629 of 6486
Name
DINESH KUMAR CHOUKSEY Rate Amount Qty 78 1.3 60 3.75 .25 15 32.4 1.08 30 21.3 .71 30 32.4 .36 90 72 .6 120 400 400 1 Total: 639.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419838 Min 01419838 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 4630 of 6486
Name
VEENA CHOUKSEY Rate Amount Qty 21.3 .71 30 18.6 .62 30 27.9 .93 30 18 .6 30 400 400 1 Total: 485.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419841 Min 01419841 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 06-FEB-19 UREA (BUN /UR) 14 06-FEB-19 CREATININE /CRT 15 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 06-FEB-19 BUDESONIDE,200MCG,CAPSULE 17 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 16-FEB-19
Page 4631 of 6486
Name
VIBHA BHATT Rate Amount Qty 36 .6 60 400 400 1 1300 1300 1 20.06 20.06 1 21.3 .71 30 26.7 .89 30 2.4 .16 15 12 .4 30 8.1 .27 30 27.9 .93 30 275 275 1 21.6 .36 60 275 275 1 275 275 1 275 275 1 550 550 1 208.8 1.74 120 400 400 1 Total: 4134.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419842 Min 01419842 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 UREA (BUN /UR) 10 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 06-FEB-19 CREATININE /CRT 13 06-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 14 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 16-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 16 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 16-FEB-19
Page 4632 of 6486
Name
DINESH DATT BHATT Rate Amount Qty 36 .6 60 21.3 .71 30 12 .4 30 275 275 1 275 275 1 6.9 .23 30 27.9 .93 30 14.85 .99 15 400 400 1 275 275 1 1300 1300 1 550 550 1 275 275 1 9.86 9.86 1 7.5 .25 30 26.96 3.37 8 400 400 1 Total: 3913.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419844 Min 01419844 Appmt Dt Slno Description 21-FEB-19 1 T M T (TREAD MILL EXERCISE TEST) 21-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4633 of 6486
Name
NIRMALA THAKUR Qty 1 1
Rate Amount 3430 3430 400 400 3830 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419845 Min 01419845 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 6 07-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 07-FEB-19 OBSERVATION IN CASUALTY 8 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 07-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13 07-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 13-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 18 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 19 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 20 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 22 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 23 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 24 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 25 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 13-FEB-19
Page 4634 of 6486
JEEWAN LAL DEWANGAN Rate Amount Qty 6.4 .64 10 7.7 .77 10 1.85 .37 5 26.6 2.66 10 400 400 1 100 100 1 45.44 45.44 1 420 420 1 12.15 12.15 1 1.85 .37 5 4.45 .89 5 9 .9 10 2.7 .18 15 600 600 1 400 400 1 9 .9 10 4.45 .89 5 69.05 69.05 1 31.46 15.73 2 104.4 1.74 60 26.7 .89 30 54 .9 60 12.15 12.15 1 1.25 .25 5 13.4 .67 20 400 400 1 Total: 2764
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419846 Min 01419846 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 4635 of 6486
Name
NIRA DEWANGAN Rate Amount Qty 4.45 .89 5 26.6 2.66 10 1.85 .37 5 400 400 1 1.85 .37 5 400 400 1 Total: 834.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419847 Min 01419847 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 06-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 6 06-FEB-19 AZATHIOPRINE,STRIP PKT,50MG,TABLET 7 06-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 8 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 06-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19
Page 4636 of 6486
Name
AJAY KUMAR JAISWAL Rate Amount Qty 26.7 .89 30 40.2 .67 60 7.5 .25 30 13.95 .93 15 25.62 12.81 2 66.92 33.46 2 202.8 3.38 60 48.76 12.19 4 10.42 5.21 2 41.06 41.06 1 400 400 1 Total: 883.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419851 Min 01419851 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4637 of 6486
Name
MUKUND JOSHI Rate Amount Qty 36 .6 60 13.95 .93 15 400 400 1 Total: 449.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419856 Min 01419856 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4638 of 6486
Name
MINU CHAKRABORTY Rate Amount Qty 15.96 2.66 6 1.85 .37 5 15.63 5.21 3 7.5 .25 30 36 .6 60 12 .4 30 400 400 1 Total: 488.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419859 Min 01419859 Slno Description Appmt Dt LEVETIRACETAM,500MG STRIP PACK,,TABLET 1 04-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 4 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 26-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 9 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 4639 of 6486
Name
AJAY DHANUSHKAR Rate Amount Qty 311.4 5.19 60 71.1 .79 90 400 400 1 78 .78 100 11.4 .38 30 17.4 .58 30 400 400 1 78 .78 100 71.1 .79 90 11.4 .38 30 400 400 1 Total: 1849.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419861 Min 01419861 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 SODIUM VALPROATE,500MG,TABLET 5 14-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 6 14-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 4640 of 6486
Name
DEVENDRA SINGH DESHRAJAN Rate Amount Qty 55.8 .93 60 12 .4 30 8.1 .27 30 400 400 1 234 3.9 60 161.1 5.37 30 10.96 1.37 8 400 400 1 Total: 1281.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419862 Min 01419862 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4641 of 6486
Name
MANJU Rate Amount Qty 1.11 .37 3 55.8 .93 60 33 1.1 30 10.38 1.73 6 17.4 1.16 15 400 400 1 Total: 517.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419865 Min 01419865 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 19-FEB-19 UREA (BUN /UR) 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 25-FEB-19 URIC ACID (UA /URATES /UR) 19 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 20 25-FEB-19 UREA (BUN /UR) 21 25-FEB-19
Page 4642 of 6486
Name
LOKENDRA SAHU Rate Amount Qty 167.4 5.58 30 34.8 1.16 30 12 .4 30 7.65 .51 15 55.8 .93 60 76.5 2.55 30 36 .6 60 117 1.3 90 400 400 1 550 550 1 275 275 1 400 400 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 550 550 1 275 275 1 550 550 1 275 275 1 Total: 5282.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419866 Min 01419866 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 X - RAY - TWO VIEWS 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19
Page 4643 of 6486
Name
GURUMATI SAHU Rate Amount Qty 2.4 .16 15 12.3 .41 30 26.7 .89 30 400 400 1 860 860 1 400 400 1 Total: 1701.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419871 Min 01419871 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 4644 of 6486
Name
S.A.SYED MEHMOOD Rate Amount Qty 26.7 .89 30 79.2 2.64 30 16.2 .36 45 54 .6 90 39 1.3 30 55.8 .93 60 76.5 2.55 30 14.85 .99 15 21.3 .71 30 400 400 1 Total: 783.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419873 Min 01419873 Slno Description Appmt Dt DRY REAGENT BASED,GLUCOMETER TEST STRIPS 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 20-FEB-19 OBSERVATION IN CASUALTY 4 20-FEB-19 ECG 5 20-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 6 20-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 21-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 10 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 25-FEB-19
Page 4645 of 6486
Name
SURENDRA KUMAR PANDWAR Rate Amount Qty 9.62 9.62 1 .89 .89 1 600 600 1 420 420 1 450 450 1 100 100 1 2.66 2.66 1 3.7 .37 10 66.2 6.62 10 12.3 .41 30 13.95 .93 15 60.9 2.03 30 14.85 .99 15 8.1 .27 30 34.8 1.16 30 12 .4 30 400 400 1 Total: 2209.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419874 Min 01419874 Appmt Dt Slno Description 16-FEB-19 1 OINTMENT,LIDOCAINE,3%,15GM 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 18-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4646 of 6486
Name
MADHAVI PANDWAR Qty Rate Amount 2 82.76 165.52 1 400 400 20 .64 12.8 1 400 400 Total: 978.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419875 Min 01419875 Appmt Dt Slno Description 13-FEB-19 1 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 13-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4647 of 6486
Name
RAMESH J Qty Rate Amount 60 6.14 368.4 1 400 400 768.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419876 Min 01419876 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4648 of 6486
Name
NUTHAN RAMESH Rate Amount Qty 8.7 .58 15 6.9 .23 30 400 400 1 Total: 415.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419881 Min 01419881 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19 HAEMOGLOBIN / (HB %) 7 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 9 26-FEB-19
Page 4649 of 6486
Name
L.K DEWANGAN Rate Amount Qty 21.3 .71 30 12 .4 30 47.4 .79 60 6.9 .23 30 32.4 1.08 30 400 400 1 130 130 1 400 400 1 165 165 1 Total: 1215
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419882 Min 01419882 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 25-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19 HAEMOGLOBIN / (HB %) 7 26-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 8 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 26-FEB-19
Page 4650 of 6486
Name
MANJU DEWANGAN Rate Amount Qty 36 .6 60 2.22 .37 6 12.3 .41 30 9 .3 30 22.32 5.58 4 400 400 1 130 130 1 165 165 1 400 400 1 Total: 1176.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419883 Min 01419883 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 04-FEB-19 CALCIUM (CA) 2 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 CREATININE /CRT 5 04-FEB-19 UREA (BUN /UR) 6 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 04-FEB-19 COMPLETE HAEMOGRAM 8 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 9 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 12 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 14 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 14-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 16 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 18-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 20 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 21-FEB-19 PRAZOSIN,2.5MG,TABLET 22 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 23 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 24 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 25 21-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 26 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 27 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 28-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 30 28-FEB-19
Page 4651 of 6486
Name
AMAR SINGH THAKUR Rate Amount Qty 550 550 1 275 275 1 4790 4790 1 400 400 1 275 275 1 275 275 1 275 275 1 750 750 1 275 275 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 1300 1300 1 400 400 1 41.06 41.06 1 400 400 1 4790 4790 1 400 400 1 156 1.3 120 30.6 .51 60 22.2 .37 60 11.4 .38 30 30.6 .34 90 4790 4790 1 400 400 1 400 400 1 4790 4790 1 Total: 41396.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419886 Min 01419886 Appmt Dt Slno Description 15-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4652 of 6486
Name
SMT.ANITA DEVI Qty Rate Amount 15 1.37 20.55 30 .25 7.5 10 .89 8.9 1 400 400 Total: 436.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419887 Min 01419887 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4653 of 6486
Name
CHANDRAKANT DHOTE Rate Amount Qty 60.18 20.06 3 60.9 2.03 30 26.7 .89 30 400 400 1 13.4 .67 20 8.9 .89 10 3.7 .37 10 45.44 45.44 1 400 400 1 Total: 1019.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419888 Min 01419888 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 06-FEB-19 URIC ACID (UA /URATES /UR) 2 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 06-FEB-19 UREA (BUN /UR) 6 06-FEB-19 CREATININE /CRT 7 06-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 4654 of 6486
Name
KAMLESH DHOTE Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 34.8 1.16 30 13.95 .93 15 400 400 1 Total: 4823.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419891 Min 01419891 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4655 of 6486
Name
GOKUL PRASAD NAGPURE Rate Amount Qty 3.04 .38 8 1.48 .37 4 5.12 .64 8 400 400 1 69.6 1.16 60 12 .4 30 400 400 1 Total: 891.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419892 Min 01419892 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 18-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4656 of 6486
Name
CHANDA NAGPURE Rate Amount Qty 6.4 .64 10 10.78 .77 14 1.85 .37 5 400 400 1 38.25 2.55 15 27.9 .62 45 400 400 1 159.6 1.33 120 400 400 1 Total: 1444.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419893 Min 01419893 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 4657 of 6486
Name
SUNDERLAL Rate Amount Qty 12 .4 30 32.4 1.08 30 21.3 .71 30 23.7 .79 30 400 400 1 Total: 489.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419896 Min 01419896 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 9 26-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 4658 of 6486
Name
TRIBHUWAN SHARMA Rate Amount Qty 21.3 .71 30 12 .4 30 8.1 .27 30 27.9 .93 30 41.06 41.06 1 400 400 1 1.75 .25 7 8.96 .64 14 17.37 17.37 1 357 12.75 28 400 400 1 Total: 1295.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419897 Min 01419897 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 3 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 25-FEB-19 URIC ACID (UA /URATES /UR) 5 25-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 25-FEB-19 HB,TLC,DLC 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19
Page 4659 of 6486
Name
UMA SHARMA Rate Amount Qty 26.7 .89 30 55.8 .93 60 82.76 165.52 2 550 550 1 275 275 1 1300 1300 1 300 300 1 400 400 1 Total: 3073.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419898 Min 01419898 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 4 21-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 4660 of 6486
Name
TARACHAND Rate Amount Qty 36 .6 60 32.4 1.08 30 12 .4 30 22.5 .25 90 15.4 .77 20 60.9 2.03 30 192.3 6.41 30 53.4 .89 60 400 400 1 Total: 824.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419909 Min 01419909 Appmt Dt Slno Description 26-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4661 of 6486
Name
MAHESH PALSOKAR Qty Rate Amount 30 .89 26.7 60 1.1 66 30 .62 18.6 1 400 400 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419912 Min 01419912 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 4662 of 6486
Name
SHOBHA NANDESHWAR Rate Amount Qty 1.48 .37 4 1.52 .38 4 400 400 1 Total: 403
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419916 Min 01419916 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 4663 of 6486
Name
DHANNU SINGH THAKUR Rate Amount Qty 7.5 .25 30 6.4 .64 10 118.5 3.95 30 36 .6 60 29.7 .99 30 12 .4 30 17.4 1.16 15 27.9 .93 30 400 400 1 Total: 655.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419917 Min 01419917 Appmt Dt Slno Description 20-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 20-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4664 of 6486
Name
RAMA SHANKAR SINGH Qty Rate Amount 4 .25 1 4 .64 2.56 4 .37 1.48 1 400 400 Total: 405.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419918 Min 01419918 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 05-FEB-19 UREA (BUN /UR) 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 URIC ACID (UA /URATES /UR) 5 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 09-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 8 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 MEBEVERINE HYDROCHLORIDE 135 MG,,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4665 of 6486
Name
MALTI DEVI Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 26.7 .89 30 230.7 7.69 30 400 400 1 53.4 .89 60 153.8 7.69 20 400 400 1 Total: 4064.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419925 Min 01419925 Slno Description Appmt Dt TABLET PYRIDOSTIGMINE 60 MG 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 11-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 4666 of 6486
Name
HEMANT KHAIRKAR Rate Amount Qty 516 4.3 120 27.9 .93 30 39 1.3 30 54 .6 90 10.8 .36 30 33 1.1 30 20.1 .67 30 400 400 1 18.2 2.6 7 6.23 .89 7 400 400 1 Total: 1525.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419926 Min 01419926 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 4667 of 6486
Name
SINDHU TAI KHAIRKAR Rate Amount Qty 18.2 2.6 7 6.23 .89 7 400 400 1 12.8 .64 20 400 400 1 Total: 837.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419928 Min 01419928 Appmt Dt Slno Description 04-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4668 of 6486
Name
.SUKHIYA BAI Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419929 Min 01419929 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 15-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 27-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 23 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 24 27-FEB-19
Page 4669 of 6486
Name
HIRAMAN LAL TELI Rate Amount Qty 4.8 .16 30 400 400 1 55.8 .93 60 36 .6 60 32.4 1.08 30 12 .4 30 66 1.1 60 34.8 1.16 30 167.4 5.58 30 38.43 12.81 3 29.7 .99 30 60.9 2.03 30 26.7 .89 30 7.5 .25 30 400 400 1 54 .6 90 26.7 .89 30 4.8 .16 30 32.4 1.08 30 7.5 .25 30 1.8 .36 5 19.8 .36 55 8.1 .27 30 34.8 1.16 30 Total: 1562.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419935 Min 01419935 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 4670 of 6486
Name
UTTRA BAI Rate Amount Qty 21.3 .71 30 8.9 .89 10 8.1 .27 30 400 400 1 301.8 5.03 60 400 400 1 Total: 1140.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419947 Min 01419947 Appmt Dt Slno Description 04-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 04-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 04-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4671 of 6486
Name
. REENA SINGH Qty Rate Amount 30 .23 6.9 30 .25 7.5 60 1.1 66 1 400 400 Total: 480.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419950 Min 01419950 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 4672 of 6486
Name
PUNIT RAM Rate Amount Qty 27.9 .93 30 118.5 3.95 30 12 .4 30 21.3 .71 30 31.2 1.04 30 400 400 1 Total: 610.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419952 Min 01419952 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4673 of 6486
Name
RADHESHARAN Rate Amount Qty 21.3 .71 30 400 400 1 71 .71 100 3.84 .64 6 2.22 .37 6 400 400 1 Total: 898.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419953 Min 01419953 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 URIC ACID (UA /URATES /UR) 4 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 4674 of 6486
Name
BARO DEVI Rate Amount Qty 13.7 1.37 10 400 400 1 8.9 .89 10 275 275 1 9.9 .66 15 7.5 .25 30 185.7 6.19 30 26 2.6 10 400 400 1 35.2 3.52 10 3.84 .64 6 2.22 .37 6 400 400 1 Total: 1767.96
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01419954 Min 01419954 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 15-FEB-19 ABC TEST HIV 4 15-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 22-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 22-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4675 of 6486
V RAJA RAO Rate Amount Qty 8.1 .27 30 400 400 1 400 400 1 1250 1250 1 1000 1000 1 14.08 3.52 4 7.98 .38 21 .82 .41 2 25.07 25.07 1 400 400 1 123.53 123.53 1 400 400 1 Total: 4029.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419955 Min 01419955 Appmt Dt Slno Description 12-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 12-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4676 of 6486
Name
V. LAXMI Qty Rate Amount 30 .4 12 30 .71 21.3 30 .93 27.9 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419956 Min 01419956 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 19-FEB-19
Page 4677 of 6486
Name
RUKKHMANI BAI Rate Amount Qty 153 2.55 60 64.8 1.08 60 69.6 1.16 60 55.8 .93 60 29.7 .99 30 400 400 1 61.2 .6 102 55.2 .92 60 32.4 .27 120 Total: 921.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419957 Min 01419957 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 4678 of 6486
Name
LAKHWINDER SINGH Rate Amount Qty 66 1.1 60 7.8 .26 30 21.3 .71 30 12 .4 30 12.6 .42 30 72 .6 120 10.8 .36 30 117 1.3 90 400 400 1 Total: 719.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419963 Min 01419963 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4679 of 6486
Name
BHAKTA BANDHU SATPATHY Rate Amount Qty 211.8 3.53 60 55.8 .93 60 400 400 1 Total: 667.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419964 Min 01419964 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4680 of 6486
Name
SANJUKTA SATPATHY Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419967 Min 01419967 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 05-FEB-19 URIC ACID (UA /URATES /UR) 2 05-FEB-19 CREATININE /CRT 3 05-FEB-19 UREA (BUN /UR) 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 11-FEB-19 ECG 11 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 11-FEB-19
Page 4681 of 6486
Name
SUBIR KUMAR PAL Rate Amount Qty 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 18.9 .63 30 12 .4 30 450 450 1 400 400 1 55.8 .93 60 18 .6 30 Total: 4579.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419968 Min 01419968 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 4682 of 6486
Name
INDRANI PAL Rate Amount Qty 21.3 .71 30 6.3 .42 15 12.8 .64 20 20.84 5.21 4 3.04 .38 8 27.9 .93 30 51.68 3.23 16 400 400 1 Total: 543.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419969 Min 01419969 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 4683 of 6486
Name
M SHARAD KUMAR NAIDU Rate Amount Qty 27.9 .93 30 76.5 2.55 30 400 400 1 53.4 .89 60 184.2 6.14 30 43.96 131.88 3 400 400 1 Total: 1273.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419970 Min 01419970 Appmt Dt Slno Description 13-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 13-FEB-19 2 TENELIGLIPTIN,20MG,,TABLET 13-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4684 of 6486
Name
SMT.M SHASHI NAIDU Qty Rate Amount 30 .23 6.9 30 5.58 167.4 60 .6 36 1 400 400 Total: 610.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419975 Min 01419975 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 2 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4685 of 6486
Name
SUNESHWAR SINGH THAKUR Rate Amount Qty 27.9 .93 30 30.6 .34 90 21.3 .71 30 12 .4 30 60.9 2.03 30 2.4 .16 15 12 .4 30 400 400 1 Total: 567.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419977 Min 01419977 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 09-FEB-19 OBSERVATION IN CASUALTY 2 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 16-FEB-19 OBSERVATION IN CASUALTY 14 23-FEB-19 ECG 15 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 20 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 25-FEB-19
Page 4686 of 6486
Name
MAYA DEVI Rate Amount Qty .89 .89 1 420 420 1 .64 .64 1 32.4 1.08 30 36.3 1.21 30 11.85 .79 15 17.4 1.16 15 167.4 5.58 30 12 .4 30 72 .6 120 21.6 .36 60 78 1.3 60 400 400 1 420 420 1 450 450 1 .64 .64 1 .89 .89 1 1.64 .41 4 1.85 .37 5 2.28 .38 6 400 400 1 Total: 2547.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419980 Min 01419980 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 22-FEB-19 CREATININE /CRT 10 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19
Page 4687 of 6486
Name
JR SONWANI Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 36 .6 60 7.8 .26 30 76.5 2.55 30 27.9 .93 30 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3152.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419981 Min 01419981 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 4688 of 6486
Name
ANUSUYA SONWANI Rate Amount Qty 34.8 1.16 30 29.7 .99 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 586.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419982 Min 01419982 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4689 of 6486
Name
ASHRAF ULLA KHAN Rate Amount Qty 17.4 1.16 15 105.9 3.53 30 27.9 .93 30 9 .3 30 36 .6 60 400 400 1 Total: 596.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419984 Min 01419984 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 11-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 9 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 11-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 14 11-FEB-19 ECG 15 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 11-FEB-19
Page 4690 of 6486
Name
YOUAL JOHN Rate Amount Qty 7.8 .26 30 32.4 1.08 30 12 .4 30 7.5 .25 30 60.9 2.03 30 14.85 .99 15 26.7 .89 30 34.8 1.16 30 311.4 5.19 60 4.8 .16 30 27.9 .93 30 72.6 1.21 60 36 .6 60 78 .78 100 450 450 1 400 400 1 Total: 1577.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419986 Min 01419986 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 18-FEB-19 GUM ANALGESIC GEL 7 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 18-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 18-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 26-FEB-19 UREA (BUN /UR) 16 26-FEB-19 CREATININE /CRT 17 26-FEB-19
Page 4691 of 6486
Name
YASHWANTRAO PARDHI Rate Amount Qty 66.2 6.62 10 9.6 .64 15 20.06 20.06 1 10.95 .73 15 400 400 1 16.8 1.12 15 28.69 28.69 1 66.2 6.62 10 7.3 .73 10 3.8 .38 10 400 400 1 52.96 6.62 8 1.52 .38 4 400 400 1 400 400 1 275 275 1 275 275 1 Total: 2434.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419987 Min 01419987 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 25-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4692 of 6486
Name
SUMAN PARDHI Rate Amount Qty 26 2.6 10 13.35 .89 15 9.6 .64 15 7.5 .25 30 185.7 6.19 30 400 400 1 11.4 .38 30 28.69 28.69 1 400 400 1 Total: 1082.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419989 Min 01419989 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 4693 of 6486
Name
ASMA Rate Amount Qty 275 275 1 275 275 1 10.8 .36 30 1.11 .37 3 27.9 .93 30 54 .6 90 39 1.3 30 400 400 1 Total: 1082.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01419998 Min 01419998 Appmt Dt Slno Description 25-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 25-FEB-19 2 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 25-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4694 of 6486
Name
MADHAVI VERMA Qty Rate Amount 30 1.84 55.2 1 20.25 20.25 6 .64 3.84 1 400 400 Total: 479.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420001 Min 01420001 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4695 of 6486
Name
AKHTAR KHAN Rate Amount Qty 6.25 .25 25 17.75 .71 25 23.25 .93 25 45 .6 75 65 1.3 50 9 .36 25 400 400 1 Total: 566.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420002 Min 01420002 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 06-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 06-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 4696 of 6486
SMT.CHANDA KHATOON Rate Amount Qty 12.81 12.81 1 26.96 3.37 8 63.58 63.58 1 400 400 1 15.73 15.73 1 3.8 .38 10 1.85 .37 5 400 400 1 17.37 17.37 1 3.7 .37 10 400 400 1 8.9 .89 10 400 400 1 Total: 1754.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420018 Min 01420018 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 4697 of 6486
Name
DURGAWATI DEVI Rate Amount Qty 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 3.6 .6 6 5.76 .64 9 33.12 1.84 18 400 400 1 Total: 899.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420025 Min 01420025 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 24-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 24-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 24-FEB-19 OBSERVATION IN CASUALTY 5 24-FEB-19 ECG 6 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 24-FEB-19 X - RAY - SINGLE VIEW 8 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19
Page 4698 of 6486
Name
S K RAJAK Qty 1 1 1 1 1 1 1 1 1
Rate Amount .4 .4 1.08 1.08 .26 .26 9.62 9.62 420 420 450 450 .89 .89 550 550 400 400 Total: 1832.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420026 Min 01420026 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 12-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 12-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 4699 of 6486
Name
SHASHI RAJAK Rate Amount Qty 21.3 .71 30 13.35 .89 15 2.4 .16 15 72.6 1.21 60 31.2 1.04 30 43.2 1.44 30 12 .4 30 400 400 1 Total: 596.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420027 Min 01420027 Appmt Dt Slno Description 22-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 22-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22-FEB-19 3 CEFEXIME,STRIP PKT,200MG,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4700 of 6486
Name
MOHD.MUJIB Qty 5 3 6 1
Rate Amount .64 3.2 .37 1.11 6.62 39.72 400 400 Total: 444.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420028 Min 01420028 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 28-FEB-19 CREATININE /CRT 10 28-FEB-19
Page 4701 of 6486
Name
AKHTAR BEGUM Rate Amount Qty 105.9 3.53 30 55.8 .93 60 34.8 1.16 30 400 400 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 Total: 3671.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420037 Min 01420037 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 23-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 8 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 27-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 10 27-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 4702 of 6486
Name
TIRUPATI RAO Rate Amount Qty 27 .6 45 47.4 .79 60 7.5 .25 30 400 400 1 400 400 1 275 275 1 275 275 1 19.77 19.77 1 44.16 1.84 24 6.42 2.14 3 24.45 24.45 1 400 400 1 Total: 1926.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420039 Min 01420039 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 4703 of 6486
Name
MANZOOR AHMED Rate Amount Qty 8.1 .27 30 7.5 .25 30 11.4 .38 30 43.2 .36 120 72 .6 120 27.9 .93 30 400 400 1 Total: 570.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420047 Min 01420047 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 07-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 7 07-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 8 07-FEB-19 PHENOBARBITONE,STRIP PKT,30MG,TABLET 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 07-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 11 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 07-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 13 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 07-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 16 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19
Page 4704 of 6486
Name
VENKAT RAO Rate Amount Qty 6.4 .64 10 34.84 8.71 4 8.9 .89 10 16.8 1.12 15 66.2 6.62 10 4.8 .16 30 82.2 2.74 30 73.5 2.45 30 23.7 .79 30 53.4 .89 60 189 2.1 90 34.8 1.16 30 73.5 2.45 30 19.8 .66 30 15 .25 60 311.4 5.19 60 70.2 .78 90 400 400 1 Total: 1484.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420048 Min 01420048 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 14-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 4705 of 6486
Name
LALITA RAJAM Rate Amount Qty 27.4 1.37 20 20.84 5.21 4 17.8 .89 20 12.6 .63 20 400 400 1 27.9 .93 30 61.9 6.19 10 2.4 .16 15 17.4 1.16 15 13 2.6 5 400 400 1 Total: 1001.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420051 Min 01420051 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 23-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 4706 of 6486
Name
VIMALA HIYANIA Rate Amount Qty 185.7 6.19 30 6.7 .67 10 198.6 6.62 30 35.6 .89 40 14 .7 20 400 400 1 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 1297.24
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420052 Min 01420052 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 07-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 07-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 9 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 16 20-FEB-19 BLOOD FOR T-3,T-4,TSH 17 20-FEB-19 PLATELET COUNT 18 20-FEB-19 HB,TLC,DLC 19 20-FEB-19 URIC ACID (UA /URATES /UR) 20 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 21 20-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 22 20-FEB-19 CREATININE /CRT 23 20-FEB-19 UREA (BUN /UR) 24 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 25 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 26 20-FEB-19 URINE ROUTINE AND MICROSCOPIC 27 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 20-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 29 20-FEB-19
Page 4707 of 6486
DINESH KUMAR HIYANIA Rate Amount Qty 35.2 3.52 10 2.22 .37 6 12.15 12.15 1 15.73 15.73 1 70.2 2.34 30 6.4 .64 10 8.9 .89 10 18 .9 20 23.45 .67 35 3.7 .37 10 400 400 1 5.34 .89 6 6.4 .64 10 55.2 1.84 30 400 400 1 5.1 .51 10 2400 2400 1 330 330 1 300 300 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 380 380 1 400 400 1 275 275 1 Total: 8102.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420055 Min 01420055 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 4708 of 6486
Name
PRASANNA Rate Amount Qty 18 .6 30 23.7 .79 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 495.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420059 Min 01420059 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4709 of 6486
Name
V.K. KHARE Rate Amount Qty 12 .4 30 71 .71 100 34.8 1.16 30 16.2 .27 60 400 400 1 Total: 534
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420060 Min 01420060 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4710 of 6486
Name
SHASHIBALA KHARE Rate Amount Qty 41.68 5.21 8 66 1.1 60 74.4 .62 120 26.7 .89 30 400 400 1 Total: 608.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420061 Min 01420061 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 25-FEB-19 GUM ASTRINGENT PAINT 8 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4711 of 6486
Name
DR. ASHOK GHORPADE Rate Amount Qty 117 1.3 90 167.4 5.58 30 21.6 .36 60 36 .6 60 21.3 .71 30 4.8 .16 30 20.84 5.21 4 31.54 31.54 1 37.8 .63 60 400 400 1 Total: 858.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420062 Min 01420062 Slno Description Appmt Dt INHALER FOR INHALING DRY POWDER CAPSULE 1 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 5 01-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 25-FEB-19 GUM ASTRINGENT PAINT 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4712 of 6486
Name
AMITA ASHOK GHORPADE Rate Amount Qty 69.05 69.05 1 38.25 2.55 15 54 .9 60 26.7 .89 30 156.6 1.74 90 59.4 .66 90 400 400 1 36.3 1.21 30 4.8 .16 30 20.06 20.06 1 63.08 31.54 2 400 400 1 Total: 1328.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420065 Min 01420065 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 X - RAY - TWO VIEWS 2 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 11-FEB-19 DRESSING SIMPLE 10 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 22-FEB-19 SUTURE REMOVAL 12 22-FEB-19
Page 4713 of 6486
Name
RAM CHANDRA SAMANT Rate Amount Qty 400 400 1 860 860 1 55.2 1.84 30 4.1 .41 10 4.45 .89 5 400 400 1 17.8 .89 20 8.2 .41 20 400 400 1 300 300 1 400 400 1 490 490 1 Total: 3339.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420066 Min 01420066 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4714 of 6486
Name
KALAVATI SAMANT Rate Amount Qty 27.9 .93 30 54 .6 90 39 1.3 30 21.6 .36 60 185.7 6.19 30 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 750.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420067 Min 01420067 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 01-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 4715 of 6486
Name
JOGALU Rate Amount Qty 57.84 57.84 1 47.4 1.58 30 27.9 .93 30 36 .6 60 32.4 1.08 30 17.4 1.16 15 13.35 .89 15 7.5 .25 30 400 400 1 Total: 639.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420068 Min 01420068 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 4716 of 6486
Name
V GANGAMMA Rate Amount Qty 54 .6 90 21.6 .36 60 167.4 5.58 30 12 .4 30 9.86 9.86 1 34.8 1.16 30 400 400 1 Total: 699.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420077 Min 01420077 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 22-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 4717 of 6486
Name
ANIL KUMAR SHUKLA Rate Amount Qty 21.3 .71 30 83.7 5.58 15 9 .3 30 60.9 2.03 30 59.4 .99 60 400 400 1 Total: 634.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420078 Min 01420078 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 4718 of 6486
Name
SMT.VIDYA SHUKLA Rate Amount Qty 32.4 1.08 30 27.9 .93 30 167.4 5.58 30 117 1.3 90 21.3 .71 30 400 400 1 Total: 766
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420083 Min 01420083 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 4719 of 6486
Y R N PATRO Rate Amount Qty 21.3 .71 30 18.9 .63 30 27.9 .93 30 400 400 1 6.4 .64 10 4.45 .89 5 1.85 .37 5 66.2 6.62 10 400 400 1 48.22 48.22 1 400 400 1 Total: 1395.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420084 Min 01420084 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 ONDANSETRON,2MG/ML,INJECTION 7 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 20-FEB-19 OBSERVATION IN CASUALTY 10 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19
Page 4720 of 6486
Name
Y USHARANI Rate Amount Qty 167.4 5.58 30 72 .6 120 10.8 .36 30 34.8 1.16 30 66 1.1 60 400 400 1 7.52 7.52 1 24.52 24.52 1 .66 .66 1 420 420 1 66 1.1 60 72 .6 120 167.4 5.58 30 10.8 .36 30 1.85 .37 5 4.45 .89 5 34.8 1.16 30 400 400 1 Total: 1961
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420097 Min 01420097 Appmt Dt Slno Description 06-FEB-19 1 GLICLAZIDE MR,30 MG,,TABLET 06-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 06-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4721 of 6486
Name
GOKARAN SINGH Qty Rate Amount 30 .92 27.6 90 .6 54 30 .71 21.3 1 400 400 Total: 502.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420098 Min 01420098 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4722 of 6486
Name
PREMA DEVI Rate Amount Qty 43.96 43.96 1 27.9 .93 30 72 .6 120 21.6 .36 60 21.3 .71 30 400 400 1 Total: 586.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420106 Min 01420106 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4723 of 6486
Name
HOLI RAM KAUSHIK Rate Amount Qty 27.9 .93 30 66 1.1 60 12 .4 30 21.3 .71 30 14.85 .99 15 400 400 1 Total: 542.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420107 Min 01420107 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 4724 of 6486
Name
RAM KUMARI Rate Amount Qty 12 .4 30 34.8 1.16 30 32.4 1.08 30 6.9 .23 30 29.7 .99 30 55.8 .93 60 54 .6 90 167.4 5.58 30 400 400 1 Total: 793
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420108 Min 01420108 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 4725 of 6486
Name
MAHENDRA SHARMA Rate Amount Qty 32.4 1.08 30 16.2 .27 60 17.4 1.16 15 39 1.3 30 55.8 .93 60 36 .6 60 32.4 .36 90 400 400 1 Total: 629.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420110 Min 01420110 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 4726 of 6486
Name
SHIBU MATHEW Rate Amount Qty 3.84 .64 6 1.48 .37 4 15.96 2.66 6 400 400 1 18.9 .63 30 23.7 .79 30 33 1.1 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 18 .6 30 400 400 1 Total: 994.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420118 Min 01420118 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 4727 of 6486
Name
PURVINDER OBEROI Rate Amount Qty 29.7 .99 30 13.35 .89 15 34.8 1.16 30 12 .4 30 72.6 1.21 60 8.1 .27 30 55.8 .93 60 117 1.3 90 36 .6 60 21.6 .36 60 400 400 1 Total: 800.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420119 Min 01420119 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 09-FEB-19 CILOSTAZOL,CAPSULE/100MG,TABLET 6 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 11 14-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 4728 of 6486
Name
LOKNATH KURRE Rate Amount Qty 36 .6 60 32.4 1.08 30 69.6 1.16 60 7.5 .25 30 27.9 .93 30 432.6 7.21 60 39 1.3 30 8.1 .27 30 38.25 2.55 15 400 400 1 21.3 .71 30 95.7 3.19 30 15 .25 60 400 400 1 Total: 1623.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420120 Min 01420120 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 27-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 11 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 27-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 27-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 14 27-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 15 27-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 4729 of 6486
Name
HEMIN BAI Rate Amount Qty 6.9 .23 30 23.7 .79 30 12 .4 30 7.5 .25 30 54 .6 90 6.4 .64 10 8.9 .89 10 400 400 1 27.4 1.37 20 12.6 .42 30 95.7 3.19 30 9.9 .66 15 27.4 1.37 20 12.6 .42 30 95.7 3.19 30 9.9 .66 15 400 400 1 Total: 1210.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420127 Min 01420127 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4730 of 6486
Name
PRONOY CHOWDHARY Rate Amount Qty 17.4 1.16 15 18 .6 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420130 Min 01420130 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 03-FEB-19 ONDANSETRON,2MG/ML,INJECTION 2 03-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 03-FEB-19 ECG 4 03-FEB-19 OBSERVATION IN CASUALTY 5 03-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 03-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 03-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 8 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 03-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 4731 of 6486
Name
KAMLA BAI Rate Amount Qty 17.42 8.71 2 7.52 7.52 1 9.62 9.62 1 450 450 1 420 420 1 1.9 .38 5 1.25 .25 5 39.72 6.62 6 24.52 24.52 1 400 400 1 33 1.1 30 27.9 .93 30 7.5 .25 30 26.7 .89 30 400 400 1 Total: 1867.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420132 Min 01420132 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 4732 of 6486
Name
MALER SALVI Rate Amount Qty 21.3 .71 30 15 .25 60 400 400 1 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420134 Min 01420134 Slno Description Appmt Dt TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 4733 of 6486
Name
CHAMELI BAI Rate Amount Qty 5.55 1.11 5 13.95 .93 15 7.5 .25 30 17.4 1.16 15 400 400 1 17.8 .89 20 27.4 1.37 20 247.6 6.19 40 400 400 1 Total: 1137.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420137 Min 01420137 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 25-FEB-19 PRAZOSIN,2.5MG,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4734 of 6486
Name
SATISH KUMAR SHARMA Rate Amount Qty 55.2 .92 60 7.5 .25 30 167.4 5.58 30 55.8 .93 60 29.7 .99 30 117 1.3 90 21.3 .71 30 78 1.3 60 400 400 1 Total: 931.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420138 Min 01420138 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 4735 of 6486
Name
DEEPA RANI SHARMA Rate Amount Qty 27.9 .93 30 14.85 .99 15 400 400 1 Total: 442.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420140 Min 01420140 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 4736 of 6486
Name
GAJRA BAI Rate Amount Qty 167.4 5.58 30 36 .6 60 117 1.3 90 55.8 .93 60 21.3 .71 30 33 1.1 30 400 400 1 Total: 830.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420147 Min 01420147 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 4737 of 6486
Name
BHEEV RAM WAKDE Rate Amount Qty 12 .4 30 21.3 .71 30 14.85 .99 15 33 1.1 30 55.8 .93 60 400 400 1 Total: 536.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420148 Min 01420148 Appmt Dt Slno Description 14-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4738 of 6486
Name
RATNAWALI WAKDE Qty Rate Amount 60 .6 36 30 .36 10.8 30 .38 11.4 1 400 400 Total: 458.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420157 Min 01420157 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 4739 of 6486
Name
BAHUR SINGH RAMTEKE Rate Amount Qty 54 .6 90 10.8 .36 30 7.5 .25 30 55.8 .93 60 21.3 .71 30 400 400 1 37.04 37.04 1 400 400 1 Total: 986.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420158 Min 01420158 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 14-FEB-19 SOLIFENACIN,5MG,,TABLET 10 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 14-FEB-19 BICALUTAMIDE,50MG,CAPSULE/,TABLET 12 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 14-FEB-19
Page 4740 of 6486
Name
GEETA RAMTEKE Rate Amount Qty 39 1.3 30 8.1 .27 30 27.9 .93 30 26.7 .89 30 32.4 1.08 30 7.5 .25 30 192.3 6.41 30 21.3 .71 30 53.4 .89 60 403.2 13.44 30 192.3 6.41 30 312 10.4 30 60.9 2.03 30 Total: 1377
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420169 Min 01420169 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 CREATININE /CRT 7 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 27-FEB-19 BLOOD FOR T-3,T-4,TSH 12 27-FEB-19
Page 4741 of 6486
Name
R ANBALAGAN Rate Amount Qty 55.8 .93 60 167.4 5.58 30 156 1.3 120 72 .6 120 123.53 123.53 1 400 400 1 275 275 1 1300 1300 1 275 275 1 3850 275 14 400 400 1 2400 2400 1 Total: 9474.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420170 Min 01420170 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 4742 of 6486
Name
A NESA MANI VOILA Rate Amount Qty 34.8 1.16 30 36 .6 60 78 1.3 60 10.8 .36 30 13.95 .93 15 400 400 1 Total: 573.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420175 Min 01420175 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 4743 of 6486
Name
PHIRTU DAS Rate Amount Qty 43.2 .36 120 34.8 1.16 30 167.4 5.58 30 117 1.3 90 72 .6 120 400 400 1 Total: 834.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420177 Min 01420177 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 05-FEB-19 PRAZOSIN,2.5MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 4744 of 6486
Name
SALIK RAM Rate Amount Qty 54 .6 90 22.2 .37 60 78 1.3 60 8.9 .89 10 21.3 .71 30 400 400 1 Total: 584.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420178 Min 01420178 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4745 of 6486
Name
PAWAN BAI Rate Amount Qty 3.75 .25 15 36 .6 60 400 400 1 Total: 439.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420180 Min 01420180 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 19-FEB-19 TENOFOVIR,LAMIVUDINE300 & EFAVIRENZ600MG 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 4746 of 6486
Name
MEENA BAI Rate Amount Qty 275 275 1 9.3 .62 15 275 275 1 400 400 1 21.3 .71 30 779.4 25.98 30 21.3 .71 30 18 .6 30 60.9 2.03 30 400 400 1 Total: 2260.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420184 Min 01420184 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 4747 of 6486
Name
JOGULU Rate Amount Qty 7.5 .25 30 11.4 .38 30 27.9 .93 30 6.9 .23 30 400 400 1 Total: 453.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420186 Min 01420186 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 4748 of 6486
Name
TULARAM CHANDRAKAR Rate Amount Qty 12 .4 30 192.3 6.41 30 26.7 .89 30 7.5 .25 30 8.1 .27 30 10.65 .71 15 34.8 1.16 30 117 1.3 90 60.9 2.03 30 55.8 .93 60 36 .6 60 21.6 .36 60 400 400 1 Total: 983.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420187 Min 01420187 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4749 of 6486
Name
SATRUPA CHANDRAKAR Rate Amount Qty 7.5 .25 30 36 .6 60 21.3 .71 30 27.9 .93 30 400 400 1 Total: 492.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420192 Min 01420192 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 4750 of 6486
Name
JOGINDER SINGH Rate Amount Qty 55.8 .93 60 34.8 1.16 30 37.8 .63 60 43.96 43.96 1 400 400 1 Total: 572.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420193 Min 01420193 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4751 of 6486
Name
MANJEET KOUR Rate Amount Qty 54 .6 90 9 .3 30 23.7 .79 30 18.6 .62 30 39 1.3 30 33 1.1 30 8.1 .27 30 400 400 1 Total: 585.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420194 Min 01420194 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 06-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 19-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 4752 of 6486
Name
TILAK RAM SAHU Rate Amount Qty 27.9 .93 30 6.9 .23 30 9.3 .62 15 21.3 .71 30 400 400 1 18.6 .62 30 27.9 .93 30 6.9 .23 30 21.3 .71 30 400 400 1 Total: 940.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420195 Min 01420195 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19
Page 4753 of 6486
Name
NIRUPA BAI SAHU Rate Amount Qty 7.1 .71 10 9.9 .99 10 105.9 3.53 30 18.6 .93 20 400 400 1 21.3 .71 30 29.7 .99 30 317.7 3.53 90 55.8 .93 60 12.6 .42 30 400 400 1 15 .25 60 400 400 1 Total: 1793.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420196 Min 01420196 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4754 of 6486
Name
M K YADAV Rate Amount Qty 7.5 .25 30 32.4 .36 90 54 .6 90 29.7 .99 30 55.8 .93 60 13.8 .23 60 400 400 1 Total: 593.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420199 Min 01420199 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 9 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19
Page 4755 of 6486
PUSHPA SONI Rate Amount Qty 7.7 .77 10 1.85 .37 5 6.4 .64 10 26.6 2.66 10 8.1 .27 30 7.5 .25 30 400 400 1 18 .9 20 5.4 .18 30 15.73 15.73 1 3.7 .37 10 400 400 1 Total: 900.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420200 Min 01420200 Slno Description Appmt Dt LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 08-FEB-19
Page 4756 of 6486
Name
BALRAM SAHU Rate Amount Qty 17.37 17.37 1 7.4 .37 20 9.86 9.86 1 400 400 1 400 400 1 275 275 1 275 275 1 1300 1300 1 Total: 2684.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420201 Min 01420201 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 COMPLETE HAEMOGRAM 3 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 08-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 5 08-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 4757 of 6486
Name
SUDHA SAHU Rate Amount Qty 275 275 1 400 400 1 750 750 1 275 275 1 1750 1750 1 27.9 .93 30 400 400 1 Total: 3877.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420204 Min 01420204 Appmt Dt Slno Description 21-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 21-FEB-19 3 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4758 of 6486
Name
ANOOP KUMAR CHAKRAVORTY Qty Rate Amount 5 .37 1.85 10 .64 6.4 18 2.34 42.12 1 400 400 Total: 450.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420205 Min 01420205 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 21-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 UREA (BUN /UR) 5 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 22-FEB-19 CREATININE /CRT 10 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 12 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19 COMPLETE HAEMOGRAM 15 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 26-FEB-19
Page 4759 of 6486
Name
SAVITA CHAKRAVORTY Rate Amount Qty 8.9 .89 10 20.06 20.06 1 .32 .16 2 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 550 550 1 3.8 .38 10 2.5 .25 10 400 400 1 750 750 1 400 400 1 Total: 5335.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420207 Min 01420207 Appmt Dt Slno Description 21-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4760 of 6486
Name
P C GUPTA Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420210 Min 01420210 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4761 of 6486
Name
SMT.VEENA JANGHEL Rate Amount Qty 27.9 .93 30 118.5 3.95 30 21.3 .71 30 13.35 .89 15 400 400 1 Total: 581.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420212 Min 01420212 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 4762 of 6486
Name
M SURYANARAYAN Rate Amount Qty 26.6 2.66 10 27 .9 30 3.7 .37 10 6.4 .64 10 12.15 12.15 1 400 400 1 7.5 .25 30 54 .6 90 400 400 1 Total: 937.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420213 Min 01420213 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 4763 of 6486
Name
M LAXMI Rate Amount Qty 12 .4 30 55.8 .93 60 105.9 3.53 30 42.6 .71 60 14.85 .99 15 16.2 .27 60 21.3 .71 30 400 400 1 Total: 668.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420216 Min 01420216 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 04-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 8 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 04-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 12 21-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 4764 of 6486
Name
BHUWANESHWAR SINGH Rate Amount Qty 3.75 .25 15 47.85 3.19 15 27.9 .93 30 33 1.1 30 7.8 .26 30 21.3 .71 30 12 .4 30 62.8 3.14 20 8.9 .89 10 14.6 .73 20 400 400 1 6.82 6.82 1 25.69 25.69 1 400 400 1 Total: 1072.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420217 Min 01420217 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 04-FEB-19 URINE ROUTINE AND MICROSCOPIC 2 04-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 04-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 4 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 5 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 04-FEB-19 APTT (ACTIVATED PARTIAL THROMBOPLASTIN T 7 04-FEB-19 PLATELET COUNT 8 04-FEB-19 ABC TEST HIV 9 04-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 10 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 04-FEB-19 HB,TLC,DLC 12 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 23-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 4765 of 6486
Name
ANUSUIYA DEVI Rate Amount Qty 550 550 1 380 380 1 1300 1300 1 1500 1500 1 275 275 1 550 550 1 330 330 1 330 330 1 1250 1250 1 1000 1000 1 400 400 1 300 300 1 1.25 .25 5 66.2 6.62 10 9.6 .64 15 10.95 .73 15 4.45 .89 5 400 400 1 Total: 8657.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420218 Min 01420218 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 6 18-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 7 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 4766 of 6486
Name
MADHU SUDAN Rate Amount Qty 27.9 .62 45 400 400 1 6.4 .64 10 20.25 20.25 1 400 400 1 10.65 .71 15 20.25 20.25 1 27.4 1.37 20 8.9 .89 10 7.5 .25 30 400 400 1 Total: 1329.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420219 Min 01420219 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4767 of 6486
Name
KANTI KUMAR Rate Amount Qty 6.9 .23 30 17.4 1.16 15 55.8 .93 60 72 .6 120 21.6 .36 60 167.4 5.58 30 78 1.3 60 400 400 1 Total: 819.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420220 Min 01420220 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 ISONIAZID 300MG+RIFAMPICIN 450MG, 5 08-FEB-19 PYRAZINAMIDE,750MG,,TABLET 6 08-FEB-19 ETHAMBUTOL,STRIP PKT,800MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 4768 of 6486
Name
A.SURYA RAO Rate Amount Qty 27.9 .93 30 7.5 .25 30 26.7 .89 30 6.4 .64 10 177.9 5.93 30 1.99 149.25 75 4.15 186.75 45 400 400 1 Total: 982.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420227 Min 01420227 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4769 of 6486
Name
RAM BAI Rate Amount Qty 14.85 .99 15 55.8 .93 60 8.1 .27 30 36.3 1.21 30 2.5 .25 10 36 .6 60 400 400 1 Total: 553.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420228 Min 01420228 Appmt Dt Slno Description 26-FEB-19 1 ESCITALOPRAM,10MG,,TABLET 26-FEB-19 2 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 26-FEB-19 3 NITRAZEPAM,10MG,TABLE,STRIP PACK. 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4770 of 6486
Name
NEBU LAL MAURYA Qty Rate Amount 30 1.85 55.5 30 .82 24.6 15 2.64 39.6 1 400 400 Total: 519.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420234 Min 01420234 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 PRAZOSIN,2.5MG,TABLET 2 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 06-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 06-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 06-FEB-19
Page 4771 of 6486
Name
HEMANT KUMAR GAHLOT Rate Amount Qty 33 1.1 30 39 1.3 30 105.9 3.53 30 20.06 20.06 1 55.8 .93 60 400 400 1 4.1 .41 10 8.9 .89 10 16.8 1.12 15 55.2 1.84 30 Total: 738.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420235 Min 01420235 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 4772 of 6486
Name
INDU GAHLOT Rate Amount Qty 32.4 1.08 30 18.6 .62 30 39 1.3 30 34.8 1.16 30 27.9 .93 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 756.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420240 Min 01420240 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 4773 of 6486
Name
BIHARI DAS Rate Amount Qty 21.3 .71 30 5.1 .51 10 55.8 .93 60 32.4 .36 90 72 .6 120 400 400 1 43.2 .36 120 72 .6 120 55.8 .93 60 21.3 .71 30 400 400 1 Total: 1178.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420242 Min 01420242 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 25-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 25-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 4 25-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 5 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 6 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 4774 of 6486
RAMANUJ KUNJAM Rate Amount Qty 50.14 25.07 2 22.8 .38 60 15 .75 20 26.98 13.49 2 67.16 33.58 2 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 636.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420244 Min 01420244 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 4775 of 6486
Name
SHASHI PRABHA UPADHYAY Rate Amount Qty 12 .4 30 15.95 3.19 5 185.7 6.19 30 2.4 .16 15 26.7 .89 30 31.2 1.04 30 34.8 1.16 30 66 1.1 60 55.8 .93 60 400 400 1 Total: 830.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420245 Min 01420245 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 4776 of 6486
Name
AKHILESH UPADHYAYA Rate Amount Qty 76.5 2.55 30 32.4 1.08 30 34.8 1.16 30 9 .3 30 2.4 .16 15 12 .4 30 47.4 .79 60 400 400 1 Total: 614.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420247 Min 01420247 Appmt Dt Slno Description 22-FEB-19 1 BMD/DEXA SCAN 22-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4777 of 6486
Name
SUBHASH CHANDRA ROY Qty Rate Amount 1 1500 1500 1 400 400 1900 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420248 Min 01420248 Appmt Dt Slno Description 06-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 06-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4778 of 6486
Name
INDRANI ROY Qty Rate Amount 30 .71 21.3 30 .71 21.3 15 .16 2.4 1 400 400 Total: 445
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420251 Min 01420251 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4779 of 6486
Name
SUDIP CHAUDHURY Rate Amount Qty 21.3 .71 30 41.85 .93 45 400 400 1 Total: 463.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420252 Min 01420252 Appmt Dt Slno Description 20-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4780 of 6486
Name
NANDITA CHAUDHURY Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420253 Min 01420253 Appmt Dt Slno Description 05-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 05-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4781 of 6486
Name
MOHAN LAL SAHU Qty Rate Amount 30 .36 10.8 30 .71 21.3 30 .93 27.9 1 400 400 Total: 460
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420254 Min 01420254 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4782 of 6486
Name
DROPATI SAHU Qty Rate Amount 10 .89 8.9 30 1.1 33 30 .93 27.9 1 400 400 Total: 469.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420255 Min 01420255 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 4783 of 6486
Name
ANAND RAM Rate Amount Qty 2.3 .23 10 26 1.3 20 24 .6 40 7.2 .36 20 18.6 .93 20 400 400 1 43.2 .36 120 167.4 5.58 30 54 .6 90 78 1.3 60 55.8 .93 60 14.85 .99 15 400 400 1 Total: 1291.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420256 Min 01420256 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 4784 of 6486
Name
CHANDA BAI Rate Amount Qty 55.8 .93 60 34.8 1.16 30 400 400 1 Total: 490.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420266 Min 01420266 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4785 of 6486
Name
MOHAN LAL Rate Amount Qty 34.8 1.16 30 39 1.3 30 36 .6 60 167.4 5.58 30 41.85 .93 45 11.4 .38 30 10.8 .36 30 400 400 1 Total: 741.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420267 Min 01420267 Slno Description Appmt Dt VITAMIN E,STRIP PKT,200MG,CAPSULE 1 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4786 of 6486
Name
RAJKUMARI GEHLOT Rate Amount Qty 23.7 1.58 15 20.84 5.21 4 55.8 .93 60 16.2 .27 60 36 .6 60 400 400 1 Total: 552.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420268 Min 01420268 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4787 of 6486
Name
PRADIP KUMAR ROY CHOUDHURY Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 12 .4 30 27.9 .93 30 8.1 .27 30 1.6 .16 10 400 400 1 Total: 702.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420269 Min 01420269 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 4788 of 6486
Name
PURNIMA ROY CHOUDHURY Rate Amount Qty 10.42 5.21 2 7.5 .25 30 27.9 .93 30 18.9 .63 30 400 400 1 Total: 464.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420271 Min 01420271 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 4789 of 6486
Name
UMA SHRIVASTAVA Rate Amount Qty 17.4 1.16 15 32.4 1.08 30 30.6 .34 90 43.96 43.96 1 400 400 1 Total: 524.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420274 Min 01420274 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 2 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 4790 of 6486
Name
R K GOPAL Rate Amount Qty 77.52 3.23 24 166.8 2.78 60 20.84 5.21 4 26.7 .89 30 55.8 .93 60 21.44 .67 32 6.08 .38 16 400 400 1 Total: 775.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420276 Min 01420276 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 4791 of 6486
Name
JHUMUK LAL Rate Amount Qty 34.8 1.16 30 8.1 .27 30 27.9 .93 30 32.4 1.08 30 12 .4 30 15.6 .26 60 400 400 1 1.85 .37 5 1.9 .38 5 400 400 1 Total: 934.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420281 Min 01420281 Slno Description Appmt Dt BETAMETHASONE VALERATE+FUSIDIC ACID CREA 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 4792 of 6486
Name
SUMAN BAI Rate Amount Qty 57.84 57.84 1 7.4 .37 20 400 400 1 54 .6 90 10.8 .36 30 21.3 .71 30 400 400 1 Total: 951.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420282 Min 01420282 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4793 of 6486
Name
DESH SEWAK SINGH SURI Rate Amount Qty 21.3 .71 30 39 1.3 30 36 .6 60 10.8 .36 30 400 400 1 Total: 507.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420288 Min 01420288 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 4794 of 6486
Name
PRAVEEN KUMAR DAS Rate Amount Qty 7.5 .25 30 34.8 1.16 30 12 .4 30 36 .6 60 10.8 .36 30 27.9 .93 30 400 400 1 Total: 529
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420290 Min 01420290 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 4795 of 6486
GORA CHAND BANDYOPADHYAY Rate Amount Qty 41.06 41.06 1 15.73 15.73 1 400 400 1 Total: 456.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420291 Min 01420291 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4796 of 6486
Name
KAVITA BANDYOPADHYAY Rate Amount Qty 8.9 .89 10 66 1.1 60 22.2 .37 60 400 400 1 28.69 28.69 1 400 400 1 Total: 925.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420297 Min 01420297 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 21-FEB-19 URIC ACID (UA /URATES /UR) 3 21-FEB-19 CREATININE /CRT 4 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 21-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 6 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 4797 of 6486
Name
HARDEEP KOUR Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1050 1050 1 400 400 1 33 1.1 30 36 .6 60 21.3 .71 30 26.7 .89 30 167.4 5.58 30 1.85 .37 5 6.4 .64 10 66.2 6.62 10 12 .4 30 27.9 .93 30 400 400 1 Total: 4648.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420298 Min 01420298 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 4798 of 6486
Name
MANOHAR PRASAD TIWARI Rate Amount Qty 12 .4 30 17.4 1.16 15 7.5 .25 30 54 .6 90 167.4 5.58 30 29.7 .99 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 751.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420299 Min 01420299 Appmt Dt Slno Description 07-FEB-19 1 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 07-FEB-19 2 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 07-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4799 of 6486
Name
SANDHYA TIWARI Qty Rate Amount 30 6.14 184.2 2 43.96 87.92 15 .89 13.35 1 400 400 Total: 685.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420301 Min 01420301 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 CREATININE /CRT 3 05-FEB-19 UREA (BUN /UR) 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 4800 of 6486
Name
SMT.SAWANA BAI Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 32.4 .36 90 400 400 1 54 .6 90 7.5 .25 30 167.4 5.58 30 34.8 1.16 30 400 400 1 Total: 2196.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420302 Min 01420302 Appmt Dt Slno Description 25-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 25-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 25-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4801 of 6486
Name
PADEGAONKAR SV Qty Rate Amount 30 .63 18.9 30 .38 11.4 30 .71 21.3 1 400 400 Total: 451.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420303 Min 01420303 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4802 of 6486
Name
ANJALI PADEGAONKAR Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420306 Min 01420306 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 4 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 4803 of 6486
Name
KHILAWAN SINGH SAHU Rate Amount Qty 33.12 1.84 18 5.76 .64 9 400 400 1 18.41 165.69 9 33.12 1.84 18 400 400 1 Total: 1037.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420310 Min 01420310 Appmt Dt Slno Description 27-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4804 of 6486
Name
SURESH KUMAR SAHU Qty Rate Amount 15 .79 11.85 1 400 400 411.85 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420318 Min 01420318 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 CREATININE /CRT 8 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 15-FEB-19
Page 4805 of 6486
Name
RAMESH KUMAR PARMAR Rate Amount Qty 66 1.1 60 55.8 .93 60 39 1.3 30 32.4 1.08 30 34.8 1.16 30 12 .4 30 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 3165
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420328 Min 01420328 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 11 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 4806 of 6486
N RADHAKRISHNA PILLAI Rate Amount Qty 117 1.3 90 400 400 1 15.73 15.73 1 21.6 .36 60 24 .4 60 36 .6 60 36.3 1.21 30 69.6 1.16 60 32.4 1.08 30 400 400 1 36.3 1.21 30 21.6 .36 60 117 1.3 90 36 .6 60 24 .4 60 69.6 1.16 60 400 400 1 Total: 1857.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420329 Min 01420329 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 21-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 21-FEB-19 X - RAY - SINGLE VIEW 4 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19
Page 4807 of 6486
Name
S SUJAYA KUMARI Qty 1 2 1 1 1
Rate Amount 550 550 3500 1750 400 400 550 550 400 400 Total: 5400
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420332 Min 01420332 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 6 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 17 27-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 18 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 19 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 22 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 27-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 24 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 27-FEB-19
Page 4808 of 6486
Name
GANGADHAR Rate Amount Qty 18.17 .79 23 7.5 .25 30 14.85 .99 15 72.6 1.21 60 55.8 .93 60 46.8 .78 60 18.9 .63 30 5.53 .79 7 12 .4 30 32.4 1.08 30 17.4 1.16 15 400 400 1 6.9 .23 30 400 400 1 7.5 .25 30 12 .4 30 18.9 .63 30 46.8 .78 60 29.7 .99 30 21.3 .71 30 32.4 1.08 30 23.7 .79 30 55.8 .93 60 72.6 1.21 60 400 400 1 Total: 1829.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420333 Min 01420333 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 14-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 8 14-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 4809 of 6486
Name
LUMBINA Rate Amount Qty 3.84 .64 6 1.64 .41 4 400 400 1 7.4 .37 20 13.4 .67 20 8.9 .89 10 25.62 12.81 2 31.61 31.61 1 85.52 85.52 1 400 400 1 Total: 977.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420334 Min 01420334 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 4810 of 6486
Name
USHA SIKRI Rate Amount Qty 76.5 2.55 30 27.9 .93 30 30.6 .34 90 21.3 .71 30 12 .4 30 400 400 1 Total: 568.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420336 Min 01420336 Slno Description Appmt Dt LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 19-FEB-19
Page 4811 of 6486
RISHIDAS VAISHNAW Rate Amount Qty 30.8 4.4 7 8.9 .89 10 31.46 15.73 2 400 400 1 8.1 .27 30 7.5 .25 30 36.3 1.21 30 26.7 .89 30 12.15 12.15 1 400 400 1 Total: 961.91
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420338 Min 01420338 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 TIBOLONE,STRIP PKT,2.5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 07-FEB-19 PYRAZINAMIDE,750MG,,TABLET 7 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 07-FEB-19 OBSERVATION IN CASUALTY 9 07-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 10 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 16 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 17 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 19 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 26-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 23 26-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 24 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25 26-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 26 26-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 27 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 28 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 26-FEB-19
Page 4812 of 6486
ANU MATHUR Rate Amount Qty 7.5 .25 30 185.7 6.19 30 41.1 1.37 30 15.48 433.44 28 400 400 1 600 600 1 1.99 1.99 1 .64 .64 1 420 420 1 3.66 3.66 1 1.85 .37 5 8.9 .89 10 2.5 .25 10 4.1 .41 10 10.95 .73 15 16.8 1.12 15 26.6 2.66 10 400 400 1 3.57 .51 7 12.46 .89 14 18.6 .93 20 7.1 .71 10 5.74 .41 14 40.12 20.06 2 2.59 .37 7 48.22 48.22 1 3.78 .18 21 12.6 .9 14 400 400 1 Total: 3120.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420339 Min 01420339 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 08-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 8 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 9 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 08-FEB-19 UREA (BUN /UR) 11 08-FEB-19 CREATININE /CRT 12 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 08-FEB-19
Page 4813 of 6486
Name
MUKHOPADHYAY BN Rate Amount Qty 400 400 1 9.45 .63 15 8.9 .89 10 123.53 123.53 1 39 1.3 30 36 .6 60 275 275 1 1500 1500 1 1300 1300 1 550 550 1 275 275 1 275 275 1 167.4 5.58 30 21.3 .71 30 Total: 4980.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420340 Min 01420340 Appmt Dt Slno Description 08-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4814 of 6486
Name
ANITA MUKHOPADHYAY Qty Rate Amount 4 5.21 20.84 1 400 400 420.84 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420341 Min 01420341 Appmt Dt Slno Description 05-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 05-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4815 of 6486
Name
DILIP KUMAR VAIDYA Qty Rate Amount 30 2.03 60.9 60 .36 21.6 60 .93 55.8 1 400 400 Total: 538.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420344 Min 01420344 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 08-FEB-19 RACECADOTRIL,100MG,CAPSULE 3 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 08-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 4816 of 6486
Name
SHASHI Qty 6 9 6 9 4 6 1
Rate Amount 21.12 3.52 83.97 9.33 35.82 5.97 10.08 1.12 34.84 8.71 5.34 .89 400 400 Total: 591.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420346 Min 01420346 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 02-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 02-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 5 02-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 13 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 14 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 21-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 17 21-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 18 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 19 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 21-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 21 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 22 21-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 23 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 24 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 25 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 21-FEB-19
Page 4817 of 6486
Name
LILY PRICILLA TOPPO Rate Amount Qty 17.4 1.16 15 9.12 .38 24 12.6 .42 30 38.76 3.23 12 83.4 2.78 30 10.05 .67 15 33 1.1 30 27.9 .93 30 400 400 1 21.3 .71 30 12.6 .42 30 55.8 .93 60 12.6 .42 30 11.4 .38 30 21.3 .71 30 12 .4 30 83.4 2.78 30 38.76 3.23 12 10.05 .67 15 33 1.1 30 83.4 2.78 30 12 .4 30 38.76 3.23 12 10.05 .67 15 33 1.1 30 55.8 .93 60 400 400 1 Total: 1577.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420349 Min 01420349 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 4818 of 6486
Name
NARAYAN PRASAD BAGHEL Rate Amount Qty 27.9 .93 30 7.5 .25 30 33 1.1 30 16.2 .27 60 400 400 1 16.2 .27 60 27.9 .93 30 33 1.1 30 7.5 .25 30 400 400 1 Total: 969.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420350 Min 01420350 Appmt Dt Slno Description 05-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 05-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4819 of 6486
Name
PUSHPA BAGHEL Qty Rate Amount 60 .27 16.2 60 .93 55.8 15 .99 14.85 1 400 400 Total: 486.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420353 Min 01420353 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 18-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19 SYRINGE,DISPOSABLE,2ML 16 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 17 19-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 18 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 19 19-FEB-19 ONDANSETRON,2MG/ML,INJECTION 20 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 21 19-FEB-19 OBSERVATION IN CASUALTY 22 19-FEB-19 DIAZEPAM,10MG/2ML,INJECTION 23 19-FEB-19
Page 4820 of 6486
Name
GUNESHWAR SINGH THAKUR Rate Amount Qty 7.65 .51 15 18 .3 60 27.9 .93 30 167.4 5.58 30 117 1.3 90 36 .6 60 18.9 .63 30 32.4 1.08 30 21.3 .71 30 26.7 .89 30 11.4 .38 30 400 400 1 3.84 .64 6 13.08 2.18 6 400 400 1 7.36 1.84 4 9.81 9.81 1 5.77 5.77 1 11.89 11.89 1 7.52 7.52 1 24.52 24.52 1 420 420 1 13.45 13.45 1 Total: 1801.89
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420354 Min 01420354 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 15-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 18-FEB-19
Page 4821 of 6486
Name
RATNA THAKUR Rate Amount Qty 7.5 .25 30 17.6 17.6 1 27.9 .93 30 275 275 1 275 275 1 400 400 1 36 .6 60 21.6 .36 60 167.4 5.58 30 78 1.3 60 7.5 .25 30 27.9 .93 30 34.8 1.16 30 400 400 1 275 275 1 275 275 1 1300 1300 1 Total: 3626.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420356 Min 01420356 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 28-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4822 of 6486
Name
SAROJ SONI Rate Amount Qty 1.11 .37 3 2.31 .77 3 1.92 .64 3 400 400 1 33 1.1 30 55.8 .93 60 54 .6 90 1.48 .37 4 211.8 3.53 60 7.92 .99 8 9 .3 30 400 400 1 Total: 1178.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420357 Min 01420357 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4823 of 6486
Name
DAYALOO Rate Amount Qty 21.3 .71 30 33 1.1 30 12 .4 30 32.4 1.08 30 47.4 .79 60 36 .6 60 18 .3 60 400 400 1 Total: 600.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420358 Min 01420358 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 4824 of 6486
Name
PADMABAI Rate Amount Qty 39 1.3 30 73.8 .82 90 33 1.1 30 9 .3 30 34.8 1.16 30 6.4 .64 10 1.85 .37 5 36 .6 60 12 .4 30 400 400 1 Total: 645.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420361 Min 01420361 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 22-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 26-FEB-19
Page 4825 of 6486
Name
DHIRENDRANATH SARDER Rate Amount Qty 21.3 .71 30 21.3 .71 30 42.6 .71 60 23.7 .79 30 32.4 1.08 30 15.6 .26 60 400 400 1 550 550 1 400 400 1 Total: 1506.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420365 Min 01420365 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 4826 of 6486
Name
SAVITRI BAI Rate Amount Qty 26.7 .89 30 12.15 12.15 1 54 .9 60 156.6 1.74 90 59.4 .66 90 400 400 1 Total: 708.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420366 Min 01420366 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 22-FEB-19 X - RAY - TWO VIEWS 8 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 9 22-FEB-19
Page 4827 of 6486
Name
UMA DUBEY Rate Amount Qty 27.9 .93 30 36.3 1.21 30 3.75 .25 15 400 400 1 6.23 .89 7 5.03 226.35 45 400 400 1 860 860 1 18.2 2.6 7 Total: 1978.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420367 Min 01420367 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4828 of 6486
Name
A.K DUBEY Rate Amount Qty 21.6 .36 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 66 1.1 60 36 .6 60 400 400 1 Total: 602.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420368 Min 01420368 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 4829 of 6486
Name
CHUNNILAL Rate Amount Qty 17.4 1.16 15 33 1.1 30 7.8 .26 30 27.9 .93 30 9 .3 30 36 .6 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 575.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420369 Min 01420369 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 13-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 13-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 23-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 23-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 12 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 4830 of 6486
Name
DEV KUMARI Rate Amount Qty 15.6 .26 60 15 .25 60 87.92 43.96 2 27.9 .93 30 66 1.1 60 34.8 1.16 30 12 .4 30 400 400 1 33 1.1 30 32.4 1.08 30 123.53 123.53 1 82.76 82.76 1 6.4 .64 10 7.5 .25 30 21.3 .71 30 400 400 1 Total: 1366.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420372 Min 01420372 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 4831 of 6486
Name
KAMAL NARAYAN VERMA Rate Amount Qty 23.7 .79 30 21.3 .71 30 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 529.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420375 Min 01420375 Appmt Dt Slno Description 22-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 4832 of 6486
Name
SHEIKH NAYYUM Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420377 Min 01420377 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 TENOFOVIR,LAMIVUDINE300 & EFAVIRENZ600MG 3 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 28-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4833 of 6486
Name
GARGI Rate Amount Qty 54 .9 60 26.7 .89 30 779.4 25.98 30 12.15 12.15 1 7.5 .25 30 39.6 .66 60 104.4 1.74 60 400 400 1 Total: 1423.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420380 Min 01420380 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 4834 of 6486
Name
SARATHI SENGUPTA Rate Amount Qty 76.5 2.55 30 32.4 1.08 30 400 400 1 Total: 508.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420381 Min 01420381 Appmt Dt Slno Description 27-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 27-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 27-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4835 of 6486
Name
NIVEDITA SENGUPTA Qty Rate Amount 30 .36 10.8 30 .79 23.7 60 .6 36 1 400 400 Total: 470.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420384 Min 01420384 Slno Description Appmt Dt GUM ANALGESIC GEL 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4836 of 6486
Name
JAI GOVIND NARAYAN SHARMA Rate Amount Qty 28.69 28.69 1 5 .25 20 400 400 1 Total: 433.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420390 Min 01420390 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 4837 of 6486
Name
MALA DUTTA Rate Amount Qty 72 .6 120 118.5 3.95 30 13.35 .89 15 55.8 .93 60 12.3 .41 30 21.3 .71 30 29.7 .99 30 9 .3 30 25.2 .42 60 400 400 1 Total: 757.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420397 Min 01420397 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4838 of 6486
Name
M.SHRINIVAS Rate Amount Qty 21.3 .71 30 76.5 2.55 30 400 400 1 Total: 497.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420399 Min 01420399 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19 TICAGRELOR 90MG ,TABLET 14 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 16 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 20 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 28-FEB-19
Page 4839 of 6486
Name
D K TANDON Rate Amount Qty 43.96 43.96 1 26.7 .89 30 33 1.1 30 36 .6 60 34.8 1.16 30 12 .4 30 43.96 43.96 1 26.7 .89 30 33 1.1 30 36 .6 60 34.8 1.16 30 12 .4 30 400 400 1 30.77 1846.2 60 36 .6 60 12 .4 30 34.8 1.16 30 33 1.1 30 26.7 .89 30 43.96 43.96 1 400 400 1 Total: 3205.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420400 Min 01420400 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 13 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 28-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 4840 of 6486
JIRA DEVI Rate Amount Qty 15.73 15.73 1 39 1.3 30 54 .6 90 21.6 .36 60 34.8 1.16 30 7.5 .25 30 8.1 .27 30 400 400 1 94.8 1.58 60 400 400 1 7.5 .25 30 34.8 1.16 30 8.1 .27 30 39 1.3 30 54 .6 90 21.6 .36 60 94.8 1.58 60 400 400 1 Total: 1735.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420402 Min 01420402 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 26-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 26-FEB-19 PRAZOSIN,2.5MG,TABLET 7 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4841 of 6486
Name
BISWANTIN DEVI VERMA Rate Amount Qty 55.8 .93 60 21.6 .36 60 27.6 .92 30 72.6 1.21 60 33.3 .37 90 211.8 3.53 60 156 1.3 120 36 .6 60 400 400 1 Total: 1014.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420405 Min 01420405 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 4842 of 6486
Name
ISHWARLAL VERMA Rate Amount Qty 1.6 .16 10 17.4 1.16 15 36 .6 60 10.8 .36 30 8.1 .27 30 400 400 1 Total: 473.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420406 Min 01420406 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4843 of 6486
Name
DEEPAK VERMA Rate Amount Qty 26 2.6 10 5 .25 20 27.9 .93 30 13.8 .23 60 400 400 1 7.6 .38 20 400 400 1 Total: 880.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420407 Min 01420407 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 4844 of 6486
Name
SHATRUHAN LAL CHANDRAKAR Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 9.6 .64 15 7.5 .25 30 185.7 6.19 30 400 400 1 8.1 .27 30 21.3 .71 30 12 .4 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 1900.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420408 Min 01420408 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4845 of 6486
Name
LAXMI CHANDRAKAR Rate Amount Qty 33 1.1 30 26.7 .89 30 27.9 .93 30 20.06 20.06 1 29.7 .99 30 21.3 .71 30 4.8 .16 30 400 400 1 Total: 563.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420410 Min 01420410 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 4846 of 6486
Name
.KAMALA DEVI Rate Amount Qty 26.7 .89 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 498.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420413 Min 01420413 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 4847 of 6486
Name
JYOTIBALA SINGH Rate Amount Qty 38.25 2.55 15 18 .6 30 27.9 .62 45 27.9 .93 30 400 400 1 Total: 512.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420414 Min 01420414 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 4848 of 6486
Name
SUDHIR SINGH Rate Amount Qty 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 588.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420417 Min 01420417 Slno Description Appmt Dt SPOT URINE PCR (PROTEIN CREATININE RATIO 1 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 4849 of 6486
Name
S LAXMINARAYAN Rate Amount Qty 550 550 1 275 275 1 275 275 1 400 400 1 36 .6 60 55.8 .93 60 211.8 3.53 60 16.2 .36 45 32.4 1.08 30 39 1.3 30 12 .4 30 34.8 1.16 30 66 1.1 60 400 400 1 Total: 2404
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420418 Min 01420418 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 16 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 4850 of 6486
Name
S SUSEELA Rate Amount Qty 32.4 1.08 30 39 1.3 30 16.2 .36 45 17.4 1.16 15 55.8 .93 60 36 .6 60 211.8 3.53 60 55.8 .93 60 12 .4 30 34.8 1.16 30 66 1.1 60 400 400 1 150.9 5.03 30 400 400 1 21.3 .71 30 123.8 6.19 20 55.8 .93 60 400 400 1 Total: 2129
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420419 Min 01420419 Slno Description Appmt Dt PLATELET COUNT 1 04-FEB-19 HB,TLC,DLC 2 04-FEB-19 URIC ACID (UA /URATES /UR) 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 04-FEB-19 CREATININE /CRT 8 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 15 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 16 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 19 06-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 20 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 06-FEB-19
Page 4851 of 6486
Name
AMARNATH Rate Amount Qty 330 330 1 300 300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 66 1.1 60 10.8 .36 30 167.4 5.58 30 72 .6 120 78 1.3 60 27.9 .93 30 18.6 .62 30 9.45 .63 15 12 .4 30 21.3 .71 30 55.8 .93 60 44.1 1.47 30 400 400 1 Total: 3388.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420420 Min 01420420 Appmt Dt Slno Description 28-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 28-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 28-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4852 of 6486
Name
NASREEN EHSAN SIDDIQUI Qty Rate Amount 40 6.19 247.6 40 .64 25.6 20 .89 17.8 1 400 400 Total: 691
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420429 Min 01420429 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 21-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 4853 of 6486
Name
SANTOSH KUMAR DEY Rate Amount Qty 34.8 1.16 30 12 .4 30 7.5 .25 30 95.7 3.19 30 15 .25 60 26.7 .89 30 27.9 .93 30 8.1 .27 30 39 1.3 30 72 .6 120 32.4 .36 90 400 400 1 Total: 771.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420430 Min 01420430 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4854 of 6486
Name
SHYAMALI DEY Rate Amount Qty 27.9 .93 30 17.4 .58 30 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420431 Min 01420431 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 4855 of 6486
Name
DILER SINGH DHRUW Rate Amount Qty 60.9 2.03 30 18.9 .63 30 11.4 .38 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 540.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420432 Min 01420432 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 16-FEB-19 X - RAY - TWO VIEWS 7 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19
Page 4856 of 6486
Name
HEMLATA Rate Amount Qty 21.3 .71 30 18.9 .63 30 33 1.1 30 400 400 1 4.1 .41 10 123.8 6.19 20 860 860 1 400 400 1 8.9 .89 10 Total: 1870
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420433 Min 01420433 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 4857 of 6486
T HEMANT KUMAR NAIDU Rate Amount Qty 34.8 1.16 30 55.8 .93 60 16.2 .27 60 12 .4 30 36 .6 60 400 400 1 25.07 25.07 1 3.2 .64 5 400 400 1 Total: 983.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420434 Min 01420434 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4858 of 6486
Name
T.VIJAYA LAXMI NAIDU Rate Amount Qty 3.75 .25 15 13.95 .93 15 17.4 1.16 15 36 .6 60 400 400 1 Total: 471.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420439 Min 01420439 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 4859 of 6486
Name
VK SHRIVASTAVA Rate Amount Qty 34.8 1.16 30 72.6 1.21 60 27.9 .93 30 167.4 5.58 30 1.6 .16 10 54 .6 90 21.6 .36 60 26.7 .89 30 117 1.3 90 400 400 1 Total: 923.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420440 Min 01420440 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 T M T (TREAD MILL EXERCISE TEST) 2 01-FEB-19 ECHO CARDIOGRAPHY WITHOUT FILM 3 01-FEB-19
Page 4860 of 6486
Name
KUSUM SHRIVASTAVA Rate Amount Qty 400 400 1 3430 3430 1 2370 2370 1 Total: 6200
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420446 Min 01420446 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 4861 of 6486
Name
KIRAN SHUKLA Rate Amount Qty 29.7 .99 30 34.8 1.16 30 10.8 .36 30 36 .6 60 167.4 5.58 30 55.8 .93 60 38.25 2.55 15 400 400 1 Total: 772.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420447 Min 01420447 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 4862 of 6486
Name
B RAJA RAO Rate Amount Qty 32.4 .36 90 34.8 1.16 30 167.4 5.58 30 41.85 .93 45 72 .6 120 117 1.3 90 400 400 1 Total: 865.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420448 Min 01420448 Appmt Dt Slno Description 09-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4863 of 6486
Name
B. PADMAVATHI Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420452 Min 01420452 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 4864 of 6486
Name
NEETA CHANDRA Rate Amount Qty 55.2 .92 60 36 .6 60 11.4 .38 30 167.4 5.58 30 400 400 1 Total: 670
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420453 Min 01420453 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4865 of 6486
Name
PUNU RAM Rate Amount Qty 47.4 .79 60 14.85 .99 15 400 400 1 Total: 462.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420454 Min 01420454 Appmt Dt Slno Description 19-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4866 of 6486
Name
DIP KUNWAR BAI Qty Rate Amount 30 .93 27.9 30 .71 21.3 30 1.08 32.4 1 400 400 Total: 481.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420455 Min 01420455 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 5 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 23-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 4867 of 6486
HARENDRA KUMAR WANJARI Rate Amount Qty 26 2.6 10 185.7 6.19 30 400 400 1 21.3 .71 30 21.3 .71 30 32.4 1.08 30 27.9 .93 30 60.9 2.03 30 8.9 .89 10 25.07 25.07 1 20.06 20.06 1 400 400 1 Total: 1229.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420456 Min 01420456 Slno Description Appmt Dt DRESSING SIMPLE 1 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 5 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 11 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19
Page 4868 of 6486
Name
SHAILJA WANJARI Rate Amount Qty 300 300 1 2.56 .64 4 400 400 1 36.8 1.84 20 185.7 6.19 30 13.35 .89 15 39 2.6 15 400 400 1 5.21 5.21 1 21.3 .71 30 18.6 .62 30 8.1 .27 30 400 400 1 Total: 1830.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420457 Min 01420457 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4869 of 6486
Name
LALIT KUMAR POPAT Rate Amount Qty 32.4 1.08 30 27.9 .93 30 76.5 2.55 30 3.7 .37 10 6.4 .64 10 400 400 1 Total: 546.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420459 Min 01420459 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19 ECG 4 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 07-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 7 07-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 8 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 07-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 10 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 16 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 12-FEB-19
Page 4870 of 6486
Name
ALAK BHATTACHARYA Rate Amount Qty 13.35 .89 15 87.92 43.96 2 400 400 1 450 450 1 16.8 1.12 15 11.4 .38 30 90.88 45.44 2 33.46 33.46 1 35.2 3.52 10 11.25 .75 15 10.8 .36 30 2.4 .16 15 7.5 .25 30 21.3 .71 30 8.1 .27 30 117 1.3 90 55.8 .93 60 36 .6 60 400 400 1 Total: 1809.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420460 Min 01420460 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 12-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 12-FEB-19 PRAZOSIN,2.5MG,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 SOLIFENACIN,5MG,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 4871 of 6486
Name
SMT. DIPTI BHATTACHARYA Rate Amount Qty 78 1.3 60 22.2 .37 60 156 1.3 120 55.8 .93 60 29.7 .99 30 21.3 .71 30 21.6 .36 60 400 400 1 403.2 13.44 30 400 400 1 Total: 1587.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420462 Min 01420462 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 12-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 12-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 27-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 7 27-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 8 27-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 9 27-FEB-19 BUDESONIDE,200MCG,CAPSULE 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 4872 of 6486
Name
PUSHKALA MOHANAN Rate Amount Qty 3.84 .64 6 42.12 2.34 18 2.28 .38 6 1.85 .37 5 400 400 1 38.76 3.23 12 83.4 2.78 30 100.71 100.71 1 69.05 69.05 1 156.6 1.74 90 400 400 1 Total: 1298.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420467 Min 01420467 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 DRESSING SIMPLE 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 4873 of 6486
Name
SARAF BK Rate Amount Qty 400 400 1 300 300 1 55.8 .93 60 33 1.1 30 16.2 .27 60 12 .4 30 400 400 1 Total: 1217
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420468 Min 01420468 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 4874 of 6486
Name
USHA SARAF Rate Amount Qty 3.75 .25 15 21.3 .71 30 167.4 5.58 30 117 1.3 90 72 .6 120 43.2 .36 120 6.23 .89 7 18.2 2.6 7 400 400 1 Total: 849.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420474 Min 01420474 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 28-FEB-19 CREATININE /CRT 4 28-FEB-19 URIC ACID (UA /URATES /UR) 5 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 28-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 28-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 28-FEB-19
Page 4875 of 6486
Name
PK SAHA Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 42.6 .71 60 1300 1300 1 27.9 .93 30 8.1 .27 30 12 .4 30 32.4 1.08 30 21.3 .71 30 1300 1300 1 Total: 4794.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420483 Min 01420483 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 4876 of 6486
Name
INDRA KUMAR SAHU Rate Amount Qty 47.4 .79 60 21.3 .71 30 7.65 .51 15 15.6 .26 60 7.5 .25 30 126 2.1 60 55.8 .93 60 400 400 1 Total: 681.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420485 Min 01420485 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 4877 of 6486
Name
R P DUBEY Rate Amount Qty 17.4 1.16 15 27.9 .93 30 12 .4 30 167.4 5.58 30 39 1.3 30 10.8 .36 30 36 .6 60 400 400 1 Total: 710.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420486 Min 01420486 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 05-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 05-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 3 05-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 4878 of 6486
Name
KIRAN DUBEY Rate Amount Qty 28.08 3.51 8 117 3.9 30 42.75 2.85 15 79.2 2.64 30 400 400 1 Total: 667.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420487 Min 01420487 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 4879 of 6486
Name
DINESH KUMAR TAMRAKAR Rate Amount Qty 18.9 .63 30 34.8 1.16 30 33 1.1 30 14.85 .99 15 27.9 .93 30 12 .4 30 15.6 .26 60 400 400 1 Total: 557.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420488 Min 01420488 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 22-FEB-19 COMPLETE HAEMOGRAM 9 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 22-FEB-19 URIC ACID (UA /URATES /UR) 11 22-FEB-19 UREA (BUN /UR) 12 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 22-FEB-19 BLOOD FOR T-3,T-4,TSH 15 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 17 22-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 18 22-FEB-19
Page 4880 of 6486
Name
JHIMIT TAMRAKAR Rate Amount Qty 21.3 .71 30 40.12 20.06 2 53.4 .89 60 12 .4 30 33 1.1 30 27.9 .93 30 10.8 .36 30 167.4 5.58 30 750 750 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 2400 2400 1 400 400 1 2.4 .16 15 27.9 .93 30 Total: 6346.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420491 Min 01420491 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19 C T HEAD WITH CONTRAST (COST OF DYE IN 9 25-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 4881 of 6486
Name
VIJAY PRASAD Rate Amount Qty 26.7 .89 30 20.06 20.06 1 8.4 .42 20 400 400 1 275 275 1 275 275 1 4.2 .42 10 400 400 1 8500 8500 1 25.69 25.69 1 400 400 1 Total: 10335.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420492 Min 01420492 Appmt Dt Slno Description 15-FEB-19 1 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15-FEB-19 2 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU
Page 4882 of 6486
Name
SANGMITRA Qty 1 1
Rate Amount 275 275 275 275 550 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420497 Min 01420497 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 12 25-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 4883 of 6486
Name
DR.VINOD MATE Rate Amount Qty 3.7 .37 10 34.8 1.16 30 12 .4 30 18 .6 30 4.1 .41 10 6.4 .64 10 55.8 .93 60 60.9 2.03 30 400 400 1 4.1 .41 10 36.8 1.84 20 9 .6 15 41.06 41.06 1 400 400 1 Total: 1086.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420498 Min 01420498 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 19-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 13 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 19-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 16 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19
Page 4884 of 6486
Name
MAMTA MATE Rate Amount Qty 55.8 .93 60 36 .6 60 39 1.3 30 7.65 .51 15 17.4 .58 30 21.3 .71 30 7.5 .25 30 400 400 1 192.3 6.41 30 60.9 2.03 30 20.84 5.21 4 3.7 .37 10 4.1 .41 10 6.4 .64 10 7.5 .25 30 47.4 1.58 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 1374.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420499 Min 01420499 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 4885 of 6486
Name
ANAND KUMAR Rate Amount Qty 54 .6 90 9 .3 30 21.6 .36 60 167.4 5.58 30 55.8 .93 60 6.9 .23 30 21.3 .71 30 3.75 .25 15 400 400 1 Total: 739.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420500 Min 01420500 Appmt Dt Slno Description 27-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 27-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 27-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4886 of 6486
Name
CHANDRA KALA PATEL Qty Rate Amount 30 .93 27.9 60 1.1 66 30 .27 8.1 1 400 400 Total: 502
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420501 Min 01420501 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 4887 of 6486
Name
CHANDULAL Rate Amount Qty 26.96 3.37 8 3.7 .37 10 19.72 9.86 2 400 400 1 275 275 1 275 275 1 55.8 .93 60 27 .6 45 105.9 3.53 30 7.5 .25 30 400 400 1 Total: 1596.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420502 Min 01420502 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 27-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 13 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 27-FEB-19
Page 4888 of 6486
Name
GANESHI BAI Rate Amount Qty 13.5 .9 15 5.55 .37 15 1.85 .37 5 6.4 .64 10 36 .6 60 55.8 .93 60 33 1.1 30 13.35 .89 15 400 400 1 10.95 .73 15 26.7 .89 30 185.7 6.19 30 21.3 .71 30 400 400 1 Total: 1210.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420507 Min 01420507 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 4889 of 6486
Name
BISHNU PADA DAS Rate Amount Qty 66 1.1 60 21.6 .36 60 117 1.3 90 3.48 1.16 3 12 .4 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 823.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420509 Min 01420509 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 27-FEB-19 CREATININE /CRT 8 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 4890 of 6486
Name
SILVESTER TIRKEY Rate Amount Qty 13.8 .23 60 27.9 .93 30 400 400 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 27.9 .93 30 8.1 .27 30 400 400 1 Total: 3402.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420510 Min 01420510 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4891 of 6486
Name
SHANTI TIRKEY Rate Amount Qty 17.4 1.16 15 27.9 .93 30 18 .6 30 400 400 1 275 275 1 275 275 1 400 400 1 7.5 .25 30 36 .6 60 21.3 .71 30 27.9 .93 30 400 400 1 Total: 1906
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420511 Min 01420511 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 I & D (INCISION & DRAINAGE) UNDER LA 2 15-FEB-19 LINEZOLID,600MG STRIP PACK,TABLET 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 16-FEB-19 DRESSING SIMPLE 6 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 25-FEB-19 DRESSING SIMPLE 8 25-FEB-19
Page 4892 of 6486
Name
HARISH CHANDRA BARAPATRE Rate Amount Qty 400 400 1 1400 1400 1 15.78 220.92 14 6.4 .64 10 400 400 1 2100 300 7 400 400 1 3000 300 10 Total: 7927.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420512 Min 01420512 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 06-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 06-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 4893 of 6486
Name
MAMATA BARAPATRE Rate Amount Qty 27.9 .62 45 12.3 .41 30 23.7 .79 30 5.21 5.21 1 27.9 .93 30 21.3 .71 30 33 1.1 30 25.2 .42 60 12 .4 30 400 400 1 Total: 588.51
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420513 Min 01420513 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 09-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 4894 of 6486
A A LAL Rate Amount Qty 25.07 25.07 1 6.4 .64 10 7.5 .25 30 32.4 1.08 30 55.8 .93 60 73.8 .82 90 400 400 1 Total: 600.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420514 Min 01420514 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4895 of 6486
Name
A K LAL Rate Amount Qty 69.6 1.16 60 32.4 1.08 30 24 .4 60 27.9 .93 30 400 400 1 27.9 .93 30 24 .4 60 32.4 1.08 30 69.6 1.16 60 400 400 1 Total: 1107.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420516 Min 01420516 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 4896 of 6486
Name
BAJRANG LAL AGRAWAL Rate Amount Qty 20.06 20.06 1 185.7 6.19 30 7.5 .25 30 12 .4 30 9 .3 30 27.9 .93 30 167.4 5.58 30 36 .6 60 400 400 1 Total: 865.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420517 Min 01420517 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 4897 of 6486
Name
NEELAM AGRAWAL Rate Amount Qty 6.9 .23 30 185.7 6.19 30 21.3 .71 30 9.3 .62 15 400 400 1 Total: 623.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420526 Min 01420526 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 4898 of 6486
Name
ALOK KUMAR KUNDU Rate Amount Qty 1.85 .37 5 8.9 .89 10 55.2 1.84 30 6.4 .64 10 400 400 1 Total: 472.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420528 Min 01420528 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 28-FEB-19 THIORIDAZINE HCL,STRIP PKT,25MG,TABLET 7 28-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 4899 of 6486
Name
MOHD. ISRAIL Rate Amount Qty 8.1 .27 30 32.4 1.08 30 10.65 .71 15 27.9 .93 30 400 400 1 24.6 .41 60 36.75 2.45 15 19.8 .99 20 400 400 1 Total: 960.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420529 Min 01420529 Slno Description Appmt Dt OLOPATADINE,0.1%,EYE DROP,5ML PACK 1 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 9 28-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 10 28-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4900 of 6486
ABIDA BAGAM Rate Amount Qty 18.21 18.21 1 25.07 25.07 1 13.35 .89 15 92.85 6.19 15 6.15 .41 15 400 400 1 25.07 25.07 1 4.8 .16 30 9.9 .66 15 18.21 18.21 1 161.1 5.37 30 400 400 1 Total: 1174.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420532 Min 01420532 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 20-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4901 of 6486
Name
DEVENDRA KUMAR DUBEY Rate Amount Qty 7.5 .25 30 26.7 .89 30 54 .9 60 16.2 .18 90 20.1 .67 30 400 400 1 6.9 .23 30 400 400 1 Total: 931.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420535 Min 01420535 Appmt Dt Slno Description 09-FEB-19 1 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 09-FEB-19 2 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 09-FEB-19 3 ASCORBIC ACID,STRIP PKT,100MG,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4902 of 6486
Name
P LAXMINARAYAN Qty Rate Amount 1 20.25 20.25 20 1.84 36.8 10 .38 3.8 1 400 400 Total: 460.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420536 Min 01420536 Appmt Dt Slno Description 09-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4903 of 6486
Name
P PADMA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420545 Min 01420545 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4904 of 6486
Name
JEEWANLAL SAHU Rate Amount Qty 9 .3 30 18 .6 30 167.4 5.58 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 636.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420548 Min 01420548 Slno Description Appmt Dt BLOOD FOR TSH 1 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 15-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 3 15-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 8 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 15-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 19-FEB-19
Page 4905 of 6486
Name
REKHA BANJARE Rate Amount Qty 800 800 1 400 400 1 24.6 .41 60 79.2 2.64 30 34.8 1.16 30 26.7 .89 30 15 .25 60 88.2 1.47 60 21.3 .71 30 15.3 .51 30 40.12 20.06 2 27.9 .93 30 550 550 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 4373.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420549 Min 01420549 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19
Page 4906 of 6486
Name
LAXMAN RAO NAIDU Rate Amount Qty 21.3 .71 30 55.8 .93 60 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420550 Min 01420550 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 4907 of 6486
Name
RAJESHWARI Rate Amount Qty 13.95 .93 15 36 .6 60 10.8 .36 30 34.8 1.16 30 400 400 1 Total: 495.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420552 Min 01420552 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 4908 of 6486
Name
G.SHOBHA RATNAM Rate Amount Qty 41.85 .93 45 39 1.3 30 72 .6 120 21.6 .36 60 21.3 .71 30 400 400 1 Total: 595.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420556 Min 01420556 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 08-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 08-FEB-19
Page 4909 of 6486
SMT. PUSHAPA JOGI Rate Amount Qty 8.1 .27 30 46.8 2.34 20 26.7 .89 30 400 400 1 26.6 2.66 10 31.46 15.73 2 6.4 .64 10 3.7 .37 10 Total: 549.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420557 Min 01420557 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4910 of 6486
Name
SIRAJUDDIN Rate Amount Qty 550 550 1 400 400 1 1750 1750 1 400 400 1 27.9 .93 30 400 400 1 Total: 3527.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420559 Min 01420559 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 08-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 08-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 08-FEB-19 URIC ACID (UA /URATES /UR) 15 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 08-FEB-19 UREA (BUN /UR) 17 08-FEB-19 CREATININE /CRT 18 08-FEB-19
Page 4911 of 6486
Name
PRADEEP SINGH BHADAURIA Rate Amount Qty 51 1.7 30 400 400 1 550 550 1 1300 1300 1 275 275 1 1050 1050 1 400 400 1 36 .6 60 33 1.1 30 15.6 .26 60 27.9 .93 30 69.6 1.16 60 32.4 1.08 30 24 .4 60 275 275 1 275 275 1 275 275 1 275 275 1 Total: 5364.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420560 Min 01420560 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 08-FEB-19 UREA (BUN /UR) 10 08-FEB-19 CREATININE /CRT 11 08-FEB-19 URIC ACID (UA /URATES /UR) 12 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 08-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 16 08-FEB-19
Page 4912 of 6486
Name
KALPANA BHADAURIA Rate Amount Qty 26.55 26.55 1 400 400 1 21.3 .71 30 36 .6 60 21.6 .36 60 20.84 5.21 4 2.4 .16 15 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 1050 1050 1 Total: 5203.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420561 Min 01420561 Appmt Dt Slno Description 07-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 07-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 3 TENELIGLIPTIN,20MG,,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4913 of 6486
Name
RAJENDRA PRASAD Qty Rate Amount 30 .4 12 30 .93 27.9 30 5.58 167.4 1 400 400 Total: 607.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420565 Min 01420565 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 14-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 4914 of 6486
Name
MOHD ABBAS Rate Amount Qty 22.08 1.84 12 4.62 .77 6 41.06 41.06 1 3.2 .64 5 400 400 1 Total: 470.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420567 Min 01420567 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 7 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 07-FEB-19 RA FACTOR /RH FACTOR 9 07-FEB-19 PLATELET COUNT 10 07-FEB-19 ESR 11 07-FEB-19 HB,TLC,DLC 12 07-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 13 07-FEB-19 CREATININE /CRT 14 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 07-FEB-19
Page 4915 of 6486
Name
SHUBHAYU DAS Rate Amount Qty 37.8 .63 60 34.8 1.16 30 12 .4 30 118.5 3.95 30 55.8 .93 60 117 1.3 90 12 .4 30 20.84 5.21 4 600 600 1 330 330 1 165 165 1 300 300 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 3303.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420568 Min 01420568 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4916 of 6486
Name
SUCHITRA DAS Rate Amount Qty 18 .3 60 54 .6 90 9.3 .62 15 10.65 .71 15 27.9 .93 30 7.5 .25 30 400 400 1 Total: 527.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420570 Min 01420570 Appmt Dt Slno Description 13-FEB-19 1 CARBIMAZOLE,5MG,BTL PACK,TABLET 13-FEB-19 2 TRANEXAMIC ACID,500 MG,,TABLET 13-FEB-19 3 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 13-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4917 of 6486
Name
SMT. AMBALIKA DEWANGAN Qty Rate Amount 60 1.58 94.8 10 12.95 129.5 2 43.96 87.92 1 400 400 Total: 712.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420571 Min 01420571 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 15-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 4918 of 6486
Name
SURENDRA RAUT Rate Amount Qty 3.7 .37 10 5.28 .66 8 20.55 1.37 15 3.75 .25 15 400 400 1 Total: 433.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420573 Min 01420573 Appmt Dt Slno Description 18-FEB-19 1 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4919 of 6486
Name
P RAJAGOPALAM Qty Rate Amount 60 1.3 78 1 400 400 478 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420574 Min 01420574 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 18-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 4920 of 6486
Name
P V G CH. MANI Rate Amount Qty 5.34 .89 6 66 1.1 60 6.72 1.12 6 55.2 1.84 30 6.4 .64 10 27.9 .93 30 400 400 1 Total: 567.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420577 Min 01420577 Slno Description Appmt Dt VITAMIN E,STRIP PKT,200MG,CAPSULE 1 06-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4921 of 6486
Name
SUMITRA JANGID Rate Amount Qty 23.7 1.58 15 11.4 .38 30 10.42 5.21 2 13.35 .89 15 17.4 1.16 15 55.8 .93 60 400 400 1 Total: 532.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420584 Min 01420584 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 4922 of 6486
Name
SHIV SHANKAR THAKUR Rate Amount Qty 15.6 1.04 15 18.9 .63 30 15.6 .26 60 55.8 .93 60 16.2 .27 60 32.4 1.08 30 12 .4 30 21.3 .71 30 400 400 1 Total: 587.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420586 Min 01420586 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 4923 of 6486
Name
O.P.DAS Rate Amount Qty 7.7 .77 10 41.85 .93 45 400 400 1 Total: 449.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420587 Min 01420587 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 4924 of 6486
Name
URMILA DEVI Rate Amount Qty 18 .6 30 21.3 .71 30 72.6 1.21 60 7.5 .25 30 8.1 .27 30 400 400 1 Total: 527.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420588 Min 01420588 Appmt Dt Slno Description 15-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4925 of 6486
Name
SATYA PRAKASH RAI Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420589 Min 01420589 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 16-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 4926 of 6486
Name
KAMLAWATI Rate Amount Qty 4.1 .41 10 8.9 .89 10 35.2 3.52 10 400 400 1 57.84 57.84 1 400 400 1 167.4 5.58 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 1502.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420592 Min 01420592 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 4927 of 6486
Name
P VIMLA RAO Rate Amount Qty 371.4 6.19 60 21.3 .71 30 8.1 .27 30 8.9 .89 10 400 400 1 Total: 809.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420593 Min 01420593 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 4928 of 6486
Name
P.VENKAT RAMAN Rate Amount Qty 6.4 .64 10 3.7 .37 10 60.9 2.03 30 27.9 .93 30 192.3 6.41 30 400 400 1 Total: 691.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420598 Min 01420598 Slno Description Appmt Dt ECG 1 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 06-FEB-19 OBSERVATION IN CASUALTY 3 06-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 4 06-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 4929 of 6486
Name
SHYAM LAL SAHU Rate Amount Qty 450 450 1 .16 .16 1 420 420 1 100 100 1 600 600 1 8.1 .27 30 66 1.1 60 8.9 .89 10 400 400 1 Total: 2053.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420604 Min 01420604 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 4930 of 6486
Name
K SUKHMATI PETER Rate Amount Qty 20.22 3.37 6 19.72 9.86 2 400 400 1 7.5 .25 30 21.3 .71 30 11.4 .38 30 400 400 1 Total: 880.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420605 Min 01420605 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 04-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 2 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 4931 of 6486
Name
K PETER Rate Amount Qty 26.96 3.37 8 37.04 37.04 1 11.25 .75 15 400 400 1 21.3 .71 30 23.7 .79 30 36 .6 60 167.4 5.58 30 400 400 1 Total: 1123.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420608 Min 01420608 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 4932 of 6486
Name
ASHOK KUMAR SONI Rate Amount Qty 21.3 .71 30 32.4 1.08 30 8.1 .27 30 23.7 .79 30 7.5 .25 30 72 .6 120 400 400 1 106.8 3.56 30 400 400 1 Total: 1071.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420609 Min 01420609 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 8 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 13-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 11 13-FEB-19 URINE ROUTINE AND MICROSCOPIC 12 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14 13-FEB-19 SOLIFENACIN,5MG,,TABLET 15 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 16 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 20 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 21 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 23 21-FEB-19 BLOOD FOR T-3,T-4,TSH 24 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 26 21-FEB-19 CREATININE /CRT 27 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 22-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 29 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 30 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 31 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 32 22-FEB-19
Page 4933 of 6486
Name
JYOTI SONI Rate Amount Qty 6.4 .64 10 35.2 3.52 10 20.84 5.21 4 371.4 6.19 60 400 400 1 6.4 .64 10 4.45 .89 5 650 650 1 400 400 1 33.12 1.84 18 1750 1750 1 380 380 1 35.2 3.52 10 3.8 .38 10 403.2 13.44 30 18.6 .62 30 400 400 1 21.3 .71 30 7.5 .25 30 167.4 5.58 30 78 1.3 60 72 .6 120 21.6 .36 60 2400 2400 1 400 400 1 33 1.1 30 275 275 1 400 400 1 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 9248.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420610 Min 01420610 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 4934 of 6486
Name
ANIL KUMAR Rate Amount Qty 55.8 .93 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 46.2 .77 60 400 400 1 Total: 581.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420611 Min 01420611 Slno Description Appmt Dt SOLIFENACIN,5MG,,TABLET 1 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4935 of 6486
Name
RAJIM BAI Rate Amount Qty 403.2 13.44 30 2.4 .16 15 33 1.1 30 6.9 .23 30 26 2.6 10 7.5 .25 30 400 400 1 Total: 879
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420612 Min 01420612 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 4936 of 6486
Name
SHESHNATH Rate Amount Qty 66 1.1 60 12 .4 30 27.9 .93 30 36 .6 60 16.2 .36 45 6.9 .23 30 400 400 1 Total: 565
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420613 Min 01420613 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 4937 of 6486
Name
LALMATI Rate Amount Qty 12 .4 30 7.5 .25 30 117 1.3 90 72 .6 120 21.6 .36 60 400 400 1 Total: 630.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420614 Min 01420614 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 4938 of 6486
Name
SHIV SHANKAR TIWARI Rate Amount Qty 4.8 .6 8 7.68 .64 12 8.96 1.12 8 44.16 1.84 24 400 400 1 Total: 465.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420615 Min 01420615 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 4939 of 6486
Name
ASHA TIWARI Rate Amount Qty 27.9 .93 30 6.4 .64 10 18.6 .62 30 12.6 .9 14 1.85 .37 5 26.6 2.66 10 400 400 1 Total: 493.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420616 Min 01420616 Appmt Dt Slno Description 05-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 05-FEB-19 2 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 05-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4940 of 6486
Name
JAIPRAKASH SINGH Qty Rate Amount 60 .6 36 30 .36 10.8 30 .79 23.7 1 400 400 Total: 470.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420617 Min 01420617 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 INHALANT,STRIP PACK,CAPSULE 9 23-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 10 23-FEB-19 OBSERVATION IN CASUALTY 11 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 23-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 16 23-FEB-19 ECG 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 4941 of 6486
Name
USHA KIRAN Rate Amount Qty 19.72 9.86 2 11.1 .37 30 16.85 3.37 5 400 400 1 600 600 1 35.2 3.52 10 1.85 .37 5 4.45 .89 5 17 1.7 10 22.71 22.71 1 420 420 1 66.2 6.62 10 1.85 .37 5 8.9 .89 10 6.4 .64 10 4.2 .42 10 450 450 1 400 400 1 Total: 2486.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420618 Min 01420618 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 16-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 2 16-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 16-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 16-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 4942 of 6486
Name
PREMNATH Rate Amount Qty 39.6 2.64 15 20.55 1.37 15 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 12.81 12.81 1 400 400 1 Total: 527.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420620 Min 01420620 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 6 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 26-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 4943 of 6486
Name
MUGANLAL VERMA Rate Amount Qty 19.2 .64 30 26.7 .89 30 185.7 6.19 30 55.2 1.84 30 400 400 1 12.81 12.81 1 7.4 .37 20 31.61 31.61 1 400 400 1 Total: 1138.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420621 Min 01420621 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 25-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 25-FEB-19 X - RAY - TWO VIEWS 6 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 4944 of 6486
Name
YUGAL KISHORI VERMA Rate Amount Qty 3.84 .64 6 3.6 .6 6 10.65 .71 15 400 400 1 20.84 5.21 4 860 860 1 33.12 1.84 18 11.4 .38 30 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 1780.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420623 Min 01420623 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 4945 of 6486
Name
BIMLA DEVI Rate Amount Qty 66 1.1 60 34.8 1.16 30 32.4 .36 90 72 .6 120 167.4 5.58 30 8.1 .27 30 400 400 1 Total: 780.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420624 Min 01420624 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 12-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 6 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 12-FEB-19 MYCOPHENOLATE MOFETIL,500MG,TABLET 8 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 15-FEB-19 DEFLAZACORT,1MG,,TABLET 10 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 13 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19
Page 4946 of 6486
Name
DP VISHWAKARMA Rate Amount Qty 44.16 1.84 24 7.68 .64 12 5.84 .73 8 7.12 .89 8 8.96 1.12 8 1170 1170 1 400 400 1 22.96 2066.4 90 167.4 5.58 30 41.1 1.37 30 1.6 .16 10 12 .4 30 11.4 .38 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 4407.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420626 Min 01420626 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 04-FEB-19 RIFAXIMIN 200 MG,,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 4947 of 6486
Name
PRADIP KUMAR DAS Rate Amount Qty 21.3 .71 30 9.9 .66 15 23.7 .79 30 279.9 9.33 30 36 .6 60 12 .4 30 78 1.3 60 21.6 .36 60 400 400 1 2.46 .41 6 5.34 .89 6 400 400 1 Total: 1290.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420627 Min 01420627 Slno Description Appmt Dt OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 1 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 26-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 26-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 4948 of 6486
Name
ADITY DAS Rate Amount Qty 26.86 13.43 2 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 400 400 1 Total: 480.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420629 Min 01420629 Appmt Dt Slno Description 21-FEB-19 1 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 21-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 3 SOLIFENACIN,5MG,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4949 of 6486
Name
SAKINA KHATUN Qty Rate Amount 15 .71 10.65 30 .89 26.7 60 13.44 806.4 1 400 400 Total: 1243.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420630 Min 01420630 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 4950 of 6486
Name
LAWRVEEN MASIH Rate Amount Qty 12.15 .27 45 21.6 .36 60 72 .6 120 78 1.3 60 34.8 1.16 30 55.8 .93 60 167.4 5.58 30 400 400 1 Total: 841.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420631 Min 01420631 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 4951 of 6486
Name
SMT SUMAN SUSHAMA MASIH Rate Amount Qty 39 1.3 30 76.5 2.55 30 12 .4 30 17.4 1.16 15 16.2 .27 60 55.8 .93 60 211.8 3.53 60 400 400 1 Total: 828.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420632 Min 01420632 Appmt Dt Slno Description 11-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11-FEB-19 2 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 11-FEB-19 3 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4952 of 6486
SAVITRI DEVI Qty Rate Amount 30 .27 8.1 2 48.22 96.44 10 3.52 35.2 1 400 400 Total: 539.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420634 Min 01420634 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 PRAZOSIN,2.5MG,TABLET 4 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 4953 of 6486
Name
JAGDEO THAKUR Rate Amount Qty 275 275 1 275 275 1 55.8 .93 60 39 1.3 30 3.53 187.09 53 55.2 .92 60 17.4 1.16 15 3.96 .99 4 24.71 3.53 7 18 .6 30 400 400 1 Total: 1351.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420635 Min 01420635 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 8 28-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 9 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 4954 of 6486
Name
CHANDRAKALA DEVI Rate Amount Qty 55.8 .93 60 3.2 .64 5 30.95 6.19 5 3.55 .71 5 26 2.6 10 26.7 .89 30 7.5 .25 30 9.9 .66 15 161.1 5.37 30 66 1.1 60 12 .4 30 400 400 1 Total: 802.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420637 Min 01420637 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19
Page 4955 of 6486
Name
ISHWARLAL THAKUR Rate Amount Qty 26.7 .89 30 18 .6 30 7.5 .25 30 7.65 .51 15 34.8 1.16 30 21.3 .71 30 12 .4 30 9 .3 30 55.8 .93 60 12 .4 30 32.4 1.08 30 400 400 1 Total: 637.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420639 Min 01420639 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4956 of 6486
Name
M.JAGDISHWAR RAO Rate Amount Qty 3.84 .64 6 34.8 1.16 30 11.85 .79 15 12 .4 30 400 400 1 Total: 462.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420640 Min 01420640 Appmt Dt Slno Description 07-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 07-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 07-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4957 of 6486
Name
M.LAXMI Qty Rate Amount 15 1.16 17.4 15 .79 11.85 5 .16 .8 1 400 400 Total: 430.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420644 Min 01420644 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 4958 of 6486
Name
.CHAMPA BAI Rate Amount Qty 27.9 .93 30 36 .6 60 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420646 Min 01420646 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 4959 of 6486
Name
VINAYAK RAO CHANNAWAR Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420647 Min 01420647 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 CREATININE /CRT 6 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 URIC ACID (UA /URATES /UR) 10 18-FEB-19
Page 4960 of 6486
Name
D SHRINIVASAN Rate Amount Qty 21.3 .71 30 55.8 .93 60 18 .6 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 2395.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420648 Min 01420648 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 18-FEB-19 CREATININE /CRT 12 18-FEB-19
Page 4961 of 6486
Name
RANJINI SHRINIVASAN Rate Amount Qty 7.5 .25 30 54 .6 90 55.8 .93 60 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 275 275 1 400 400 1 275 275 1 1300 1300 1 275 275 1 Total: 3108
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420651 Min 01420651 Appmt Dt Slno Description 14-FEB-19 1 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 14-FEB-19 2 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 14-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4962 of 6486
Name
GURNAM SINGH Qty Rate Amount 2 12.81 25.62 2 31.61 63.22 30 .37 11.1 1 400 400 Total: 499.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420652 Min 01420652 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 4963 of 6486
Name
JASWINDER KAUR Rate Amount Qty 9.9 .66 15 34.8 1.16 30 33 1.1 30 22.2 .37 60 55.8 .93 60 400 400 1 Total: 555.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420654 Min 01420654 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 4964 of 6486
Name
DHARMIN SAHU Rate Amount Qty 55.8 .93 60 8.1 .27 30 15.3 .51 30 6.4 .64 10 400 400 1 Total: 485.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420663 Min 01420663 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 4965 of 6486
Name
LAXMAN SINGH SENGAR Rate Amount Qty 12 .4 30 34.8 1.16 30 7.5 .25 30 26.7 .89 30 12.3 .41 30 10.8 .36 30 54 .6 90 78 1.3 60 400 400 1 Total: 636.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420667 Min 01420667 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 13-FEB-19 UREA (BUN /UR) 5 13-FEB-19 CREATININE /CRT 6 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19
Page 4966 of 6486
Name
JAWID HASSAN Rate Amount Qty 1300 1300 1 275 275 1 400 400 1 275 275 1 275 275 1 275 275 1 7.5 .25 30 1.85 .37 5 34.8 1.16 30 8.1 .27 30 55.8 .93 60 3.2 .64 5 54 .9 60 26.7 .89 30 400 400 1 Total: 3391.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420668 Min 01420668 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 13-FEB-19 CREATININE /CRT 14 13-FEB-19 UREA (BUN /UR) 15 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 13-FEB-19 OBSERVATION IN CASUALTY 20 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 21 17-FEB-19 ONDANSETRON,2MG/ML,INJECTION 22 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 17-FEB-19 ECG 25 17-FEB-19
Page 4967 of 6486
Name
SHAMIMUNNISA BEGUM Rate Amount Qty 21.6 .36 60 72 .6 120 27.9 .62 45 21.3 .71 30 7.5 .25 30 55.8 .93 60 4.8 .16 30 53.4 .89 60 3.7 .37 10 10.5 .7 15 66.2 6.62 10 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 420 420 1 24.52 24.52 1 7.52 7.52 1 .93 .93 1 .16 .16 1 450 450 1 Total: 4997.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420669 Min 01420669 Slno Description Appmt Dt TETANUS TOXOID,0.5ML,INJECTION 1 09-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 2 09-FEB-19 X - RAY - SINGLE VIEW 3 09-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 4 09-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 09-FEB-19 OBSERVATION IN CASUALTY 6 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 20-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 DRESSING SIMPLE 14 21-FEB-19 DRESSING SIMPLE 15 23-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 16 26-FEB-19 DRESSING SIMPLE 17 26-FEB-19 SUTURE REMOVAL 18 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 26-FEB-19
Page 4968 of 6486
Name
I.P.THAKUR Rate Amount Qty 8.64 8.64 1 5.77 5.77 1 550 550 1 600 600 1 9.81 9.81 1 420 420 1 4.45 .89 5 10.95 .73 15 9.6 .64 15 66.2 6.62 10 9.5 .38 25 400 400 1 400 400 1 300 300 1 300 300 1 41.06 41.06 1 300 300 1 490 490 1 400 400 1 Total: 4325.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420675 Min 01420675 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 25-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4969 of 6486
Name
NETRAM SAHU Rate Amount Qty 8.1 .27 30 55.8 .93 60 11.1 .37 30 21.3 .71 30 7.5 .25 30 14.85 .99 15 36 .6 60 17.6 17.6 1 85.52 85.52 1 400 400 1 Total: 657.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420676 Min 01420676 Appmt Dt Slno Description 25-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 25-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4970 of 6486
Name
BISAHIN BAI Qty Rate Amount 4 .37 1.48 30 1.1 33 15 .93 13.95 1 400 400 Total: 448.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420683 Min 01420683 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 4971 of 6486
Name
HAJARI RAM CHAWRE Rate Amount Qty 26.7 .89 30 27.9 .93 30 34.8 1.16 30 19.8 .66 30 400 400 1 Total: 509.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420684 Min 01420684 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 28-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4972 of 6486
Name
AMBIKA BAI Qty Rate Amount 30 .71 21.3 30 1.1 33 30 .27 8.1 1 400 400 Total: 462.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420685 Min 01420685 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 23-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 4973 of 6486
Name
RAJESH KUMAR RANA Rate Amount Qty .8 .16 5 8.9 .89 10 7.5 .25 30 117 1.3 90 55.2 .92 60 66 1.1 60 21.3 .71 30 12 .4 30 8.1 .27 30 400 400 1 Total: 696.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420689 Min 01420689 Slno Description Appmt Dt CREATININE /CRT 1 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 15-FEB-19 TRIGLYCERIDES (TGL) 4 15-FEB-19 UREA (BUN /UR) 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 18-FEB-19 PRAZOSIN,2.5MG,TABLET 11 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 18-FEB-19 MOXONIDIN 0.2MG,,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 4974 of 6486
Name
BALESWAR Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 195 1.3 150 167.4 5.58 30 33 1.1 30 10.8 .36 30 156 1.3 120 55.8 .93 60 72 .6 120 211.8 3.53 60 400 400 1 Total: 2698.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420693 Min 01420693 Appmt Dt Slno Description 18-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 18-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4975 of 6486
Name
SUSHMA VERMA Qty Rate Amount 30 .6 18 30 .25 7.5 30 1.1 33 1 400 400 Total: 458.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420695 Min 01420695 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 X - RAY - TWO VIEWS 2 12-FEB-19 MRI PER REGION (COST OF CONTRAST EXTRA) 3 12-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 4 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 16-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 16-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 8 16-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 9 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 16-FEB-19 BMD/DEXA SCAN 11 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 27-FEB-19 HAEMOGLOBIN / (HB %) 14 27-FEB-19 BLOOD FOR T-3,T-4,TSH 15 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 27-FEB-19 CREATININE /CRT 17 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 27-FEB-19 URIC ACID (UA /URATES /UR) 20 27-FEB-19 UREA (BUN /UR) 21 27-FEB-19
Page 4976 of 6486
Name
NISHA SINHA Rate Amount Qty 400 400 1 1720 860 2 18000 9000 2 3.96 .99 4 20.84 5.21 4 123.8 6.19 20 7.6 .38 20 29.2 .73 40 13.4 .67 20 17.8 .89 20 1500 1500 1 400 400 1 400 400 1 130 130 1 2400 2400 1 400 400 1 275 275 1 550 550 1 1300 1300 1 275 275 1 275 275 1 Total: 28241.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420697 Min 01420697 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 18-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 7 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 8 18-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19
Page 4977 of 6486
Name
SMT.SHUBHADA PATANKAR Rate Amount Qty 26.7 .89 30 15.6 .26 60 60.9 2.03 30 34.8 1.16 30 27.9 .93 30 32.4 1.08 30 35.2 17.6 2 87.92 43.96 2 40.12 20.06 2 11.1 .37 30 12 .4 30 400 400 1 Total: 784.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420699 Min 01420699 Slno Description Appmt Dt DRESSING SIMPLE 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 06-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 9 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 15 09-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 16 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 17 09-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 18 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 20 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 21 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 22 09-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 23 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 25 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 26 09-FEB-19 UREA (BUN /UR) 27 09-FEB-19 CREATININE /CRT 28 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 12-FEB-19 DRESSING SIMPLE 30 12-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 31 16-FEB-19 OBSERVATION IN CASUALTY 32 16-FEB-19 ECG 33 16-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 34 16-FEB-19 INJECTION PHYTOMENADIONE 10MG/ML, 35 16-FEB-19 SYRINGE,DISPOSABLE,2ML 36 16-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 37 17-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 38 17-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 39 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 40 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 41 17-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 42 20-FEB-19 BLOOD FOR TSH 43 20-FEB-19 COMPLETE HAEMOGRAM 44 20-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 45 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 46 20-FEB-19
Page 4978 of 6486
Name
RAISHA BIBI Qty 7 1 30 30 30 30 1 30 60 30 1 1 1 1 15 60 30 30 30 1 30 30 1 1 1 1 1 1 1 10 1 1 1 1 1 2 1 5 10 10 1 1 1 1 1 1
Rate Amount 2100 300 400 400 32.4 1.08 34.8 1.16 43.2 1.44 15.3 .51 20.06 20.06 167.4 5.58 42.6 .71 23.7 .79 400 400 275 275 275 275 400 400 7.65 .51 42.6 .71 23.7 .79 43.2 1.44 32.4 1.08 1300 1300 34.8 1.16 167.4 5.58 550 550 400 400 275 275 275 275 275 275 275 275 400 400 3000 300 600 600 420 420 450 450 9.62 9.62 1.37 1.37 3.68 1.84 43.96 43.96 .8 .16 61.4 6.14 8.9 .89 400 400 1300 1300 800 800 750 750 1500 1500 400 400
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420699 Min 01420699 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 47 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 48 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 49 22-FEB-19
Page 4979 of 6486
Name
RAISHA BIBI Qty 6 6 1
Rate Amount 2.46 .41 39.72 6.62 400 400 Total: 18523.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420700 Min 01420700 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 4980 of 6486
Name
ANAND RAM SINHA Rate Amount Qty 275 275 1 275 275 1 21.3 .71 30 167.4 5.58 30 10.8 .36 30 72 .6 120 400 400 1 Total: 1221.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420701 Min 01420701 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4981 of 6486
Name
LAXMI SINHA Rate Amount Qty 13.95 .93 15 7.5 .25 30 5.21 5.21 1 33 1.1 30 400 400 1 Total: 459.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420703 Min 01420703 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 01-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 26-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14 26-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 15 26-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 4982 of 6486
Name
NILAKANTH TANDI Rate Amount Qty 54 .9 60 100.71 100.71 1 16.2 .18 90 47.4 1.58 30 7.5 .25 30 26.7 .89 30 26.7 .89 30 400 400 1 13.7 1.37 10 185.7 6.19 30 18.9 .63 30 400 400 1 54 .9 60 16.2 .18 90 100.71 100.71 1 33.5 .67 50 400 400 1 Total: 1901.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420705 Min 01420705 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4983 of 6486
Name
URMILA BAI Rate Amount Qty 24 .6 40 12.8 .64 20 247.6 6.19 40 17.8 .89 20 400 400 1 21.3 .71 30 8.4 .42 20 400 400 1 Total: 1131.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420708 Min 01420708 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 4984 of 6486
Name
V GURAVAYYA Rate Amount Qty 26 2.6 10 31.9 3.19 10 8.9 .89 10 400 400 1 18 .6 30 55.8 .93 60 3.45 .23 15 37.8 .63 60 34.8 1.16 30 33 1.1 30 13.8 .92 15 400 400 1 Total: 1063.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420709 Min 01420709 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 4985 of 6486
Name
V.BHULAXMI Qty 7 7 1
Rate Amount 6.23 .89 9.59 1.37 400 400 Total: 415.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420710 Min 01420710 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 4986 of 6486
Name
VINOD KUMAR DIWAN Rate Amount Qty 1750 1750 1 400 400 1 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 2803.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420713 Min 01420713 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 4987 of 6486
Name
SANGEETA AGRAWAL Rate Amount Qty 21.3 .71 30 23.7 .79 30 400 400 1 Total: 445
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420718 Min 01420718 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 26-FEB-19 PRAZOSIN,2.5MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 4988 of 6486
Name
NAND KUMAR TAMRAKAR Rate Amount Qty 26.7 .89 30 21.3 .71 30 29.7 .99 30 18 .6 30 36.3 1.21 30 78 1.3 60 55.8 .93 60 400 400 1 Total: 665.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420719 Min 01420719 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 25-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 8 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 4989 of 6486
Name
PRATIMA DEVI TAMRAKAR Rate Amount Qty 26.7 .89 30 66 1.1 60 34.8 1.16 30 12 .4 30 400 400 1 6 .6 10 55.2 1.84 30 6.72 1.12 6 9.6 .64 15 400 400 1 Total: 1017.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420723 Min 01420723 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 4990 of 6486
Name
RS CHATURVEDI Rate Amount Qty 78 1.3 60 21.3 .71 30 66 1.1 60 400 400 1 7.5 .25 30 72.6 1.21 60 22.2 .37 60 400 400 1 Total: 1067.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420724 Min 01420724 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 25-FEB-19 3 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4991 of 6486
Name
ANJU CHATURVEDI Qty Rate Amount 30 .93 27.9 30 .6 18 30 .16 4.8 1 400 400 Total: 450.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420726 Min 01420726 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 16-FEB-19
Page 4992 of 6486
Name
VINOD KUMAR SHARMA Rate Amount Qty 60.9 2.03 30 18.9 .63 30 17.4 1.16 15 32.4 1.08 30 66 1.1 60 55.8 .93 60 18 .6 30 400 400 1 Total: 669.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420728 Min 01420728 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 19-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 19-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 4993 of 6486
Name
BALWANT KHOBRAGADE Rate Amount Qty 27.9 .93 30 117 1.3 90 76.5 2.55 30 36 .6 60 21.6 .36 60 13.43 13.43 1 12.81 12.81 1 400 400 1 Total: 705.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420731 Min 01420731 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 4994 of 6486
Name
P K ROY GHATAK Rate Amount Qty 26.7 .89 30 32.4 1.08 30 400 400 1 Total: 459.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420737 Min 01420737 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 4995 of 6486
Name
ASHOK KUMAR CHANDEL Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 16.5 1.1 15 12 .4 30 39 1.3 30 10.8 .36 30 11.85 .79 15 400 400 1 Total: 557.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420738 Min 01420738 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 15-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 4996 of 6486
Name
KAMLA CHANDEL Qty 6 6 1
Rate Amount 2.46 .41 4.62 .77 400 400 Total: 407.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420745 Min 01420745 Appmt Dt Slno Description 18-FEB-19 1 INHALANT,STRIP PACK,CAPSULE 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 4997 of 6486
Name
SHAILENDRA KUMAR SONI Qty Rate Amount 6 1.7 10.2 1 400 400 410.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420747 Min 01420747 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 4998 of 6486
Name
BIRENDRA BAHADUR SINGH Rate Amount Qty 12 .4 30 72.6 1.21 60 18 .6 30 8.1 .27 30 34.8 1.16 30 27.9 .93 30 15.6 .26 60 400 400 1 Total: 589
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420748 Min 01420748 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 4999 of 6486
Name
MANJU Qty 4 4 1
Rate Amount 1.64 .41 3.08 .77 400 400 Total: 404.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420749 Min 01420749 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 5000 of 6486
Name
MADHU SUDAN MAITRA Rate Amount Qty 55.8 .93 60 29.7 .99 30 66 1.1 60 21.3 .71 30 2.22 .37 6 400 400 1 Total: 575.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420750 Min 01420750 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 04-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 5001 of 6486
Name
KRISHNA MAITRA Rate Amount Qty 22.2 .37 60 28.08 2.34 12 2.22 .37 6 55.8 .93 60 400 400 1 Total: 508.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420751 Min 01420751 Slno Description Appmt Dt OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 1 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 25-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 28-FEB-19 CREATININE /CRT 6 28-FEB-19 URIC ACID (UA /URATES /UR) 7 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 28-FEB-19 HB,TLC,DLC 9 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 28-FEB-19 PLATELET COUNT 11 28-FEB-19 X - RAY - TWO VIEWS 12 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 28-FEB-19
Page 5002 of 6486
Name
SK PRAMANIK Rate Amount Qty 32.61 32.61 1 1.85 .37 5 17 1.7 10 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 300 300 1 275 275 1 330 330 1 860 860 1 400 400 1 Total: 4741.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420754 Min 01420754 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19
Page 5003 of 6486
Name
S A KHAN Rate Amount Qty 2.7 .27 10 7.9 .79 10 400 400 1 Total: 410.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420756 Min 01420756 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 14-FEB-19
Page 5004 of 6486
Name
N.S.ADIL Rate Amount Qty 400 400 1 55.8 .93 60 15 .25 60 Total: 470.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420757 Min 01420757 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 10 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 20-FEB-19 RACECADOTRIL,100MG,CAPSULE 12 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 20-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 15 20-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 16 20-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 17 20-FEB-19 ONDANSETRON,2MG/ML,INJECTION 18 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 19 20-FEB-19 OBSERVATION IN CASUALTY 20 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 21 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 24 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 25 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 26 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 27 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 25-FEB-19
Page 5005 of 6486
INDRANI DEVI Rate Amount Qty 21.3 .71 30 10.8 .36 30 8.1 .27 30 71.1 .79 90 66 1.1 60 12 .4 30 400 400 1 400 400 1 7.5 .25 30 34.84 8.71 4 35.2 3.52 10 59.7 5.97 10 8.9 .89 10 7 .7 10 9.81 9.81 1 8.71 8.71 1 11.89 11.89 1 7.52 7.52 1 24.52 24.52 1 420 420 1 16.8 1.12 15 400 400 1 8.9 .89 10 70.2 2.34 30 2.7 .18 15 9 .9 10 48.22 48.22 1 2.5 .25 10 400 400 1 Total: 2583.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420758 Min 01420758 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 27-FEB-19
Page 5006 of 6486
Name
AJAD AHMAD KHAN Rate Amount Qty 54 .6 90 55.8 .93 60 211.8 3.53 60 32.4 1.08 30 17.4 1.16 15 400 400 1 3.2 .64 5 400 400 1 Total: 1174.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420759 Min 01420759 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 27-FEB-19
Page 5007 of 6486
Name
SHAZIA BEGAM Rate Amount Qty 275 275 1 66 1.1 60 27.9 .93 30 18.9 .63 30 275 275 1 Total: 662.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420760 Min 01420760 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 5008 of 6486
Name
DAMODAR KHADE Rate Amount Qty 72.6 1.21 60 47.4 .79 60 6.9 .23 30 12 .4 30 400 400 1 Total: 538.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420761 Min 01420761 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5009 of 6486
Name
LALITA KHADE Rate Amount Qty 47.4 .79 60 8.1 .27 30 400 400 1 Total: 455.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420765 Min 01420765 Appmt Dt Slno Description 28-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5010 of 6486
Name
DILIP KUMAR DEY Qty Rate Amount 30 .25 7.5 30 .27 8.1 6 .64 3.84 1 400 400 Total: 419.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420766 Min 01420766 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 5 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 5011 of 6486
Name
SMT. RINA DEY Rate Amount Qty 6.4 .64 10 2.22 .37 6 21.12 3.52 6 400 400 1 13.95 .93 15 21.3 .71 30 8.1 .27 30 400 400 1 Total: 873.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420769 Min 01420769 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5012 of 6486
Name
VK SEENGAL Rate Amount Qty 21.3 .71 30 55.8 .93 60 10.8 .36 30 371.4 6.19 60 400 400 1 Total: 859.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420770 Min 01420770 Appmt Dt Slno Description 21-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5013 of 6486
Name
SARITA SEENGAL Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420773 Min 01420773 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 11-FEB-19 PRAZOSIN,2.5MG,TABLET 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 5014 of 6486
Name
RAMEJIYAS EKKA Rate Amount Qty 275 275 1 275 275 1 66 1.1 60 17.4 1.16 15 32.4 1.08 30 167.4 5.58 30 78 1.3 60 117 1.3 90 12 .4 30 55.8 .93 60 54 .6 90 400 400 1 Total: 1550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420774 Min 01420774 Appmt Dt Slno Description 06-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 06-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5015 of 6486
Name
CARLEN EKKA Qty Rate Amount 30 .93 27.9 30 .6 18 30 .25 7.5 1 400 400 Total: 453.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420776 Min 01420776 Appmt Dt Slno Description 11-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 11-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5016 of 6486
Name
SATTU RAM Qty Rate Amount 30 .25 7.5 30 .6 18 30 .36 10.8 1 400 400 Total: 436.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420779 Min 01420779 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 06-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5017 of 6486
Name
SARITA DEWANGAN Rate Amount Qty 189 2.1 90 27.9 .93 30 33 1.1 30 22.95 .51 45 43.2 1.44 30 400 400 1 Total: 716.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420781 Min 01420781 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 19-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 19-FEB-19
Page 5018 of 6486
Name
PINGLA BAI Rate Amount Qty 400 400 1 4.1 .41 10 46.8 2.34 20 1.25 .25 5 7.7 .77 10 Total: 459.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420782 Min 01420782 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5019 of 6486
Name
BHAGWAT PRASAD AGRAWAL Rate Amount Qty 8.9 .89 10 6.4 .64 10 10.42 5.21 2 7.5 .25 30 41.85 .93 45 400 400 1 Total: 475.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420783 Min 01420783 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5020 of 6486
Name
PADMA AGRAWAL Rate Amount Qty 12 .4 30 27.9 .93 30 117 1.3 90 34.8 1.16 30 167.4 5.58 30 21.6 .36 60 72 .6 120 400 400 1 Total: 852.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420788 Min 01420788 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 26-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 5021 of 6486
Name
ROHINI YADU Rate Amount Qty 60.18 20.06 3 2.4 .16 15 184.2 6.14 30 55.8 .93 60 21.3 .71 30 26.7 .89 30 14.85 .99 15 12.8 .64 20 400 400 1 Total: 778.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420789 Min 01420789 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 5022 of 6486
Name
NK JAISWAL Rate Amount Qty 2.28 .38 6 1.85 .37 5 9 .3 30 3.84 .64 6 55.8 .93 60 29.7 .99 30 3.75 .25 15 54 .6 90 400 400 1 Total: 560.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420793 Min 01420793 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 14-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5023 of 6486
Name
HEMLATA VERMA Rate Amount Qty 52.65 3.51 15 55.5 1.85 30 400 400 1 Total: 508.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420796 Min 01420796 Slno Description Appmt Dt URIC ACID (UA /URATES /UR) 1 11-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 4 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 22-FEB-19 URIC ACID (UA /URATES /UR) 9 22-FEB-19 CREATININE /CRT 10 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 22-FEB-19
Page 5024 of 6486
Name
PRATAP K CHANDRAKAR Rate Amount Qty 275 275 1 1300 1300 1 400 400 1 275 275 1 60.9 2.03 30 21.3 .71 30 12 .4 30 118.5 3.95 30 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 Total: 5262.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420797 Min 01420797 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 11-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 5025 of 6486
Name
RAMA CHANDRAKAR Rate Amount Qty 26 2.6 10 2.5 .25 10 61.9 6.19 10 7.1 .71 10 400 400 1 27.4 1.37 20 10.65 .71 15 2.5 .25 10 400 400 1 Total: 938.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420800 Min 01420800 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 15-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 4 15-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 15-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 15-FEB-19 ONDANSETRON,2MG/ML,INJECTION 9 15-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 10 15-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 11 15-FEB-19 OBSERVATION IN CASUALTY 12 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19
Page 5026 of 6486
Name
JAGMOHAN SINGH Rate Amount Qty 34.84 8.71 4 7 .7 10 8.9 .89 10 8.71 8.71 1 9.33 139.95 15 9.81 9.81 1 3.52 3.52 1 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 35.52 35.52 1 420 420 1 35.2 3.52 10 400 400 1 Total: 1147.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420805 Min 01420805 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 5027 of 6486
Name
RAM BAI Rate Amount Qty 34.8 1.16 30 32.4 1.08 30 27.9 .93 30 12 .4 30 29.7 .99 30 36 .6 60 18.9 .63 30 400 400 1 40.12 20.06 2 15.3 .51 30 55.8 .93 60 132 1.1 120 400 400 1 Total: 1234.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420808 Min 01420808 Appmt Dt Slno Description 16-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5028 of 6486
Name
RAMSANEHI DESHMUKH Qty Rate Amount 30 .79 23.7 1 400 400 423.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420809 Min 01420809 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5029 of 6486
Name
TULSEE DESHMUKH Qty Rate Amount 30 .27 8.1 30 .89 26.7 30 1.16 34.8 1 400 400 Total: 469.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420810 Min 01420810 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5030 of 6486
Name
PANNA LAL CHANDRAKAR Rate Amount Qty 40.12 20.06 2 13.35 .89 15 400 400 1 4.2 .42 10 8.1 .27 30 400 400 1 Total: 865.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420811 Min 01420811 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 6 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5031 of 6486
Name
VIMLA CHANDRAKAR Rate Amount Qty 189 2.1 90 32.4 1.08 30 95.7 3.19 30 400 400 1 13.35 .89 15 6.15 .41 15 16.8 1.12 15 400 400 1 Total: 1153.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420812 Min 01420812 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 15-FEB-19 URIC ACID (UA /URATES /UR) 3 15-FEB-19 CREATININE /CRT 4 15-FEB-19 UREA (BUN /UR) 5 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 15-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 12 15-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 13 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 14 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19
Page 5032 of 6486
Name
KISHORE KUMAR TEMBHURKAR Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 66 1.1 60 32.4 1.08 30 21.3 .71 30 24.6 .41 60 368.4 6.14 60 2.4 .16 15 12.8 .64 20 400 400 1 Total: 4552.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420820 Min 01420820 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 24-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 24-FEB-19 OBSERVATION IN CASUALTY 9 24-FEB-19 ECG 10 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 11 24-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 25-FEB-19 WITH IN BHILAI & DURG CITY LIMITS TO JL 13 25-FEB-19 X - RAY - TWO VIEWS 14 25-FEB-19
Page 5033 of 6486
Name
K.L. AGRAWAL Rate Amount Qty 11.4 .38 30 2.56 .64 4 400 400 1 27.9 .93 30 7.5 .25 30 400 400 1 24.52 24.52 1 .16 .16 1 420 420 1 450 450 1 9.62 9.62 1 400 400 1 0 560 0 860 860 1 Total: 3013.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420821 Min 01420821 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5034 of 6486
Name
SAVITRI AGRAWAL Rate Amount Qty 185.7 6.19 30 7.5 .25 30 26 2.6 10 400 400 1 54 .6 90 7.5 .25 30 21.6 .36 60 400 400 1 Total: 1102.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420822 Min 01420822 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 5035 of 6486
Name
MANHARAN LAL RATHORE Rate Amount Qty 10.08 1.12 9 33.12 1.84 18 3.84 .64 6 2.67 .89 3 400 400 1 55.2 .92 60 167.4 5.58 30 21.3 .71 30 7.5 .25 30 54 .6 90 400 400 1 Total: 1155.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420823 Min 01420823 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 5036 of 6486
Name
DULARI RATHORE Rate Amount Qty 33 1.1 30 55.8 .93 60 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420824 Min 01420824 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 14-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5037 of 6486
Name
KU. MEERA SHARMA Rate Amount Qty 189 2.1 90 6.56 .82 8 400 400 1 Total: 595.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420825 Min 01420825 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5038 of 6486
Name
R S TANWAR Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 35.2 3.52 10 2.22 .37 6 20.06 20.06 1 5.76 .64 9 400 400 1 Total: 912.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420826 Min 01420826 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 OBSERVATION IN CASUALTY 6 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 25-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 8 25-FEB-19
Page 5039 of 6486
Name
SHIV CHARAN Rate Amount Qty 18 .6 30 12 .4 30 69.6 1.16 60 32.4 1.08 30 400 400 1 420 420 1 24.52 24.52 1 5.77 5.77 1 Total: 982.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420827 Min 01420827 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 5040 of 6486
Name
VINA LILHARE Rate Amount Qty 8.1 .27 30 21.3 .71 30 7.5 .25 30 78 1.3 60 167.4 5.58 30 54 .6 90 32.4 .36 90 27.9 .93 30 400 400 1 Total: 796.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420828 Min 01420828 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5041 of 6486
Name
NIRMALA JHA Rate Amount Qty 21.3 .71 30 27.9 .93 30 78 1.3 60 36 .6 60 10.8 .36 30 400 400 1 Total: 574
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420829 Min 01420829 Appmt Dt Slno Description 11-FEB-19 1 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5042 of 6486
Name
SK JHA Qty 2 1
Rate Amount 45.44 90.88 400 400 490.88 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420830 Min 01420830 Slno Description Appmt Dt DIAGNOSTIC UGI ENDOSCOPY 1 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 27-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 27-FEB-19
Page 5043 of 6486
Name
NIRUPAM SHARMA Rate Amount Qty 2110 2110 1 400 400 1 2.34 196.56 84 47.04 1.12 42 37.38 .89 42 Total: 2790.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420838 Min 01420838 Appmt Dt Slno Description 12-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12-FEB-19 2 VITAMIN A CHEWABLE,50000IU,,TABLET 12-FEB-19 3 CREAM,BETAMETHASONE VALERATE,0.10% 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5044 of 6486
Name
TULSIDAS SAHU Qty Rate Amount 20 .37 7.4 15 .75 11.25 2 17.6 35.2 1 400 400 Total: 453.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420846 Min 01420846 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 5045 of 6486
Name
MOTILAL Rate Amount Qty 7.5 .25 30 14.85 .99 15 21.3 .71 30 54 .6 90 21.3 .71 30 12 .4 30 27 .9 30 400 400 1 Total: 557.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420850 Min 01420850 Appmt Dt Slno Description 05-FEB-19 1 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 05-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 05-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5046 of 6486
Name
SUNIL KUMAR PARDESHI Qty Rate Amount 6 2.66 15.96 6 .64 3.84 4 .37 1.48 1 400 400 Total: 421.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420851 Min 01420851 Appmt Dt Slno Description 21-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 21-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 3 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5047 of 6486
Name
GEETA PARDESHI Qty Rate Amount 60 .6 36 15 .93 13.95 30 .3 9 1 400 400 Total: 458.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420852 Min 01420852 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 2 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19
Page 5048 of 6486
Name
PREM KUMAR TRIVEDI Rate Amount Qty 400 400 1 32.61 32.61 1 400 400 1 2.56 .64 4 28.16 3.52 8 56.16 2.34 24 400 400 1 Total: 1319.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420853 Min 01420853 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19 MAMOGRAPHY 9 25-FEB-19 TRANEXAMIC ACID,500 MG,,TABLET 10 25-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 16 28-FEB-19 TRANEXAMIC ACID,500 MG,,TABLET 17 28-FEB-19
Page 5049 of 6486
Name
SMT. KIRAN TRIVEDI Rate Amount Qty 400 400 1 1750 1750 1 4.1 .41 10 7.5 .25 30 35.2 3.52 10 400 400 1 400 400 1 400 400 1 2000 2000 1 12.95 194.25 15 21.8 2.18 10 400 400 1 10.08 1.12 9 21.12 3.52 6 400 400 1 21.8 2.18 10 129.5 12.95 10 Total: 6595.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420854 Min 01420854 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 23-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 23-FEB-19
Page 5050 of 6486
Name
SUNDER LAL PATEL Rate Amount Qty 13.8 .23 60 15 .25 60 400 400 1 400 400 1 1300 1300 1 Total: 2128.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420856 Min 01420856 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 5051 of 6486
Name
C B P SRIVASTAV Rate Amount Qty 36 .6 60 53.4 .89 60 27.9 .62 45 34.8 1.16 30 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420860 Min 01420860 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 12-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 9 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 19 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 22 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 5052 of 6486
Name
YUVRAJ SINGH SAHU Rate Amount Qty 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 82.76 165.52 2 400 400 1 27.9 .93 30 41.06 41.06 1 1.28 .16 8 26.7 .89 30 9 .6 15 400 400 1 275 275 1 275 275 1 400 400 1 18 .6 30 26.7 .89 30 55.8 .93 60 8.1 .27 30 7.5 .25 30 2.4 .16 15 33 1.1 30 400 400 1 Total: 6122.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420863 Min 01420863 Slno Description Appmt Dt UREA (BUN /UR) 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 FLUVOXAMINE,STRIP PKT,100MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 8 20-FEB-19 GUM ANALGESIC GEL 9 20-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 10 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 22-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 15 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 22-FEB-19
Page 5053 of 6486
Name
MEENA Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 324.45 21.63 15 400 400 1 20.25 20.25 1 28.69 28.69 1 280 280 1 7.6 .38 20 400 400 1 400 400 1 275 275 1 1500 1500 1 1300 1300 1 275 275 1 Total: 6710.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420864 Min 01420864 Appmt Dt Slno Description 26-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5054 of 6486
Name
SHRAWAN SINGH Qty Rate Amount 10 1.37 13.7 1 400 400 413.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420866 Min 01420866 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 5055 of 6486
Name
M.L.CHANDRAWANSHI Rate Amount Qty 21.3 .71 30 7.5 .25 30 46.2 .77 60 32.4 1.08 30 400 400 1 36 .6 60 18.9 .63 30 11.4 .38 30 34.8 1.16 30 400 400 1 Total: 1008.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420873 Min 01420873 Slno Description Appmt Dt PREDNISOLONE,5MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 6 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 5056 of 6486
Name
MARIAMMA KOSHY Rate Amount Qty 10.05 .67 15 18 .6 30 13.95 .93 15 12 .4 30 21.3 .71 30 48.76 12.19 4 27.9 .62 45 400 400 1 Total: 551.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420875 Min 01420875 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 5057 of 6486
Name
MOT ILAL TIWARI Rate Amount Qty 3.84 .64 6 1.48 .37 4 14.85 .99 15 27.9 .93 30 15.96 2.66 6 21.3 .71 30 7.5 .25 30 17.4 .58 30 400 400 1 Total: 510.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420876 Min 01420876 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 5058 of 6486
HASINA BEGAM HUSSAIN Rate Amount Qty 44.4 .37 120 34.8 1.16 30 75.6 .63 120 37.2 .62 60 111.6 .93 120 6.4 .64 10 1.85 .37 5 15.73 15.73 1 20.84 5.21 4 400 400 1 Total: 748.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420877 Min 01420877 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 2 04-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 3 04-FEB-19 HB,TLC,DLC 4 04-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 5 04-FEB-19 ALKALINE PHOSPHATASE (ALP) 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 PRAZOSIN,2.5MG,TABLET 8 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 10 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 11 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 12 04-FEB-19 PLATELET COUNT 13 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 14 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 15 04-FEB-19 UREA (BUN /UR) 16 04-FEB-19 CREATININE /CRT 17 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 04-FEB-19 SERUM COPPER (CU++) 19 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 20 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 07-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 22 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 24 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 26 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 18-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 28 18-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 31 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 32 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 33 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 34 28-FEB-19
Page 5059 of 6486
Name
SANGAM GIRI Rate Amount Qty 400 400 1 330 330 1 165 165 1 300 300 1 275 275 1 275 275 1 16.2 .27 60 156 1.3 120 46.2 .77 60 30.6 .51 60 11.4 .38 30 211.8 3.53 60 330 330 1 4790 4790 1 275 275 1 275 275 1 275 275 1 550 550 1 500 500 1 275 275 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 Total: 45817.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420878 Min 01420878 Slno Description Appmt Dt PHOSPHOROUS /PHOSPHATE (PHOS /PI) 1 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 CALCIUM (CA) 6 09-FEB-19 ALKALINE PHOSPHATASE (ALP) 7 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 09-FEB-19 URIC ACID (UA /URATES /UR) 9 09-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 5060 of 6486
Name
GANGA DEVI Rate Amount Qty 275 275 1 275 275 1 275 275 1 6.85 1.37 5 4.45 .89 5 275 275 1 275 275 1 400 400 1 275 275 1 20.84 5.21 4 7.5 .25 30 400 400 1 Total: 2489.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420879 Min 01420879 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 19-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5061 of 6486
Name
JASVINDER GUPTA Qty Rate Amount 30 .27 8.1 30 .6 18 30 .25 7.5 1 400 400 Total: 433.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420880 Min 01420880 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5062 of 6486
Name
DEBASHISH GUPTA Rate Amount Qty 2.4 .16 15 13.95 .93 15 8.1 .27 30 7.5 .25 30 20.06 20.06 1 400 400 1 Total: 452.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420881 Min 01420881 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5063 of 6486
Name
SHEELA SHARMA Rate Amount Qty 25.69 25.69 1 400 400 1 36 .6 60 27.9 .93 30 10.8 .36 30 400 400 1 Total: 900.39
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420882 Min 01420882 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5064 of 6486
SHANKAR LAL SHARMA Rate Amount Qty 25.07 25.07 1 6.82 6.82 1 400 400 1 Total: 431.89
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420886 Min 01420886 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 11 09-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 18 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 21 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 25-FEB-19
Page 5065 of 6486
KAMLA BAI Rate Amount Qty 26.6 2.66 10 9 .9 10 48.22 48.22 1 7.5 .25 30 13.35 .89 15 20.55 1.37 15 1.85 .37 5 2.7 .18 15 400 400 1 18 .9 20 5.4 .18 30 15.73 15.73 1 3.7 .37 10 400 400 1 1.85 .37 5 42.12 2.34 18 400 400 1 12.15 12.15 1 5.55 .37 15 27 .9 30 8.1 .18 45 400 400 1 Total: 1869.37
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420887 Min 01420887 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 5066 of 6486
SARJU DAS Rate Amount Qty 6.82 6.82 1 25.07 25.07 1 400 400 1 31.2 1.04 30 33 1.1 30 64.8 1.08 60 12 .4 30 69.6 1.16 60 400 400 1 Total: 1042.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420888 Min 01420888 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 5067 of 6486
Name
SIMLA BAI Rate Amount Qty 8.9 .89 10 31.4 3.14 10 18.9 .63 30 123.8 6.19 20 5 .25 20 400 400 1 Total: 588
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420889 Min 01420889 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 04-FEB-19 RIFAXIMIN 200 MG,,TABLET 5 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 04-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 5068 of 6486
Name
NALIN KUMAR SAMUEL Rate Amount Qty 26.7 .89 30 21 .7 30 4.8 .16 30 19.2 .64 30 9.33 139.95 15 33.6 1.12 30 132.4 6.62 20 87.1 8.71 10 400 400 1 Total: 864.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420891 Min 01420891 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 04-FEB-19 PRAZOSIN,2.5MG,TABLET 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 5069 of 6486
Name
JAI NARAYAN SWARNKAR Rate Amount Qty 21.3 .71 30 36 .6 60 31.2 1.04 30 66 1.1 60 19.5 1.3 15 26.7 .89 30 55.8 .93 60 18.9 .63 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 719.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420892 Min 01420892 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 5070 of 6486
Name
SITA DEVI Rate Amount Qty 32.4 1.08 30 21.3 .71 30 167.4 5.58 30 117 1.3 90 54 .6 90 21.6 .36 60 21.3 .71 30 15.3 .51 30 18.9 .63 30 26.7 .89 30 400 400 1 Total: 895.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420896 Min 01420896 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5071 of 6486
Name
M SUJATA Rate Amount Qty 39 1.3 30 27.9 .93 30 38.25 2.55 15 12 .4 30 34.8 1.16 30 400 400 1 Total: 551.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420902 Min 01420902 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5072 of 6486
Name
NATHU RAM MARKAM Rate Amount Qty 7.5 .25 30 185.7 6.19 30 13.7 1.37 10 400 400 1 31.2 1.04 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1102
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420904 Min 01420904 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 05-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 05-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 11-FEB-19
Page 5073 of 6486
Name
SUDHIR KUMAR SHARMA Rate Amount Qty 39.6 2.64 15 351 3.9 90 12.3 .82 15 400 400 1 3.84 .64 6 26.7 .89 30 27.9 .93 30 15.6 .26 60 33 1.1 30 69.6 1.16 60 24 .4 60 18 .6 30 400 400 1 Total: 1421.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420906 Min 01420906 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 5074 of 6486
Name
S J DEWANGAN Rate Amount Qty 3.75 .25 15 21.3 .71 30 12 .4 30 32.4 1.08 30 7.65 .51 15 8.1 .27 30 18.9 .63 30 55.8 .93 60 66 1.1 60 400 400 1 Total: 625.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420907 Min 01420907 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 5075 of 6486
Name
RAMKALI Rate Amount Qty 9 .3 30 10.8 .36 30 21.3 .71 30 21.3 .71 30 12 .4 30 72 .6 120 400 400 1 Total: 546.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420910 Min 01420910 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 08-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 5076 of 6486
Name
SMT.VIMALA SHARMA Rate Amount Qty 35.2 17.6 2 7.4 .37 20 13.35 .89 15 17.4 .58 30 2.4 .16 15 55.8 .93 60 118.5 3.95 30 10.8 .36 30 54 .6 90 400 400 1 Total: 714.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420911 Min 01420911 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 23-FEB-19 UREA (BUN /UR) 9 23-FEB-19 CREATININE /CRT 10 23-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 23-FEB-19
Page 5077 of 6486
Name
BISHNU PRASAD Rate Amount Qty 18 .6 30 32.4 1.08 30 17.4 1.16 15 23.7 .79 30 8.1 .27 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 275 275 1 Total: 3849.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420915 Min 01420915 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 5078 of 6486
Name
BINAY KUMAR ROY Rate Amount Qty 55.8 .93 60 8.1 .27 30 400 400 1 Total: 463.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420920 Min 01420920 Appmt Dt Slno Description 20-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5079 of 6486
Name
MEENAKSHI DEWANGAN Qty Rate Amount 15 .64 9.6 1 400 400 409.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420921 Min 01420921 Appmt Dt Slno Description 22-FEB-19 1 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 22-FEB-19 2 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 22-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 22-FEB-19 4 HEPATITIS C TEST /HCV
Page 5080 of 6486
Name
B D SAHU Qty 1 1 1 1
Rate Amount 1000 1000 275 275 400 400 1700 1700 Total: 3375
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420922 Min 01420922 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19
Page 5081 of 6486
Name
PUSHPA SAHU Rate Amount Qty 21.3 .71 30 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 2271.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420926 Min 01420926 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 5082 of 6486
Name
M V DIXIT Rate Amount Qty 7.8 .26 30 5.21 5.21 1 34.8 1.16 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 492.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420927 Min 01420927 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5083 of 6486
Name
BINAY KUMAR SINGHA Rate Amount Qty 7.5 .25 30 34.8 1.16 30 12 .4 30 18 .3 60 400 400 1 Total: 472.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420929 Min 01420929 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 5084 of 6486
Name
SHAILENDRA KUMAR MISHRA Rate Amount Qty 33 1.1 30 11.85 .79 15 12 .4 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 510.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420933 Min 01420933 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5085 of 6486
Name
MUNNALAL CHANDRAKAR Rate Amount Qty 60.9 2.03 30 32.4 1.08 30 23.7 .79 30 18 .6 30 10.8 .36 30 400 400 1 Total: 545.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420935 Min 01420935 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 5086 of 6486
Name
TAMESHWAR RAM Rate Amount Qty 60.9 2.03 30 13.95 .93 15 400 400 1 Total: 474.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420937 Min 01420937 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 11-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 5087 of 6486
Name
JAWAHAR Rate Amount Qty 12 .4 30 32.4 1.08 30 55.8 .93 60 78 1.3 60 17.4 1.16 15 317.7 3.53 90 400 400 1 Total: 913.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420941 Min 01420941 Slno Description Appmt Dt PERIPHERAL BLOOD SMEAR EXAMINATION 1 02-FEB-19 UREA (BUN /UR) 2 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 5 02-FEB-19 CREATININE /CRT 6 02-FEB-19 PLATELET COUNT 7 02-FEB-19 URIC ACID (UA /URATES /UR) 8 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 02-FEB-19 SERUM COPPER (CU++) 10 02-FEB-19 HB,TLC,DLC 11 02-FEB-19 ALKALINE PHOSPHATASE (ALP) 12 02-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 13 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 14 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 15 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 06-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 17 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 09-FEB-19 SEVELAMER ,800 MG,,TABLET 19 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 20 13-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 21 13-FEB-19 PRAZOSIN,2.5MG,TABLET 22 13-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 23 13-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 24 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 25 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 13-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 27 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 16-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 29 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 23-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 31 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 32 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 33 23-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 34 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 35 23-FEB-19
Page 5088 of 6486
SHEIKH MALANG Rate Amount Qty 330 330 1 275 275 1 4790 4790 1 400 400 1 275 275 1 275 275 1 330 330 1 275 275 1 550 550 1 500 500 1 300 300 1 275 275 1 275 275 1 275 275 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 501.9 16.73 30 11.4 .38 30 21.3 .71 30 234 1.3 180 30.6 .34 90 62.4 1.04 60 16.2 .27 60 400 400 1 4790 4790 1 400 400 1 13.2 4.4 3 400 400 1 4790 4790 1 92.68 6.62 14 17.8 .89 20 48.22 48.22 1 3.84 .64 6 Total: 31338.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420944 Min 01420944 Slno Description Appmt Dt DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 1 05-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 5089 of 6486
Name
VIMAL SURYAVANSHI Rate Amount Qty 161.1 5.37 30 79.2 2.64 30 400 400 1 8.1 .27 30 27.9 .93 30 400 400 1 Total: 1076.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420945 Min 01420945 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ONDANSETRON,2MG/ML,INJECTION 7 03-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 8 03-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 9 03-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 03-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 11 03-FEB-19 OBSERVATION IN CASUALTY 12 03-FEB-19 ECG 13 03-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 14 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 03-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 16 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 23 14-FEB-19 INHALANT,STRIP PACK,CAPSULE 24 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 26 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 27 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 28 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 29 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 30 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 31 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 32 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 33 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 34 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 35 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 36 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 37 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 39 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 40 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 41 19-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 42 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 43 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 44 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 45 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 46 26-FEB-19
Page 5090 of 6486
Name
CHANDRA KUMARI SHARMA Rate Amount Qty 17.4 .58 30 7.5 .25 30 2.4 .16 15 334.8 5.58 60 34.8 1.16 30 400 400 1 7.52 7.52 1 5.41 5.41 1 11.89 11.89 1 .64 .64 1 9.81 9.81 1 420 420 1 450 450 1 9.62 9.62 1 24.52 24.52 1 100.71 100.71 1 7.5 .25 30 54 .9 60 26.7 .89 30 400 400 1 1.85 .37 5 17.8 .89 20 247.6 6.19 40 17 1.7 10 27.4 1.37 20 40.12 20.06 2 20.84 5.21 4 66.2 6.62 10 8.9 .89 10 5.76 .64 9 400 400 1 5.34 .89 6 6.4 .64 10 55.2 1.84 30 400 400 1 33.82 .89 38 122.8 6.14 20 400 400 1 6.4 .64 10 20.06 20.06 1 8.9 .89 10 66.2 6.62 10 400 400 1 3.75 .25 15 334.8 5.58 60 21.3 .71 30
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420945 Min 01420945 Appmt Dt Slno Description 26-FEB-19 47 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5091 of 6486
Name
CHANDRA KUMARI SHARMA Qty Rate Amount 1 400 400 5463.66 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420946 Min 01420946 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 06-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 06-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 06-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 5 06-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 06-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 7 06-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 14 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 17-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20 17-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 21 17-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 22 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 18-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 25 18-FEB-19 RIFAXIMIN 200 MG,,TABLET 26 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 18-FEB-19
Page 5092 of 6486
Name
AYODHYA PRASAD SHARMA Rate Amount Qty 8.9 .89 10 6.72 1.12 6 54 .9 60 39.72 6.62 6 52.26 8.71 6 36.84 6.14 6 2.8 .7 4 100.71 100.71 1 400 400 1 1.85 .37 5 4.45 .89 5 35.2 3.52 10 6.4 .64 10 20.84 5.21 4 7.5 .25 30 400 400 1 2.5 .25 10 400 400 1 8.9 .89 10 2.5 .25 10 20.25 20.25 1 16.8 1.12 15 400 400 1 17.8 .89 20 122.8 6.14 20 9.33 139.95 15 400 400 1 Total: 2709.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420947 Min 01420947 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 18-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 2 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5093 of 6486
Name
BHOJ RAM DARSENA Rate Amount Qty 12.81 12.81 1 13.43 13.43 1 21.3 .71 30 7.5 .25 30 400 400 1 Total: 455.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420948 Min 01420948 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 26-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 5094 of 6486
Name
JYOTI DARSENA Rate Amount Qty 7.5 .25 30 11.4 .38 30 22.5 .75 30 1.48 .37 4 1.6 .16 10 26.7 .89 30 78 1.3 60 27.9 .62 45 7.5 .25 30 400 400 1 Total: 584.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420951 Min 01420951 Appmt Dt Slno Description 04-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5095 of 6486
Name
RAJENDRA KUMAR VERMA Qty Rate Amount 60 .36 21.6 30 .93 27.9 30 2.03 60.9 1 400 400 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420953 Min 01420953 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 5096 of 6486
Name
GHOSH SK Rate Amount Qty 13.7 1.37 10 7.5 .25 30 400 400 1 Total: 421.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420957 Min 01420957 Appmt Dt Slno Description 02-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 02-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 02-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5097 of 6486
Name
HARI DAS MADHU Qty Rate Amount 30 1.16 34.8 6 .64 3.84 30 .27 8.1 1 400 400 Total: 446.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420958 Min 01420958 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 5098 of 6486
Name
SHYAMLI MADHU Rate Amount Qty 6 .4 15 36 .6 60 26.7 .89 30 78 1.3 60 27.9 .93 30 21.3 .71 30 3.84 .64 6 12 .4 30 400 400 1 Total: 611.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420963 Min 01420963 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 28-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 2 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5099 of 6486
Name
SHELLEY MRS. SJ Rate Amount Qty 54 .9 60 100.71 100.71 1 12.15 12.15 1 7.5 .25 30 26.7 .89 30 400 400 1 Total: 601.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420971 Min 01420971 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 5100 of 6486
Name
JAGANNATH SHAH Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 400 400 1 Total: 467.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420972 Min 01420972 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19 X - RAY - TWO VIEWS 12 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 5101 of 6486
Name
GAYATRI DEVI Rate Amount Qty 21.3 .71 30 15 .25 60 400 400 1 33 1.1 30 18 .6 30 13.95 .93 15 7.5 .25 30 10.65 .71 15 18.6 .62 30 400 400 1 400 400 1 860 860 1 7.5 .25 30 21.3 .71 30 400 400 1 Total: 2626.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420974 Min 01420974 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 05-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5102 of 6486
Name
PARVATI Rate Amount Qty 55.8 .93 60 71 .71 100 83.4 2.78 30 13.8 .23 60 400 400 1 Total: 624
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420975 Min 01420975 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 5103 of 6486
Name
D BHADURI Rate Amount Qty 72 .6 120 11.85 .79 15 34.8 1.16 30 400 400 1 192.3 6.41 30 400 400 1 Total: 1110.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420979 Min 01420979 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 5104 of 6486
Name
N PADMAVATHI AMMA Rate Amount Qty 11.4 .38 30 36 .6 60 78 1.3 60 34.8 1.16 30 211.8 3.53 60 7.5 .25 30 53.4 .89 60 27.9 .93 30 167.4 5.58 30 400 400 1 Total: 1028.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420980 Min 01420980 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 27-FEB-19 BLOOD FOR TSH 5 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 27-FEB-19 CALCIUM (CA) 8 27-FEB-19 HB,TLC,DLC 9 27-FEB-19 UREA (BUN /UR) 10 27-FEB-19
Page 5105 of 6486
Name
A G RAJAPPAN NAIR Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 800 800 1 1300 1300 1 550 550 1 275 275 1 300 300 1 275 275 1 Total: 5750
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01420992 Min 01420992 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 BRIMONIDINE TARTRATE,0.15% 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 8 13-FEB-19 CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 9 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 13-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 11 13-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 13-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 15-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 15-FEB-19
Page 5106 of 6486
SOHAL SS Rate Amount Qty 32.4 1.08 30 26.7 .89 30 24 .4 60 148.9 74.45 2 34.8 1.16 30 23.7 .79 30 400 400 1 17.6 17.6 1 33.46 33.46 1 3.84 .64 6 50.14 25.07 2 148.9 74.45 2 33.12 1.84 18 400 400 1 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 1814.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420993 Min 01420993 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 9 13-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 GUM ANALGESIC GEL 12 15-FEB-19 INHALANT,STRIP PACK,CAPSULE 13 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 15-FEB-19
Page 5107 of 6486
Name
SMT. SURINDAR KAUR Rate Amount Qty 6.4 .64 10 21.3 .71 30 8.1 .27 30 18 .6 30 12 .4 30 185.7 6.19 30 33 1.1 30 400 400 1 17.37 17.37 1 35.2 17.6 2 400 400 1 28.69 28.69 1 34 1.7 20 3.75 .25 15 400 400 1 Total: 1603.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01420999 Min 01420999 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 16-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 16-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 5108 of 6486
Name
KESHAW RAM DEWANGAN Rate Amount Qty 40.12 20.06 2 192.3 6.41 30 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 714.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421000 Min 01421000 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 16-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 16-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 5109 of 6486
Name
RAM BAI DEWANGAN Rate Amount Qty 19.8 .66 30 95.7 3.19 30 15.3 .51 30 20.06 20.06 1 6.4 .64 10 7.5 .25 30 400 400 1 Total: 564.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421002 Min 01421002 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 13-FEB-19 UREA (BUN /UR) 2 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 13-FEB-19 CREATININE /CRT 5 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 13-FEB-19 URIC ACID (UA /URATES /UR) 8 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 13-FEB-19
Page 5110 of 6486
Name
SMT.LALITA RAMAN Rate Amount Qty 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 21.3 .71 30 550 550 1 275 275 1 1300 1300 1 Total: 3646.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421003 Min 01421003 Appmt Dt Slno Description 01-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 01-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 01-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5111 of 6486
Name
BAHADUR SINGH Qty Rate Amount 15 1.16 17.4 30 .4 12 30 1.1 33 1 400 400 Total: 462.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421004 Min 01421004 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5112 of 6486
Name
SUMAN SINGH Rate Amount Qty 32.4 1.08 30 55.8 .93 60 17.4 1.16 15 6.9 .23 30 400 400 1 Total: 512.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421007 Min 01421007 Slno Description Appmt Dt DEXKETOPROFEN,25MG,TAB STRIP PACK 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 02-FEB-19 UREA (BUN /UR) 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 5113 of 6486
Name
MAKHAN LAL SHUKLA Rate Amount Qty 31.4 3.14 10 3.75 .25 15 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 5.25 .25 21 31.4 3.14 10 400 400 1 Total: 2096.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421015 Min 01421015 Appmt Dt Slno Description 14-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5114 of 6486
Name
ARUN KUMAR BHOUTEY Qty Rate Amount 30 .23 6.9 1 400 400 406.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421016 Min 01421016 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5115 of 6486
Name
SAVITA BHOUTEY Rate Amount Qty 13.95 .93 15 54 .6 90 12 .4 30 16.2 .27 60 7.5 .25 30 400 400 1 Total: 503.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421017 Min 01421017 Slno Description Appmt Dt BACLOFEN,STRIP PKT,10MG,TABLET 1 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5116 of 6486
Name
MAHESH KUMAR PANDEY Rate Amount Qty 95.7 3.19 30 400 400 1 15 .25 60 21.3 .71 30 400 400 1 Total: 932
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421018 Min 01421018 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 11-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 13 11-FEB-19 CREATININE /CRT 14 11-FEB-19 URIC ACID (UA /URATES /UR) 15 11-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 17 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 23 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 24 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 25 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 26 11-FEB-19 UREA (BUN /UR) 27 11-FEB-19
Page 5117 of 6486
Name
SANDHYA PANDEY Rate Amount Qty 5.8 1.16 5 9.3 .93 10 5.21 5.21 1 3.6 .36 10 24 .6 40 12.1 1.21 10 39 1.3 30 2.5 .25 10 400 400 1 275 275 1 275 275 1 275 275 1 12.3 .41 30 275 275 1 275 275 1 550 550 1 1300 1300 1 7.5 .25 30 400 400 1 275 275 1 27.9 .93 30 39 1.3 30 10.8 .36 30 72 .6 120 36.3 1.21 30 18.6 .62 30 275 275 1 Total: 4900.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421026 Min 01421026 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5118 of 6486
Name
PRAMILA BAI Rate Amount Qty 23.7 .79 30 29.7 .99 30 400 400 1 Total: 453.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421028 Min 01421028 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 18-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 5119 of 6486
Name
BABURAM Rate Amount Qty 66 1.1 60 4.08 .51 8 43.2 1.44 30 34.8 1.16 30 12 .4 30 7.8 .26 30 13.95 .93 15 21.6 .36 60 72 .6 120 400 400 1 Total: 675.43
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421029 Min 01421029 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 18-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 8 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 5120 of 6486
SITA DEVI Rate Amount Qty 25.07 25.07 1 1.11 .37 3 3.2 .64 5 21.06 2.34 9 400 400 1 6.4 .64 10 1.85 .37 5 17.3 1.73 10 7.7 .77 10 400 400 1 Total: 883.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421032 Min 01421032 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 5121 of 6486
Name
BABU RAM SAHU Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421033 Min 01421033 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 5122 of 6486
Name
NIRMALA SAHU Rate Amount Qty 8.1 .27 30 12 .4 30 21.3 .71 30 18.9 .63 30 400 400 1 Total: 460.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421036 Min 01421036 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 5123 of 6486
Name
NARENDRA KUMAR Rate Amount Qty 72.6 1.21 60 1.48 .37 4 7.65 .51 15 27.9 .93 30 400 400 1 Total: 509.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421038 Min 01421038 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 28-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 8 28-FEB-19 CREATININE /CRT 9 28-FEB-19 URIC ACID (UA /URATES /UR) 10 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 28-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 12 28-FEB-19 UREA (BUN /UR) 13 28-FEB-19
Page 5124 of 6486
Name
SHIVDAS RAMTEKE Rate Amount Qty 36.3 1.21 30 37.8 .63 60 12 .4 30 18 .6 30 8.1 .27 30 400 400 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 4612.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421039 Min 01421039 Appmt Dt Slno Description 26-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 26-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5125 of 6486
Name
SMT. RAMBHA RAMTEKE Qty Rate Amount 60 1.1 66 30 1.08 32.4 30 .4 12 1 400 400 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421040 Min 01421040 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 01-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 8 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 12 19-FEB-19 RIFAXIMIN 200 MG,,TABLET 13 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 19-FEB-19
Page 5126 of 6486
Name
HAJRA BEGUM Rate Amount Qty 22.8 .38 60 31.2 1.04 30 16.2 .27 60 40.12 20.06 2 26.7 .89 30 184.2 6.14 30 20.06 20.06 1 7 .7 10 371.4 6.19 60 55.8 .93 60 400 400 1 43.96 43.96 1 9.33 419.85 45 400 400 1 Total: 2039.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421043 Min 01421043 Appmt Dt Slno Description 05-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 05-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5127 of 6486
Name
N K CHAUHAN Qty Rate Amount 30 1.08 32.4 30 .93 27.9 30 .71 21.3 1 400 400 Total: 481.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421045 Min 01421045 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 5128 of 6486
Name
AKTOO RAM SURYAWANSHI Rate Amount Qty 7.5 .25 30 18 .4 45 400 400 1 Total: 425.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421048 Min 01421048 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 08-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 5 08-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 11-FEB-19 SYRINGE,DISPOSABLE,2ML 10 11-FEB-19 ONDANSETRON,2MG/ML,INJECTION 11 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 12 11-FEB-19 OBSERVATION IN CASUALTY 13 11-FEB-19 ECG 14 11-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 15 11-FEB-19 RIFAXIMIN 200 MG,,TABLET 16 18-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 17 18-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 18 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 20 18-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 21 18-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 22 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 23 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 18-FEB-19
Page 5129 of 6486
Name
AVINASH KUMAR Rate Amount Qty 43.2 1.44 30 52.8 3.52 15 26.7 .89 30 123.53 247.06 2 423.6 7.06 60 7.65 .51 15 15.6 1.04 15 400 400 1 600 600 1 3.68 1.84 2 7.52 7.52 1 24.52 24.52 1 420 420 1 450 450 1 9.62 9.62 1 279.9 9.33 30 423.6 7.06 60 43.2 1.44 30 26.7 .89 30 15.6 1.04 15 52.8 3.52 15 123.53 123.53 1 5.7 .38 15 400 400 1 Total: 4102.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421049 Min 01421049 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 5130 of 6486
Name
URMILA RANI Rate Amount Qty 23.7 .79 30 15.6 .26 60 12 .4 30 32.4 1.08 30 34.8 1.16 30 26.7 .89 30 400 400 1 Total: 545.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421051 Min 01421051 Appmt Dt Slno Description 16-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5131 of 6486
Name
DEVENDRA KUMAR CHAUHAN Qty Rate Amount 30 .79 23.7 1 400 400 423.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421052 Min 01421052 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 5132 of 6486
Name
RADHA CHAUHAN Rate Amount Qty 66 1.1 60 21.3 .71 30 12 .4 30 13.95 .93 15 66 1.1 60 21.3 .71 30 13.95 .93 15 12 .4 30 400 400 1 Total: 626.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421057 Min 01421057 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 5133 of 6486
Name
NAZMUNNISHA Rate Amount Qty 12 .4 30 21.3 .71 30 72.6 1.21 60 55.8 .93 60 400 400 1 Total: 561.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421062 Min 01421062 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5134 of 6486
Name
RAJKUMARI Rate Amount Qty 21.3 .71 30 54 .6 90 9 .3 30 11.4 .38 30 400 400 1 Total: 495.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421063 Min 01421063 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 16-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 5135 of 6486
Name
ISLAM KHAN Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421064 Min 01421064 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 06-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5136 of 6486
Name
ANWARI BEGAM Rate Amount Qty 6.4 .64 10 34.8 1.16 30 12 .4 30 66 1.1 60 7.8 .26 30 400 400 1 Total: 527
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421066 Min 01421066 Slno Description Appmt Dt DICLOFENAC SODIUM,25MG/ML,INJECTION 1 03-FEB-19 ECG 2 03-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 03-FEB-19 OBSERVATION IN CASUALTY 4 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19
Page 5137 of 6486
Name
SANGEETA Rate Amount Qty 5.77 5.77 1 450 450 1 24.52 24.52 1 420 420 1 8.9 .89 10 13.7 1.37 10 400 400 1 18.6 .62 30 7.5 .25 30 167.4 5.58 30 27.9 .93 30 10.65 .71 15 90 .6 150 21.6 .36 60 18 .3 60 400 400 1 Total: 2084.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421067 Min 01421067 Slno Description Appmt Dt ECG 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 TRIGLYCERIDES (TGL) 3 05-FEB-19 CHOLESTEROL (CHOL) 4 05-FEB-19 UREA (BUN /UR) 5 05-FEB-19 CREATININE /CRT 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19
Page 5138 of 6486
Name
ALLAUDDIN Rate Amount Qty 450 450 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 36 .6 60 27.9 .93 30 18.9 .63 30 17.4 1.16 15 117 1.3 90 167.4 5.58 30 21.6 .36 60 400 400 1 Total: 3306.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421068 Min 01421068 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 6 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5139 of 6486
SALMA Rate Amount Qty 275 275 1 275 275 1 13.95 .93 15 27.6 .92 30 18 .6 30 13.84 1.73 8 15.73 15.73 1 400 400 1 Total: 1039.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421071 Min 01421071 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 12-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 12-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 12-FEB-19 SODIUM VALPROATE,500MG,TABLET 4 12-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 7 12-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 13-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 16 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 17 13-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 18 13-FEB-19 PARASITES (MP /MF) 19 13-FEB-19 OBSERVATION IN CASUALTY 20 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 22 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 23 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 24 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 25 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 26 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 28 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 25-FEB-19
Page 5140 of 6486
Name
ASHWALEKHA BAIS Rate Amount Qty 22.8 .38 60 31.95 .71 45 368.4 6.14 60 468 3.9 120 79.2 2.64 30 7.5 .25 30 105.3 3.51 30 85.5 2.85 30 27.9 .93 30 26.7 .89 30 400 400 1 66.2 6.62 10 8.9 .89 10 1.85 .37 5 9.6 .64 15 9.81 9.81 1 24.52 24.52 1 22.71 22.71 1 165 165 1 420 420 1 400 400 1 3.7 .37 10 54 .6 90 12 .4 30 27.6 .92 30 34.8 1.16 30 26.7 .89 30 11.4 .38 30 400 400 1 Total: 3322.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421072 Min 01421072 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19
Page 5141 of 6486
Name
V S BAIS Rate Amount Qty 6.4 .64 10 78 1.3 60 167.4 5.58 30 72 .6 120 21.6 .36 60 21.3 .71 30 3.75 .25 15 400 400 1 Total: 770.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421081 Min 01421081 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 02-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 02-FEB-19
Page 5142 of 6486
Name
SUBHAWANI MAHTO Rate Amount Qty 7.5 .75 10 20.06 20.06 1 371.4 6.19 60 18.9 .63 30 34.8 1.16 30 55.8 .93 60 12 .4 30 400 400 1 Total: 920.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421082 Min 01421082 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 5143 of 6486
Name
SATISH MAHTO Rate Amount Qty 12 .4 30 34.8 1.16 30 27.9 .93 30 66 1.1 60 400 400 1 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421083 Min 01421083 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 5144 of 6486
Name
ROY AK Rate Amount Qty 22.2 .37 60 47.4 .79 60 13.35 .89 15 43.96 43.96 1 400 400 1 Total: 526.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421098 Min 01421098 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 5145 of 6486
Name
JYOTI PRAKASH XALXO Rate Amount Qty 12 .4 30 15.6 .26 60 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 33 1.1 30 8.1 .27 30 32.4 1.08 30 400 400 1 Total: 789.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421099 Min 01421099 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 5146 of 6486
Name
LALITA XALXO Rate Amount Qty 126 2.1 60 211.8 3.53 60 36 .6 60 33 1.1 30 34.8 1.16 30 13.8 .92 15 167.4 5.58 30 12 .4 30 400 400 1 Total: 1034.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421100 Min 01421100 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 17-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 17-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 17-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 17-FEB-19
Page 5147 of 6486
Name
S R ROY Rate Amount Qty 6.9 .23 30 18.9 .63 30 21.3 .71 30 60.9 2.03 30 1.85 .37 5 400 400 1 Total: 509.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421101 Min 01421101 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 17-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 17-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 17-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 17-FEB-19 COMPLETE HAEMOGRAM 10 19-FEB-19 SAMARIUM - 153 EDTMP INJECTION 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19
Page 5148 of 6486
Name
GOURI ROY Rate Amount Qty 26 2.6 10 400 400 1 105.9 3.53 30 33 1.1 30 34.8 1.16 30 9.3 .62 15 26.7 .89 30 1.85 .37 5 400 400 1 750 750 1 16000 16000 1 400 400 1 Total: 18187.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421112 Min 01421112 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 09-FEB-19
Page 5149 of 6486
Name
BHUNESHWAR LAL MANWAR Rate Amount Qty 7.5 .25 30 14.85 .99 15 72 .6 120 117 1.3 90 47.4 .79 60 8.1 .27 30 400 400 1 21.6 .36 60 54 .6 90 39 1.3 30 27.9 .93 30 34.8 1.16 30 1.85 .37 5 400 400 1 Total: 1246
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421113 Min 01421113 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 20-FEB-19 UREA (BUN /UR) 8 20-FEB-19 CREATININE /CRT 9 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 20-FEB-19 URIC ACID (UA /URATES /UR) 11 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 20-FEB-19 COMPLETE HAEMOGRAM 13 20-FEB-19
Page 5150 of 6486
Name
PARWATI MANWAR Rate Amount Qty 118.5 3.95 30 21.3 .71 30 47.4 .79 60 11.4 .38 30 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 1300 1300 1 750 750 1 Total: 4698.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421116 Min 01421116 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 18-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5151 of 6486
MARI DAS Rate Amount Qty 15.73 15.73 1 12.15 12.15 1 20.1 .67 30 16.2 .18 90 54 .9 60 13.35 .89 15 400 400 1 Total: 531.53
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421118 Min 01421118 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 25-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 2 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5152 of 6486
ASHOK KUMAR YADAV Rate Amount Qty 16.81 16.81 1 24.45 24.45 1 25.07 25.07 1 21.3 .71 30 54 .6 90 12 .4 30 21.6 .36 60 8.9 .89 10 4.1 .41 10 400 400 1 18.03 18.03 1 400 400 1 Total: 1006.26
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421119 Min 01421119 Slno Description Appmt Dt FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 1 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 CREATININE /CRT 4 11-FEB-19 UREA (BUN /UR) 5 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 11-FEB-19 C T NECK 7 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 12-FEB-19 KETOTIFEN,1MG,TABLET 9 15-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 15-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 13 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 15-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 15 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 15-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 17 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 19-FEB-19 X - RAY - SINGLE VIEW 19 19-FEB-19
Page 5153 of 6486
MEENA YADAV Rate Amount Qty 130.42 130.42 1 5.55 .37 15 400 400 1 275 275 1 275 275 1 400 400 1 6000 6000 1 400 400 1 45.6 1.52 30 16.2 .18 90 54 .9 60 11.4 .38 30 100.71 100.71 1 5.55 .37 15 15.73 15.73 1 400 400 1 1750 1750 1 400 400 1 550 550 1 Total: 11235.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421122 Min 01421122 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 5154 of 6486
Name
LEOS CAMIL XALXO Rate Amount Qty 55.8 .93 60 1.48 .37 4 400 400 1 Total: 457.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421123 Min 01421123 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 02-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 02-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 27-FEB-19
Page 5155 of 6486
Name
SMT ROJALIYA Rate Amount Qty 117 1.3 90 43.2 .36 120 54 .6 90 17.4 1.16 15 167.4 5.58 30 11.1 .37 30 55.8 .93 60 14.85 .99 15 36.3 1.21 30 400 400 1 275 275 1 400 400 1 275 275 1 Total: 1867.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421124 Min 01421124 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 08-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 20-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 13 20-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 5156 of 6486
Name
MOHD YOSUF Rate Amount Qty 860 860 1 400 400 1 2.67 .89 3 2.92 .73 4 1.46 .73 2 7.8 2.6 3 400 400 1 8.9 .89 10 7.3 .73 10 26 2.6 10 400 400 1 3.75 .25 15 21.9 .73 30 39 2.6 15 400 400 1 Total: 2581.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421125 Min 01421125 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 09-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 SERTRALINE,100MG,STRIP PACK.,TABLET 9 19-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 5157 of 6486
Name
M L GUPTA Rate Amount Qty 12 .4 30 21.3 .71 30 18.6 .62 30 27.9 .93 30 192.3 6.41 30 153 2.55 60 15.6 1.04 15 400 400 1 53.4 3.56 15 82.2 2.74 30 400 400 1 Total: 1376.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421126 Min 01421126 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 U S CRANIUM / THYROID /BREAST/JOINTS 2 01-FEB-19 BLOOD FOR T-3,T-4,TSH 3 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 15-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 10 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 15-FEB-19
Page 5158 of 6486
Name
PARWATI NISHAD Rate Amount Qty 400 400 1 1850 1850 1 2400 2400 1 16.8 1.12 15 87.92 43.96 2 13.35 .89 15 400 400 1 .48 .16 3 10.78 .77 14 26 2.6 10 400 400 1 Total: 5605.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421127 Min 01421127 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 9 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 5159 of 6486
Name
R.K. GAJENDRA Rate Amount Qty 36 .6 60 55.2 .92 60 167.4 5.58 30 7.5 .25 30 400 400 1 7.5 .25 30 167.4 5.58 30 36 .6 60 55.2 .92 60 6.4 .64 10 400 400 1 Total: 1338.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421129 Min 01421129 Appmt Dt Slno Description 14-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5160 of 6486
Name
SOHAN LAL VISHWAKARMA Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421130 Min 01421130 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 19-FEB-19 URIC ACID (UA /URATES /UR) 5 19-FEB-19 CREATININE /CRT 6 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 12 19-FEB-19
Page 5161 of 6486
Name
RAMA VISHWAKARMA Rate Amount Qty 27.9 .93 30 8.1 .27 30 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 20.06 20.06 1 27.6 .92 30 36.3 1.21 30 Total: 3469.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421131 Min 01421131 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5162 of 6486
Name
RIKHI RAM SEN Rate Amount Qty 9 .6 15 27.9 .93 30 21.3 .71 30 7.5 .25 30 400 400 1 Total: 465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421132 Min 01421132 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5163 of 6486
Name
MALTI SEN Rate Amount Qty 36 .6 60 66 1.1 60 8.1 .27 30 27.9 .93 30 7.5 .25 30 400 400 1 Total: 545.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421133 Min 01421133 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5164 of 6486
Name
SHARMA RN Rate Amount Qty 13.95 .93 15 32.4 1.08 30 21.3 .71 30 167.4 5.58 30 60.9 2.03 30 400 400 1 Total: 695.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421134 Min 01421134 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5165 of 6486
Name
SMT.MADHURI SHARMA Rate Amount Qty 55.8 .93 60 20.84 5.21 4 36.3 1.21 30 11.4 .38 30 400 400 1 Total: 524.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421140 Min 01421140 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 8 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 11 08-FEB-19 BRIMONIDINE TARTRATE,0.15% 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 5166 of 6486
Name
KESHAV RAO Rate Amount Qty 21.3 .71 30 32.4 1.08 30 27.9 .93 30 54 .6 90 7.5 .25 30 21.6 .36 60 400 400 1 3.9 .26 15 43.96 131.88 3 400 400 1 40.58 20.29 2 148.9 74.45 2 400 400 1 Total: 1689.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421142 Min 01421142 Slno Description Appmt Dt DRESSING SIMPLE 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 3 01-FEB-19 DRESSING SIMPLE 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 04-FEB-19
Page 5167 of 6486
Name
RAMSAGAR Rate Amount Qty 300 300 1 400 400 1 7.5 .75 10 1500 300 5 400 400 1 Total: 2607.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421156 Min 01421156 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 14-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 15-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 5168 of 6486
Name
SUMAN LATA Rate Amount Qty 7.7 .77 10 2.5 .25 10 400 400 1 6.23 .89 7 18.2 2.6 7 150.9 5.03 30 400 400 1 Total: 985.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421157 Min 01421157 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 5169 of 6486
Name
SURESH D. WANKHEDE Rate Amount Qty 72 .6 120 32.4 1.08 30 23.1 .77 30 34.8 1.16 30 7.5 .25 30 12 .4 30 39 1.3 30 21.6 .36 60 400 400 1 Total: 642.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421158 Min 01421158 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 11-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 11-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 INHALANT,STRIP PACK,CAPSULE 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 8 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 5170 of 6486
Name
VANDANA WANKHEDE Rate Amount Qty 9.86 9.86 1 63.58 63.58 1 13.48 3.37 4 51.38 25.69 2 400 400 1 17 1.7 10 26.7 .89 30 6.99 2.33 3 1.11 .37 3 400 400 1 Total: 990.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421159 Min 01421159 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 14-FEB-19 CREATININE /CRT 4 14-FEB-19 BLOOD FOR TSH 5 14-FEB-19
Page 5171 of 6486
Name
RONALD RHAM Rate Amount Qty 27.9 .93 30 400 400 1 550 550 1 275 275 1 800 800 1 Total: 2052.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421160 Min 01421160 Appmt Dt Slno Description 05-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 05-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 05-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5172 of 6486
Name
LILY RHAM Qty Rate Amount 60 .79 47.4 30 .71 21.3 15 .99 14.85 1 400 400 Total: 483.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421161 Min 01421161 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5173 of 6486
Name
SAMARU Rate Amount Qty 117 1.3 90 108 .6 180 10.8 .36 30 41.85 .93 45 400 400 1 Total: 677.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421162 Min 01421162 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5174 of 6486
Name
MEENA BAI Rate Amount Qty 34.8 1.16 30 7.5 .25 30 10.8 .36 30 54 .6 90 400 400 1 Total: 507.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421163 Min 01421163 Slno Description Appmt Dt DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 1 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 5175 of 6486
Name
MAHANTY AK Rate Amount Qty 322.2 5.37 60 23.7 .79 30 21.3 .71 30 12 .4 30 7.65 .51 15 10.65 .71 15 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 Total: 1450.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421164 Min 01421164 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 7 12-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 8 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 9 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 12-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 13 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19
Page 5176 of 6486
SMT MAMTA UMARE Rate Amount Qty 9.3 .62 15 3.7 .37 10 27.4 1.37 20 123.8 6.19 20 17.8 .89 20 12.6 .63 20 9.86 9.86 1 28.69 28.69 1 48.22 48.22 1 25.07 25.07 1 55.8 .93 60 16.2 .27 60 7.65 .51 15 12 .4 30 45 .6 75 7.5 .25 30 26.7 .89 30 400 400 1 Total: 877.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421167 Min 01421167 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5177 of 6486
Name
SUSHIL RAM Rate Amount Qty 60.9 2.03 30 37.8 .63 60 400 400 1 Total: 498.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421168 Min 01421168 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 05-FEB-19 UREA (BUN /UR) 5 05-FEB-19 CREATININE /CRT 6 05-FEB-19 URIC ACID (UA /URATES /UR) 7 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 05-FEB-19 BLOOD FOR T-3,T-4,TSH 12 05-FEB-19 CHOLESTEROL (CHOL) 13 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 08-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19
Page 5178 of 6486
MANJEET KAUR Rate Amount Qty 71 .71 100 275 275 1 25.07 25.07 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 27.9 .93 30 400 400 1 2400 2400 1 275 275 1 7.4 .37 20 9.86 9.86 1 400 400 1 Total: 6841.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421169 Min 01421169 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 11-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 15 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 16-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 19 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 20 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 16-FEB-19
Page 5179 of 6486
Name
SHARMA SS Rate Amount Qty 334.8 5.58 60 117 1.3 90 72 .6 120 2.22 .37 6 66.2 6.62 10 15.6 .26 60 60.9 2.03 30 192.3 6.41 30 24 .4 60 34.8 1.16 30 118.5 3.95 30 400 400 1 4.45 .89 5 6.4 .64 10 4.1 .41 10 55.2 1.84 30 400 400 1 6.4 .64 10 4.1 .41 10 55.2 1.84 30 4.45 .89 5 400 400 1 Total: 2378.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421170 Min 01421170 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19
Page 5180 of 6486
Name
ASHA SHARMA Rate Amount Qty 7.5 .25 30 41.06 41.06 1 3.7 .37 10 13.95 .93 15 13.8 .23 60 12 .4 30 20.84 5.21 4 36 .6 60 21.3 .71 30 6.4 .64 10 400 400 1 Total: 576.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421174 Min 01421174 Appmt Dt Slno Description 26-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5181 of 6486
Name
BUDHWANTIN BAI Qty Rate Amount 30 .38 11.4 1 400 400 411.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421178 Min 01421178 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 06-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 5182 of 6486
Name
KHORBAHARA RAM Rate Amount Qty 7.5 .25 30 17.4 1.16 15 18.6 .62 30 27.9 .93 30 72 .6 120 27.6 .92 30 400 400 1 Total: 571
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421179 Min 01421179 Appmt Dt Slno Description 26-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 26-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5183 of 6486
Name
KEKATI BAI Qty Rate Amount 15 .93 13.95 15 .38 5.7 15 .6 9 1 400 400 Total: 428.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421180 Min 01421180 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 13-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 7 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 5184 of 6486
Name
MOHD. AYUB SIDDIQUI Rate Amount Qty 9.6 .64 15 185.7 6.19 30 156.3 5.21 30 26.7 .89 30 400 400 1 41.85 .93 45 15.8 1.58 10 7.5 .25 30 5.8 .58 10 400 400 1 2.22 .37 6 6.4 .64 10 8.9 .89 10 35.2 3.52 10 400 400 1 Total: 1701.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421181 Min 01421181 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 05-FEB-19 X - RAY - SINGLE VIEW 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5185 of 6486
Name
MALKABEGAM Rate Amount Qty 400 400 1 4.45 .89 5 1.85 .37 5 26.6 2.66 10 550 550 1 400 400 1 4.45 .89 5 400 400 1 Total: 1787.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421187 Min 01421187 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5186 of 6486
Name
SHAKUNTALA SONI Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 21.3 .71 30 55.8 .93 60 8.1 .27 30 76.5 2.55 30 400 400 1 Total: 2411.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421190 Min 01421190 Appmt Dt Slno Description 02-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 02-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP. 02-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5187 of 6486
Name
SANTOSH KUMAR TRIVEDI Qty Rate Amount 90 .6 54 30 2.03 60.9 15 .79 11.85 1 400 400 Total: 526.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421191 Min 01421191 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 5188 of 6486
Name
KIRAN BALA TRIVEDI Rate Amount Qty 33 1.1 30 27.9 .93 30 400 400 1 Total: 460.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421192 Min 01421192 Appmt Dt Slno Description 05-FEB-19 1 CARBIDOPA 25 MG+LEVODOPA 250 MG,,TABLET 05-FEB-19 2 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 05-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5189 of 6486
Name
SHISHIR KUMAR KARMAKAR Qty Rate Amount 150 4.27 640.5 30 .51 15.3 60 .79 47.4 1 400 400 Total: 1103.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421193 Min 01421193 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5190 of 6486
Name
RAMA KARMAKAR Rate Amount Qty 7.5 .25 30 54 .6 90 27.9 .93 30 18 .3 60 78 1.3 60 34.8 1.16 30 400 400 1 Total: 620.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421194 Min 01421194 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 5191 of 6486
Name
MANOHAR RAO GOSAI Rate Amount Qty 54 .6 90 55.8 .93 60 43.2 .36 120 167.4 5.58 30 13.35 .89 15 21.3 .71 30 400 400 1 Total: 755.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421195 Min 01421195 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 5192 of 6486
Name
SMT.MANORAMA Rate Amount Qty 34.8 1.16 30 55.8 .93 60 18 .6 30 7.5 .25 30 400 400 1 Total: 516.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421202 Min 01421202 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 5193 of 6486
RAVI KUMAR BUXI Rate Amount Qty 8.1 .27 30 27.9 .93 30 25.07 25.07 1 400 400 1 16.2 .18 90 12.15 12.15 1 400 400 1 Total: 889.42
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421206 Min 01421206 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 11-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 10 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 5194 of 6486
HARIHAR PRASAD Rate Amount Qty 3.84 .64 6 33.12 1.84 18 20.84 5.21 4 4.62 .77 6 400 400 1 17.4 .58 30 20.84 5.21 4 400 400 1 50.14 25.07 2 6.82 6.82 1 20.84 5.21 4 156.3 5.21 30 6.4 .64 10 400 400 1 Total: 1541.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421207 Min 01421207 Slno Description Appmt Dt URSODEOXYCHOLIC ACID,150MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19
Page 5195 of 6486
Name
NIRMALA DEVI Rate Amount Qty 423.6 7.06 60 26.7 .89 30 400 400 1 400 400 1 .37 .37 1 .89 .89 1 .82 .41 2 1.25 .25 5 Total: 1253.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421208 Min 01421208 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 ECG 3 14-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 20-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5196 of 6486
Name
DEOMAN SAHARE Rate Amount Qty 420 420 1 .16 .16 1 450 450 1 24.52 24.52 1 6 .4 15 34.8 1.16 30 17.4 1.16 15 123.53 370.59 3 400 400 1 Total: 1723.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421211 Min 01421211 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 16-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 5197 of 6486
Name
SMT. RATNA DESHLAHARE Rate Amount Qty 26.7 .89 30 7.5 .25 30 10.8 .36 30 21.3 .71 30 400 400 1 Total: 466.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421212 Min 01421212 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 2 15-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 15-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 4 15-FEB-19 OBSERVATION IN CASUALTY 5 15-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 6 15-FEB-19 ECG 7 15-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 10 15-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 11 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 17 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 18 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 19 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 15-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19
Page 5198 of 6486
Name
KUSUM SHUKLA Rate Amount Qty 10.8 .36 30 35.52 35.52 1 600 600 1 9.81 9.81 1 420 420 1 9.62 9.62 1 450 450 1 24.52 24.52 1 .64 .64 1 123.53 123.53 1 20.06 20.06 1 4.45 .89 5 1.85 .37 5 3.2 .64 5 55.8 .93 60 16.2 .27 60 105.9 3.53 30 33 1.1 30 12 .4 30 32.4 1.08 30 36 .6 60 400 400 1 19.77 19.77 1 400 400 1 Total: 2825.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421217 Min 01421217 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 5199 of 6486
Name
KRISHNA KUMAR Rate Amount Qty 48 .4 120 90 .6 150 7.5 .25 30 2.4 .16 15 55.8 .93 60 117 1.3 90 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 799.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421218 Min 01421218 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 16-FEB-19
Page 5200 of 6486
Name
GITA KUMARI Rate Amount Qty 550 550 1 400 400 1 34.8 1.16 30 66.2 6.62 10 8.9 .89 10 36 .6 60 21.6 .36 60 167.4 5.58 30 117 1.3 90 55.8 .93 60 17.4 1.16 15 33 1.1 30 3.75 .25 15 400 400 1 Total: 1911.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421227 Min 01421227 Appmt Dt Slno Description 19-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 19-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 3 GLICLAZIDE MR,30 MG,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5201 of 6486
Name
MAROTI MALUJI ROHAT Qty Rate Amount 90 .6 54 15 .25 3.75 30 .92 27.6 1 400 400 Total: 485.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421228 Min 01421228 Appmt Dt Slno Description 19-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5202 of 6486
Name
SHAKUNTALA ROHAT Qty Rate Amount 60 .37 22.2 1 400 400 422.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421233 Min 01421233 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 5203 of 6486
Name
BHAGWAN SINGH Rate Amount Qty 6.9 .23 30 1.85 .37 5 400 400 1 Total: 408.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421246 Min 01421246 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 07-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 ECG 8 10-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 10-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 10-FEB-19 OBSERVATION IN CASUALTY 11 10-FEB-19
Page 5204 of 6486
Name
INDUMATI RAM Rate Amount Qty 27.9 .93 30 4.2 .7 6 10.08 1.12 9 21.12 3.52 6 3.7 .37 10 34.84 8.71 4 400 400 1 450 450 1 .16 .16 1 24.52 24.52 1 420 420 1 Total: 1396.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421251 Min 01421251 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5205 of 6486
Name
SHESH NARAYAN DWIVEDI Rate Amount Qty 36 .6 60 7.44 .93 8 9.28 1.16 8 167.4 5.58 30 400 400 1 Total: 620.12
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421252 Min 01421252 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 25-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5206 of 6486
Name
RATNA DWIVEDI Rate Amount Qty 66.2 6.62 10 3.84 .64 6 6.57 .73 9 2.67 .89 3 400 400 1 Total: 479.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421264 Min 01421264 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 28-FEB-19 VITAMIN E,STRIP PKT,200MG,CAPSULE 2 28-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 28-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5207 of 6486
Name
DAMYANTI DEVI SHAKYA Rate Amount Qty 21.3 .71 30 94.8 1.58 60 27.4 1.37 20 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 736.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421265 Min 01421265 Appmt Dt Slno Description 21-FEB-19 1 DEXKETOPROFEN,25MG,TAB STRIP PACK 21-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5208 of 6486
Name
AMRIT LAL Qty Rate Amount 20 3.14 62.8 20 .89 17.8 20 6.19 123.8 1 400 400 Total: 604.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421266 Min 01421266 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5209 of 6486
Name
LAXMI Rate Amount Qty 123.8 6.19 20 12.8 .64 20 17.8 .89 20 24 .6 40 400 400 1 Total: 578.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421270 Min 01421270 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 9 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 11-FEB-19 ECG 13 11-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 14 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 15 11-FEB-19 OBSERVATION IN CASUALTY 16 11-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 17 11-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 18 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 19 11-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 20 11-FEB-19 OBSERVATION IN CASUALTY 21 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 24 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 25 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 27 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 28 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 29 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 30 25-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 31 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 25-FEB-19
Page 5210 of 6486
Name
SIMACHALAM Rate Amount Qty 12.15 12.15 1 21.6 .18 120 54 .9 60 24.3 .27 90 29.7 .99 30 55.8 .93 60 20.1 .67 30 400 400 1 9.62 9.62 1 6.4 .64 10 8.9 .89 10 2.5 .25 10 450 450 1 3.66 3.66 1 24.52 24.52 1 420 420 1 5.77 5.77 1 3.66 3.66 1 24.52 24.52 1 600 600 1 420 420 1 400 400 1 26.7 .89 30 12.15 12.15 1 29.7 .99 30 55.8 .93 60 20.1 .67 30 24.3 .27 90 3.84 .64 6 54 .9 60 21.6 .18 120 400 400 1 Total: 3645.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421272 Min 01421272 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 5211 of 6486
Name
J P GUPTA Rate Amount Qty 27.9 .93 30 167.4 5.58 30 7.5 .25 30 18 .6 30 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 688
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421274 Min 01421274 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 UREA (BUN /UR) 6 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 25-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 11 25-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 25-FEB-19
Page 5212 of 6486
Name
RAJU Rate Amount Qty 17.4 1.16 15 167.4 5.58 30 12 .4 30 117 1.3 90 400 400 1 275 275 1 275 275 1 275 275 1 3.8 .38 10 36.8 1.84 20 41.06 41.06 1 51.38 25.69 2 400 400 1 Total: 2071.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421275 Min 01421275 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19 UREA (BUN /UR) 10 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 25-FEB-19
Page 5213 of 6486
Name
CHARUSHILA PATIL Rate Amount Qty 29.7 .99 30 17.4 1.16 15 18 .6 30 1.85 .37 5 3.8 .38 10 27.9 .93 30 9.3 .62 15 400 400 1 400 400 1 275 275 1 6.4 .64 10 275 275 1 275 275 1 Total: 1739.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421276 Min 01421276 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 05-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 10 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 5214 of 6486
Name
SAHEB RAO BORODE Rate Amount Qty 7.65 .51 15 72.6 1.21 60 55.8 .93 60 117 1.3 90 36 .6 60 32.4 1.08 30 12 .4 30 26.7 .89 30 7.4 .37 20 12.81 12.81 1 7.5 .25 30 34.8 1.16 30 400 400 1 Total: 822.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421277 Min 01421277 Appmt Dt Slno Description 16-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 16-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5215 of 6486
Name
SAROJ LATA BORODE Qty Rate Amount 6 .64 3.84 60 .93 55.8 5 .37 1.85 1 400 400 Total: 461.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421280 Min 01421280 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5216 of 6486
Name
VIJAY SINGH THAKUR Rate Amount Qty 3.84 .64 6 2.67 .89 3 400 400 1 Total: 406.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421281 Min 01421281 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 5217 of 6486
Name
MANORAMA THAKUR Rate Amount Qty 21.6 .36 60 72 .6 120 39 1.3 30 27.9 .93 30 167.4 5.58 30 21.3 .71 30 12 .4 30 400 400 1 Total: 761.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421283 Min 01421283 Appmt Dt Slno Description 01-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 2 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5218 of 6486
Name
PANNALAL Qty Rate Amount 10 .89 8.9 1 43.96 43.96 30 .93 27.9 1 400 400 Total: 480.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421290 Min 01421290 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5219 of 6486
Name
MEHBOOB NISHA Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421294 Min 01421294 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 19-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 5220 of 6486
Name
MEENA NEMA Rate Amount Qty 11.2 1.12 10 17.4 .58 30 29.7 .99 30 55.8 .93 60 16.2 .27 60 21.3 .71 30 400 400 1 Total: 551.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421296 Min 01421296 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 5221 of 6486
Name
SHRI ANJAN KUMAR MANDAL Rate Amount Qty 13.7 1.37 10 2.5 .25 10 400 400 1 Total: 416.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421300 Min 01421300 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 09-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 2 09-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5222 of 6486
Name
RAKESH KUMAR CHOUKSEY Rate Amount Qty 18.9 .63 30 85.5 2.85 30 79.2 2.64 30 400 400 1 21.3 .71 30 400 400 1 Total: 1004.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421301 Min 01421301 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 3 15-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 9 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 5223 of 6486
Name
PUSHPLATA CHOUKSEY Rate Amount Qty 26.7 .89 30 54 .9 60 156.6 1.74 90 100.71 100.71 1 400 400 1 20.84 5.21 4 12.6 .63 20 17.8 .89 20 16.8 .42 40 25.6 .64 40 400 400 1 21.3 .71 30 27.9 .93 30 400 400 1 Total: 1680.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421304 Min 01421304 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 12 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 5224 of 6486
Name
ALMUDDIN Rate Amount Qty 34.8 1.16 30 16.2 .36 45 72 .6 120 27.9 .93 30 17.4 .58 30 11.4 .38 30 400 400 1 185.7 6.19 30 13.7 1.37 10 400 400 1 4.45 .89 5 35.2 3.52 10 1.85 .37 5 400 400 1 185.7 6.19 30 26 2.6 10 7.5 .25 30 400 400 1 Total: 2239.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421305 Min 01421305 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 19-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 15 21-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 21-FEB-19 X - RAY - SINGLE VIEW 18 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 22-FEB-19 COMPLETE HAEMOGRAM 22 22-FEB-19
Page 5225 of 6486
Name
SHAKINA Rate Amount Qty 6.4 .64 10 26.6 2.66 10 8.1 .18 45 27 .9 30 400 400 1 66.2 6.62 10 13.35 .89 15 27 .9 30 12.15 12.15 1 20.1 .67 30 9.6 .64 15 5.55 .37 15 400 400 1 400 400 1 12.15 12.15 1 14.07 .67 21 12.46 .89 14 550 550 1 12.6 .9 14 400 400 1 400 400 1 750 750 1 Total: 3573.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421313 Min 01421313 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5226 of 6486
Name
SUBRATA KUMAR BISWAS Rate Amount Qty 8.1 .27 30 27.9 .93 30 117 1.3 90 72 .6 120 34.8 1.16 30 12 .4 30 9 .3 30 400 400 1 Total: 680.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421315 Min 01421315 Slno Description Appmt Dt RACECADOTRIL,100MG,CAPSULE 1 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 02-FEB-19 RIFAXIMIN 200 MG,,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 7 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 24-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5227 of 6486
Name
ANIL KUMAR VISHWAKARMA Rate Amount Qty 35.82 5.97 6 4.62 .77 6 83.97 9.33 9 21.3 .71 30 13.95 .93 15 400 400 1 32.61 32.61 1 400 400 1 27.9 .93 30 21.3 .71 30 26.7 .89 30 400 400 1 Total: 1468.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421316 Min 01421316 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 27-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 5228 of 6486
Name
SUNITA VISHWAKARMA Rate Amount Qty 33 1.1 30 21.3 .71 30 400 400 1 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421321 Min 01421321 Appmt Dt Slno Description 06-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5229 of 6486
Name
M KAMRAJ Qty Rate Amount 30 .27 8.1 30 .4 12 30 .25 7.5 1 400 400 Total: 427.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421322 Min 01421322 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 5230 of 6486
M KRISHNA KUMARI Rate Amount Qty 15.73 15.73 1 6.4 .64 10 7 .7 10 8.9 .89 10 400 400 1 Total: 438.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421326 Min 01421326 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 PRAZOSIN,2.5MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5231 of 6486
Name
SMT.DURGA DEVI Rate Amount Qty 18.9 .63 30 34.8 1.16 30 36 .6 60 55.8 .93 60 78 1.3 60 400 400 1 Total: 623.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421328 Min 01421328 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 5232 of 6486
Name
MINU DEBNATH Rate Amount Qty 21.3 .71 30 32.4 1.08 30 17.4 .58 30 7.5 .25 30 12 .4 30 10.8 .36 30 36 .6 60 8.1 .27 30 400 400 1 Total: 545.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421331 Min 01421331 Slno Description Appmt Dt SALBUTAMOL,2MG,STRIP PACK,,TABLET 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 27-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 5233 of 6486
Name
KHOLBAHARA RAM PATEL Rate Amount Qty 2.7 .18 15 6.4 .64 10 66.2 6.62 10 4.45 .89 5 9 .9 10 6.7 .67 10 1.25 .25 5 400 400 1 7.5 .25 30 54 .9 60 156.6 1.74 90 26.7 .89 30 400 400 1 Total: 1141.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421338 Min 01421338 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 5234 of 6486
Name
SAROJ MISHRA Rate Amount Qty 5 .25 20 17.4 1.16 15 400 400 1 10.65 .71 15 13.95 .93 15 400 400 1 Total: 847
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421339 Min 01421339 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5235 of 6486
Name
SANJEEV NAYYAR Rate Amount Qty 26.7 .89 30 185.7 6.19 30 18.9 .63 30 5.21 5.21 1 400 400 1 Total: 636.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421340 Min 01421340 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 21-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 5236 of 6486
Name
SUMAN NAYYAR Rate Amount Qty 9.3 .62 15 13.8 .23 60 18 .6 30 185.7 6.19 30 9.3 .62 15 13.8 .23 60 18 .6 30 185.7 6.19 30 400 400 1 Total: 853.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421343 Min 01421343 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5237 of 6486
Name
CHAMPA BHATTACHARYA Rate Amount Qty 27.9 .62 45 21.3 .71 30 26.7 .89 30 4.8 .16 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 544.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421345 Min 01421345 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 5238 of 6486
Name
RAM KUMAR SAHU Rate Amount Qty 66 1.1 60 18.9 .63 30 54 .6 90 7.8 .26 30 32.4 1.08 30 27.9 .93 30 26.7 .89 30 400 400 1 18.9 .63 30 27.9 .93 30 66 1.1 60 32.4 1.08 30 26.7 .89 30 54 .6 90 7.8 .26 30 400 400 1 Total: 1267.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421348 Min 01421348 Slno Description Appmt Dt IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 1 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 24-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 24-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 24-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 24-FEB-19 OBSERVATION IN CASUALTY 6 24-FEB-19 ECG 7 24-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 8 24-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 9 24-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 24-FEB-19
Page 5239 of 6486
Name
SHAKUNTALA DEVI Rate Amount Qty 9.81 9.81 1 2.67 .89 3 10.08 1.12 9 21.12 3.52 6 3.2 .64 5 420 420 1 450 450 1 11.89 11.89 1 5.41 5.41 1 3.52 3.52 1 400 400 1 Total: 1337.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421353 Min 01421353 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 5240 of 6486
Name
SHEELA NEEKHAR Rate Amount Qty 7.5 .25 30 6.4 .64 10 39 1.3 30 54 .6 90 10.8 .36 30 400 400 1 15 .25 60 18.6 .62 30 400 400 1 Total: 951.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421355 Min 01421355 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 5241 of 6486
Name
SAROJINI DEVI Rate Amount Qty 20.06 20.06 1 15 .25 60 400 400 1 Total: 435.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421356 Min 01421356 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5242 of 6486
Name
GURUNARAYAN SONI Rate Amount Qty 66 1.1 60 9 .3 30 18 .6 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 572.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421358 Min 01421358 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 02-FEB-19
Page 5243 of 6486
Name
VK ASHOKAN Rate Amount Qty 54 .9 60 60.9 2.03 30 21.6 .36 60 17.4 1.16 15 26.7 .89 30 12.15 12.15 1 36 .6 60 78 1.3 60 400 400 1 Total: 706.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421359 Min 01421359 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 02-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19
Page 5244 of 6486
Name
P.S. GEETHA Rate Amount Qty 6.16 .77 8 7.68 .64 12 8.96 1.12 8 36 .6 60 33 1.1 30 41.85 .93 45 15.6 .26 60 21.3 .71 30 44.16 1.84 24 400 400 1 44.16 1.84 24 7.68 .64 12 6.16 .77 8 400 400 1 Total: 1072.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421364 Min 01421364 Appmt Dt Slno Description 21-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 21-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5245 of 6486
Name
KRISHNA SAHU Qty Rate Amount 15 .99 14.85 60 .27 16.2 30 .93 27.9 1 400 400 Total: 458.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421368 Min 01421368 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 01-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 01-FEB-19 ENTACAVIR 0.5MG,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 12-FEB-19 DRESSING SIMPLE 18 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 19 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 13-FEB-19 DRESSING SIMPLE 21 13-FEB-19
Page 5246 of 6486
Name
BARDHA RAJU Rate Amount Qty 78 1.3 60 43.96 43.96 1 60.9 2.03 30 26.7 .89 30 673.5 22.45 30 34.8 1.16 30 7.8 .26 30 12 .4 30 55.8 .93 60 21.6 .36 60 400 400 1 371.4 6.19 60 18.2 2.6 7 6.23 .89 7 400 400 1 400 400 1 6.4 .64 10 300 300 1 55.2 1.84 30 400 400 1 1200 300 4 Total: 4572.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421369 Min 01421369 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 C T HEAD PLAIN 11 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 04-FEB-19
Page 5247 of 6486
Name
S GANGAMMA Rate Amount Qty 7.5 .25 30 55.8 .93 60 66 1.1 60 12 .4 30 79.2 2.64 30 26.7 .89 30 9.24 .42 22 15.96 .42 38 34.8 1.16 30 400 400 1 5250 5250 1 400 400 1 Total: 6357.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421370 Min 01421370 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 02-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 02-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 6 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 5248 of 6486
Name
VIJAY MOREY Rate Amount Qty 7.3 .73 10 4.1 .41 10 33.12 1.84 18 275 275 1 400 400 1 7.7 .77 10 .48 .16 3 275 275 1 33 1.1 30 39 1.3 30 21.3 .71 30 12 .4 30 18 .6 30 21.6 .36 60 400 400 1 Total: 1547.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421371 Min 01421371 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 PARASITES (MP /MF) 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 05-FEB-19
Page 5249 of 6486
KALPANA MOREY Rate Amount Qty 400 400 1 165 165 1 6.4 .64 10 66.2 6.62 10 15.73 15.73 1 3.7 .37 10 Total: 657.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421376 Min 01421376 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 7 15-FEB-19 ECG 8 15-FEB-19 OBSERVATION IN CASUALTY 9 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 15-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 20-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 19 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 20 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 20-FEB-19
Page 5250 of 6486
Name
DURGAWATI DEVI Rate Amount Qty 13.95 .93 15 26.7 .89 30 18.6 .62 30 7.5 .25 30 18 .6 30 400 400 1 23.39 23.39 1 900 450 2 420 420 1 .48 .16 3 9.81 9.81 1 400 400 1 2.4 .16 15 36 .6 60 7.5 .25 30 34.8 1.16 30 26.7 .89 30 13.95 .93 15 88.2 1.47 60 18.6 .62 30 400 400 1 Total: 2866.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421377 Min 01421377 Appmt Dt Slno Description 15-FEB-19 1 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15-FEB-19 2 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 15-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5251 of 6486
Name
POKHAN SINGH THAKUR Qty Rate Amount 60 .9 54 1 100.71 100.71 60 .27 16.2 1 400 400 Total: 570.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421380 Min 01421380 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 14-FEB-19 PRAZOSIN,2.5MG,TABLET 4 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 5252 of 6486
Name
ISHWAR CHAND MANWAR Rate Amount Qty 4.8 .16 30 26.7 .89 30 7.65 .51 15 78 1.3 60 8.1 .27 30 10.8 .36 30 72.6 1.21 60 55.8 .93 60 400 400 1 Total: 664.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421381 Min 01421381 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 28-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 28-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5253 of 6486
Name
SHANTI Rate Amount Qty 66 1.1 60 8.1 .27 30 11.1 .37 30 63.22 31.61 2 25.62 12.81 2 400 400 1 Total: 574.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421383 Min 01421383 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 5254 of 6486
Name
SHAILENDRI BAI Qty 4 4 1
Rate Amount 3.08 .77 1.64 .41 400 400 Total: 404.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421386 Min 01421386 Appmt Dt Slno Description 06-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 06-FEB-19 2 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5255 of 6486
Name
T.R.SAHARE Qty Rate Amount 15 .16 2.4 30 .4 12 30 .79 23.7 1 400 400 Total: 438.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421387 Min 01421387 Appmt Dt Slno Description 06-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 06-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5256 of 6486
Name
JYOTI Qty Rate Amount 30 .6 18 30 .25 7.5 30 .71 21.3 1 400 400 Total: 446.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421392 Min 01421392 Appmt Dt Slno Description 12-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 12-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5257 of 6486
Name
SAHAS RAM KAUSHIK Qty Rate Amount 30 2.55 76.5 60 .93 55.8 15 .99 14.85 1 400 400 Total: 547.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421393 Min 01421393 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5258 of 6486
Name
CHARAN KAUSHIK Rate Amount Qty 21.3 .71 30 33 1.1 30 27.9 .93 30 18.9 .63 30 26 2.6 10 18.6 .62 30 8.9 .89 10 400 400 1 Total: 554.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421396 Min 01421396 Slno Description Appmt Dt OLANZEPINE,STRIP PKT,10MG,TABLET 1 14-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 2 14-FEB-19 SODIUM VALPROATE,500MG,TABLET 3 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 14-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5259 of 6486
Name
PREMLAL Rate Amount Qty 105.3 3.51 30 24.6 .82 30 468 3.9 120 39.6 2.64 15 43.96 43.96 1 400 400 1 Total: 1081.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421397 Min 01421397 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 13-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 13-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 5 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 13-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 10 13-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 11 13-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19
Page 5260 of 6486
Name
URMILA Rate Amount Qty 13.35 .89 15 33 1.1 30 371.4 6.19 60 34.8 .58 60 3.9 .26 15 11.85 .79 15 21.3 .71 30 18 .6 30 9.88 .38 26 83.4 2.78 30 38.76 3.23 12 27.6 .92 30 400 400 1 Total: 1067.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421398 Min 01421398 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 08-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 5261 of 6486
Name
GOLI RAWUT Rate Amount Qty 78 1.3 60 26.7 .89 30 4.8 .16 30 126 2.1 60 27.9 .93 30 32.4 1.08 30 36 .6 60 60.9 2.03 30 400 400 1 Total: 792.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421400 Min 01421400 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 19-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 4 19-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5262 of 6486
SMT.KRISHNA DEVI PANDEY Rate Amount Qty 18 .6 30 10.8 .36 30 23.52 1.12 21 6.82 6.82 1 25.07 25.07 1 400 400 1 Total: 484.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421401 Min 01421401 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 10-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 10-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 10-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 10-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 10-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 10-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 10-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 10-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 10-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 10-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 10-FEB-19
Page 5263 of 6486
Name
T RADHAKRISHNAN NAIR Rate Amount Qty 184.2 6.14 30 279.9 9.33 30 16.8 1.12 15 63.22 31.61 2 60.18 20.06 3 60.9 2.03 30 12 .4 30 34.8 1.16 30 32.4 1.08 30 66 1.1 60 27.9 .93 30 400 400 1 Total: 1238.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421405 Min 01421405 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5264 of 6486
Name
SURENDRA KUMAR PANDEY Rate Amount Qty 10.8 .36 30 54 .6 90 47.4 .79 60 21.3 .71 30 400 400 1 Total: 533.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421406 Min 01421406 Appmt Dt Slno Description 01-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 01-FEB-19 2 CEFEXIME,STRIP PKT,200MG,TABLET 01-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5265 of 6486
Name
SHAIL PANDEY Qty Rate Amount 10 .64 6.4 10 6.62 66.2 10 .77 7.7 1 400 400 Total: 480.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421408 Min 01421408 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5266 of 6486
Name
THANESHWARI BAI Rate Amount Qty 4.65 .93 5 2.5 .25 10 400 400 1 13.95 .93 15 7.5 .25 30 400 400 1 Total: 828.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421413 Min 01421413 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 5267 of 6486
Name
RAM SHIROMANI SINGH Rate Amount Qty 66.2 6.62 10 2.22 .37 6 3.84 .64 6 400 400 1 54 .6 90 24 .4 60 6.3 .63 10 12 .4 30 21.3 .71 30 39 1.3 30 400 400 1 Total: 1028.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421414 Min 01421414 Appmt Dt Slno Description 06-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5268 of 6486
Name
MALTI SINGH Qty Rate Amount 15 .93 13.95 1 400 400 413.95 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421419 Min 01421419 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 05-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 05-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 8 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 11 05-FEB-19 PRAZOSIN,2.5MG,TABLET 12 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 OBSERVATION IN CASUALTY 15 17-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 16 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 17-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 19 17-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 20 17-FEB-19 X - RAY - SINGLE VIEW 21 17-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 22 17-FEB-19 PARASITES (MP /MF) 23 17-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 24 17-FEB-19 ECG 25 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 17-FEB-19 URIC ACID (UA /URATES /UR) 27 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 28 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 29 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 30 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 31 18-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 32 18-FEB-19 COMPLETE HAEMOGRAM 33 18-FEB-19 WIDAL TEST 34 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 35 18-FEB-19 BUDESONIDE,200MCG,CAPSULE 36 18-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 37 18-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 38 18-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 39 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 40 19-FEB-19 CULTURE AND SENSITIVITY (C/S) - BLOOD 41 19-FEB-19
Page 5269 of 6486
Name
DR. S S SENAPATI Rate Amount Qty 21.8 2.18 10 7 .7 10 16.8 1.12 15 132.4 6.62 20 7.4 .37 20 12.8 .64 20 5.7 .38 15 126 2.1 60 34.8 1.16 30 14.85 .99 15 317.7 3.53 90 78 1.3 60 55.8 .93 60 400 400 1 420 420 1 66.2 6.62 10 4.45 .89 5 9 .9 10 1.85 .37 5 12.15 12.15 1 550 550 1 100 100 1 165 165 1 600 600 1 450 450 1 400 400 1 275 275 1 275 275 1 1300 1300 1 54 .9 60 26.7 .89 30 79.2 .66 120 750 750 1 600 600 1 400 400 1 313.2 1.74 180 69.05 69.05 1 20.1 .67 30 650 650 1 400 400 1 650 650 1 Total: 9871.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421420 Min 01421420 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 PRAZOSIN,2.5MG,TABLET 6 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 08-FEB-19
Page 5270 of 6486
Name
MOHAN DHAR SHARMA Rate Amount Qty 76.5 2.55 30 36 .6 60 167.4 5.58 30 14.85 .99 15 55.8 .93 60 117 1.3 90 18.9 .63 30 12 .4 30 2.4 .16 15 400 400 1 Total: 900.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421424 Min 01421424 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 02-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 02-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 7 02-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 02-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 12 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 15 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 16 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 18 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 20 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 14-FEB-19
Page 5271 of 6486
BRIJLATA CHOUBEY Rate Amount Qty 35.2 3.52 10 7.7 .77 10 2.59 .37 7 400 400 1 10.05 .67 15 9 .9 10 69.05 69.05 1 52.2 1.74 30 19.8 .66 30 4.45 .89 5 400 400 1 15.73 15.73 1 27 .9 30 5.55 .37 15 39.6 .66 60 104.4 1.74 60 400 400 1 76.5 2.55 30 8.1 .27 30 17.4 1.16 15 400 400 1 Total: 2104.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421425 Min 01421425 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5272 of 6486
Name
S.S. CHOUBEY Rate Amount Qty 18 .6 30 167.4 5.58 30 33 1.1 30 8.1 .27 30 17.4 1.16 15 400 400 1 Total: 643.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421426 Min 01421426 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5273 of 6486
Name
D.K.DILLIWAR Rate Amount Qty 7.5 .25 30 26.7 .89 30 34.8 1.16 30 9 .3 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 731.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421427 Min 01421427 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5274 of 6486
Name
SUSHILA Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 9 .3 30 167.4 5.58 30 36.3 1.21 30 400 400 1 Total: 679.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421428 Min 01421428 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 PRAZOSIN,2.5MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5275 of 6486
Name
LAXMINATH NIRMAL Rate Amount Qty 55.8 .93 60 8.1 .27 30 7.5 .25 30 39 1.3 30 400 400 1 Total: 510.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421429 Min 01421429 Appmt Dt Slno Description 05-FEB-19 1 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 05-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5276 of 6486
Name
SMT.SUBHADRA NIRMAL Qty Rate Amount 10 .58 5.8 10 1.1 11 20 .93 18.6 1 400 400 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421430 Min 01421430 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 07-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 5277 of 6486
Name
RAMLAL Rate Amount Qty 12 .4 30 23.1 .77 30 21.6 .36 60 7.5 .25 30 34.8 1.16 30 211.8 3.53 60 55.8 .93 60 54 .6 90 78 1.3 60 167.4 5.58 30 400 400 1 Total: 1066
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421431 Min 01421431 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 5278 of 6486
Name
PARVATI DEVI Rate Amount Qty 7.7 .77 10 7.5 .25 30 17.4 1.16 15 39 1.3 30 27.9 .93 30 18 .6 30 400 400 1 Total: 517.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421432 Min 01421432 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5279 of 6486
Name
SHRIRAM Rate Amount Qty 7.5 .25 30 27.9 .93 30 18 .4 45 21.3 .71 30 36 .6 60 400 400 1 Total: 510.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421433 Min 01421433 Appmt Dt Slno Description 28-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 28-FEB-19 2 CREAM,CLOTRIMAZOLE,1%,15-20GM 28-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5280 of 6486
Name
GANGA BAI Qty Rate Amount 20 .37 7.4 2 9.86 19.72 8 3.37 26.96 1 400 400 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421436 Min 01421436 Appmt Dt Slno Description 06-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 06-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5281 of 6486
Name
GOVERDHAN PRASAD Qty Rate Amount 60 .27 16.2 30 .71 21.3 60 .93 55.8 1 400 400 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421437 Min 01421437 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 06-FEB-19 PRAZOSIN,2.5MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 5282 of 6486
Name
KAUSHALYA Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 78 1.3 60 55.8 .93 60 167.4 5.58 30 32.4 .36 90 3.75 .25 15 400 400 1 Total: 816.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421438 Min 01421438 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 5283 of 6486
Name
SUBODH KUMAR KALPANDE Rate Amount Qty 27.9 .93 30 36.3 1.21 30 26.7 .89 30 4.8 .16 30 32.4 1.08 30 21.3 .71 30 400 400 1 Total: 549.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421440 Min 01421440 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5284 of 6486
Name
LAKHAN LAL BANDE Rate Amount Qty 3.75 .25 15 21.3 .71 30 8.1 .27 30 8.7 .58 15 18 .6 30 400 400 1 Total: 459.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421441 Min 01421441 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5285 of 6486
Name
VEDWATI BANDE Rate Amount Qty 27.9 .93 30 21.3 .71 30 3.75 .25 15 36 .6 60 6.9 .23 30 400 400 1 Total: 495.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421442 Min 01421442 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 18-FEB-19 URIC ACID (UA /URATES /UR) 2 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 8 18-FEB-19
Page 5286 of 6486
Name
RC SINGH Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 1300 1300 1 400 400 1 53.4 .89 60 60.9 2.03 30 192.3 6.41 30 Total: 3856.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421443 Min 01421443 Appmt Dt Slno Description 18-FEB-19 1 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 18-FEB-19 2 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 18-FEB-19 4 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G
Page 5287 of 6486
Name
SUSHILA SINGH Qty 1 1 1 1
Rate Amount 1300 1300 1300 1300 400 400 275 275 Total: 3275
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421444 Min 01421444 Appmt Dt Slno Description 11-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5288 of 6486
Name
ROSHANLAL DEWANGAN Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421445 Min 01421445 Slno Description Appmt Dt ANA SCREENING 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 COMPLETE HAEMOGRAM 3 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 5289 of 6486
Name
REKHA DEWANGAN Rate Amount Qty 2430 2430 1 400 400 1 750 750 1 27.9 .93 30 400 400 1 Total: 4007.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421451 Min 01421451 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 15-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 2 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 15-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 8 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 5290 of 6486
Name
TAPESWARI Rate Amount Qty 166.8 2.78 60 64.6 3.23 20 4.56 .38 12 55.8 .93 60 6.6 .66 10 167.4 5.58 30 54 .6 90 42.6 .71 60 8.1 .27 30 400 400 1 Total: 970.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421453 Min 01421453 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 2 22-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 22-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 11 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 28-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 13 28-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5291 of 6486
Name
KRISHNA BAI Rate Amount Qty 7.5 .25 30 95.7 3.19 30 9.9 .66 15 21.3 .71 30 400 400 1 7.5 .25 30 34.8 1.16 30 9 .6 15 13.95 .93 15 400 400 1 95.7 3.19 30 15 .25 60 9.9 .66 15 21.3 .71 30 400 400 1 Total: 1541.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421456 Min 01421456 Appmt Dt Slno Description 09-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 09-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 09-FEB-19 3 CINNARIZINE,25MG,STRIP PACK,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5292 of 6486
Name
D. NEERAJA Qty Rate Amount 20 .89 17.8 20 .64 12.8 40 .42 16.8 1 400 400 Total: 447.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421458 Min 01421458 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 6 18-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 7 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19
Page 5293 of 6486
S N BISWAS Rate Amount Qty 7.5 .25 30 3.7 .37 10 25.07 25.07 1 26.7 .89 30 55.8 .93 60 118.5 3.95 30 9.9 .66 15 60.9 2.03 30 54 .9 60 192.3 6.41 30 400 400 1 Total: 954.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421459 Min 01421459 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 18-FEB-19 PRAZOSIN,2.5MG,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 6 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 5294 of 6486
Name
MADHURI BISWAS Rate Amount Qty 18.9 .63 30 10.42 5.21 2 156 1.3 120 21.3 .71 30 55.8 .93 60 12 .4 30 72 .6 120 400 400 1 Total: 746.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421460 Min 01421460 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5295 of 6486
Name
SURENDRA PAL SINGH Rate Amount Qty 72 .6 120 78 1.3 60 55.8 .93 60 8.1 .27 30 12 .4 30 10.8 .36 30 400 400 1 Total: 636.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421461 Min 01421461 Appmt Dt Slno Description 08-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 08-FEB-19 2 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 08-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5296 of 6486
Name
ABHA SINGH Qty Rate Amount 30 .71 21.3 30 .58 17.4 30 1.16 34.8 1 400 400 Total: 473.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421463 Min 01421463 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 5297 of 6486
Name
YOGENDRA KUMAR GUPTA Rate Amount Qty 31.95 .71 45 11.25 .25 45 16.2 .36 45 27 .6 45 400 400 1 Total: 486.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421464 Min 01421464 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 20-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5298 of 6486
Name
MADHU BALA GUPTA Rate Amount Qty 3.75 .25 15 16.1 .23 70 39.6 .99 40 74.4 .93 80 96 .6 160 28.8 .36 80 400 400 1 Total: 658.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421469 Min 01421469 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 27-FEB-19 COMPLETE HAEMOGRAM 5 27-FEB-19 ECG 6 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 27-FEB-19 UREA (BUN /UR) 8 27-FEB-19 CREATININE /CRT 9 27-FEB-19 URIC ACID (UA /URATES /UR) 10 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 5299 of 6486
Name
SWAPAN KUMAR KUNDU Rate Amount Qty 275 275 1 33 1.1 30 13.95 .93 15 400 400 1 750 750 1 450 450 1 275 275 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 400 400 1 Total: 5271.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421471 Min 01421471 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 20-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 7 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 15 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 16 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 17 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 5300 of 6486
BINDU KUMAR SRIVAS Rate Amount Qty 8.9 .89 10 1.85 .37 5 9.6 .64 15 66.2 6.62 10 27.9 .93 30 400 400 1 15.3 .51 30 9 .3 30 18 .6 30 7.5 .25 30 400 400 1 185.7 6.19 30 1.85 .37 5 4.45 .89 5 40.58 20.29 2 50.14 25.07 2 26 2.6 10 8.9 .89 10 400 400 1 Total: 1681.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421472 Min 01421472 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 28-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 14 28-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 15 28-FEB-19 OBSERVATION IN CASUALTY 16 28-FEB-19 ECG 17 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 18 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 28-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 20 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 21 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 22 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 5301 of 6486
Name
MADHU SHRIVAS Rate Amount Qty 27.9 .93 30 118.5 3.95 30 21.3 .71 30 12 .4 30 33 1.1 30 20.06 20.06 1 400 400 1 7.5 .25 30 33 1.1 30 34.8 1.16 30 12 .4 30 400 400 1 .64 .64 1 24.52 24.52 1 9.62 9.62 1 420 420 1 450 450 1 .8 .16 5 26.7 .89 30 98.28 2.34 42 47.04 1.12 42 20.06 20.06 1 3.2 .64 5 400 400 1 Total: 2620.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421473 Min 01421473 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 5302 of 6486
Name
ARUN BHANDAKKAR Rate Amount Qty 18.9 .63 30 27.9 .93 30 18 .6 30 21.3 .71 30 400 400 1 Total: 486.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421475 Min 01421475 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 13-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 13-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 14-FEB-19 DRESSING SIMPLE 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 15-FEB-19 X - RAY - SINGLE VIEW 15 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 26-FEB-19 DRESSING SIMPLE 17 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 28-FEB-19 DRESSING SIMPLE 19 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21 28-FEB-19
Page 5303 of 6486
Name
A S DHILLON Rate Amount Qty 43.2 1.44 30 11.85 .79 15 31.2 1.04 30 37.8 .63 60 7.8 .26 30 12 .4 30 21.3 .71 30 400 400 1 35.2 3.52 10 1500 300 5 4.45 .89 5 6.4 .64 10 400 400 1 400 400 1 550 550 1 400 400 1 900 300 3 400 400 1 2100 300 7 6.4 .64 10 19 .38 50 Total: 7286.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421476 Min 01421476 Slno Description Appmt Dt ONDANSETRON,8MG,STRIP PACK.,TABLET 1 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 19-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 3 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 8 21-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 9 21-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 10 21-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 11 21-FEB-19 OBSERVATION IN CASUALTY 12 21-FEB-19
Page 5304 of 6486
Name
GURMEET KOUR Qty 4 5 1 6 9 6 1 1 1 1 1 1
Rate Amount 2.8 .7 3.2 .64 8.71 8.71 4.62 .77 10.08 1.12 21.12 3.52 400 400 9.81 9.81 11.89 11.89 35.52 35.52 24.52 24.52 420 420 Total: 952.27
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421478 Min 01421478 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 9 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 23-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 11 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 23-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 13 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 23-FEB-19
Page 5305 of 6486
URMILA Rate Amount Qty 6.82 6.82 1 25.07 25.07 1 39 1.3 30 26.7 .89 30 76.5 2.55 30 12 .4 30 21.3 .71 30 400 400 1 54 .9 60 26.7 .89 30 20.1 .67 30 7.5 .25 30 17.4 .58 30 400 400 1 Total: 1133.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421482 Min 01421482 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 5306 of 6486
Name
SMT.DEEPA P CHANDRAN Rate Amount Qty 27.9 .93 30 29.7 .99 30 21.3 .71 30 18.9 .63 30 10.8 .36 30 22.2 .37 60 66 1.1 60 72 .6 120 400 400 1 Total: 668.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421483 Min 01421483 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 10 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19
Page 5307 of 6486
CHHOTULAL Rate Amount Qty 55.8 .93 60 78 1.3 60 72 .6 120 16.2 .36 45 7.5 .25 30 26.7 .89 30 8.1 .27 30 167.4 5.58 30 400 400 1 48.22 48.22 1 8.9 .89 10 13.49 13.49 1 400 400 1 Total: 1302.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421484 Min 01421484 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 5308 of 6486
Name
BHEEMA BAI Rate Amount Qty 27.9 .93 30 54 .6 90 4.1 .41 10 14.85 .99 15 21.3 .71 30 7.5 .25 30 26.7 .89 30 13.7 1.37 10 185.7 6.19 30 400 400 1 Total: 755.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421489 Min 01421489 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19 MRI SPECTROSCOPY (COST OF MRI NOT INCLUD 8 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5309 of 6486
Name
DINESH KUMAR Rate Amount Qty 43.2 1.08 40 17.8 .89 20 5 .25 20 16 .4 40 5 .25 20 46.4 1.16 40 400 400 1 5240 5240 1 400 400 1 69.6 1.16 60 64.8 1.08 60 24 .4 60 7.5 .25 30 26.7 .89 30 400 400 1 Total: 6766
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421495 Min 01421495 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 5310 of 6486
Name
KS ANIL KUMAR Rate Amount Qty 27.6 .92 30 36 .6 60 78 1.3 60 11.85 .79 15 33 1.1 30 32.4 1.08 30 21.3 .71 30 1.85 .37 5 400 400 1 Total: 642
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421496 Min 01421496 Slno Description Appmt Dt WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 15-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 15 20-FEB-19 SYRINGE,DISPOSABLE,2ML 16 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 17 20-FEB-19 ONDANSETRON,2MG/ML,INJECTION 18 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 19 20-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 20 20-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 21 20-FEB-19 RACECADOTRIL,100MG,CAPSULE 22 20-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 23 20-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 24 20-FEB-19 OBSERVATION IN CASUALTY 25 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 20-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 28 21-FEB-19 INDOOR DEPARTMENTAL CONSULTATION (PER DA 29 21-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 30 21-FEB-19 OBSERVATION IN CASUALTY 31 21-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 32 21-FEB-19 ONDANSETRON,2MG/ML,INJECTION 33 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 34 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 35 22-FEB-19 RIFAXIMIN 200 MG,,TABLET 36 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 37 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 22-FEB-19
Page 5311 of 6486
Name
SHEEBA M Rate Amount Qty 26.55 26.55 1 8.9 .89 10 1.85 .37 5 400 400 1 8.9 .89 10 66.2 6.62 10 1.85 .37 5 3.2 .64 5 400 400 1 7.12 .89 8 1.48 .37 4 52.96 6.62 8 5.12 .64 8 400 400 1 11.89 11.89 1 7.36 1.84 4 9.81 9.81 1 7.52 7.52 1 10.08 1.12 9 24.52 24.52 1 34.84 8.71 4 35.82 5.97 6 22.71 22.71 1 23.39 23.39 1 420 420 1 5.34 .89 6 400 400 1 9.81 9.81 1 600 600 1 23.39 23.39 1 420 420 1 24.52 24.52 1 7.52 7.52 1 8.9 .89 10 7 .7 10 9.33 139.95 15 35.2 3.52 10 400 400 1 Total: 4073.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421497 Min 01421497 Slno Description Appmt Dt CREAM/GEL,TRETINOIN ,0.025%,20GM,TUBE 1 13-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 23-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5312 of 6486
MD.WASIM AHMED Rate Amount Qty 33.46 33.46 1 75.21 25.07 3 400 400 1 156.6 1.74 90 100.71 100.71 1 12.15 12.15 1 400 400 1 Total: 1178.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421503 Min 01421503 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 02-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 2 02-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 3 02-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 02-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 5 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 8 28-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 9 28-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 10 28-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 13 28-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5313 of 6486
Name
MOHAMMED FARUKH Rate Amount Qty 25.69 25.69 1 156.51 313.02 2 40.58 20.29 2 31.61 31.61 1 17.6 17.6 1 7.4 .37 20 400 400 1 156.51 313.02 2 25.69 25.69 1 40.58 20.29 2 85.52 85.52 1 7.4 .37 20 31.61 31.61 1 17.6 17.6 1 400 400 1 Total: 1757.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421504 Min 01421504 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 02-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 02-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 02-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 5 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 02-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 02-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 11 28-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 12 28-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 13 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5314 of 6486
Name
JAHAIRA KHAN Rate Amount Qty 185.7 6.19 30 11.1 .37 30 26 2.6 10 9.86 9.86 1 45.44 45.44 1 7.5 .25 30 37.04 37.04 1 7.5 .25 30 27.9 .93 30 400 400 1 31.61 31.61 1 45.44 45.44 1 17.6 17.6 1 7.4 .37 20 400 400 1 Total: 1260.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421508 Min 01421508 Appmt Dt Slno Description 05-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5315 of 6486
Name
VANDANA BAJAD Qty Rate Amount 20 .89 17.8 20 6.19 123.8 40 .63 25.2 1 400 400 Total: 566.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421510 Min 01421510 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 07-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 12 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 16-FEB-19 INHALANT,STRIP PACK,CAPSULE 14 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 16-FEB-19
Page 5316 of 6486
BHARTI BAI Rate Amount Qty 34 1.7 20 70.2 2.34 30 20.06 20.06 1 17.8 .89 20 3.7 .37 10 15.73 15.73 1 400 400 1 27.9 .93 30 36 .6 60 10.8 .36 30 10.8 .36 30 9 .3 30 18 .3 60 25.5 1.7 15 36 .6 60 27.9 .93 30 26.7 .89 30 1.85 .37 5 400 400 1 Total: 1191.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421511 Min 01421511 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 04-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 11 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19
Page 5317 of 6486
Name
MOHD FAIYAZ KHAN Rate Amount Qty 92.85 6.19 15 9.9 .66 15 39 2.6 15 400 400 1 8.1 .27 30 27.9 .93 30 21.3 .71 30 36 .6 60 9 .3 30 400 400 1 73.35 4.89 15 39 2.6 15 185.7 6.19 30 400 400 1 Total: 1742.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421512 Min 01421512 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 13-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 5318 of 6486
Name
ZAFRUNNISHA Rate Amount Qty 167.4 5.58 30 72 .6 120 43.2 .36 120 55.8 .93 60 18.6 .62 30 8.1 .27 30 400 400 1 Total: 765.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421515 Min 01421515 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 5319 of 6486
Name
LOCHAN PURI GOSWAMI Rate Amount Qty 27.9 .93 30 6.9 .23 30 14.85 .99 15 400 400 1 6.9 .23 30 27.9 .93 30 14.85 .99 15 400 400 1 Total: 899.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421517 Min 01421517 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 13-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 13-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 5 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 5320 of 6486
RAMJI Rate Amount Qty 25.07 25.07 1 73.35 4.89 15 26.7 .89 30 185.7 6.19 30 6.82 6.82 1 13.7 1.37 10 400 400 1 Total: 731.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421527 Min 01421527 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5321 of 6486
Name
RAJ KAMAL AIRY Rate Amount Qty 18 .6 30 38.76 3.23 12 27.9 .93 30 4.05 .27 15 10.65 .71 15 12 .4 30 185.7 6.19 30 400 400 1 Total: 697.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421528 Min 01421528 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 5322 of 6486
Name
ASHA RANI AIRY Rate Amount Qty 14.85 .99 15 18.9 .63 30 32.4 1.08 30 21.3 .71 30 27 .9 30 7.5 .25 30 55.8 .93 60 22.2 .37 60 18 .6 30 400 400 1 Total: 617.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421531 Min 01421531 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5323 of 6486
PRITAM SINGH Rate Amount Qty 34.8 1.16 30 12 .4 30 3.2 .64 5 15.73 15.73 1 1.85 .37 5 26.7 .89 30 55.8 .93 60 400 400 1 Total: 550.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421532 Min 01421532 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 14-FEB-19 PRAZOSIN,2.5MG,TABLET 8 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 5324 of 6486
Name
RANJIT KAUR Rate Amount Qty 34.8 1.16 30 25.69 25.69 1 400 400 1 72 .6 120 117 1.3 90 105.9 3.53 30 55.8 .93 60 117 1.3 90 18.6 .62 30 167.4 5.58 30 400 400 1 Total: 1514.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421538 Min 01421538 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 4 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 01-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 6 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 02-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 02-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 15 02-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 02-FEB-19
Page 5325 of 6486
Name
R FANCY Rate Amount Qty 1300 1300 1 275 275 1 400 400 1 85.52 85.52 1 57.84 115.68 2 26.86 13.43 2 55.8 .93 60 167.4 5.58 30 10.65 .71 15 39 1.3 30 12 .4 30 33 1.1 30 7.5 .25 30 72 .6 120 110.4 .92 120 13.8 .23 60 400 400 1 Total: 3124.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421539 Min 01421539 Appmt Dt Slno Description 18-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 18-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 18-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5326 of 6486
Name
BHIM RAO Qty Rate Amount 4 5.21 20.84 30 6.41 192.3 30 2.03 60.9 1 400 400 Total: 674.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421540 Min 01421540 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 18-FEB-19 DROTAVERINE HCL,STRIP PKT,40MG,TABLET 3 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 10 19-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 11 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 12 19-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 13 19-FEB-19 OBSERVATION IN CASUALTY 14 19-FEB-19 RACECADOTRIL,100MG,CAPSULE 15 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19
Page 5327 of 6486
Name
SESAMMA RAO Rate Amount Qty 167.4 5.58 30 36 .6 60 43.6 2.18 20 53.4 .89 60 60.9 2.03 30 21.3 .71 30 27.9 .93 30 33 1.1 30 400 400 1 9.81 9.81 1 11.89 11.89 1 24.52 24.52 1 35.52 35.52 1 420 420 1 59.7 5.97 10 8.9 .89 10 16.8 1.12 15 35.2 3.52 10 400 400 1 Total: 1865.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421542 Min 01421542 Appmt Dt Slno Description 14-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 3 VITAMIN E,STRIP PKT,200MG,CAPSULE 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5328 of 6486
Name
MEENA VERMA Qty Rate Amount 30 .23 6.9 15 1.16 17.4 30 1.58 47.4 1 400 400 Total: 471.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421549 Min 01421549 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5329 of 6486
Name
PARASRAM BANJARE Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421550 Min 01421550 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 13-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 5 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 9 14-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 10 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 13 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 5330 of 6486
Name
SUMITRA DEVI Rate Amount Qty 275 275 1 275 275 1 27.9 .93 30 11.4 .38 30 158.4 2.64 60 55.2 .92 60 167.4 5.58 30 36 .6 60 15.6 .26 60 118.5 3.95 30 66 1.1 60 12 .4 30 17.4 1.16 15 32.4 1.08 30 400 400 1 Total: 1668.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421553 Min 01421553 Slno Description Appmt Dt LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 1 18-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 18-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 6 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 10 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19 TICAGRELOR 90MG ,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 5331 of 6486
Name
YD HARDAHA Rate Amount Qty 123.53 247.06 2 9.9 .66 15 26.7 .89 30 11.85 .79 15 31.2 1.04 30 21.3 .71 30 139.2 1.16 120 12 .4 30 400 400 1 46.8 2.34 20 2.5 .25 10 3.7 .37 10 400 400 1 30.77 1292.34 42 400 400 1 Total: 3044.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421555 Min 01421555 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 5332 of 6486
Name
SMT.KUNWAR BAI Rate Amount Qty 33 1.1 30 55.8 .93 60 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421558 Min 01421558 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5333 of 6486
Name
N SUNDAR Rate Amount Qty 10.65 .71 15 27.9 .93 30 167.4 5.58 30 54 .6 90 10.8 .36 30 400 400 1 Total: 670.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421559 Min 01421559 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 23-FEB-19 FLUVOXAMINE,STRIP PKT,100MG,TABLET 2 23-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 3 23-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 4 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 23-FEB-19
Page 5334 of 6486
Name
VAIJAYANTHI MALA SUNDAR Rate Amount Qty 36.9 .41 90 21.63 1297.8 60 49.2 .82 60 39.6 .99 40 400 400 1 Total: 1823.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421560 Min 01421560 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 01-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 7 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 8 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19
Page 5335 of 6486
CHHABI RANI Rate Amount Qty 55.8 .93 60 13.73 192.22 14 26.7 .89 30 12 .4 30 15.73 15.73 1 7.65 .51 15 118.5 3.95 30 11.4 .38 30 2.4 .16 15 400 400 1 Total: 842.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421563 Min 01421563 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 18-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 18-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 5336 of 6486
Name
RAMAYAN PRASAD Rate Amount Qty 55.8 .93 60 2.4 .16 15 21.3 .71 30 36 .6 60 400 400 1 54 .9 60 16.2 .18 90 12.15 12.15 1 400 400 1 Total: 997.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421564 Min 01421564 Slno Description Appmt Dt CREATININE /CRT 1 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 05-FEB-19 UREA (BUN /UR) 4 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 5337 of 6486
Name
KAILASI Rate Amount Qty 275 275 1 550 550 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 .8 .16 5 16.8 1.12 15 7 .7 10 8.9 .89 10 400 400 1 Total: 3783.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421565 Min 01421565 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5338 of 6486
Name
DHRUW NARAYAN SINGH Rate Amount Qty 78 1.3 60 7.5 .25 30 60.9 2.03 30 72 .6 120 21.6 .36 60 400 400 1 Total: 640
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421568 Min 01421568 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 26-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 7 26-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 26-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 10 26-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5339 of 6486
Name
NALINI SINGH Rate Amount Qty 21.3 .71 30 18 .6 30 167.4 5.58 30 26.7 .89 30 7.5 .25 30 9.3 .62 15 166.8 2.78 60 40.2 .67 60 9.12 .38 24 51.68 3.23 16 6.9 .23 30 400 400 1 Total: 924.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421569 Min 01421569 Appmt Dt Slno Description 09-FEB-19 1 NITRAZEPAM,10MG,TABLE,STRIP PACK. 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5340 of 6486
Name
SHIV KUMAR Qty Rate Amount 30 2.64 79.2 1 400 400 479.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421571 Min 01421571 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19
Page 5341 of 6486
Name
GLEETUS Rate Amount Qty 100.71 100.71 1 10.05 .67 15 26.7 .89 30 54 .9 60 400 400 1 Total: 591.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421575 Min 01421575 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 18-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 18-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 OBSERVATION IN CASUALTY 6 19-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 7 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 19-FEB-19
Page 5342 of 6486
Name
AG RAO Rate Amount Qty 11.2 1.12 10 6 .6 10 55.2 1.84 30 2.46 .41 6 400 400 1 420 420 1 5.77 5.77 1 24.52 24.52 1 Total: 925.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421576 Min 01421576 Appmt Dt Slno Description 18-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5343 of 6486
Name
VARALAXMI Qty Rate Amount 3 .37 1.11 15 .93 13.95 60 .6 36 1 400 400 Total: 451.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421579 Min 01421579 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5344 of 6486
Name
NK SHUKLA Rate Amount Qty 55.8 .93 60 10.8 .36 30 12 .4 30 17.4 1.16 15 7.5 .25 30 72 .6 120 13.35 .89 15 400 400 1 Total: 588.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421583 Min 01421583 Appmt Dt Slno Description 20-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 20-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5345 of 6486
Name
PAPPU LAXMAN SASTRY Qty Rate Amount 60 .36 21.6 30 .6 18 30 .63 18.9 1 400 400 Total: 458.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421585 Min 01421585 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 28-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 8 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 5346 of 6486
Name
RAMESH KUMAR JAIN Rate Amount Qty 26.7 .89 30 104.4 1.74 60 100.71 100.71 1 400 400 1 126 2.1 60 7.5 .25 30 5.21 5.21 1 146.7 4.89 30 27.9 .62 45 13.95 .93 15 400 400 1 Total: 1359.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421586 Min 01421586 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 5347 of 6486
Name
BHARTI JAIN Rate Amount Qty 12 .4 30 21.3 .71 30 14.85 .99 15 27.9 .93 30 334.8 5.58 60 72 .6 120 27 .36 75 400 400 1 Total: 909.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421587 Min 01421587 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 5348 of 6486
Name
RAJU WATE Rate Amount Qty 32.4 .36 90 167.4 5.58 30 12 .4 30 6.9 .23 30 41.85 .93 45 156 1.3 120 72 .6 120 34.8 1.16 30 400 400 1 Total: 923.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421588 Min 01421588 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5349 of 6486
Name
RAJSHREE WATE Rate Amount Qty 35.55 .79 45 33 1.1 30 12 .4 30 17.4 1.16 15 10.42 5.21 2 400 400 1 Total: 508.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421592 Min 01421592 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 ABC TEST HIV 3 01-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 4 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 01-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 21-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 13 21-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 15 21-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 16 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 21-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 18 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 21-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 20 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 23-FEB-19
Page 5350 of 6486
Name
SANTOSH KUMAR DHURANDHAR Rate Amount Qty 400 400 1 275 275 1 1250 1250 1 1000 1000 1 275 275 1 20.84 5.21 4 15.6 .26 60 12 .4 30 34.8 1.16 30 7.5 .25 30 400 400 1 7.98 .38 21 20.29 20.29 1 6.82 6.82 1 14.08 3.52 4 2.46 .41 6 3.7 .37 10 13.49 13.49 1 400 400 1 18.03 18.03 1 400 400 1 Total: 4577.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421593 Min 01421593 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 11 13-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 12 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 13 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19
Page 5351 of 6486
Name
TARA DHURANDHAR Rate Amount Qty 8.1 .27 30 7.5 .25 30 9 .3 30 72 .6 120 24 .4 60 32.4 1.08 30 34.8 1.16 30 36.3 1.21 30 400 400 1 11.1 .37 30 104.4 1.74 60 69.05 69.05 1 12.15 12.15 1 54 .9 60 26.7 .89 30 26.6 2.66 10 400 400 1 Total: 1328.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421598 Min 01421598 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 14-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 2 14-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 14-FEB-19 SYRINGE,DISPOSABLE,2ML 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 5352 of 6486
Name
DINESH KUMAR BHAKRE Rate Amount Qty 420 420 1 5.41 5.41 1 24.52 24.52 1 3.68 1.84 2 35.6 .89 40 8 .4 20 5 .25 20 23.2 1.16 20 400 400 1 Total: 925.41
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421612 Min 01421612 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5353 of 6486
SATYAWAN CHOUDHARY Rate Amount Qty 27.9 .93 30 10.8 .18 60 26.7 .89 30 15.73 15.73 1 400 400 1 Total: 481.13
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421614 Min 01421614 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 08-FEB-19 ABC TEST HIV 3 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 08-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 5 08-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 6 23-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 7 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 8 23-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 23-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 10 23-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 23-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 5354 of 6486
HEMLAL CHANDRAWANSHI Rate Amount Qty 400 400 1 275 275 1 1250 1250 1 275 275 1 1000 1000 1 6.82 6.82 1 20.29 20.29 1 18.03 18.03 1 2.46 .41 6 18.03 18.03 1 14.08 3.52 4 7.98 .38 21 400 400 1 6.82 6.82 1 25.07 25.07 1 18.03 18.03 1 400 400 1 Total: 4137.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421618 Min 01421618 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 5355 of 6486
Name
VIJAY KUMAR JAIN Rate Amount Qty 21.6 .36 60 34.8 1.16 30 12 .4 30 33 1.1 30 7.8 .26 30 8.1 .27 30 55.8 .93 60 36 .6 60 400 400 1 Total: 609.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421620 Min 01421620 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 5356 of 6486
Name
KAMAL KANTI DAS Rate Amount Qty 33 1.1 30 55.8 .93 60 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421623 Min 01421623 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5357 of 6486
Name
SMT.V PARVATI DEVI Rate Amount Qty 8.9 .89 10 27.9 .93 30 21.3 .71 30 10.8 .36 30 18 .6 30 400 400 1 Total: 486.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421625 Min 01421625 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 5358 of 6486
Name
RAKESH ASTHANA Rate Amount Qty 27.9 .93 30 8.1 .27 30 36 .6 60 32.4 1.08 30 7.5 .25 30 400 400 1 Total: 511.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421627 Min 01421627 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 5359 of 6486
Name
RK AGRAWAL Rate Amount Qty 55.8 .93 60 16.2 .27 60 167.4 5.58 30 20.84 5.21 4 21.3 .71 30 4.8 .16 30 7.5 .25 30 400 400 1 Total: 693.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421633 Min 01421633 Appmt Dt Slno Description 12-FEB-19 1 TABLET/CAPSULE FLUCONAZOLE, 150MG 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5360 of 6486
Name
JAGJEET KAUR Qty 8 1
Rate Amount 3.37 26.96 400 400 426.96 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421636 Min 01421636 Appmt Dt Slno Description 06-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5361 of 6486
Name
K K GUPTA Qty Rate Amount 10 .37 3.7 1 400 400 403.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421641 Min 01421641 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5362 of 6486
Name
SMT.NARMADA CHANDRAKAR Qty Rate Amount 60 .93 55.8 30 .25 7.5 4 .37 1.48 1 400 400 Total: 464.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421642 Min 01421642 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5363 of 6486
Name
SANJAY KUMAR INGLE Rate Amount Qty 8.9 .89 10 18.9 .63 30 32.4 1.08 30 29.7 .99 30 83.7 .93 90 27.4 1.37 20 400 400 1 Total: 601
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421651 Min 01421651 Appmt Dt Slno Description 07-FEB-19 1 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 07-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 07-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5364 of 6486
Name
SUNDER LAL CHANDRAWANSHI Qty Rate Amount 60 .3 18 120 .63 75.6 60 .25 15 1 400 400 Total: 508.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421652 Min 01421652 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5365 of 6486
Name
ASHA DEVI Qty Rate Amount 15 1.16 17.4 30 .6 18 5 .37 1.85 1 400 400 Total: 437.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421653 Min 01421653 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 5366 of 6486
Name
ARUN KUMAR Rate Amount Qty 192.3 6.41 30 12 .4 30 400 400 1 13.35 .89 15 192.3 6.41 30 12 .4 30 400 400 1 Total: 1221.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421654 Min 01421654 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 IVABRADINE,5MG,,TABLET 4 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 23-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 10 23-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 13 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 15 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 17 26-FEB-19 IVABRADINE,5MG,,TABLET 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 5367 of 6486
Name
SUNITA DAS Rate Amount Qty 86.4 1.44 60 31.2 1.04 30 21.3 .71 30 298.5 9.95 30 38.25 2.55 15 27.9 .93 30 400 400 1 8.9 .89 10 5 .25 20 26.55 26.55 1 31.4 3.14 10 400 400 1 86.4 1.44 60 21.3 .71 30 31.2 1.04 30 27.9 .93 30 38.25 2.55 15 298.5 9.95 30 400 400 1 Total: 2278.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421655 Min 01421655 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 5368 of 6486
Name
SUDAMA PRASAD Rate Amount Qty 32.4 1.08 30 55.8 .93 60 400 400 1 Total: 488.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421656 Min 01421656 Slno Description Appmt Dt ONDANSETRON,8MG,STRIP PACK.,TABLET 1 07-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 07-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 3 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 07-FEB-19 X - RAY - SINGLE VIEW 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19
Page 5369 of 6486
Name
SHAIL KUMARI Rate Amount Qty 7 .7 10 27.9 .93 30 88.2 1.47 60 21.3 .71 30 8.1 .27 30 550 550 1 400 400 1 8.9 .89 10 7.3 .73 10 13.7 1.37 10 13.7 1.37 10 400 400 1 Total: 1546.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421663 Min 01421663 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 5370 of 6486
Name
KAILASH NATH DIXIT Rate Amount Qty 8.1 .27 30 5.21 5.21 1 400 400 1 Total: 413.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421665 Min 01421665 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 5371 of 6486
Name
RAM SALONE Rate Amount Qty 21.3 .71 30 12 .4 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 494.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421669 Min 01421669 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 23-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5372 of 6486
Name
DEBASHIS DUTTA Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 104.4 1.74 60 39.6 .66 60 53.4 .89 60 400 400 1 Total: 1250.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421672 Min 01421672 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 19-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5373 of 6486
Name
BASANTIN BAI Rate Amount Qty 39 1.3 30 3.75 .25 15 13.35 .89 15 12 .4 30 18 .6 30 21.3 .71 30 12 .4 30 400 400 1 Total: 519.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421673 Min 01421673 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19
Page 5374 of 6486
Name
SHANKAR UPADHYAYA Rate Amount Qty 21.3 .71 30 17.8 .89 20 4.8 .16 30 32.4 1.08 30 12 .4 30 72.6 1.21 60 55.8 .93 60 8.1 .27 30 10.8 .36 30 36 .6 60 400 400 1 Total: 671.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421674 Min 01421674 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 7 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 5375 of 6486
Name
MOUSUMI UPADHYAYA Rate Amount Qty 6.9 .23 30 21.3 .71 30 17.8 .89 20 5.21 5.21 1 4.8 .16 30 7.5 .25 30 12.3 .41 30 32.4 1.08 30 400 400 1 Total: 508.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421677 Min 01421677 Appmt Dt Slno Description 07-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 08-FEB-19 2 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET
Page 5376 of 6486
Name
NOOR ALAM KHAN Qty 1 5
Rate Amount 400 400 .16 .8 400.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421692 Min 01421692 Appmt Dt Slno Description 21-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 21-FEB-19 2 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 21-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 21-FEB-19 4 X - RAY - SINGLE VIEW
Page 5377 of 6486
Name
NITA MAL Qty 1 1 1 1
Rate Amount 400 400 1300 1300 400 400 550 550 Total: 2650
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421697 Min 01421697 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 15-FEB-19 PRAZOSIN,2.5MG,TABLET 2 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5378 of 6486
Name
C S VAKIL Rate Amount Qty 11.4 .38 30 156 1.3 120 60.9 2.03 30 7.5 .25 30 400 400 1 Total: 635.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421701 Min 01421701 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 16-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 16-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 16-FEB-19 URIC ACID (UA /URATES /UR) 7 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 18-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 13 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19
Page 5379 of 6486
Name
KASHI RAM DEWANGAN Rate Amount Qty 192.3 6.41 30 400 400 1 275 275 1 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 7.5 .25 30 27 .6 45 10.8 .36 30 23.7 .79 30 22.2 .37 60 55.8 .93 60 400 400 1 Total: 4214.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421703 Min 01421703 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 16-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 5380 of 6486
Name
NARAYAN PRASAD SONI Rate Amount Qty 12 .4 30 18.9 .63 30 27.9 .93 30 36 .6 60 78 1.3 60 21.3 .71 30 400 400 1 Total: 594.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421705 Min 01421705 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 12-FEB-19 CREATININE /CRT 2 12-FEB-19 UREA (BUN /UR) 3 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 10 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 12-FEB-19
Page 5381 of 6486
Name
D ASOKAN Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 34.8 1.16 30 3.75 .25 15 55.8 .93 60 2.6 .26 10 19.2 .64 30 12 .4 30 36 .6 60 Total: 2964.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421709 Min 01421709 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 28-FEB-19
Page 5382 of 6486
Name
BRIHASPAT SINGH Rate Amount Qty 16.2 .27 60 26.7 .89 30 400 400 1 Total: 442.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421711 Min 01421711 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 5383 of 6486
Name
RAMKHILAWAN MARKAM Rate Amount Qty 167.4 5.58 30 66 1.1 60 22.2 .37 60 14.85 .99 15 27.9 .93 30 7.5 .25 30 400 400 1 Total: 705.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421714 Min 01421714 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 5384 of 6486
Name
MEENA DHERE Rate Amount Qty 27.9 .93 30 21.3 .71 30 12 .4 30 8.1 .27 30 29.7 .99 30 66 1.1 60 400 400 1 Total: 565
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421717 Min 01421717 Appmt Dt Slno Description 20-FEB-19 1 TENELIGLIPTIN,20MG,,TABLET 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5385 of 6486
Name
G RAMESH Qty Rate Amount 30 5.58 167.4 1 400 400 567.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421718 Min 01421718 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 5386 of 6486
Name
ANITHA RAMESH Rate Amount Qty 21.3 .71 30 27.9 .93 30 33 1.1 30 8.1 .27 30 400 400 1 Total: 490.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421719 Min 01421719 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5387 of 6486
Name
RAGHAVENDRA SINGH Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421720 Min 01421720 Appmt Dt Slno Description 11-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5388 of 6486
Name
SHAIL SINGH Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421721 Min 01421721 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 19-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 2 19-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 5389 of 6486
Name
RAMDAS Rate Amount Qty 49.2 .41 120 39.6 2.64 15 189 2.1 90 9.6 .16 60 400 400 1 Total: 687.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421731 Min 01421731 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 07-FEB-19 X - RAY - THREE VIEWS 2 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 07-FEB-19
Page 5390 of 6486
Name
DHANIRAM Rate Amount Qty 27.4 1.37 20 1500 1500 1 400 400 1 Total: 1927.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421735 Min 01421735 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 7 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 5391 of 6486
Name
S.K.JYOTISHI Rate Amount Qty 14.2 .71 20 37.2 .93 40 5.4 .27 20 24 .6 40 8 .4 20 12.6 .42 30 2.5 .25 10 30.8 .77 40 21.6 1.08 20 400 400 1 Total: 556.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421738 Min 01421738 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5392 of 6486
Name
KIRAN Rate Amount Qty 21.3 .71 30 72.6 1.21 60 8.1 .27 30 72 .6 120 10.8 .36 30 400 400 1 Total: 584.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421739 Min 01421739 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 5393 of 6486
Name
KANHAIYA LAL Rate Amount Qty 19.8 .66 30 21.3 .71 30 6.9 .23 30 52 2.6 20 12 .4 30 27.9 .93 30 185.7 6.19 30 33 1.1 30 400 400 1 Total: 758.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421740 Min 01421740 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 6 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 5394 of 6486
Name
SHIV KUMARI Rate Amount Qty 21.3 .71 30 55.8 .93 60 36 .6 60 33 1.1 30 9.9 .66 15 12.6 .42 30 11.4 .38 30 400 400 1 54 .6 90 21.3 .71 30 7.5 .25 30 27.9 .93 30 60.9 2.03 30 400 400 1 Total: 1151.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421741 Min 01421741 Appmt Dt Slno Description 07-FEB-19 1 ETORICOXIB,STRIP PKT,90MG,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5395 of 6486
Name
RAJESH KUMAR CHAUHAN Qty Rate Amount 10 2.6 26 1 400 400 426 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421743 Min 01421743 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 COMPLETE HAEMOGRAM 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 27-FEB-19 COMPLETE HAEMOGRAM 8 27-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 9 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 27-FEB-19
Page 5396 of 6486
Name
SHAILENDRA KUMAR Rate Amount Qty 400 400 1 750 750 1 8.1 .27 30 55.8 .93 60 21.3 .71 30 400 400 1 3.2 .64 5 750 750 1 26.55 26.55 1 400 400 1 Total: 2814.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421744 Min 01421744 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 11-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 11-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 11-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 6 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 23-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 12 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 16 25-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 17 25-FEB-19 X - RAY - SINGLE VIEW 18 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 25-FEB-19
Page 5397 of 6486
Name
URMILA VISHWAKARMA Rate Amount Qty 1300 1300 1 275 275 1 400 400 1 17.6 17.6 1 1300 1300 1 1750 1750 1 400 400 1 27.9 .93 30 167.4 5.58 30 55.2 .92 60 12 .4 30 9.3 .62 15 54 .6 90 33 1.1 30 400 400 1 1300 1300 1 330 330 1 550 550 1 400 400 1 Total: 8781.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421745 Min 01421745 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 5398 of 6486
Name
GUPTA RAMESH Rate Amount Qty 13.7 1.37 10 4.45 .89 5 400 400 1 Total: 418.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421746 Min 01421746 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 5399 of 6486
Name
KALPANA GUPTA Rate Amount Qty 20.06 20.06 1 26.7 .89 30 21.3 .71 30 29.7 .99 30 23.7 .79 30 66 1.1 60 34.8 1.16 30 27.9 .93 30 21.3 .71 30 12 .4 30 400 400 1 Total: 683.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421747 Min 01421747 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 QUETIAPINE FUMARATE,200MG,TABLET 3 19-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 OBSERVATION IN CASUALTY 9 26-FEB-19 ECG 10 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 11 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 26-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 13 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 26-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 15 26-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 5400 of 6486
Name
NAKUL Rate Amount Qty 76.5 2.55 30 400 400 1 47.12 5.89 8 21.12 2.64 8 7.5 .25 30 400 400 1 24.52 24.52 1 .93 .93 1 420 420 1 450 450 1 .16 .16 1 1.6 .16 10 .77 .77 1 55.8 .93 60 76.5 2.55 30 .25 .25 1 400 400 1 Total: 2382.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421748 Min 01421748 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5401 of 6486
Name
BHAGWANTIN BAI Rate Amount Qty 275 275 1 400 400 1 1300 1300 1 275 275 1 24 .4 60 27.9 .93 30 7.5 .25 30 400 400 1 Total: 2709.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421749 Min 01421749 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 08-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 08-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19 URIC ACID (UA /URATES /UR) 8 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 26-FEB-19 UREA (BUN /UR) 13 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 15 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 17 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 26-FEB-19 CREATININE /CRT 19 26-FEB-19
Page 5402 of 6486
P MANG RAJU Rate Amount Qty 63.22 31.61 2 25.62 12.81 2 11.1 .37 30 15 .75 20 400 400 1 50.14 25.07 2 400 400 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 275 275 1 26 2.6 10 18.9 .63 30 35.2 3.52 10 16.8 1.12 15 8.9 .89 10 275 275 1 Total: 4145.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421754 Min 01421754 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 02-FEB-19 PRAZOSIN,2.5MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 23-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 16 23-FEB-19 INHALANT,STRIP PACK,CAPSULE 17 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 23-FEB-19
Page 5403 of 6486
Name
BHAGAWANTIN BAI Rate Amount Qty 275 275 1 275 275 1 78 1.3 60 36 .6 60 17.4 1.16 15 400 400 1 55.8 .93 60 400 400 1 1.48 .37 4 3.04 .38 8 400 400 1 20.06 20.06 1 8.9 .89 10 6.4 .64 10 1.85 .37 5 66.2 6.62 10 17 1.7 10 400 400 1 Total: 2462.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421755 Min 01421755 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5404 of 6486
Name
NIRMAL SHUKLA Rate Amount Qty 2.4 .16 15 21.3 .71 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 487.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421756 Min 01421756 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 21-FEB-19
Page 5405 of 6486
Name
GEETA SHUKLA Rate Amount Qty 54 .9 60 104.4 1.74 60 100.71 100.71 1 26.7 .89 30 400 400 1 Total: 685.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421766 Min 01421766 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 5406 of 6486
Name
SHIMLA GUPTA Rate Amount Qty 18.6 .62 30 8.9 .89 10 400 400 1 Total: 427.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421772 Min 01421772 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 6 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 5407 of 6486
Name
VEENA NAG Rate Amount Qty 167.4 5.58 30 21.6 .36 60 72 .6 120 78 1.3 60 55.8 .93 60 43.96 43.96 1 7.5 .25 30 21.3 .71 30 400 400 1 Total: 867.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421774 Min 01421774 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 5 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 UREA (BUN /UR) 8 09-FEB-19 CREATININE /CRT 9 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 09-FEB-19
Page 5408 of 6486
Name
ALKA AGRAWAL Rate Amount Qty 7.5 .25 30 27.9 .93 30 18 .6 30 7.4 .37 20 26.96 3.37 8 19.72 9.86 2 400 400 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 Total: 3307.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421777 Min 01421777 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5409 of 6486
Name
MADAN LAL Rate Amount Qty 7.8 .26 30 6.9 .23 30 26.7 .89 30 54 .9 60 18 .6 30 400 400 1 Total: 513.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421778 Min 01421778 Appmt Dt Slno Description 07-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 07-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 07-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5410 of 6486
Name
JAGOTIN BAI Qty Rate Amount 10 1.37 13.7 30 6.19 185.7 4 5.21 20.84 1 400 400 Total: 620.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421781 Min 01421781 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 5 25-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 6 25-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 7 25-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5411 of 6486
Name
SHAMBHOO RAM Rate Amount Qty 16.85 3.37 5 19.72 9.86 2 185.7 6.19 30 7.4 .37 20 20.1 .67 30 17.6 17.6 1 37.04 37.04 1 20.55 1.37 15 400 400 1 7.5 .25 30 18 .6 30 400 400 1 Total: 1150.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421785 Min 01421785 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 5412 of 6486
Name
SUBODHA CHANDRA DASS Rate Amount Qty 55.8 .93 60 17.4 1.16 15 12 .4 30 33 1.1 30 36 .6 60 37.8 .63 60 400 400 1 Total: 592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421786 Min 01421786 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 01-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 3 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 4 01-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 5 01-FEB-19 OBSERVATION IN CASUALTY 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 8 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 04-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 11 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 14 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 17 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 15-FEB-19
Page 5413 of 6486
Name
ANIMA DAS Rate Amount Qty 185.7 6.19 30 17.4 .58 30 8.64 8.64 1 600 600 1 5.77 5.77 1 420 420 1 400 400 1 1750 1750 1 400 400 1 9.6 .64 15 10.95 .73 15 8.9 .89 10 400 400 1 26 2.6 10 4.45 .89 5 400 400 1 21.3 .71 30 400 400 1 Total: 5068.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421788 Min 01421788 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 X - RAY - SINGLE VIEW 5 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 11 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 11-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 11-FEB-19
Page 5414 of 6486
Name
SUKRITA BAI SAHU Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 400 400 1 550 550 1 275 275 1 47.4 .79 60 72 .6 120 29.7 .99 30 400 400 1 13 2.6 5 4.45 .89 5 400 400 1 8.9 .89 10 7.3 .73 10 26 2.6 10 400 400 1 Total: 4608.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421790 Min 01421790 Appmt Dt Slno Description 01-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 2 LEVETIRACETAM,500MG STRIP PACK,,TABLET 01-FEB-19 3 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5415 of 6486
Name
VANITA KUMAR Qty Rate Amount 3 .89 2.67 15 5.19 77.85 6 .41 2.46 1 400 400 Total: 482.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421795 Min 01421795 Appmt Dt Slno Description 09-FEB-19 1 OLANZEPINE,STRIP PKT,10MG,TABLET 09-FEB-19 2 NITRAZEPAM,10MG,TABLE,STRIP PACK. 09-FEB-19 3 ESCITALOPRAM,10MG,,TABLET 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5416 of 6486
Name
RAJENDRA KUMAR Qty Rate Amount 8 3.51 28.08 10 2.64 26.4 30 1.85 55.5 1 400 400 Total: 509.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421799 Min 01421799 Appmt Dt Slno Description 14-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5417 of 6486
Name
RAM RAJ Qty 1 1
Rate Amount 9.86 9.86 400 400 409.86 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421801 Min 01421801 Appmt Dt Slno Description 16-FEB-19 1 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5418 of 6486
Name
SHATRUGHAN LAL SAHU Qty Rate Amount 1 28.69 28.69 1 400 400 428.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421804 Min 01421804 Appmt Dt Slno Description 22-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 22-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5419 of 6486
Name
S K KHANDELWAL Qty Rate Amount 30 .25 7.5 30 1.16 34.8 60 .6 36 1 400 400 Total: 478.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421806 Min 01421806 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5420 of 6486
Name
NARAYAN PRASAD Rate Amount Qty 7.8 .26 30 12 .4 30 21.3 .71 30 21.3 .71 30 14.85 .99 15 11.4 .38 30 400 400 1 Total: 488.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421809 Min 01421809 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 22-FEB-19 ECG 2 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 22-FEB-19
Page 5421 of 6486
Name
DIPA DAS Qty 5 1 1
Rate Amount .8 .16 450 450 400 400 Total: 850.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421817 Min 01421817 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5422 of 6486
Name
SHANTA SUTAR Rate Amount Qty 8.1 .27 30 55.8 .93 60 21.3 .71 30 18 .6 30 400 400 1 Total: 503.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421820 Min 01421820 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5423 of 6486
Name
SUMAL ROY Rate Amount Qty 6.9 .23 30 55.8 .93 60 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421821 Min 01421821 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 16-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 16-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 5 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19
Page 5424 of 6486
Name
LIPI ROY Rate Amount Qty 20.84 5.21 4 26 2.6 10 185.7 6.19 30 400 400 1 57.84 57.84 1 7.4 .37 20 400 400 1 Total: 1097.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421824 Min 01421824 Appmt Dt Slno Description 25-FEB-19 1 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 25-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5425 of 6486
Name
RANGAPPA Qty Rate Amount 20 .73 14.6 7 .89 6.23 15 1.37 20.55 1 400 400 Total: 441.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421828 Min 01421828 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 PRAZOSIN,2.5MG,TABLET 4 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 5426 of 6486
Name
NAGIN BHAI PATEL Rate Amount Qty 14.85 .99 15 72 .6 120 156 1.3 120 156 1.3 120 334.8 5.58 60 55.8 .93 60 43.2 .36 120 400 400 1 Total: 1232.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421830 Min 01421830 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 13 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 14 20-FEB-19 URIC ACID (UA /URATES /UR) 15 20-FEB-19 COMPLETE HAEMOGRAM 16 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 20-FEB-19 UREA (BUN /UR) 20 20-FEB-19
Page 5427 of 6486
Name
ARVIND KUMAR KATIYAR Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 34.8 1.16 30 32.4 1.08 30 26.7 .89 30 211.8 3.53 60 14.85 .99 15 55.8 .93 60 36 .6 60 72.6 1.21 60 400 400 1 550 550 1 1300 1300 1 1300 1300 1 275 275 1 750 750 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 6538.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421831 Min 01421831 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 20-FEB-19 COMPLETE HAEMOGRAM 12 20-FEB-19
Page 5428 of 6486
Name
SMT.REKHA KATIYAR Rate Amount Qty 27.6 .92 30 18 .6 30 21.3 .71 30 7.5 .25 30 400 400 1 400 400 1 275 275 1 275 275 1 1300 1300 1 1300 1300 1 550 550 1 750 750 1 Total: 5324.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421834 Min 01421834 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 08-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 14-FEB-19 UREA (BUN /UR) 6 14-FEB-19 CREATININE /CRT 7 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 14-FEB-19
Page 5429 of 6486
Name
S SUMAN Rate Amount Qty 8.9 .89 10 61.4 6.14 10 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 2520.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421835 Min 01421835 Slno Description Appmt Dt LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 1 08-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 08-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 08-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 14-FEB-19 UREA (BUN /UR) 8 14-FEB-19 URIC ACID (UA /URATES /UR) 9 14-FEB-19 BLOOD FOR T-3,T-4,TSH 10 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 14-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 12 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 14-FEB-19 CREATININE /CRT 15 14-FEB-19
Page 5430 of 6486
Name
SHAKUNTALA DEVI Rate Amount Qty 17.37 17.37 1 26 2.6 10 47.85 3.19 15 18.6 .62 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 2400 2400 1 1300 1300 1 550 550 1 550 550 1 400 400 1 275 275 1 Total: 7084.82
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421836 Min 01421836 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 16-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 14 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 18 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 27-FEB-19 X - RAY - SINGLE VIEW 20 27-FEB-19
Page 5431 of 6486
AZIZ Rate Amount Qty 26 2.6 10 7.5 .25 30 17.4 1.16 15 76.5 2.55 30 16.2 .27 60 72 .6 120 32.4 .36 90 27.9 .93 30 400 400 1 185.7 6.19 30 7.5 .25 30 20.55 1.37 15 13.35 .89 15 20.84 5.21 4 400 400 1 18.2 2.6 7 6.23 .89 7 25.07 25.07 1 400 400 1 550 550 1 Total: 2323.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421837 Min 01421837 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 5432 of 6486
Name
ANEES QEASAR Rate Amount Qty 7.5 .25 30 21.6 .36 60 167.4 5.58 30 17.4 1.16 15 72 .6 120 27.9 .93 30 400 400 1 Total: 713.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421841 Min 01421841 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 19-FEB-19 ECG 2 19-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 19-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5433 of 6486
Name
CHANDA BAI Rate Amount Qty 420 420 1 450 450 1 9.62 9.62 1 3.7 .37 10 600 600 1 24.52 24.52 1 2.52 .42 6 400 400 1 Total: 1910.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421842 Min 01421842 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 04-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 6 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 5434 of 6486
Name
SUDHIR KUMAR GUHEY Rate Amount Qty 60.9 2.03 30 18.9 .63 30 21.3 .71 30 23.7 .79 30 400 400 1 100.71 100.71 1 156.6 1.74 90 54 .9 60 400 400 1 Total: 1236.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421850 Min 01421850 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 UREA (BUN /UR) 7 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 06-FEB-19 URIC ACID (UA /URATES /UR) 10 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 06-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 12 06-FEB-19 CREATININE /CRT 13 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 06-FEB-19
Page 5435 of 6486
Name
MARGRET JOSEPH Rate Amount Qty 26.7 .89 30 4.8 .16 30 32.4 1.08 30 33 1.1 30 26.7 .89 30 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 Total: 4148.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421851 Min 01421851 Appmt Dt Slno Description 19-FEB-19 1 METOPROLOL TARTRATE,50MG,,TABLET 19-FEB-19 2 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5436 of 6486
Name
GILBERT JOSEPH Qty Rate Amount 30 1.21 36.3 30 1.08 32.4 30 .93 27.9 1 400 400 Total: 496.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421854 Min 01421854 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 5437 of 6486
Name
SUSAMMA THOMAS Rate Amount Qty 27.9 .93 30 167.4 5.58 30 34.8 1.16 30 36 .6 60 400 400 1 2.28 .38 6 3.84 .64 6 1.85 .37 5 400 400 1 Total: 1074.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421857 Min 01421857 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5438 of 6486
Name
RAMJI GAYAKWAD Rate Amount Qty 27.9 .93 30 72 .6 120 400 400 1 12.8 .64 20 106.8 .89 120 9 .9 10 1.6 .16 10 400 400 1 Total: 1030.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421866 Min 01421866 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 08-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 TAMOXIFEN CITRATE,10 MG STRIP PKT,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 5439 of 6486
Name
KASHI DEVI SINGH Rate Amount Qty 29.7 .99 30 105.9 3.53 30 55.8 .93 60 400 400 1 26.7 .89 30 159.6 1.33 120 400 400 1 Total: 1177.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421868 Min 01421868 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 BLOOD FOR T-3,T-4,TSH 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 CREATININE /CRT 5 04-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 COMPLETE HAEMOGRAM 8 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 04-FEB-19
Page 5440 of 6486
Name
ANUPAMA JHA Qty 1 1 1 1 1 1 1 1 1
Rate Amount 400 400 275 275 2400 2400 275 275 275 275 1300 1300 1300 1300 750 750 275 275 Total: 7250
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421871 Min 01421871 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 5441 of 6486
Name
APARNA BANERJEE Rate Amount Qty 6.3 .63 10 13.7 1.37 10 400 400 1 Total: 420
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421874 Min 01421874 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 5442 of 6486
Name
HEMANT KUMAR GUPTA Rate Amount Qty 16.2 .36 45 18 .6 30 400 400 1 Total: 434.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421875 Min 01421875 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 5443 of 6486
Name
PRATIMA GUPTA Rate Amount Qty 27.9 .93 30 9 .6 15 400 400 1 Total: 436.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421880 Min 01421880 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5444 of 6486
Name
JAWAHAR LAL SHARMA Rate Amount Qty 55.8 .93 60 8.1 .27 30 17.4 1.16 15 36 .6 60 400 400 1 Total: 517.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421881 Min 01421881 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5445 of 6486
Name
INDU SHARMA Rate Amount Qty 27.9 .62 45 66 1.1 60 79.2 2.64 30 55.8 .93 60 105.9 3.53 30 400 400 1 33.12 1.84 18 400 400 1 Total: 1167.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421882 Min 01421882 Appmt Dt Slno Description 20-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 20-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5446 of 6486
Name
CHANDAN BISWAS Qty Rate Amount 30 .4 12 30 1.16 34.8 30 .93 27.9 1 400 400 Total: 474.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421890 Min 01421890 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 7 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 20-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 5447 of 6486
Name
KOMAL PRASAD SHUKLA Rate Amount Qty 5 .25 20 4.1 .41 10 12.6 .63 20 400 400 1 3.7 .37 10 400 400 1 66.2 6.62 10 6.4 .64 10 8.9 .89 10 3.7 .37 10 18 .9 20 400 400 1 Total: 1328.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421892 Min 01421892 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5448 of 6486
Name
YOMAN SINGH SAHU Rate Amount Qty 34.8 1.16 30 55.8 .93 60 12 .4 30 9 .3 30 400 400 1 Total: 511.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421896 Min 01421896 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5449 of 6486
Name
VIJAY KUMAR Rate Amount Qty 34.8 1.16 30 53.4 .89 60 7.5 .25 30 27.9 .93 30 400 400 1 Total: 523.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421897 Min 01421897 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 3 07-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19 URINE ROUTINE AND MICROSCOPIC 10 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19
Page 5450 of 6486
Name
PRABHA BAI Rate Amount Qty 43.96 43.96 1 17.8 .89 20 31.4 3.14 10 247.6 6.19 40 25.2 .63 40 400 400 1 8.1 .27 30 33 1.1 30 400 400 1 380 380 1 400 400 1 Total: 1987.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421898 Min 01421898 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 5451 of 6486
Name
PRAVEEN B DEOGHARE Rate Amount Qty 45 .6 75 21.3 .71 30 12 .4 30 23.7 .79 30 33 1.1 30 400 400 1 Total: 535
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421901 Min 01421901 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 21-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 6 21-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 21-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 5452 of 6486
Name
NIRMALA CHANDRAKAR Rate Amount Qty 185.7 6.19 30 7.5 .25 30 8.9 .89 10 13.7 1.37 10 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 20.84 5.21 4 400 400 1 Total: 704.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421908 Min 01421908 Slno Description Appmt Dt ALENDRONATE SODIUM,USP,70MG,,TABLET 1 01-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 01-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 01-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 4 01-FEB-19 DEFLAZACORT 6MG,,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 5453 of 6486
Name
N S TANWAR Rate Amount Qty 48.76 12.19 4 21.3 .71 30 27.9 .93 30 83.4 2.78 30 83.1 2.77 30 26.7 .89 30 400 400 1 Total: 691.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421913 Min 01421913 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 07-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 3 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5454 of 6486
Name
NANDPURI GOSWAMI Rate Amount Qty 13.95 .93 15 34.8 1.16 30 123.53 123.53 1 24 .4 60 32.4 1.08 30 400 400 1 Total: 628.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421915 Min 01421915 Slno Description Appmt Dt CREATININE /CRT 1 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 21-FEB-19 HB,TLC,DLC 4 21-FEB-19 PLATELET COUNT 5 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 26-FEB-19 ECG 9 26-FEB-19
Page 5455 of 6486
Name
KIRAN AGRAWAL Qty 1 1 1 1 1 1 1 1 1
Rate Amount 275 275 1300 1300 400 400 300 300 330 330 275 275 275 275 400 400 450 450 Total: 4005
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421923 Min 01421923 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5456 of 6486
Name
DANI RAM Rate Amount Qty 21.6 .36 60 72 .6 120 7.5 .25 30 21.3 .71 30 400 400 1 Total: 522.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421924 Min 01421924 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 5457 of 6486
Name
DEVKI BAI Rate Amount Qty 27.6 .92 30 7.5 .25 30 36 .6 60 23.7 .79 30 400 400 1 Total: 494.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421929 Min 01421929 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 CREATININE /CRT 4 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 04-FEB-19
Page 5458 of 6486
Name
J L SAHU Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 1.6 .16 10 Total: 3076.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421931 Min 01421931 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5459 of 6486
Name
DINESH KUMAR PANDYA Rate Amount Qty 117 1.3 90 21.3 .71 30 27.9 .93 30 36 .6 60 21.6 .36 60 400 400 1 Total: 623.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421932 Min 01421932 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 11 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 22-FEB-19
Page 5460 of 6486
Name
VARSHA PANDYA Rate Amount Qty 72 .6 120 27.9 .93 30 1.6 .16 10 21.3 .71 30 4.5 .3 15 400 400 1 19.2 .64 30 26 2.6 10 26.7 .89 30 7.5 .25 30 185.7 6.19 30 400 400 1 Total: 1192.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421936 Min 01421936 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 21-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 5461 of 6486
Name
NANDU RAMTEKE Rate Amount Qty 18 .6 30 9 .3 30 34.8 1.16 30 16.2 .27 60 55.8 .93 60 72.6 1.21 60 400 400 1 Total: 606.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421940 Min 01421940 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5462 of 6486
PUNA RAM Rate Amount Qty 50.14 25.07 2 66 1.1 60 400 400 1 44.16 1.84 24 7.68 .64 12 4.8 .6 8 400 400 1 Total: 972.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421941 Min 01421941 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5463 of 6486
Name
RAJ KUMARI Rate Amount Qty 26.6 2.66 10 6.4 .64 10 7.5 .25 30 1.85 .37 5 2.5 .25 10 13.35 .89 15 20.55 1.37 15 400 400 1 Total: 478.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421942 Min 01421942 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 05-FEB-19 HISTOPATHOLOGY BIOPSY- SMALL SPECIMEN AN 5 05-FEB-19 GUM ASTRINGENT PAINT 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 13-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 9 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 16 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 18 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 22-FEB-19
Page 5464 of 6486
Name
D C MANDAL Rate Amount Qty 3.84 .64 6 55.2 1.84 30 400 400 1 4.62 .77 6 1250 1250 1 31.54 31.54 1 400 400 1 400 400 1 550 550 1 16.2 .27 60 29.7 .99 30 55.8 .93 60 7.5 .25 30 400 400 1 54 .6 90 60.9 2.03 30 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 4308
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421944 Min 01421944 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 13-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 13-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 5465 of 6486
Name
POONAM SINGH Rate Amount Qty 13.48 3.37 4 63.58 63.58 1 9.86 9.86 1 400 400 1 3.75 .25 15 4.45 .89 5 13.7 1.37 10 400 400 1 Total: 908.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421945 Min 01421945 Slno Description Appmt Dt NITRAZEPAM,10MG,TABLE,STRIP PACK. 1 26-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 26-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 3 26-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 4 26-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5466 of 6486
Name
DEVENDRA KUMAR MISHRA Rate Amount Qty 26.4 2.64 10 292.5 3.9 75 161.1 5.37 30 41.1 1.37 30 15.3 .51 30 400 400 1 Total: 936.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421948 Min 01421948 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 9 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 21-FEB-19
Page 5467 of 6486
Name
TILOTMA CHATURVEDI Rate Amount Qty 16.2 .27 60 34.8 1.16 30 167.4 5.58 30 12 .4 30 26.7 .89 30 72 .6 120 55.8 .93 60 76.5 2.55 30 21.3 .71 30 400 400 1 Total: 882.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421951 Min 01421951 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 01-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19
Page 5468 of 6486
Name
TULA RAM Rate Amount Qty 7.4 .37 20 11.25 .75 15 275 275 1 275 275 1 25.62 12.81 2 1300 1300 1 63.22 31.61 2 400 400 1 13.8 .23 60 29.7 .99 30 72 .6 120 55.8 .93 60 400 400 1 Total: 2928.79
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421957 Min 01421957 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 23-FEB-19
Page 5469 of 6486
Name
RAJKUMAR CHOUBEY Rate Amount Qty 26.7 .89 30 2.4 .16 15 7.5 .25 30 55.8 .93 60 60.9 2.03 30 12 .4 30 34.8 1.16 30 36 .6 60 9 .3 30 400 400 1 Total: 645.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421958 Min 01421958 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 23-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 5470 of 6486
Name
SUNITA Rate Amount Qty 7.5 .25 30 26.7 .89 30 26 2.6 10 21.3 .71 30 36 .6 60 400 400 1 Total: 517.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421959 Min 01421959 Appmt Dt Slno Description 08-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 08-FEB-19 2 X - RAY - SINGLE VIEW
Page 5471 of 6486
Name
MEHTARU RAM SAHU Qty Rate Amount 1 400 400 1 550 550 950 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421960 Min 01421960 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 26-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 6 26-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 5472 of 6486
Name
RUKHMANI BAI SAHU Rate Amount Qty 86.4 1.44 60 7.65 .51 15 23.7 .79 30 26.7 .89 30 34.8 1.16 30 157.8 2.63 60 30.6 .34 90 12 .4 30 32.4 1.08 30 400 400 1 Total: 812.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421970 Min 01421970 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 5473 of 6486
Name
VARSHA GODESHWAR Rate Amount Qty 55.8 .93 60 29.7 .99 30 8.1 .27 30 10.65 .71 15 34.8 1.16 30 37.8 .36 105 18 .6 30 20.06 20.06 1 400 400 1 Total: 614.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421973 Min 01421973 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5474 of 6486
Name
P S THAKUR Rate Amount Qty 41.85 .93 45 17.37 17.37 1 33 1.1 30 34.8 1.16 30 12 .4 30 8.1 .27 30 29.7 .99 30 400 400 1 Total: 576.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421974 Min 01421974 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 25-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5475 of 6486
Name
PURNIMA THAKUR Rate Amount Qty 32.4 1.08 30 27.9 .62 45 7.5 .25 30 1.85 .37 5 2.28 .38 6 3.84 .64 6 34.8 1.16 30 400 400 1 Total: 510.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421975 Min 01421975 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 18-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 9 18-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 14 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 21-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 16 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 21-FEB-19
Page 5476 of 6486
Name
SHAKEEL AHMED Rate Amount Qty 860 860 1 400 400 1 6.4 .64 10 26 2.6 10 2.5 .25 10 400 400 1 .48 .16 3 8.9 .89 10 2.5 .25 10 4.2 .42 10 5.5 1.1 5 400 400 1 .8 .16 5 9.9 .99 10 5.4 .27 20 5 .25 20 400 400 1 Total: 2537.58
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01421976 Min 01421976 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 04-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 6 04-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 17-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 12 17-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 17-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 18-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 17 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 20 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 21 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 21-FEB-19
Page 5477 of 6486
MAHALKA BEGUM Rate Amount Qty 45.44 45.44 1 6.4 .64 10 1.85 .37 5 11.1 .37 30 15.73 15.73 1 31.61 31.61 1 25.62 12.81 2 8.9 .89 10 13.4 .67 20 400 400 1 6.4 .64 10 66.2 6.62 10 1.85 .37 5 400 400 1 20.06 20.06 1 6.4 .64 10 2.5 .25 10 400 400 1 3.84 .64 6 21.12 3.52 6 10.08 1.12 9 5.34 .89 6 400 400 1 Total: 1903.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421984 Min 01421984 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5478 of 6486
Name
PRAVIR KUMAR GHOSH Rate Amount Qty 12 .4 30 8.1 .27 30 34.8 1.16 30 7.5 .25 30 4.8 .16 30 26.7 .89 30 400 400 1 Total: 493.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421986 Min 01421986 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5479 of 6486
Name
MADHURIMA S.MASIH Rate Amount Qty 27.9 .93 30 36 .6 60 37.8 .63 60 21.3 .71 30 25.2 .42 60 400 400 1 Total: 548.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421990 Min 01421990 Slno Description Appmt Dt WARFARIN SODIUM,STRIP PKT,5MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 15-FEB-19 CREATININE /CRT 11 15-FEB-19 URIC ACID (UA /URATES /UR) 12 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 13 15-FEB-19
Page 5480 of 6486
Name
SATISH KUMAR SHARMA Rate Amount Qty 107.5 2.15 50 15 .25 60 400 400 1 27.6 .92 30 36 .6 60 21.3 .71 30 400 400 1 275 275 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 Total: 3807.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421991 Min 01421991 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 5481 of 6486
Name
R N CHANDRAKAR Rate Amount Qty 2.22 .37 6 21.3 .71 30 8.1 .27 30 27.9 .93 30 55.8 .93 60 18 .6 30 400 400 1 Total: 533.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421995 Min 01421995 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 21-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 21-FEB-19 OBSERVATION IN CASUALTY 3 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 22-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 22-FEB-19 CREATININE /CRT 6 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 22-FEB-19 UREA (BUN /UR) 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 11 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 ALBENDAZOLE,STRIP PKT,400MG,TABLET 14 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 23-FEB-19
Page 5482 of 6486
Name
RAJESH KUMAR PANDEY Rate Amount Qty .16 .16 1 600 600 1 420 420 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 8.9 .89 10 5 .25 20 275 275 1 400 400 1 4.66 2.33 2 400 400 1 Total: 5188.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01421999 Min 01421999 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 5483 of 6486
Name
KESU RAM URVASHA Rate Amount Qty 43.2 .36 120 21.3 .71 30 167.4 5.58 30 54 .6 90 14.85 .99 15 55.8 .93 60 400 400 1 Total: 756.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422001 Min 01422001 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5484 of 6486
Name
VIJAY KUMAR SINGH Rate Amount Qty 12 .4 30 10.8 .36 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 513.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422002 Min 01422002 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5485 of 6486
Name
RAMESHWARI SINGH Rate Amount Qty 4.1 .41 10 8.9 .89 10 92.85 6.19 15 400 400 1 6.4 .64 10 185.7 6.19 30 400 400 1 Total: 1097.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422003 Min 01422003 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5486 of 6486
Name
PRABHA SAHU Rate Amount Qty 55.8 .93 60 72.6 1.21 60 21.3 .71 30 14.85 .99 15 36 .6 60 21.6 .36 60 400 400 1 Total: 622.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422004 Min 01422004 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5487 of 6486
VINOD KUMAR SWARNKAR Rate Amount Qty 9 .3 30 18 .6 30 38.25 2.55 15 17.4 1.16 15 400 400 1 3.84 .64 6 25.07 25.07 1 11.4 .38 30 2.67 .89 3 6.72 1.12 6 33.12 1.84 18 400 400 1 Total: 965.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422005 Min 01422005 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 20-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 5488 of 6486
Name
ASHA KIRAN Rate Amount Qty 27.9 .93 30 14.85 .99 15 8.1 .27 30 400 400 1 301.8 5.03 60 8.9 .89 10 26 2.6 10 400 400 1 Total: 1187.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422006 Min 01422006 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 5489 of 6486
Name
YUWRAJ SINGH Rate Amount Qty 27.9 .93 30 2.22 .37 6 21.3 .71 30 32.4 1.08 30 4.2 .42 10 26.6 2.66 10 3.84 .64 6 400 400 1 Total: 518.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422007 Min 01422007 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 5490 of 6486
Name
KUMARI THAKUR Rate Amount Qty 27.9 .93 30 8.1 .27 30 12 .4 30 21.3 .71 30 2.22 .37 6 26.6 2.66 10 6.4 .64 10 3.8 .38 10 18 .6 30 400 400 1 44.16 1.84 24 8.96 1.12 8 7.68 .64 12 3.56 .89 4 5.84 .73 8 400 400 1 21.3 .71 30 12 .4 30 8.1 .27 30 27.9 .93 30 18 .6 30 400 400 1 Total: 1483.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422008 Min 01422008 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 5491 of 6486
Name
ROBY DAVID Rate Amount Qty 34.8 1.16 30 37.8 .63 60 39 1.3 30 118.5 3.95 30 21.6 .36 60 60.9 2.03 30 12 .4 30 36 .6 60 400 400 1 Total: 760.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422014 Min 01422014 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 16-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 5492 of 6486
Name
NARENDRA KUMAR Rate Amount Qty 43.96 131.88 3 26.7 .89 30 60.18 20.06 3 400 400 1 7.5 .25 30 27.9 .93 30 26.6 2.66 10 1.85 .37 5 6.4 .64 10 400 400 1 Total: 1089.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422016 Min 01422016 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 5493 of 6486
Name
SUBHASH AGLAWE Rate Amount Qty 11.4 .38 30 26.7 .89 30 6.9 .23 30 33 1.1 30 400 400 1 Total: 478
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422017 Min 01422017 Appmt Dt Slno Description 05-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 05-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 05-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5494 of 6486
Name
SANGEETA S AGLAWE Qty Rate Amount 20 6.19 123.8 20 .89 17.8 20 1.37 27.4 1 400 400 Total: 569
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422018 Min 01422018 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 27-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 5495 of 6486
Name
DEWAL DAU Rate Amount Qty 34.8 1.16 30 27.6 .92 30 16.2 .27 60 11.85 .79 15 400 400 1 Total: 490.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422020 Min 01422020 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 20-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 5496 of 6486
Name
JAGANNATH BANCHHORE Rate Amount Qty 18.41 147.28 8 18.2 2.6 7 6.23 .89 7 400 400 1 55.8 .93 60 12 .4 30 11.4 .38 30 32.4 1.08 30 23.1 .77 30 34.8 1.16 30 400 400 1 Total: 1141.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422021 Min 01422021 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 11-FEB-19 X - RAY - TWO VIEWS 2 11-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 5497 of 6486
Name
SMT. JANKI BANCHHORE Rate Amount Qty 400 400 1 860 860 1 1750 1750 1 26 2.6 10 26.7 .89 30 6.23 .89 7 18.2 2.6 7 400 400 1 Total: 3487.13
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422023 Min 01422023 Appmt Dt Slno Description 27-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 27-FEB-19 2 LORNOXICAM 8 MG,STRIP PACK,,TABLET 27-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5498 of 6486
Name
RUKMANI BAI Qty Rate Amount 30 .89 26.7 30 1.37 41.1 30 6.19 185.7 1 400 400 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422024 Min 01422024 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 12-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 15-FEB-19
Page 5499 of 6486
Name
P RAJARAO Rate Amount Qty 9.9 .66 15 7.8 .26 30 33 1.1 30 27.9 .93 30 3.75 .25 15 5.7 .38 15 34.8 1.16 30 35.1 .78 45 66.2 6.62 10 400 400 1 12 .4 30 400 400 1 Total: 1036.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422026 Min 01422026 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 5500 of 6486
Name
BRIJ BIHARI SINGH Rate Amount Qty 7.5 .25 30 21.3 .71 30 156 1.3 120 167.4 5.58 30 54 .6 90 400 400 1 Total: 806.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422027 Min 01422027 Appmt Dt Slno Description 21-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5501 of 6486
Name
MALTI SINGH Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422028 Min 01422028 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 08-FEB-19 UREA (BUN /UR) 2 08-FEB-19 URIC ACID (UA /URATES /UR) 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 11-FEB-19
Page 5502 of 6486
Name
RAMNATH SAHU Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 167.4 5.58 30 21.3 .71 30 7.5 .25 30 2.4 .16 15 9 .3 30 36 .6 60 39 1.3 30 27.9 .93 30 400 400 1 Total: 2210.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422029 Min 01422029 Appmt Dt Slno Description 27-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 27-FEB-19 2 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 27-FEB-19 3 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 27-FEB-19 4 UREA (BUN /UR)
Page 5503 of 6486
Name
NIRMALA SAHU Qty 1 1 1 1
Rate Amount 400 400 275 275 275 275 275 275 Total: 1225
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422033 Min 01422033 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 06-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5504 of 6486
Name
SURUJ DEVI VERMA Rate Amount Qty 400 400 1 275 275 1 275 275 1 18.4 .92 20 400 400 1 Total: 1368.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422035 Min 01422035 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5505 of 6486
Name
BINA THAKUR Qty Rate Amount 30 .93 27.9 15 1.16 17.4 15 1.1 16.5 1 400 400 Total: 461.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422039 Min 01422039 Appmt Dt Slno Description 07-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 07-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 07-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5506 of 6486
Name
SUNIL KUMAR PURI Qty Rate Amount 30 .27 8.1 30 .71 21.3 30 .89 26.7 1 400 400 Total: 456.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422040 Min 01422040 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 5507 of 6486
Name
NEELAM PURI Rate Amount Qty 10.42 5.21 2 26.7 .89 30 21.3 .71 30 6.4 .64 10 2.4 .16 15 66 1.1 60 400 400 1 Total: 533.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422042 Min 01422042 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5508 of 6486
Name
VINITA MARTIN Rate Amount Qty 7.5 .25 30 27.9 .93 30 54 .6 90 21.3 .71 30 32.4 .36 90 400 400 1 Total: 543.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422043 Min 01422043 Appmt Dt Slno Description 27-FEB-19 1 WARFARIN SODIUM,STRIP PKT,5MG,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5509 of 6486
Name
SUKHIT RAM Qty Rate Amount 30 2.15 64.5 1 400 400 464.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422045 Min 01422045 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 06-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 06-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12 19-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 13 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19
Page 5510 of 6486
Name
SHAILENDRA KUMAR KULSHRESHTHA Rate Amount Qty 21.6 .36 60 90 .6 150 9 .3 30 7.5 .25 30 21.3 .71 30 12 .4 30 7.65 .51 15 156 1.3 120 167.4 5.58 30 8.1 .27 30 400 400 1 25.62 12.81 2 31.61 31.61 1 11.1 .37 30 400 400 1 Total: 1368.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422046 Min 01422046 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 06-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 5511 of 6486
Name
KUMKUM KULSHRESHTHA Rate Amount Qty 32.4 1.08 30 76.5 2.55 30 7.5 .25 30 16.2 .27 60 15.3 .51 30 45 .6 75 55.8 .93 60 400 400 1 Total: 648.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422047 Min 01422047 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 18-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 10 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 27-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 16 27-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 5512 of 6486
Name
GHANSHYAM PRASAD Rate Amount Qty 6.4 .64 10 123.8 6.19 20 6.6 .66 10 400 400 1 6.4 .64 10 7.5 .25 30 185.7 6.19 30 400 400 1 9.6 .64 15 6.6 .66 10 16.2 .27 60 26.7 .89 30 1.48 .37 4 400 400 1 19.18 1.37 14 6.82 6.82 1 41.06 41.06 1 400 400 1 Total: 2064.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422048 Min 01422048 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 22-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 2 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 5513 of 6486
Name
MINESHWARI DEVI Rate Amount Qty 8.9 .89 10 26.55 26.55 1 3.2 .64 5 1.85 .37 5 36.8 1.84 20 400 400 1 Total: 477.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422049 Min 01422049 Appmt Dt Slno Description 25-FEB-19 1 RAMIPRIL,5MG,STRIP PACK.,TABLET 25-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 25-FEB-19 3 GLICLAZIDE MR,30 MG,,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5514 of 6486
Name
VIJAY KUMAR SAHU Qty Rate Amount 30 .79 23.7 60 .6 36 30 .92 27.6 1 400 400 Total: 487.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422050 Min 01422050 Appmt Dt Slno Description 26-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 26-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5515 of 6486
Name
BHAVNIDHI SAHU Qty Rate Amount 30 .25 7.5 30 .38 11.4 120 .62 74.4 1 400 400 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422058 Min 01422058 Appmt Dt Slno Description 21-FEB-19 1 SALBUTAMOL,2MG,STRIP PACK,,TABLET 21-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21-FEB-19 3 ASCORBIC ACID,STRIP PKT,100MG,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5516 of 6486
Name
SARITA PRASAD Qty Rate Amount 15 .18 2.7 5 .37 1.85 10 .38 3.8 1 400 400 Total: 408.35
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422063 Min 01422063 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 6 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 5517 of 6486
RAJESH BECK Rate Amount Qty 400 400 1 6.4 .64 10 7.4 .37 20 17.8 .89 20 47.19 15.73 3 52 2.6 20 27.9 .93 30 18.6 .62 30 18.9 .63 30 400 400 1 Total: 996.19
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422064 Min 01422064 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5518 of 6486
Name
SILBIA BECK Rate Amount Qty 14.85 .99 15 55.8 .93 60 400 400 1 Total: 470.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422069 Min 01422069 Slno Description Appmt Dt CREATININE /CRT 1 26-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 26-FEB-19 URIC ACID (UA /URATES /UR) 4 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 26-FEB-19
Page 5519 of 6486
Name
RAJESHWAR RAO Qty 1 1 1 1 1 1 1
Rate Amount 275 275 550 550 1300 1300 275 275 400 400 275 275 275 275 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422072 Min 01422072 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 5520 of 6486
Name
USHA SHARMA Rate Amount Qty 36 .6 60 34.8 1.16 30 14.85 .99 15 27.9 .93 30 167.4 5.58 30 10.8 .36 30 400 400 1 34.8 1.16 30 10.8 .36 30 36 .6 60 167.4 5.58 30 27.9 .93 30 14.85 .99 15 400 400 1 Total: 1383.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422073 Min 01422073 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 12-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 RIFAXIMIN 200 MG,,TABLET 13 18-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 28-FEB-19 COLONOSCOPY DIAGNOSTIC 18 28-FEB-19
Page 5521 of 6486
Name
DR MRS V MOTGHARE Rate Amount Qty 39 1.3 30 13.35 .89 15 21.3 .71 30 167.4 5.58 30 21.6 .36 60 54 .6 90 400 400 1 39 1.3 30 34.8 1.16 30 27.6 .92 30 72 .6 120 400 400 1 9.33 195.93 21 7 .7 10 26.7 .89 30 400 400 1 400 400 1 3230 3230 1 Total: 5549.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422074 Min 01422074 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5522 of 6486
Name
DR. CB MOTGHARE Rate Amount Qty 39 1.3 30 13.35 .89 15 55.8 .93 60 12 .4 30 400 400 1 Total: 520.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422075 Min 01422075 Appmt Dt Slno Description 26-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5523 of 6486
Name
CHUMMANLAL VERMA Qty Rate Amount 30 2.55 76.5 1 400 400 476.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422076 Min 01422076 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5524 of 6486
Name
SAVITA BAI VERMA Rate Amount Qty 21.3 .71 30 27.9 .93 30 8.1 .27 30 29.7 .99 30 400 400 1 Total: 487
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422077 Min 01422077 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 06-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 2 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19
Page 5525 of 6486
Name
BHARAT WADALKAR Rate Amount Qty 1300 1300 1 1300 1300 1 275 275 1 275 275 1 400 400 1 Total: 3550
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422078 Min 01422078 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 06-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 06-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 12 12-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 13 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 16 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 12-FEB-19
Page 5526 of 6486
Name
SHUBHANGI Rate Amount Qty 1.85 .37 5 2.56 .64 4 400 400 1 275 275 1 275 275 1 1300 1300 1 1300 1300 1 2.28 .38 6 13.95 .93 15 8.9 .89 10 18 .6 30 39 1.3 30 17.6 17.6 1 6.4 .64 10 21.3 .71 30 33 1.1 30 400 400 1 Total: 4114.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422079 Min 01422079 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 5527 of 6486
Name
SHATRUGHAN LAL SONWANY Rate Amount Qty 21.3 .71 30 27.9 .93 30 10.8 .36 30 36 .6 60 11.1 .37 30 400 400 1 Total: 507.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422080 Min 01422080 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 5528 of 6486
Name
KAUSHILYA BAI Rate Amount Qty 27.9 .93 30 21.3 .71 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422081 Min 01422081 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 27-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 10 27-FEB-19
Page 5529 of 6486
Name
RAMESH PRASAD VISHWAKARMA Rate Amount Qty 6.15 .41 15 13.35 .89 15 95.7 3.19 30 400 400 1 1300 1300 1 275 275 1 400 400 1 275 275 1 400 400 1 550 550 1 Total: 3715.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422082 Min 01422082 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 04-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 2 04-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 04-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 5 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 12-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19 X - RAY - TWO VIEWS 11 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 25-FEB-19
Page 5530 of 6486
Name
LAKSHMI VISHWAKARMA Rate Amount Qty 100.71 100.71 1 28.69 28.69 1 20.22 3.37 6 104.4 1.74 60 19.72 9.86 2 7.4 .37 20 400 400 1 8.9 .89 10 4.1 .41 10 400 400 1 860 860 1 400 400 1 Total: 2354.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422083 Min 01422083 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5531 of 6486
Name
VINOD DEOGHARE Rate Amount Qty 10.8 .36 30 24 .4 60 21.3 .71 30 47.4 .79 60 400 400 1 Total: 503.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422091 Min 01422091 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 PRAZOSIN,2.5MG,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5532 of 6486
Name
MANOHAR DONGRE Rate Amount Qty 18 .6 30 39 1.3 30 78 1.3 60 55.8 .93 60 400 400 1 Total: 590.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422092 Min 01422092 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 26-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19 CIPROFLOXACIN,200MG/100ML,INJECTION 4 27-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 5 27-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 27-FEB-19 OBSERVATION IN CASUALTY 7 27-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 8 27-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 9 27-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 10 27-FEB-19 ONDANSETRON,2MG/ML,INJECTION 11 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 13 28-FEB-19 RACECADOTRIL,100MG,CAPSULE 14 28-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 15 28-FEB-19 RIFAXIMIN 200 MG,,TABLET 16 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 5533 of 6486
Name
NEETU DONGRE Rate Amount Qty 6.72 1.12 6 9.36 2.34 4 400 400 1 16.1 16.1 1 24.52 24.52 1 11.89 11.89 1 420 420 1 22.71 22.71 1 600 600 1 9.81 9.81 1 7.52 7.52 1 8.9 .89 10 16.8 1.12 15 59.7 5.97 10 10.5 .7 15 93.3 9.33 10 66.2 6.62 10 400 400 1 Total: 2184.03
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422094 Min 01422094 Appmt Dt Slno Description 04-FEB-19 1 RANITIDINE HCL,STRIP PKT,150MG,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5534 of 6486
Name
GS SAHAI Qty Rate Amount 20 .77 15.4 1 400 400 415.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422096 Min 01422096 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 5535 of 6486
Name
SUBHASH CHAND Rate Amount Qty 26.6 2.66 10 1.85 .37 5 167.4 5.58 30 23.1 .77 30 39 1.3 30 34.8 1.16 30 12 .4 30 72 .6 120 21.6 .36 60 400 400 1 4.45 .89 5 400 400 1 Total: 1202.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422097 Min 01422097 Appmt Dt Slno Description 11-FEB-19 1 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 11-FEB-19 2 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 11-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5536 of 6486
Name
PREETI KESHARWANI Qty Rate Amount 90 .78 70.2 180 2.1 378 30 .38 11.4 1 400 400 Total: 859.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422100 Min 01422100 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 5537 of 6486
Name
RUPENDRA KUMAR Rate Amount Qty 29.7 .99 30 12 .4 30 55.8 .93 60 66 1.1 60 82.8 .92 90 167.4 5.58 30 72 .6 120 34.8 1.16 30 400 400 1 Total: 920.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422102 Min 01422102 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 5538 of 6486
Name
KALAM KHAN Rate Amount Qty 47.4 .79 60 22.2 .37 60 400 400 1 Total: 469.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422103 Min 01422103 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 5539 of 6486
Name
SAHIDA BEGAM Rate Amount Qty 17.4 1.16 15 18.9 .63 30 33 1.1 30 27.9 .93 30 7.7 .77 10 400 400 1 Total: 504.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422106 Min 01422106 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 19-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 5540 of 6486
Name
K K GUPTA Rate Amount Qty 36 .6 60 10.8 .36 30 150.9 5.03 30 21.3 .71 30 18.9 .63 30 400 400 1 10.8 .36 30 11.4 .38 30 21.3 .71 30 36 .6 60 18.9 .63 30 400 400 1 Total: 1136.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422107 Min 01422107 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 25-FEB-19
Page 5541 of 6486
Name
SUNITA GUPTA Rate Amount Qty 72 .6 120 21.3 .71 30 14.85 .99 15 27.9 .93 30 400 400 1 275 275 1 275 275 1 400 400 1 Total: 1486.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422108 Min 01422108 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 26-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 3 26-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5542 of 6486
Name
BALVINDER SINGH Rate Amount Qty 4.45 .89 5 4.1 .41 10 22 4.4 5 10.95 .73 15 400 400 1 Total: 441.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422112 Min 01422112 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 23-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 9 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 23-FEB-19
Page 5543 of 6486
Name
S K MAJUMDAR Rate Amount Qty 26.7 .89 30 18.9 .63 30 192.3 6.41 30 60.9 2.03 30 4.8 .16 30 21.3 .71 30 8.1 .27 30 27.9 .93 30 1750 1750 1 400 400 1 Total: 2510.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422114 Min 01422114 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5544 of 6486
Name
DR. R P SINGH Rate Amount Qty 55.8 .93 60 12.8 .64 20 35.2 3.52 10 60.9 2.03 30 8.1 .27 30 400 400 1 Total: 572.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422115 Min 01422115 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5545 of 6486
Name
KIRAN SINGH Rate Amount Qty 12.8 .64 20 41.06 41.06 1 7.4 .37 20 27.9 .93 30 26.7 .89 30 400 400 1 Total: 515.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422120 Min 01422120 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5546 of 6486
Name
JOHAR LAL JANGDE Rate Amount Qty 117 1.3 90 54 .6 90 10.8 .36 30 27.9 .93 30 400 400 1 Total: 609.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422124 Min 01422124 Appmt Dt Slno Description 02-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5547 of 6486
Name
RC SHARMA Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422127 Min 01422127 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 8 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 5548 of 6486
Name
LAKHWINDER KAUR Rate Amount Qty 40.12 20.06 2 8.9 .89 10 400 400 1 1750 1750 1 55.8 .93 60 13.7 1.37 10 8.9 .89 10 185.7 6.19 30 8.9 .89 10 8.1 .27 30 7.5 .25 30 1.6 .16 10 400 400 1 Total: 2889.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422131 Min 01422131 Appmt Dt Slno Description 11-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5549 of 6486
Name
KUMARI BAI Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422139 Min 01422139 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 06-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 06-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19
Page 5550 of 6486
SAVITRI SONI Rate Amount Qty 12 .4 30 32.4 1.08 30 23.7 .79 30 17.68 1.04 17 13.52 1.04 13 35.2 3.52 10 21.3 .71 30 15.73 15.73 1 400 400 1 Total: 571.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422142 Min 01422142 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 18-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 5551 of 6486
Name
JHAGAR LAL SAHU Rate Amount Qty 27.9 .93 30 15.4 .77 20 400 400 1 Total: 443.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422143 Min 01422143 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 18-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 9 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 18-FEB-19
Page 5552 of 6486
Name
UMA SAHU Rate Amount Qty 7.5 .25 30 92.85 6.19 15 26.7 .89 30 12 .4 30 14.85 .99 15 55.8 .93 60 6.9 .23 30 72 .6 120 12 .4 30 400 400 1 Total: 700.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422146 Min 01422146 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5553 of 6486
Name
JAIRAM Rate Amount Qty 18.6 .62 30 92.85 6.19 15 20.55 1.37 15 55.8 .93 60 400 400 1 Total: 587.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422148 Min 01422148 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 5554 of 6486
Name
PRAVEEN KUMAR GUPTA Rate Amount Qty 22.2 .37 60 6.4 .64 10 21.3 .71 30 55.8 .93 60 400 400 1 Total: 505.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422150 Min 01422150 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 5555 of 6486
Name
DEW SINGH SAHU Rate Amount Qty 8.1 .27 30 66 1.1 60 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422151 Min 01422151 Slno Description Appmt Dt GLIPIZIDE,STRIP PKT,5MG,TABLET 1 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5556 of 6486
Name
LOKESHWARI BAI Rate Amount Qty 24 .4 60 5.58 100.44 18 21.3 .71 30 66.96 5.58 12 36 .6 60 400 400 1 Total: 648.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422153 Min 01422153 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 22-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 28-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 9 28-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 10 28-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 5557 of 6486
Name
SANGEETA DEWANGAN Rate Amount Qty 18 .6 30 167.4 5.58 30 27.9 .93 30 21.3 .71 30 400 400 1 400 400 1 1750 1750 1 400 400 1 31.61 31.61 1 280 280 1 12.81 12.81 1 7.4 .37 20 400 400 1 Total: 3916.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422154 Min 01422154 Appmt Dt Slno Description 12-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5558 of 6486
Name
VK SHANKARA NARAYAN Qty Rate Amount 30 .89 26.7 30 .27 8.1 30 .71 21.3 1 400 400 Total: 456.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422155 Min 01422155 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 12-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 9 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 21-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19 CULTURE AND SENSITIVITY (C/S) - BLOOD 16 22-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 17 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 22-FEB-19 URINE ROUTINE AND MICROSCOPIC 19 22-FEB-19 PLATELET COUNT 20 22-FEB-19 HB,TLC,DLC 21 22-FEB-19
Page 5559 of 6486
Name
P.S. SUMATHY Rate Amount Qty 1.85 .37 5 3.84 .64 6 39 1.3 30 17.4 .58 30 55.8 .93 60 66 1.1 60 29.7 .99 30 21.3 .71 30 6.9 .23 30 18 .6 30 400 400 1 6.4 .64 10 8.9 .89 10 66.2 6.62 10 400 400 1 650 650 1 650 650 1 400 400 1 380 380 1 330 330 1 300 300 1 Total: 3851.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422156 Min 01422156 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 5560 of 6486
Name
ROOPRAM Rate Amount Qty 34.8 1.16 30 117 1.3 90 36 .6 60 29.7 .99 30 72.6 1.21 60 55.8 .93 60 16.2 .27 60 15.3 .51 30 400 400 1 Total: 777.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422158 Min 01422158 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 6 08-FEB-19
Page 5561 of 6486
Name
PS SURESH Rate Amount Qty 55.8 .93 60 8.1 .27 30 12 .4 30 400 400 1 400 400 1 1050 1050 1 Total: 1925.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422159 Min 01422159 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 06-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 5562 of 6486
Name
K R SHEELA Rate Amount Qty 117 1.3 90 167.4 5.58 30 21.3 .71 30 72 .6 120 400 400 1 Total: 777.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422160 Min 01422160 Appmt Dt Slno Description 15-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5563 of 6486
Name
JOHNSON SALDAN BARA Qty Rate Amount 30 2.03 60.9 30 .93 27.9 30 .63 18.9 1 400 400 Total: 507.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422161 Min 01422161 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 15-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19
Page 5564 of 6486
Name
NISHA JOHNSON S.BARA Rate Amount Qty 12 .4 30 34.8 1.16 30 7.5 .25 30 2.22 .37 6 21.6 .36 60 54 .6 90 15.96 2.66 6 27.9 .93 30 400 400 1 Total: 575.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422166 Min 01422166 Appmt Dt Slno Description 18-FEB-19 1 CEFEXIME,STRIP PKT,200MG,TABLET 18-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5565 of 6486
Name
NEELIMA DESAI Qty Rate Amount 10 6.62 66.2 15 .93 13.95 5 .37 1.85 1 400 400 Total: 482
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422167 Min 01422167 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 06-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 2 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 06-FEB-19 URIC ACID (UA /URATES /UR) 4 06-FEB-19 UREA (BUN /UR) 5 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 06-FEB-19
Page 5566 of 6486
Name
K C GOPINATH Qty 1 1 1 1 1 1 1
Rate Amount 275 275 1610 1610 400 400 275 275 275 275 1300 1300 275 275 Total: 4410
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422170 Min 01422170 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 11-FEB-19 OBSERVATION IN CASUALTY 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5567 of 6486
Name
ANJALI JOSHI Rate Amount Qty 40.12 20.06 2 420 420 1 .64 .64 1 8.9 .89 10 24.52 24.52 1 400 400 1 Total: 894.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422171 Min 01422171 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 15-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 5568 of 6486
Name
SHANKAR CHANDRA DEY Rate Amount Qty 1.48 .37 4 15.96 2.66 6 21.3 .71 30 8.1 .27 30 27.9 .93 30 3.84 .64 6 400 400 1 Total: 478.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422173 Min 01422173 Slno Description Appmt Dt CARVEDILOL,STRIP PACK,6.25MG,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 01-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 7 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 13 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 26-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 15 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 26-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 17 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 26-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 19 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 20 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 21 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 24 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 27-FEB-19
Page 5569 of 6486
Name
KV BHARATHAN Rate Amount Qty 42.6 .71 60 34.8 1.16 30 31.2 1.04 30 10.8 .36 30 9 .3 30 7.5 .25 30 43.2 1.44 30 72 .6 120 32.4 1.08 30 12 .4 30 23.7 .79 30 400 400 1 9 .3 30 72 .6 120 43.2 1.44 30 10.8 .36 30 31.2 1.04 30 34.8 1.16 30 42.6 .71 60 12 .4 30 23.7 .79 30 32.4 1.08 30 400 400 1 20.84 5.21 4 400 400 1 Total: 1851.74
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422174 Min 01422174 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5570 of 6486
K.V.INDIRA Rate Amount Qty 15.73 15.73 1 2.22 .37 6 26.6 2.66 10 6.4 .64 10 400 400 1 Total: 450.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422175 Min 01422175 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 5571 of 6486
Name
GIRISH KUMAR Rate Amount Qty 4.1 .41 10 4.45 .89 5 400 400 1 Total: 408.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422176 Min 01422176 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 T M T (TREAD MILL EXERCISE TEST) 2 02-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 11-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 11-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 10 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 21-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 13 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 21-FEB-19
Page 5572 of 6486
Name
KAVITA DUBEY Rate Amount Qty 400 400 1 3430 3430 1 12.15 12.15 1 35.2 3.52 10 55.8 .93 60 17.4 1.16 15 3.2 .16 20 6.4 .64 10 7.5 .25 30 18 .9 20 400 400 1 55.8 .93 60 153 2.55 60 400 400 1 Total: 4994.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422177 Min 01422177 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5573 of 6486
Name
BHUKHAU RAM THAKUR Rate Amount Qty 32.4 1.08 30 66 1.1 60 27.9 .93 30 21.3 .71 30 400 400 1 Total: 547.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422180 Min 01422180 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 5574 of 6486
Name
BHAGYA LATA MAHARANA Rate Amount Qty 1.85 .37 5 21.3 .71 30 6.9 .23 30 21.3 .71 30 400 400 1 Total: 451.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422183 Min 01422183 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 6 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 5575 of 6486
Name
VASUPALLY LAXMAN RAO Rate Amount Qty 60.9 2.03 30 7.5 .25 30 192.3 6.41 30 17.4 1.16 15 12 .4 30 30.6 .34 90 117 1.3 90 36 .6 60 43.2 .36 120 400 400 1 Total: 916.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422186 Min 01422186 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 16-FEB-19
Page 5576 of 6486
Name
ROSY KUMAR Rate Amount Qty 14.85 .99 15 7.5 .25 30 1.48 .37 4 21.3 .71 30 36 .6 60 55.8 .93 60 39 1.3 30 10.8 .36 30 400 400 1 10.8 .36 30 39 1.3 30 36 .6 60 27.9 .93 30 21.3 .71 30 400 400 1 Total: 1121.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422188 Min 01422188 Appmt Dt Slno Description 12-FEB-19 1 HYPERTONIC SALINE EYE DROPS, 5% W/V, 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5577 of 6486
Name
URMILA MARKAM Qty 1 1
Rate Amount 33.58 33.58 400 400 433.58 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422192 Min 01422192 Appmt Dt Slno Description 18-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 19-FEB-19 3 CONSULTATION IN OPD IN JLN H AND RC 19-FEB-19 4 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 5578 of 6486
Name
ANNAPURNA Qty Rate Amount 20 .89 17.8 1 400 400 1 400 400 1 1750 1750 Total: 2567.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422195 Min 01422195 Appmt Dt Slno Description 28-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 28-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5579 of 6486
Name
MANOHAR LAL SONI Qty Rate Amount 30 .62 18.6 30 .71 21.3 60 .93 55.8 1 400 400 Total: 495.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422196 Min 01422196 Appmt Dt Slno Description 14-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14-FEB-19 2 SALBUTAMOL,2MG,STRIP PACK,,TABLET 14-FEB-19 3 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5580 of 6486
Name
SUMAN DEVI SONI Qty Rate Amount 30 .89 26.7 90 .18 16.2 30 .9 27 1 400 400 Total: 469.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422197 Min 01422197 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 27-FEB-19 CREATININE /CRT 2 27-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 27-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 27-FEB-19 HB,TLC,DLC 12 27-FEB-19 PLATELET COUNT 13 27-FEB-19
Page 5581 of 6486
Name
VK VERMA Rate Amount Qty 1300 1300 1 275 275 1 39 1.3 30 12 .4 30 34.8 1.16 30 35.55 .79 45 21.3 .71 30 275 275 1 275 275 1 10.8 .36 30 400 400 1 300 300 1 330 330 1 Total: 3308.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422199 Min 01422199 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 5582 of 6486
Name
KUNJ BIHARI AGRAWAL Rate Amount Qty 26.7 .89 30 21.3 .71 30 55.8 .93 60 76.5 2.55 30 400 400 1 Total: 580.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422203 Min 01422203 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5583 of 6486
Name
APURVA MUKERJI Rate Amount Qty 78 1.3 60 15 .25 60 36 .6 60 185.7 6.19 30 400 400 1 Total: 714.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422205 Min 01422205 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 5584 of 6486
Name
BALMUKUND RAM SAHU Rate Amount Qty 167.4 5.58 30 7.5 .25 30 55.8 .93 60 12 .4 30 34.8 1.16 30 14.85 .99 15 54 .6 90 32.4 .36 90 400 400 1 Total: 778.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422206 Min 01422206 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 5585 of 6486
Name
PADMAWATI Rate Amount Qty 21.3 .71 30 14.85 .99 15 7.5 .25 30 55.8 .93 60 21.6 .36 60 36 .6 60 400 400 1 Total: 557.05
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422207 Min 01422207 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 26-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 27-FEB-19 URIC ACID (UA /URATES /UR) 12 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 14 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 27-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 17 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 27-FEB-19 BLOOD FOR TSH 20 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 27-FEB-19 CREATININE /CRT 23 27-FEB-19
Page 5586 of 6486
AKIL MOHD. Rate Amount Qty 38.25 2.55 15 55.8 .93 60 32.4 1.08 30 21.3 .71 30 18.9 .63 30 21.3 .71 30 400 400 1 25.07 25.07 1 21.45 21.45 1 400 400 1 1300 1300 1 275 275 1 41.85 .93 45 38.25 2.55 15 32.4 1.08 30 21.3 .71 30 18.6 .62 30 18.9 .63 30 400 400 1 800 800 1 275 275 1 275 275 1 275 275 1 Total: 4805.77
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422208 Min 01422208 Slno Description Appmt Dt UREA (BUN /UR) 1 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 07-FEB-19 CREATININE /CRT 5 07-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 14-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 13 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 17 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 26-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 19 26-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 20 26-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 21 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 26-FEB-19
Page 5587 of 6486
HANIFA BEGUM Rate Amount Qty 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 1300 1300 1 21.3 .71 30 7.5 .25 30 117 1.3 90 36 .6 60 32.4 .36 90 167.4 5.58 30 50.3 5.03 10 8.9 .89 10 13.7 1.37 10 400 400 1 27.4 1.37 20 8.9 .89 10 150.9 5.03 30 25.07 25.07 1 18.21 18.21 1 400 400 1 Total: 4284.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422210 Min 01422210 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 07-FEB-19 TRIAMTERENE 50MG+BENZTHIZIDE 25MG,TAB, 5 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 5588 of 6486
Name
BHAJAN DAS BANDHE Rate Amount Qty 1.48 .37 4 15.96 2.66 6 36 .6 60 4.8 .16 30 33.3 1.11 30 167.4 5.58 30 21.3 .71 30 12 .4 30 27.9 .93 30 400 400 1 Total: 720.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422211 Min 01422211 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5589 of 6486
Name
ISHWARI DEVI BANDHE Rate Amount Qty 15.96 2.66 6 2.5 .25 10 1.48 .37 4 3.84 .64 6 400 400 1 Total: 423.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422212 Min 01422212 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 9 13-FEB-19 UREA (BUN /UR) 10 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 13-FEB-19 CREATININE /CRT 14 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 27-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 27-FEB-19
Page 5590 of 6486
Name
VIJAY KUMAR JANA Rate Amount Qty 29.7 .99 30 3.3 .66 5 36 .6 60 27.9 .93 30 10.8 .36 30 55.2 1.84 30 3.84 .64 6 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 3.84 .64 6 33.12 1.84 18 400 400 1 Total: 3803.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422213 Min 01422213 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 12-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 2 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 12-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 6 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5591 of 6486
Name
SAVITA Rate Amount Qty 70.2 .78 90 252 2.1 120 6.9 .23 30 27.9 .93 30 7.7 .77 10 17.3 1.73 10 6.4 .64 10 400 400 1 Total: 788.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422215 Min 01422215 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 22-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 22-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 5 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5592 of 6486
Name
KUMARI BAI Rate Amount Qty 7.4 .37 20 37.04 37.04 1 27.9 .93 30 9.3 .62 15 17.37 17.37 1 6.4 .64 10 20.84 5.21 4 400 400 1 Total: 526.25
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422220 Min 01422220 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 20-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 20-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5593 of 6486
VIJOY KUMAR SINGH Rate Amount Qty 21.3 .71 30 55.8 .93 60 60.9 2.03 30 192.3 6.41 30 25.07 25.07 1 16.81 16.81 1 400 400 1 Total: 772.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422221 Min 01422221 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 T M T (TREAD MILL EXERCISE TEST) 7 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 20-FEB-19 URIC ACID (UA /URATES /UR) 9 20-FEB-19 CREATININE /CRT 10 20-FEB-19 UREA (BUN /UR) 11 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 5594 of 6486
Name
USHA SINGH Rate Amount Qty 10.8 .36 30 72 .6 120 27.9 .93 30 21.3 .71 30 20.84 5.21 4 7.5 .25 30 3430 3430 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 400 400 1 Total: 7065.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422227 Min 01422227 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 15-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 25-FEB-19 INHALANT,STRIP PACK,CAPSULE 5 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5595 of 6486
Name
SATYWATI GUPTA Rate Amount Qty 3.84 .64 6 21.12 3.52 6 400 400 1 66.2 6.62 10 17 1.7 10 1.85 .37 5 4.45 .89 5 400 400 1 Total: 914.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422230 Min 01422230 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 5596 of 6486
Name
PURANIK RAM UIKEY Rate Amount Qty 12 .4 30 17.4 1.16 15 6.9 .23 30 55.8 .93 60 117 1.3 90 21.6 .36 60 400 400 1 21.6 .36 60 117 1.3 90 55.8 .93 60 6.9 .23 30 12 .4 30 21.3 .71 30 400 400 1 Total: 1265.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422232 Min 01422232 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 5597 of 6486
Name
DILIP PODDAR Rate Amount Qty 13.95 .93 15 21.3 .71 30 400 400 1 Total: 435.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422233 Min 01422233 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 5 19-FEB-19 SODIUM VALPROATE,500MG,TABLET 6 19-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5598 of 6486
Name
NIVEDITA PODDAR Rate Amount Qty 36 .6 60 7.5 .25 30 34.8 1.16 30 400 400 1 15.3 .51 30 117 3.9 30 41.1 1.37 30 400 400 1 Total: 1051.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422236 Min 01422236 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 23-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 5599 of 6486
Name
KRISHNA KUMAR Rate Amount Qty 8.1 .27 30 39 1.3 30 33 1.1 30 32.4 1.08 30 12 .4 30 34.8 1.16 30 9 .3 30 72 .6 120 400 400 1 Total: 640.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422239 Min 01422239 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 8 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 5600 of 6486
Name
HEMANT PURI GOSWAMI Rate Amount Qty 32.4 1.08 30 7.5 .25 30 15.6 .26 60 34.8 1.16 30 400 400 1 34.8 1.16 30 32.4 1.08 30 15.6 .26 60 3.75 .25 15 400 400 1 Total: 976.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422240 Min 01422240 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 28-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 28-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 3 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 28-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5601 of 6486
Name
P K NAHAR Rate Amount Qty 45.44 45.44 1 19.72 9.86 2 13.48 3.37 4 5.55 .37 15 41.06 41.06 1 400 400 1 Total: 525.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422241 Min 01422241 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 02-FEB-19 CEFUROXIME,500MG,STRIP PACK,,TABLET 2 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 5602 of 6486
Name
PRAMILA NAHAR Rate Amount Qty 3.84 .64 6 137.3 13.73 10 32.4 1.08 30 27.9 .93 30 400 400 1 21.3 .71 30 400 400 1 Total: 1022.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422246 Min 01422246 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 5603 of 6486
Name
BHUSHAN LAL DEWANGAN Rate Amount Qty 11.85 .79 15 12 .4 30 32.4 1.08 30 7.8 .26 30 21.3 .71 30 66 1.1 60 400 400 1 Total: 551.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422248 Min 01422248 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 04-FEB-19
Page 5604 of 6486
Name
DINESH KUMAR SAHU Rate Amount Qty 36 .6 60 16.5 1.1 15 12 .4 30 32.4 1.08 30 34.8 1.16 30 7.5 .25 30 167.4 5.58 30 Total: 306.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422250 Min 01422250 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19
Page 5605 of 6486
Name
MAHENDRA SINGH Rate Amount Qty 7.7 .77 10 72.6 1.21 60 8.1 .27 30 1.85 .37 5 27.9 .93 30 21.28 2.66 8 32.4 1.08 30 34.8 1.16 30 36 .6 60 3.84 .64 6 400 400 1 Total: 646.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422252 Min 01422252 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5606 of 6486
Name
RAKESH KUMAR DUBEY Rate Amount Qty 9.28 1.16 8 33 1.1 30 7.44 .93 8 400 400 1 27.9 .93 30 66 1.1 60 21.3 .71 30 400 400 1 Total: 964.92
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422254 Min 01422254 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 07-FEB-19
Page 5607 of 6486
DEVILAL Rate Amount Qty 27.9 .93 30 7.65 .51 15 15.73 15.73 1 66 1.1 60 54 .9 60 34.8 1.16 30 400 400 1 Total: 606.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422255 Min 01422255 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 08-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5608 of 6486
Name
AMRIKA BAI Rate Amount Qty 3.7 .37 10 17.6 17.6 1 85.52 85.52 1 400 400 1 21.3 .71 30 23.7 .79 30 36 .6 60 27.6 .92 30 400 400 1 Total: 1015.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422258 Min 01422258 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5609 of 6486
Name
M.K.DILLIWAR Rate Amount Qty 117 1.3 90 21.6 .36 60 36 .6 60 13.95 .93 15 167.4 5.58 30 21.3 .71 30 12 .4 30 400 400 1 Total: 789.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422260 Min 01422260 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5610 of 6486
Name
REWALAL Rate Amount Qty 72 .6 120 167.4 5.58 30 17.4 1.16 15 400 400 1 78 1.3 60 400 400 1 Total: 1134.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422262 Min 01422262 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19
Page 5611 of 6486
Name
S K KIROLIKAR Rate Amount Qty 29.7 .99 30 8.1 .27 30 55.8 .93 60 26.7 .89 30 12 .4 30 76.5 2.55 30 400 400 1 Total: 608.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422263 Min 01422263 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 09-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 09-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 09-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 5612 of 6486
Name
ANJALI KIROLIKAR Rate Amount Qty 24.3 12.15 2 24.3 12.15 2 19.72 9.86 2 371.4 6.19 60 7.5 .25 30 400 400 1 Total: 847.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422264 Min 01422264 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 22-FEB-19 RIFAXIMIN 200 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5613 of 6486
Name
D R SAHU Rate Amount Qty 7.8 .26 30 66 1.1 60 32.4 1.08 30 12 .4 30 69.6 1.16 60 93.3 9.33 10 400 400 1 Total: 681.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422265 Min 01422265 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 12-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 10 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 17 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 18 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 21-FEB-19
Page 5614 of 6486
Name
JAMUN BAI SAHU Rate Amount Qty 36 .6 60 78 1.3 60 27.9 .93 30 7.5 .25 30 14.85 .99 15 17.4 1.16 15 26.7 .89 30 400 400 1 7.4 .37 20 17.37 17.37 1 400 400 1 36 .6 60 7.5 .25 30 78 1.3 60 27.9 .93 30 14.85 .99 15 21.3 .71 30 95.7 3.19 30 26.7 .89 30 400 400 1 Total: 1741.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422270 Min 01422270 Appmt Dt Slno Description 23-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 23-FEB-19 2 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 23-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5615 of 6486
Name
SANTOSH KUMAR SARKAR Qty Rate Amount 6 .64 3.84 6 2.66 15.96 4 .37 1.48 1 400 400 Total: 421.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422271 Min 01422271 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5616 of 6486
Name
SHARMILA SARKAR Rate Amount Qty 18.6 .62 30 26.7 .89 30 21.3 .71 30 12 .4 30 33 1.1 30 18 .6 30 167.4 5.58 30 400 400 1 Total: 697
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422274 Min 01422274 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 5617 of 6486
Name
RAJENDRA PRASAD TAMRAKAR Rate Amount Qty 21.3 .71 30 76.5 2.55 30 400 400 1 Total: 497.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422275 Min 01422275 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 13-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 7 13-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 8 21-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 5618 of 6486
Name
NAMRATA TAMRAKAR Rate Amount Qty 40.12 20.06 2 8.9 .89 10 16.8 1.12 15 35.2 3.52 10 400 400 1 400 400 1 2110 2110 1 65.52 2.34 28 23.52 1.12 21 17.8 .89 20 400 400 1 Total: 3517.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422276 Min 01422276 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 5619 of 6486
Name
YERATH DAS SAHU Rate Amount Qty 6.9 .23 30 66 1.1 60 400 400 1 Total: 472.9
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422280 Min 01422280 Appmt Dt Slno Description 14-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 2 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 14-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5620 of 6486
GYANENDRA SINGH GOUR Qty Rate Amount 30 .93 27.9 1 15.73 15.73 5 .37 1.85 1 400 400 Total: 445.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422282 Min 01422282 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 5621 of 6486
Name
BASANTI BOSE Rate Amount Qty 21.3 .71 30 27.9 .93 30 400 400 1 Total: 449.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422285 Min 01422285 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5622 of 6486
Name
NAROTTAM RAM Qty Rate Amount 30 .93 27.9 30 .27 8.1 15 1.16 17.4 1 400 400 Total: 453.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422290 Min 01422290 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 23-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 5 23-FEB-19 PRAZOSIN,2.5MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5623 of 6486
Name
UTTARA SONI Rate Amount Qty 104.4 1.74 60 400 400 1 36 .6 60 29.7 .99 30 73.8 .82 90 39 1.3 30 400 400 1 Total: 1082.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422291 Min 01422291 Slno Description Appmt Dt PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 1 20-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 20-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5624 of 6486
Name
BHIKHAM Rate Amount Qty 1.5 .25 6 13.7 1.37 10 6.3 .42 15 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 614.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422292 Min 01422292 Appmt Dt Slno Description 07-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5625 of 6486
Name
TRILOKI Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422293 Min 01422293 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5626 of 6486
Name
PARMESHWAR SINGH Rate Amount Qty 12 .4 30 21.3 .71 30 1.85 .37 5 10.8 .36 30 36 .6 60 400 400 1 Total: 481.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422294 Min 01422294 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 LEVO-THYROXINE SODIUM,50MCG,TABLET 18-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5627 of 6486
Name
PANNA DEVI Qty Rate Amount 30 .93 27.9 30 .62 18.6 60 1.1 66 1 400 400 Total: 512.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422297 Min 01422297 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 04-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 13 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 17 23-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 18 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 20 23-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 5628 of 6486
Name
RAMESH KUMAR SHARMA Rate Amount Qty 6.4 .64 10 4.45 .89 5 35.2 3.52 10 26.55 26.55 1 400 400 1 21.12 3.52 6 3.84 .64 6 5.34 .89 6 400 400 1 21.12 3.52 6 3.84 .64 6 400 400 1 1.11 .37 3 3.84 .64 6 39.72 6.62 6 400 400 1 20.1 .67 30 27 .9 30 13.35 .89 15 12.15 12.15 1 42.12 2.34 18 400 400 1 Total: 2287.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422298 Min 01422298 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 28-FEB-19
Page 5629 of 6486
Name
MITHLESH SHARMA Rate Amount Qty 27.9 .93 30 72 .6 120 21.3 .71 30 12 .4 30 29.7 .99 30 7.5 .25 30 29.7 .99 30 21.3 .71 30 12 .4 30 72 .6 120 7.5 .25 30 27.9 .93 30 400 400 1 8.9 .89 10 2.5 .25 10 26 2.6 10 400 400 1 Total: 1178.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422299 Min 01422299 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 06-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 11-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 13 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 11-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 17 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 13-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 19 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 20 13-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 21 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 17-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 25 17-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 26 17-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 27 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 28 17-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 29 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 21-FEB-19
Page 5630 of 6486
PANNALAL Rate Amount Qty 20.06 20.06 1 .32 .16 2 6.4 .64 10 5.34 .89 6 400 400 1 36 .6 60 192.3 6.41 30 60.9 2.03 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 1.9 .38 5 15.73 15.73 1 6.4 .64 10 1.85 .37 5 400 400 1 15.73 15.73 1 2.5 .25 10 7.7 .77 10 9.6 .64 15 17.3 1.73 10 400 400 1 8.9 .89 10 3.2 .64 5 40.6 2.03 20 24 .6 40 128.2 6.41 20 400 400 1 12.15 12.15 1 400 400 1 Total: 2695.83
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422300 Min 01422300 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 5 09-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 23-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 9 23-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 23-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12 23-FEB-19 PRAZOSIN,2.5MG,TABLET 13 23-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 14 23-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 15 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 23-FEB-19
Page 5631 of 6486
SUSHILA DEVI Rate Amount Qty 13.49 13.49 1 25.07 25.07 1 400 400 1 25.07 25.07 1 6.82 6.82 1 13.49 13.49 1 400 400 1 7.7 .77 10 11.1 .37 30 5.7 .38 15 10.65 .71 15 10.65 .71 15 39 1.3 30 6.82 6.82 1 13.49 13.49 1 400 400 1 Total: 1389.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422301 Min 01422301 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 ECG 4 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 5632 of 6486
Name
S R HASAN Rate Amount Qty 400 400 1 400 400 1 400 400 1 450 450 1 11.85 .79 15 400 400 1 Total: 2061.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422303 Min 01422303 Appmt Dt Slno Description 14-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 14-FEB-19 2 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14-FEB-19 3 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5633 of 6486
V DHARMA RAO Qty 2 2 1 1
Rate Amount 20.29 40.58 25.07 50.14 156.51 156.51 400 400 Total: 647.23
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422304 Min 01422304 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 02-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 4 02-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 7 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 14-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 9 14-FEB-19 BRIMONIDINE TARTRATE,0.15% 10 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 14-FEB-19
Page 5634 of 6486
V.KAMESHWARI Rate Amount Qty 54 .6 90 55.8 .93 60 83.4 2.78 30 51.68 3.23 16 3.8 .38 10 400 400 1 40.58 20.29 2 50.14 25.07 2 156.51 156.51 1 148.9 74.45 2 400 400 1 Total: 1444.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422305 Min 01422305 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 5 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 21-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 9 21-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 5635 of 6486
Name
RUPCHANDRA BHONSLE Rate Amount Qty 33.12 1.84 18 3.84 .64 6 4.62 .77 6 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 8.9 .89 10 15.95 3.19 5 13.7 1.37 10 400 400 1 Total: 1317.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422306 Min 01422306 Appmt Dt Slno Description 21-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 21-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 21-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5636 of 6486
Name
KIRAN BHONSLE Qty Rate Amount 10 1.37 13.7 30 6.19 185.7 30 .25 7.5 1 400 400 Total: 606.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422309 Min 01422309 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 5637 of 6486
Name
ANU KUMAR Rate Amount Qty 36 .6 60 55 1.1 50 400 400 1 Total: 491
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422311 Min 01422311 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 5638 of 6486
Name
B THANKAMANI Rate Amount Qty 13.95 .93 15 7.5 .25 30 8.1 .27 30 21.3 .71 30 167.4 5.58 30 36 .6 60 21.6 .36 60 400 400 1 Total: 675.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422313 Min 01422313 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5639 of 6486
Name
J.PAULOSE Rate Amount Qty 12 .4 30 27.9 .93 30 167.4 5.58 30 18 .6 30 34.8 1.16 30 400 400 1 Total: 660.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422324 Min 01422324 Appmt Dt Slno Description 22-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 22-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5640 of 6486
Name
RAJENDRA KUMAR KASHYAP Qty Rate Amount 30 .27 8.1 30 .71 21.3 30 .25 7.5 1 400 400 Total: 436.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422325 Min 01422325 Slno Description Appmt Dt SODIUM VALPROATE,500MG,TABLET 1 21-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 2 21-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 26-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 27-FEB-19 X - RAY - SINGLE VIEW 11 27-FEB-19
Page 5641 of 6486
Name
LOCHAN KASHYAP Rate Amount Qty 351 3.9 90 52.65 3.51 15 30.6 .51 60 400 400 1 21.3 .71 30 18.9 .63 30 21.3 .71 30 32.4 1.08 30 400 400 1 400 400 1 550 550 1 Total: 2278.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422326 Min 01422326 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 5642 of 6486
Name
RAJIV KUMAR TEWARY Rate Amount Qty 21.3 .71 30 32.4 .36 90 167.4 5.58 30 72 .6 120 55.8 .93 60 7.5 .25 30 400 400 1 Total: 756.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422327 Min 01422327 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5643 of 6486
Name
NIRMALA TEWARY Qty Rate Amount 30 .93 27.9 30 .25 7.5 100 .71 71 1 400 400 Total: 506.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422328 Min 01422328 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5644 of 6486
Name
AMRIT LAL CHANDRAKAR Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422330 Min 01422330 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5645 of 6486
Name
TASKIN BANO Rate Amount Qty 27.9 .93 30 1.6 .16 10 26.7 .89 30 123.53 123.53 1 8.1 .27 30 400 400 1 Total: 587.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422331 Min 01422331 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 SERUM ASPARATATE TRANSMINASE (AST /SGOT 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19 PROTHROMBIN TIME (PT) 7 18-FEB-19 COMPLETE HAEMOGRAM 8 18-FEB-19 HEPATITIS C TEST /HCV 9 18-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 10 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 18-FEB-19 CREATININE /CRT 12 18-FEB-19 UREA (BUN /UR) 13 18-FEB-19 SERUM AMYLASE (AMYL) 14 18-FEB-19 X - RAY - SINGLE VIEW 15 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 ECG 17 18-FEB-19
Page 5646 of 6486
Name
SEKH SAYYAD Rate Amount Qty 26.7 .89 30 12.15 12.15 1 54 .9 60 400 400 1 275 275 1 400 400 1 330 330 1 750 750 1 1700 1700 1 1000 1000 1 550 550 1 275 275 1 275 275 1 550 550 1 550 550 1 400 400 1 450 450 1 Total: 7997.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422332 Min 01422332 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 2 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 6 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 10 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 12 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 14 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 15 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 16 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 07-FEB-19
Page 5647 of 6486
Name
SAIFUNNISA Rate Amount Qty 25.2 .42 60 51 1.7 30 20.06 20.06 1 26.7 .89 30 15.96 2.66 6 25.69 25.69 1 14.2 .71 20 5 .25 20 17.8 .89 20 27.4 1.37 20 21.3 .71 30 18.9 .63 30 12 .4 30 7.65 .51 15 33 1.1 30 27.6 .92 30 117 1.3 90 27.9 .93 30 400 400 1 Total: 894.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422334 Min 01422334 Appmt Dt Slno Description 02-FEB-19 1 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 02-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 02-FEB-19 3 OBSERVATION IN CASUALTY 02-FEB-19 4 ECG
Page 5648 of 6486
Name
CHAMPA DEVI SAO Qty 1 1 1 1
Rate Amount .16 .16 .89 .89 420 420 450 450 Total: 871.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422336 Min 01422336 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 5649 of 6486
Name
DURGA DEVI KOSRE Rate Amount Qty 43.96 131.88 3 27.9 .93 30 400 400 1 Total: 559.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422337 Min 01422337 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 4 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 5650 of 6486
Name
CHHANNULAL Rate Amount Qty 26.7 .89 30 20.06 20.06 1 27.9 .93 30 30.6 .34 90 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 572.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422338 Min 01422338 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 5651 of 6486
Name
BAHURA BAI Rate Amount Qty 55.8 .93 60 7.5 .25 30 14.85 .99 15 7.5 .25 30 .8 .16 5 400 400 1 Total: 486.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422339 Min 01422339 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 5652 of 6486
Name
BHARADWAJ SK Rate Amount Qty 8.1 .27 30 66 1.1 60 400 400 1 Total: 474.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422343 Min 01422343 Appmt Dt Slno Description 15-FEB-19 1 GLICLAZIDE MR,30 MG,,TABLET 15-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 15-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5653 of 6486
Name
ROMLAL SAHU Qty Rate Amount 30 .92 27.6 30 .79 23.7 30 .6 18 1 400 400 Total: 469.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422346 Min 01422346 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 8 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 11 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 19-FEB-19
Page 5654 of 6486
Name
B.DEEVANAMMA Rate Amount Qty 66.96 5.58 12 5.58 100.44 18 18 .6 30 78 1.3 60 27.9 .93 30 12 .4 30 34.8 1.16 30 60.9 2.03 30 4.8 .16 30 53.4 .89 60 123.53 123.53 1 12.8 .64 20 7.5 .25 30 53.4 .89 60 21.3 .71 30 36 .6 60 400 400 1 Total: 1111.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422347 Min 01422347 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5655 of 6486
Name
GOPAL SINGH Rate Amount Qty 34.8 1.16 30 12 .4 30 32.4 1.08 30 7.5 .25 30 55.8 .93 60 400 400 1 Total: 542.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422350 Min 01422350 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 23-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 5656 of 6486
Name
BASANTI DEVI Rate Amount Qty 39 1.3 30 10.8 .36 30 38.25 2.55 15 27.9 .93 30 18 .6 30 400 400 1 Total: 533.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422351 Min 01422351 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 26-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 5657 of 6486
Name
A.N. SINGH Rate Amount Qty 26 2.6 10 18.9 .63 30 400 400 1 Total: 444.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422356 Min 01422356 Appmt Dt Slno Description 14-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14-FEB-19 2 RANITIDINE HCL,STRIP PKT,150MG,TABLET 14-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5658 of 6486
Name
SAVITRI BAI Qty Rate Amount 12 1.84 22.08 6 .77 4.62 9 .64 5.76 1 400 400 Total: 432.46
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422357 Min 01422357 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5659 of 6486
RAVIKANT MASIH Rate Amount Qty 8.68 .62 14 22.2 .37 60 3.7 .37 10 21.3 .71 30 .62 .62 1 48.22 48.22 1 27.9 .93 30 400 400 1 Total: 532.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422358 Min 01422358 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 PRAZOSIN,2.5MG,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 07-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19
Page 5660 of 6486
Name
CHANDRA LEKHA MASIH Rate Amount Qty 55.8 .93 60 78 1.3 60 12 .4 30 21.3 .71 30 14.85 .99 15 15.6 .26 60 10.8 .36 30 18 .3 60 36 .6 60 39 1.3 30 400 400 1 Total: 701.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422359 Min 01422359 Slno Description Appmt Dt INHALER FOR INHALING DRY POWDER CAPSULE 1 01-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 23-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 7 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 8 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 23-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 5661 of 6486
Name
SANJAY KUMAR SEN Rate Amount Qty 69.05 69.05 1 52.2 1.74 30 400 400 1 21.3 .71 30 18 .6 30 55.8 .93 60 27.9 .93 30 60.18 20.06 3 60.9 2.03 30 167.4 5.58 30 12 .4 30 400 400 1 Total: 1344.73
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422360 Min 01422360 Slno Description Appmt Dt CREATININE /CRT 1 01-FEB-19 UREA (BUN /UR) 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 C T ABDOMEN AND PELVIS 4 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 11-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 5662 of 6486
Name
CHAINA SEN Rate Amount Qty 275 275 1 275 275 1 400 400 1 12000 12000 1 550 550 1 53.4 .89 60 40.12 20.06 2 72 .6 120 167.4 5.58 30 21.3 .71 30 122.8 6.14 20 400 400 1 Total: 14377.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422361 Min 01422361 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 19-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5663 of 6486
Name
NASKETU CHOUDHARY Rate Amount Qty 27.9 .93 30 46.2 .77 60 15.6 .26 60 32.4 1.08 30 21.3 .71 30 8.1 .27 30 14.85 .99 15 400 400 1 Total: 566.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422365 Min 01422365 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5664 of 6486
Name
HARAK RAM BANJARE Rate Amount Qty 18 .6 30 55.8 .93 60 8.1 .27 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 528.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422371 Min 01422371 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 20-FEB-19 CREATININE /CRT 3 20-FEB-19 UREA (BUN /UR) 4 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 5665 of 6486
Name
JHANAK LAL RANA Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 5.7 .38 15 27.9 .93 30 18.9 .63 30 400 400 1 Total: 2852.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422372 Min 01422372 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 5666 of 6486
URMILA RANA Rate Amount Qty 15.73 15.73 1 1.85 .37 5 6.4 .64 10 26.6 2.66 10 400 400 1 9 .9 10 1.85 .37 5 400 400 1 55.8 .93 60 20.84 5.21 4 400 400 1 Total: 1338.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422373 Min 01422373 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5667 of 6486
Name
ONKAR BHUSHAN VERMA Rate Amount Qty 13.95 .93 15 21.3 .71 30 400 400 1 Total: 435.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422374 Min 01422374 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 GUM ASTRINGENT PAINT 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 5668 of 6486
Name
PUSHPA DEVI VERMA Rate Amount Qty 27.9 .93 30 13.8 .23 60 400 400 1 31.54 31.54 1 400 400 1 13.8 .23 60 27.9 .93 30 400 400 1 Total: 1314.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422375 Min 01422375 Slno Description Appmt Dt BLOOD FOR T-3,T-4,TSH 1 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 05-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 06-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 06-FEB-19 OBSERVATION IN CASUALTY 6 06-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 7 06-FEB-19 ECG 8 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 06-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 10 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 5669 of 6486
Name
SANJAY KUMAR LAKHE Rate Amount Qty 2400 2400 1 400 400 1 24.52 24.52 1 26.7 .89 30 20.06 20.06 1 420 420 1 5.77 5.77 1 450 450 1 400 400 1 10 .25 40 5 .25 20 400 400 1 Total: 4562.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422377 Min 01422377 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5670 of 6486
Name
MALKHAN LAL SAHU Rate Amount Qty 18.9 .63 30 36 .6 60 76.5 2.55 30 8.1 .27 30 55.8 .93 60 78 1.3 60 34.8 1.16 30 400 400 1 Total: 708.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422382 Min 01422382 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 5671 of 6486
Name
SANGHMITRA BORKAR Rate Amount Qty 42.12 2.34 18 1.85 .37 5 6.4 .64 10 7.5 .25 30 27.9 .93 30 13.7 1.37 10 5 .25 20 14.2 .71 20 400 400 1 Total: 518.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422385 Min 01422385 Slno Description Appmt Dt UREA (BUN /UR) 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 9 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 04-FEB-19
Page 5672 of 6486
Name
YOGENDRA SINGH Rate Amount Qty 275 275 1 275 275 1 275 275 1 37.8 .63 60 1300 1300 1 275 275 1 69.6 1.16 60 55.8 .93 60 145.2 1.21 120 59.4 .99 60 Total: 2767.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422386 Min 01422386 Appmt Dt Slno Description 04-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5673 of 6486
Name
SUSHILA SINGH Qty Rate Amount 60 .93 55.8 1 400 400 455.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422390 Min 01422390 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5674 of 6486
Name
LAWAN SINGH Rate Amount Qty 21.3 .71 30 7.5 .25 30 55.8 .93 60 29.7 .99 30 22.2 .37 60 400 400 1 Total: 536.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422391 Min 01422391 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 5675 of 6486
Name
SOMTI BAI Rate Amount Qty 55.8 .93 60 76.5 2.55 30 400 400 1 Total: 532.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422392 Min 01422392 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 06-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 6 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 13-FEB-19 BUDESONIDE,200MCG,CAPSULE 8 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 13-FEB-19
Page 5676 of 6486
Name
UNIRAM MARKANDEY Rate Amount Qty 7.5 .25 30 400 400 1 28.14 .67 42 54 .9 60 26.7 .89 30 69.05 69.05 1 100.71 100.71 1 156.6 1.74 90 12.15 12.15 1 400 400 1 Total: 1254.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422393 Min 01422393 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 5677 of 6486
Name
DEVKUMARI MARKANDEY Rate Amount Qty 27.9 .93 30 8.1 .27 30 400 400 1 55.8 .93 60 63.58 63.58 1 400 400 1 Total: 955.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422400 Min 01422400 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5678 of 6486
Name
APPA RAO Rate Amount Qty 36 .6 60 12 .4 30 21.3 .71 30 33 1.1 30 400 400 1 Total: 502.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422404 Min 01422404 Slno Description Appmt Dt BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 6 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 11 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19
Page 5679 of 6486
Name
SUNDER LAL BADHOLIA Rate Amount Qty 13.49 13.49 1 2.59 .37 7 .77 .77 1 49.28 3.52 14 400 400 1 8.71 8.71 1 7.7 .77 10 3.04 .38 8 400 400 1 21.3 .71 30 12 .4 30 10.8 .36 30 400 400 1 6.72 1.12 6 6.4 .64 10 55.2 1.84 30 400 400 1 Total: 1798
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422409 Min 01422409 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 25-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 25-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 3 25-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 5 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 25-FEB-19
Page 5680 of 6486
K JAGDISHWAR RAO Rate Amount Qty 7.4 .37 20 13.48 3.37 4 19.72 9.86 2 31.61 31.61 1 12.81 12.81 1 25.07 25.07 1 7.5 .25 30 18.9 .63 30 19.2 .64 30 26.7 .89 30 400 400 1 Total: 582.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422413 Min 01422413 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 22-FEB-19 URIC ACID (UA /URATES /UR) 4 22-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 22-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 8 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 10 25-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 5681 of 6486
Name
CH. YOGESHWAR RAO Rate Amount Qty 26 2.6 10 275 275 1 275 275 1 275 275 1 24.45 4.89 5 2.5 .25 10 400 400 1 6.82 6.82 1 2.67 .89 3 1.23 .41 3 55.2 1.84 30 400 400 1 Total: 1743.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422420 Min 01422420 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 05-FEB-19 BETAMETHASONE SOD+NEOMYCIN SULP,EYE/EAR, 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19
Page 5682 of 6486
Name
PRAKASH NARAYAN DADSENA Rate Amount Qty 6.82 6.82 1 13.49 13.49 1 400 400 1 Total: 420.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422421 Min 01422421 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 23-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 23-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 5683 of 6486
Name
UMA DADSENA Rate Amount Qty 132.4 6.62 20 6.4 .64 10 31.9 3.19 10 4.8 .16 30 26.7 .89 30 3.7 .37 10 55.8 .93 60 400 400 1 Total: 661.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422430 Min 01422430 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19
Page 5684 of 6486
Name
KALI PRASAD Rate Amount Qty 12 .4 30 32.4 1.08 30 15.6 .26 60 27.9 .93 30 34.8 1.16 30 39 1.3 30 21.6 .36 60 36 .6 60 400 400 1 Total: 619.3
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422431 Min 01422431 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 02-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 02-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 11 02-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 12 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 02-FEB-19
Page 5685 of 6486
URMILA Rate Amount Qty 15.73 15.73 1 46.2 .77 60 47.4 .79 60 69.6 1.16 60 24 .4 60 64.8 1.08 60 234 1.3 180 167.4 5.58 30 72 .6 120 21.6 .36 60 30.6 .34 90 118.5 3.95 30 400 400 1 Total: 1311.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422432 Min 01422432 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19
Page 5686 of 6486
Name
CHANDRAKANT CHOUDHARY Rate Amount Qty 35.2 3.52 10 7.7 .77 10 6.4 .64 10 26.55 26.55 1 400 400 1 27.6 .92 30 54 .6 90 34.8 1.16 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1056.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422433 Min 01422433 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 08-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 12-FEB-19 CREATININE /CRT 11 12-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 12-FEB-19 UREA (BUN /UR) 15 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 13-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 17 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 18 13-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 19 13-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 20 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 13-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 22 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 13-FEB-19
Page 5687 of 6486
Name
SUNITA CHOUDHARY Rate Amount Qty 7.7 .77 10 35.2 3.52 10 6.4 .64 10 400 400 1 6.4 .64 10 1.85 .37 5 35.1 2.34 15 6.23 .89 7 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 30.15 .67 45 166.8 2.78 60 4.56 .38 12 77.52 3.23 24 23.7 .79 30 167.4 5.58 30 55.2 .92 60 400 400 1 Total: 4624.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422436 Min 01422436 Slno Description Appmt Dt PRAZOSIN,2.5MG,TABLET 1 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 MOXONIDIN 0.2MG,,TABLET 5 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 28-FEB-19
Page 5688 of 6486
Name
SURESH KUMAR SAHU Rate Amount Qty 156 1.3 120 11.4 .38 30 60.9 2.03 30 55.8 .93 60 105.9 3.53 30 400 400 1 Total: 790
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422437 Min 01422437 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5689 of 6486
Name
ROHINI BAI Rate Amount Qty 36 .6 60 42.6 .71 60 167.4 5.58 30 10.8 .36 30 3.75 .25 15 27.9 .93 30 400 400 1 Total: 688.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422438 Min 01422438 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 COMPLETE HAEMOGRAM 4 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 19-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 6 19-FEB-19 CREATININE /CRT 7 19-FEB-19 UREA (BUN /UR) 8 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 26-FEB-19 BLOOD FOR T-3,T-4,TSH 16 26-FEB-19
Page 5690 of 6486
Name
TAYYAB ANSARI Rate Amount Qty 8.9 .89 10 2.5 .25 10 400 400 1 750 750 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 4.25 .25 17 .75 .25 3 400 400 1 400 400 1 2400 2400 1 Total: 7441.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422440 Min 01422440 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 06-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 DIETHYL CARBAMAZINE CITRATE,100MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 11-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 8 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 11 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 13 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 CLOMIPRAMINE,25MG,TABLET 16 19-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 17 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 19-FEB-19
Page 5691 of 6486
Name
R R DEWANGAN Rate Amount Qty 12.8 .64 20 14.6 .73 20 17.8 .89 20 80.01 1.27 63 400 400 1 36 .6 60 11.4 .38 30 189 2.1 90 9 .3 30 400 400 1 100.71 100.71 1 26.7 .89 30 12.15 12.15 1 54 .9 60 400 400 1 192.6 2.14 90 79.2 2.64 30 400 400 1 Total: 2435.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422441 Min 01422441 Slno Description Appmt Dt ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 1 12-FEB-19 RIFAXIMIN 200 MG,,TABLET 2 12-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 12-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 5692 of 6486
Name
KANCHAN DEWANGAN Rate Amount Qty 26.13 8.71 3 37.32 9.33 4 2.8 .7 4 4.45 .89 5 13.44 1.12 12 52.96 6.62 8 400 400 1 Total: 537.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422442 Min 01422442 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 6 16-FEB-19 BUDESONIDE,200MCG,CAPSULE 7 16-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 8 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 5693 of 6486
Name
B JOGA RAO Rate Amount Qty 44 1.1 40 8 .4 20 23.2 1.16 20 35.6 .89 40 400 400 1 39.6 .66 60 156.6 1.74 90 12.15 12.15 1 26.7 .89 30 16.2 .18 90 400 400 1 Total: 1162.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422450 Min 01422450 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 14-FEB-19 OBSERVATION IN CASUALTY 3 19-FEB-19 TETANUS TOXOID,0.5ML,INJECTION 4 19-FEB-19 SYRINGE,DISPOSABLE,2ML 5 19-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 6 19-FEB-19
Page 5694 of 6486
Name
BHOPAL ARYA Rate Amount Qty 21.6 .36 60 400 400 1 420 420 1 8.64 8.64 1 1.84 1.84 1 600 600 1 Total: 1452.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422451 Min 01422451 Slno Description Appmt Dt FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5695 of 6486
Name
USHA ARYA Rate Amount Qty 130.42 130.42 1 2.5 .25 10 400 400 1 36.3 1.21 30 8.1 .27 30 3.75 .25 15 400 400 1 Total: 981.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422460 Min 01422460 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 07-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5696 of 6486
Name
ROSHAN LAL KANKRE Rate Amount Qty 18.6 .62 30 311.4 5.19 60 27.9 .93 30 34.8 1.16 30 7.5 .25 30 400 400 1 Total: 800.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422461 Min 01422461 Appmt Dt Slno Description 02-FEB-19 1 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 02-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 02-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5697 of 6486
Name
SUNAYNA KANKRE Qty Rate Amount 18 1.84 33.12 6 .64 3.84 6 .77 4.62 1 400 400 Total: 441.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422465 Min 01422465 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5698 of 6486
Name
JAISHREE PRADHAN Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422466 Min 01422466 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5699 of 6486
Name
PASHUPATI PRADHAN Rate Amount Qty 39 1.3 30 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 504.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422469 Min 01422469 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5700 of 6486
Name
BAIJU NATH TEMBHARE Rate Amount Qty 32.4 .36 90 72 .6 120 167.4 5.58 30 17.4 1.16 15 7.5 .25 30 400 400 1 Total: 696.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422477 Min 01422477 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5701 of 6486
Name
SUMAN LATA SHARMA Rate Amount Qty 21.3 .71 30 26.7 .89 30 14.85 .99 15 27.9 .93 30 400 400 1 Total: 490.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422478 Min 01422478 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 16-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 16-FEB-19
Page 5702 of 6486
Name
MAHESH Rate Amount Qty 7.5 .25 30 47.4 .79 60 400 400 1 Total: 454.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422480 Min 01422480 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19
Page 5703 of 6486
Name
ASHWANI KUMAR SHUKLA Rate Amount Qty 76.5 2.55 30 34.8 1.16 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 9 .3 30 36 .6 60 400 400 1 Total: 658
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422488 Min 01422488 Appmt Dt Slno Description 26-FEB-19 1 FUROSEMIDE,40MG,STRIP PACK,TABLET 26-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 26-FEB-19 3 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5704 of 6486
Name
JAIMURTY DEVI Qty Rate Amount 15 .51 7.65 60 .93 55.8 30 .71 21.3 1 400 400 Total: 484.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422490 Min 01422490 Slno Description Appmt Dt CREAM,BETAMETHASONE VALERATE,0.10% 1 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5705 of 6486
Name
KARUNA DUBE Rate Amount Qty 35.2 17.6 2 11.1 .37 30 400 400 1 Total: 446.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422495 Min 01422495 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 5706 of 6486
Name
ASHOK KUMAR GHOSH Rate Amount Qty 3.75 .25 15 167.4 5.58 30 21.3 .71 30 18 .6 30 400 400 1 Total: 610.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422496 Min 01422496 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 08-FEB-19
Page 5707 of 6486
Name
LIPIKA GHOSH Rate Amount Qty 14.85 .99 15 55.8 .93 60 400 400 1 Total: 470.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422499 Min 01422499 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 5708 of 6486
Name
RADHA KRISHNA TIWARI Rate Amount Qty 55.8 .93 60 72.6 1.21 60 14.85 .99 15 18.9 .63 30 21.3 .71 30 400 400 1 18 .6 30 400 400 1 Total: 1001.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422500 Min 01422500 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 8 23-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19
Page 5709 of 6486
Name
RITA TIWARI Rate Amount Qty 78 1.3 60 167.4 5.58 30 11.4 .38 30 8.1 .27 30 72.6 1.21 60 21.3 .71 30 400 400 1 85.52 85.52 1 35.2 17.6 2 7.4 .37 20 400 400 1 Total: 1286.92
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422508 Min 01422508 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 11-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 28-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 5710 of 6486
RAM NATH PATEL Rate Amount Qty 22.8 .38 60 15 .25 60 55.8 .93 60 27.9 .62 45 400 400 1 25.07 25.07 1 18.21 18.21 1 400 400 1 Total: 964.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422509 Min 01422509 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 5711 of 6486
Name
SANDHYA PATEL Rate Amount Qty 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422512 Min 01422512 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 5712 of 6486
Name
N C RAY Rate Amount Qty 21.3 .71 30 12 .4 30 32.4 1.08 30 66 1.1 60 27.9 .93 30 400 400 1 Total: 559.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422516 Min 01422516 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 5713 of 6486
Name
SATISH KUMAR JOSHI Rate Amount Qty 34.8 1.16 30 55.8 .93 60 36 .6 60 10.8 .36 30 21.3 .71 30 16.2 .27 60 29.7 .99 30 400 400 1 Total: 604.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422518 Min 01422518 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 08-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5714 of 6486
Name
NARAYAN SINGH Qty Rate Amount 20 .93 18.6 1 400 400 60 .93 55.8 1 400 400 Total: 874.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422519 Min 01422519 Slno Description Appmt Dt WARFARIN SODIUM,STRIP PKT,5MG,TABLET 1 08-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 08-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5715 of 6486
Name
RAMBAI Rate Amount Qty 43 2.15 20 31.2 1.04 30 28.32 1.18 24 18 .6 30 9 .3 30 7.5 .25 30 400 400 1 Total: 537.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422520 Min 01422520 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 CREATININE /CRT 4 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 5716 of 6486
Name
KHALIA BISHOYI Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 1300 1300 1 7.5 .25 30 16.2 .27 60 13.95 .93 15 21.3 .71 30 60.9 2.03 30 400 400 1 Total: 3594.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422521 Min 01422521 Slno Description Appmt Dt RIFAXIMIN 200 MG,,TABLET 1 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 04-FEB-19 RACECADOTRIL,100MG,CAPSULE 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 5717 of 6486
Name
SUMITRA BISHOYI Rate Amount Qty 83.97 9.33 9 4.62 .77 6 10.08 1.12 9 35.82 5.97 6 13.95 .93 15 400 400 1 Total: 548.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422524 Min 01422524 Appmt Dt Slno Description 09-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 09-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5718 of 6486
Name
SHAKUNTALA DHRUWA Qty Rate Amount 30 .25 7.5 30 .93 27.9 4 5.21 20.84 1 400 400 Total: 456.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422525 Min 01422525 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 5719 of 6486
Name
KULESHWAR PRASAD DHRUWA Rate Amount Qty 33 1.1 30 6.9 .23 30 8.1 .27 30 7.5 .25 30 400 400 1 16.8 1.12 15 400 400 1 Total: 872.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422528 Min 01422528 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 5720 of 6486
Name
J. KAMARAJU Rate Amount Qty 55.8 .93 60 72.6 1.21 60 34.8 1.16 30 26.7 .89 30 18.9 .63 30 12 .4 30 8.1 .27 30 400 400 1 Total: 628.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422531 Min 01422531 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5721 of 6486
Name
SANDHYA RAWLE Rate Amount Qty 21.3 .71 30 55.8 .93 60 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422532 Min 01422532 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 11 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19 SOLIFENACIN,5MG,,TABLET 14 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 18 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 19 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 25-FEB-19
Page 5722 of 6486
Name
D.C MISHRA Rate Amount Qty 66 1.1 60 32.4 1.08 30 26.7 .89 30 44.1 1.47 30 7.5 .25 30 54 .9 60 6.9 .23 30 21.6 .36 60 18 .6 30 27.9 .93 30 15.6 1.04 15 34.8 1.16 30 400 400 1 403.2 13.44 30 60.9 2.03 30 400 400 1 1.25 .25 5 66.2 6.62 10 6.7 .67 10 9 .9 10 4.45 .89 5 400 400 1 Total: 2107.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422533 Min 01422533 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 5723 of 6486
Name
PUSHP LATA MISHRA Rate Amount Qty 66 1.1 60 10.8 .36 30 39 1.3 30 36 .6 60 21.3 .71 30 400 400 1 Total: 573.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422534 Min 01422534 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 13-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 5724 of 6486
Name
SHIVCHARAN Rate Amount Qty 21.3 .71 30 14.85 .99 15 27.9 .93 30 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 717.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422541 Min 01422541 Appmt Dt Slno Description 19-FEB-19 1 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 19-FEB-19 2 TAMSULOSIN HCL,0.4MG,TAB/CAP.
Page 5725 of 6486
Name
T VARALAXMI Qty Rate Amount 30 6.41 192.3 30 2.03 60.9 253.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422542 Min 01422542 Name Appmt Dt Slno Description 27-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5726 of 6486
BIGHNESHWAR SETHI Qty Rate Amount 1 25.07 25.07 1 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422543 Min 01422543 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 5727 of 6486
Name
JHARA SETHYANI Rate Amount Qty 13.8 .92 15 13.95 .93 15 400 400 1 Total: 427.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422544 Min 01422544 Appmt Dt Slno Description 09-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5728 of 6486
Name
A K CHOUDHARY Qty Rate Amount 90 .6 54 1 400 400 454 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422545 Min 01422545 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5729 of 6486
Name
NIRJALA CHOUDHARY Rate Amount Qty 7.4 .37 20 17.37 17.37 1 400 400 1 Total: 424.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422546 Min 01422546 Appmt Dt Slno Description 28-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 28-FEB-19 2 ATORVASTATIN,STRIP PKT,20MG,TABLET 28-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5730 of 6486
Name
OSAN ALI Qty Rate Amount 20 1.08 21.6 20 1.16 23.2 20 .25 5 1 400 400 Total: 449.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422547 Min 01422547 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19 X - RAY - SINGLE VIEW 6 28-FEB-19
Page 5731 of 6486
Name
ZOHRA BEGUM Rate Amount Qty 21.8 2.18 10 4.45 .89 5 6.4 .64 10 400 400 1 400 400 1 550 550 1 Total: 1382.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422548 Min 01422548 Appmt Dt Slno Description 15-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 2 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5732 of 6486
Name
A H KHAN Qty Rate Amount 30 .93 27.9 15 .16 2.4 30 2.03 60.9 1 400 400 Total: 491.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422552 Min 01422552 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 06-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 8 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 5733 of 6486
Name
YAM CHAND TITARMARE Rate Amount Qty 9 .3 30 60.9 2.03 30 26.7 .89 30 33 1.1 30 34.8 1.16 30 32.4 1.08 30 24 .4 60 27.9 .93 30 36 .6 60 400 400 1 Total: 684.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422554 Min 01422554 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 5734 of 6486
Name
NIRANJAN PRASAD DAS Rate Amount Qty 43.96 43.96 1 3.75 .25 15 400 400 1 Total: 447.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422555 Min 01422555 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5735 of 6486
Name
UTTAMA DAS Rate Amount Qty 76.5 2.55 30 27.9 .93 30 400 400 1 3.84 .64 6 1.85 .37 5 2.28 .38 6 400 400 1 Total: 912.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422556 Min 01422556 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5736 of 6486
Name
ARVIND KUMAR SONA Rate Amount Qty 21.3 .71 30 8.1 .27 30 55.8 .93 60 36 .6 60 3.2 .64 5 12 .4 30 400 400 1 Total: 536.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422557 Min 01422557 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5737 of 6486
Name
SAVITA SONA Rate Amount Qty 12 .4 30 55.8 .93 60 78 1.3 60 7.5 .25 30 72 .6 120 10.8 .36 30 17.4 1.16 15 400 400 1 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422560 Min 01422560 Appmt Dt Slno Description 21-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 21-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 21-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5738 of 6486
Name
SAMYUKTA CHAURASIA Qty Rate Amount 30 .4 12 30 .93 27.9 30 .71 21.3 1 400 400 Total: 461.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422561 Min 01422561 Slno Description Appmt Dt TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 1 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 21-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 8 21-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 9 21-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 10 21-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 5739 of 6486
Name
LAKSHMAN CHAURASIA Rate Amount Qty 7.65 .51 15 72 .6 120 32.4 .36 90 78 1.3 60 3.75 .25 15 8.1 .27 30 34.8 1.16 30 13.2 2.64 5 41.1 1.37 30 252 2.1 120 85.5 2.85 30 400 400 1 Total: 1028.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422565 Min 01422565 Appmt Dt Slno Description 08-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 08-FEB-19 2 TENELIGLIPTIN,20MG,,TABLET 08-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5740 of 6486
Name
R MOORTHI Qty Rate Amount 30 .37 11.1 30 5.58 167.4 60 .6 36 1 400 400 Total: 614.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422566 Min 01422566 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5741 of 6486
Name
K PREMAVATHY Rate Amount Qty 21.3 .71 30 12 .4 30 10.8 .36 30 54 .6 90 117 1.3 90 167.4 5.58 30 400 400 1 Total: 782.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422567 Min 01422567 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 04-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 6 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 04-FEB-19
Page 5742 of 6486
Name
RAMDAS BANJARE Rate Amount Qty 23.7 .79 30 38.25 2.55 15 26.7 .89 30 31.2 1.04 30 2.4 .16 15 34.5 1.15 30 7.8 .26 30 24 .4 60 34.8 1.16 30 32.4 1.08 30 400 400 1 Total: 655.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422568 Min 01422568 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 04-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 04-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 5 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 04-FEB-19 X - RAY - SINGLE VIEW 10 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 12 18-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 13 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 14 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 28-FEB-19
Page 5743 of 6486
Name
SUSHILA BANJARE Rate Amount Qty 27 .9 30 118.5 3.95 30 26.7 .89 30 100.71 100.71 1 15.6 1.04 15 211.8 3.53 60 21.3 .71 30 54 .9 60 400 400 1 550 550 1 400 400 1 1750 1750 1 31.2 1.04 30 43.2 1.44 30 34.8 1.16 30 27.9 .93 30 66 1.1 60 12 .4 30 400 400 1 Total: 4290.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422575 Min 01422575 Appmt Dt Slno Description 02-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5744 of 6486
Name
SAUBHADRA KUMAR MADHARIA Qty Rate Amount 30 .38 11.4 1 400 400 411.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422576 Min 01422576 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 5745 of 6486
Name
JHARANA MADHARIA Rate Amount Qty 74.4 .62 120 26.7 .89 30 400 400 1 Total: 501.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422581 Min 01422581 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5746 of 6486
Name
DINA RAO SAKARKAR Rate Amount Qty 47.4 .79 60 34.8 1.16 30 12 .4 30 33 1.1 30 14.85 .99 15 400 400 1 Total: 542.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422582 Min 01422582 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 7 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 15-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 5747 of 6486
Name
VINA SAKARKAR Rate Amount Qty 7.5 .25 30 34.8 1.16 30 23.7 .79 30 36 .6 60 10.8 .36 30 7.5 .25 30 11.4 .38 30 9.6 .64 15 7.3 .73 10 400 400 1 Total: 548.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422583 Min 01422583 Appmt Dt Slno Description 18-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5748 of 6486
Name
RADHE SHYAM SAHU Qty Rate Amount 30 1.1 33 30 .71 21.3 30 .93 27.9 1 400 400 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422584 Min 01422584 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5749 of 6486
Name
DHIRA RANI SAHU Rate Amount Qty 72 .6 120 167.4 5.58 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 688.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422585 Min 01422585 Appmt Dt Slno Description 14-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 14-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5750 of 6486
Name
MAHENDRA KUMAR SHARMA Qty Rate Amount 60 .23 13.8 30 .71 21.3 15 1.16 17.4 1 400 400 Total: 452.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422586 Min 01422586 Appmt Dt Slno Description 15-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 15-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5751 of 6486
Name
SUMAN SHARMA Qty Rate Amount 60 1.1 66 30 .27 8.1 60 .93 55.8 1 400 400 Total: 529.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422591 Min 01422591 Slno Description Appmt Dt THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 04-FEB-19
Page 5752 of 6486
Name
GOUTAM PAL Rate Amount Qty 184.1 18.41 10 8.9 .89 10 26 2.6 10 2.5 .25 10 400 400 1 Total: 621.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422593 Min 01422593 Appmt Dt Slno Description 01-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 01-FEB-19 2 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5753 of 6486
Name
DEVI CHARAN GUPTA Qty Rate Amount 4 .37 1.48 6 2.66 15.96 60 .93 55.8 1 400 400 Total: 473.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422595 Min 01422595 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 5754 of 6486
Name
LAXMAN DEO Rate Amount Qty 167.4 5.58 30 32.4 .36 90 72 .6 120 29.7 .99 30 36.3 1.21 30 55.8 .93 60 26.7 .89 30 400 400 1 Total: 820.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422597 Min 01422597 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 15-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 2 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 15-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 10 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 5755 of 6486
Name
SUNIL KUMAR LANJEWAR Rate Amount Qty 167.4 5.58 30 123.53 123.53 1 7.5 .25 30 27 .9 30 36 .6 60 21.6 .36 60 29.7 .99 30 55.8 .93 60 400 400 1 13.43 13.43 1 11.1 .37 30 25.62 12.81 2 400 400 1 Total: 1318.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422598 Min 01422598 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 5756 of 6486
Name
RITA LANJEWAR Rate Amount Qty 32.4 1.08 30 8.1 .27 30 27.9 .93 30 21.3 .71 30 20.84 5.21 4 12.8 .64 20 400 400 1 Total: 523.34
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422605 Min 01422605 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 20-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5757 of 6486
KAMLA KOSHLE Rate Amount Qty 25.07 25.07 1 400 400 1 26.7 .89 30 7.5 .25 30 21.3 .71 30 55.8 .93 60 54 .6 90 9.9 .99 10 400 400 1 Total: 1000.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422606 Min 01422606 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 5758 of 6486
Name
UMA SHANKER Rate Amount Qty 34.8 1.16 30 33 1.1 30 14.85 .99 15 55.8 .93 60 12 .4 30 400 400 1 Total: 550.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422607 Min 01422607 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 16-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 16-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 16-FEB-19 TRIGLYCERIDES (TGL) 5 16-FEB-19 CREATININE /CRT 6 16-FEB-19 CHOLESTEROL (CHOL) 7 16-FEB-19
Page 5759 of 6486
Name
C.H.MANIKYAM Rate Amount Qty 34.8 1.16 30 18 .6 30 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 1427.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422610 Min 01422610 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 05-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 7 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 5760 of 6486
Name
RAMESH HARICHAND BADGUJAR Rate Amount Qty 32.4 1.08 30 13.95 .93 15 12 .4 30 34.8 1.16 30 36 .6 60 33 1.1 30 30.6 .34 90 21.6 .36 60 400 400 1 Total: 614.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422613 Min 01422613 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5761 of 6486
Name
SUKHVINDER KAUR Rate Amount Qty 29.7 .99 30 17.4 1.16 15 66 1.1 60 55.8 .93 60 18.6 .62 30 18.9 .63 30 12 .4 30 400 400 1 Total: 618.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422614 Min 01422614 Appmt Dt Slno Description 25-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 25-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5762 of 6486
Name
SUBHASH CHANDRA Qty Rate Amount 30 .6 18 60 .93 55.8 15 .71 10.65 1 400 400 Total: 484.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422621 Min 01422621 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 02-FEB-19
Page 5763 of 6486
Name
GOUSIYA BEGUM Rate Amount Qty 26.7 .89 30 18.9 .63 30 41.1 1.37 30 371.4 6.19 60 400 400 1 Total: 858.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422626 Min 01422626 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 02-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 3 02-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 02-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 11 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 26-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 13 26-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 14 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 16 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 27-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 20 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 21 27-FEB-19 CREATININE /CRT 22 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 23 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 24 27-FEB-19
Page 5764 of 6486
Name
SUKHCHAND DAS Rate Amount Qty 43.2 1.44 30 69.6 1.16 60 31.2 1.04 30 32.4 1.08 30 4.8 .16 30 7.5 .25 30 42.6 .71 60 12 .4 30 46.2 .77 60 400 400 1 23.7 .79 30 4.8 .16 30 43.2 1.44 30 42.6 .71 60 69.6 1.16 60 32.4 1.08 30 12 .4 30 400 400 1 400 400 1 550 550 1 1300 1300 1 275 275 1 275 275 1 275 275 1 Total: 4392.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422633 Min 01422633 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19
Page 5765 of 6486
Name
SHABANA BEGAM Rate Amount Qty 55.8 .93 60 17.4 1.16 15 36.3 1.21 30 8.1 .27 30 400 400 1 Total: 517.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422634 Min 01422634 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 21-FEB-19 BASIC FUCHSINE 1%+CARBOLIC ACID 5% 2 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 21-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 5 21-FEB-19 BUDESONIDE,200MCG,CAPSULE 6 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 5766 of 6486
Name
KULDEEP KUMAR SONKAR Rate Amount Qty 26.96 3.37 8 63.58 63.58 1 12.15 12.15 1 3.7 .37 10 100.71 100.71 1 104.4 1.74 60 54 .9 60 400 400 1 Total: 765.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422635 Min 01422635 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 11-FEB-19
Page 5767 of 6486
Name
VIDHOTAMA SONKAR Rate Amount Qty 117 1.3 90 10.8 .36 30 36 .6 60 18.6 .62 30 167.4 5.58 30 10.42 5.21 2 17.4 1.16 15 400 400 1 Total: 777.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422640 Min 01422640 Appmt Dt Slno Description 01-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 01-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5768 of 6486
Name
NC DAS Qty 1 1
Rate Amount 25.69 25.69 400 400 425.69 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422645 Min 01422645 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5769 of 6486
Name
LAXMI SHRIVAS Qty 6 6 1
Rate Amount 4.62 .77 3.84 .64 400 400 Total: 408.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422649 Min 01422649 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 5770 of 6486
Name
VN JAIRAJ Rate Amount Qty 27.9 .93 30 6.9 .23 30 400 400 1 Total: 434.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422650 Min 01422650 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5771 of 6486
Name
P AJITA Rate Amount Qty 55.8 .93 60 36 .6 60 34.8 1.16 30 14.85 .99 15 400 400 1 Total: 541.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422660 Min 01422660 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 04-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 5772 of 6486
Name
AVINASH KUMAR GUPTA Rate Amount Qty 12 .4 30 18 .6 30 13.8 .92 15 27.9 .93 30 21.3 .71 30 400 400 1 Total: 493
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422663 Min 01422663 Appmt Dt Slno Description 14-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 14-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5773 of 6486
Name
SANEH LATA Qty Rate Amount 30 .6 18 30 .93 27.9 15 1.16 17.4 1 400 400 Total: 463.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422670 Min 01422670 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 14-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 14-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 5774 of 6486
Name
ASHUTOSH JHA Rate Amount Qty 7.5 .25 30 21.3 .71 30 72 .6 120 117 1.3 90 167.4 5.58 30 60.9 2.03 30 192.3 6.41 30 12 .4 30 23.7 .79 30 19.72 9.86 2 3.7 .37 10 26.96 3.37 8 400 400 1 Total: 1124.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422671 Min 01422671 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5775 of 6486
Name
SHASHIBALA JHA Rate Amount Qty 33 1.1 30 21.3 .71 30 400 400 1 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422672 Min 01422672 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 5776 of 6486
Name
DEEPAK KUMAR RUDRA Rate Amount Qty 7.5 .25 30 21.3 .71 30 10.8 .36 30 32.4 1.08 30 36 .6 60 27.9 .93 30 400 400 1 Total: 535.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422674 Min 01422674 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 5777 of 6486
Name
DINGAL DAS CHELAK Rate Amount Qty 3.75 .25 15 32.4 1.08 30 17.4 1.16 15 10.8 .36 30 11.85 .79 15 7.8 .26 30 400 400 1 Total: 484
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422675 Min 01422675 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 5778 of 6486
Name
C. CHELAK Rate Amount Qty 21.3 .71 30 32.4 1.08 30 55.8 .93 60 22.2 .37 60 400 400 1 Total: 531.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422676 Min 01422676 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 04-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 10 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 04-FEB-19 DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 13 14-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 14 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 17 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 16-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 19 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 20-FEB-19
Page 5779 of 6486
Name
GOVIND PRASAD Rate Amount Qty 26.7 .89 30 66.2 6.62 10 7.5 .25 30 21.3 .71 30 32.4 1.08 30 66 1.1 60 41.06 41.06 1 5.34 .89 6 16.8 1.12 15 10.95 .73 15 9.6 .64 15 400 400 1 161.1 5.37 30 20.55 1.37 15 79.2 2.64 30 400 400 1 8.1 .27 30 55.8 .93 60 29.7 .99 30 400 400 1 1.48 .37 4 400 400 1 Total: 2259.78
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422677 Min 01422677 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 27-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 5780 of 6486
Name
DHARM SHEELA Rate Amount Qty 2.22 .37 6 15.96 2.66 6 3.84 .64 6 400 400 1 1.48 .37 4 27.9 .93 30 33 1.1 30 3.08 .77 4 400 400 1 Total: 887.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422678 Min 01422678 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 05-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 5 09-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 6 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 09-FEB-19 SUTURE REMOVAL 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 21-FEB-19 X - RAY - TWO VIEWS 14 21-FEB-19 BRIMONIDINE TARTRATE,0.15% 15 22-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 16 22-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 17 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 22-FEB-19
Page 5781 of 6486
Name
BALIDAS SAO Rate Amount Qty 192.3 6.41 30 192 9.6 20 400 400 1 26.04 .93 28 9.94 .71 14 10.22 .73 14 17.92 .64 28 12.46 .89 14 35.2 3.52 10 400 400 1 490 490 1 400 400 1 400 400 1 860 860 1 74.45 223.35 3 77.07 25.69 3 60.87 20.29 3 400 400 1 Total: 4207.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422679 Min 01422679 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 01-FEB-19 UREA (BUN /UR) 3 01-FEB-19 CREATININE /CRT 4 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 6 01-FEB-19 DRESSING SIMPLE 7 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 01-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 10 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 01-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 01-FEB-19 DRESSING SIMPLE 13 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 5782 of 6486
Name
NIRMALA SAO Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 1300 1300 1 1500 300 5 400 400 1 3.56 .89 4 39.72 6.62 6 6.4 .64 10 7.3 .73 10 900 300 3 400 400 1 36 .6 60 21.3 .71 30 55.8 .93 60 400 400 1 Total: 7470.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422680 Min 01422680 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 01-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 01-FEB-19 HYPERTONIC SALINE EYE DROPS, 5% W/V, 12 05-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 15 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 17 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 18 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 27-FEB-19 TENELIGLIPTIN,20MG,,TABLET 21 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 27-FEB-19
Page 5783 of 6486
Name
SADHU RAM Rate Amount Qty 9.86 9.86 1 41.06 41.06 1 34.8 1.16 30 8.1 .27 30 27.9 .93 30 167.4 5.58 30 54 .6 90 32.4 .36 90 13.48 3.37 4 35.2 3.52 10 400 400 1 33.58 33.58 1 6.82 6.82 1 400 400 1 54 .6 90 32.4 .36 90 3.84 .64 6 27.9 .93 30 8.1 .27 30 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 1979.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422681 Min 01422681 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 5784 of 6486
Name
URMILA SAHU Rate Amount Qty 8.1 .27 30 17.4 1.16 15 7.5 .25 30 12 .4 30 27.9 .93 30 400 400 1 12 .4 30 3.75 .25 15 8.1 .27 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 945.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422682 Min 01422682 Appmt Dt Slno Description 22-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 22-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 22-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 22-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5785 of 6486
Name
TARUN KUMAR DAS Qty Rate Amount 30 2.03 60.9 30 .6 18 30 .93 27.9 1 400 400 Total: 506.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422683 Min 01422683 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5786 of 6486
Name
KALPANA DAS Rate Amount Qty 18 .6 30 27.9 .93 30 400 400 1 156.6 1.74 90 400 400 1 Total: 1002.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422684 Min 01422684 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 18-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 2 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5787 of 6486
Name
NARMADA PRASAD SACHAN Rate Amount Qty 15.3 .51 30 123.6 4.12 30 76.5 2.55 30 16.2 .27 60 60.9 2.03 30 400 400 1 Total: 692.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422686 Min 01422686 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 15-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 4 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 5788 of 6486
Name
G.GURUMURTHY Rate Amount Qty 400 400 1 1750 1750 1 192.3 6.41 30 118.5 3.95 30 27.9 .93 30 11.4 .38 30 60.9 2.03 30 400 400 1 7.2 .16 45 400 400 1 13.35 .89 15 20.06 20.06 1 400 400 1 Total: 3801.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422687 Min 01422687 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 15-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 16-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 7 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 5789 of 6486
Name
G DANAMMA Rate Amount Qty 21.3 .71 30 32.4 1.08 30 21.3 .71 30 33 1.1 30 400 400 1 26.7 .89 30 100.71 100.71 1 54 .9 60 6.4 .64 10 400 400 1 15 .25 60 400 400 1 Total: 1510.81
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422689 Min 01422689 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 18-FEB-19 CREATININE /CRT 4 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 18-FEB-19 URIC ACID (UA /URATES /UR) 6 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 20-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 5790 of 6486
Name
DR. SMT NISHA SHUKLA Rate Amount Qty 275 275 1 400 400 1 275 275 1 275 275 1 1300 1300 1 275 275 1 72.6 1.21 60 22.2 .37 60 36 .6 60 167.4 5.58 30 27.6 .92 30 21.3 .71 30 371.4 6.19 60 55.8 .93 60 400 400 1 Total: 3974.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422692 Min 01422692 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 16-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 16-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 5791 of 6486
Name
RAMHOO LAL PATIL Rate Amount Qty 17.4 .58 30 7.5 .25 30 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 Total: 521.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422694 Min 01422694 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 13-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 11 26-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 5792 of 6486
Name
HEMRAJ BHENDARKAR Rate Amount Qty 12 .4 30 36 .6 60 3.75 .25 15 8.1 .27 30 15.96 2.66 6 55.8 .93 60 1.48 .37 4 400 400 1 3.84 .64 6 1.48 .37 4 3.8 .38 10 15.96 2.66 6 400 400 1 Total: 958.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422695 Min 01422695 Appmt Dt Slno Description 11-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 20-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5793 of 6486
Name
VISHNU SAHAY Qty Rate Amount 30 2.03 60.9 1 400 400 30 .23 6.9 1 400 400 Total: 867.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422696 Min 01422696 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 18-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5794 of 6486
Name
DASHRATHRAM SAHU Rate Amount Qty 9.59 1.37 7 6.23 .89 7 1.75 .25 7 400 400 1 39 2.6 15 400 400 1 66 1.1 60 32.4 1.08 30 21.3 .71 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 1410.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422697 Min 01422697 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 26-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 26-FEB-19
Page 5795 of 6486
Name
MEENA SAHU Rate Amount Qty 6.9 .23 30 14.85 .99 15 55.8 .93 60 12 .4 30 54 .6 90 27.6 .92 30 167.4 5.58 30 6.4 .64 10 7.5 .25 30 26.7 .89 30 34.8 1.16 30 400 400 1 Total: 813.95
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422700 Min 01422700 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 08-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 12 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 13 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 08-FEB-19
Page 5796 of 6486
SHARAD CHAND SONI Rate Amount Qty 2.59 .37 7 9.6 .64 15 65.52 2.34 28 400 400 1 1.75 .25 7 27.9 .93 30 8.1 .27 30 5.39 .77 7 400 400 1 15.73 15.73 1 6.23 .89 7 9.38 .67 14 3.78 .18 21 400 400 1 Total: 1355.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422701 Min 01422701 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 08-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 08-FEB-19 BUDESONIDE,200MCG,CAPSULE 9 08-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19
Page 5797 of 6486
Name
MANJULA SONI Rate Amount Qty 167.4 5.58 30 54 .6 90 47.4 .79 60 21.3 .71 30 400 400 1 26.7 .89 30 12.15 12.15 1 54 .9 60 156.6 1.74 90 59.4 .66 90 400 400 1 Total: 1398.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422702 Min 01422702 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 4 19-FEB-19 ESCITALOPRAM,10MG,,TABLET 5 19-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 6 19-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19
Page 5798 of 6486
Name
G R HIRWANI Rate Amount Qty 21.3 .71 30 36 .6 60 400 400 1 39.6 2.64 15 111 1.85 60 52.65 3.51 15 43.96 43.96 1 400 400 1 Total: 1104.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422703 Min 01422703 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 19-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 5 19-FEB-19 LITHIUM CARBONATE,400/450MG SR ,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 9 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 5799 of 6486
Name
DHANESHWARI BAI Rate Amount Qty 18 .6 30 21.3 .71 30 400 400 1 19.8 .66 30 12.3 .82 15 85.5 2.85 30 400 400 1 72.6 1.21 60 32.4 1.08 30 60.9 2.03 30 56.61 .37 153 2.4 .16 15 26.7 .89 30 34.8 1.16 30 55.8 .93 60 400 400 1 Total: 1699.11
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422704 Min 01422704 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 5800 of 6486
Name
BHIKHARI SINGH Rate Amount Qty 167.4 5.58 30 54 .6 90 32.4 .36 90 21.3 .71 30 7.5 .25 30 400 400 1 Total: 682.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422705 Min 01422705 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 5801 of 6486
Name
RAMLAL SWARNKAR Rate Amount Qty 12 .4 30 32.4 1.08 30 66 1.1 60 23.7 .79 30 21.3 .71 30 26.7 .89 30 18 .6 30 400 400 1 Total: 600.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422706 Min 01422706 Appmt Dt Slno Description 05-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 05-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 05-FEB-19 3 MOXONIDIN 0.2MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5802 of 6486
Name
SAVITRI SONI Qty Rate Amount 60 .93 55.8 90 .6 54 90 3.53 317.7 1 400 400 Total: 827.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422707 Min 01422707 Appmt Dt Slno Description 01-FEB-19 1 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 01-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 01-FEB-19 3 RANITIDINE HCL,STRIP PKT,150MG,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5803 of 6486
Name
SANTOSH KUMAR Qty Rate Amount 14 3.52 49.28 7 .37 2.59 14 .77 10.78 1 400 400 Total: 462.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422711 Min 01422711 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 13 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 13-FEB-19
Page 5804 of 6486
Name
S K PANDYA Rate Amount Qty 18.6 .62 30 4.8 .16 30 24 .4 60 34.8 1.16 30 8.1 .27 30 27.9 .93 30 43.96 43.96 1 400 400 1 18.6 .62 30 55.8 .93 60 8.1 .27 30 12 .4 30 3.2 .16 20 400 400 1 Total: 1059.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422712 Min 01422712 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 12-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 14 12-FEB-19 RIFAXIMIN 200 MG,,TABLET 15 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 16 12-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 17 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 12-FEB-19
Page 5805 of 6486
Name
NEELAM PANDYA Rate Amount Qty 12 .4 30 167.4 5.58 30 371.4 6.19 60 55.8 .93 60 27.9 .62 45 6.9 .23 30 21.3 .71 30 54 .6 90 10.08 1.12 9 3.75 .25 15 14.85 .99 15 400 400 1 8.9 .89 10 26.13 8.71 3 93.3 9.33 10 35.2 3.52 10 7 .7 10 400 400 1 Total: 1715.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422713 Min 01422713 Appmt Dt Slno Description 11-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5806 of 6486
Name
OA SHREEDHAR Qty Rate Amount 30 .27 8.1 30 .71 21.3 30 1.21 36.3 1 400 400 Total: 465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422714 Min 01422714 Appmt Dt Slno Description 11-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 11-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5807 of 6486
Name
SUL0 CHANA Qty Rate Amount 30 .25 7.5 30 .71 21.3 30 1.21 36.3 1 400 400 Total: 465.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422717 Min 01422717 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 5 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 5808 of 6486
Name
GANGA RAM SAO Rate Amount Qty 21.3 .71 30 26.7 .89 30 32.4 1.08 30 12 .4 30 15.6 .26 60 8.1 .27 30 27.9 .93 30 400 400 1 20.06 20.06 1 12.46 .89 14 400 400 1 Total: 976.52
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422718 Min 01422718 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 21-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 5809 of 6486
UMA SAO Rate Amount Qty 6.4 .64 10 2.6 .26 10 400 400 1 25.07 25.07 1 400 400 1 Total: 834.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422721 Min 01422721 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 23-FEB-19 AMIODARONE HCL,STRIP PKT,200MG,TABLET 2 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 23-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 5810 of 6486
Name
MOHD SALIMULLAH Rate Amount Qty 12 .4 30 61.8 4.12 15 6.9 .23 30 12 .4 30 18.9 .63 30 34.8 1.16 30 400 400 1 Total: 546.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422725 Min 01422725 Slno Description Appmt Dt SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 20-FEB-19
Page 5811 of 6486
Name
SHIVNATH Rate Amount Qty 29 29 1 7.4 .37 20 17.6 17.6 1 400 400 1 54 .6 90 78 1.3 60 167.4 5.58 30 21.3 .71 30 27.9 .93 30 185.7 6.19 30 32.4 .36 90 12 .4 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 1466.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422726 Min 01422726 Slno Description Appmt Dt RISPERIDONE,STRIP PKT,2MG,TABLET 1 19-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 2 19-FEB-19 SODIUM VALPROATE,500MG,TABLET 3 19-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 20-FEB-19 CARBAMAZEPINE,STRIP PKT,200MG,TABLET 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 5812 of 6486
Name
SARASWATI Rate Amount Qty 41.1 1.37 30 11.5 1.15 10 234 3.9 60 15.3 .51 30 400 400 1 3.84 .64 6 14.85 .99 15 18.6 .62 30 27.9 .93 30 22.05 1.47 15 400 400 1 Total: 1189.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422728 Min 01422728 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 04-FEB-19 GUM ANALGESIC GEL 2 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 05-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 9 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 05-FEB-19
Page 5813 of 6486
Name
PHOOL BAI Rate Amount Qty 5.21 5.21 1 28.69 28.69 1 4.1 .41 10 .77 .77 1 6.93 .77 9 400 400 1 16.8 .42 40 17.8 .89 20 62.8 3.14 20 400 400 1 Total: 943.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422732 Min 01422732 Slno Description Appmt Dt CLOXACILLIN,STRIP PKT,250MG,CAPSULE 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 5814 of 6486
Name
RADHA BAI Rate Amount Qty 55.2 1.84 30 4.45 .89 5 4.1 .41 10 16.8 1.12 15 400 400 1 Total: 480.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422734 Min 01422734 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 5815 of 6486
Name
PK SARKAR Rate Amount Qty 27.6 .92 30 54 .6 90 27.9 .93 30 8.1 .27 30 12 .4 30 34.8 1.16 30 400 400 1 Total: 564.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422735 Min 01422735 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 14-FEB-19 SODIUM VALPROATE,500MG,TABLET 2 14-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 3 14-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 4 14-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 5 14-FEB-19 CREAM,ACICLOVIR,5%,5GM/TUBE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 5816 of 6486
KAJAL BANERJEE Rate Amount Qty 46.8 .78 60 234 3.9 60 12.75 12.75 1 85.52 85.52 1 31.61 31.61 1 35.63 35.63 1 400 400 1 25.07 25.07 1 400 400 1 Total: 1271.38
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422737 Min 01422737 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 22-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 2 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 22-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 25-FEB-19 UREA (BUN /UR) 12 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 25-FEB-19 CREATININE /CRT 14 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 25-FEB-19 URIC ACID (UA /URATES /UR) 17 25-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 18 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 26-FEB-19
Page 5817 of 6486
SMT.TRIPTI RANI CHOUDHARY Rate Amount Qty 78 2.6 30 2.6 .26 10 25.2 .42 60 26.7 .89 30 7.5 .25 30 21.3 .71 30 18.9 .63 30 18 .3 60 36 .6 60 400 400 1 400 400 1 275 275 1 6600 550 12 275 275 1 1300 1300 1 275 275 1 275 275 1 25.07 25.07 1 400 400 1 Total: 10459.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422738 Min 01422738 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 02-FEB-19 OXCARBAZEPINE,300MG,,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 5818 of 6486
Name
LAKSHMI CHAND AGARWAL Rate Amount Qty 47.4 .79 60 394.8 6.58 60 400 400 1 Total: 842.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422743 Min 01422743 Appmt Dt Slno Description 17-FEB-19 1 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 17-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5819 of 6486
Name
GANGULI SK Qty Rate Amount 30 .66 19.8 1 400 400 419.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422749 Min 01422749 Appmt Dt Slno Description 15-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5820 of 6486
Name
GRACY KURIEN Qty Rate Amount 60 .27 16.2 30 .71 21.3 60 .93 55.8 1 400 400 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422750 Min 01422750 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 15-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5821 of 6486
Name
KURIEN CHACKO Rate Amount Qty 7.5 .25 30 12 .4 30 72 .6 120 21.3 .71 30 47.4 .79 60 400 400 1 Total: 560.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422752 Min 01422752 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 27-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 27-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 27-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 27-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19 ABC TEST HIV 11 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 12 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 28-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 14 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19
Page 5822 of 6486
SHANTA RAJPUT Rate Amount Qty 31.61 31.61 1 25.62 12.81 2 11.1 .37 30 36 .6 60 7.5 .25 30 76.5 2.55 30 8.1 .27 30 25.07 25.07 1 21.45 21.45 1 400 400 1 1250 1250 1 275 275 1 275 275 1 1000 1000 1 400 400 1 Total: 3842.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422753 Min 01422753 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5823 of 6486
Name
S B S LAL Rate Amount Qty 33 1.1 30 7.5 .25 30 21.3 .71 30 8.1 .27 30 27.9 .93 30 12 .4 30 400 400 1 Total: 509.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422759 Min 01422759 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 19-FEB-19 URIC ACID (UA /URATES /UR) 3 19-FEB-19 CREATININE /CRT 4 19-FEB-19 UREA (BUN /UR) 5 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 15 20-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 16 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 20-FEB-19
Page 5824 of 6486
Name
AUGUSTUS XALXO Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 11.85 .79 15 34.8 1.16 30 33 1.1 30 12 .4 30 167.4 5.58 30 32.4 1.08 30 78 1.3 60 20.84 5.21 4 400 400 1 Total: 4415.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422760 Min 01422760 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 2 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5825 of 6486
Name
CLARA XALXO Rate Amount Qty 12 .4 30 142.2 1.58 90 7.5 .25 30 26.7 .89 30 21.3 .71 30 32.4 .36 90 400 400 1 Total: 642.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422762 Min 01422762 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 25-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 2 25-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 25-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 5826 of 6486
Name
L VARALAXMI Rate Amount Qty 63.58 63.58 1 63.22 31.61 2 25.62 12.81 2 11.25 .75 15 400 400 1 Total: 563.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422763 Min 01422763 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 20-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5827 of 6486
Name
DIWAKAR THAKRE Rate Amount Qty 29.7 .99 30 11.4 .38 30 26.7 .89 30 12 .4 30 55.8 .93 60 21.3 .71 30 15.6 .26 60 118.5 3.95 30 400 400 1 Total: 691
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422764 Min 01422764 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 5828 of 6486
Name
KUMUD Rate Amount Qty 55.8 .93 60 14.85 .99 15 27.9 .93 30 13.35 .89 15 27.6 .92 30 18 .6 30 21.3 .71 30 400 400 1 Total: 578.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422765 Min 01422765 Slno Description Appmt Dt BLOOD FOR T-3,T-4,TSH 1 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 04-FEB-19 URIC ACID (UA /URATES /UR) 6 04-FEB-19 CREATININE /CRT 7 04-FEB-19 UREA (BUN /UR) 8 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 18-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 18-FEB-19
Page 5829 of 6486
Name
SUBHASH DAROKAR Rate Amount Qty 2400 2400 1 400 400 1 275 275 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 12 .4 30 36 .6 60 9 .3 30 34.8 1.16 30 400 400 1 Total: 6241.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422766 Min 01422766 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 04-FEB-19 URIC ACID (UA /URATES /UR) 2 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 04-FEB-19 CREATININE /CRT 6 04-FEB-19 UREA (BUN /UR) 7 04-FEB-19 BLOOD FOR T-3,T-4,TSH 8 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 04-FEB-19 CREATININE /CRT 14 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 19-FEB-19 POTASSIUM (K+) 16 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 19 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 20 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 5830 of 6486
Name
SMT.SUNITA DAROKAR Rate Amount Qty 550 550 1 275 275 1 9.3 .62 15 36 .6 60 1300 1300 1 275 275 1 275 275 1 2400 2400 1 400 400 1 275 275 1 33 1.1 30 13.95 .93 15 39 1.3 30 275 275 1 400 400 1 275 275 1 13.95 .93 15 36 .6 60 33 1.1 30 39 1.3 30 9.3 .62 15 400 400 1 Total: 7362.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422771 Min 01422771 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 5831 of 6486
Name
R P DEWANGAN Rate Amount Qty 13.7 1.37 10 8.4 .42 20 5 .25 20 400 400 1 27.9 .93 30 400 400 1 Total: 855
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422772 Min 01422772 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 14-FEB-19
Page 5832 of 6486
Name
LATA DEWANGAN Rate Amount Qty 9.28 1.16 8 12 .4 30 41.85 .93 45 36.3 1.21 30 10.8 .36 30 36 .6 60 400 400 1 275 275 1 275 275 1 Total: 1096.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422773 Min 01422773 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 08-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 08-FEB-19 UREA (BUN /UR) 7 08-FEB-19 CREATININE /CRT 8 08-FEB-19 URIC ACID (UA /URATES /UR) 9 08-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 08-FEB-19
Page 5833 of 6486
Name
TIRUPATHAIAH Rate Amount Qty 21.3 .71 30 23.7 .79 30 82.8 .92 90 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 8.1 .27 30 27.9 .93 30 72 .6 120 Total: 3310.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422774 Min 01422774 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 04-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 5834 of 6486
Name
RAMA LAXMI Rate Amount Qty 2.22 .37 6 3.84 .64 6 18.4 1.84 10 400 400 1 2.56 .64 4 1.52 .38 4 1 .25 4 400 400 1 Total: 829.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422775 Min 01422775 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 11 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 21-FEB-19
Page 5835 of 6486
Name
BK DOKANIA Rate Amount Qty 18 .6 30 8.1 .27 30 76.5 2.55 30 7.5 .25 30 12 .4 30 32.4 1.08 30 21.3 .71 30 400 400 1 26.96 3.37 8 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 1029.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422776 Min 01422776 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 05-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 5836 of 6486
Name
MANJU DOKANIA Rate Amount Qty 33 1.1 30 7.5 .25 30 26.7 .89 30 11.2 1.12 10 35.2 3.52 10 21.3 .71 30 400 400 1 Total: 534.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422779 Min 01422779 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 02-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 10 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 11 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 14 08-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 15 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 08-FEB-19
Page 5837 of 6486
Name
SAKUN BAI Rate Amount Qty 12 .6 20 26 1.3 20 55.8 5.58 10 3.1 .62 5 7.2 .36 20 16.4 .82 20 400 400 1 275 275 1 275 275 1 73.8 .82 90 167.4 5.58 30 17.4 1.16 15 400 400 1 36.42 18.21 2 51.38 25.69 2 400 400 1 Total: 2216.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422781 Min 01422781 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 13-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 13-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 13-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 13-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 7 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 5838 of 6486
Name
SUNDER LAL SAHU Rate Amount Qty 19.72 9.86 2 25.69 25.69 1 6.82 6.82 1 26.96 3.37 8 7.4 .37 20 400 400 1 26 2.6 10 2.5 .25 10 400 400 1 Total: 915.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422783 Min 01422783 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 15-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 5839 of 6486
Name
ATMA RAM THAKUR Rate Amount Qty 32.4 1.08 30 47.4 .79 60 26.7 .89 30 8.1 .27 30 21.3 .71 30 400 400 1 Total: 535.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422788 Min 01422788 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19 C T ABDOMEN 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19
Page 5840 of 6486
Name
NAND KISHORE Rate Amount Qty 4.45 .89 5 6.4 .64 10 400 400 1 9000 9000 1 400 400 1 Total: 9810.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422791 Min 01422791 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19
Page 5841 of 6486
Name
S R SHEOLIKAR Rate Amount Qty 13.5 .3 45 21.3 .71 30 36 .6 60 8.1 .27 30 55.8 .93 60 400 400 1 Total: 534.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422793 Min 01422793 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 GUM ASTRINGENT PAINT 5 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 7 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 5842 of 6486
Name
SINGH SUKHCHAIN BHUE Rate Amount Qty 11.2 1.12 10 36.8 1.84 20 3.84 .64 6 4.45 .89 5 31.54 31.54 1 400 400 1 55.2 1.84 30 1.85 .37 5 3.2 .64 5 8.9 .89 10 400 400 1 Total: 956.98
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422796 Min 01422796 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 12-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 9 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 27-FEB-19
Page 5843 of 6486
YOGESH MIHIR Rate Amount Qty 11.85 .79 15 25.07 25.07 1 26.7 .89 30 12 .4 30 33 1.1 30 117 1.3 90 9 .3 30 400 400 1 157.8 2.63 60 400 400 1 Total: 1192.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422797 Min 01422797 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 21-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 21-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 13 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 22-FEB-19
Page 5844 of 6486
Name
BHAGAT GHALLE Rate Amount Qty 26.6 2.66 10 6.7 .67 10 12.15 12.15 1 400 400 1 26.7 .89 30 54 .9 60 12.15 12.15 1 400 400 1 21.3 .71 30 20.84 5.21 4 26.7 .89 30 27.9 .93 30 32.4 1.08 30 400 400 1 Total: 1467.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422799 Min 01422799 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 14-FEB-19 SOLIFENACIN,5MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 20-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 5845 of 6486
Name
PAPALAL Rate Amount Qty 11.4 .38 30 167.4 5.58 30 60.9 2.03 30 403.2 13.44 30 400 400 1 6.4 .64 10 35.2 3.52 10 400 400 1 Total: 1484.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422800 Min 01422800 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5846 of 6486
Name
GOURA BAI Rate Amount Qty 33 1.1 30 9.9 .66 15 26.7 .89 30 7.5 .25 30 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422801 Min 01422801 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 12-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 6 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 9 13-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 10 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 22-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 13 22-FEB-19 INHALANT,STRIP PACK,CAPSULE 14 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 15 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 27-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 27-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 20 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21 27-FEB-19 INHALANT,STRIP PACK,CAPSULE 22 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 27-FEB-19
Page 5847 of 6486
CHUNNI LAL SAHU Rate Amount Qty 27.9 .93 30 14.85 .99 15 21.3 .71 30 7.5 .25 30 60.9 2.03 30 6 .6 10 192.3 6.41 30 400 400 1 192.3 6.41 30 60.9 2.03 30 400 400 1 6.4 .64 10 32.61 32.61 1 17 1.7 10 20.06 20.06 1 1.85 .37 5 400 400 1 8.9 .89 10 66.2 6.62 10 48.22 48.22 1 8.9 .89 10 17 1.7 10 400 400 1 Total: 2411.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422802 Min 01422802 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 5848 of 6486
Name
TIKAM BAI Rate Amount Qty 11.4 .38 30 7.5 .25 30 400 400 1 Total: 418.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422803 Min 01422803 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 PRAZOSIN,2.5MG,TABLET 5 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5849 of 6486
Name
YASHWANT Rate Amount Qty 12 .4 30 21.3 .71 30 211.8 3.53 60 55.8 .93 60 78 1.3 60 1.48 .37 4 400 400 1 Total: 780.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422804 Min 01422804 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 5850 of 6486
Name
SMT.BHAGYAWATI Rate Amount Qty 12 .4 30 32.4 1.08 30 55.8 .93 60 33 1.1 30 4.5 .3 15 36 .6 60 34.8 1.16 30 400 400 1 Total: 608.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422805 Min 01422805 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5851 of 6486
Name
SUKHAU DAS Rate Amount Qty 72 .6 120 167.4 5.58 30 21.3 .71 30 27.9 .93 30 32.4 .36 90 7.5 .25 30 400 400 1 Total: 728.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422806 Min 01422806 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5852 of 6486
Name
UMROUTIN BAI Rate Amount Qty 43.96 43.96 1 7.5 .25 30 400 400 1 Total: 451.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422807 Min 01422807 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 06-FEB-19
Page 5853 of 6486
Name
MUNI LAL SHANDIL Rate Amount Qty 10.8 .36 30 1.85 .37 5 3.84 .64 6 26.6 2.66 10 17.4 1.16 15 78 1.3 60 54 .6 90 400 400 1 Total: 592.49
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422808 Min 01422808 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 09-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 5854 of 6486
KAMINI BAI Rate Amount Qty 15.73 15.73 1 26.7 .89 30 12.8 .64 20 7.5 .25 30 43.96 43.96 1 400 400 1 Total: 506.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422810 Min 01422810 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5855 of 6486
Name
SUBHADRA SAM DAVID Rate Amount Qty 36 .6 60 7.5 .25 30 17.4 1.16 15 27.9 .93 30 10.8 .36 30 400 400 1 Total: 499.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422813 Min 01422813 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 12-FEB-19 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 3 12-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 5856 of 6486
Name
DINAKAR MARATHE Rate Amount Qty 34.8 1.16 30 23.1 .77 30 189 2.1 90 10.35 .23 45 400 400 1 Total: 657.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422815 Min 01422815 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 2 22-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 22-FEB-19
Page 5857 of 6486
Name
CHINNA KONDIYYA Rate Amount Qty 6.4 .64 10 18 .6 30 40.12 20.06 2 400 400 1 70.2 2.34 30 35.2 3.52 10 Total: 569.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422817 Min 01422817 Appmt Dt Slno Description 11-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 12-FEB-19 2 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 12-FEB-19 3 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 12-FEB-19 4 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET
Page 5858 of 6486
Name
ANGILINA SHANTA DAS Qty Rate Amount 1 400 400 1 19.77 19.77 24 1.84 44.16 4 2.14 8.56 Total: 472.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422818 Min 01422818 Appmt Dt Slno Description 05-FEB-19 1 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 05-FEB-19 2 BRIMONIDINE TARTRATE,0.15% 05-FEB-19 3 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5859 of 6486
Name
ARVIND KUMAR DAS Qty Rate Amount 3 25.69 77.07 3 74.45 223.35 3 20.29 60.87 1 400 400 Total: 761.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422821 Min 01422821 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 5860 of 6486
Name
PV DESHMUKH Rate Amount Qty 7.8 .26 30 34.8 1.16 30 12 .4 30 32.4 1.08 30 42.6 .71 60 27.9 .93 30 31.2 1.04 30 400 400 1 Total: 588.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422824 Min 01422824 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 01-FEB-19 URINE ROUTINE AND MICROSCOPIC 3 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 05-FEB-19 APTT (ACTIVATED PARTIAL THROMBOPLASTIN T 6 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 PROTHROMBIN TIME (PT) 8 05-FEB-19 PROTHROMBIN TIME (PT) 9 13-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 10 13-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 11 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 15 20-FEB-19 PROTHROMBIN TIME (PT) 16 20-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 17 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 27-FEB-19
Page 5861 of 6486
Name
ASHIYA BAI Qty 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 275 275 275 275 380 380 400 400 1300 1300 330 330 400 400 330 330 330 330 1300 1300 330 330 400 400 400 400 275 275 275 275 330 330 330 330 400 400 Total: 8060
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422825 Min 01422825 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 27-FEB-19 X - RAY - SINGLE VIEW 2 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 5 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 27-FEB-19 ESCITALOPRAM,10MG,,TABLET 9 27-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 10 27-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 27-FEB-19
Page 5862 of 6486
Name
KULWANT SINGH BHALLA Rate Amount Qty 400 400 1 550 550 1 16.5 1.1 15 55.8 .93 60 13.8 .23 60 6.4 .64 10 12 .4 30 32.4 1.08 30 55.5 1.85 30 95.7 3.19 30 1.85 .37 5 400 400 1 Total: 1639.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422826 Min 01422826 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 5863 of 6486
Name
SATINDER PAL KAUR BHALLA Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 Total: 472
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422828 Min 01422828 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 10-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 10-FEB-19 OBSERVATION IN CASUALTY 5 10-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 10-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 10-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 10-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 12-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19 X - RAY - SINGLE VIEW 14 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 14-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 17 14-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 18 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 21 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 22 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 21-FEB-19 HB,TLC,DLC 27 25-FEB-19 PLATELET COUNT 28 25-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 29 25-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 30 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 31 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 32 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 33 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 25-FEB-19
Page 5864 of 6486
Name
B VARALAKSHMI Rate Amount Qty 3.75 .25 15 400 400 1 .51 .51 1 .27 .27 1 420 420 1 .89 .89 1 4.2 .42 10 400 400 1 2.4 .16 15 8.4 .42 20 27.9 .93 30 5.21 5.21 1 400 400 1 550 550 1 400 400 1 550 550 1 1300 1300 1 1300 1300 1 275 275 1 400 400 1 275 275 1 7.5 .25 30 400 400 1 3.84 .64 6 8.9 .89 10 400 400 1 300 300 1 330 330 1 26 2.6 10 22 4.4 5 3.7 .37 10 41.85 .93 45 400 400 1 400 400 1 Total: 9067.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422832 Min 01422832 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 02-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 2 02-FEB-19 ECG 3 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 02-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 02-FEB-19 OBSERVATION IN CASUALTY 8 02-FEB-19 ECG 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19
Page 5865 of 6486
Name
SHEKH CHAND Rate Amount Qty 24.52 24.52 1 600 600 1 450 450 1 .16 .16 1 9.62 9.62 1 8.9 .89 10 3.84 .64 6 420 420 1 450 450 1 400 400 1 Total: 2367.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422833 Min 01422833 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 20-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 5866 of 6486
Name
SUGRA BE Rate Amount Qty 43.96 43.96 1 19.8 .66 30 21.3 .71 30 12 .4 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 557.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422838 Min 01422838 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5867 of 6486
Name
BHAGWATI BAI THAKUR Rate Amount Qty 33 1.1 30 18 .6 30 400 400 1 Total: 451
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422841 Min 01422841 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 2 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 07-FEB-19 ONDANSETRON,2MG/ML,INJECTION 4 07-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 5 07-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 09-FEB-19 UREA (BUN /UR) 10 09-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 11 09-FEB-19 URIC ACID (UA /URATES /UR) 12 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 13 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 15 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 16 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 18 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 11-FEB-19
Page 5868 of 6486
Name
SMT.KIRAN DUBEY Rate Amount Qty 420 420 1 9.62 9.62 1 24.52 24.52 1 7.52 7.52 1 23.39 23.39 1 9.81 9.81 1 400 400 1 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 54 .6 90 26.7 .89 30 23.7 .79 30 34.8 1.16 30 54 .6 90 55.2 .92 60 400 400 1 Total: 3943.26
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422842 Min 01422842 Slno Description Appmt Dt CREATININE /CRT 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 01-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 8 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 01-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 10 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 01-FEB-19
Page 5869 of 6486
Name
RAJ NARAYAN YADAV Rate Amount Qty 275 275 1 69.6 1.16 60 275 275 1 1300 1300 1 400 400 1 24 .4 60 275 275 1 19.72 9.86 2 7.4 .37 20 26.96 3.37 8 36 .6 60 33 1.1 30 Total: 2741.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422843 Min 01422843 Appmt Dt Slno Description 01-FEB-19 1 URSODEOXYCHOLIC ACID,150MG,TABLET 01-FEB-19 2 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 01-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5870 of 6486
Name
SUMITRA DEVI Qty Rate Amount 90 7.06 635.4 60 .26 15.6 30 .89 26.7 1 400 400 Total: 1077.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422844 Min 01422844 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 14-FEB-19 PRAZOSIN,2.5MG,TABLET 2 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 16-FEB-19
Page 5871 of 6486
Name
ASHOK KUMAR SHARMA Rate Amount Qty 317.7 3.53 90 39 1.3 30 29.7 .99 30 7.5 .25 30 60.9 2.03 30 54 .6 90 21.6 .36 60 167.4 5.58 30 400 400 1 78 1.3 60 55.8 .93 60 400 400 1 Total: 1631.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422846 Min 01422846 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5872 of 6486
TAPAS KUMAR Rate Amount Qty 192.3 6.41 30 46.2 .77 60 60.9 2.03 30 400 400 1 50.14 25.07 2 400 400 1 Total: 1149.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422847 Min 01422847 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 15-FEB-19 URIC ACID (UA /URATES /UR) 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 15-FEB-19 UREA (BUN /UR) 5 15-FEB-19 CREATININE /CRT 6 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 15-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 9 15-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 18-FEB-19 X - RAY - TWO VIEWS 14 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 15 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 18-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 17 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 18-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 19 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 22 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 24 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 25 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 22-FEB-19
Page 5873 of 6486
Name
LAKSHMI VARMAN Rate Amount Qty 400 400 1 275 275 1 3.56 .89 4 5.12 .64 8 275 275 1 275 275 1 275 275 1 275 275 1 73.64 18.41 4 14.85 .99 15 21.3 .71 30 8.1 .27 30 400 400 1 860 860 1 167.4 5.58 30 72 .6 120 117 1.3 90 32.4 .36 90 76.5 2.55 30 55.8 .93 60 12.8 .64 20 26 2.6 10 17.8 .89 20 123.8 6.19 20 5 .25 20 400 400 1 Total: 4268.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422849 Min 01422849 Appmt Dt Slno Description 12-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 12-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5874 of 6486
Name
SURESH PRAKASH PREM Qty Rate Amount 30 .38 11.4 1 400 400 411.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422854 Min 01422854 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5875 of 6486
Name
SAFIQUN NISHA Rate Amount Qty 21.3 .71 30 6.9 .23 30 167.4 5.58 30 54 .6 90 10.8 .36 30 3.75 .25 15 400 400 1 Total: 664.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422855 Min 01422855 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 08-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 08-FEB-19 CREATININE /CRT 5 08-FEB-19 COMPLETE HAEMOGRAM 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 15 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 19 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 20 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 21 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 22 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23 15-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 24 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 15-FEB-19
Page 5876 of 6486
Name
FUL CHAND PANDEY Rate Amount Qty 4.97 .71 7 275 275 1 275 275 1 550 550 1 275 275 1 750 750 1 400 400 1 1.75 .25 7 1.12 .16 7 7.56 1.08 7 3.78 .27 14 13.02 .93 14 39.06 5.58 7 8.4 .6 14 2.52 .36 7 16.2 .27 60 32.4 1.08 30 36 .6 60 167.4 5.58 30 55.8 .93 60 10.8 .36 30 21.3 .71 30 7.5 .25 30 2.4 .16 15 400 400 1 Total: 3356.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422856 Min 01422856 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 08-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5877 of 6486
Name
SMT.ARTI PANDEY Qty Rate Amount 30 .93 27.9 15 .99 14.85 30 .71 21.3 1 400 400 Total: 464.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422857 Min 01422857 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5878 of 6486
Name
K ANANDA RAO Rate Amount Qty 33 1.1 30 21.3 .71 30 26.7 .89 30 21.6 .36 60 7.5 .25 30 117 1.3 90 12 .4 30 27.9 .93 30 400 400 1 Total: 667
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422858 Min 01422858 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 5879 of 6486
Name
K. JAYALAXMI Rate Amount Qty 1.6 .16 10 27.9 .93 30 26.7 .89 30 32.4 1.08 30 18 .6 30 400 400 1 Total: 506.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422864 Min 01422864 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 09-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 09-FEB-19
Page 5880 of 6486
Name
RAMSAHAI Rate Amount Qty 400 400 1 32.4 1.08 30 6.82 6.82 1 33 1.1 30 7.65 .51 15 12 .4 30 Total: 491.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422870 Min 01422870 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 5881 of 6486
Name
UMA SHANKAR TIWARI Rate Amount Qty 10.8 1.08 10 11.6 1.16 10 9.3 .93 10 400 400 1 32.4 1.08 30 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 926.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422871 Min 01422871 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 05-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 28-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 10 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 28-FEB-19
Page 5882 of 6486
Name
SATYAWATI TIWARI Rate Amount Qty 5.4 .27 20 18.6 .93 20 7.1 .71 10 18 .6 30 4 .4 10 400 400 1 21.3 .71 30 7.5 .25 30 12 .4 30 12 .4 30 54 .6 90 16.2 .27 60 55.8 .93 60 400 400 1 Total: 1031.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422873 Min 01422873 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 11-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 2 11-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 3 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5883 of 6486
Name
SMT MAYA RANI SHARMA Rate Amount Qty 21.12 3.52 6 10.08 1.12 9 4.62 .77 6 2.56 .64 4 400 400 1 Total: 438.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422874 Min 01422874 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 23-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 13 23-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 23-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 19 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 20 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 23-FEB-19
Page 5884 of 6486
Name
MOHD ABOO SHAFIQUE Rate Amount Qty 55.8 .93 60 33 1.1 30 12 .4 30 32.4 1.08 30 34.8 1.16 30 72 .6 120 60.9 2.03 30 26.7 .89 30 7.5 .25 30 8.1 .27 30 55.8 .93 60 33 1.1 30 12 .4 30 32.4 1.08 30 16.2 .27 60 7.5 .25 30 26.7 .89 30 34.8 1.16 30 60.9 2.03 30 72 .6 120 7.5 .25 30 400 400 1 Total: 1102
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422880 Min 01422880 Appmt Dt Slno Description 20-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 20-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 5885 of 6486
Name
MARY CHARAN Qty 1 1
Rate Amount 400 400 400 400 800 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422894 Min 01422894 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 04-FEB-19 COMPLETE HAEMOGRAM 4 04-FEB-19 CALCIUM (CA) 5 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 6 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 7 04-FEB-19 UREA (BUN /UR) 8 04-FEB-19 CREATININE /CRT 9 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 12 09-FEB-19 PRAZOSIN,2.5MG,TABLET 13 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 14 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 15 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 09-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 17 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 11-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 19 12-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 20 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 21 12-FEB-19 ECG 22 12-FEB-19 OBSERVATION IN CASUALTY 23 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 24 12-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 25 12-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 26 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 18-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 31 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 32 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 33 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 34 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 35 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 36 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 37 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 38 28-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 39 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 40 28-FEB-19
Page 5886 of 6486
Name
SMT.KAMINI DANDGE Rate Amount Qty 400 400 1 550 550 1 4790 4790 1 750 750 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 4790 4790 1 400 400 1 76.5 2.55 30 156 1.3 120 15.6 .26 60 30.6 .51 60 400 400 1 4790 4790 1 400 400 1 35.52 35.52 1 9.81 9.81 1 3.84 .64 6 450 450 1 420 420 1 8.9 .89 10 600 600 1 3.66 3.66 1 400 400 1 400 400 1 4790 4790 1 400 400 1 1750 1750 1 400 400 1 1300 1300 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 6.23 .89 7 4790 4790 1 400 400 1 Total: 45471.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422902 Min 01422902 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 5887 of 6486
Name
PREETI CHOUDHURY Rate Amount Qty 275 275 1 275 275 1 17.4 1.16 15 18 .6 30 10.8 .36 30 78 1.3 60 400 400 1 Total: 1074.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422903 Min 01422903 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 04-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5888 of 6486
Name
DURGA PRASAD PARKAR Rate Amount Qty 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422905 Min 01422905 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 5889 of 6486
Name
VIKAS PANDE Rate Amount Qty 211.8 3.53 60 29.7 .99 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 713.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422906 Min 01422906 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 21-FEB-19 CREATININE /CRT 4 21-FEB-19 UREA (BUN /UR) 5 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 21-FEB-19
Page 5890 of 6486
Name
VARSHA PANDE Qty 1 1 1 1 1 1 1
Rate Amount 550 550 400 400 275 275 275 275 275 275 275 275 1300 1300 Total: 3350
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422908 Min 01422908 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 08-FEB-19
Page 5891 of 6486
Name
RENU DAS Rate Amount Qty 1.85 .37 5 2.28 .38 6 3.84 .64 6 2.4 .16 15 32.4 1.08 30 36 .6 60 23.7 .79 30 400 400 1 Total: 502.47
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422909 Min 01422909 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 05-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 4 05-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 X - RAY - SINGLE VIEW 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 9 07-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 28-FEB-19 IVABRADINE,5MG,,TABLET 14 28-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 15 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 17 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 18 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 28-FEB-19 IMATINIB 400MG,,TABLET 20 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 21 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 28-FEB-19
Page 5892 of 6486
KRISHNA FOLE Rate Amount Qty 26.6 2.66 10 3.7 .37 10 18 .9 20 6.7 .67 10 12.15 12.15 1 400 400 1 550 550 1 400 400 1 1750 1750 1 15.73 15.73 1 400 400 1 22.95 .51 45 66 1.1 60 597 9.95 60 26.6 2.66 10 26.7 .89 30 43.2 1.44 30 34.8 1.16 30 6.4 .64 10 42.29 1268.7 30 157.8 2.63 60 400 400 1 Total: 6233.03
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422910 Min 01422910 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 05-FEB-19 LEVOFLOXACIN,500MG,STRIP PACK.,TABLET 5 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 28-FEB-19 URIC ACID (UA /URATES /UR) 10 28-FEB-19 CREATININE /CRT 11 28-FEB-19 UREA (BUN /UR) 12 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 17 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 18 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 20 28-FEB-19
Page 5893 of 6486
SHEELA FOLE Rate Amount Qty 15.73 15.73 1 3.7 .37 10 18 .9 20 5.4 .18 30 22 4.4 5 66.2 6.62 10 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 18 .6 30 167.4 5.58 30 21.3 .71 30 26 2.6 10 7.5 .25 30 275 275 1 400 400 1 275 275 1 Total: 4396.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422912 Min 01422912 Appmt Dt Slno Description 02-FEB-19 1 NITRAZEPAM,10MG,TABLE,STRIP PACK. 02-FEB-19 2 OLANZEPINE,STRIP PKT,10MG,TABLET 02-FEB-19 3 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5894 of 6486
Name
JEEWANLAL Qty Rate Amount 30 2.64 79.2 30 3.51 105.3 90 2.1 189 1 400 400 Total: 773.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422914 Min 01422914 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 19-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 6 20-FEB-19 TOBRAMYCIN,0.3%,EYE DROP,5ML PACK 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 5895 of 6486
Name
DR. (MRS) MEENA JAIN Rate Amount Qty 12.8 .64 20 9.6 .16 60 0 .37 0 82.12 41.06 2 400 400 1 51.38 25.69 2 21.45 21.45 1 400 400 1 Total: 977.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422916 Min 01422916 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 14-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5896 of 6486
Name
M SAIBABA Rate Amount Qty 27.9 .93 30 34.8 1.16 30 18.9 .63 30 5.94 .99 6 400 400 1 Total: 487.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422920 Min 01422920 Name Appmt Dt Slno Description 19-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5897 of 6486
RAM DUTT MISHRA Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422922 Min 01422922 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 28-FEB-19 2 CARVEDILOL,STRIP PACK,6.25MG,TABLET 28-FEB-19 3 ACETYL SALICYLIC ACID 75 MG.,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5898 of 6486
Name
SEWAK KUMAR Qty Rate Amount 30 1.16 34.8 30 .71 21.3 30 .4 12 1 400 400 Total: 468.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422923 Min 01422923 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 5899 of 6486
Name
CHANDA RANI Rate Amount Qty 8.9 .89 10 61.4 6.14 10 400 400 1 Total: 470.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422924 Min 01422924 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5900 of 6486
Name
SATISH CHANDRA Rate Amount Qty 4.45 .89 5 21.6 .36 60 54 .6 90 7.5 .25 30 66.2 6.62 10 1.85 .37 5 6.4 .64 10 400 400 1 Total: 562
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422925 Min 01422925 Slno Description Appmt Dt CEFEXIME,STRIP PKT,200MG,TABLET 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 14-FEB-19 IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 8 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19
Page 5901 of 6486
Name
MEENA SHARMA Rate Amount Qty 66.2 6.62 10 6.4 .64 10 1.85 .37 5 7.5 .25 30 9 .3 30 36 .6 60 21.3 .71 30 12.3 .41 30 27.9 .62 45 400 400 1 Total: 588.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422926 Min 01422926 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 19-FEB-19 CREATININE /CRT 3 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19
Page 5902 of 6486
Name
SUKHRAM SAHU Rate Amount Qty 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 21.6 .36 60 54 .6 90 55.8 .93 60 29.7 .99 30 8.1 .27 30 400 400 1 Total: 3644.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422927 Min 01422927 Slno Description Appmt Dt UREA (BUN /UR) 1 19-FEB-19 CREATININE /CRT 2 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 20-FEB-19
Page 5903 of 6486
Name
ANSOO SAHU Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 1300 1300 1 55.8 .93 60 36 .6 60 400 400 1 Total: 3291.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422928 Min 01422928 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 22-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5904 of 6486
Name
NAFIS HASHMI Rate Amount Qty 7.5 .25 30 27.9 .62 45 39.6 2.64 15 36 .6 60 34.8 1.16 30 12 .4 30 400 400 1 Total: 557.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422933 Min 01422933 Appmt Dt Slno Description 05-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 05-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 05-FEB-19 3 TABLET/CAPSULE FLUCONAZOLE, 150MG 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5905 of 6486
Name
ABDUL SALIM Qty Rate Amount 2 9.86 19.72 20 .37 7.4 8 3.37 26.96 1 400 400 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422934 Min 01422934 Slno Description Appmt Dt TABLET/CAPSULE FLUCONAZOLE, 150MG 1 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 5906 of 6486
Name
QUMRUN BEGAM Rate Amount Qty 3.37 3.37 1 23.59 3.37 7 7.4 .37 20 19.72 9.86 2 400 400 1 Total: 454.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422935 Min 01422935 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 5907 of 6486
Name
LISY VARGHESE Rate Amount Qty 47.4 .79 60 12 .4 30 34.8 1.16 30 19.8 .66 30 54 .6 90 72.6 1.21 60 117 1.3 90 21.6 .36 60 400 400 1 Total: 779.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422939 Min 01422939 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 16-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 16-FEB-19 I & D (INCISION & DRAINAGE) UNDER LA 8 16-FEB-19 DRESSING SIMPLE 9 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 18-FEB-19 DRESSING SIMPLE 11 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 26-FEB-19
Page 5908 of 6486
Name
BHAWANI SHANKAR Rate Amount Qty 6.4 .64 10 4.45 .89 5 66.2 6.62 10 400 400 1 400 400 1 33.12 1.84 18 6.4 .64 10 1400 1400 1 1800 300 6 400 400 1 900 300 3 3.84 .64 6 400 400 1 Total: 5820.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422945 Min 01422945 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 COMPLETE HAEMOGRAM 5 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 20-FEB-19
Page 5909 of 6486
Name
SHIV SHARAN AGRAWAL Rate Amount Qty .75 .25 3 5.34 .89 6 3.84 .64 6 400 400 1 750 750 1 400 400 1 Total: 1559.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422946 Min 01422946 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 18-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 5910 of 6486
Name
MADHU AGRAWAL Rate Amount Qty 400 400 1 650 650 1 27.9 .93 30 21.3 .71 30 400 400 1 Total: 1499.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422953 Min 01422953 Appmt Dt Slno Description 26-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5911 of 6486
Name
MADANLAL SINHA Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422954 Min 01422954 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 06-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 2 06-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 06-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 06-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 08-FEB-19 X - RAY - TWO VIEWS 9 08-FEB-19 DEXKETOPROFEN,25MG,TAB STRIP PACK 10 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 12 13-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 13 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 16 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 13-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 19 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 26-FEB-19
Page 5912 of 6486
Name
CHANDRA PRABHA SINHA Rate Amount Qty 8.9 .89 10 62.8 3.14 20 31.9 3.19 10 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 860 860 1 31.4 3.14 10 8.9 .89 10 7.5 .25 30 21.3 .71 30 55.8 .93 60 16.2 .27 60 36.3 1.21 30 34.8 1.16 30 400 400 1 26 2.6 10 400 400 1 Total: 4651.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422957 Min 01422957 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 5913 of 6486
Name
DILIP KUMAR CHOUDHARY Rate Amount Qty 8.1 .27 30 12 .4 30 60.9 2.03 30 27.9 .93 30 167.4 5.58 30 72 .6 120 2.4 .16 15 400 400 1 Total: 750.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422959 Min 01422959 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19
Page 5914 of 6486
Name
JAGTAR SINGH Rate Amount Qty 11.1 .37 30 27.9 .93 30 76.5 2.55 30 10.8 .36 30 36 .6 60 17.4 1.16 15 400 400 1 Total: 579.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422960 Min 01422960 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5915 of 6486
Name
HARJEET KAUR Rate Amount Qty 17.4 1.16 15 27.9 .93 30 18 .6 30 21.6 .36 60 400 400 1 Total: 484.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422963 Min 01422963 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 8 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 5916 of 6486
Name
MOHAMMAD RAFI Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 34.8 1.16 30 8.1 .27 30 78 1.3 60 55.8 .93 60 55.2 .92 60 72 .6 120 400 400 1 Total: 1357.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422964 Min 01422964 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 11-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 BLOOD FOR TSH 10 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 12-FEB-19
Page 5917 of 6486
Name
MAHER NASEEM Rate Amount Qty 8.4 .42 20 21.3 .71 30 22.2 .37 60 21.3 .71 30 29.7 .99 30 55.8 .93 60 3.2 .16 20 72.6 1.21 60 400 400 1 800 800 1 400 400 1 Total: 1834.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422967 Min 01422967 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 02-FEB-19 SYRINGE,DISPOSABLE,2ML 2 02-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 3 02-FEB-19 ECG 4 02-FEB-19 DROTAVERINE HCL,40MG/2ML AMP,INJECTION 5 02-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 02-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 02-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 02-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 9 02-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 10 02-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 11 02-FEB-19 ECG 12 02-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 13 05-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 14 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 05-FEB-19 PLATELET COUNT 18 09-FEB-19 SERUM LACTATE DEHYDROGENASE (LDH /LD) 19 09-FEB-19 COMPLETE HAEMOGRAM 20 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 21 09-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 22 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 20-FEB-19
Page 5918 of 6486
Name
VASANT MOTIRAMJI KADUKAR Rate Amount Qty 420 420 1 9.2 1.84 5 9.81 9.81 1 450 450 1 5.41 5.41 1 3.52 3.52 1 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 35.52 35.52 1 9.62 9.62 1 450 450 1 39.72 6.62 6 10.08 1.12 9 8.9 .89 10 2.5 .25 10 400 400 1 330 330 1 550 550 1 750 750 1 400 400 1 5.7 .38 15 400 400 1 Total: 4333.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422968 Min 01422968 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 5919 of 6486
Name
SHAKUNTALA KADUKAR Rate Amount Qty 55.8 .93 60 33 1.1 30 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422969 Min 01422969 Appmt Dt Slno Description 19-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 19-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5920 of 6486
Name
MANAS KUMAR DAS Qty Rate Amount 30 .63 18.9 30 .71 21.3 30 .93 27.9 1 400 400 Total: 468.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422970 Min 01422970 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 19-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 2 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5921 of 6486
Name
NISHA DAS Rate Amount Qty 7.5 .25 30 12 .4 30 54 .6 90 117 1.3 90 167.4 5.58 30 400 400 1 Total: 757.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422971 Min 01422971 Appmt Dt Slno Description 01-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 01-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5922 of 6486
Name
GOPAL DAS Qty Rate Amount 30 .62 18.6 30 .71 21.3 30 .25 7.5 1 400 400 Total: 447.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422972 Min 01422972 Appmt Dt Slno Description 01-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 01-FEB-19 2 FOLIC ACID,STRIP PKT,5MG,TABLET 01-FEB-19 3 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5923 of 6486
Name
SANGITA DAS Qty Rate Amount 30 .4 12 30 .38 11.4 60 .6 36 1 400 400 Total: 459.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422973 Min 01422973 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 19-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 5924 of 6486
Name
SHAIK RAFFIUDDIN Rate Amount Qty 15.6 .26 60 8.1 .27 30 47.4 .79 60 12 .4 30 21.3 .71 30 400 400 1 15 .25 60 78 .78 100 400 400 1 Total: 997.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422974 Min 01422974 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 19-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 3 19-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 19-FEB-19 URIC ACID (UA /URATES /UR) 6 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 22-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 5925 of 6486
Name
LAIKUNNISHA Rate Amount Qty 21.3 .71 30 15 .25 60 191.4 3.19 60 78 2.6 30 6.4 .64 10 275 275 1 400 400 1 1.85 .37 5 35.2 3.52 10 8.9 .89 10 2.5 .25 10 26 2.6 10 400 400 1 Total: 1461.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422975 Min 01422975 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 5926 of 6486
Name
SHRIKANT SHARMA Rate Amount Qty 118.5 3.95 30 34.8 1.16 30 18.9 .63 30 16.2 .27 60 54 .6 90 47.4 .79 60 400 400 1 Total: 689.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422976 Min 01422976 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5927 of 6486
Name
SANTOSH KUMARI SHARMA Rate Amount Qty 3.84 .64 6 92.85 6.19 15 400 400 1 Total: 496.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422977 Min 01422977 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 19-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 5928 of 6486
Name
SHESH NARAYAN BUXY Rate Amount Qty 13.95 .93 15 4.56 .38 12 83.4 2.78 30 26.7 .89 30 51.68 3.23 16 400 400 1 Total: 580.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422981 Min 01422981 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 5929 of 6486
Name
RAM RAJ CHANDRA Rate Amount Qty 12 .4 30 14.85 .99 15 13.95 .93 15 16.2 .27 60 72.6 1.21 60 18 .6 30 400 400 1 Total: 547.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422987 Min 01422987 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 5930 of 6486
Name
SUNIL KUMAR AHUJA Rate Amount Qty 24 .4 60 69.6 1.16 60 66 1.1 60 8.1 .27 30 400 400 1 Total: 567.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422989 Min 01422989 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 12-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 20-FEB-19
Page 5931 of 6486
Name
NARAYAN PRASAD JETHMAL Rate Amount Qty 19.72 9.86 2 16.85 3.37 5 7.4 .37 20 400 400 1 29.7 .99 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 937.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422990 Min 01422990 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 12-FEB-19 MOXONIDIN 0.2MG,,TABLET 2 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 5932 of 6486
Name
MEENA BAI Rate Amount Qty 8.1 .27 30 211.8 3.53 60 55.8 .93 60 14.85 .99 15 400 400 1 Total: 690.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422991 Min 01422991 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 13 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 26-FEB-19
Page 5933 of 6486
Name
LALIT KUMAR SHARMA Rate Amount Qty 21.3 .71 30 7.92 .99 8 76.5 2.55 30 8.1 .27 30 27.9 .93 30 400 400 1 76.5 2.55 30 8.1 .27 30 27.9 .93 30 2.5 .25 10 8.9 .89 10 7.92 .99 8 6.4 .64 10 21.3 .71 30 400 400 1 Total: 1101.24
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422993 Min 01422993 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 12-FEB-19 X - RAY - SINGLE VIEW 2 12-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 14 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 19-FEB-19 C T HEAD PLAIN 16 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 19 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 22-FEB-19 UREA (BUN /UR) 21 22-FEB-19 URIC ACID (UA /URATES /UR) 22 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 23 22-FEB-19 KETOTIFEN,1MG,TABLET 24 26-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 25 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 26-FEB-19
Page 5934 of 6486
P K SURYAWANSHI Rate Amount Qty 400 400 1 550 550 1 24.3 12.15 2 31.46 15.73 2 400 400 1 2.4 .16 15 54 .6 90 27.9 .93 30 33 1.1 30 26.7 .89 30 10.8 .36 30 60.9 2.03 30 21.3 .71 30 12 .4 30 400 400 1 5250 5250 1 400 400 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 22.8 1.52 15 12.15 12.15 1 400 400 1 Total: 10939.71
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422994 Min 01422994 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 12-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 12-FEB-19 X - RAY - SINGLE VIEW 3 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 19-FEB-19 SOLIFENACIN,5MG,,TABLET 7 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 19-FEB-19 BLOOD FOR T-3,T-4,TSH 9 20-FEB-19 X - RAY - TWO VIEWS 10 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 20-FEB-19 WITH IN BHILAI & DURG CITY LIMITS TO JL 12 22-FEB-19 COMPLETE HAEMOGRAM 13 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 22-FEB-19 BLOOD FOR T-3,T-4,TSH 16 27-FEB-19 COMPLETE HAEMOGRAM 17 27-FEB-19 URINE ROUTINE AND MICROSCOPIC 18 27-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 19 27-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 20 27-FEB-19 CREATININE /CRT 21 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 22 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 23 27-FEB-19 HEPATITIS C TEST /HCV 24 27-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 25 27-FEB-19 ABC TEST HIV 26 27-FEB-19 VDRL TEST 27 27-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 28 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 29 27-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 30 27-FEB-19 SICKLING TEST 31 27-FEB-19
Page 5935 of 6486
SUSHILA SURYAWANSHI Rate Amount Qty 12.15 12.15 1 15.73 15.73 1 550 550 1 400 400 1 2.4 .16 15 26.7 .89 30 403.2 13.44 30 400 400 1 2400 2400 1 860 860 1 400 400 1 560 560 1 750 750 1 400 400 1 1300 1300 1 2400 2400 1 750 750 1 380 380 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1700 1700 1 1000 1000 1 1250 1250 1 600 600 1 330 330 1 400 400 1 1750 1750 1 165 165 1 Total: 22630.18
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01422997 Min 01422997 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 09-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 09-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 09-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 8 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 9 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 25-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 16 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 25-FEB-19
Page 5936 of 6486
RAMAJEE PRASAD Rate Amount Qty 70.2 2.34 30 18 .9 20 5.4 .18 30 3.7 .37 10 15.73 15.73 1 400 400 1 192.3 6.41 30 18.9 .63 30 76.5 2.55 30 2.22 .37 6 35.2 3.52 10 26.7 .89 30 60.9 2.03 30 21.3 .71 30 12 .4 30 7.8 .26 30 36 .6 60 21.6 .36 60 400 400 1 Total: 1424.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01422998 Min 01422998 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 5937 of 6486
Name
SHIV KUMARI Rate Amount Qty 12 .4 30 55.8 .93 60 66 1.1 60 15.6 .26 60 21.3 .71 30 400 400 1 Total: 570.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423002 Min 01423002 Appmt Dt Slno Description 06-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5938 of 6486
Name
PUSHPA WAKODIKAR Qty Rate Amount 10 .64 6.4 1 400 400 406.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423003 Min 01423003 Slno Description Appmt Dt UREA (BUN /UR) 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 04-FEB-19 SERUM COPPER (CU++) 4 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 5 04-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 6 04-FEB-19 ALKALINE PHOSPHATASE (ALP) 7 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 8 04-FEB-19 HB,TLC,DLC 9 04-FEB-19 PLATELET COUNT 10 04-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 11 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 04-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 15 09-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 16 09-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 17 09-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 18 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 19 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 20 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 21 09-FEB-19 PRAZOSIN,2.5MG,TABLET 22 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 25 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 27 14-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 28 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 29 16-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 30 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 31 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 32 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 33 16-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 34 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 35 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 36 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 37 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 38 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 39 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 40 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 41 28-FEB-19
Page 5939 of 6486
Name
RAMKUMAR Rate Amount Qty 275 275 1 275 275 1 550 550 1 500 500 1 275 275 1 275 275 1 275 275 1 4790 4790 1 300 300 1 330 330 1 330 330 1 400 400 1 275 275 1 275 275 1 21.3 .71 30 15.6 1.04 15 7.8 .26 30 123.53 123.53 1 39.72 6.62 6 16.2 1.08 15 10.65 .71 15 19.5 1.3 15 400 400 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 3.4 .34 10 64.8 1.08 60 8.1 .27 30 69.6 1.16 60 36.3 1.21 30 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 Total: 41501.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423004 Min 01423004 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 09-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 09-FEB-19 CREATININE /CRT 4 09-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 11-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 25-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 5940 of 6486
Name
TIJAN BAI Rate Amount Qty 3.84 .64 6 33.12 1.84 18 275 275 1 275 275 1 275 275 1 400 400 1 5.76 .64 9 33.12 1.84 18 400 400 1 54 .6 90 9 .3 30 400 400 1 Total: 2163.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423005 Min 01423005 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 17-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 3 17-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 17-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 5 17-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 6 17-FEB-19 OBSERVATION IN CASUALTY 7 17-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 8 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 17-FEB-19
Page 5941 of 6486
Name
MANMADHO RAO Rate Amount Qty 21.12 3.52 6 .64 .64 1 9.81 9.81 1 20.3 2.03 10 64.1 6.41 10 11.89 11.89 1 420 420 1 24.52 24.52 1 400 400 1 Total: 972.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423009 Min 01423009 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 13-FEB-19 CREATININE /CRT 3 13-FEB-19 COMPLETE HAEMOGRAM 4 13-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 13-FEB-19 UREA (BUN /UR) 6 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 13-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 8 13-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 9 20-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 10 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 20-FEB-19
Page 5942 of 6486
Name
ANAND DAHARWAL Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 750 750 1 550 550 1 275 275 1 400 400 1 275 275 1 13.48 3.37 4 9.86 9.86 1 400 400 1 Total: 4523.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423010 Min 01423010 Appmt Dt Slno Description 13-FEB-19 1 COMPLETE HAEMOGRAM 13-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC
Page 5943 of 6486
Name
RANJANA DAHARWAL Qty Rate Amount 1 750 750 1 400 400 1150 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423014 Min 01423014 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 28-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 28-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 5944 of 6486
Name
LILIMA PANDA Rate Amount Qty 12.6 .42 30 2.5 .25 10 9.9 .99 10 18.9 .63 30 21.3 .71 30 8.9 .89 10 18.6 .62 30 55.8 .93 60 400 400 1 Total: 548.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423015 Min 01423015 Slno Description Appmt Dt DRY REAGENT BASED,GLUCOMETER TEST STRIPS 1 01-FEB-19 DEXTROSE,25%,100ML,POLY PKT,INJECTION 2 01-FEB-19 ECG 3 01-FEB-19 OBSERVATION IN CASUALTY 4 01-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 5 01-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 01-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 7 01-FEB-19 RINGER LACTATE,I.V.,500ML,POLY PACK. 8 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 18-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 18-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 11 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 12 18-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 18-FEB-19 CREATININE /CRT 14 18-FEB-19 UREA (BUN /UR) 15 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 18-FEB-19
Page 5945 of 6486
Name
JAYANT KUMAR DEWANGAN Rate Amount Qty 9.62 9.62 1 19.1 19.1 1 450 450 1 420 420 1 9.81 9.81 1 24.52 24.52 1 22.71 22.71 1 23.39 23.39 1 400 400 1 275 275 1 1300 1300 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 Total: 5629.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423025 Min 01423025 Appmt Dt Slno Description 06-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5946 of 6486
Name
MAHADEO TEKAM Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423028 Min 01423028 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5947 of 6486
Name
.SON BAI Rate Amount Qty 18.6 .62 30 72 .6 120 117 1.3 90 55.8 .93 60 21.3 .71 30 400 400 1 Total: 684.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423032 Min 01423032 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 5948 of 6486
Name
DEEPAK KUMAR SHARMA Rate Amount Qty 7.8 .26 30 400 400 1 36.3 1.21 30 27.9 .93 30 12 .4 30 400 400 1 Total: 884
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423033 Min 01423033 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5949 of 6486
Name
SARASWATULA VENKATA RAMA SARMA Rate Amount Qty 36 .6 60 34.8 1.16 30 10.65 .71 15 47.4 .79 60 12 .4 30 32.4 1.08 30 26.7 .89 30 400 400 1 Total: 599.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423035 Min 01423035 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 5950 of 6486
Name
LEELAMBER KARRAHE Rate Amount Qty 27.9 .93 30 8.1 .27 30 5.12 .64 8 8.9 .89 10 21.3 .71 30 400 400 1 21.3 .71 30 27.9 .93 30 8.1 .27 30 400 400 1 Total: 928.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423036 Min 01423036 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 5951 of 6486
Name
UMA KARRAHE Rate Amount Qty 10.8 .36 30 18 .6 30 27.9 .93 30 400 400 1 27.9 .93 30 10.8 .36 30 18 .6 30 400 400 1 Total: 913.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423041 Min 01423041 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 5952 of 6486
Name
RADHE SHYAM VERMA Rate Amount Qty 12 .4 30 21.3 .71 30 167.4 5.58 30 117 1.3 90 18.9 .63 30 21.6 .36 60 72 .6 120 7.5 .25 30 400 400 1 Total: 837.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423043 Min 01423043 Slno Description Appmt Dt CREAM,ACICLOVIR,5%,5GM/TUBE 1 04-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 04-FEB-19 ACYCLOVIR,STRIP PKT,800MG,TABLET 3 04-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 4 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 04-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 5953 of 6486
Name
A P VISHWAKARMA Rate Amount Qty 35.63 35.63 1 35.2 17.6 2 127.5 12.75 10 11.25 .75 15 7.4 .37 20 85.52 85.52 1 400 400 1 Total: 702.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423044 Min 01423044 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 5954 of 6486
Name
SUNITA VISHWAKARMA Rate Amount Qty 5.7 .38 15 167.4 5.58 30 39 1.3 30 29.7 .99 30 47.4 .79 60 64.6 3.23 20 34.8 1.16 30 400 400 1 Total: 788.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423046 Min 01423046 Appmt Dt Slno Description 12-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12-FEB-19 2 ETORICOXIB,STRIP PKT,90MG,TABLET 12-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5955 of 6486
Name
PRABHA DEVI AGRAWAL Qty Rate Amount 10 .89 8.9 10 2.6 26 30 6.19 185.7 1 400 400 Total: 620.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423049 Min 01423049 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 5956 of 6486
Name
RAJENDRA PRASAD GUPTA Rate Amount Qty 8.9 .89 10 400 400 1 17.8 .89 20 33 1.1 30 400 400 1 Total: 859.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423055 Min 01423055 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 1 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 6 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 5957 of 6486
Name
SURESH KUMAR SONI Rate Amount Qty 37.04 37.04 1 400 400 1 17.4 1.16 15 5.34 .89 6 10.08 1.12 9 21.12 3.52 6 18 .6 30 400 400 1 Total: 908.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423056 Min 01423056 Slno Description Appmt Dt DIACERIN,STRIP PKT,50MG,CAPSULE 1 11-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 11-FEB-19 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 3 11-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19
Page 5958 of 6486
Name
ANITA SONI Rate Amount Qty 251.5 5.03 50 18.2 2.6 7 28.69 28.69 1 37.04 37.04 1 400 400 1 Total: 735.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423058 Min 01423058 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 26-FEB-19
Page 5959 of 6486
Name
RAJRANI Rate Amount Qty 36 .6 60 27.9 .93 30 400 400 1 400 400 1 275 275 1 275 275 1 Total: 1413.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423070 Min 01423070 Appmt Dt Slno Description 18-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5960 of 6486
Name
KAUSHALYA BAI Qty Rate Amount 30 .27 8.1 1 400 400 408.1 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423073 Min 01423073 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 26-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 26-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 4 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 26-FEB-19
Page 5961 of 6486
Name
JAGDISH PRASAD Rate Amount Qty 20.84 5.21 4 400 400 1 1750 1750 1 4.1 .41 10 66 1.1 60 36 .6 60 32.4 1.08 30 7.5 .25 30 12 .4 30 34.8 1.16 30 Total: 2363.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423077 Min 01423077 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 18-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 18-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 4 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 5962 of 6486
Name
ULLAS VIMAL MAHISWAR Rate Amount Qty 4.97 .71 7 12.81 12.81 1 7.4 .37 20 31.61 31.61 1 8.96 .64 14 400 400 1 Total: 465.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423087 Min 01423087 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 06-FEB-19 PRAZOSIN,2.5MG,TABLET 2 06-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 06-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 06-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5963 of 6486
Name
RAJESHWAR SINGH THAKUR Rate Amount Qty 60.9 2.03 30 156 1.3 120 17.4 .58 30 11.4 .38 30 42.6 .71 60 400 400 1 Total: 688.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423091 Min 01423091 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 5964 of 6486
Name
MUTHAKANA BRAHMAIAH Rate Amount Qty 33 1.1 30 117 1.3 90 36 .6 60 55.2 .92 60 4.8 .16 30 12 .4 30 21.3 .71 30 55.8 .93 60 400 400 1 Total: 735.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423092 Min 01423092 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 5965 of 6486
Name
M ARUNA Rate Amount Qty 245.6 6.14 40 10.42 5.21 2 400 400 1 2.4 .16 15 8.7 .58 15 21.3 .71 30 18 .6 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 400 400 1 Total: 1185.17
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423095 Min 01423095 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 INHALANT,STRIP PACK,CAPSULE 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 05-FEB-19 INHALANT,STRIP PACK,CAPSULE 13 05-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 14 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 16 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 17 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 18 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 06-FEB-19 X - RAY - SINGLE VIEW 21 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 07-FEB-19 INHALANT,STRIP PACK,CAPSULE 23 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 24 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 08-FEB-19 C T SMALL PARTS /HR 27 08-FEB-19 INHALANT,STRIP PACK,CAPSULE 28 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 29 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 16-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 31 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 16-FEB-19
Page 5966 of 6486
Name
RAJENDRA KUMAR TAMRAKAR Rate Amount Qty 21.6 .36 60 36 .6 60 17 1.7 10 27.9 .93 30 1.85 .37 5 26.6 2.66 10 3.84 .64 6 167.4 5.58 30 34.8 1.16 30 400 400 1 27.9 .93 30 34.8 1.16 30 34 1.7 20 57.4 5.74 10 13.35 .89 15 21.6 .36 60 167.4 5.58 30 36 .6 60 400 400 1 400 400 1 550 550 1 13.35 .89 15 17 1.7 10 37.24 2.66 14 400 400 1 400 400 1 6000 6000 1 25.5 1.7 15 1.85 .37 5 8.9 .89 10 66.2 6.62 10 400 400 1 Total: 9849.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423096 Min 01423096 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 5967 of 6486
Name
SHOBHA TAMRAKAR Rate Amount Qty 27.9 .93 30 36 .6 60 33 1.1 30 23.1 .77 30 7.5 .25 30 400 400 1 Total: 527.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423097 Min 01423097 Appmt Dt Slno Description 01-FEB-19 1 CREAM,CLOTRIMAZOLE,1%,15-20GM 01-FEB-19 2 CLOTRIMAZOLE 200+CLINDAMYCIN 100,VAG,TAB 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5968 of 6486
Name
AMBIKA DUBEY Qty Rate Amount 1 9.86 9.86 3 14.03 42.09 60 .93 55.8 1 400 400 Total: 507.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423100 Min 01423100 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 22-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 22-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 3 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 4 22-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 5 22-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 22-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 5969 of 6486
Name
HEMLATA CHAUDHARI Rate Amount Qty 6 .6 10 3.5 .7 5 6.82 6.82 1 11.2 1.12 10 66.2 6.62 10 2.5 .25 10 4.2 .42 10 3.7 .37 10 8.9 .89 10 400 400 1 Total: 513.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423101 Min 01423101 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 04-FEB-19 PRAZOSIN,2.5MG,TABLET 3 04-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 5970 of 6486
Name
AJAY CHOUDHARI Rate Amount Qty 33 1.1 30 55.8 .93 60 156 1.3 120 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 727
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423103 Min 01423103 Appmt Dt Slno Description 14-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 14-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 14-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5971 of 6486
Name
PRABHAWATI SINGH Qty Rate Amount 30 .62 18.6 30 .63 18.9 30 .89 26.7 1 400 400 Total: 464.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423104 Min 01423104 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 5972 of 6486
Name
GYANCHAND Rate Amount Qty 60.9 2.03 30 7.5 .25 30 34.8 1.16 30 12 .4 30 36 .6 60 27.9 .93 30 400 400 1 Total: 579.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423105 Min 01423105 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 DIGOXIN,STRIP PKT,0.25MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 28-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 28-FEB-19
Page 5973 of 6486
Name
KANTI CHANDRA Rate Amount Qty 4.8 .16 30 53.4 .89 60 23.6 1.18 20 27.9 .93 30 43.2 1.44 30 7.8 .26 30 7.5 .25 30 11.85 .79 15 7.65 .51 15 32.4 1.08 30 400 400 1 Total: 620.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423106 Min 01423106 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 16-FEB-19 IVABRADINE,5MG,,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 16-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 5974 of 6486
Name
BHASKAR NIMBALKAR Rate Amount Qty 26.7 .89 30 9.95 447.75 45 12 .4 30 32.4 1.08 30 69.6 1.16 60 31.2 1.04 30 400 400 1 Total: 1019.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423107 Min 01423107 Appmt Dt Slno Description 16-FEB-19 1 HYDROXYQUINOLONE,TRETINOIN,MOMETASON, 16-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5975 of 6486
Name
PUSPA NIMBALKAR Qty Rate Amount 2 28.69 57.38 1 400 400 457.38 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423108 Min 01423108 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5976 of 6486
Name
S.K. JAIN Rate Amount Qty 6.4 .64 10 55.2 1.84 30 4.1 .41 10 8.9 .89 10 400 400 1 Total: 474.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423109 Min 01423109 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 5977 of 6486
Name
SUDHA JAIN Rate Amount Qty 34.8 1.16 30 18 .6 30 400 400 1 Total: 452.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423121 Min 01423121 Slno Description Appmt Dt HYDROCORTISONE BUTYRATE,10-25GM/TUBE 1 14-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 14-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 5 14-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 6 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 14-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 13 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 15 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 26-FEB-19
Page 5978 of 6486
ANITA DEY Rate Amount Qty 90.88 45.44 2 20.84 5.21 4 34.8 1.16 30 36.3 1.21 30 15.3 .51 30 25.07 25.07 1 41.1 1.37 30 26.7 .89 30 7.5 .25 30 7.5 .25 30 37.04 37.04 1 400 400 1 2.5 .25 10 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 Total: 1153.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423124 Min 01423124 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19
Page 5979 of 6486
Name
SATYANARAYAN SINGH Rate Amount Qty 10.65 .71 15 4.8 .16 30 72.6 1.21 60 12 .4 30 54 .6 90 27.9 .93 30 21.6 .36 60 400 400 1 Total: 603.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423126 Min 01423126 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 5980 of 6486
Name
KRISHNA KUMAR YADAV Rate Amount Qty 16.2 .27 60 36 .6 60 32.4 1.08 30 21.3 .71 30 21.6 .36 60 47.4 .79 60 7.8 .26 30 400 400 1 Total: 582.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423127 Min 01423127 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 5981 of 6486
Name
ANJALEE YADAV Rate Amount Qty 123.8 6.19 20 13.7 1.37 10 8.9 .89 10 8.4 .42 20 400 400 1 Total: 554.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423128 Min 01423128 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 5982 of 6486
Name
LAV KUMAR Rate Amount Qty 9 .3 30 23.7 .79 30 24 .4 60 32.4 1.08 30 69.6 1.16 60 66 1.1 60 400 400 1 Total: 624.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423131 Min 01423131 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 25-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 5983 of 6486
Name
KANTI BAI Rate Amount Qty 15.3 .51 30 21.3 .71 30 45 .6 75 55.8 .93 60 36.3 1.21 30 22.2 .37 60 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423133 Min 01423133 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 14-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 5984 of 6486
Name
NEETA VERMA Rate Amount Qty 12.15 12.15 1 1.85 .37 5 26.6 2.66 10 4.45 .89 5 400 400 1 Total: 445.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423146 Min 01423146 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 9 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 10 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 22-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 12 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 22-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 14 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 5985 of 6486
Name
KHEM CHAND THAKRE Rate Amount Qty 3.3 .66 5 7.5 .25 30 21.3 .71 30 23.7 .79 30 400 400 1 18 .9 20 12.8 .64 20 17.8 .89 20 140.4 2.34 60 22.4 1.12 20 6.4 .64 10 18 .9 20 17.8 .89 20 140.4 2.34 60 22.4 1.12 20 400 400 1 Total: 1272.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423147 Min 01423147 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 5986 of 6486
Name
LILAWATI THAKRE Rate Amount Qty 10.42 5.21 2 55.2 .92 60 18 .6 30 23.7 .79 30 400 400 1 Total: 507.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423149 Min 01423149 Slno Description Appmt Dt METRONIDAZOLE,400MG,STRIP PACK,,TABLET 1 08-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 2 08-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 3 08-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 5987 of 6486
Name
MANJULA BAIDYA Rate Amount Qty 11.2 1.12 10 43.96 43.96 1 736.2 8.18 90 66.2 6.62 10 53.4 .89 60 400 400 1 Total: 1310.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423151 Min 01423151 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 5988 of 6486
Name
SMT. SUNITA Rate Amount Qty 105.9 3.53 30 18.6 .62 30 17.4 1.16 15 400 400 1 55.8 .93 60 400 400 1 Total: 997.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423153 Min 01423153 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 01-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 7 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 12-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 SOLIFENACIN,5MG,,TABLET 13 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 14-FEB-19
Page 5989 of 6486
Name
BHAGOLI RAM Rate Amount Qty 9 .9 10 8.9 .89 10 1.85 .37 5 2.9 .58 5 6.4 .64 10 400 400 1 16.2 .18 90 20.1 .67 30 26.7 .89 30 7.5 .25 30 54 .9 60 400 400 1 806.4 13.44 60 60.9 2.03 30 400 400 1 Total: 2220.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423154 Min 01423154 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 27-FEB-19
Page 5990 of 6486
Name
LAGNI BAI Qty 1 1 1
Rate Amount 275 275 275 275 400 400 Total: 950
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423155 Min 01423155 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 5991 of 6486
Name
NARESH KUMAR SINHA Rate Amount Qty 27.9 .93 30 19.8 .66 30 400 400 1 Total: 447.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423156 Min 01423156 Slno Description Appmt Dt DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 5992 of 6486
Name
DAMAYANTIN SINHA Rate Amount Qty 10.38 1.73 6 2.56 .64 4 400 400 1 Total: 412.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423157 Min 01423157 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 5993 of 6486
Name
N P VERMA Rate Amount Qty 21.3 .71 30 23.7 .79 30 400 400 1 Total: 445
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423159 Min 01423159 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 UREA (BUN /UR) 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 5 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 02-FEB-19 URIC ACID (UA /URATES /UR) 7 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 8 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 9 02-FEB-19 SERUM COPPER (CU++) 10 02-FEB-19 ALKALINE PHOSPHATASE (ALP) 11 02-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 12 02-FEB-19 HB,TLC,DLC 13 02-FEB-19 PLATELET COUNT 14 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 15 02-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 16 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 06-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 18 06-FEB-19
Page 5994 of 6486
Name
DAYASHANKAR Rate Amount Qty 9.6 .64 15 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 550 550 1 275 275 1 500 500 1 275 275 1 275 275 1 300 300 1 330 330 1 4790 4790 1 330 330 1 400 400 1 4790 4790 1 Total: 14724.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423161 Min 01423161 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 5995 of 6486
Name
MADHURI N. BHITTE Rate Amount Qty 15 .25 60 6.4 .64 10 400 400 1 Total: 421.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423164 Min 01423164 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 05-FEB-19 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 05-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 5996 of 6486
Name
DR. PRAVEER KUMAR BANERJEE Rate Amount Qty 72 .6 120 19.59 19.59 1 7.5 .25 30 78 1.3 60 13.95 .93 15 21.3 .71 30 21.6 .36 60 400 400 1 Total: 633.94
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423168 Min 01423168 Appmt Dt Slno Description 05-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 05-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 05-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 05-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5997 of 6486
Name
M RAVI KUMAR NAIDU Qty Rate Amount 30 .4 12 30 6.41 192.3 30 1.1 33 1 400 400 Total: 637.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423169 Min 01423169 Appmt Dt Slno Description 12-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12-FEB-19 2 GLUCOSAMINE,500MG&CHONDROITIN 400MG 12-FEB-19 3 LORNOXICAM 8 MG,STRIP PACK,,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 5998 of 6486
Name
POONAM NAIDU Qty Rate Amount 20 .89 17.8 40 6.19 247.6 20 1.37 27.4 1 400 400 Total: 692.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423170 Min 01423170 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 5999 of 6486
Name
KAMAL KANT DWIVEDI Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 8.1 .27 30 21.3 .71 30 12 .4 30 400 400 1 Total: 694.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423171 Min 01423171 Appmt Dt Slno Description 06-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 06-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 06-FEB-19 3 GRANULE,VITAMIN D-3,1GM/PKT 06-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6000 of 6486
Name
SUSHMA DWIVEDI Qty Rate Amount 30 .4 12 30 .71 21.3 1 5.21 5.21 1 400 400 Total: 438.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423177 Min 01423177 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 6001 of 6486
Name
RAJENDRA SINGH CHANDEL Rate Amount Qty 17.4 1.16 15 27.9 .93 30 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423178 Min 01423178 Appmt Dt Slno Description 01-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6002 of 6486
Name
RAJANI CHANDEL Qty Rate Amount 30 .93 27.9 60 .6 36 30 .71 21.3 1 400 400 Total: 485.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423180 Min 01423180 Slno Description Appmt Dt DICLOFENAC SODIUM,25MG/ML,INJECTION 1 08-FEB-19 OBSERVATION IN CASUALTY 2 08-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 08-FEB-19 ECG 4 08-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 08-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 6 08-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 7 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 6003 of 6486
Name
JYOTI ADAVADKAR Rate Amount Qty 5.77 5.77 1 420 420 1 24.52 24.52 1 450 450 1 11.89 11.89 1 9.81 9.81 1 16.8 1.12 15 8.9 .89 10 .8 .16 5 400 400 1 Total: 1348.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423181 Min 01423181 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6004 of 6486
Name
KASHMIR SINGH Rate Amount Qty 34.8 1.16 30 27.9 .93 30 400 400 1 Total: 462.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423182 Min 01423182 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 22-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 22-FEB-19 PRAZOSIN,2.5MG,TABLET 4 22-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6005 of 6486
Name
GURMEET KAUR Rate Amount Qty 34.8 1.16 30 18.9 .63 30 317.7 3.53 90 156 1.3 120 11.1 .37 30 400 400 1 Total: 938.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423185 Min 01423185 Slno Description Appmt Dt SERUM ELECTROLYTES (NA+ AND K+) 1 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 26-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 6 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 26-FEB-19 CREATININE /CRT 9 26-FEB-19 UREA (BUN /UR) 10 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 11 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 26-FEB-19
Page 6006 of 6486
Name
C CHANDRASHEKHAR Rate Amount Qty 550 550 1 23.7 .79 30 117 1.3 90 43.2 .36 120 72 .6 120 1050 1050 1 7.5 .25 30 1300 1300 1 275 275 1 275 275 1 1300 1300 1 400 400 1 275 275 1 275 275 1 Total: 5963.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423187 Min 01423187 Appmt Dt Slno Description 23-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 23-FEB-19 2 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 23-FEB-19 3 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6007 of 6486
Name
BIHAU RAM Qty Rate Amount 12 .64 7.68 24 1.84 44.16 8 .6 4.8 1 400 400 Total: 456.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423188 Min 01423188 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 6008 of 6486
Name
FULESHAWARI BAI Rate Amount Qty 12 .4 30 21.3 .71 30 400 400 1 Total: 433.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423189 Min 01423189 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 21-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 21-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 3 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 21-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 5 21-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 6 21-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 7 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 21-FEB-19
Page 6009 of 6486
Name
D YELLAJI Rate Amount Qty 7.5 .25 30 62.4 1.04 60 172.8 1.44 120 26.7 .89 30 184.2 6.14 30 15.3 .51 30 123.53 370.59 3 400 400 1 Total: 1239.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423190 Min 01423190 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 09-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 8 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 6010 of 6486
Name
D.NUKARATNAM Rate Amount Qty 21.3 .71 30 .48 .16 3 8.9 .89 10 8.1 .27 30 27.6 .92 30 36 .6 60 400 400 1 26 2.6 10 8.9 .89 10 400 400 1 Total: 937.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423192 Min 01423192 Slno Description Appmt Dt ECG 1 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 01-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 4 01-FEB-19 OBSERVATION IN CASUALTY 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 12 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 13 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 05-FEB-19
Page 6011 of 6486
Name
PRAMOD KUMAR CHOUDHARY Rate Amount Qty 450 450 1 .16 .16 1 .89 .89 1 9.62 9.62 1 420 420 1 55.8 .93 60 6.3 .42 15 9.3 .62 15 66 1.1 60 7.5 .25 30 21.3 .71 30 60.9 2.03 30 167.4 5.58 30 32.4 1.08 30 400 400 1 Total: 1707.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423193 Min 01423193 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6012 of 6486
Name
TARA CHOUDHARY Rate Amount Qty 18.6 .62 30 167.4 5.58 30 36 .6 60 27.9 .93 30 400 400 1 Total: 649.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423204 Min 01423204 Slno Description Appmt Dt CREAM,CLOTRIMAZOLE,1%,15-20GM 1 16-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 16-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 4 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 26-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 26-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 9 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 26-FEB-19
Page 6013 of 6486
Name
HABIB AHMED QURESHI Rate Amount Qty 19.72 9.86 2 57.84 57.84 1 7.4 .37 20 26.96 3.37 8 400 400 1 400 400 1 275 275 1 1300 1300 1 1300 1300 1 275 275 1 Total: 4061.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423206 Min 01423206 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 01-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 10 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 11 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 04-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 18-FEB-19 GUM ANALGESIC GEL 17 18-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 19 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 21 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 22 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 23 19-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 24 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 25 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 26 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 27 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 28 22-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 29 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 30 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 31 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 22-FEB-19
Page 6014 of 6486
Name
MOHD ZAHID RASHID Rate Amount Qty 1.48 .37 4 3.84 .64 6 15.96 2.66 6 4.8 .16 30 36 .6 60 27.9 .93 30 12 .4 30 69.6 1.16 60 400 400 1 185.7 6.19 30 192.3 6.41 30 26.7 .89 30 400 400 1 11.1 .37 30 19.2 .64 30 53.4 .89 60 28.69 28.69 1 4.1 .41 10 6.4 .64 10 8.9 .89 10 70.2 2.34 30 400 400 1 3.7 .37 10 26.6 2.66 10 400 400 1 27.9 .93 30 36 .6 60 12 .4 30 2.4 .16 15 13.35 .89 15 69.6 1.16 60 400 400 1 Total: 2969.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423211 Min 01423211 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 21-FEB-19
Page 6015 of 6486
Name
SARVJEET SINGH Rate Amount Qty 10.8 .36 30 27.9 .93 30 3.75 .25 15 32.4 1.08 30 12 .4 30 34.8 1.16 30 167.4 5.58 30 36 .6 60 400 400 1 Total: 725.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423212 Min 01423212 Slno Description Appmt Dt TORSEMIDE,STRIP PKT,10MG,TABLET 1 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 21-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 6016 of 6486
Name
SATNAM KAUR Rate Amount Qty 15.6 1.04 15 13.95 .93 15 6.9 .23 30 14.2 .71 20 21.3 .71 30 400 400 1 Total: 471.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423224 Min 01423224 Slno Description Appmt Dt CINNARIZINE,25MG,STRIP PACK,TABLET 1 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19
Page 6017 of 6486
Name
RAJENDRA PRASAD Rate Amount Qty 25.2 .42 60 15 .25 60 400 400 1 Total: 440.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423228 Min 01423228 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 6018 of 6486
Name
KAPIL RAM THAKUR Rate Amount Qty 18 .6 30 27.9 .93 30 400 400 1 Total: 445.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423229 Min 01423229 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 6019 of 6486
Name
KISHNI THAKUR Rate Amount Qty 21.3 .71 30 13.95 .93 15 400 400 1 Total: 435.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423230 Min 01423230 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 06-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 6020 of 6486
Name
JAFAR ULLAH KHAN Rate Amount Qty 32.4 1.08 30 12 .4 30 33 1.1 30 34.8 1.16 30 1.85 .37 5 23.7 .79 30 400 400 1 Total: 537.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423234 Min 01423234 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 09-FEB-19
Page 6021 of 6486
Name
ASHOK KUMAR Rate Amount Qty 36.3 1.21 30 167.4 5.58 30 72 .6 120 21.6 .36 60 400 400 1 Total: 697.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423236 Min 01423236 Slno Description Appmt Dt DIACERIN,STRIP PKT,50MG,CAPSULE 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 25-FEB-19 CREATININE /CRT 9 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19
Page 6022 of 6486
Name
RAVINDER PAL SINGH BHATIA Rate Amount Qty 301.8 5.03 60 7.5 .25 30 13.7 1.37 10 400 400 1 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 27.9 .93 30 26.7 .89 30 400 400 1 Total: 3702.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423237 Min 01423237 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 13-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 13-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 20-FEB-19 MYCOPHENOLATE MOFETIL,500MG,TABLET 14 20-FEB-19 DEFLAZACORT 6MG,,TABLET 15 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 20-FEB-19 CALCIUM (CA) 17 25-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 18 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 19 25-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 20 25-FEB-19 ALKALINE PHOSPHATASE (ALP) 21 25-FEB-19 COMPLETE HAEMOGRAM 22 25-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 25-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 24 25-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 25 25-FEB-19 PLATELET COUNT 26 25-FEB-19 ESR 27 25-FEB-19 HB,TLC,DLC 28 25-FEB-19 CRP 29 25-FEB-19 RA FACTOR /RH FACTOR 30 25-FEB-19 SPOT URINE PCR (PROTEIN CREATININE RATIO 31 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 32 25-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 33 25-FEB-19 BMD/DEXA SCAN 34 25-FEB-19 X - RAY - SINGLE VIEW 35 25-FEB-19 MAMOGRAPHY 36 25-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 37 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 38 25-FEB-19
Page 6023 of 6486
Name
RAVINDER KAUR BHATIA Rate Amount Qty 6.4 .64 10 1.25 .25 5 4.45 .89 5 400 400 1 18.9 .63 30 13.7 1.37 10 185.7 6.19 30 400 400 1 26.7 .89 30 2.4 .16 15 139.2 1.16 120 12 .4 30 33 1.1 30 688.8 22.96 30 83.1 2.77 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 750 750 1 8.9 .89 10 26.8 .67 40 26 2.6 10 330 330 1 165 165 1 300 300 1 600 600 1 600 600 1 550 550 1 400 400 1 1750 1750 1 1500 1500 1 550 550 1 2000 2000 1 1000 1000 1 400 400 1 Total: 14747.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423239 Min 01423239 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 6 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 18-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 20-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 10 20-FEB-19 UREA (BUN /UR) 11 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 15 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 25-FEB-19
Page 6024 of 6486
Name
SHYAMA SHARMA Rate Amount Qty 6.4 .64 10 55.8 .93 60 16.2 .27 60 27.4 1.37 20 8.9 .89 10 150.9 5.03 30 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 34.8 1.16 30 400 400 1 Total: 4450.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423244 Min 01423244 Appmt Dt Slno Description 15-FEB-19 1 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 15-FEB-19 3 AMLODIPINE,STRIP PKT,2.5MG,TABLET 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6025 of 6486
Name
SOMCHAND DEWANGAN Qty Rate Amount 30 1.08 32.4 30 .93 27.9 30 .23 6.9 1 400 400 Total: 467.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423245 Min 01423245 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 07-FEB-19 CREATININE /CRT 3 07-FEB-19 UREA (BUN /UR) 4 07-FEB-19 URIC ACID (UA /URATES /UR) 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 09-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 MYCOPHENOLATE SODIUM,360MG,TABLET 9 09-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 10 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 09-FEB-19 TACROLIMUS,1MG, TAB/CAP 13 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 09-FEB-19
Page 6026 of 6486
Name
CHANDRA KANTA DEWANGAN Rate Amount Qty 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 21.3 .71 30 21.3 .71 30 13.95 .93 15 31.99 1919.4 60 30.15 .67 45 6.4 .64 10 18 .6 30 672.6 11.21 60 400 400 1 Total: 4878.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423248 Min 01423248 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 DRESSING SIMPLE 4 01-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 24-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 8 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 24-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 10 24-FEB-19 SYRINGE,DISPOSABLE,2ML 11 24-FEB-19 ONDANSETRON,2MG/ML,INJECTION 12 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 13 24-FEB-19 ECG 14 24-FEB-19 OBSERVATION IN CASUALTY 15 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 24-FEB-19
Page 6027 of 6486
Name
ANIL KUMAR DAYAL Rate Amount Qty 12.8 .64 20 8.9 .89 10 400 400 1 3000 300 10 41.06 41.06 1 400 400 1 24.52 24.52 1 2.8 .7 4 8.9 .89 10 20.06 20.06 1 3.68 1.84 2 7.52 7.52 1 9.62 9.62 1 450 450 1 420 420 1 400 400 1 Total: 5209.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423249 Min 01423249 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 24-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 2 24-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 24-FEB-19 ECG 4 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 24-FEB-19 ONDANSETRON,2MG/ML,INJECTION 6 24-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 24-FEB-19
Page 6028 of 6486
Name
VANDANA DAYAL Rate Amount Qty 420 420 1 2.8 .7 4 9.62 9.62 1 450 450 1 8.9 .89 10 7.52 7.52 1 24.52 24.52 1 400 400 1 Total: 1323.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423253 Min 01423253 Appmt Dt Slno Description 22-FEB-19 1 ATORVASTATIN,STRIP PKT,20MG,TABLET 22-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6029 of 6486
Name
SMT. LAXMI SONI Qty Rate Amount 30 1.16 34.8 1 400 400 434.8 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423254 Min 01423254 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 2 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 6030 of 6486
Name
RAMAPATI SINGH Rate Amount Qty 36 .6 60 15.96 2.66 6 13.95 .93 15 7.5 .25 30 21.3 .71 30 21.6 .36 60 400 400 1 Total: 516.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423255 Min 01423255 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 6031 of 6486
Name
SHEELA SINGH Rate Amount Qty 3.84 .64 6 1.85 .37 5 2.28 .38 6 400 400 1 18.9 .63 30 27.9 .62 45 400 400 1 Total: 854.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423256 Min 01423256 Appmt Dt Slno Description 18-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 18-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 3 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6032 of 6486
Name
DURGA PRASAD SANDILYA Qty Rate Amount 30 .63 18.9 30 .71 21.3 60 .36 21.6 1 400 400 Total: 461.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423258 Min 01423258 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 6033 of 6486
Name
NISHITH KUMAR ACHINT Rate Amount Qty 60.9 2.03 30 21.3 .71 30 400 400 1 Total: 482.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423259 Min 01423259 Appmt Dt Slno Description 14-FEB-19 1 FOLIC ACID,STRIP PKT,5MG,TABLET 14-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 14-FEB-19 3 VITAMIN A CHEWABLE,50000IU,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6034 of 6486
Name
HEMLATA ACHINT Qty Rate Amount 30 .38 11.4 30 .38 11.4 30 .75 22.5 1 400 400 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423263 Min 01423263 Appmt Dt Slno Description 08-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 08-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6035 of 6486
Name
RUDLAL Qty Rate Amount 5 .64 3.2 5 .37 1.85 10 .89 8.9 1 400 400 Total: 413.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423264 Min 01423264 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 6036 of 6486
Name
GOMTI Rate Amount Qty 7.5 .25 30 5.21 5.21 1 26.7 .89 30 20.06 20.06 1 18.6 .62 30 27.9 .93 30 400 400 1 Total: 505.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423265 Min 01423265 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 5 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 6037 of 6486
Name
FATAN LAL SAHU Rate Amount Qty 11.85 .79 15 7.8 .26 30 12 .4 30 34.8 1.16 30 9.9 .66 15 7.5 .25 30 3.75 .25 15 18 .6 30 400 400 1 Total: 505.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423266 Min 01423266 Slno Description Appmt Dt LEVO-THYROXINE SODIUM,50MCG,TABLET 1 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6038 of 6486
Name
SMT TARA SAHU Rate Amount Qty 27.9 .62 45 20.84 5.21 4 400 400 1 Total: 448.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423267 Min 01423267 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 26-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 26-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 26-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 5 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 6039 of 6486
Name
JAGARAPU ARJUNA PRASAD Rate Amount Qty 15.6 .26 60 4.8 .16 30 32.4 1.08 30 21.3 .71 30 72.6 1.21 60 55.8 .93 60 400 400 1 Total: 602.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423268 Min 01423268 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 26-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19
Page 6040 of 6486
Name
JAGARAPU SARASWATHI DEVI Rate Amount Qty 54 .6 90 7.5 .25 30 9 .3 30 33 1.1 30 27.9 .93 30 21.3 .71 30 117 1.3 90 400 400 1 Total: 669.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423271 Min 01423271 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 6041 of 6486
Name
J K DEWANGAN Rate Amount Qty 27.9 .93 30 18 .6 30 7.5 .25 30 400 400 1 3.75 .25 15 18 .6 30 27.9 .93 30 400 400 1 Total: 903.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423272 Min 01423272 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 6042 of 6486
Name
GANGOTRI DEWANGAN Rate Amount Qty 23.7 .79 30 400 400 1 18.6 .62 30 23.7 .79 30 400 400 1 Total: 866
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423273 Min 01423273 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 27-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 27-FEB-19 PRAZOSIN,2.5MG,TABLET 4 27-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19
Page 6043 of 6486
Name
S NARSINGH Rate Amount Qty 14.85 .99 15 72 .6 120 47.4 .79 60 39 1.3 30 10.8 .36 30 400 400 1 Total: 584.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423276 Min 01423276 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 11-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 6044 of 6486
Name
BUDDHI SAGAR Rate Amount Qty 6.9 .23 30 22.8 .38 60 18.9 .63 30 27.9 .93 30 27.9 .62 45 400 400 1 Total: 504.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423278 Min 01423278 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 26-FEB-19 URIC ACID (UA /URATES /UR) 2 26-FEB-19 CREATININE /CRT 3 26-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 26-FEB-19
Page 6045 of 6486
Name
SAHEB RAO DHADSE Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 2800
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423280 Min 01423280 Appmt Dt Slno Description 14-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 14-FEB-19 2 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 14-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6046 of 6486
Name
AMRIKALAL Qty Rate Amount 30 .71 21.3 10 .41 4.1 30 .93 27.9 1 400 400 Total: 453.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423281 Min 01423281 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6047 of 6486
Name
SUSHMA DEVI Rate Amount Qty 10.8 .36 30 55.8 .93 60 72 .6 120 7.65 .51 15 8.1 .27 30 400 400 1 Total: 554.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423282 Min 01423282 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 4 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 25-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 6048 of 6486
Name
ERNEST MILTON LAL Rate Amount Qty 55.8 .93 60 32.4 1.08 30 34.8 1.16 30 123.53 247.06 2 12 .4 30 15.6 .26 60 400 400 1 Total: 797.66
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423283 Min 01423283 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 25-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 25-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 5 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 25-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 8 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 25-FEB-19
Page 6049 of 6486
BINDU MILTON LAL Rate Amount Qty 70.2 2.34 30 96.44 48.22 2 2.5 .25 10 6.4 .64 10 70.2 2.34 30 3.7 .37 10 12.8 .64 20 22.5 .75 30 400 400 1 Total: 684.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423288 Min 01423288 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12-FEB-19 3 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6050 of 6486
Name
BHARAT SINGH Qty Rate Amount 60 .93 55.8 30 .71 21.3 30 1.08 32.4 1 400 400 Total: 509.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423289 Min 01423289 Appmt Dt Slno Description 15-FEB-19 1 RANITIDINE HCL,STRIP PKT,150MG,TABLET 15-FEB-19 2 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6051 of 6486
Name
TRIVENI BAI Qty 8 8 4 1
Rate Amount .77 6.16 .64 5.12 .37 1.48 400 400 Total: 412.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423290 Min 01423290 Slno Description Appmt Dt CLONAZEPAM,STRIP PKT,0.5MG,TABLET 1 04-FEB-19 X - RAY - TWO VIEWS 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 11-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 27-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 9 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 27-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 11 27-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 12 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 27-FEB-19
Page 6052 of 6486
Name
RAJ KAPOOR TAMRAKAR Rate Amount Qty 9.9 .66 15 1720 860 2 400 400 1 26 2.6 10 48.9 4.89 10 400 400 1 185.7 6.19 30 26.7 .89 30 13.5 .3 45 33 1.1 30 20.84 5.21 4 26 2.6 10 400 400 1 Total: 3310.54
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423291 Min 01423291 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 12-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 12-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 12-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 9 12-FEB-19 URIC ACID (UA /URATES /UR) 10 12-FEB-19 CREATININE /CRT 11 12-FEB-19 UREA (BUN /UR) 12 12-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 12-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 14-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 17 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18 28-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 19 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20 28-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 21 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 22 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 23 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 28-FEB-19
Page 6053 of 6486
RAMDULARI TAMRAKAR Rate Amount Qty 50.14 25.07 2 55.8 .93 60 8.1 .27 30 400 400 1 275 275 1 20.06 20.06 1 14.85 .99 15 8.9 .89 10 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 .8 .16 5 400 400 1 92.1 6.14 15 29.7 .99 30 87.92 43.96 2 8.1 .27 30 20.06 20.06 1 8.9 .89 10 55.8 .93 60 400 400 1 Total: 4736.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423294 Min 01423294 Appmt Dt Slno Description 26-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 26-FEB-19 2 RAMIPRIL,5MG,STRIP PACK.,TABLET 26-FEB-19 3 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 26-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6054 of 6486
Name
DEVI PRASAD VISHWAKARMA Qty Rate Amount 60 1.1 66 60 .79 47.4 60 .37 22.2 1 400 400 Total: 535.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423296 Min 01423296 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 08-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 8 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 6055 of 6486
Name
IQBAL KHAN Rate Amount Qty 7.5 .25 30 33 1.1 30 11.85 .79 15 12 .4 30 34.8 1.16 30 82.76 165.52 2 400 400 1 19.18 1.37 14 6.23 .89 7 400 400 1 Total: 1090.08
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423297 Min 01423297 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 15-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 2 15-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 28-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 7 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 8 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 10 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 28-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 28-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 14 28-FEB-19
Page 6056 of 6486
SHAMA PARVEEN Rate Amount Qty 26 2.6 10 156.51 313.02 2 50.14 25.07 2 8.9 .89 10 400 400 1 1.85 .37 5 25.69 25.69 1 25.07 25.07 1 3.84 .64 6 35.2 3.52 10 8.9 .89 10 16.8 1.12 15 400 400 1 1750 1750 1 Total: 3065.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423300 Min 01423300 Appmt Dt Slno Description 04-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6057 of 6486
Name
RADHE SHYAM SARVA Qty Rate Amount 30 1.1 33 1 400 400 433 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423302 Min 01423302 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 19-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 19-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 6058 of 6486
Name
PURAN PRASAD SHARMA Rate Amount Qty 13.08 2.18 6 8.9 .89 10 16.8 1.12 15 35.2 3.52 10 400 400 1 Total: 473.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423305 Min 01423305 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 6059 of 6486
Name
SUPARNA DE Rate Amount Qty 185.7 6.19 30 21.3 .71 30 12 .4 30 55.8 .93 60 14.85 .99 15 33 1.1 30 400 400 1 Total: 722.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423306 Min 01423306 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6060 of 6486
Name
SOHAN SINGH Rate Amount Qty 7.5 .25 30 55.8 .93 60 66 1.1 60 8.1 .27 30 21.3 .71 30 400 400 1 Total: 558.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423308 Min 01423308 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 3 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 01-FEB-19 CREATININE /CRT 5 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 05-FEB-19 PROTHROMBIN TIME (PT) 8 05-FEB-19
Page 6061 of 6486
Name
ASIM KUMAR BISWAS Rate Amount Qty 400 400 1 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 400 400 1 330 330 1 Total: 3805
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423311 Min 01423311 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 09-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 7 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 09-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 09-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 19-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 16 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 17 19-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 18 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 19-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 20 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 21 26-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 22 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 26-FEB-19
Page 6062 of 6486
Name
NEMI CHAND PATKAR Rate Amount Qty 31.61 31.61 1 25.62 12.81 2 11.1 .37 30 400 400 1 72 .6 120 13.8 .23 60 29.7 .99 30 55.8 .93 60 34.8 1.16 30 7.5 .25 30 117 1.3 90 334.8 5.58 60 400 400 1 12.15 12.15 1 4.45 .89 5 9 .9 10 1.85 .37 5 70.2 2.34 30 400 400 1 12.15 12.15 1 3.7 .37 10 9 .9 10 400 400 1 Total: 2456.23
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423312 Min 01423312 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 07-FEB-19 ONDANSETRON,2MG/ML,INJECTION 2 07-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 3 07-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 4 07-FEB-19 NEBULIZATION THERAPY PER SITTING (COST O 5 07-FEB-19 INDOOR DEPARTMENTAL CONSULTATION (PER DA 6 07-FEB-19 ECG 7 07-FEB-19 OBSERVATION IN CASUALTY 8 07-FEB-19 ECG 9 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 11-FEB-19 X - RAY - TWO VIEWS 12 11-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 13 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 16 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 17 14-FEB-19 FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 18 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 19 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 20 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 14-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 22 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 23 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 24 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 25 14-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 26 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 14-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 28 19-FEB-19 X - RAY - SINGLE VIEW 29 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 30 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 31 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 32 19-FEB-19
Page 6063 of 6486
Name
KALYANI BAI PATKAR Rate Amount Qty 24.52 24.52 1 7.52 7.52 1 11.89 11.89 1 35.52 35.52 1 100 100 1 600 600 1 450 450 1 420 420 1 450 450 1 9.62 9.62 1 400 400 1 860 860 1 21.3 .71 30 15 .25 60 400 400 1 27.9 .93 30 34.8 1.16 30 96 9.6 10 4.45 .89 5 66.2 6.62 10 36 .6 60 78 1.3 60 167.4 5.58 30 32.4 .36 90 9.6 .64 15 1.9 .38 5 400 400 1 12.15 12.15 1 550 550 1 3.7 .37 10 400 400 1 400 400 1 Total: 6125.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423313 Min 01423313 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 09-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 09-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 09-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 09-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 09-FEB-19
Page 6064 of 6486
Name
RAJENDRA KUMAR VERMA Rate Amount Qty 55.8 .93 60 400 400 1 144 .6 240 64.8 1.08 60 24 .4 60 34.8 1.16 30 145.2 1.21 120 16.2 .27 60 16.2 .27 60 64.8 .36 180 Total: 965.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423315 Min 01423315 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 05-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 05-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 6065 of 6486
Name
SUBHASH CHAND AGRAWAL Rate Amount Qty 27.9 .93 30 76.5 2.55 30 21.3 .71 30 192.3 6.41 30 60.9 2.03 30 185.7 6.19 30 6.9 .23 30 400 400 1 Total: 971.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423316 Min 01423316 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6066 of 6486
Name
BIMLA AGRAWAL Rate Amount Qty 21.3 .71 30 21.3 .71 30 3.75 .25 15 13.35 .89 15 400 400 1 Total: 459.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423323 Min 01423323 Appmt Dt Slno Description 07-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6067 of 6486
Name
BABU RAM VERMA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423324 Min 01423324 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 16-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19
Page 6068 of 6486
Name
JYOTI VERMA Rate Amount Qty 72 .6 120 58.5 1.3 45 334.8 5.58 60 21.3 .71 30 55.8 .93 60 400 400 1 Total: 942.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423326 Min 01423326 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 6069 of 6486
Name
KAMLA SAHU Rate Amount Qty 8.9 .89 10 66.2 6.62 10 21.3 .71 30 41.85 .93 45 1.85 .37 5 400 400 1 1.85 .37 5 21.3 .71 30 41.85 .93 45 400 400 1 Total: 1005.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423338 Min 01423338 Slno Description Appmt Dt VITAMIN A CHEWABLE,50000IU,,TABLET 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 20-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 4 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 6070 of 6486
Name
USHA CHOUBEY Rate Amount Qty 11.25 .75 15 11.1 .37 30 31.61 31.61 1 35.2 17.6 2 18 .6 30 400 400 1 Total: 507.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423339 Min 01423339 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 04-FEB-19 CREATININE /CRT 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 07-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 9 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 07-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 14 25-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 15 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 25-FEB-19
Page 6071 of 6486
Name
MD. AZAD Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 275 275 1 16.2 1.08 15 17.4 1.16 15 16.5 1.1 15 4.05 .27 15 20.06 20.06 1 9 .6 15 26.7 .89 30 11.2 1.12 10 400 400 1 8.1 .27 30 36.3 1.21 30 21.3 .71 30 18 .6 30 400 400 1 Total: 3129.81
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423341 Min 01423341 Appmt Dt Slno Description 25-FEB-19 1 BRIMONIDINE TARTRATE,0.15% 25-FEB-19 2 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 25-FEB-19 3 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6072 of 6486
TIWARY RK Qty 2 2 2 1
Rate Amount 74.45 148.9 156.51 313.02 25.07 50.14 400 400 Total: 912.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423342 Min 01423342 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 20-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 6073 of 6486
Name
VEENA TIWARI Rate Amount Qty 26.7 .89 30 3.84 .64 6 34.8 1.16 30 36 .6 60 8.1 .27 30 66 1.1 60 27.9 .93 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 647.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423343 Min 01423343 Slno Description Appmt Dt CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 1 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 27-FEB-19 ECG 7 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 27-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 27-FEB-19
Page 6074 of 6486
Name
RABI ROY Rate Amount Qty 368.4 6.14 60 21.3 .71 30 12 .4 30 33 1.1 30 8.1 .27 30 55.8 .93 60 450 450 1 400 400 1 26.7 .89 30 Total: 1375.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423346 Min 01423346 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 URIC ACID (UA /URATES /UR) 2 04-FEB-19 CREATININE /CRT 3 04-FEB-19 UREA (BUN /UR) 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 7 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 12 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 07-FEB-19
Page 6075 of 6486
Name
BANDANA JOSHI Rate Amount Qty 400 400 1 275 275 1 275 275 1 275 275 1 33 1.1 30 14.85 .99 15 1300 1300 1 275 275 1 275 275 1 21.3 .71 30 14.85 .99 15 33 1.1 30 400 400 1 Total: 3592
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423351 Min 01423351 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 6076 of 6486
Name
DHAL SINGH BANCHHOR Rate Amount Qty 26.7 .89 30 21.3 .71 30 12 .4 30 32.4 1.08 30 400 400 1 Total: 492.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423353 Min 01423353 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 13-FEB-19
Page 6077 of 6486
Name
BEDU RAM SAHU Rate Amount Qty 6.4 .64 10 8.9 .89 10 400 400 1 Total: 415.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423354 Min 01423354 Appmt Dt Slno Description 25-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 25-FEB-19 2 GRANULE,VITAMIN D-3,1GM/PKT 25-FEB-19 3 FOLIC ACID,STRIP PKT,5MG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6078 of 6486
Name
SATYABHAMA Qty Rate Amount 30 .62 18.6 4 5.21 20.84 60 .38 22.8 1 400 400 Total: 462.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423357 Min 01423357 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 12-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 6079 of 6486
Name
MOHD. UMAR KHAN Rate Amount Qty 18 .6 30 27.9 .93 30 12 .4 30 18.6 .62 30 18.9 .63 30 17.4 1.16 15 400 400 1 Total: 512.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423358 Min 01423358 Appmt Dt Slno Description 19-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 19-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6080 of 6486
Name
NAFIS AKHTAR BANO Qty Rate Amount 60 .37 22.2 60 .93 55.8 60 1.1 66 1 400 400 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423359 Min 01423359 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 25-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 25-FEB-19
Page 6081 of 6486
Name
DHAL SINGH Rate Amount Qty 29.7 .99 30 6.9 .23 30 55.8 .93 60 18.9 .63 30 400 400 1 Total: 511.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423360 Min 01423360 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 05-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 07-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 14-FEB-19
Page 6082 of 6486
Name
SAVITRI BAI Rate Amount Qty 55.8 .93 60 36 .6 60 4.5 .3 15 39 1.3 30 17.4 1.16 15 400 400 1 15 .25 60 21.3 .71 30 400 400 1 275 275 1 275 275 1 Total: 1539
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423363 Min 01423363 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 19-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 6083 of 6486
Name
G RAJARATNAM Rate Amount Qty 6.9 .23 30 7.65 .51 15 21.3 .71 30 55.8 .93 60 400 400 1 Total: 491.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423365 Min 01423365 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6084 of 6486
Name
SHANKAR LAL UMARE Rate Amount Qty 167.4 5.58 30 21.3 .71 30 12 .4 30 27.9 .93 30 8.1 .27 30 400 400 1 192.3 6.41 30 400 400 1 Total: 1229
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423367 Min 01423367 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 04-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6085 of 6486
Name
TORANGIR Rate Amount Qty 13.35 .89 15 32.4 1.08 30 12 .4 30 27.9 .93 30 34.8 1.16 30 400 400 1 Total: 520.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423368 Min 01423368 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 22-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 6086 of 6486
Name
GITA BAI Rate Amount Qty 275 275 1 275 275 1 18 .6 30 27.6 .92 30 118.5 3.95 30 21.3 .71 30 3.75 .25 15 78 1.3 60 400 400 1 Total: 1217.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423371 Min 01423371 Appmt Dt Slno Description 20-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 20-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 20-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6087 of 6486
Name
SUNIL DUTT BAJPAI Qty Rate Amount 15 .25 3.75 30 1.1 33 30 .93 27.9 1 400 400 Total: 464.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423377 Min 01423377 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 2 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 14-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 5 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 10 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 6088 of 6486
Name
KERA BAI Rate Amount Qty 20.06 20.06 1 7.7 .77 10 16.8 1.12 15 400 400 1 4.8 .6 8 44.16 1.84 24 7.68 .64 12 400 400 1 7.68 .64 12 4.8 .6 8 44.16 1.84 24 400 400 1 Total: 1357.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423378 Min 01423378 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 19-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 6089 of 6486
Name
RAKESH KUMAR Rate Amount Qty 192.3 6.41 30 118.5 3.95 30 55.8 .93 60 156 1.3 120 2.4 .16 15 21.3 .71 30 400 400 1 Total: 946.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423380 Min 01423380 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 6090 of 6486
Name
ISHWARI PRASAD MADHARIYA Rate Amount Qty 9.45 .63 15 10.65 .71 15 13.95 .93 15 400 400 1 27.9 .93 30 21.3 .71 30 400 400 1 Total: 883.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423382 Min 01423382 Slno Description Appmt Dt AMIODARONE HCL,STRIP PKT,200MG,TABLET 1 16-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 16-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 7 16-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 16-FEB-19 MOXONIDIN 0.2MG,,TABLET 9 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 10 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 16-FEB-19
Page 6091 of 6486
Name
MOTI RAM TANDAN Rate Amount Qty 61.8 4.12 15 21.3 .71 30 12 .4 30 32.4 1.08 30 167.4 5.58 30 36 .6 60 157.8 2.63 60 36.3 1.21 30 105.9 3.53 30 55.8 .93 60 400 400 1 Total: 1086.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423383 Min 01423383 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 3 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6092 of 6486
Name
KALAWATI TANDAN Rate Amount Qty 2.22 .37 6 8.9 .89 10 35.2 3.52 10 6.4 .64 10 400 400 1 Total: 452.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423384 Min 01423384 Appmt Dt Slno Description 20-FEB-19 1 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6093 of 6486
Name
AV SURESH KUMAR Qty Rate Amount 30 .89 26.7 1 400 400 426.7 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423385 Min 01423385 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 OBSERVATION IN CASUALTY 4 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 5 23-FEB-19 ECG 6 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 7 23-FEB-19 ONDANSETRON,2MG/ML,INJECTION 8 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 9 24-FEB-19 RIFAXIMIN 200 MG,,TABLET 10 24-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 11 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 24-FEB-19
Page 6094 of 6486
Name
A.S. PADMA Rate Amount Qty 36 .6 60 10.8 .36 30 400 400 1 420 420 1 9.62 9.62 1 450 450 1 24.52 24.52 1 7.52 7.52 1 10.08 1.12 9 27.99 9.33 3 4.2 .7 6 8.9 .89 10 400 400 1 Total: 1809.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423390 Min 01423390 Appmt Dt Slno Description 06-FEB-19 1 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6095 of 6486
Name
VIDYAWATI Qty Rate Amount 30 .71 21.3 1 400 400 421.3 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423391 Min 01423391 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 22-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 6096 of 6486
Name
FULJENCIA TIRKEY Rate Amount Qty 27.9 .93 30 16.5 1.1 15 7.65 .51 15 18.9 .63 30 400 400 1 Total: 470.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423392 Min 01423392 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6097 of 6486
Name
EMMANUEL TIRKEY Rate Amount Qty 14.85 .99 15 55.8 .93 60 400 400 1 Total: 470.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423396 Min 01423396 Slno Description Appmt Dt U S ABDOMEN INCLUDING PELVIS/THORAX 1 16-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 2 16-FEB-19 PHENAZOPYRIDINE HCL,200MG,TABLET 3 16-FEB-19 URINE ROUTINE AND MICROSCOPIC 4 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 16-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 6 16-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 7 26-FEB-19 TIBOLONE,STRIP PKT,2.5MG,TABLET 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 27-FEB-19 MAMOGRAPHY 11 27-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 27-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 27-FEB-19
Page 6098 of 6486
Name
M ESHWARI Rate Amount Qty 1750 1750 1 35.2 3.52 10 85.8 8.58 10 380 380 1 400 400 1 650 650 1 41.06 41.06 1 464.4 15.48 30 400 400 1 43.96 43.96 1 2000 2000 1 275 275 1 400 400 1 275 275 1 Total: 7200.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423397 Min 01423397 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 14-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 2 14-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 DRESSING SIMPLE 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 19-FEB-19 X - RAY - TWO VIEWS 7 19-FEB-19 ESR 8 19-FEB-19 HB,TLC,DLC 9 19-FEB-19 URIC ACID (UA /URATES /UR) 10 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 6099 of 6486
Name
BANSHI LAL HIRWANI Rate Amount Qty 4.45 .89 5 10.95 .73 15 13.7 1.37 10 300 300 1 400 400 1 400 400 1 860 860 1 165 165 1 300 300 1 275 275 1 275 275 1 275 275 1 8.9 .89 10 13.7 1.37 10 2.5 .25 10 400 400 1 Total: 3704.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423398 Min 01423398 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 6100 of 6486
Name
CHETNA HIRWANI Rate Amount Qty 104.4 1.74 60 54 .9 60 400 400 1 Total: 558.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423403 Min 01423403 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 20-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 20-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 20-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 4 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 6101 of 6486
Name
BINAY BHUSON KAITH Rate Amount Qty 36.3 1.21 30 1.48 .37 4 3.84 .64 6 15.96 2.66 6 21.3 .71 30 8.1 .27 30 400 400 1 Total: 486.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423407 Min 01423407 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 20-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 20-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 6102 of 6486
Name
VIRENDRA KUMAR GUPTA Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 400 400 1 167.4 5.58 30 3.75 .25 15 60.9 2.03 30 21.3 .71 30 36 .6 60 42.6 .71 60 55.8 .93 60 8.1 .27 30 400 400 1 Total: 3045.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423408 Min 01423408 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 04-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 07-FEB-19 BLOOD FOR T-3,T-4,TSH 7 07-FEB-19
Page 6103 of 6486
Name
RASHMI GUPTA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 18.6 .62 30 400 400 1 2400 2400 1 Total: 5068.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423410 Min 01423410 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 6104 of 6486
Name
PRABHA YADU Rate Amount Qty 55.8 .93 60 16.2 .27 60 9 .3 30 18 .6 30 3.75 .25 15 400 400 1 Total: 502.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423413 Min 01423413 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 15-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 15-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 15-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 5 15-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 6 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 15-FEB-19
Page 6105 of 6486
Name
RUPENDRA NATH Rate Amount Qty 26.7 .89 30 156.6 1.74 90 30.15 .67 45 54 .9 60 59.4 .66 90 69.05 69.05 1 400 400 1 Total: 795.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423415 Min 01423415 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6106 of 6486
Name
KRISHNA KANTA DHALI Rate Amount Qty 17.4 1.16 15 3.75 .25 15 27.9 .93 30 8.1 .27 30 33 1.1 30 167.4 5.58 30 72 .6 120 400 400 1 Total: 729.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423416 Min 01423416 Appmt Dt Slno Description 14-FEB-19 1 BISOPROLOL FUMARATE,5MG,,TABLET 14-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 14-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6107 of 6486
Name
RINKU DHALI Qty Rate Amount 15 2.55 38.25 30 .93 27.9 30 .25 7.5 1 400 400 Total: 473.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423417 Min 01423417 Appmt Dt Slno Description 08-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 08-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 08-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6108 of 6486
Name
KRIPA RAM SAHU Qty Rate Amount 60 .93 55.8 30 1.1 33 10 .64 6.4 1 400 400 Total: 495.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423418 Min 01423418 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 08-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 2 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 6109 of 6486
Name
DHANAI BAI Rate Amount Qty 2.28 .38 6 17.4 .58 30 66 1.1 60 12.15 .27 45 1.85 .37 5 400 400 1 Total: 499.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423421 Min 01423421 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6110 of 6486
Name
UJIYAR SINGH Rate Amount Qty 21.3 .71 30 12 .4 30 167.4 5.58 30 13.95 .93 15 26.7 .89 30 400 400 1 Total: 641.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423422 Min 01423422 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 02-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 02-FEB-19
Page 6111 of 6486
Name
YAMINI BAI Rate Amount Qty 54 .6 90 21.3 .71 30 23.7 .79 30 7.5 .25 30 167.4 5.58 30 400 400 1 Total: 673.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423423 Min 01423423 Appmt Dt Slno Description 19-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6112 of 6486
Name
SABU C MATHEW Qty Rate Amount 30 .93 27.9 30 .27 8.1 30 1.16 34.8 1 400 400 Total: 470.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423424 Min 01423424 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 6113 of 6486
Name
SUMOL MATHEW Rate Amount Qty 29.7 .99 30 18 .6 30 12 .4 30 36.3 1.21 30 16.2 .27 60 55.8 .93 60 400 400 1 Total: 568
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423425 Min 01423425 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 23-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 2 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 3 23-FEB-19 ECG 4 23-FEB-19 ONDANSETRON,2MG/ML,INJECTION 5 23-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 23-FEB-19 OBSERVATION IN CASUALTY 7 23-FEB-19 DEXTROSE&SODIUMCHLORIDE,5+0.9%,INJECTION 8 23-FEB-19
Page 6114 of 6486
Name
RAJENDRA SINGH Qty 1 1 1 1 1 1 1 1
Rate Amount 600 600 9.81 9.81 9.62 9.62 450 450 7.52 7.52 24.52 24.52 420 420 22.71 22.71 Total: 1544.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423427 Min 01423427 Slno Description Appmt Dt SODIUM VALPROATE,STRIP PKT,200MG,TABLET 1 19-FEB-19 LORAZEPAM,2MG,STRIP PACK.,TABLET 2 19-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 3 19-FEB-19 ESCITALOPRAM,10MG,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 6115 of 6486
Name
LIYAKAT ALI Rate Amount Qty 126 2.1 60 82.2 2.74 30 9.9 .66 15 27.75 1.85 15 400 400 1 Total: 645.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423428 Min 01423428 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 26-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 OBSERVATION IN CASUALTY 5 26-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 6 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 26-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 10 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 11 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 OBSERVATION IN CASUALTY 14 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 15 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 28-FEB-19 UREA (BUN /UR) 17 28-FEB-19 CREATININE /CRT 18 28-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 19 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 20 28-FEB-19
Page 6116 of 6486
Name
RASHIDA PARVEEN Rate Amount Qty 24.52 24.52 1 .64 .64 1 600 600 1 .93 .93 1 420 420 1 24.52 24.52 1 .64 .64 1 .93 .93 1 4 .4 10 11.6 1.16 10 9.9 .99 10 18.6 .93 20 8.9 .89 10 420 420 1 400 400 1 275 275 1 275 275 1 275 275 1 550 550 1 275 275 1 Total: 3595.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423429 Min 01423429 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 3 07-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19
Page 6117 of 6486
Name
DASHRATH PRASAD Rate Amount Qty 123.8 6.19 20 8.9 .89 10 26 2.6 10 15.63 5.21 3 400 400 1 Total: 574.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423435 Min 01423435 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 2 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 19-FEB-19 PRAZOSIN,2.5MG,TABLET 4 19-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 5 19-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 19-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 6118 of 6486
Name
VATSALA DEVI SONI Rate Amount Qty 1.85 .37 5 110.4 .92 120 21.3 .71 30 78 1.3 60 43.2 1.44 30 29.7 .99 30 42.6 .71 60 72 .6 120 16.2 .27 60 400 400 1 Total: 815.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423436 Min 01423436 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 6119 of 6486
Name
VIJAY KUMAR KHAPARDE Rate Amount Qty 32.4 1.08 30 400 400 1 12 .4 30 32.4 1.08 30 66 1.1 60 34.8 1.16 30 400 400 1 27.9 .93 30 400 400 1 Total: 1405.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423442 Min 01423442 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 15-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 2 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 15-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 6120 of 6486
Name
DEOCHARAN LAL Rate Amount Qty 54 .9 60 12.15 12.15 1 26.7 .89 30 16.2 .18 90 400 400 1 Total: 509.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423443 Min 01423443 Appmt Dt Slno Description 26-FEB-19 1 LEVO-THYROXINE SODIUM,50MCG,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6121 of 6486
Name
SHIVBATI BAI Qty Rate Amount 30 .62 18.6 1 400 400 418.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423444 Min 01423444 Slno Description Appmt Dt ONDANSETRON,2MG/ML,INJECTION 1 25-FEB-19 SYRINGE,DISPOSABLE,2ML 2 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 3 25-FEB-19 CIPROFLOXACIN,200MG/100ML,INJECTION 4 25-FEB-19 METRONIDAZOLE 500 MG, I.V. INFUSION 5 25-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 6 25-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 7 25-FEB-19 ECG 8 25-FEB-19 OBSERVATION IN CASUALTY 9 25-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 26-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 13 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 14 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 15 26-FEB-19
Page 6122 of 6486
Name
ARJUNLAL VERMA Rate Amount Qty 7.52 7.52 1 3.68 1.84 2 24.52 24.52 1 16.1 16.1 1 11.89 11.89 1 35.52 35.52 1 9.62 9.62 1 450 450 1 420 420 1 9.81 9.81 1 36 .6 60 12 .4 30 33 1.1 30 21.6 .36 60 21.3 .71 30 Total: 1112.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423446 Min 01423446 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 3 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 4 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 6123 of 6486
Name
RATAN KUMAR SINGH Rate Amount Qty 12 .4 30 27.9 .93 30 118.5 3.95 30 5.21 5.21 1 21.3 .71 30 14.85 .99 15 400 400 1 Total: 599.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423450 Min 01423450 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 12-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 12-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 12-FEB-19
Page 6124 of 6486
Name
NILESH BUX Rate Amount Qty 12 .4 30 32.4 1.08 30 167.4 5.58 30 23.7 .79 30 54 .6 90 69.6 1.16 60 66 1.1 60 400 400 1 Total: 825.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423451 Min 01423451 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 12-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 12-FEB-19 PRAZOSIN,2.5MG,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 6125 of 6486
Name
SANDHYA ANITA BUX Rate Amount Qty 17.8 .89 20 21.3 .71 30 54 .6 90 21.6 .36 60 78 1.3 60 55.8 .93 60 400 400 1 Total: 648.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423453 Min 01423453 Slno Description Appmt Dt INDOOR REFERAL CONSULTATION (PER DAY) 1 07-FEB-19 TRAMADOL HYDROCHLORIDE,50MG/ML,INJECTION 2 07-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 07-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 07-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 7 07-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 8 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 9 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 07-FEB-19 HYDROCORTISONE SODIUM SUCCINAT,INJ,100MG 11 07-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 12 07-FEB-19 ECG 13 07-FEB-19 OBSERVATION IN CASUALTY 14 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 07-FEB-19
Page 6126 of 6486
Name
REKHA AGRAWAL Rate Amount Qty 600 600 1 3.66 3.66 1 66.2 6.62 10 6.4 .64 10 12.15 12.15 1 3.7 .37 10 10.05 .67 15 18 .9 20 24.52 24.52 1 8.9 .89 10 25.54 25.54 1 9.62 9.62 1 450 450 1 420 420 1 400 400 1 Total: 2058.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423454 Min 01423454 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 08-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 2 08-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 3 08-FEB-19 GAMMA BENZENE HEXACHLORIDE,1%,LOTION, 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19
Page 6127 of 6486
Name
SURAJ RAM PATIL Rate Amount Qty 5.55 .37 15 57.84 115.68 2 36.8 1.84 20 103.68 103.68 1 400 400 1 Total: 661.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423455 Min 01423455 Appmt Dt Slno Description 08-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 08-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 08-FEB-19 3 ETORICOXIB,STRIP PKT,90MG,TABLET 08-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6128 of 6486
Name
RAM KUMARI PATIL Qty Rate Amount 10 .25 2.5 10 .89 8.9 10 2.6 26 1 400 400 Total: 437.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423460 Min 01423460 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 20-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 20-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 6129 of 6486
Name
PANKAJ KUMAR AGARWAL Rate Amount Qty 54 .6 90 21.3 .71 30 21.3 .71 30 167.4 5.58 30 400 400 1 Total: 664
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423461 Min 01423461 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19
Page 6130 of 6486
Name
MEENAKSHI AGARWAL Rate Amount Qty 27.9 .93 30 7.5 .25 30 400 400 1 Total: 435.4
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423464 Min 01423464 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 08-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 08-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 WAX SOFTNER/REMOVAL,EAR DROP,10 ML VIAL, 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 6131 of 6486
PRADEEP KUMAR SUTAONE Rate Amount Qty 26.6 2.66 10 3.7 .37 10 31.46 15.73 2 6.4 .64 10 400 400 1 26.55 26.55 1 400 400 1 3.8 .38 10 1.85 .37 5 400 400 1 Total: 1300.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423468 Min 01423468 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 22-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 22-FEB-19
Page 6132 of 6486
Name
PEKHANLAL SAHU Rate Amount Qty 192.3 6.41 30 52.78 2.03 26 8.12 2.03 4 8.1 .27 30 27.9 .93 30 38.25 2.55 15 400 400 1 Total: 727.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423469 Min 01423469 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 2 06-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 6133 of 6486
Name
SAROJ SAHU Rate Amount Qty 21.3 .71 30 284.4 1.58 180 39 1.3 30 18 .6 30 10.8 .36 30 400 400 1 Total: 773.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423474 Min 01423474 Slno Description Appmt Dt DIAGNOSTIC UGI ENDOSCOPY 1 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 20-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 20-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 5 20-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 6 20-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 7 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 27-FEB-19
Page 6134 of 6486
Name
VASUDEO Rate Amount Qty 2110 2110 1 400 400 1 184.2 6.14 30 35.6 .89 40 31.36 1.12 28 2.34 196.56 84 1750 1750 1 400 400 1 Total: 5107.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423475 Min 01423475 Appmt Dt Slno Description 23-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 23-FEB-19 2 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 23-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6135 of 6486
Name
U CHANDRA KALA Qty Rate Amount 30 .93 27.9 45 .71 31.95 30 .25 7.5 1 400 400 Total: 467.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423476 Min 01423476 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 02-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 02-FEB-19 T M T (TREAD MILL EXERCISE TEST) 9 02-FEB-19 ECG 10 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 02-FEB-19
Page 6136 of 6486
Name
RAM SHANKAR SAHU Rate Amount Qty 33 1.1 30 41.85 .93 45 34.8 1.16 30 400 400 1 275 275 1 12 .4 30 275 275 1 1300 1300 1 3430 3430 1 450 450 1 8.1 .27 30 275 275 1 Total: 6534.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423477 Min 01423477 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6137 of 6486
Name
LAXMI BAI Rate Amount Qty 36 .6 60 8.1 .27 30 400 400 1 26 2.6 10 7.5 .25 30 400 400 1 Total: 877.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423480 Min 01423480 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 19-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 19-FEB-19
Page 6138 of 6486
Name
REKHA AGRAWAL Rate Amount Qty 41.06 41.06 1 6.4 .64 10 21.3 .71 30 400 400 1 21.3 .71 30 12 .4 30 6.9 .23 30 23.7 .79 30 400 400 1 Total: 932.66
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423481 Min 01423481 Slno Description Appmt Dt INHALANT,STRIP PACK,CAPSULE 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 06-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 06-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 6 06-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 06-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 8 06-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 9 06-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 06-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 11 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 09-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 14 09-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 15 09-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 16 09-FEB-19 BUDESONIDE,200MCG,CAPSULE 17 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 09-FEB-19 SOLIFENACIN,5MG,,TABLET 19 12-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 20 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 21 12-FEB-19 METOCLOPRAMIDE HCL,STRIP PKT,10MG,TABLET 22 12-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 23 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 24 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 25 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 26 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 27 16-FEB-19 SERUM TOTAL PSA (CHEMILUMINESCNCE) 28 16-FEB-19
Page 6139 of 6486
Name
S C AGRAWAL Rate Amount Qty 17 1.7 10 26.7 .89 30 21.3 .71 30 55.8 .93 60 29.7 .99 30 192.3 6.41 30 18.9 .63 30 191.4 3.19 60 30.6 .51 60 7.5 .25 30 60.9 2.03 30 400 400 1 26.7 .89 30 69.05 69.05 1 54 .9 60 100.71 100.71 1 208.8 1.74 120 400 400 1 403.2 13.44 30 192.3 6.41 30 60.9 2.03 30 2.6 .26 10 43.96 43.96 1 16.8 1.12 15 35.2 3.52 10 400 400 1 400 400 1 1610 1610 1 Total: 5076.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423482 Min 01423482 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 6 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 05-FEB-19
Page 6140 of 6486
Name
VISHRAM SAHU Rate Amount Qty 32.4 1.08 30 12 .4 30 33 1.1 30 14.85 .99 15 55.8 .93 60 15.6 .26 60 17.4 1.16 15 1.85 .37 5 400 400 1 Total: 582.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423483 Min 01423483 Slno Description Appmt Dt FOLIC ACID,STRIP PKT,5MG,TABLET 1 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 05-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 6141 of 6486
Name
BIRAJO SAHU Rate Amount Qty 11.4 .38 30 3.84 .64 6 17.4 1.16 15 76.5 2.55 30 18 .6 30 167.4 5.58 30 8.1 .27 30 400 400 1 Total: 702.64
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423484 Min 01423484 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 13-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6142 of 6486
Name
DAU RAM Rate Amount Qty 27.9 .93 30 8.1 .27 30 21.3 .71 30 72.6 1.21 60 14.85 .99 15 400 400 1 Total: 544.75
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423487 Min 01423487 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 06-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 06-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 25-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 7 25-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 10 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 25-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 14 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 25-FEB-19
Page 6143 of 6486
SARITA BARNWAL Rate Amount Qty 3.7 .37 10 4.45 .89 5 26.6 2.66 10 15.73 15.73 1 400 400 1 26.7 .89 30 557.1 6.19 90 20.84 5.21 4 167.4 5.58 30 110.4 .92 120 66 1.1 60 15.6 1.04 15 21.3 .71 30 23.7 .79 30 400 400 1 Total: 1859.52
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423490 Min 01423490 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 C T HEAD PLAIN 4 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 7 07-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 8 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 11 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 25-FEB-19
Page 6144 of 6486
Name
CHANDRABHAN KUSRE Rate Amount Qty 4.1 .41 10 8.9 .89 10 400 400 1 5250 5250 1 400 400 1 17.8 .89 20 8.2 .41 20 23.4 .78 30 .8 .16 5 400 400 1 16.2 .27 60 55.8 .93 60 21.3 .71 30 400 400 1 Total: 7006.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423491 Min 01423491 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 2 01-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 01-FEB-19
Page 6145 of 6486
Name
PANCHSHILA KUSRE Rate Amount Qty 36 .6 60 78 .78 100 6 .4 15 371.4 6.19 60 34.8 1.16 30 26.7 .89 30 7.5 .25 30 400 400 1 Total: 960.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423492 Min 01423492 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 01-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 01-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 01-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 6146 of 6486
Name
CHHAT NARAYAN Rate Amount Qty 12 .4 30 27.9 .93 30 59.4 .99 60 32.4 1.08 30 26.7 .89 30 34.8 1.16 30 23.1 .77 30 9.9 .66 15 400 400 1 Total: 626.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423493 Min 01423493 Slno Description Appmt Dt GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 1 01-FEB-19 COMPLETE HAEMOGRAM 2 01-FEB-19 PROTHROMBIN TIME (PT) 3 01-FEB-19 BLOOD GROUPING /ABO AND RH TYPING 4 01-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 01-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 01-FEB-19 BLOOD FOR T-3,T-4,TSH 7 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 01-FEB-19 BLOOD FOR CARDIAC ENZYMES (CK /CK-MB /LD 9 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 01-FEB-19 X - RAY - SINGLE VIEW 12 01-FEB-19 ABC TEST HIV 13 01-FEB-19 VDRL TEST 14 01-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 15 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 01-FEB-19 IV SET,DISPOSABLE,W STERILE 21G NEEDLE, 17 09-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 18 09-FEB-19 NORMAL SALINE GLASS BOTTLE 500ML, 19 09-FEB-19 OBSERVATION IN CASUALTY 20 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 09-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 22 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 23 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 09-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 25 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 09-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 27 09-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 28 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 09-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 30 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 31 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 32 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 33 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 19-FEB-19
Page 6147 of 6486
Name
SONKUNWAR Rate Amount Qty 275 275 1 750 750 1 330 330 1 330 330 1 1300 1300 1 18.6 .62 30 2400 2400 1 1300 1300 1 1600 1600 1 550 550 1 400 400 1 550 550 1 1250 1250 1 600 600 1 1050 1050 1 275 275 1 9.81 9.81 1 5.77 5.77 1 35.52 35.52 1 420 420 1 .75 .25 3 2.1 .7 3 2.67 .89 3 3.2 .64 5 39.72 6.62 6 8.9 .89 10 26 2.6 10 31.9 3.19 10 400 400 1 35.2 3.52 10 1.85 .37 5 6.4 .64 10 17 1.7 10 400 400 1 Total: 14425.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423494 Min 01423494 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 02-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 2 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 3 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 5 02-FEB-19 COMPLETE HAEMOGRAM 6 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 7 02-FEB-19 CALCIUM (CA) 8 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 02-FEB-19 CREATININE /CRT 10 02-FEB-19 UREA (BUN /UR) 11 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 12 04-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 13 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 14 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 15 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16 04-FEB-19 PRAZOSIN,2.5MG,TABLET 17 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 18 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 19 04-FEB-19 MOXONIDIN 0.2MG,,TABLET 20 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 22 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 06-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 24 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 25 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 26 13-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 27 13-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 16-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 30 20-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 31 20-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 32 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 33 23-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 34 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 35 27-FEB-19
Page 6148 of 6486
Name
ROSHAN LAL SUDHAKAR Rate Amount Qty 400 400 1 275 275 1 4790 4790 1 400 400 1 4790 4790 1 750 750 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 16.2 .27 60 118.5 3.95 30 11.4 .38 30 22.2 .37 60 53.4 .89 60 156 1.3 120 7.5 .25 30 32.4 1.08 30 211.8 3.53 60 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 Total: 50414.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423496 Min 01423496 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6149 of 6486
Name
MADAN GOPAL PANDEY Rate Amount Qty 8.1 .27 30 33 1.1 30 400 400 1 Total: 441.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423497 Min 01423497 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 26-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6150 of 6486
Name
SAVITA PANDEY Rate Amount Qty 27.9 .93 30 400 400 1 185.7 6.19 30 26 2.6 10 400 400 1 Total: 1039.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423504 Min 01423504 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 11-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 11-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 6151 of 6486
Name
VIRENDRADUTT SHARMA Rate Amount Qty 371.4 6.19 60 12 .4 30 35.1 2.34 15 1.48 .37 4 2.56 .64 4 26.7 .89 30 34.8 1.16 30 14.85 .99 15 55.8 .93 60 72 .6 120 27.6 .92 30 400 400 1 Total: 1054.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423505 Min 01423505 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6152 of 6486
Name
SHOBHA SHARMA Rate Amount Qty 14.85 .99 15 26.7 .89 30 21.3 .71 30 32.4 1.08 30 55.8 .93 60 9.3 .62 15 400 400 1 Total: 560.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423511 Min 01423511 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 13-FEB-19 OBSERVATION IN CASUALTY 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 13-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 13-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 12 13-FEB-19 ECG 13 13-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 14 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 13-FEB-19 X - RAY - THREE VIEWS 16 16-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 17 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 18 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 19 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 16-FEB-19 C T HEAD PLAIN 21 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 16-FEB-19
Page 6153 of 6486
Name
BIJOY KUMAR PADHI Rate Amount Qty 4.8 .16 30 420 420 1 9 .3 30 34.8 1.16 30 12 .4 30 14.85 .99 15 8.1 .27 30 55.8 .93 60 117 1.3 90 72 .6 120 26.7 .89 30 9.62 9.62 1 450 450 1 .66 .66 1 400 400 1 1500 1500 1 20.06 20.06 1 6.4 .64 10 .8 .16 5 8.9 .89 10 5250 5250 1 400 400 1 400 400 1 Total: 9221.49
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423515 Min 01423515 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 11-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 22-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 8 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 11 22-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 22-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19
Page 6154 of 6486
Name
GOPAL SINGH CHANDEL Rate Amount Qty 1.48 .37 4 3.04 .38 8 5.12 .64 8 400 400 1 167.4 5.58 30 90 .6 150 43.2 .36 120 26.96 3.37 8 5.34 .89 6 1.85 .37 5 39 1.3 30 23.7 .79 30 21.3 .71 30 7.4 .37 20 3.75 .25 15 19.72 9.86 2 400 400 1 Total: 1259.26
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423516 Min 01423516 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 11-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 22-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 7 22-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 INHALANT,STRIP PACK,CAPSULE 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 6155 of 6486
SARASWATI DEVI Rate Amount Qty 21.3 .71 30 14.85 .99 15 32.4 1.08 30 55.8 .93 60 400 400 1 48.22 48.22 1 35.2 3.52 10 1.85 .37 5 6.4 .64 10 17 1.7 10 400 400 1 Total: 1033.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423520 Min 01423520 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 06-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 5 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 22-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 22-FEB-19
Page 6156 of 6486
Name
MANBATI Rate Amount Qty 1.85 .37 5 6.4 .64 10 26.6 2.66 10 400 400 1 20.55 1.37 15 185.7 6.19 30 20.55 1.37 15 7.5 .25 30 185.7 6.19 30 7.5 .25 30 400 400 1 Total: 1262.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423523 Min 01423523 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6157 of 6486
Name
GIRIJA DEVI Rate Amount Qty 16.5 1.1 15 13.95 .93 15 400 400 1 27.9 .93 30 33 1.1 30 400 400 1 Total: 891.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423524 Min 01423524 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 28-FEB-19
Page 6158 of 6486
Name
BHARAT BHOOSHAN SURYAWANSHI Rate Amount Qty 39 1.3 30 32.4 1.08 30 18 .6 30 10.8 .36 30 66 1.1 60 69.6 1.16 60 24 .4 60 27.9 .93 30 400 400 1 Total: 687.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423526 Min 01423526 Slno Description Appmt Dt OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 1 16-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 16-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 3 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 16-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 5 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 16-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 21-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 9 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 21-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 11 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 21-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 13 21-FEB-19 TENELIGLIPTIN,20MG,,TABLET 14 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 21-FEB-19
Page 6159 of 6486
Name
VIJAY PRAKASH TIWARI Rate Amount Qty 31.61 31.61 1 12.81 12.81 1 45.44 45.44 1 5.55 .37 15 15 .75 20 400 400 1 7.5 .25 30 21.3 .71 30 1.48 .37 4 43.2 .36 120 15.96 2.66 6 72 .6 120 234 1.3 180 167.4 5.58 30 400 400 1 Total: 1473.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423527 Min 01423527 Appmt Dt Slno Description 07-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 07-FEB-19 2 ASCORBIC ACID,STRIP PKT,100MG,TABLET 07-FEB-19 3 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6160 of 6486
Name
NANDINI TIWARI Qty 6 6 5 1
Rate Amount .64 3.84 .38 2.28 .37 1.85 400 400 Total: 407.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423529 Min 01423529 Appmt Dt Slno Description 15-FEB-19 1 JELLY,LIGNOCAINE HCL,2%,W/V,30GM/TUBE 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6161 of 6486
Name
DEASY RANI JANGDE Qty Rate Amount 4 19.59 78.36 1 400 400 478.36 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423530 Min 01423530 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 01-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 6162 of 6486
Name
ANUPAM MANDAL Rate Amount Qty 32.4 1.08 30 11.4 .38 30 60.9 2.03 30 192.3 6.41 30 8.1 .27 30 55.8 .93 60 17.4 1.16 15 7.65 .51 15 400 400 1 Total: 785.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423531 Min 01423531 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 19-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 6 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 19-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19
Page 6163 of 6486
Name
PRATIMA MANDAL Rate Amount Qty 55.8 .93 60 11.4 .38 30 2.4 .16 15 167.4 5.58 30 72 .6 120 18.9 .63 30 21.3 .71 30 21.6 .36 60 78 1.3 60 400 400 1 Total: 848.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423536 Min 01423536 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6164 of 6486
Name
SUNDER LAL CHOUHAN Rate Amount Qty 21.3 .71 30 78 1.3 60 18.9 .63 30 10.8 .36 30 36 .6 60 400 400 1 Total: 565
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423537 Min 01423537 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 15-FEB-19 CREATININE /CRT 12 15-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 13 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 14 15-FEB-19 UREA (BUN /UR) 15 15-FEB-19 PLATELET COUNT 16 16-FEB-19 HB,TLC,DLC 17 16-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 16-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 19 16-FEB-19 ORS,HYPO-OSMOLAR,WHO FORMULA,20-30GM 20 16-FEB-19
Page 6165 of 6486
Name
SURESHWARI CHOUHAN Rate Amount Qty 7.5 .25 30 78 1.3 60 21.3 .71 30 16.2 .36 45 36 .6 60 400 400 1 2.5 .25 10 4.45 .89 5 400 400 1 400 400 1 275 275 1 275 275 1 550 550 1 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 4.2 .42 10 17.42 8.71 2 Total: 4067.57
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423539 Min 01423539 Slno Description Appmt Dt NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 6166 of 6486
Name
SHAKUNTALA BAI Rate Amount Qty 22.2 .37 60 27.9 .93 30 400 400 1 Total: 450.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423540 Min 01423540 Slno Description Appmt Dt CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 1 05-FEB-19 TORSEMIDE,STRIP PKT,10MG,TABLET 2 05-FEB-19 IVABRADINE,5MG,,TABLET 3 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 05-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 6167 of 6486
Name
VIJAY KUMAR SONI Rate Amount Qty 17.4 .58 30 31.2 1.04 30 298.5 9.95 30 33 1.1 30 12 .4 30 34.8 1.16 30 11.85 .79 15 400 400 1 Total: 838.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423541 Min 01423541 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 26-FEB-19 LOTION,CALAMINE,8TO10% W/V,100ML BOTTLE 7 26-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 8 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 26-FEB-19
Page 6168 of 6486
Name
GEETA SONI Rate Amount Qty 10.8 .36 30 27.9 .93 30 21.3 .71 30 3.75 .25 15 400 400 1 7.4 .37 20 17.37 17.37 1 57.84 57.84 1 400 400 1 Total: 946.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423544 Min 01423544 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 21-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 21-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 6169 of 6486
Name
KAMLESH RAO Rate Amount Qty 27.9 .93 30 7.8 .26 30 26.7 .89 30 11.4 .38 30 32.4 1.08 30 12 .4 30 21.3 .71 30 36 .6 60 21.6 .36 60 21.3 .71 30 400 400 1 Total: 618.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423545 Min 01423545 Slno Description Appmt Dt DIAZEPAM,STRIP PKT,5MG,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 15-FEB-19 GUM ASTRINGENT PAINT 4 15-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 21-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 10 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 12 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 21-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 16 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 17 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 21-FEB-19
Page 6170 of 6486
Name
CHANDRA SHEKHAR RAO Rate Amount Qty 34.5 1.15 30 400 400 1 15 .25 60 31.54 31.54 1 22.8 .38 60 400 400 1 11.4 .38 30 54 .6 90 26.7 .89 30 72.6 1.21 60 21.3 .71 30 32.4 1.08 30 55.8 .93 60 22.2 .37 60 8.1 .27 30 21.3 .71 30 211.8 3.53 60 400 400 1 Total: 1841.44
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423546 Min 01423546 Appmt Dt Slno Description 26-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6171 of 6486
Name
CHANDRIKA PANDEY Qty Rate Amount 10 .25 2.5 1 400 400 402.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423547 Min 01423547 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 02-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 6172 of 6486
Name
SUNITA PANDEY Rate Amount Qty 8.1 .27 30 72 .6 120 14.85 .99 15 400 400 1 2.5 .25 10 8.9 .89 10 400 400 1 Total: 906.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423548 Min 01423548 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 6173 of 6486
Name
PRABHA BAI Rate Amount Qty 12.6 .9 14 6.23 .89 7 400 400 1 Total: 418.83
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423551 Min 01423551 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 22-FEB-19
Page 6174 of 6486
Name
G SHRINIVAS RAO Rate Amount Qty 55.8 .93 60 16.2 .27 60 66 1.1 60 26.7 .89 30 400 400 1 Total: 564.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423555 Min 01423555 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 04-FEB-19 BUDESONIDE,200MCG,CAPSULE 2 04-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 3 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 04-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6175 of 6486
Name
A.KAMESHWAR RAO Rate Amount Qty 54 .9 60 208.8 1.74 120 79.2 .66 120 26.7 .89 30 2.4 .16 15 400 400 1 Total: 771.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423556 Min 01423556 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 6176 of 6486
Name
A SHAKUNTALA Rate Amount Qty 16.2 .27 60 18 .6 30 12 .4 30 21.3 .71 30 66 1.1 60 27.9 .93 30 400 400 1 Total: 561.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423557 Min 01423557 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 6177 of 6486
Name
SHATRUHAN SINGH Rate Amount Qty 55.8 .93 60 21.3 .71 30 400 400 1 Total: 477.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423558 Min 01423558 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 08-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 19-FEB-19 PRAZOSIN,2.5MG,TABLET 5 19-FEB-19 PRAZOSIN,2.5MG,TABLET 6 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 9 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 10 19-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 6178 of 6486
Name
KALSIA BAI Rate Amount Qty 275 275 1 400 400 1 275 275 1 76.5 2.55 30 10.4 1.3 8 28.6 1.3 22 55.8 .93 60 54 .6 90 34.8 1.16 30 32.4 1.08 30 22.2 .37 60 400 400 1 Total: 1664.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423559 Min 01423559 Appmt Dt Slno Description 19-FEB-19 1 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 19-FEB-19 2 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 19-FEB-19 3 HYPERTONIC SALINE EYE DROPS, 5% W/V, 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6179 of 6486
Name
SHEELA PANDEY Qty 1 1 1 1
Rate Amount 16.81 16.81 6.82 6.82 33.58 33.58 400 400 Total: 457.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423560 Min 01423560 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 16-FEB-19 3 METOPROLOL TARTRATE,50MG,,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6180 of 6486
Name
SURESH KUMAR SHRIVASTAVA Qty Rate Amount 60 .27 16.2 30 .89 26.7 60 1.21 72.6 1 400 400 Total: 515.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423564 Min 01423564 Slno Description Appmt Dt CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 1 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6181 of 6486
Name
DR VIJAY KUMAR BANSAL Rate Amount Qty 70.4 3.52 20 78 2.6 30 55.2 .92 60 167.4 5.58 30 60.9 2.03 30 400 400 1 Total: 831.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423565 Min 01423565 Appmt Dt Slno Description 07-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 07-FEB-19 2 ATORVASTATIN,10 MG,STRIP PACK,TABLET 07-FEB-19 3 ASCORBIC ACID,STRIP PKT,100MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6182 of 6486
Name
ARCHANA BANSAL Qty Rate Amount 30 1.1 33 30 .71 21.3 30 .38 11.4 1 400 400 Total: 465.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423566 Min 01423566 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ACETAZOLAMIDE,STRIP PKT,250MG,TABLET 7 09-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 8 09-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 9 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 13 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 19-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 15 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 16 19-FEB-19
Page 6183 of 6486
Name
ARVIND KUMAR SHARMA Rate Amount Qty 43.2 .36 120 117 1.3 90 167.4 5.58 30 7.5 .25 30 72 .6 120 400 400 1 4.28 2.14 2 24.45 24.45 1 19.77 19.77 1 73.6 1.84 40 400 400 1 400 400 1 275 275 1 6.4 .64 10 16.81 16.81 1 275 275 1 Total: 2302.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423567 Min 01423567 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 6184 of 6486
Name
LALITA DEVI SHARMA Rate Amount Qty 8.1 .27 30 18.6 .62 30 400 400 1 Total: 426.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423569 Min 01423569 Slno Description Appmt Dt SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 4 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 16-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 6185 of 6486
BEDRAM BAGHEL Rate Amount Qty 31.46 15.73 2 26.7 .89 30 54 .9 60 16.2 .18 90 400 400 1 2.28 .38 6 3.84 .64 6 1.85 .37 5 400 400 1 Total: 936.33
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423570 Min 01423570 Appmt Dt Slno Description 16-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 16-FEB-19 3 ATORVASTATIN,STRIP PKT,20MG,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6186 of 6486
Name
SHAKUNTALA BAGHEL Qty Rate Amount 60 .93 55.8 15 .99 14.85 15 1.16 17.4 1 400 400 Total: 488.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423581 Min 01423581 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 23-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 23-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 23-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 23-FEB-19
Page 6187 of 6486
Name
ANURAG NAGAR Rate Amount Qty 36 .6 60 60.9 2.03 30 55.8 .93 60 192.3 6.41 30 21.3 .71 30 185.7 6.19 30 400 400 1 Total: 952
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423583 Min 01423583 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 21-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 6188 of 6486
Name
HIRA LAL MARKENDE Rate Amount Qty 9.3 .93 10 4.2 .42 10 400 400 1 Total: 413.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423591 Min 01423591 Slno Description Appmt Dt DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 1 14-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 6189 of 6486
Name
SURESH KUMAR AGRAWAL Rate Amount Qty 94.42 188.84 2 156.51 313.02 2 400 400 1 Total: 901.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423594 Min 01423594 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 22-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 6190 of 6486
Name
SHIVCHARAN RAZAK Rate Amount Qty 21.3 .71 30 26.7 .89 30 7.5 .25 30 32.4 1.08 30 66 1.1 60 29.7 .99 30 55.8 .93 60 400 400 1 Total: 639.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423595 Min 01423595 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 20-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 20-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 7 20-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 20-FEB-19 PRAZOSIN,2.5MG,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 20-FEB-19
Page 6191 of 6486
Name
JANKI DEVI Rate Amount Qty 33 1.1 30 29.7 .99 30 16.2 .27 60 55.8 .93 60 7.5 .25 30 10.08 1.12 9 4 .16 25 34.8 1.16 30 39 1.3 30 400 400 1 Total: 630.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423596 Min 01423596 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 01-FEB-19 DIAGNOSTIC UGI ENDOSCOPY 2 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 01-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 6 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 07-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 8 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 28-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 12 28-FEB-19 PRAZOSIN,2.5MG,TABLET 13 28-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 6192 of 6486
Name
L GAJPATHI RAO Rate Amount Qty 2.34 196.56 84 2110 2110 1 400 400 1 20.06 20.06 1 24.92 .89 28 31.36 1.12 28 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 55.8 .93 60 7.65 .51 15 78 1.3 60 6.9 .23 30 400 400 1 Total: 3739.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423597 Min 01423597 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 3 28-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 5 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 6193 of 6486
Name
L BHANUMATI Rate Amount Qty 34.8 1.16 30 10.8 .36 30 11.4 .38 30 14.85 .99 15 78 1.3 60 167.4 5.58 30 27.9 .93 30 400 400 1 Total: 745.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423598 Min 01423598 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 06-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 06-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 06-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 06-FEB-19 THIOCOLCHICOSIDE,STRIP PKT,8MG,CAPSULE 6 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 06-FEB-19
Page 6194 of 6486
Name
SHOBHA BHALLA Rate Amount Qty .71 214.42 302 10.8 .36 30 54 .6 90 72.6 1.21 60 55.8 .93 60 552.3 18.41 30 400 400 1 Total: 1359.92
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423602 Min 01423602 Slno Description Appmt Dt LINEZOLID,600MG STRIP PACK,TABLET 1 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 01-FEB-19 CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 3 01-FEB-19 BETAMETHASONE VALERATE+FUSIDIC ACID CREA 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 6195 of 6486
Name
RAJKUMARI VERMA Rate Amount Qty 157.8 15.78 10 6.4 .64 10 1.3 .26 5 57.84 115.68 2 400 400 1 Total: 681.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423607 Min 01423607 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 28-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 28-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 6196 of 6486
Name
S.ANAND RAO Rate Amount Qty 8.9 .89 10 60.9 2.03 30 192.3 6.41 30 34.8 1.16 30 76.5 2.55 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 837.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423608 Min 01423608 Appmt Dt Slno Description 18-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6197 of 6486
Name
PRAMILA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423611 Min 01423611 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 25-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 25-FEB-19 MOXONIDIN 0.2MG,,TABLET 4 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 7 25-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 25-FEB-19 DENTAL X-RAYS /PERIAPICAL (3 X 4CM) /IOP 9 25-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 13 26-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 14 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 17 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 27-FEB-19
Page 6198 of 6486
Name
RAM SINGH Rate Amount Qty 400 400 1 55.8 .93 60 29.7 .99 30 211.8 3.53 60 33 1.1 30 36 .6 60 27.6 .92 30 12.6 .42 30 280 280 1 2.4 .16 15 34.8 1.16 30 400 400 1 3.6 .6 6 33.12 1.84 18 5.76 .64 9 400 400 1 20.25 20.25 1 400 400 1 Total: 2386.43
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423612 Min 01423612 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 25-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 25-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 URIC ACID (UA /URATES /UR) 13 28-FEB-19 CREATININE /CRT 14 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 15 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 28-FEB-19
Page 6199 of 6486
SHEELA Rate Amount Qty 25.07 25.07 1 18.21 18.21 1 21.6 .36 60 1.48 .37 4 5.74 .41 14 21.3 .71 30 76.5 2.55 30 8.1 .27 30 55.8 .93 60 78 1.3 60 36 .6 60 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 2247.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423619 Min 01423619 Appmt Dt Slno Description 25-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 25-FEB-19 2 AMLODIPINE,STRIP PKT,2.5MG,TABLET 25-FEB-19 3 LEVO-THYROXINE SODIUM,50MCG,TABLET 25-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6200 of 6486
Name
G RAJU Qty Rate Amount 60 .93 55.8 30 .23 6.9 30 .62 18.6 1 400 400 Total: 481.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423620 Min 01423620 Slno Description Appmt Dt LEFLUNOMIDE,10 MG,STIRP PACK.,TABLET 1 26-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 2 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 26-FEB-19
Page 6201 of 6486
Name
VIJAYA KUMARI RAJU Rate Amount Qty 192.9 6.43 30 125.1 2.78 45 400 400 1 Total: 718
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423621 Min 01423621 Slno Description Appmt Dt RECTAL POLYP EXCISION 1 04-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 2 04-FEB-19 PHOSPHOROUS /PHOSPHATE (PHOS /PI) 3 04-FEB-19 ALKALINE PHOSPHATASE (ALP) 4 04-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 5 04-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 04-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 7 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 04-FEB-19 SERUM COPPER (CU++) 9 04-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 10 04-FEB-19 UREA (BUN /UR) 11 04-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12 04-FEB-19 CREATININE /CRT 13 04-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 14 04-FEB-19 PLATELET COUNT 15 04-FEB-19 PRAZOSIN,2.5MG,TABLET 16 04-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 17 04-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 18 04-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 19 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 20 04-FEB-19 HB,TLC,DLC 21 04-FEB-19 BLOOD INDICES (MCV /MCH /MCHC) 22 04-FEB-19 PERIPHERAL BLOOD SMEAR EXAMINATION 23 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 07-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 25 07-FEB-19 SEVELAMER ,800 MG,,TABLET 26 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 28 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 29 11-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 30 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 31 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 32 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 33 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 34 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 35 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 36 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 37 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 38 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 39 28-FEB-19
Page 6202 of 6486
Name
BIKASH CHANDRA PAUL Rate Amount Qty 4920 4920 1 275 275 1 275 275 1 275 275 1 4790 4790 1 11.4 .38 30 36.3 1.21 30 21.3 .71 30 500 500 1 550 550 1 275 275 1 46.2 .77 60 275 275 1 275 275 1 330 330 1 156 1.3 120 30.6 .51 60 30.6 .34 90 33.3 .37 90 400 400 1 300 300 1 165 165 1 330 330 1 400 400 1 4790 4790 1 16.73 1003.8 60 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 Total: 52034.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423622 Min 01423622 Slno Description Appmt Dt URINE ROUTINE AND MICROSCOPIC 1 04-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 2 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 06-FEB-19 URINE ROUTINE AND MICROSCOPIC 5 06-FEB-19 ECG 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 08-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 08-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 08-FEB-19 UREA (BUN /UR) 10 08-FEB-19 CREATININE /CRT 11 08-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 12 08-FEB-19 HB,TLC,DLC 13 08-FEB-19 PLATELET COUNT 14 08-FEB-19 X - RAY - SINGLE VIEW 15 08-FEB-19 BLOOD FOR T-3,T-4,TSH 16 08-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 17 15-FEB-19 FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 18 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 19 15-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 20 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 19-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 22 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 23 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 19-FEB-19
Page 6203 of 6486
SEEMA PAUL Rate Amount Qty 380 380 1 1750 1750 1 400 400 1 400 400 1 380 380 1 450 450 1 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 300 300 1 330 330 1 550 550 1 2400 2400 1 25.07 25.07 1 16.81 16.81 1 400 400 1 21.3 .71 30 54 .6 90 16.2 .36 45 23.7 .79 30 400 400 1 Total: 11097.08
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423623 Min 01423623 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 4 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 21-FEB-19 CREATININE /CRT 7 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 21-FEB-19
Page 6204 of 6486
Name
GOVIND BOSE Rate Amount Qty 11.85 .79 15 36 .6 60 400 400 1 1300 1300 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 Total: 4272.85
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423624 Min 01423624 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 4 14-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 21-FEB-19 DENTAL X-RAYS /ORTHO PENTOMOGRAM (OPG) 11 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 21-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 14 22-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 15 22-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 16 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 22-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 18 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 19 26-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 20 26-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 21 26-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 22 26-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19 PREDNISOLONE ACETATE 1% EYE DROP,5ML, 25 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 26 28-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 27 28-FEB-19 TROPICAMIDE0.8%+PHENYLEPHERINE5%,3-5ML, 28 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 29 28-FEB-19
Page 6205 of 6486
SUPRIYA BOSE Rate Amount Qty 1.11 .37 3 15.73 15.73 1 400 400 1 44.16 1.84 24 3.28 .41 8 7.12 .89 8 400 400 1 275 275 1 275 275 1 400 400 1 1170 1170 1 400 400 1 200.6 20.06 10 9.6 .64 15 11.2 1.12 10 55.2 1.84 30 400 400 1 1.64 .41 4 18.03 18.03 1 20.29 20.29 1 6.82 6.82 1 14.08 3.52 4 7.98 .38 21 400 400 1 18.03 18.03 1 25.07 25.07 1 6.82 6.82 1 24.45 24.45 1 400 400 1 Total: 5011.21
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423627 Min 01423627 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 6206 of 6486
Name
VIRENDRA KUMAR Rate Amount Qty 32.4 1.08 30 34.8 1.16 30 10.8 .36 30 12 .4 30 27.9 .93 30 1.85 .37 5 33 1.1 30 54 .6 90 400 400 1 Total: 606.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423632 Min 01423632 Appmt Dt Slno Description 07-FEB-19 1 HYPERTONIC SALINE EYE DROPS, 5% W/V, 07-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6207 of 6486
Name
ASTOMI SHIL Qty 1 1
Rate Amount 33.58 33.58 400 400 433.58 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423634 Min 01423634 Appmt Dt Slno Description 18-FEB-19 1 ACETYL SALICYLIC ACID 75 MG.,TABLET 18-FEB-19 2 METOPROLOL,XL/XR ,25 MG,,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6208 of 6486
Name
USHA RAI Qty Rate Amount 30 .4 12 60 1.1 66 30 .93 27.9 1 400 400 Total: 505.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423643 Min 01423643 Appmt Dt Slno Description 04-FEB-19 1 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 04-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 04-FEB-19 3 METOPROLOL,XL/XR ,25 MG,,TABLET 04-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6209 of 6486
Name
SAHASDAS CHATURVEDI Qty Rate Amount 60 .37 22.2 60 .93 55.8 60 1.1 66 1 400 400 Total: 544
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423649 Min 01423649 Slno Description Appmt Dt CREATININE /CRT 1 28-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 28-FEB-19 UREA (BUN /UR) 3 28-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 28-FEB-19 URIC ACID (UA /URATES /UR) 7 28-FEB-19
Page 6210 of 6486
Name
AMAR NATH DEWANGAN Rate Amount Qty 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 Total: 3075
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423650 Min 01423650 Appmt Dt Slno Description 28-FEB-19 1 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 28-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6211 of 6486
Name
GITA BAI DEWANGAN Qty Rate Amount 4 20.29 81.16 1 400 400 481.16 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423653 Min 01423653 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 14-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 6 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6212 of 6486
Name
GANI MOHD.SHEIKH Rate Amount Qty 21.3 .71 30 72.6 1.21 60 3.45 .23 15 55.8 .93 60 17.4 .58 30 32.4 1.08 30 12 .4 30 400 400 1 Total: 614.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423658 Min 01423658 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 13-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 6213 of 6486
Name
PHIDIUS EKKA Rate Amount Qty 15.6 .26 60 36 .6 60 9 .3 30 34.8 1.16 30 8.1 .27 30 55.8 .93 60 12 .4 30 400 400 1 Total: 571.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423659 Min 01423659 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 21-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 21-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 4 21-FEB-19 PRAZOSIN,2.5MG,TABLET 5 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 6 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 21-FEB-19
Page 6214 of 6486
Name
KAMLESH KUMAR SHRIVASTAVA Rate Amount Qty 21.3 .71 30 42.6 .71 60 55.8 .93 60 22.2 .37 60 156 1.3 120 211.8 3.53 60 400 400 1 Total: 909.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423661 Min 01423661 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 21-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 6215 of 6486
Name
BALRAM SINHA Rate Amount Qty 1.85 .37 5 7.6 .38 20 400 400 1 Total: 409.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423663 Min 01423663 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 2 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 05-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 4 05-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 05-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 8 05-FEB-19 DIAZEPAM,STRIP PKT,5MG,TABLET 9 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 05-FEB-19
Page 6216 of 6486
Name
V JAGANNATHAN Rate Amount Qty 34.8 1.16 30 311.4 5.19 60 32.4 1.08 30 63.8 3.19 20 25.2 .42 60 53.4 .89 60 7.5 .25 30 19.8 .66 30 17.25 1.15 15 5 .25 20 400 400 1 Total: 970.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423672 Min 01423672 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 19-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 19-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 19-FEB-19
Page 6217 of 6486
Name
T SUSEELA Rate Amount Qty 55.8 .93 60 36 .6 60 27.9 .62 45 10.65 .71 15 17.4 1.16 15 27.6 .92 30 400 400 1 Total: 575.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423673 Min 01423673 Slno Description Appmt Dt CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 1 06-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 2 06-FEB-19 DOXYCYCLINE,STRIP PKT,100MG,CAPSULE 3 06-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 6218 of 6486
Name
GARIB DAS KURREY Rate Amount Qty 41.06 41.06 1 82.76 82.76 1 17.3 1.73 10 7.7 .77 10 400 400 1 Total: 548.82
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423674 Min 01423674 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 11-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6219 of 6486
Name
ASHOK KUMAR DEY Rate Amount Qty 167.4 5.58 30 34.8 1.16 30 12 .4 30 18.6 .62 30 36 .6 60 27.9 .93 30 400 400 1 Total: 696.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423675 Min 01423675 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6220 of 6486
Name
ALOKA DEY Rate Amount Qty 17.4 1.16 15 27.9 .93 30 400 400 1 Total: 445.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423676 Min 01423676 Slno Description Appmt Dt BISOPROLOL FUMARATE,5MG,,TABLET 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19
Page 6221 of 6486
Name
SANJAY KUMAR KOPULWAR Rate Amount Qty 153 2.55 60 92.85 6.19 15 400 400 1 Total: 645.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423678 Min 01423678 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 12-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 3 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 13-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 5 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 13-FEB-19
Page 6222 of 6486
Name
BARMESHWAR SHARMA Rate Amount Qty 55.8 .93 60 400 400 1 20.1 .67 30 100.71 100.71 1 16.2 .18 90 54 .9 60 26.7 .89 30 400 400 1 Total: 1073.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423680 Min 01423680 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19
Page 6223 of 6486
Name
RAJINDER Rate Amount Qty 7.5 .25 30 21.3 .71 30 400 400 1 Total: 428.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423681 Min 01423681 Slno Description Appmt Dt BLOOD FOR CARDIAC ENZYMES (CK /CK-MB /LD 1 01-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 2 01-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 01-FEB-19 COMPLETE HAEMOGRAM 4 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 01-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 8 04-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 9 04-FEB-19 GUM ANALGESIC GEL 10 04-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 11 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 04-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 15 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 17 07-FEB-19 PLATELET COUNT 18 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 14-FEB-19 PLATELET COUNT 20 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 21 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 22 15-FEB-19 GUM ANALGESIC GEL 23 15-FEB-19 ALENDRONATE SODIUM,USP,70MG,,TABLET 24 15-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 25 15-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 26 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 27 15-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 28 15-FEB-19 OINT,WHITEFIELD'S,SALICYLIC+BENZOIC, 29 15-FEB-19 LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 30 15-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 31 15-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 32 15-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 33 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 34 15-FEB-19
Page 6224 of 6486
Name
K.SARASWATI Rate Amount Qty 1600 1600 1 550 550 1 275 275 1 750 750 1 400 400 1 275 275 1 26.7 .89 30 10.42 5.21 2 24.38 12.19 2 28.69 28.69 1 67 .67 100 36 .6 60 18.6 .62 30 27.9 .93 30 8.1 .27 30 400 400 1 400 400 1 330 330 1 400 400 1 330 330 1 27.9 .93 30 36 .6 60 28.69 28.69 1 24.38 12.19 2 10.42 5.21 2 26.7 .89 30 8.1 .27 30 18.6 .62 30 13.43 13.43 1 85.52 85.52 1 19.72 9.86 2 13.48 3.37 4 3.7 .37 10 400 400 1 Total: 6674.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423686 Min 01423686 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 14-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 6225 of 6486
Name
G KANNA BABU Rate Amount Qty 18.9 .63 30 7.5 .25 30 13.7 1.37 10 400 400 1 17.4 1.16 15 27.9 .93 30 400 400 1 33.12 1.84 18 3.84 .64 6 400 400 1 Total: 1322.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423687 Min 01423687 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 6 07-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 6226 of 6486
Name
G.SAROJINI Rate Amount Qty 20.55 1.37 15 7.5 .25 30 400 400 1 17.4 1.16 15 5.12 .64 8 1.11 .37 3 6.9 .23 30 400 400 1 Total: 858.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423688 Min 01423688 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 08-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 08-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 9 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 08-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 08-FEB-19
Page 6227 of 6486
Name
PALLAB KUMAR DAM Rate Amount Qty 27.9 .93 30 117 1.3 90 34.8 1.16 30 167.4 5.58 30 72 .6 120 21.6 .36 60 34.8 1.16 30 27.9 .93 30 117 1.3 90 21.6 .36 60 72 .6 120 167.4 5.58 30 400 400 1 Total: 1281.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423690 Min 01423690 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 15-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 15-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 15-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 6 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 15-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 8 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 15-FEB-19
Page 6228 of 6486
Name
PHOOL BAI Rate Amount Qty 29.7 .99 30 3.75 .25 15 55.8 .93 60 8.1 .27 30 167.4 5.58 30 76.5 2.55 30 32.4 .36 90 18 .3 60 36 .6 60 400 400 1 Total: 827.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423692 Min 01423692 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 20-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 2 20-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 20-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 6229 of 6486
Name
PRABHA VERMA Rate Amount Qty 20.84 5.21 4 6.7 .67 10 41.7 2.78 15 18.6 .62 30 400 400 1 Total: 487.84
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423697 Min 01423697 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 19-FEB-19 2 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6230 of 6486
Name
VANDANA SAHU Qty Rate Amount 30 .23 6.9 15 .25 3.75 30 .93 27.9 1 400 400 Total: 438.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423699 Min 01423699 Appmt Dt Slno Description 11-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6231 of 6486
Name
RIZWANA AFROZ SIDDIQUI Qty Rate Amount 5 1.1 5.5 1 400 400 405.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423701 Min 01423701 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 13-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 5 23-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 6232 of 6486
Name
SHOBHA BAMBODE Rate Amount Qty 1.48 .37 4 5.12 .64 8 3.04 .38 8 400 400 1 11.4 .38 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 906.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423714 Min 01423714 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 15-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 15-FEB-19
Page 6233 of 6486
Name
HEMLAL Rate Amount Qty 12 .4 30 27.9 .93 30 34.8 1.16 30 32.4 1.08 30 66 1.1 60 400 400 1 Total: 573.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423716 Min 01423716 Slno Description Appmt Dt TENELIGLIPTIN,20MG,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 6234 of 6486
Name
VIDYANAND SINGH Rate Amount Qty 167.4 5.58 30 21.3 .71 30 54 .6 90 47.4 .79 60 400 400 1 Total: 690.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423717 Min 01423717 Slno Description Appmt Dt BLOOD FOR T-3,T-4,TSH 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 UREA (BUN /UR) 3 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 5 05-FEB-19 CREATININE /CRT 6 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 7 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 05-FEB-19
Page 6235 of 6486
Name
ANURADHA SINGH Qty 1 1 1 1 1 1 1 1
Rate Amount 2400 2400 400 400 275 275 1300 1300 550 550 275 275 275 275 275 275 Total: 5750
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423718 Min 01423718 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 21-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 21-FEB-19 URIC ACID (UA /URATES /UR) 4 21-FEB-19 CREATININE /CRT 5 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 9 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 21-FEB-19 UREA (BUN /UR) 12 21-FEB-19
Page 6236 of 6486
Name
ALOK CHATTERJEE Rate Amount Qty 275 275 1 400 400 1 1300 1300 1 275 275 1 275 275 1 18 .6 30 55.8 .93 60 32.4 1.08 30 47.4 .79 60 275 275 1 7.5 .25 30 275 275 1 Total: 3236.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423723 Min 01423723 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 11-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 11-FEB-19 PRAZOSIN,2.5MG,TABLET 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 21-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 9 21-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 10 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 21-FEB-19
Page 6237 of 6486
Name
CHAMPI BAI HIRWANI Rate Amount Qty 3.53 112.96 32 14.85 .99 15 18.5 .37 50 65 1.3 50 55.8 .93 60 17.4 1.16 15 400 400 1 7.68 .64 12 4.8 .6 8 44.16 1.84 24 400 400 1 Total: 1141.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423729 Min 01423729 Slno Description Appmt Dt INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 1 23-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 2 23-FEB-19 ECG 3 23-FEB-19 OBSERVATION IN CASUALTY 4 23-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 24-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 24-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 24-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 24-FEB-19 RIFAXIMIN 200 MG,,TABLET 9 24-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 24-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 11 24-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 12 24-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 13 24-FEB-19 ONDANSETRON,8MG,STRIP PACK.,TABLET 14 24-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 15 24-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 24-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 24-FEB-19
Page 6238 of 6486
Name
SATISH KUMAR SHRIVASTAVA Rate Amount Qty 24.52 24.52 1 9.62 9.62 1 450 450 1 420 420 1 23.7 .79 30 26.48 6.62 4 12 .4 30 34.8 1.16 30 83.97 9.33 9 8.9 .89 10 10.08 1.12 9 43.2 1.44 30 15.6 .26 60 1.4 .7 2 32.4 1.08 30 6.4 .64 10 400 400 1 Total: 1603.07
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423730 Min 01423730 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 23-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 28-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 4 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 28-FEB-19
Page 6239 of 6486
JYOTI SHRIVASTAVA Rate Amount Qty 25.07 25.07 1 400 400 1 275 275 1 275 275 1 400 400 1 Total: 1375.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423731 Min 01423731 Slno Description Appmt Dt KETOTIFEN,1MG,TABLET 1 15-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 15-FEB-19
Page 6240 of 6486
Name
BAL RAM SAHU Rate Amount Qty 45.6 1.52 30 27 .9 30 400 400 1 Total: 472.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423734 Min 01423734 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 26-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 26-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 26-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 6241 of 6486
Name
D LAXMAN RAO Rate Amount Qty 27.9 .93 30 21.3 .71 30 10.8 .36 30 36 .6 60 14.85 .99 15 400 400 1 Total: 510.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423740 Min 01423740 Slno Description Appmt Dt HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 1 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 14-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 6 14-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 7 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 9 14-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 10 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 12 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 13 14-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 14 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 15 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 18-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 17 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 19 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 20 21-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 21 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 22 25-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 23 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 24 28-FEB-19
Page 6242 of 6486
Name
DEVENDRA Rate Amount Qty 4790 4790 1 400 400 1 3.84 .64 6 3.7 .37 10 5.34 .89 6 39.72 6.62 6 4790 4790 1 400 400 1 11.4 .38 30 15.6 .26 60 18.9 .63 30 21.3 .71 30 211.8 3.53 60 22.2 .37 60 12 .4 30 400 400 1 4790 4790 1 1.11 .37 3 400 400 1 4790 4790 1 4790 4790 1 400 400 1 4790 4790 1 400 400 1 Total: 31506.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423742 Min 01423742 Slno Description Appmt Dt METHOTREXATE,STRIP PKT,2.5MG,TABLET 1 28-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 28-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 28-FEB-19 DEFLAZACORT 6MG,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 6243 of 6486
Name
KIRAN VAIDYA Rate Amount Qty 19.38 3.23 6 5.7 .38 15 41.7 2.78 15 83.1 2.77 30 400 400 1 Total: 549.88
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423747 Min 01423747 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6244 of 6486
Name
GEETA DEVI Rate Amount Qty 17.4 1.16 15 13.95 .93 15 400 400 1 Total: 431.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423748 Min 01423748 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 20-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 20-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 20-FEB-19
Page 6245 of 6486
Name
LAKHAN KUMAR SAHU Rate Amount Qty 55.8 .93 60 8.1 .27 30 21.3 .71 30 36 .6 60 32.4 .36 90 400 400 1 Total: 553.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423751 Min 01423751 Slno Description Appmt Dt SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 1 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 28-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 3 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 28-FEB-19 X - RAY - TWO VIEWS 5 28-FEB-19
Page 6246 of 6486
Name
SMITA KIRWAI Rate Amount Qty 7.3 .73 10 4.45 .89 5 4.1 .41 10 400 400 1 860 860 1 Total: 1275.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423752 Min 01423752 Appmt Dt Slno Description 28-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 28-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 3 ALLOPURINOL,STRIP PKT,100MG,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6247 of 6486
Name
SHYAMLAL SINHA Qty Rate Amount 30 .71 21.3 60 .93 55.8 30 .63 18.9 1 400 400 Total: 496
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423753 Min 01423753 Slno Description Appmt Dt ALLOPURINOL,STRIP PKT,100MG,TABLET 1 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 28-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 28-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 11 28-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 6248 of 6486
Name
GEETA SINHA Rate Amount Qty 12.6 .63 20 27.4 1.37 20 17.8 .89 20 247.6 6.19 40 400 400 1 21.3 .71 30 12 .4 30 32.4 1.08 30 21.3 .71 30 54 .6 90 10.8 .36 30 167.4 5.58 30 400 400 1 Total: 1424.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423757 Min 01423757 Slno Description Appmt Dt DROTAVERINE HCL,STRIP PKT,40MG,TABLET 1 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 2 12-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 10 28-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 6249 of 6486
PREMLATA MISHRA Rate Amount Qty 21.8 2.18 10 12.88 1.84 7 23.52 1.12 21 400 400 1 11.85 .79 15 18 .6 30 50.14 25.07 2 21.3 .71 30 7.5 .25 30 4.8 .16 30 18.6 .62 30 400 400 1 Total: 990.39
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423766 Min 01423766 Slno Description Appmt Dt SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 1 18-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 18-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 3 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 18-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 6250 of 6486
Name
SOHGIN SAHU Rate Amount Qty 121.5 12.15 10 11.4 .38 30 70.2 2.34 30 9 .9 10 1.85 .37 5 6.4 .64 10 7.9 .79 10 12.1 1.21 10 400 400 1 Total: 640.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423767 Min 01423767 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 4 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6251 of 6486
Name
MANI KANT CHOUDHARY Rate Amount Qty 14.85 .99 15 55.8 .93 60 16.2 .27 60 76.5 2.55 30 26.7 .89 30 400 400 1 Total: 590.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423768 Min 01423768 Slno Description Appmt Dt FERROUS FUMARATE+FOLIC ACID,,CAPSULE 1 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 06-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 22-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 22-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 22-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 8 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 6252 of 6486
Name
PUNITA CHOUDHARY Rate Amount Qty 13.95 .93 15 400 400 1 66.2 6.62 10 27.9 .93 30 20.84 5.21 4 11.4 .38 30 26.7 .89 30 30.15 .67 45 6.4 .64 10 400 400 1 Total: 1003.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423771 Min 01423771 Appmt Dt Slno Description 15-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 15-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6253 of 6486
Name
K L BALASUBRAMANIAM Qty Rate Amount 15 .64 9.6 1 400 400 409.6 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423773 Min 01423773 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 18-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 18-FEB-19
Page 6254 of 6486
Name
GOPAL KRISHNA NANHORYA Rate Amount Qty 21.3 .71 30 55.8 .93 60 60.9 2.03 30 18.9 .63 30 7.5 .25 30 400 400 1 Total: 564.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423774 Min 01423774 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 18-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 6255 of 6486
Name
SHEELA NANHORYA Rate Amount Qty 43.96 43.96 1 21.3 .71 30 55.8 .93 60 14.85 .99 15 400 400 1 Total: 535.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423790 Min 01423790 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 27-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 27-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 27-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 27-FEB-19
Page 6256 of 6486
Name
MALTI GUPTA Rate Amount Qty 26.7 .89 30 54 .9 60 16.2 .18 90 100.71 100.71 1 400 400 1 Total: 597.61
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423793 Min 01423793 Name Appmt Dt Slno Description 23-FEB-19 1 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 23-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6257 of 6486
RAM SHOBHA Qty 1 1
Rate Amount 25.07 25.07 400 400 425.07 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423794 Min 01423794 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 22-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 2 22-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 22-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 22-FEB-19 URIC ACID (UA /URATES /UR) 6 22-FEB-19 URINE ROUTINE AND MICROSCOPIC 7 22-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 8 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 26-FEB-19
Page 6258 of 6486
Name
PHOOL MATI Rate Amount Qty 400 400 1 1300 1300 1 275 275 1 3.84 .64 6 2.5 .25 10 275 275 1 380 380 1 275 275 1 7.44 .93 8 10.65 .71 15 400 400 1 Total: 3329.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423801 Min 01423801 Slno Description Appmt Dt INHALER,SALBUTAMOL MDI,100MCG PER DOSE 1 08-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 2 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 6259 of 6486
Name
RAM NARESH SINGH Rate Amount Qty 100.71 100.71 1 16.2 .18 90 54 .9 60 400 400 1 55.8 .93 60 36 .6 60 3.75 .25 15 400 400 1 Total: 1066.46
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/01423802 Min 01423802 Slno Description Appmt Dt CYPROHEPTADINE HCL,4MG,STRIP PACK,TABLET 1 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 08-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 25-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 11 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 25-FEB-19
Page 6260 of 6486
SHANTI DEVI Rate Amount Qty 3.9 .26 15 31.46 15.73 2 4.45 .89 5 3.75 .25 15 26.6 2.66 10 400 400 1 9 .9 10 8.9 .89 10 400 400 1 29.7 .99 30 6.9 .23 30 27.9 .93 30 400 400 1 Total: 1352.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423803 Min 01423803 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 26-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6261 of 6486
Name
SUDARSHAN PRASAD Rate Amount Qty 54 .6 90 7.5 .25 30 20.84 5.21 4 55.8 .93 60 400 400 1 Total: 538.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423804 Min 01423804 Appmt Dt Slno Description 19-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19-FEB-19 2 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 19-FEB-19 3 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6262 of 6486
Name
MARAKSHI Qty Rate Amount 60 .25 15 30 .71 21.3 60 .51 30.6 1 400 400 Total: 466.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423817 Min 01423817 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 28-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 2 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 28-FEB-19
Page 6263 of 6486
Name
RAJENDRA PRASAD VERMA Rate Amount Qty 3.7 .37 10 45.44 45.44 1 400 400 1 Total: 449.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423818 Min 01423818 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 21-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 21-FEB-19
Page 6264 of 6486
Name
JAHUTRI VERMA Rate Amount Qty 47.4 .79 60 21.3 .71 30 400 400 1 Total: 468.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423819 Min 01423819 Slno Description Appmt Dt CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 1 18-FEB-19 BRIMONIDINE TARTRATE,0.15% 2 18-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 3 18-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19
Page 6265 of 6486
Name
BHAGWATI PD CHANDRAKAR Rate Amount Qty 51.38 25.69 2 148.9 74.45 2 156.51 156.51 1 40.58 20.29 2 400 400 1 Total: 797.37
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423820 Min 01423820 Slno Description Appmt Dt AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 1 18-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 18-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 7 18-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 6266 of 6486
Name
PUSHPA BAI Rate Amount Qty 7.1 .71 10 27.4 1.37 20 8.9 .89 10 123.8 6.19 20 27.9 .93 30 36 .6 60 7.5 .25 30 1.85 .37 5 400 400 1 Total: 640.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423829 Min 01423829 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19
Page 6267 of 6486
Name
G SAMAIYYA Rate Amount Qty 18 .6 30 47.4 .79 60 400 400 1 Total: 465.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01423830 Min 01423830 Appmt Dt Slno Description 26-FEB-19 1 CINNARIZINE,25MG,STRIP PACK,TABLET 26-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6268 of 6486
Name
G. SAROJA Qty Rate Amount 20 .42 8.4 1 400 400 408.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01623488 Min 01623488 Appmt Dt Slno Description 27-FEB-19 1 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 27-FEB-19 2 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 27-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 27-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6269 of 6486
Name
RABI NARAYAN PANDA Qty Rate Amount 10 .37 3.7 15 1.12 16.8 10 .64 6.4 1 400 400 Total: 426.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01623489 Min 01623489 Slno Description Appmt Dt SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 1 01-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 2 01-FEB-19 ACENOCOUMAROL,2MG,,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 5 27-FEB-19 DRESSING SIMPLE 6 27-FEB-19 TETANUS IMMUNOGLOBULIN 7 27-FEB-19 OBSERVATION IN CASUALTY 8 27-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 9 27-FEB-19
Page 6270 of 6486
Name
SUSMITA PANDA Rate Amount Qty 43.2 1.44 30 36.3 1.21 30 999 6.75 148 400 400 1 600 600 1 300 300 1 1.37 1.37 1 420 420 1 .64 .64 1 Total: 2800.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01708091 Min 01708091 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 13-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 2 13-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 3 13-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 7 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 9 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 10 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 12 14-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 13 14-FEB-19 ECG 14 14-FEB-19 CREATININE /CRT 15 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 17 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 14-FEB-19
Page 6271 of 6486
Name
RADHA MOHAN MEHTA Rate Amount Qty 400 400 1 275 275 1 275 275 1 1300 1300 1 167.4 5.58 30 60.9 2.03 30 192.3 6.41 30 26.7 .89 30 10.8 .36 30 21.3 .71 30 33 1.1 30 55.8 .93 60 14.85 .99 15 450 450 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 4508.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01708092 Min 01708092 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 07-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 2 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 07-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 6272 of 6486
Name
BHAGYAMANI DEVI Rate Amount Qty 3.7 .37 10 35.2 17.6 2 9.3 .62 15 34.8 1.16 30 12 .4 30 36.3 1.21 30 8.1 .27 30 400 400 1 Total: 539.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/01917323 Min 01917323 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 27-FEB-19
Page 6273 of 6486
Name
NARAYAN PRASAD DIXIT Rate Amount Qty 21.6 .36 60 55.8 .93 60 400 400 1 Total: 477.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02426945 Min 02426945 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6274 of 6486
Name
NAWAL KISHORE PRASAD Rate Amount Qty 8.1 .27 30 33 1.1 30 400 400 1 Total: 441.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02426946 Min 02426946 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6275 of 6486
Name
ASHA PRASAD Rate Amount Qty 23.7 .79 30 8.1 .27 30 400 400 1 Total: 431.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02431426 Min 02431426 Appmt Dt Slno Description 08-FEB-19 1 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6276 of 6486
Name
RADHA KRISHAN SARDA Qty Rate Amount 1 20.25 20.25 1 400 400 420.25 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02431532 Min 02431532 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19
Page 6277 of 6486
Name
ALI HASAN Rate Amount Qty 21.3 .71 30 12 .4 30 7.5 .25 30 26.7 .89 30 21.6 .36 60 54 .6 90 39 1.3 30 400 400 1 Total: 582.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/02431533 Min 02431533 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 07-FEB-19 ESCITALOPRAM,10MG,,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 X - RAY - TWO VIEWS 4 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 6 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 09-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 8 12-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 9 12-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 10 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 15-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 14 15-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 15-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 16 15-FEB-19 CREATININE /CRT 17 15-FEB-19 UREA (BUN /UR) 18 15-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 19 15-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 20 15-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 21 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 22 15-FEB-19 ESCITALOPRAM,10MG,,TABLET 23 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 26-FEB-19
Page 6278 of 6486
Name
SAFIKAN Rate Amount Qty 3.28 .41 8 55.5 1.85 30 400 400 1 860 860 1 8.9 .89 10 4.1 .41 10 400 400 1 8.2 .41 20 247.6 6.19 40 7.6 .38 20 17.8 .89 20 400 400 1 400 400 1 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 7.5 .25 30 21.6 .36 60 72 .6 120 34.8 1.16 30 55.5 1.85 30 400 400 1 Total: 5804.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03401824 Min 03401824 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 19-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19
Page 6279 of 6486
Name
KANAK NANDI Rate Amount Qty 26.7 .89 30 371.4 6.19 60 40.12 20.06 2 55.8 .93 60 400 400 1 Total: 894.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03418089 Min 03418089 Slno Description Appmt Dt BUDESONIDE,200MCG,CAPSULE 1 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 13-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 3 13-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 4 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6280 of 6486
Name
SARFARAZ AHMAD Rate Amount Qty 104.4 1.74 60 54 .9 60 12.15 12.15 1 79.2 .66 120 26.7 .89 30 400 400 1 Total: 676.45
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/03611728 Min 03611728 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 05-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 3 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6281 of 6486
ALEN SINGH SAHU Rate Amount Qty 26.7 .89 30 54 .9 60 16.2 .18 90 15.73 15.73 1 400 400 1 Total: 512.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03611729 Min 03611729 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 2 05-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 3 05-FEB-19 BUDESONIDE,200MCG,CAPSULE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6282 of 6486
Name
SAROJ SAHU Rate Amount Qty 26.7 .89 30 59.4 .66 90 100.71 100.71 1 156.6 1.74 90 400 400 1 Total: 743.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03619401 Min 03619401 Appmt Dt Slno Description 02-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 02-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 02-FEB-19 3 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6283 of 6486
Name
GARIMELLA VENKAT RAMAN RAJA Qty Rate Amount 30 2.03 60.9 30 .27 8.1 30 6.41 192.3 1 400 400 Total: 661.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/03619402 Min 03619402 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6284 of 6486
Name
G.V.RAMANI Rate Amount Qty 27.9 .93 30 74.4 .62 120 34.8 1.16 30 400 400 1 18.6 .62 30 400 400 1 Total: 955.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04401437 Min 04401437 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 PRAZOSIN,2.5MG,TABLET 4 22-FEB-19 GLIPIZIDE,STRIP PKT,5MG,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 22-FEB-19
Page 6285 of 6486
Name
ASHA KUMARI Rate Amount Qty 72 .6 120 42.6 .71 60 8.1 .27 30 39 1.3 30 24 .4 60 14.85 .99 15 13.35 .89 15 9.3 .62 15 21.3 .71 30 400 400 1 Total: 644.5
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/04402669 Min 04402669 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 11-FEB-19 UREA (BUN /UR) 2 11-FEB-19 CREATININE /CRT 3 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 4 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 5 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 11-FEB-19 BLOOD FOR TSH 9 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 18-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 12 18-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 13 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 18-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 15 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 22-FEB-19
Page 6286 of 6486
DINA NATH PANDEY Rate Amount Qty 275 275 1 275 275 1 275 275 1 1300 1300 1 275 275 1 275 275 1 400 400 1 1300 1300 1 800 800 1 400 400 1 27.9 .93 30 12 .6 20 192.3 6.41 30 400 400 1 25.07 25.07 1 400 400 1 Total: 6632.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04402670 Min 04402670 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 4 11-FEB-19 URIC ACID (UA /URATES /UR) 5 11-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 11-FEB-19 CREATININE /CRT 7 11-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 11-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 9 11-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 13-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 12 13-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 13 13-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 14 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 15 13-FEB-19 PREDNISOLONE,5MG,STRIP PACK,,TABLET 16 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 13-FEB-19
Page 6287 of 6486
Name
KAUSHALYA PANDEY Rate Amount Qty 7.5 .25 30 21.3 .71 30 27.9 .93 30 21.3 .71 30 275 275 1 1300 1300 1 275 275 1 275 275 1 275 275 1 400 400 1 26.7 .89 30 3.8 .38 10 100.71 100.71 1 54 .9 60 26.7 .89 30 20.1 .67 30 400 400 1 Total: 3510.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04403069 Min 04403069 Slno Description Appmt Dt ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 1 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 6 17-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 17-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 17-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 17-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 17-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 11 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 20-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 14 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 28-FEB-19
Page 6288 of 6486
Name
KALIM AHMAD Rate Amount Qty 40.12 20.06 2 247.6 6.19 40 17.8 .89 20 7.6 .38 20 400 400 1 28.8 1.44 20 17.8 .89 20 5 .25 20 37.2 .93 40 400 400 1 6.4 .64 10 400 400 1 21.3 .71 30 55.8 .93 60 400 400 1 Total: 2085.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04403070 Min 04403070 Slno Description Appmt Dt GRANULE,VITAMIN D-3,1GM/PKT 1 14-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 14-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 6289 of 6486
Name
SHAKILA PRAWIN Rate Amount Qty 20.84 5.21 4 12.8 .64 20 247.6 6.19 40 17.8 .89 20 400 400 1 8.1 .27 30 400 400 1 Total: 1107.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04405672 Min 04405672 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 6290 of 6486
Name
N K CHANDRAKAR Rate Amount Qty 11.85 .79 15 22.2 .37 60 400 400 1 Total: 434.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04405673 Min 04405673 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 8 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 12 07-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 13 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 14 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 16 12-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 17 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 19 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 12-FEB-19
Page 6291 of 6486
Name
SMT ANITA CHANDRAKAR Rate Amount Qty 27.9 .93 30 12 .4 30 21.3 .71 30 8.1 .27 30 18 .6 30 39 1.3 30 400 400 1 1300 1300 1 275 275 1 275 275 1 400 400 1 8.9 .89 10 13.7 1.37 10 39 1.3 30 27.9 .93 30 8.1 .27 30 12 .4 30 21.3 .71 30 18 .6 30 400 400 1 Total: 3325.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04405700 Min 04405700 Slno Description Appmt Dt GUM ASTRINGENT PAINT 1 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 05-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6292 of 6486
Name
GOPAL PURI GOSWAMI Rate Amount Qty 31.54 31.54 1 60.9 2.03 30 192.3 6.41 30 6.4 .64 10 7.7 .77 10 400 400 1 Total: 698.84
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/04405701 Min 04405701 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 05-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 05-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 9 14-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 10 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 11 14-FEB-19 BUDESONIDE,200MCG,CAPSULE 12 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 14-FEB-19
Page 6293 of 6486
SANTOSH GOSWAMI Rate Amount Qty 8.1 .27 30 27.9 .93 30 36 .6 60 7.5 .25 30 21.3 .71 30 2.5 .25 10 50.14 25.07 2 400 400 1 39.6 .66 60 16.2 .18 90 26.7 .89 30 104.4 1.74 60 54 .9 60 400 400 1 Total: 1194.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04408770 Min 04408770 Slno Description Appmt Dt FUROSEMIDE,40MG,STRIP PACK,TABLET 1 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 25-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 6294 of 6486
Name
KALPNA MAJUMDAR Rate Amount Qty 7.65 .51 15 21.3 .71 30 33 1.1 30 55.8 .93 60 8.1 .27 30 400 400 1 Total: 525.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04409739 Min 04409739 Slno Description Appmt Dt GLUCOSAMINE,500MG&CHONDROITIN 400MG 1 26-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 26-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6295 of 6486
Name
KRISHNA GEETA SWARNKAR Rate Amount Qty 371.4 6.19 60 11.4 .38 30 26.7 .89 30 41.1 1.37 30 400 400 1 Total: 850.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/04708732 Min 04708732 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 02-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 02-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 3 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 7 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 8 02-FEB-19 SPIRONOLACTONE,25MG,STRIP PACK.,TABLET 9 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 02-FEB-19
Page 6296 of 6486
HARBHAJAN KOUR Rate Amount Qty 12 .4 30 7.65 .51 15 42.6 .71 60 16.2 .27 60 47.4 .79 60 39 1.3 30 31.46 15.73 2 34.8 1.16 30 43.2 1.44 30 400 400 1 Total: 674.31
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04717619 Min 04717619 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6297 of 6486
Name
SUSHIL KUMAR MARWAHA Rate Amount Qty 21.3 .71 30 36 .6 60 8.1 .27 30 55.8 .93 60 12 .4 30 7.5 .25 30 400 400 1 Total: 540.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04717620 Min 04717620 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 11-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 11-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 6298 of 6486
Name
SAVITRI MARWAHA Rate Amount Qty 33 1.1 30 371.4 6.19 60 5.21 5.21 1 26.7 .89 30 12 .4 30 167.4 5.58 30 334.8 5.58 60 78 1.3 60 27.9 .93 30 400 400 1 Total: 1456.41
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04720256 Min 04720256 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 15-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 15-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 15-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 15-FEB-19
Page 6299 of 6486
Name
RAM RAJ SINGH Rate Amount Qty 29.7 .99 30 60.9 2.03 30 17.4 1.16 15 32.4 1.08 30 400 400 1 Total: 540.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04739796 Min 04739796 Appmt Dt Slno Description 09-FEB-19 1 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 09-FEB-19 2 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 09-FEB-19 3 TAMSULOSIN HCL,0.4MG,TAB/CAP. 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6300 of 6486
Name
AMODE KUMAR JHA Qty Rate Amount 15 .99 14.85 30 6.41 192.3 30 2.03 60.9 1 400 400 Total: 668.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04739797 Min 04739797 Slno Description Appmt Dt METOPROLOL TARTRATE,50MG,,TABLET 1 09-FEB-19 SOLIFENACIN,5MG,,TABLET 2 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 09-FEB-19 SOLIFENACIN,5MG,,TABLET 5 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 14-FEB-19
Page 6301 of 6486
Name
LALITA JHA Rate Amount Qty 72.6 1.21 60 403.2 13.44 30 27.9 .93 30 400 400 1 403.2 13.44 30 400 400 1 Total: 1706.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04742302 Min 04742302 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 18-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 19-FEB-19 CREATININE /CRT 6 19-FEB-19 UREA (BUN /UR) 7 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 19-FEB-19 INHALANT,STRIP PACK,CAPSULE 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 26-FEB-19 X - RAY - TWO VIEWS 14 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 15 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 6302 of 6486
Name
HARI KISHAN SINGH KAIN Rate Amount Qty 27.4 1.37 20 8.9 .89 10 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 550 550 1 1300 1300 1 17 1.7 10 400 400 1 400 400 1 860 860 1 13.95 .93 15 21.3 .71 30 66 1.1 60 400 400 1 Total: 5964.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/04742303 Min 04742303 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 18-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 18-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 4 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 18-FEB-19 HEPATITIS C TEST /HCV 6 19-FEB-19 ABC TEST HIV 7 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 8 19-FEB-19 UREA (BUN /UR) 9 19-FEB-19 CREATININE /CRT 10 19-FEB-19 C T THORAX 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 19-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 15 19-FEB-19 SERUM BILIRUBIN, TOTAL DIR AND INDIREC 16 19-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 17 19-FEB-19 HEPATITIS B TEST /HBSAG /AUSTRALIAN ANTI 18 19-FEB-19 BUDESONIDE,200MCG,CAPSULE 19 25-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 20 25-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 21 25-FEB-19 SALBUTAMOL,200MCG,DRY POWDER,CAPSULE 22 25-FEB-19 INHALER FOR INHALING DRY POWDER CAPSULE 23 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 24 25-FEB-19
Page 6303 of 6486
Name
HEERA DEVI Rate Amount Qty 1.75 .25 7 92.68 6.62 14 6.23 .89 7 12.6 .9 14 400 400 1 1700 1700 1 1250 1250 1 275 275 1 275 275 1 275 275 1 9000 9000 1 400 400 1 275 275 1 400 400 1 550 550 1 275 275 1 1300 1300 1 1000 1000 1 104.4 1.74 60 54 .9 60 52.96 6.62 8 39.6 .66 60 69.05 69.05 1 400 400 1 Total: 18208.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/05406573 Min 05406573 Slno Description Appmt Dt SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 1 04-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 6304 of 6486
Name
DR P PANIGRAHI Rate Amount Qty 58 29 2 18 .9 20 15 .25 60 18 .6 30 10.8 .36 30 167.4 5.58 30 400 400 1 Total: 687.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/05406574 Min 05406574 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 2 04-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 04-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 04-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6305 of 6486
Name
SNEHALATA Rate Amount Qty 23.1 .77 30 13.64 6.82 2 33.6 1.12 30 70.4 3.52 20 12.3 .41 30 400 400 1 Total: 553.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/05410853 Min 05410853 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 2 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 07-FEB-19 CREATININE /CRT 4 07-FEB-19 UREA (BUN /UR) 5 07-FEB-19 PLATELET COUNT 6 07-FEB-19 HB,TLC,DLC 7 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 07-FEB-19
Page 6306 of 6486
Name
ARVIND KUMAR SHRIVASTAVA Rate Amount Qty 26.7 .89 30 14.85 .99 15 27.9 .93 30 275 275 1 275 275 1 330 330 1 300 300 1 400 400 1 21.3 .71 30 Total: 1670.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/05410854 Min 05410854 Slno Description Appmt Dt DILTIAZEM 90 MG XL/XR,,TABLET 1 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19
Page 6307 of 6486
Name
VINOO SHRIVASTAVA Rate Amount Qty 118.5 3.95 30 47.4 .79 60 55.8 .93 60 10.8 .36 30 72 .6 120 34.8 1.16 30 400 400 1 Total: 739.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/06404513 Min 06404513 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 04-FEB-19 LEVETIRACETAM,500MG STRIP PACK,,TABLET 6 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 04-FEB-19 INDOOR REFERAL CONSULTATION (PER DAY) 8 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 9 16-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 10 16-FEB-19 DRY REAGENT BASED,GLUCOMETER TEST STRIPS 11 16-FEB-19 OBSERVATION IN CASUALTY 12 16-FEB-19 ECG 13 16-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 16-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 16-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 16 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 16-FEB-19
Page 6308 of 6486
Name
RADHEY LAL SHARMA Rate Amount Qty 7.5 .25 30 21.3 .71 30 32.4 1.08 30 27.9 .62 45 66 1.1 60 77.85 5.19 15 400 400 1 600 600 1 .4 .4 1 24.52 24.52 1 9.62 9.62 1 420 420 1 450 450 1 4.45 .89 5 1.3 .26 5 .8 .16 5 400 400 1 Total: 2544.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/06408193 Min 06408193 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 01-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 4 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 01-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 01-FEB-19
Page 6309 of 6486
Name
G.D. GUPTA Rate Amount Qty 34.8 1.16 30 12 .4 30 47.4 .79 60 15.6 .26 60 16.2 .27 60 29.7 .99 30 400 400 1 Total: 555.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/06408194 Min 06408194 Slno Description Appmt Dt IMIPRAMINE HCL,25MG,STRIP PACK.,TABLET 1 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19
Page 6310 of 6486
Name
SMT. MAMTA GUPTA Rate Amount Qty 12.3 .41 30 7.5 .25 30 18.9 .63 30 8.1 .27 30 20.06 20.06 1 400 400 1 Total: 466.86
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/08404126 Min 08404126 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 25-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 25-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 25-FEB-19
Page 6311 of 6486
Name
VISHAL DAS BANDHE Rate Amount Qty 27.9 .93 30 60.9 2.03 30 34.8 1.16 30 167.4 5.58 30 12.8 .64 20 7.5 .25 30 72 .6 120 400 400 1 Total: 783.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/08404127 Min 08404127 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 25-FEB-19
Page 6312 of 6486
Name
SMT BODHA BAIBANDHE Rate Amount Qty 6.4 .64 10 7.5 .25 30 10.8 .36 30 27.9 .93 30 72 .6 120 400 400 1 Total: 524.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/08404258 Min 08404258 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6313 of 6486
Name
P D KULDEEP Rate Amount Qty 12 .4 30 8.1 .27 30 66 1.1 60 55.8 .93 60 23.7 .79 30 21.3 .71 30 9 .3 30 400 400 1 Total: 595.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/08404259 Min 08404259 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 14-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6314 of 6486
Name
URMILA KULDEEP Rate Amount Qty 7.92 .99 8 54 .6 90 9 .3 30 7.5 .25 30 400 400 1 Total: 478.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/09400474 Min 09400474 Appmt Dt Slno Description 07-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 07-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 07-FEB-19 3 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6315 of 6486
Name
MANI RANI RASTOGI Qty Rate Amount 30 .93 27.9 15 .99 14.85 30 .27 8.1 1 400 400 Total: 450.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400078 Min 10400078 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 11-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6316 of 6486
Name
LAUDHAR PRASAD Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 400 400 1 Total: 653.2
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/10400079 Min 10400079 Slno Description Appmt Dt ASCORBIC ACID,STRIP PKT,100MG,TABLET 1 14-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 2 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 14-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 4 18-FEB-19 ECG 5 18-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 18-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 8 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 18-FEB-19
Page 6317 of 6486
SMT KEWALE Rate Amount Qty 3.8 .38 10 48.22 48.22 1 400 400 1 25.69 25.69 1 450 450 1 400 400 1 6.23 .89 7 19.77 19.77 1 400 400 1 Total: 1753.71
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400080 Min 10400080 Slno Description Appmt Dt CREATININE /CRT 1 20-FEB-19 UREA (BUN /UR) 2 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 20-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 8 20-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 9 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 10 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 11 20-FEB-19
Page 6318 of 6486
Name
A K TIWARI Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 55.8 .93 60 275 275 1 275 275 1 12 .4 30 16.2 .27 60 33 1.1 30 400 400 1 550 550 1 Total: 3467
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/10400081 Min 10400081 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 20-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 2 20-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 20-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 20-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 5 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 20-FEB-19 CREATININE /CRT 7 20-FEB-19 UREA (BUN /UR) 8 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 20-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 12 20-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 13 20-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 14 20-FEB-19
Page 6319 of 6486
SMT DEEPA TIWARI Rate Amount Qty 10.65 .71 15 59.25 3.95 15 27.9 .93 30 550 550 1 1300 1300 1 1300 1300 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 12 .4 30 6.82 6.82 1 25.07 25.07 1 Total: 4791.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400259 Min 10400259 Appmt Dt Slno Description 06-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6320 of 6486
Name
MANJU RASTOGI Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400303 Min 10400303 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 12-FEB-19
Page 6321 of 6486
Name
VINOD KUMAR ARORA Rate Amount Qty 53.4 .89 60 13.95 .93 15 76.5 2.55 30 32.4 1.08 30 53.4 .89 60 13.95 .93 15 76.5 2.55 30 32.4 1.08 30 400 400 1 Total: 752.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400304 Min 10400304 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 12-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 12-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 3 12-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 6322 of 6486
Name
SEEMA ARORA Rate Amount Qty 26.7 .89 30 18.6 .62 30 11.85 .79 15 10.65 .71 15 400 400 1 Total: 467.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400372 Min 10400372 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 19-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 21-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 21-FEB-19 CREATININE /CRT 8 21-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 21-FEB-19 ECG 10 21-FEB-19 UREA (BUN /UR) 11 21-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 12 21-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 21-FEB-19
Page 6323 of 6486
Name
SUSHIL KUMAR SARASWAT Rate Amount Qty 66 1.1 60 21.3 .71 30 12 .4 30 27.9 .62 45 400 400 1 400 400 1 550 550 1 275 275 1 400 400 1 450 450 1 275 275 1 275 275 1 275 275 1 Total: 3427.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400373 Min 10400373 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 13-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 10 19-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 19-FEB-19
Page 6324 of 6486
Name
URMILA SARASWAT Rate Amount Qty 9 .3 30 26.7 .89 30 18 .6 30 34.8 1.16 30 7.5 .25 30 27.9 .93 30 400 400 1 21.3 .71 30 27.9 .93 30 36 .6 60 9 .3 30 400 400 1 Total: 1018.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400481 Min 10400481 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 14-FEB-19 X - RAY - TWO VIEWS 3 15-FEB-19 C T HEAD PLAIN 4 15-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 15-FEB-19
Page 6325 of 6486
Name
BIMLA PATHAK Rate Amount Qty 9.6 .64 15 400 400 1 860 860 1 5250 5250 1 400 400 1 Total: 6919.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400488 Min 10400488 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6326 of 6486
Name
E K S NAIR Rate Amount Qty 117 1.3 90 72 .6 120 32.4 .36 90 21.3 .71 30 7.5 .25 30 400 400 1 Total: 650.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400489 Min 10400489 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19
Page 6327 of 6486
Name
LATHIKA NAIR Rate Amount Qty 8.9 .89 10 21.3 .71 30 12 .4 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 503.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400508 Min 10400508 Appmt Dt Slno Description 08-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 08-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL 23-FEB-19 3 SODIUM VALPROATE,STRIP PKT,200MG,TABLET 23-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6328 of 6486
Name
CHINMOY MAJI Qty Rate Amount 30 .71 21.3 1 400 400 90 2.1 189 1 400 400 Total: 1010.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/10400509 Min 10400509 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 08-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 3 08-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 08-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 08-FEB-19
Page 6329 of 6486
Name
NIVEDITA MAJI Rate Amount Qty 3.75 .25 15 21.3 .71 30 10.8 .36 30 16.2 .27 60 55.8 .93 60 36 .6 60 400 400 1 Total: 543.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/14400595 Min 14400595 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 12-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 6330 of 6486
Name
AVINASH KUMAR VERMA Rate Amount Qty 1.85 .37 5 4.45 .89 5 6.4 .64 10 35.2 3.52 10 400 400 1 Total: 447.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/14400596 Min 14400596 Appmt Dt Slno Description 14-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 14-FEB-19 2 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 6331 of 6486
Name
SWARNLATA VERMA Qty Rate Amount 1 400 400 1 1750 1750 2150 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/14401020 Min 14401020 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 09-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 09-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 09-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 09-FEB-19
Page 6332 of 6486
Name
BODH KRISHNA JHA Rate Amount Qty 21.3 .71 30 78 1.3 60 18 .3 60 54 .6 90 60.9 2.03 30 400 400 1 Total: 632.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/15403186 Min 15403186 Slno Description Appmt Dt FLUOXETINE HCL,20MG,CAPSULE/TABLET. 1 05-FEB-19 RISPERIDONE,STRIP PKT,2MG,TABLET 2 05-FEB-19 TRIHEXYPHENIDYL HCL,STRIP PKT,2MG,TABLET 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 05-FEB-19
Page 6333 of 6486
Name
PARMATMA RAM Rate Amount Qty 99.6 3.32 30 82.2 1.37 60 15.3 .51 30 32.4 1.08 30 27.9 .93 30 36 .6 60 66 1.1 60 400 400 1 Total: 759.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/16400743 Min 16400743 Slno Description Appmt Dt GUM ANALGESIC GEL 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 26-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 26-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 26-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 6 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 26-FEB-19
Page 6334 of 6486
Name
AMITABH GHOSH HAZRA Rate Amount Qty 28.69 28.69 1 400 400 1 66 1.1 60 24 .4 60 21.3 .71 30 23.7 .79 30 400 400 1 Total: 963.69
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/16400744 Min 16400744 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 26-FEB-19
Page 6335 of 6486
Name
NANDA GHOSH Rate Amount Qty 55.8 .93 60 16.2 .27 60 400 400 1 55.8 .93 60 16.2 .27 60 400 400 1 Total: 944
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/16401404 Min 16401404 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19
Page 6336 of 6486
Name
HRIDAYA MOHAN Rate Amount Qty 23.7 .79 30 10.65 .71 15 400 400 1 Total: 434.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400037 Min 17400037 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 20-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 20-FEB-19
Page 6337 of 6486
Name
SAVITRI DEVI Rate Amount Qty 46.2 .77 60 4.8 .16 30 7.5 .25 30 11.4 .38 30 400 400 1 Total: 469.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400124 Min 17400124 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 7 28-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 8 28-FEB-19 INHALANT,STRIP PACK,CAPSULE 9 28-FEB-19 OXYMETAZOLINE HCL 0.05%,ADULT NASAL DROP 10 28-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 11 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 12 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 28-FEB-19
Page 6338 of 6486
Name
SAMPATI THAPLIYAL Rate Amount Qty 3.5 .25 14 92.68 6.62 14 2.59 .37 7 12.46 .89 14 400 400 1 8.9 .89 10 10.95 .73 15 123.53 123.53 1 25.5 1.7 15 32.61 32.61 1 35.2 3.52 10 1.85 .37 5 400 400 1 Total: 1149.77
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400185 Min 17400185 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 18-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 3 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 18-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 CREATININE /CRT 9 19-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 10 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 11 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 19-FEB-19
Page 6339 of 6486
Name
RAM VINOD SINGH Rate Amount Qty 87.92 43.96 2 12.8 .64 20 20.84 5.21 4 54 .6 90 26.7 .89 30 7.5 .25 30 34.8 1.16 30 400 400 1 275 275 1 1300 1300 1 275 275 1 400 400 1 275 275 1 Total: 3169.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400186 Min 17400186 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 02-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 3 02-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 02-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 02-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 7 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 02-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 9 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 10 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 02-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 12 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 13 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 05-FEB-19 GATIFLOXACIN,0.3%,EYE DROP,5ML PACK 15 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 16 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 07-FEB-19
Page 6340 of 6486
Name
BINDA SINGH Rate Amount Qty 26.7 .89 30 7.5 .25 30 185.7 6.19 30 12.8 .64 20 18.6 .62 30 63 .6 105 73.8 .82 90 21.3 .71 30 21.3 .71 30 9 .3 30 400 400 1 1.6 .16 10 20.06 20.06 1 400 400 1 39.54 19.77 2 12.8 .64 20 400 400 1 Total: 1713.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400205 Min 17400205 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 06-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 06-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 06-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 06-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 06-FEB-19
Page 6341 of 6486
Name
SHAKUNTALA YADAV Rate Amount Qty 55.8 .93 60 66 1.1 60 12 .4 30 21.3 .71 30 1.48 .37 4 400 400 1 Total: 556.58
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400212 Min 17400212 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 6342 of 6486
Name
A. K. KHARALKAR Rate Amount Qty 1.6 .16 10 60.9 2.03 30 60.9 2.03 30 78 1.3 60 36 .6 60 8.9 .89 10 6.4 .64 10 27.9 .93 30 55.2 .92 60 400 400 1 Total: 735.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400213 Min 17400213 Slno Description Appmt Dt GLICLAZIDE MR,30 MG,,TABLET 1 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 07-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 3 07-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 4 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 6343 of 6486
Name
SHOBHA Rate Amount Qty 27.6 .92 30 21.3 .71 30 21.3 .71 30 17.4 .58 30 18 .6 30 27.9 .93 30 21.3 .71 30 400 400 1 Total: 554.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400216 Min 17400216 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 07-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 2 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 27-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 27-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 7 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 8 28-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 9 28-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 10 28-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 11 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 28-FEB-19
Page 6344 of 6486
DEO PRAKASH ADIL Rate Amount Qty 87.92 43.96 2 25.69 25.69 1 400 400 1 27.9 .93 30 8.1 .27 30 400 400 1 29 29 1 44.16 1.84 24 25.07 25.07 1 7.68 .64 12 4.8 .6 8 400 400 1 Total: 1460.32
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400217 Min 17400217 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 13-FEB-19 CLOBAZAM,STRIP PKT,10MG,TABLET 2 13-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 3 13-FEB-19 OINTMENT,LIDOCAINE,3%,15GM 4 13-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 5 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 6345 of 6486
Name
RADHA DEVI ADIL Rate Amount Qty 87.92 43.96 2 73.35 4.89 15 10.95 .73 15 82.76 165.52 2 4.1 .41 10 8.9 .89 10 400 400 1 Total: 750.74
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400249 Min 17400249 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 3 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 19-FEB-19 X - RAY - SINGLE VIEW 5 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 6 23-FEB-19 AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 7 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 8 23-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 9 23-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 23-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 12 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 13 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 14 28-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 15 28-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 16 28-FEB-19 UREA (BUN /UR) 17 28-FEB-19 CREATININE /CRT 18 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 19 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 21 28-FEB-19 C T THORAX 22 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 23 28-FEB-19
Page 6346 of 6486
Name
ARUN KUMAR RAJABHOJ Rate Amount Qty 33 1.1 30 12 .4 30 9.3 .62 15 400 400 1 550 550 1 400 400 1 70.2 2.34 30 2.7 .18 15 12.15 12.15 1 1.85 .37 5 400 400 1 16.8 1.12 15 9 .9 10 12.15 12.15 1 66.2 6.62 10 400 400 1 275 275 1 275 275 1 26 2.6 10 8.9 .89 10 5 .25 20 9000 9000 1 400 400 1 Total: 12385.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400250 Min 17400250 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 01-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 2 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 7 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 19-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 9 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 19-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 11 23-FEB-19 SALBUTAMOL,2MG,STRIP PACK,,TABLET 12 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 23-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 14 28-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 15 28-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 16 28-FEB-19 SALBUTAMOL,2MG/5ML,100ML/BTL,SYRUP 17 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 18 28-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 19 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 20 28-FEB-19
Page 6347 of 6486
Name
CHITRALEKHA RAJABHOJ Rate Amount Qty 1.85 .37 5 2.28 .38 6 3.84 .64 6 400 400 1 3.84 .64 6 66 1.1 60 1.85 .37 5 11.85 .79 15 2.28 .38 6 400 400 1 1.85 .37 5 2.7 .18 15 400 400 1 8.9 .89 10 5 .25 20 26 2.6 10 12.15 12.15 1 3.7 .37 10 18 .9 20 400 400 1 Total: 1772.09
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400256 Min 17400256 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 28-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 28-FEB-19 NIFEDIPINE RTD,STRIP PKT,20MG,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 28-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 6 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 28-FEB-19
Page 6348 of 6486
Name
JHARNA SHUKLA Rate Amount Qty 3.84 .64 6 1.85 .37 5 22.2 .37 60 55.8 .93 60 23.7 .79 30 2.28 .38 6 400 400 1 Total: 509.67
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400270 Min 17400270 Slno Description Appmt Dt OBSERVATION IN CASUALTY 1 25-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 2 25-FEB-19 DICLOFENAC SODIUM,25MG/ML,INJECTION 3 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 26-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 5 26-FEB-19
Page 6349 of 6486
Name
KULESHAHARI VERMA Rate Amount Qty 420 420 1 24.52 24.52 1 5.77 5.77 1 7.5 .25 30 20.84 5.21 4 Total: 478.63
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400295 Min 17400295 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 14-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 14-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 6 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 7 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 14-FEB-19
Page 6350 of 6486
RAM SHARAN SHRIVAS Rate Amount Qty 8.1 .27 30 26.7 .89 30 54 .9 60 7.5 .25 30 15.73 15.73 1 60.9 2.03 30 23.7 .79 30 400 400 1 Total: 596.63
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400296 Min 17400296 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,2MG,TABLET 1 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 11-FEB-19
Page 6351 of 6486
Name
KALYANI BAI SHRIVAS Rate Amount Qty 10.8 .36 30 54 .6 90 27.9 .93 30 21.3 .71 30 1.48 .37 4 400 400 1 Total: 515.48
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400309 Min 17400309 Appmt Dt Slno Description 19-FEB-19 1 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6352 of 6486
Name
ASHOK KUMAR SARKAR Qty Rate Amount 60 .27 16.2 1 400 400 416.2 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400310 Min 17400310 Appmt Dt Slno Description 19-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 19-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6353 of 6486
Name
RUPASREE SARKAR Qty Rate Amount 30 .71 21.3 60 .27 16.2 60 .93 55.8 1 400 400 Total: 493.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400333 Min 17400333 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 DRESSING SIMPLE 2 05-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 3 14-FEB-19 X - RAY - TWO VIEWS 4 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 6 14-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 28-FEB-19 X - RAY - TWO VIEWS 8 28-FEB-19
Page 6354 of 6486
Name
JAGDISH RAM SAHU Rate Amount Qty 400 400 1 300 300 1 13.7 1.37 10 860 860 1 400 400 1 17.8 .89 20 400 400 1 860 860 1 Total: 3251.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400334 Min 17400334 Slno Description Appmt Dt MOXONIDIN 0.2MG,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 3 05-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6355 of 6486
Name
LATA SAHU Rate Amount Qty 211.8 3.53 60 33 1.1 30 17.4 .58 30 29.7 .99 30 55.8 .93 60 400 400 1 Total: 747.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400337 Min 17400337 Appmt Dt Slno Description 20-FEB-19 1 GRANULE,VITAMIN D-3,1GM/PKT 20-FEB-19 2 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 20-FEB-19 3 RAMIPRIL,5MG,STRIP PACK.,TABLET 20-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6356 of 6486
Name
MANHARAN LAL KASHYAP Qty Rate Amount 4 5.21 20.84 30 .27 8.1 60 .79 47.4 1 400 400 Total: 476.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400343 Min 17400343 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19
Page 6357 of 6486
Name
BHUWAN SINGH KOMIYA Rate Amount Qty 55.8 .93 60 33 1.1 30 36 .6 60 167.4 5.58 30 7.5 .25 30 400 400 1 Total: 699.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400344 Min 17400344 Slno Description Appmt Dt CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 1 05-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 05-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 3 05-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 5 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 6358 of 6486
USHA KIRAN KOMIYA Rate Amount Qty 29.7 .99 30 9.3 .62 15 26.6 2.66 10 1.85 .37 5 15.73 15.73 1 55.8 .93 60 400 400 1 Total: 538.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400349 Min 17400349 Slno Description Appmt Dt VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 1 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 2 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 11-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 11-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6359 of 6486
Name
R S MAURYA Rate Amount Qty 78 1.3 60 167.4 5.58 30 21.3 .71 30 7.5 .25 30 38.25 2.55 15 9 .3 30 400 400 1 Total: 721.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400350 Min 17400350 Appmt Dt Slno Description 11-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 11-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6360 of 6486
Name
CHANDRAWATI MAURYA Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400354 Min 17400354 Appmt Dt Slno Description 21-FEB-19 1 X - RAY - TWO VIEWS 21-FEB-19 2 CONSULTATION IN OPD IN JLN H AND RC 21-FEB-19 3 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 21-FEB-19 4 LORNOXICAM 8 MG,STRIP PACK,,TABLET
Page 6361 of 6486
Name
PRATIMA GUPTA Qty Rate Amount 2 860 1720 1 400 400 10 .89 8.9 10 1.37 13.7 Total: 2142.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400362 Min 17400362 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 02-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 02-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 02-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 02-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 7 02-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 02-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 02-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 10 02-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 11 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 02-FEB-19
Page 6362 of 6486
M L WADHWANI Rate Amount Qty 36 .6 60 39 1.3 30 9 .3 30 8.1 .27 30 23.7 .79 30 55.8 .93 60 12.6 .42 30 33 1.1 30 7.5 .25 30 1.85 .37 5 15.73 15.73 1 400 400 1 Total: 642.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400363 Min 17400363 Appmt Dt Slno Description 02-FEB-19 1 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 02-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6363 of 6486
Name
INDIRA WADHWANI Qty Rate Amount 30 .25 7.5 1 400 400 407.5 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400370 Min 17400370 Slno Description Appmt Dt ISOSORBIDE-5 MONONITRATE,20MG,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 3 22-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 6364 of 6486
Name
RAMJI PRASAD Rate Amount Qty 15.6 .26 60 33 1.1 30 12 .4 30 34.8 1.16 30 27.9 .93 30 29.7 .99 30 167.4 5.58 30 400 400 1 Total: 720.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400371 Min 17400371 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 14-FEB-19 METRONIDAZOLE,400MG,STRIP PACK,,TABLET 3 14-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6365 of 6486
Name
FULWATI Rate Amount Qty 8.1 .27 30 7.5 .25 30 16.8 1.12 15 7.7 .77 10 400 400 1 Total: 440.1
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400427 Min 17400427 Slno Description Appmt Dt AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 1 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 3 11-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 11-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 11-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 6366 of 6486
Name
BHIKHAM SINGH THAKUR Rate Amount Qty 8.1 .27 30 27.9 .93 30 29.7 .99 30 4.8 .16 30 32.4 1.08 30 21.3 .71 30 26.7 .89 30 12 .4 30 400 400 1 Total: 562.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400440 Min 17400440 Slno Description Appmt Dt METOPROLOL,XL/XR ,25 MG,,TABLET 1 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 2 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 07-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 07-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 7 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 8 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 6367 of 6486
Name
RANJIT KUMAR MAZUMDAR Rate Amount Qty 33 1.1 30 24 .4 60 32.4 1.08 30 69.6 1.16 60 26.7 .89 30 13.95 .93 15 18.6 .62 30 4.8 .16 30 7.5 .25 30 400 400 1 Total: 630.55
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400453 Min 17400453 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 04-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 6 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 04-FEB-19 CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 9 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 26-FEB-19
Page 6368 of 6486
Name
PARMESHWAR KORI Rate Amount Qty 12 .4 30 34.8 1.16 30 7.5 .25 30 18 .6 30 27.9 .93 30 33 1.1 30 32.4 1.08 30 400 400 1 6.82 6.82 1 400 400 1 Total: 972.42
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400454 Min 17400454 Appmt Dt Slno Description 18-FEB-19 1 ATORVASTATIN,10 MG,STRIP PACK,TABLET 18-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 18-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 18-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6369 of 6486
Name
KUSUM KORI Qty Rate Amount 30 .71 21.3 30 .99 29.7 60 .93 55.8 1 400 400 Total: 506.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400463 Min 17400463 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19 NITRAZEPAM,10MG,TABLE,STRIP PACK. 10 26-FEB-19 OLANZEPINE,STRIP PKT,10MG,TABLET 11 26-FEB-19 ESCITALOPRAM,10MG,,TABLET 12 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 26-FEB-19
Page 6370 of 6486
Name
PRADEEP ANJOR RAO BHONSLE Rate Amount Qty 34.8 1.16 30 10.8 .36 30 18 .6 30 23.7 .79 30 33 1.1 30 4.8 .16 30 26.7 .89 30 12 .4 30 400 400 1 21.12 2.64 8 105.3 3.51 30 111 1.85 60 400 400 1 Total: 1201.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400464 Min 17400464 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 14-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 14-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Page 6371 of 6486
Name
MADHURI BHONSLE Rate Amount Qty 36 .6 60 4.8 .16 30 26.7 .89 30 34.8 1.16 30 12 .4 30 27.9 .93 30 167.4 5.58 30 10.8 .36 30 400 400 1 Total: 720.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400465 Min 17400465 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 02-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 3 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 02-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 23-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 6 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 23-FEB-19
Page 6372 of 6486
Name
LAXMINATH TAMRAKAR Rate Amount Qty 53.4 .89 60 192.3 6.41 30 60.9 2.03 30 400 400 1 34.8 1.16 30 6.9 .23 30 72 .6 120 55.8 .93 60 400 400 1 Total: 1276.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400466 Min 17400466 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 23-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 23-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 3 23-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 23-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 5 23-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 23-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 6373 of 6486
MONGARA DEVI Rate Amount Qty 13.35 .89 15 3.75 .25 15 9 .3 30 27.9 .93 30 96.44 48.22 2 36 .6 60 40.12 20.06 2 400 400 1 Total: 626.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400468 Min 17400468 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 01-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 01-FEB-19
Page 6374 of 6486
Name
K SHANTA Rate Amount Qty 55.8 .93 60 9 .3 30 18 .6 30 7.5 .25 30 21.3 .71 30 371.4 6.19 60 26.7 .89 30 12 .4 30 400 400 1 Total: 921.7
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400485 Min 17400485 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 3 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 27-FEB-19
Page 6375 of 6486
ASHOK KUMAR SONI Rate Amount Qty 25.07 25.07 1 400 400 1 15.6 .26 60 21.3 .71 30 33 1.1 30 12 .4 30 400 400 1 Total: 906.97
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400486 Min 17400486 Slno Description Appmt Dt FLURBIPROFEN,0.03%,EYE DROP,5ML PACK 1 15-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 15-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 27-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 27-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 6376 of 6486
Name
LATA SONI Rate Amount Qty 16.81 16.81 1 400 400 1 211.8 3.53 60 14.85 .99 15 33 1.1 30 36 .6 60 55.8 .93 60 21.3 .71 30 400 400 1 Total: 1189.56
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400489 Min 17400489 Slno Description Appmt Dt ETORICOXIB,STRIP PKT,90MG,TABLET 1 12-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 12-FEB-19
Page 6377 of 6486
Name
MOTI LAL VERMA Qty 7 7 1
Rate Amount 18.2 2.6 6.23 .89 400 400 Total: 424.43
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400490 Min 17400490 Appmt Dt Slno Description 14-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 14-FEB-19 2 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 14-FEB-19 3 CEFEXIME,STRIP PKT,200MG,TABLET 14-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6378 of 6486
Name
SAVITRI VERMA Qty Rate Amount 10 .64 6.4 5 .37 1.85 10 6.62 66.2 1 400 400 Total: 474.45
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400491 Min 17400491 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 28-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 28-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 28-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 4 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 28-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 6 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 28-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 28-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 28-FEB-19
Page 6379 of 6486
Name
SHAMBHOO SHARAN VERMA Rate Amount Qty 12 .4 30 32.4 1.08 30 34.8 1.16 30 157.8 2.63 60 26.7 .89 30 4.8 .16 30 55.8 .93 60 66 1.1 60 8.1 .27 30 400 400 1 Total: 798.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400492 Min 17400492 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 28-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 28-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 28-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 28-FEB-19
Page 6380 of 6486
Name
MANJU VERMA Rate Amount Qty 13.5 .3 45 78 1.3 60 21.3 .71 30 41.85 .93 45 400 400 1 Total: 554.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400493 Min 17400493 Appmt Dt Slno Description 09-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6381 of 6486
Name
KAMALAKAR ARAS Qty Rate Amount 30 .93 27.9 1 400 400 427.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400494 Min 17400494 Appmt Dt Slno Description 09-FEB-19 1 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 09-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 09-FEB-19 3 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 09-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6382 of 6486
Name
KALPANA ARAS Qty Rate Amount 30 .36 10.8 60 .6 36 30 .25 7.5 1 400 400 Total: 454.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400496 Min 17400496 Slno Description Appmt Dt BLOOD INDICES (MCV /MCH /MCHC) 1 06-FEB-19 HB,TLC,DLC 2 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 06-FEB-19 PLATELET COUNT 4 06-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 09-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 6 09-FEB-19 ESCITALOPRAM,10MG,,TABLET 7 09-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 8 09-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 9 09-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 10 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 09-FEB-19 SULPHACETAMIDE SODIUM,EYE DROP,10-15%, 13 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 26-FEB-19
Page 6383 of 6486
Name
DHANI RAM SONI Rate Amount Qty 165 165 1 300 300 1 400 400 1 330 330 1 32.4 1.08 30 19.8 .66 30 55.5 1.85 30 130.42 130.42 1 29 29 1 23.7 .79 30 27.9 .93 30 400 400 1 58 29 2 400 400 1 Total: 2371.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400497 Min 17400497 Slno Description Appmt Dt ROXITHROMYCIN,STRIP PKT,150MG,TABLET 1 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6384 of 6486
Name
MOHINI SONI Qty 6 6 1
Rate Amount 15.96 2.66 2.22 .37 400 400 Total: 418.18
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400517 Min 17400517 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 04-FEB-19 RACECADOTRIL,100MG,CAPSULE 2 04-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6385 of 6486
Name
MEENAKSHI VERMA Rate Amount Qty 8.9 .89 10 23.88 5.97 4 20.06 20.06 1 400 400 1 18.6 .62 30 400 400 1 Total: 871.44
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400525 Min 17400525 Slno Description Appmt Dt CIPROFLOXACIN HCL,0.3%,EYE/EAR DROP, 1 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 7 12-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 8 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 10 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 12-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 12 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 12-FEB-19
Page 6386 of 6486
PURUSHOTTAMLAL TAMRAKAR Rate Amount Qty 6.82 6.82 1 60.9 2.03 30 38.25 2.55 15 18 .6 30 8.1 .27 30 13.95 .93 15 60.9 2.03 30 38.25 2.55 15 18 .6 30 8.1 .27 30 13.95 .93 15 25.07 25.07 1 400 400 1 Total: 710.29
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400526 Min 17400526 Appmt Dt Slno Description 12-FEB-19 1 TELMISARTAN 40MG,STRIP PACK,,TABLET 12-FEB-19 2 CREAM,CLOTRIMAZOLE,1%,15-20GM 12-FEB-19 3 PARACETAMOL,STRIP PKT,500MG,TABLET 12-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6387 of 6486
Name
SUBHADRA TAMRAKAR Qty Rate Amount 30 .93 27.9 1 9.86 9.86 10 .64 6.4 1 400 400 Total: 444.16
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400527 Min 17400527 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6388 of 6486
Name
RAMBHAU PARATE Rate Amount Qty 55.8 .93 60 18.9 .63 30 400 400 1 18.9 .63 30 55.8 .93 60 400 400 1 Total: 949.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400528 Min 17400528 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 01-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 22-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 6389 of 6486
Name
SAROJ PARATE Rate Amount Qty 17.4 1.16 15 27.9 .93 30 7.65 .51 15 400 400 1 27.9 .93 30 21.3 .71 30 7.65 .51 15 400 400 1 Total: 909.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400530 Min 17400530 Appmt Dt Slno Description 19-FEB-19 1 METOPROLOL,XL/XR ,25 MG,,TABLET 19-FEB-19 2 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 19-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6390 of 6486
Name
SHAIL SAHU Qty Rate Amount 30 1.1 33 15 .99 14.85 60 .93 55.8 1 400 400 Total: 503.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400535 Min 17400535 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 3 01-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 URIC ACID (UA /URATES /UR) 6 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 7 07-FEB-19 UREA (BUN /UR) 8 07-FEB-19 CREATININE /CRT 9 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 10 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 07-FEB-19 TRIGLYCERIDES (TGL) 13 07-FEB-19 CHOLESTEROL (CHOL) 14 07-FEB-19
Page 6391 of 6486
Name
YATISH KUMAR PALRKAR Rate Amount Qty 26.7 .89 30 18.9 .63 30 21.3 .71 30 20.06 20.06 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 Total: 3361.96
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400536 Min 17400536 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19 ALANINE TRANSMINASE (ALAT /ALT/SGPT/GPT/ 4 07-FEB-19 UREA (BUN /UR) 5 07-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 07-FEB-19 URIC ACID (UA /URATES /UR) 8 07-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 9 07-FEB-19 TRIGLYCERIDES (TGL) 10 07-FEB-19 CHOLESTEROL (CHOL) 11 07-FEB-19 CREATININE /CRT 12 07-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 13 07-FEB-19
Page 6392 of 6486
Name
SUNITA PALRKAR Rate Amount Qty 27.9 .93 30 21.3 .71 30 400 400 1 275 275 1 275 275 1 275 275 1 400 400 1 275 275 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 Total: 3599.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400544 Min 17400544 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 14-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 23-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 7 23-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 23-FEB-19
Page 6393 of 6486
Name
HIRA LAL SAO Rate Amount Qty 13.8 .23 60 21.3 .71 30 211.8 3.53 60 13.95 .93 15 400 400 1 275 275 1 275 275 1 400 400 1 Total: 1610.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400545 Min 17400545 Slno Description Appmt Dt DOTHIEPEN HCL,STRIP PKT,75MG,TABLET 1 09-FEB-19 TAB,CHLORPROMAZINE+TRIFLUOPERAZINE+BENZ 2 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 09-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 11-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 11-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 6 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 8 11-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 9 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 11-FEB-19
Page 6394 of 6486
Name
ANJU DEVI Rate Amount Qty 161.1 5.37 30 24.6 .82 30 400 400 1 21.3 .71 30 11.85 .79 15 29.7 .99 30 33 1.1 30 8.7 .58 15 13.35 .89 15 400 400 1 Total: 1103.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400560 Min 17400560 Slno Description Appmt Dt CREAM CLOBETASOL PROPIONATE 0.05%,15GM 1 25-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 2 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 25-FEB-19
Page 6395 of 6486
Name
MOHD. ABUTARIQUE Rate Amount Qty 12.81 12.81 1 11.25 .75 15 400 400 1 Total: 424.06
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400561 Min 17400561 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 06-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 22-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 6 22-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 7 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 22-FEB-19
Page 6396 of 6486
Name
FIROZ JAHAN Rate Amount Qty 21.3 .71 30 8.1 .27 30 3.84 .64 6 400 400 1 8.9 .89 10 7.3 .73 10 13.7 1.37 10 400 400 1 Total: 863.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400563 Min 17400563 Slno Description Appmt Dt TOLTERODINE TARTARATE SR,4 MG,TAB/CAP, 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 05-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 4 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 05-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 05-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 7 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 05-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 9 05-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 10 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 05-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 12 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 05-FEB-19
Page 6397 of 6486
Name
SUBHAS SINGH RAO Rate Amount Qty 175.5 5.85 30 400 400 1 36 .6 60 2.4 .16 15 32.4 1.08 30 34.8 1.16 30 76.5 2.55 30 55.8 .93 60 60.9 2.03 30 43.96 43.96 1 27.9 .93 30 46.2 .77 60 400 400 1 Total: 1392.36
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400564 Min 17400564 Slno Description Appmt Dt HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 1 04-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 2 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 04-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 4 05-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 5 05-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 6 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 05-FEB-19
Page 6398 of 6486
Name
MADHU SINGH Rate Amount Qty 83.4 2.78 30 10.42 5.21 2 400 400 1 18.6 .62 30 17.4 .58 30 11.4 .38 30 400 400 1 Total: 941.22
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400568 Min 17400568 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 12-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 12-FEB-19
Page 6399 of 6486
Name
SAVITA AJMERIA Rate Amount Qty 34.8 1.16 30 8.1 .27 30 33 1.1 30 27.9 .93 30 400 400 1 Total: 503.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400569 Min 17400569 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 09-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 2 09-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 09-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 09-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 09-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 09-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 7 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 09-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 27-FEB-19 HYDROCORTISONE BUTYRATE,10-25GM/TUBE 10 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 27-FEB-19
Page 6400 of 6486
Name
SAPAN KUMAR BOSE Rate Amount Qty 9.28 1.16 8 9.45 .63 15 33 1.1 30 27.9 .93 30 5.4 .36 15 18 .6 30 6.9 .23 30 400 400 1 7.5 .25 30 45.44 45.44 1 400 400 1 Total: 962.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400581 Min 17400581 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 01-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 28-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 28-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 7 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 28-FEB-19
Page 6401 of 6486
Name
SWADESH KUMAR SHUKLA Rate Amount Qty 54 .6 90 10.8 .36 30 7.5 .25 30 400 400 1 7.5 .25 30 54 .6 90 10.8 .36 30 400 400 1 Total: 944.6
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400582 Min 17400582 Slno Description Appmt Dt FLAVOXATE HYDROCHLORIDE,200 MG,,TABLET 1 12-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 2 12-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 5 12-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 12-FEB-19 CULTURE AND SENSITIVITY (C/S) - URINE 7 12-FEB-19 URINE ROUTINE AND MICROSCOPIC 8 12-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 12-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 10 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 11 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 13 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 14 21-FEB-19 TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 15 21-FEB-19 TRAVOPROST,EYE DROP,IP 0.004%,2.5 TO 3ML 16 21-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 17 21-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 18 21-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 19 21-FEB-19 DORZOLAMIDE HCL,EYE DROP,2%,5ML VIAL, 20 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 21 21-FEB-19
Page 6402 of 6486
NIRMALA VERMA Rate Amount Qty 57.6 9.6 6 9.86 9.86 1 1.11 .37 3 18 .6 30 32.4 1.08 30 27.9 .93 30 650 650 1 380 380 1 400 400 1 10.65 .71 15 7.5 .25 30 400 400 1 27.9 .93 30 18 .6 30 40.58 20.29 2 156.51 313.02 2 32.4 1.08 30 9.86 9.86 1 25.07 25.07 1 94.42 94.42 1 400 400 1 Total: 2956.27
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400589 Min 17400589 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 14-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6403 of 6486
Name
ANUKANT DURGE Rate Amount Qty 21.3 .71 30 11.4 .38 30 167.4 5.58 30 27.6 .92 30 400 400 1 Total: 627.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400593 Min 17400593 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 08-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 08-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 08-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19
Page 6404 of 6486
Name
MANHARAN LAL VERMA Rate Amount Qty 11.85 .79 15 33 1.1 30 32.4 1.08 30 12 .4 30 21.3 .71 30 400 400 1 Total: 510.55
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400611 Min 17400611 Slno Description Appmt Dt PHENYTOIN SODIUM,100MG,BTL PACK,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 INJECTION OMEPRAZOLE ,40MG PER VAIL/ AMP 5 13-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 6 13-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 13-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 9 13-FEB-19 OBSERVATION IN CASUALTY 10 13-FEB-19 FENTANYL CITRATE,50MCG/ML,INJECTION 11 13-FEB-19 ECG 12 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 13-FEB-19
Page 6405 of 6486
RATAN KUMAR DUTTA Rate Amount Qty 78 .78 100 400 400 1 25.07 25.07 1 400 400 1 24.52 24.52 1 20.06 20.06 1 8.9 .89 10 3.2 .64 5 .8 .16 5 420 420 1 30.21 30.21 1 900 450 2 400 400 1 Total: 2710.76
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400612 Min 17400612 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 07-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 5 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 11 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 12 07-FEB-19 ETORICOXIB,STRIP PKT,90MG,TABLET 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 15 21-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 21-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 17 21-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 18 21-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 19 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 20 21-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 21 21-FEB-19 CIPROFLOXACIN,500MG,STRIP PACK,,TABLET 22 21-FEB-19 GUM ANALGESIC GEL 23 21-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 24 21-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 25 21-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 26 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 21-FEB-19
Page 6406 of 6486
Name
DOLAN DUTTA Rate Amount Qty 6.23 .89 7 3.5 .25 14 6.4 .64 10 1.85 .37 5 26.6 2.66 10 9 .3 30 0 .6 0 55.8 .93 60 8.1 .27 30 12 .4 30 21.3 .71 30 14.85 .99 15 18.2 2.6 7 400 400 1 9 .3 30 36 .6 60 27.9 .93 30 12 .4 30 34.8 1.16 30 13.35 .89 15 8.1 .27 30 35.2 3.52 10 28.69 28.69 1 12.8 .64 20 4.45 .89 5 3.75 .25 15 400 400 1 Total: 1209.87
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400618 Min 17400618 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 04-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 04-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 3 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 6 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 04-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 8 04-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 04-FEB-19
Page 6407 of 6486
Name
P SURYANARAYANA Rate Amount Qty 87.92 43.96 2 26.7 .89 30 184.2 6.14 30 21.3 .71 30 23.7 .79 30 78 1.3 60 72 .6 120 10.8 .36 30 167.4 5.58 30 400 400 1 Total: 1072.02
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400619 Min 17400619 Slno Description Appmt Dt THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 1 05-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 16-FEB-19 PROCHLORPERAZINE,STRIP PKT,5MG,TABLET 6 16-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 16-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 16-FEB-19
Page 6408 of 6486
Name
P MEENA Rate Amount Qty 21.3 .71 30 33 1.1 30 55.8 .93 60 400 400 1 17.8 .89 20 10 .25 40 20.84 5.21 4 25.6 .64 40 400 400 1 Total: 984.34
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400626 Min 17400626 Slno Description Appmt Dt RANITIDINE HCL,STRIP PKT,150MG,TABLET 1 07-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 3 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 5 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 6 23-FEB-19 RANITIDINE HCL,STRIP PKT,150MG,TABLET 7 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 23-FEB-19
Page 6409 of 6486
Name
MANOJ KATIYAR Rate Amount Qty 7.7 .77 10 5.12 .64 8 1.48 .37 4 400 400 1 1.48 .37 4 5.12 .64 8 6.16 .77 8 400 400 1 Total: 827.06
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400631 Min 17400631 Slno Description Appmt Dt TIMOLOL-MALEATE,EYE DROP,0.5%,5ML PACK. 1 11-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 2 11-FEB-19 CARBOXY METHYL CELLULOSE,0.5%,EYE DROP 3 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 14-FEB-19 METHOTREXATE,STRIP PKT,2.5MG,TABLET 6 14-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 7 14-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 8 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 10 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 11 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 12 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 14-FEB-19
Page 6410 of 6486
AJAY KUMAR MAHOBE Rate Amount Qty 40.58 20.29 2 50.14 25.07 2 25.69 25.69 1 400 400 1 27.9 .93 30 51.68 3.23 16 11.4 .38 30 6.9 .23 30 36 .6 60 33 1.1 30 18.9 .63 30 17.4 1.16 15 400 400 1 Total: 1119.59
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400637 Min 17400637 Slno Description Appmt Dt ISOSORBIDE DINITRATE,10MG,TABLET 1 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 3 18-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 4 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 5 18-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 6 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 7 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 18-FEB-19 BACLOFEN,STRIP PKT,10MG,TABLET 9 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 19-FEB-19 C T HEAD PLAIN 12 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 13 22-FEB-19
Page 6411 of 6486
Name
P L CHOUDHARY Rate Amount Qty 30.6 .34 90 34.8 1.16 30 32.4 1.08 30 60.9 2.03 30 23.7 .79 30 55.2 .92 60 66 1.1 60 400 400 1 9.57 3.19 3 2.67 .89 3 400 400 1 5250 5250 1 400 400 1 Total: 6765.84
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400639 Min 17400639 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 01-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 01-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 7 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19 HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 10 23-FEB-19 OLOPATADINE,0.1%,EYE DROP,5ML PACK 11 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 23-FEB-19
Page 6412 of 6486
DAUWA RAM SAHU Rate Amount Qty 9 .3 30 78 1.3 60 36 .6 60 12 .4 30 21.3 .71 30 400 400 1 18 .9 20 3.7 .37 10 400 400 1 25.07 25.07 1 18.21 18.21 1 400 400 1 Total: 1421.28
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400640 Min 17400640 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 6413 of 6486
Name
SATYAWATI SAHU Rate Amount Qty 9.6 .64 15 185.7 6.19 30 400 400 1 Total: 595.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400641 Min 17400641 Slno Description Appmt Dt GLIMEPIRIDE,STRIP PKT,1MG,TABLET 1 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6414 of 6486
Name
ESRAT KUMAR SINGH Rate Amount Qty 9 .3 30 54 .6 90 400 400 1 Total: 463
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400642 Min 17400642 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 22-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 22-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 5 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 7 22-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 8 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 9 22-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 10 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 11 22-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 12 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 22-FEB-19
Page 6415 of 6486
Name
KIRAN SINGH Rate Amount Qty 32.4 1.08 30 21.3 .71 30 8.1 .27 30 29.7 .99 30 76.5 2.55 30 55.8 .93 60 78 1.3 60 18.6 .62 30 167.4 5.58 30 26.7 .89 30 72 .6 120 55.2 .92 60 400 400 1 Total: 1041.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400643 Min 17400643 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 02-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 6416 of 6486
Name
RAMESH SURPAITHANKAR Rate Amount Qty 47.4 .79 60 8.1 .27 30 400 400 1 Total: 455.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400644 Min 17400644 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 02-FEB-19 BISOPROLOL FUMARATE,5MG,,TABLET 2 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 02-FEB-19
Page 6417 of 6486
Name
USHA SURPAITHANKAR Rate Amount Qty 27.9 .93 30 76.5 2.55 30 400 400 1 Total: 504.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400658 Min 17400658 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 22-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 22-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 22-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 22-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 7 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 6418 of 6486
Name
IMTIYAZ AHMAD ANSARI Rate Amount Qty 54 .6 90 66 1.1 60 78 1.3 60 167.4 5.58 30 32.4 .36 90 12 .4 30 8.1 .27 30 55.8 .93 60 400 400 1 Total: 873.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400659 Min 17400659 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 11-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 2 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 11-FEB-19
Page 6419 of 6486
Name
SALMA KHATOON Rate Amount Qty 23.2 1.16 20 65.6 .82 80 400 400 1 Total: 488.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400662 Min 17400662 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 2 05-FEB-19 HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 05-FEB-19 COMPLETE HAEMOGRAM 5 05-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 6 05-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 7 05-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 06-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 10 06-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 11 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 13-FEB-19 MRCP (COST OF CONTRAST EXTRA) 13 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 14 19-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 15 19-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 17 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 18 19-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 19 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 20 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 21 19-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 22 19-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 23 19-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 24 19-FEB-19 ISOSORBIDE DINITRATE,10MG,TABLET 25 19-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 26 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 27 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 28 20-FEB-19 URSODEOXYCHOLIC ACID,150MG,TABLET 29 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 30 20-FEB-19
Page 6420 of 6486
Name
PUSHPA PANDEY Rate Amount Qty 17.8 .89 20 66.2 6.62 10 1300 1300 1 400 400 1 750 750 1 122.8 6.14 20 1500 1500 1 2.5 .25 10 400 400 1 1750 1750 1 282.4 7.06 40 400 400 1 10000 10000 1 34.8 1.16 30 12.8 .64 20 7.5 .25 30 54 .6 90 26.7 .89 30 27.9 .93 30 66 1.1 60 32.4 1.08 30 24 .4 60 23.7 .79 30 8.5 .34 25 6.8 .34 20 4.8 .16 30 400 400 1 17.8 .89 20 282.4 7.06 40 400 400 1 Total: 18421.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400673 Min 17400673 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 04-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 04-FEB-19
Page 6421 of 6486
Name
DEVENDRA KUMAR SHRISTAVA Rate Amount Qty 47.4 .79 60 21.3 .71 30 7.5 .25 30 32.4 1.08 30 27.9 .93 30 400 400 1 Total: 536.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400674 Min 17400674 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 02-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 02-FEB-19 UREA (BUN /UR) 3 02-FEB-19 CREATININE /CRT 4 02-FEB-19 URIC ACID (UA /URATES /UR) 5 02-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 6 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 02-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 8 04-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 04-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 10 04-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 11 04-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 12 04-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 13 04-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 14 04-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 04-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 16 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 04-FEB-19
Page 6422 of 6486
Name
SARITA SHRIVASTAVA Rate Amount Qty 275 275 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 400 400 1 26.7 .89 30 7.5 .25 30 78 1.3 60 66 1.1 60 23.7 .79 30 21.3 .71 30 32.4 1.08 30 15.6 .26 60 54 .6 90 400 400 1 Total: 3800.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400676 Min 17400676 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 26-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 2 26-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 26-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 4 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 26-FEB-19
Page 6423 of 6486
Name
P KUMARI Rate Amount Qty 21.3 .71 30 12.15 .27 45 55.8 .93 60 2.22 .37 6 400 400 1 Total: 491.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400678 Min 17400678 Slno Description Appmt Dt BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 1 19-FEB-19 CREATININE /CRT 2 19-FEB-19 UREA (BUN /UR) 3 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 19-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 5 19-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 6 19-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 22-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 22-FEB-19
Page 6424 of 6486
Name
SUNITA MAHAJAN Rate Amount Qty 1300 1300 1 275 275 1 275 275 1 400 400 1 275 275 1 275 275 1 18 .6 30 21.3 .71 30 400 400 1 Total: 3239.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400697 Min 17400697 Appmt Dt Slno Description 16-FEB-19 1 AMLODIPINE,STRIP PKT,2.5MG,TABLET 16-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 16-FEB-19 3 ATORVASTATIN,10 MG,STRIP PACK,TABLET 16-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6425 of 6486
Name
YOGENDRA NARAYAN MISHRA Qty Rate Amount 30 .23 6.9 60 .93 55.8 30 .71 21.3 1 400 400 Total: 484
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400698 Min 17400698 Slno Description Appmt Dt ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 1 09-FEB-19 MYOCARDIAL PERFUSION 2 09-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 09-FEB-19 GUM ASTRINGENT PAINT 4 09-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 5 09-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 6 09-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 8 12-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 9 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 12-FEB-19
Page 6426 of 6486
Name
KALPANA MISHRA Rate Amount Qty 6 .6 10 13720 13720 1 400 400 1 31.54 31.54 1 9.6 .64 15 55.2 1.84 30 4.8 .6 8 7.68 .64 12 44.16 1.84 24 400 400 1 Total: 14678.98
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400700 Min 17400700 Appmt Dt Slno Description 04-FEB-19 1 CONSULTATION IN OPD IN JLN H AND RC 04-FEB-19 2 U S ABDOMEN INCLUDING PELVIS/THORAX
Page 6427 of 6486
Name
RENU DIWAN Qty 1 1
Rate Amount 400 400 1750 1750 2150 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400701 Min 17400701 Appmt Dt Slno Description 14-FEB-19 1 TAMSULOSIN HCL,0.4MG,TAB/CAP. 14-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6428 of 6486
Name
PREETAM SINGH NETAM Qty Rate Amount 30 2.03 60.9 1 400 400 460.9 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400703 Min 17400703 Slno Description Appmt Dt BASIC FUCHSINE 1%+CARBOLIC ACID 5% 1 14-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 2 14-FEB-19 CREAM,BETAMETHASONE VALERATE,0.10% 3 14-FEB-19 OINTMENT,SALICYLIC ACID 12%, 20-30GMTUBE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6429 of 6486
Name
INDIRA V P Rate Amount Qty 63.58 63.58 1 11.25 .75 15 17.6 17.6 1 37.04 37.04 1 400 400 1 Total: 529.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400708 Min 17400708 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 2 01-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 3 01-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 6430 of 6486
Name
T RAGHAVENDRA Rate Amount Qty 60.9 2.03 30 192.3 6.41 30 8.1 .27 30 27.9 .93 30 400 400 1 Total: 689.2
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400712 Min 17400712 Appmt Dt Slno Description 09-FEB-19 1 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 09-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6431 of 6486
Name
V N AGRAWAL Qty 1 1
Rate Amount 43.96 43.96 400 400 443.96 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400715 Min 17400715 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 22-FEB-19 AMLODIPINE,STRIP PKT,2.5MG,TABLET 2 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 22-FEB-19
Page 6432 of 6486
Name
RAKHI NANDI Rate Amount Qty 11.85 .79 15 6.9 .23 30 400 400 1 Total: 418.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400716 Min 17400716 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 4 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 14-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 14-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 14-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 14-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 11 25-FEB-19 URIC ACID (UA /URATES /UR) 12 25-FEB-19 CREATININE /CRT 13 25-FEB-19 UREA (BUN /UR) 14 25-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 15 25-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 16 25-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 17 25-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 18 25-FEB-19
Page 6433 of 6486
Name
TAPAS KUMAR NAG Rate Amount Qty 7.4 .37 20 25.62 12.81 2 400 400 1 18.9 .63 30 8.9 .89 10 12 .4 30 18 .6 30 23.7 .79 30 8.1 .27 30 400 400 1 275 275 1 275 275 1 275 275 1 275 275 1 1300 1300 1 550 550 1 275 275 1 400 400 1 Total: 4547.62
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400717 Min 17400717 Slno Description Appmt Dt ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 1 05-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 05-FEB-19 AMITRIPTYLINE HCL,STRIP PKT,25MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 6 08-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 7 08-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 08-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 9 08-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 10 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 08-FEB-19 CLONAZEPAM,STRIP PKT,0.5MG,TABLET 12 14-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 13 14-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 14 14-FEB-19 VERAPAMIL HCL,STRIP PKT,40MG,TABLET 15 14-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 16 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 17 14-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 18 20-FEB-19 CREATININE /CRT 19 20-FEB-19 UREA (BUN /UR) 20 20-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 21 20-FEB-19 BLOOD FOR T-3,T-4,TSH 22 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 23 20-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 24 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 25 20-FEB-19
Page 6434 of 6486
Name
USHA RANI NAG Rate Amount Qty 4.8 .16 30 24.6 .41 60 53.4 .89 60 21.3 .71 30 400 400 1 18 .3 60 20.84 5.21 4 21.3 .71 30 55.8 .93 60 7.5 .25 30 400 400 1 19.8 .66 30 18.6 .62 30 33 1.1 30 73.8 .82 90 7.5 .25 30 400 400 1 550 550 1 275 275 1 275 275 1 275 275 1 2400 2400 1 400 400 1 1300 1300 1 275 275 1 Total: 7330.24
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400732 Min 17400732 Slno Description Appmt Dt DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 1 03-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 03-FEB-19 CEFEXIME,STRIP PKT,200MG,TABLET 3 03-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 4 03-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 03-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 6 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 9 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 10 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 07-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 12 09-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 09-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 14 09-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 15 09-FEB-19
Page 6435 of 6486
Name
SITA RAM KORI Rate Amount Qty 4.1 .41 10 8.9 .89 10 66.2 6.62 10 10.95 .73 15 400 400 1 36 .6 60 55.8 .93 60 7.5 .25 30 8.1 .27 30 29.7 .99 30 400 400 1 7.3 .73 10 8.9 .89 10 13.7 1.37 10 400 400 1 Total: 1457.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400736 Min 17400736 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 20-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 20-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 4 26-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 26-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 6 26-FEB-19
Page 6436 of 6486
Name
RAJESH KUMAR MASIH Rate Amount Qty 192.3 6.41 30 4.8 .16 30 400 400 1 275 275 1 400 400 1 275 275 1 Total: 1547.1
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/17400737 Min 17400737 Slno Description Appmt Dt ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 1 08-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 08-FEB-19 ASCORBIC ACID,STRIP PKT,100MG,TABLET 3 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 08-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 5 11-FEB-19 CALCIUM CARBONATE 500MG+D3 250 IU,TABLET 6 11-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 11-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 8 11-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 11-FEB-19 TENELIGLIPTIN,20MG,,TABLET 10 11-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 11 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 11-FEB-19
Page 6437 of 6486
SINTHIYA MASIH Rate Amount Qty 12.6 .9 14 15.73 15.73 1 5.32 .38 14 400 400 1 26.7 .89 30 17.4 .58 30 27.9 .93 30 21.3 .71 30 36 .6 60 167.4 5.58 30 9 .3 30 400 400 1 Total: 1139.35
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400742 Min 17400742 Slno Description Appmt Dt MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 1 16-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 2 16-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 4 16-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 5 16-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 16-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 8 16-FEB-19 NICORANDIL,5MG,IN STRIP/BOTTLE,TABLET 9 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 16-FEB-19
Page 6438 of 6486
Name
BADAL SINGH THAKUR Rate Amount Qty 43.96 43.96 1 7.65 .51 15 66 1.1 60 55.8 .93 60 27.6 .92 30 34.8 1.16 30 32.4 1.08 30 12 .4 30 157.8 2.63 60 400 400 1 Total: 838.01
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400743 Min 17400743 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 16-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 16-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 3 16-FEB-19 TENELIGLIPTIN,20MG,,TABLET 4 16-FEB-19 GLIMEPIRIDE,STRIP PKT,1MG,TABLET 5 16-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 6 16-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 16-FEB-19
Page 6439 of 6486
Name
VANDANA Rate Amount Qty 17.4 1.16 15 13.95 .93 15 36 .6 60 167.4 5.58 30 18 .3 60 12 .4 30 400 400 1 Total: 664.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400744 Min 17400744 Appmt Dt Slno Description 19-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 19-FEB-19 2 TELMISARTAN 40MG,STRIP PACK,,TABLET 19-FEB-19 3 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 19-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6440 of 6486
Name
P. K. DHAR Qty Rate Amount 30 .63 18.9 30 .93 27.9 30 .99 29.7 1 400 400 Total: 476.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400745 Min 17400745 Slno Description Appmt Dt PARACETAMOL,STRIP PKT,500MG,TABLET 1 19-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 2 19-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 19-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 5 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 19-FEB-19
Page 6441 of 6486
Name
MEENA RANI DHAR Rate Amount Qty 12.8 .64 20 66 1.1 60 55.8 .93 60 8.1 .27 30 18.6 .62 30 400 400 1 Total: 561.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400747 Min 17400747 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 13-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 13-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 3 13-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 5 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 13-FEB-19
Page 6442 of 6486
Name
INDRAWATI DEVI Rate Amount Qty 27.9 .93 30 17.4 1.16 15 18.9 .63 30 6.4 .64 10 5 .25 20 400 400 1 Total: 475.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400761 Min 17400761 Slno Description Appmt Dt TELMISARTAN 40MG,STRIP PACK,,TABLET 1 07-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 07-FEB-19 OINTMENT,SALICYLIC ACID 6%, 20-30GM TUBE 3 07-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 VITAMIN A CHEWABLE,50000IU,,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 07-FEB-19
Page 6443 of 6486
Name
MAMTA SHRIVASTAVA Rate Amount Qty 55.8 .93 60 11.1 .37 30 31.61 31.61 1 25.62 12.81 2 18.9 .63 30 10.65 .71 15 11.25 .75 15 33 1.1 30 400 400 1 Total: 597.93
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400762 Min 17400762 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 01-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 2 01-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 3 01-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19
Page 6444 of 6486
Name
SHRIRAM LARENDRA Rate Amount Qty 60.9 2.03 30 21.3 .71 30 33 1.1 30 23.7 .79 30 400 400 1 Total: 538.9
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400763 Min 17400763 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 01-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 2 01-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 01-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 4 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 01-FEB-19 ROXITHROMYCIN,STRIP PKT,150MG,TABLET 6 11-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 7 11-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 8 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 11-FEB-19
Page 6445 of 6486
Name
ANUSUIYA DEVI Rate Amount Qty 12 .4 30 34.8 1.16 30 7.5 .25 30 11.4 .38 30 400 400 1 15.96 2.66 6 3.84 .64 6 2.22 .37 6 400 400 1 Total: 887.72
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400768 Min 17400768 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 07-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 3 07-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 4 07-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 07-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 8 07-FEB-19
Page 6446 of 6486
Name
KHUSHI RAM SONI Rate Amount Qty 54 .6 90 39 1.3 30 167.4 5.58 30 11.85 .79 15 32.4 .36 90 3.75 .25 15 9.45 .63 15 400 400 1 Total: 717.85
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400773 Min 17400773 Slno Description Appmt Dt DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 1 19-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 2 19-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 19-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 4 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 5 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 6 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 25-FEB-19
Page 6447 of 6486
Name
RADHESHYAM YADAV Rate Amount Qty 192.3 6.41 30 60.9 2.03 30 400 400 1 16.2 .27 60 21.3 .71 30 55.8 .93 60 400 400 1 Total: 1146.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400774 Min 17400774 Slno Description Appmt Dt LORNOXICAM 8 MG,STRIP PACK,,TABLET 1 12-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 12-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 12-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 6448 of 6486
Name
MEENA BAI Rate Amount Qty 41.1 1.37 30 6.4 .64 10 7.5 .25 30 9 .6 15 8.1 .27 30 36.3 1.21 30 400 400 1 Total: 508.4
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400777 Min 17400777 Slno Description Appmt Dt HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 1 02-FEB-19 ACID PHOSPHATASE - TOTAL (ACP T/ACP) 2 02-FEB-19 PROTEIN TOTAL , ALBUMIN / A/G RATIO (TP/ 3 02-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 4 02-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 02-FEB-19 UREA (BUN /UR) 6 02-FEB-19 CREATININE /CRT 7 02-FEB-19 COMPLETE HAEMOGRAM 8 02-FEB-19 GLUCOSE RANDOM (RBG /RSG /GLU-R) 9 02-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 10 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 06-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 12 09-FEB-19 HAEMODIALYSIS (COST OF CONSUMABLES EXTRA 13 09-FEB-19
Page 6449 of 6486
Name
RES LALRAI Qty 1 1 1 1 1 1 1 1 1 1 1 1 1
Rate Amount 4790 4790 275 275 275 275 550 550 400 400 275 275 275 275 750 750 275 275 4790 4790 400 400 400 400 4790 4790 Total: 18245
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400784 Min 17400784 Slno Description Appmt Dt HEPATIC PROF /LFT (TB, DB, IDB, AST, ALT 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 RENAL PROFILE INCLUDES UREA, CREA, CA, P 3 07-FEB-19 C T ABDOMEN AND PELVIS 4 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 08-FEB-19
Page 6450 of 6486
Name
KUSUM BHARTI Qty 1 1 1 1 1
Rate Amount 1300 1300 400 400 1500 1500 12000 12000 400 400 Total: 15600
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400785 Min 17400785 Slno Description Appmt Dt AMLODIPINE,STRIP PKT,2.5MG,TABLET 1 22-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 2 22-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 3 22-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 4 22-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 22-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 22-FEB-19
Page 6451 of 6486
Name
SHIV KUMAR YADU Rate Amount Qty 6.9 .23 30 7.5 .25 30 55.8 .93 60 36 .6 60 10.8 .36 30 400 400 1 Total: 517
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400788 Min 17400788 Slno Description Appmt Dt ATORVASTATIN,STRIP PKT,20MG,TABLET 1 05-FEB-19 THYROXINE SODIUM,0.1MG,BTL PACK,TABLET 2 05-FEB-19 ALUMINIUM+MAGNESIUM HYDROXIDE,GEL,250MG 3 05-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 05-FEB-19 PRAZOSIN,2.5MG,TABLET 5 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 05-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 06-FEB-19 CINITAPRIDE HYDROGEN TARTRATE,1MG,TAB. 8 06-FEB-19 RIFAXIMIN 200 MG,,TABLET 9 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 06-FEB-19
Page 6452 of 6486
Name
P JAYALATA Rate Amount Qty 34.8 1.16 30 21.3 .71 30 40.12 20.06 2 32.4 1.08 30 78 1.3 60 400 400 1 26.7 .89 30 184.2 6.14 30 9.33 139.95 15 400 400 1 Total: 1357.47
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400797 Min 17400797 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 06-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 06-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 3 06-FEB-19 CARBIMAZOLE,5MG,BTL PACK,TABLET 4 06-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 06-FEB-19
Page 6453 of 6486
Name
JYOTI SWARNKAR Rate Amount Qty 21.3 .71 30 11.85 .79 15 26.7 .89 30 47.4 1.58 30 400 400 1 Total: 507.25
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400804 Min 17400804 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 14-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 14-FEB-19 ETOPHYLLINE231MG+THEOPHYLINE 69MG,TABLET 3 14-FEB-19 INHALER,SALBUTAMOL MDI,100MCG PER DOSE 4 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 14-FEB-19
Page 6454 of 6486
Name
SHYAM NARAYAN SINGH YADAV Rate Amount Qty 7.5 .25 30 26.7 .89 30 54 .9 60 100.71 100.71 1 400 400 1 Total: 588.91
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400808 Min 17400808 Slno Description Appmt Dt ATORVASTATIN,10 MG,STRIP PACK,TABLET 1 07-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 2 07-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 07-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 8 07-FEB-19 FUROSEMIDE,40MG,STRIP PACK,TABLET 9 07-FEB-19 CARVEDILOL,STRIP PACK,6.25MG,TABLET 10 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 11 07-FEB-19 TENELIGLIPTIN,20MG,,TABLET 12 07-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 13 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 14 07-FEB-19
Page 6455 of 6486
Name
RAJENDRA PAL SINGH RAJPUT Rate Amount Qty 21.3 .71 30 26.7 .89 30 4.8 .16 30 192.3 6.41 30 18.9 .63 30 16.2 .27 60 12 .4 30 32.4 1.08 30 7.65 .51 15 42.6 .71 60 55.8 .93 60 167.4 5.58 30 72 .6 120 400 400 1 Total: 1070.05
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400816 Min 17400816 Appmt Dt Slno Description 07-FEB-19 1 GLUCOSAMINE,500MG&CHONDROITIN 400MG 07-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 07-FEB-19 3 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 07-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6456 of 6486
Name
SYED AHSAN ULLAH Qty Rate Amount 30 6.19 185.7 15 .89 13.35 10 .41 4.1 1 400 400 Total: 603.15
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/17400840 Min 17400840 Slno Description Appmt Dt TAMSULOSIN HCL,0.4MG,TAB/CAP. 1 21-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 2 21-FEB-19 MOXONIDIN 0.2MG,,TABLET 3 21-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 4 21-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 21-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 21-FEB-19
Page 6457 of 6486
Name
SAME LAL SAHU Rate Amount Qty 60.9 2.03 30 47.4 .79 60 211.8 3.53 60 29.7 .99 30 37.8 .63 60 400 400 1 Total: 787.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/2428523 Min 2428523 Appmt Dt Slno Description 15-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 15-FEB-19 2 ALLOPURINOL,STRIP PKT,100MG,TABLET 15-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 15-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6458 of 6486
Name
KIRAN KHURANA Qty Rate Amount 10 1.37 13.7 30 .63 18.9 30 6.19 185.7 1 400 400 Total: 618.3
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/2433407 Min 2433407 Appmt Dt Slno Description 28-FEB-19 1 PARACETAMOL,STRIP PKT,500MG,TABLET 28-FEB-19 2 METOPROLOL TARTRATE,50MG,,TABLET 28-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 28-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6459 of 6486
Name
PRADEEP KUMAR TIWARI Qty Rate Amount 6 .64 3.84 30 1.21 36.3 30 .93 27.9 1 400 400 Total: 468.04
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/3406190 Min 3406190 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 25-FEB-19 FOLIC ACID,STRIP PKT,5MG,TABLET 2 25-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 3 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 4 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 5 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 6 25-FEB-19 TENELIGLIPTIN,20MG,,TABLET 7 25-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 8 25-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 9 25-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 10 25-FEB-19 DILTIAZEM 90 MG XL/XR,,TABLET 11 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 12 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 13 28-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 14 28-FEB-19 CLOXACILLIN,STRIP PKT,250MG,CAPSULE 15 28-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 16 28-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 17 28-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 18 28-FEB-19
Page 6460 of 6486
Name
D K SAMAJDER Rate Amount Qty 26.7 .89 30 11.4 .38 30 981.6 8.18 120 32.4 1.08 30 55.8 .93 60 7.5 .25 30 167.4 5.58 30 117 1.3 90 72 .6 120 21.6 .36 60 118.5 3.95 30 400 400 1 60.9 2.03 30 192.3 6.41 30 16.56 1.84 9 4.38 .73 6 5.34 .89 6 400 400 1 Total: 2691.38
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/3416073 Min 3416073 Appmt Dt Slno Description 02-FEB-19 1 LORNOXICAM 8 MG,STRIP PACK,,TABLET 02-FEB-19 2 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 02-FEB-19 3 GLUCOSAMINE,500MG&CHONDROITIN 400MG 02-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6461 of 6486
Name
NARENDRA MOHAN VERMA Qty Rate Amount 30 1.37 41.1 30 .89 26.7 30 6.19 185.7 1 400 400 Total: 653.5
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/3416074 Min 3416074 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 02-FEB-19 BISACODYL,STRIP PKT,5MG,TABLET 2 02-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 3 02-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 4 02-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 5 02-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 6 02-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 02-FEB-19
Page 6462 of 6486
Name
SHEILA VERMA Rate Amount Qty 26.7 .89 30 29.7 .99 30 25.2 .42 60 21.3 .71 30 36 .6 60 41.1 1.37 30 400 400 1 Total: 580
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/4444791 Min 4444791 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 23-FEB-19 LEVO-THYROXINE SODIUM,50MCG,TABLET 2 23-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 3 23-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 4 23-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 5 23-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 23-FEB-19
Page 6463 of 6486
Name
DR ANANT MUKUND KEKRE Rate Amount Qty 72 .6 120 18.6 .62 30 6.4 .64 10 12 .4 30 34.8 1.16 30 400 400 1 Total: 543.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/4445425 Min 4445425 Slno Description Appmt Dt LIQUID,PARAFFIN,LIGHT,IP,400-500ML/BTL 1 01-FEB-19 LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 2 01-FEB-19 CREAM CLOBETASOL PROPIONATE 0.05%,15GM 3 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 4 01-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 27-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 6464 of 6486
Name
NITISH GUHA Rate Amount Qty 85.52 85.52 1 7.4 .37 20 25.62 12.81 2 400 400 1 12 .4 30 34.8 1.16 30 55.8 .93 60 14.85 .99 15 400 400 1 Total: 1035.99
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/4445426 Min 4445426 Appmt Dt Slno Description 27-FEB-19 1 METFORMIN ER/XR 500 MG,,TABLET 27-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6465 of 6486
Name
SUNITA GUHA Qty Rate Amount 60 .6 36 1 400 400 436 Total:
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/4706540 Min 4706540 Slno Description Appmt Dt HYDROXYPROPYL METHYLCELLULOSE+BORAX+BORI 1 04-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 04-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 3 25-FEB-19 SOLIFENACIN,5MG,,TABLET 4 25-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 25-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 25-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 7 25-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 8 25-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 9 25-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 25-FEB-19
Page 6466 of 6486
JAGDISH NARAYAN SINGH Rate Amount Qty 25.07 25.07 1 400 400 1 43.96 43.96 1 806.4 13.44 60 60.9 2.03 30 21.3 .71 30 32.4 1.08 30 27.9 .93 30 3.75 .25 15 400 400 1 Total: 1821.68
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5417181 Min 5417181 Slno Description Appmt Dt DEFLAZACORT 6MG,,TABLET 1 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 2 05-FEB-19 HYDROXYCHLOROQUIN SULPHATE,200MG,TABLET 3 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 27-FEB-19 DEFLAZACORT 6MG,,TABLET 5 27-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 27-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 7 27-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 8 27-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 27-FEB-19
Page 6467 of 6486
Name
NABARUNA CHUODHURI Rate Amount Qty 41.55 2.77 15 400 400 1 83.4 2.78 30 185.7 6.19 30 22.16 2.77 8 21.3 .71 30 41.85 .93 45 7.5 .25 30 400 400 1 Total: 1203.46
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5417655 Min 5417655 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 2 08-FEB-19 PRAZOSIN,2.5MG,TABLET 3 08-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 4 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 08-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 6 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 20-FEB-19
Page 6468 of 6486
Name
AVANISH KUMAR JAISWAL Rate Amount Qty 7.5 .25 30 2.4 .16 15 156 1.3 120 72.6 1.21 60 400 400 1 20.25 20.25 1 400 400 1 Total: 1058.75
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5417656 Min 5417656 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 08-FEB-19 GLYCATED HAEMOGLOBIN (HBA1C) 2 08-FEB-19 ALPRAZOLAM,STRIP PKT,0.5MG,TABLET 3 20-FEB-19 X - RAY - TWO VIEWS 4 20-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 5 20-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 6 22-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 7 22-FEB-19 METRONIDAZOLE+CHLORHEXIDINE,GEL,10TO20GM 8 22-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 9 22-FEB-19 URIC ACID (UA /URATES /UR) 10 22-FEB-19
Page 6469 of 6486
Name
BHARTI JAISWAL Rate Amount Qty 400 400 1 1050 1050 1 4.8 .16 30 860 860 1 400 400 1 185.7 6.19 30 150.9 5.03 30 20.25 20.25 1 400 400 1 275 275 1 Total: 3746.65
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5418083 Min 5418083 Slno Description Appmt Dt METFORMIN ER/XR 500 MG,,TABLET 1 13-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 13-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 13-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 4 13-FEB-19 TENELIGLIPTIN,20MG,,TABLET 5 13-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 6 13-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 13-FEB-19
Page 6470 of 6486
Name
SAVITRI DEVI Rate Amount Qty 54 .6 90 27.9 .93 30 78 1.3 60 7.5 .25 30 167.4 5.58 30 10.8 .36 30 400 400 1 Total: 745.6
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5418243 Min 5418243 Slno Description Appmt Dt CONSULTATION IN OPD IN JLN H AND RC 1 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 3 05-FEB-19 FLUTICASONE,NASAL SPRAY,50 MCG/SPRAY, 4 07-FEB-19 RUPATADINE 10 MG STRIP PACK,,TABLET 5 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 07-FEB-19 MESALAZINE,5-AMINOSALICYLIC ACID,400MG, 7 08-FEB-19 RIFAXIMIN 200 MG,,TABLET 8 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 08-FEB-19
Page 6471 of 6486
Name
VINAY SHUKLA Rate Amount Qty 400 400 1 275 275 1 275 275 1 130.42 130.42 1 57.4 5.74 10 400 400 1 736.2 8.18 90 9.33 195.93 21 400 400 1 Total: 2869.95
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5418244 Min 5418244 Slno Description Appmt Dt LEVOCETIRIZINE DIHYDROCHLORIDE,5MG,TAB., 1 05-FEB-19 TABLET/CAPSULE FLUCONAZOLE, 150MG 2 05-FEB-19 CREAM,FRAMYCETIN SULPHATE,1%,30GM TUBE 3 05-FEB-19 CREAM,CLOTRIMAZOLE,1%,15-20GM 4 05-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 5 05-FEB-19 SERUM ELECTROLYTES (NA+ AND K+) 6 05-FEB-19 URIC ACID (UA /URATES /UR) 7 05-FEB-19 CREATININE /CRT 8 05-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 9 05-FEB-19 GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 10 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 11 05-FEB-19
Page 6472 of 6486
Name
ANITA SHUKLA Rate Amount Qty 7.4 .37 20 26.96 3.37 8 41.06 41.06 1 19.72 9.86 2 1300 1300 1 550 550 1 275 275 1 275 275 1 275 275 1 275 275 1 400 400 1 Total: 3445.14
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5711791 Min 5711791 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 18-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 2 18-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 3 18-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 4 18-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 5 18-FEB-19 TENELIGLIPTIN,20MG,,TABLET 6 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 7 18-FEB-19 RAMIPRIL,5MG,STRIP PACK.,TABLET 8 18-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 9 18-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 10 18-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 11 18-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 12 20-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 13 20-FEB-19
Page 6473 of 6486
Name
TEEJ BAI Rate Amount Qty 26.7 .89 30 32.4 1.08 30 69.6 1.16 60 33 1.1 30 21.6 .36 60 167.4 5.58 30 36 .6 60 11.85 .79 15 43.96 43.96 1 12 .4 30 400 400 1 54 .6 90 400 400 1 Total: 1308.51
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/5711792 Min 5711792 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 19-FEB-19 DICLOFENAC SODIUM,STRIP PKT,50MG,TABLET 2 19-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 3 19-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 4 19-FEB-19 SERRATIOPEPTIDASE,STRIP PKT,10MG,TABLET 5 19-FEB-19 LACTULOSE,USP,10GM/15ML,SOL,200ML,BOT, 6 19-FEB-19 ANTACID,ALUMINIUM HYDROXIDE 240MG,TABLET 7 19-FEB-19 CINNARIZINE,25MG,STRIP PACK,TABLET 8 19-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 9 19-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 10 19-FEB-19 CLOPIDOGREL,STRIP PKT,75MG,TABLET 11 26-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 12 26-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 13 26-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 14 26-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 15 26-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 16 26-FEB-19
Page 6474 of 6486
Name
BHAGWAN DAS Rate Amount Qty 17.8 .89 20 4.1 .41 10 400 400 1 8.9 .89 10 10.95 .73 15 123.53 123.53 1 24 .6 40 16.8 .42 40 25.2 .63 40 1750 1750 1 16.2 1.08 15 6.4 .64 10 8.9 .89 10 43.96 43.96 1 3.9 .26 15 400 400 1 Total: 2860.64
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/6407607 Min 6407607 Slno Description Appmt Dt TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 1 05-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 3 05-FEB-19 PARACETAMOL,STRIP PKT,500MG,TABLET 4 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 5 05-FEB-19
Page 6475 of 6486
BRAMHA NAND RAI Rate Amount Qty 7.5 .25 30 27.9 .93 30 15.73 15.73 1 6.4 .64 10 400 400 1 Total: 457.53
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/6409422 Min 6409422 Slno Description Appmt Dt GLUCOSE FASTING (FBG /FSG /FBS /GLU-F /G 1 04-FEB-19 GLUCOSE PP (PPG /PPBG /PPSG /GLU-PP /GLU 2 04-FEB-19 BLOOD LIPID PROFILE(INCL T-CHOL /TGL /HD 3 04-FEB-19 BLEEDING /CLOTTING TIME (BT/CT) 4 04-FEB-19 PLATELET COUNT 5 04-FEB-19 RETICULOCYTE COUNT 6 04-FEB-19 ECG 7 04-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 8 04-FEB-19 HB,TLC,DLC 9 04-FEB-19
Page 6476 of 6486
Name
DEEPAK CHANDRAKANT DESHMUKH Rate Amount Qty 275 275 1 275 275 1 1300 1300 1 330 330 1 330 330 1 165 165 1 450 450 1 400 400 1 300 300 1 Total: 3825
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/7400868 Min 7400868 Slno Description Appmt Dt ACETYL SALICYLIC ACID 75 MG.,TABLET 1 11-FEB-19 ISOSORBIDE-5 MONONITRATE,20MG,TABLET 2 11-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 3 11-FEB-19 GLIMEPIRIDE,STRIP PKT,2MG,TABLET 4 11-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 5 11-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 6 11-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 11-FEB-19
Page 6477 of 6486
Name
SHAILENDRA KUMAR SHRIVASTAVA Rate Amount Qty 24 .4 60 15.6 .26 60 156 1.3 120 21.6 .36 60 132 1.1 120 69.6 1.16 60 400 400 1 Total: 818.8
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/7400869 Min 7400869 Slno Description Appmt Dt AMOXYCILLIN,250MG,STRIP PACK,,CAPSULE 1 12-FEB-19 VOGLIBOSE,0.2MG,STRIP PACK.,TABLET 2 12-FEB-19 TAB,B-COMPLEX,PROPHYLACTIC,STRIP PACK, 3 12-FEB-19 FERROUS FUMARATE+FOLIC ACID,,CAPSULE 4 12-FEB-19 ENTACAVIR 0.5MG,,TABLET 5 12-FEB-19 CODEINE PHOSPHATE+CHLORPHENERAMINE MALEA 6 12-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 7 12-FEB-19
Page 6478 of 6486
ASHA SHRIVASTAVA Rate Amount Qty 70.2 2.34 30 78 1.3 60 7.5 .25 30 27.9 .93 30 673.5 22.45 30 96.44 48.22 2 400 400 1 Total: 1353.54
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/8406884 Min 8406884 Slno Description Appmt Dt X - RAY - SINGLE VIEW 1 07-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 07-FEB-19 U S ABDOMEN INCLUDING PELVIS/THORAX 3 07-FEB-19
Page 6479 of 6486
Name
SUMITRA CHANDRAKAR Rate Amount Qty 550 550 1 400 400 1 1750 1750 1 Total: 2700
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/8407369 Min 8407369 Appmt Dt Slno Description 01-FEB-19 1 ALLOPURINOL,STRIP PKT,100MG,TABLET 01-FEB-19 2 METFORMIN ER/XR 500 MG,,TABLET 01-FEB-19 3 TELMISARTAN 40MG,STRIP PACK,,TABLET 01-FEB-19 4 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6480 of 6486
Name
GIRIJESH UPADHYAY Qty Rate Amount 30 .63 18.9 120 .6 72 30 .93 27.9 1 400 400 Total: 518.8
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/8407370 Min 8407370 Slno Description Appmt Dt RAMIPRIL,5MG,STRIP PACK.,TABLET 1 01-FEB-19 METFORMIN ER/XR 500 MG,,TABLET 2 01-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 01-FEB-19
Page 6481 of 6486
Name
SHASHIKALA UPADHYAY Rate Amount Qty 23.7 .79 30 27 .6 45 400 400 1 Total: 450.7
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/9400894 Min 9400894 Slno Description Appmt Dt CLOPIDOGREL,STRIP PKT,75MG,TABLET 1 07-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 07-FEB-19 GLICLAZIDE MR,30 MG,,TABLET 3 07-FEB-19 DUTASTERIDE,0.5 MG,SOFT GEL,,CAPSULE 4 07-FEB-19 TAMSULOSIN HCL,0.4MG,TAB/CAP. 5 07-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 07-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 7 07-FEB-19 METOPROLOL,XL/XR ,25 MG,,TABLET 8 07-FEB-19 CHLORTHALIDONE 12.5MG,STRIP PACK,,TABLET 9 07-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 10 07-FEB-19
Page 6482 of 6486
Name
SURENDRA KU JAIN Rate Amount Qty 32.4 1.08 30 55.8 .93 60 27.6 .92 30 192.3 6.41 30 60.9 2.03 30 21.3 .71 30 12 .4 30 66 1.1 60 29.7 .99 30 400 400 1 Total: 898
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/9400976 Min 9400976 Appmt Dt Slno Description 06-FEB-19 1 MYCOPHENOLATE MOFETIL,500MG,TABLET 06-FEB-19 2 CONSULTATION IN OPD IN BHILAI HOSPITAL
Page 6483 of 6486
Name
G. OJHA Qty Rate Amount 90 22.96 2066.4 1 400 400 2466.4 Total:
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/9400992 Min 9400992 Slno Description Appmt Dt X - RAY - TWO VIEWS 1 01-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 2 01-FEB-19 URIC ACID (UA /URATES /UR) 3 01-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 4 01-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 5 08-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 6 08-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 7 18-FEB-19 ECG 8 18-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 9 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 10 18-FEB-19 URIC ACID (UA /URATES /UR) 11 27-FEB-19 DIACERIN,STRIP PKT,50MG,CAPSULE 12 27-FEB-19 GLUCOSAMINE,500MG&CHONDROITIN 400MG 13 27-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 14 27-FEB-19 X - RAY - TWO VIEWS 15 27-FEB-19 MILK OF MAG 3.75+LIQ.PARAFFIN 1.25ML/5ML 16 27-FEB-19 LORNOXICAM 8 MG,STRIP PACK,,TABLET 17 27-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 18 27-FEB-19
Page 6484 of 6486
Name
K.K. SINGHAL Rate Amount Qty 860 860 1 400 400 1 275 275 1 185.7 6.19 30 18.9 .63 30 400 400 1 400 400 1 450 450 1 10.65 .71 15 20.84 5.21 4 275 275 1 150.9 5.03 30 185.7 6.19 30 400 400 1 860 860 1 43.96 43.96 1 13.7 1.37 10 37.8 .63 60 Total: 4988.15
OPD Mediclaim Bill for the month of February-2019
Name Bill Year 2018 Bill No OPD/1902/17/218/9400993 Min 9400993 Slno Description Appmt Dt OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 1 05-FEB-19 SY,CHLORPHENIRAMINE 2MG+PHENYLEPHRINE5MG 2 05-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 3 05-FEB-19 CONSULTATION IN OPD IN JLN H AND RC 4 18-FEB-19 AMLODIPINE BESYLATE,5MG,STRIP PAC,TABLET 5 18-FEB-19 GRANULE,VITAMIN D-3,1GM/PKT 6 18-FEB-19 OMEPRAZOLE,STRIP PKT,20MG,CAPSULE 7 18-FEB-19 ECG 8 18-FEB-19
Page 6485 of 6486
URMILA SINGHAL Rate Amount Qty 26.7 .89 30 15.73 15.73 1 400 400 1 400 400 1 8.1 .27 30 20.84 5.21 4 26.7 .89 30 450 450 1 Total: 1348.07
OPD Mediclaim Bill for the month of February-2019
Bill Year 2018 Bill No OPD/1902/17/218/9401654 Min 9401654 Slno Description Appmt Dt CARBIMAZOLE,5MG,BTL PACK,TABLET 1 14-FEB-19 TELMISARTAN 40MG,STRIP PACK,,TABLET 2 14-FEB-19 METOPROLOL TARTRATE,50MG,,TABLET 3 14-FEB-19 ATORVASTATIN,STRIP PKT,20MG,TABLET 4 14-FEB-19 ACETYL SALICYLIC ACID 75 MG.,TABLET 5 14-FEB-19 ATORVASTATIN,10 MG,STRIP PACK,TABLET 6 14-FEB-19 ALLOPURINOL,STRIP PKT,100MG,TABLET 7 14-FEB-19 TENELIGLIPTIN,20MG,,TABLET 8 14-FEB-19 CONSULTATION IN OPD IN BHILAI HOSPITAL 9 14-FEB-19
Total: 9641954.9
Page 6486 of 6486
Name
HIMACHAL ROY CHOUDHURY Rate Amount Qty 47.4 1.58 30 55.8 .93 60 72.6 1.21 60 34.8 1.16 30 24 .4 60 21.3 .71 30 37.8 .63 60 167.4 5.58 30 400 400 1 Total: 861.1
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